Newsletter Vol. 1 No. 4 2014


CHS e-newsletter
College of Health Sciences, Obafemi Awolowo University, Ile-Ife

RECENT PUBLICATIONS

Blood pressure control and exaggerated blood pressure response in Nigerians with
essential hypertension



Abiodun OO, Balogun MO, Adebayo RA, Akintomide AO.


Clin Med Insights Cardiol. 2014 Jun 26;8:53-6. doi: 10.4137/CMC.S15961.


PMID: 25057242 more

Sexual assault in Ile-Ife, Nigeria


Badejoko OO, Anyabolu HC, Badejoko BO, Ijarotimi AO, Kuti O, Adejuyigbe EA.


Niger Med J. 2014 May;55(3):254-9. doi: 10.4103/0300-1652.132065.


PMID: 25013260 more

Knowledge and Attitude of Nigerian Pregnant Women towards Antenatal Exercise: A
Cross-Sectional Survey



Mbada CE, Adebayo OE, Adeyemi AB, Arije OO, Dada OO, Akinwande OA, Awotidebe TO, Alonge IA.


ISRNObstet Gynecol. 2014 Apr 14;2014:260539. doi: 10.1155/2014/260539 eCollection 2014.


PMID: 25006478 more

Preventive oral health practices of school pupils in Southern Nigeria


Folayan MO, Khami MR, Onyejaka N, Popoola BO, Adeyemo YI.


BMC Oral Health. 2014 Jul 7;14(1):83. doi: 10.1186/1472-6831-14-83.


PMID: 25001584 more

Study motives, career choices and interest in paediatric dentistry among final
year dental students in Nigeria



Folayan MO, Sofola OO, Khami MR, Esan AO, Popoola BO, Orenuga OO, Folaranmi N, Ligali TO, Phillips AS.


BMC Med Educ. 2014 Jul 2;14(1):130. doi: 10.1186/1472-6920-14-130.


PMID: 24989055 more

Dermatologic conditions in teenage adolescents in Nigeria


Henshaw EB, Olasode OA, Ogedegbe EE, Etuk I.


Adolesc Health Med Ther. 2014 May 27;5:79-87. doi: 10.2147/AHMT.S62231. eCollection 2014.


PMID: 24966708 more

Appraisal of the national response to the caries epidemic in children in Nigeria.


Folayan MO, Chukwumah NM, Onyejaka N, Adeniyi AA, Olatosi OO.


BMC Oral Health. 2014 Jun 23;14:76. doi: 10.1186/1472-6831-14-76.


PMID: 24957148 more

Pattern of placenta histopathology in low birth weight babies seen in a tertiary
healthcentre in South-Western Nigeria.



Omoniyi-Esan GO, Olaofe OO, Omonisi AE, Kuti O.


Niger J Med. 2014 Apr-Jun;23(2):149-52.


PMID: 24956688 more

A comparison of colorectal cancer in Nigerian and North American patients: Is the
cancer biology different?



Saluja S, Alatise OI, Adewale A, Misholy J, Chou J, Gonen M, Weiser M, Kingham TP.


Surgery. 2014 Aug;156(2):305-10. doi: 10.1016/j.surg.2014.03.036. Epub 2014 Jun
19.


PMID: 24953266 more

Diagnostic proficiency and reporting of Lassa fever by physicians in Osun State of Nigeria.


Olowookere SA, Fatiregun AA, Gbolahan OO, Adepoju EG.


BMC Infect Dis. 2014 Jun 20;14(1):344. doi: 10.1186/1471-2334-14-344.


PMID: 24950705 more

Spousal violence in sub-Saharan Africa: does household poverty-wealth matter?


Bamiwuye SO, Odimegwu C.


Reprod Health. 2014 Jun 17;11:45. doi: 10.1186/1742-4755-11-45.


PMID: 24935486 more

Functional Limitations due to Fatigue Among Independently Ambulant Stroke Survivors in Osun, South-Western Nigeria.


Obembe AO, Olaogun MM, Olalemi AE.


Physiother Res Int. 2014 Jun 12. doi: 10.1002/pri.1596. [Epub ahead of print]


PMID: 24925697 more

Post-approval monitoring and oversight of U.S.-Initiated human subjects research in resource-constrained countries.


Brown B, Kinsler J, Folayan MO, Allen K, Cáceres CF.


