DEMOGRAPHICS OF COLLABORATORS INVESTIGATING THE NIGERIAN MEDICAL AND DENTAL INTERNS: A MEDICAL INTERNSHIP TRAINING IN NIGERIA (MINTING) STUDY COLLABORATION.

Introduction: The internship period is a peculiar time in a doctor's career, and some have described it as a "nuisance year" during which the junior doctor assumes many roles at the same time. Junior doctors especially house officers are faced with many unique challenges; this is even more pronounced in poor resource settings like Nigeria. This study aimed to unravel and improve understanding of the challenges faced by medical and dental interns in Nigeria. Methodology: A nine-member House officers Research and Statistics Committee (HRSC) was immediately set up to include three senior colleagues - Senior Registrars and Registrar. To carry out her responsibility efficiently the committee created the House Officers Research Collaboration Network (HRCN), a 103- member team comprising medical and dental interns from across Nigeria under a collaborative - Medical INternship Training in Nigeria (MINTING) study. Results: Out of a total of the 103 House Officers Research Collaboration Network, 80 of them participated in this survey giving a 78% response rate. Ten of the intern Collaborators had additional qualification and seven of them had BSc as an initial degree. About 66 % of the Collaborators have never authored any publication. Of the 27 that have published an article; three collaborators are said to have published 15, 13, 16 articles respectively. Male collaborators where more likely to have published at least one article in the past. Thirty one of the 80 Collaborators have never been in a research collaborative group prior to this MINTING collaborative. Conclusion: This commentary is set out to describe in detail Nigerian House Officers initiative in terms of the structure, functions, operational modalities, and to investigate the demographics of the HRCN collaborators which showed that over two third of collaborators have never authored any publication and about a third of them have never been involved in collaborative research. We also believe the findings will serve as policy guide and benchmark in training the critical medical health force.

Medical mortality in an emergency department in Nigeria: the transition is obvious!

INTRODUCTION: The emergency department (ED), a major entry point into the hospital, provides an insight to the type of cases seen, the quality of care and mortality spectrum in a health institution. We aim to identify the spectrum of medical causes of mortality in our ED, the demographic pattern and duration of stay before death. METHOD: This is a retrospective study that looked at medical mortality in the ED from January 2004 to December 2009. We obtained data on the demographics and causes of death from the medical records and case notes of the deceased. RESULTS: A total of 16587 patients were admitted during the period under review, of these 1262 (7.61%) died in the ED. The male to female ratio was 1.58:1.0 [772 males (61.2%), and 489 females (38.8%)]. Mortality was highest among the 20-45 years age range, followed by 46-65 years, >65 years and < 20 years in decreasing frequency [589(46.7%), 421(33.4%), 186 (14.8%) and 66(5.2%) respectively]. The three most common causes of death were stroke 315(25%), HIV related illnesses 126(10.0%), and heart failure 123(9.7%). Most deaths occurred less than 24hours of admission, 550(43.6%), followed by one day (36.0%) and two days (10.8%) post admissions respectively. CONCLUSION: The commonest cause of death in the ED was stroke. The burden of death was highest in the younger age group, with most occurring less than 24 hours of admission.

Optimization of dual slot antenna using floating metallic sleeve for microwave ablation.

Backward heating reduction is vital in power distribution optimization in microwave thermal ablation. In this study, we optimized dual slot antenna to yield reduction in backward heating pattern along the antenna shaft with the application of floating metallic sleeve. Finite element methods were used to generate the electromagnetic (EM) field and thermal distribution in liver tissue. The position of the sleeve from the tip of the probe (z = 0 mm) was varied within the range 14 ≤ z ≤ 22 mm while sleeve length was varied within 16 ≤ z ≤ 48 mm at 2 mm interval using operating frequency of 2.45 GHz. The best optimized design has reflection coefficient of -20.87 dB and axial ratio of 0.41 when the sleeve position was at 17 mm and sleeve length was 18 mm. Experimental validation shows that inclusion of a floating metallic sleeve on dual slot antenna for hepatic microwave ablation averagely increased ablation diameter and aspect ratio by 17.8% and 33.9% respectively and decreased ablation length by 11.2%. Reduction in backward heating and increase in power deposition into liver tissue could be achieved by using this antenna to provide greater efficiency and localization of specific absorption rate in delivering microwave energy for hepatic ablation.

EPROM-based heartbeat monitor using optical biomedical engineering technique.

BACKGROUND: In Nigeria, manual methods of heartbeat monitoring are commonly used which are subject to a number of human errors and problems. OBJECTIVE: This paper describes the development of a noninvasive EPROM based heartbeat monitor using optical biomedical engineering technique to detect and count the user's heartbeat digitally as well as provide a visual indication of the result obtained. METHODS: This design and construction work employed the optical biomedical engineering technique in which tiny subcutaneous blood vessels in any patch of skin preferably the fingers furnished with a good supply of blood alternately expand and contract in time with the heartbeat. The optical sensors were planted in a peg which provides firm grip of the finger tip to sense these contraction and expansion processes. RESULTS: The results of the tests carried out on fingers of different individuals at rest showed that the thumb, middle finger and forefinger responded more accurately to the heartbeat measurements taken. The thickness of the individual's fingers contributed greatly to the accuracy of the measurement taken. CONCLUSION: The EPROM based heartbeat monitor is a very efficient tool for monitoring the heartbeat of patients. However, its efficiency is determined by the thickness of the individual's finger.