Context.—Despite the crucial role that autopsy plays in the development of the science and practice of medicine, autopsy rates have been declining throughout the world in recent decades. Objective.—To identify factors influencing the acceptance of autopsies in Nigeria. Design.—Cross-sectional survey of the knowledge, attitude, and perceptions of doctors and relatives of deceased patients on factors influencing acceptance of autopsy at the University College Hospital, Ibadan, Nigeria. Results.—Only 38% of relatives had satisfactory knowledge about autopsy and about 50% of doctors knew that physicians' desire for autopsy should not override patients' consent. Doctors identified difficulty in obtaining consent from relatives of deceased patients, administrative problems in requesting autopsy, and delay in obtaining autopsy report as major reasons responsible for the decline in autopsy requests, whereas relatives of the deceased cited fear of mutilation, concerns about delaying the funeral, and objection by the patient before death as reasons for refusal to grant permission for an autopsy. Sociodemographic factors such as age, occupation, religion, ethnicity, and level of education significantly influenced willingness to give consent for autopsy. Conclusions.—There is need for concerted effort on the part of clinicians, pathologists, the public, and the government to resuscitate and sustain the practice of autopsy in Nigeria.
Neonatal jaundice is a colossal issue worldwide, particularly in developing countries. About 60 per cent of term and 80 per cent of preterm babies develop jaundice during the first week of life. Approximately 5–10 per cent of all newborns need phototherapy to prevent this commonest morbidity in neonatal life. The commonly used light sources are special blue fluorescent tubes, compact fluorescent tubes and halogen spotlights. In recent years, a new type of light source, light-emitting diodes (LEDs), has been incorporated into phototherapy. It assessed the significant difference between the baseline total and the level of bilirubin for the first four days of using compact fluorescent lamps (CFLs) and super LED phototherapy lamps. It also examined the significant difference in the responses of male and female neonates to the two intervention methods as well as the significant difference in the median weights of neonates on the day of discharge based on the two intervention methods. The count of the baseline total serum bilirubin when using LED lamps was 11.71 and 8.86 when using CFL lamps. The total serum bilirubin count when using LED lamps decreased from 11.12 to 5.30, and from 9.11 to 6.32 when using CFLs. However, there was no significant difference in the responses of male and female neonates to the two intervention methods and the median weights of neonates on the day of discharge.
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