J Bioeth Inq. 2014 Jun;11(2):119-23. doi: 10.1007/s11673-014-9525-4. Epub 2014 May 17.


PMID: 24839155

Debating Ethics in HIV Research: Gaps between Policy and Practice in Nigeria.


Folayan MO, Peterson K, Haire B, Brown B, Audu K, Makanjuola O, Pelemo B, Marsh V.


Dev World Bioeth. 2014 Jun 27. doi: 10.1111/dewb.12064. [Epub ahead of print]


PMID: 24975983

Appraisal of the national response to the caries epidemic in children in Nigeria.


Folayan MO, Chukwumah NM, Onyejaka N, Adeniyi AA, Olatosi OO.


BMC Oral Health. 2014 Jun 23;14:76. doi: 10.1186/1472-6831-14-76.


PMID: 24957148

Ethical Issues in Adolescents' Sexual and Reproductive Health Research in Nigeria.


Folayan MO, Haire B, Harrison A, Odetoyingbo M, Fatusi O, Brown B.


Dev World Bioeth. 2014 Jun 9. doi: 10.1111/dewb.12061. [Epub ahead of print]


PMID: 24910162

A prospective study on the effectiveness of ketamine and diazepam used for conscious sedation in paediatric dental patients' management.


Folayan MO, Faponle AF, Oziegbe EO, Adetoye AO.


Eur J Paediatr Dent. 2014 Jun;15(2):132-6.


PMID: 25102462

Performance needs assessment of maternal and newborn health service delivery in urban and rural areas of Osun state, South-west, Nigeria.


Esan OT, Fatusi AO.


African Journal of Reproductive Health. 2014. Jun:18(2):105-16

COLLEGE NEWS HIGHLIGHTS

CHS and MSH finalise curriculum on PEPFAR Health Professional Fellowship Program

College holds Integrated Curriculum Seminar

College organises meeting with heads of Research Groups

Professor Akinsola becomes a Distinguished Fellow of the European Renal Association

NUNSA OAU President Emerges National NUNSA President at National NUNSA election

Department of Nursing Science hosts Dr. Stella Iwuagwu, an alumnus and academician from Cleveland State University

RESEARCH AND GRANTS REPORTS

Dr. Morenike (Ukpong) Folayan leads Collaboration To Fill the Gap between Ethics Policy and Practice in Nigeria

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Nigerian scientists and advocates partnered with researchers from American, Australian, and United Kingdom to examine community engagement in research and dialogue with researchers in an article titled “Debating Ethics in HIV Research: Gaps between Policy and Practice in Nigeria”. The article which was recently published in Developing World Bioethics
Nigeria has one of the worst HIV epidemic profiles in the world, and as a result has a large number of ongoing internationally funded researches. Ethical guidelines for the conduct of research are being modified, and community

Participants and researchers of the research

engagement is necessary to design and implement HIV

related studies. Still, there is very little commensurate effort in building the capacity of local persons to engage actively with researchers, and there is no existing platform to facilitate dialogue between researchers and communities engaged in research in Nigeria.

To address this communication gap between researchers and participants, we undertook a series of community dialogues and community-researcher interface meetings in three major cities in Nigeria (Lagos, Osogbo, and Abuja). We aimed to highlight the main issues perceived by community groups in the areas of informed consent; community engagement; standard of care; and to describe the outcomes of discussions between community groups, researchers and other HIV/AIDS research stakeholders.

Perceived gaps between policy and practice in ensuring ethical conduct of research in Nigeria were due to poor adherence to the ethical conduct of research, and inadequate oversight of studies by national regulatory bodies. Participants emphasized that community engagement should support stakeholders in identifying unethical practices as well as adequately resolving them. One important form of community engagement mentioned was the effort to promote research literacy. Another was consultation with the community and identifying the ‘community’ itself. There was consensus that unethical practices have less to do with the multiplicity of ethical guidelines but rather, the ability of researchers to imbue the practice of ethics. Efforts therefore need to be invested in teaching and training researchers on ethical conduct of research.

Manuscript authors include: Dr. Morenike (Ukpong) Folayan of the Department of Child Dental Health, Faculty of Dentistry and the Coordinator of the New HIV Vaccine and Microbicide Advocacy Society, Dr. Kristin Peterson from the UC Irvine anthropology department, Dr. Bridget Haire from the Centre of Values, Ethics, and the Law in Medicine at the University of New South Wales, Dr. Brandon Brown from the UC Irvine Program in Public Health GHREAT Initiative, Mr. Olumide Makanjuola from the Initiative for Equal Rights, Mr. BabatundePelemo from the Christ Against Drug Ministry, Mr. KadiriAudu from International Rectal Microbicides Advocates, and Dr. Vicki Marsh from KEMRI Wellcome Trust and Oxford University.

