Histopathological Patterns of Larynx Biopsies in Usmanu Danfodiyo University Teaching Hospital (UDUTH) Sokoto, North- Western Nigeria From 2002-2012

Abstract

Background: Laryngeal cancer is the most common of the aerodigestive tract affecting both sexes and all age groups with high morbidity and mortality when left untreated. Objectives: The study is carried out to review the histology of all larynx biopsies sent to Histopathology laboratory in UDUTH. Sokoto. Methods: A total number of forty three (43) paraffin embedded tissue block were used for the study. The blocks were retrieved from the archive and the patients' bio data and the histopathological pattern from the biopsies record book. The sections were cut from the tissue Original Research Article

SERVICOM and Service Delivery in the Alex Ekwueme Federal University Teaching Hospital Abakaliki (AEFUTHA)

“…Similarly, the hierarchical structure associated with delay and poor accountability in provision of medical services required or expected by patients and its attendant consequences to patients avoiding hospital appointment and most of the clients cannot even afford the drugs or treatment bill (Mohammed, Aliyu & Mohammed, 2013). Accountability on the side of the hospital may continue to be a nightmare as a result of irregular implementation SERVICOM charters (Samuel, 2015;Olaopa, 2008;Ayeni, 2007).…”

“…They provide the most specialized healthcare administered to patients with complex diseases that may require high risk of medical and surgical procedures with high cost technological resource (National Health Policy, 2004). It requires sophisticated medical technology, multiple specialists and subspecialists, a diagnostic support group, provision of medical consumables and medical information (Mohammed, Aliyu & Mohammed, 2013;National Health Policy, 2004). Statistics revealed that in Nigeria, 47% of the population is below 18 years while only 4% is above 60 years.…”

“…Indeed, negative attention ranges from poor service delivery to service delay, discontinuity of care, professional misconduct, and bureaucratic procedures. These have led to poor public confidence in healthcare and made the federal teaching hospital unattractive to the consumers of hospital services (Iliyasu, Abubakar, Abubakar, Lawan, & Gajida 2010; Olowu, 2008) and has contributed to increase in mortality rate in the country (Mohammed, Aliyu & Mohammed, 2013;Israel & Sunday, 2009). It is worrisome that AEFUTHA, has been criticized for traditional hierarchical structures and lack of responsiveness associated with delay in provision of medical consumables has encouraged patients to seek medical attention in private clinics (Mohammed, Aliyu & Mohammed, 2013) and accountability on the side of medical staff may continue to be a nightmare.…”