FACULTY OF CLINICAL SCIENCES
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Item Hearing healthcare gaps in LMICS: snapshot from a semi-urban community in Nigeria(2021-06) Adeyemo, A. A.; Ogunkeyede, S.; Dania, O.Background: Low and middle-income countries (LMICs) have high prevalence of hearing loss which are mainly due to preventable causes. While urban communities in LMICs are likely to have functional hearing healthcare delivery infrastructure, rural and semi-urban communities may have different reality. Objectives: This study aimed to provide: (i) a snapshot of the burden of ear diseases and (ii) a description of available hearing healthcare resources in a semi-urban Nigerian community. Methods: A cross-sectional study of households selected by multistage random sampling technique. Seventy-four participants: 39 males and 35 females with mean age of 34 years ± 5.24 were recruited and answered a structured questionnaire. In addition, the availability of hearing healthcare services in 15 health centers within the community were determined. Results: All participants reported recent occurrence of ear complaints or gave similar history in a household member. Common complaints were ear discharge, ear pain and hearing loss. Medical intervention was sought from patent medicine stores, hospitals and traditional healers. None of the assessed hospitals within the study site was manned by an ENT surgeon or ENT trained nurse. Conclusion: Despite the heavy burden of ear complaints there is inadequate hearing healthcare delivery in a typical LMIC community. This highlights the need for urgent improvement of hearing healthcareItem Roles of the librarian in a research library in the digital era: challenges and the way forward(Taylor & Francis, 2013) Ilesanmi, T. C.This article describes the roles of librarians in a research library, particularly in the digital era. Librarians’ roles vary from the custodian of resources to providers of a diverse nature of activities ranging from collection development, organization of knowledge, information services, preservation and conservation, and management. Librarians perform the aforementioned functions traditionally by using printed tools ranging from collection development tools (e.g., publishers’ catalogues, books in print, Ulrich, bibliography); cataloguing tools (e.g., classification schemes such as Library of Congress Classification [LCC] and Dewey Decimal Classification [DDC]); information services (e.g., bulletin, notice board, flyers); preservation and conservation (e.g., clean shelves, use of acid free boxes); and so forth. The traditional ways of performing these functions is being eroded by modern technology. This calls for changes in the products and services of research libraries to the research community served. These changes and the roles that librarians play are discussed in this article. Also enumerated are the challenges, such as dwindling budgets, capacity building, inadequate facilities, among others, of optimizing innovative ways of achieving more enhanced services. Some suggestions that could move the profession forward are also profferedItem Local anesthesia: An appropriate technology for simple fistula repair(Elsevier Ireland Ltd., 2007) Ojengbede, O.A.; Morhason-Bello, I.O.Objectives: To assess the efficacy of local infiltrative anesthesia with lidocaine hydrochloride in patients undergoing the surgical repair of a simple vesico-vaginal fistula. Methods: The study was carried out with 21 patients undergoing the repair of a simple midvaginal vesico-vaginal fistula. The patientsT perception of pain was evaluated intraoperatively. Results: Most patients indicated that the anesthetic agent provided adequate analgesia, and all fistulas were repaired successfully without postoperative complications. Conclusion: Repairing simple vesico-vaginal fistulas is feasible with a local infiltrative anesthetic