Background/Purpose: To review the pattern of presentation and management difficulty of patients with ocular chemical burns.
Method:Retrospective study of all patients with ocular burns seen over 8-year period (March 1998-April 2006 in the eye clinic as well as the plastic and reconstructive surgery unit of our hospital. Case files were retrieved and relevant information extracted and analyzed. Results: There were a total of 23 patients (n=33 eyes) seen in the period under review consisting of 19 males and 4 females. The age ranged from 6-52 years with mean age of 31.87years. The chemical injuries were accidental in 73.9% of the cases and of these 76.5% were work related. The remaining 26.1% resulting from assault were bilateral and led to blindness in all the patients. Main injurious agents were acid and alkali. Conclusion: Major cause of chemical injury was work related; although blindness and disability occurred more in the cases of assault. Occupational health issues need a revisit, preparedness of health institutions to take adequate care of people with ocular burns is presently poor.Key words: Eye, chemical injury, presentation, management difficulty Résumé Introduction/Objectif : Faire le bilan de la tendance de la présentation et la prise en charge difficile des patients atteints de la brûlure chimique oculaire. Méthode : Etude rétrospective de tous les patients avec la brûlure oculaire vus au cours d'une durée de 8 ans (mars 1998 -avril 2006) dans le centre ophtalmologique, de même que du centre chirurgical réparatice et esthétique dans notre hôpital. Dossiers médicaux ont été rétrouvés et des informations pertinentes ont été notées et analysées. Résultats : Dans l'ensemble, il y a un nombre total de 23 patients (n = 33 yeux) vus pendant la période en cours de révision constituent 19 patients du sexe masculin et 4 du sexe féminin. La tranche d'âge de 6 -52 ans avec l'âge moyen de 31,87 ans. Des blessures cliniques étaient accidentelles chez 73,9% des cas dont 76,5% étaient liées au travail. Les autres patients 26,1% à la suite des coups et blessures étaient bilatéraux et ont provoqué la cécité chez tous les patients. Agents principaux des blessures étaient acide et alcali. Conclusion : La cause principale de la blessure chimique est liée au travail, quoique la cécité et l'infirmité arrivent toujours dans les cas des blessures. Des problèmes ayant rapport è la santé professionnelle éxige une nouvelle perspective. Actuellement, l'état de préparation des centres hospitaliers de soigner bien convenablement les gens atteints des brûlures oculaires est mauvais.
The findings revealed that the medical students with advanced computer skills were well prepared and disposed to IT based medical education. Therefore, high level of computer skill is required for them to be prepared and favorably disposed to IT based medical education.
In Nigeria, there are issues of insecurity, disintegration, lawlessness and heightened corruption among others. Issues of this nature need the role of counsellors when stakeholders are formulating policies for national integration. Hence, it is on this premise that this study investigated the role of counsellors in promoting National integration in Nigeria. The research design adopted for the study was the descriptive survey type. A multistage sampling procedure was adopted in selecting the respondents that participated in the study. Purposive sampling technique was used to select 460 respondents for the study. The instrument used in gathering the required data was a self-developed questionnaire titled "Role of Counsellors in Promoting National Integration Questionnaire" (RCNIQ). Three null hypotheses were generated and tested at 0.05 alpha level of significance using t-test statistical tool. The result obtained revealed that there was significant difference in the role of counsellors in promoting National integration based on gender, educational qualification and length of years in service. Based on the findings of the study, it was recommended that more school counsellors should enlighten the students on the need for unity and integration among Nigerians. Seminars and workshops should be organized by counsellors in collaboration with the government, Non-Governmental Organizations and other stakeholders in order to discuss and tackle contemporary issues on National integration and stability.
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