Dr Daniel Obaseki of the department of medicine, OAU and a team of researchers advanced knowledge on Asthma

There is conflicting evidence on whether patients with asthma experience an accelerated decline in lung function with age. We examined the association between post-bronchodilator lung function, asthma, chronic rhinosinusitis (CRS), and atopy with age using a large European cohort.

Through a sample of 3337 participants with asthma, CRS or both and controls with neither, from 17 centres in 11 European countries, we

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conducted a case-control study nested within a representative cross-

Dr Daniel Obaseki

sectional survey of adults aged between 15 and 75 years. After a meta-analysis of the composite data, we found that people with asthma have a steeper decline in post-bronchodilator lung function with age, but neither CRS nor atopy alone were associated with such decline. The study was published in the second leading journal worldwide on the subject of Allergy and Immunology, with an impact factor of 5.883 as at 2012.

Further details about the study can be found in the following link:

http://onlinelibrary.wiley.com/doi/10.1111/all.12447/abstract

Dr Abiodun studies blood pressure control and exaggerated blood pressure response in Nigerians with essential hypertension.

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Blood pressure (BP) control in hypertensive patients is important in preventing cardiovascular (CV) disease and death. We assessed BP control among 85 male hypertensive Nigerians at rest and during treadmill exercise testing using the Bruce protocol. Resting systolic BP and resting diastolic BP were significantly lower in the controlled group. The proportion of subjects with controlled BP was 37.7%. Adjusted peak SBP (PSBP) during exercise was significantly higher in the uncontrolled than in the controlled group. Adjusted exaggerated BP response (EBPR)

Dr. O. O. Abiodun

was found in 37 subjects (44%) in the uncontrolled group while seven

subjects (0.1%) had EBPR in the controlled group .This study shows that EBPR is significantly higher in subjects with uncontrolled BP compared with those with controlled BP. Therefore, good BP control may be the key factor in preventing EBPR in hypertensive Nigerians.

COLLEGE NEWS IN DETAILS

CHS and MSH finalise curriculum on PEPFAR Health Professional Fellowship Program

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In furtherance of MoU signed between the College and MSH, a planning meeting was held from 1st to 5th of July 2014 in Lagos to finalise the new curriculum for the PEPFAR Health Professional Fellowship Program.

Based on the new curriculum, the fellowship training has been scheduled to hold from October 27th to November 7th, 2014.

The main purpose of the fellowship programme is to strengthen the health care system and better equip Nigerian health workers with the necessary leadership and management skills.

Cross section of CHS, OAU & MSH representatives

The curriculum broadly addresses the various

problems facing the Nigeria health sector and how health workers can address them. Topics covered by the curriculum include communication and emotional intelligence, leadership, leading and managing practices, health system building blocks and quality improvement.

College Organises Integrated Curriculum Seminar

In an effort to better the lot of students and improve the standard of teaching, the College of Health Sciences on Wednesday, 18th June organized a curriculum integrated seminar with a Clinical Associate Professor from the University of South Carolina, Dr. Thomas I. Nathaniel as a facilitator.

In a bid to orientate the College Staff on the need for an integrated curriculum, Dr Nathaniel spoke in details on how the new approach can be applied. He also emphasized the immense benefits of exposing the students to the curriculum.

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He further highlighted that the use of an integrated curriculum has the potential to increase

Dr. Nathaniel facilitating the integrated curriculum seminar with some College Staff

competencies and ensure improved professionalism which will strengthen the health care system of Nigeria, considerably.

College holds Meeting with Research Groups Head

To further push the frontiers of research among members of the college and support the functionality of recently established research groups, the Research Innovation and Support Unit of CoRPA on Friday 11th July held a meeting with the chairpersons and secretaries of research groups at the College Board room.

As part of an effort to better communicate the operations of CoRPA, RISU and the agenda for the research groups, presentations were made on the mission, activities,

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achievements and challenges of RISU since its creation. The facilitators were Professor Adesegun Fatusi (the Provost), Dr.

Research group heads listening aply during one of the presentations

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Morenike Ukpong (coordinator of RISU) and Dr. Mbada (secretary, RISU).

Key participants included Prof. M.A. Durosinmi, Prof. Fola Faponle and Dr. Adedoyin of the Department of Medical Rehabilitation.

The meeting also gave room for the exchange of ideas, suggestions and feedbacks. Also, means through which grant opportunities can be optimized, accessed and implemented were amongst the many issues discussed.

Prof. Adesegun Fatusi presenting the operations of CoRPA (RISU) to research heads

Professor Akinsola becomes a Distinguished Fellow of the European Renal Association

It is yet another time of honour and distinction for Professor Wale Akinsola, who is a leading national figure and an internationally recognized authority in the field of renal medicine. Prof Akinsola was one of the 30 global Experts and professionals that were awarded the Distinguished Fellow of the European Renal Association during the last European Renal Association - European Dialysis and Transplant Association (ERA-EDTA) pre-congress Council meeting that was held in Amsterdam on May 30, 2014. The list of 30 honorees has only 5 Africans.

The Fellowship award and recognition was set in 2011 by the ERA-EDTA to reward persons who have been very active in the initiatives and life of the ERA-EDTA, as well as in the clinical and research fields regarding nephrology and its related subjects.

NUNSA OAU President Emerges National Nunsa President

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Another opportunity to serve and make resounding impact at the national level has beckoned as Mr. Toba Odumosu, a student of the Department of Nursing Science, Obafemi Awolowo University has emerged the National President of the Nigerian Universities Nursing Students’ Association (NUNSA). The election which held after National Convention of the association at the University of Calabar had delegates and participants from the twenty six universities across the federation that make up the association.

Expressing his delight and agenda for the next one year, Toba Odumosu explained that the next one year will be one saddled with

Toba Odumosu

ensuring internal integration and enhancing unity and

development at all levels. He added that his administration will carry along all stakeholders and members of the association.

Toba Odumosu won the poll with an astounding twenty three votes out of twenty four votes casted as his opponent backed out of the poll at the last minute. He, however, stressed that the victory was a well deserved one as his campaign team ensured a maximum coverage of all the universities that make up the association in other to truly earn and not buy the loyalty of the voters.

Department of Nursing Science hosts Dr Stella Iwuagwu, an Alumnus and Academician from Cleveland State University.

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The Department of Nursing Science, College of Health Sciences, Obafemi Awolowo University, in collaboration with the Centre for Distance Learning recently hosted to a proud alumnus, Dr. Stella Iwuagwu for a two-month exchange/fellowship programme from the Cleveland State University, Ohio.

Tobi Eyinade of the College Research and Partnership Office took time out to interact with the visiting scholar on life, human rights advocacy, her passion for healthcare system reform, an accident that changed her life and more. She narrates the encounter below.

Tobi Eyinade (CoRPA)

Having booked an appointment that had been shifted several times, I was

glad the day was finally here. The sweet smelling vanilla fragrance of her office provided a relaxed ambience for the interview and was a good omen, a sign of better things to come.

Dr. Stella’s selflessness is striking. That was the first thing I noticed as soon as we settled into a conversation. I was quick to ask what influenced her selfless disposition to life. The answer I got was an all-encompassing one as a quick delve into her childhood and the values inculcated into her while growing up were shared. “Beyond the many philosophies that can account for sheer selfless service to

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humanity, I believe in sharing, my mother was a giver. She

Dr Stella Iwuagwu

believes that you don’t have to have it all before you start giving”. As a daughter of a washer man in my village, we had very little but we were so rich in our spirit, she added.
This strong belief in sharing accounts for Dr.Iwuagwu’s patriotism and commitment to the Nigerian dream. In spite of the many challenges she has faced in a bid to contribute towards improving the health care system in Nigeria, including an accident in 2007 that left her paraplegic six days after delivering a heart-rending speech at the National Assembly in Abuja, she remains dauntless.

With a deep sense of gratitude and conviction rather than regret, Dr. Stella noted that it is a miracle that she is still alive despite being mismanaged at the National Hospital, Abuja after the accident that almost cut short her life. “The whole world contributed to my recovery, God never abandoned me”, she quivered in an emotion laden voice.

She views her passion to advocate for the healthcare system as one deposited in her by a force larger than life. She added that her recovery and existence is a second chance given to her by God to continue the battle for the reform of the deplorable healthcare system.

Since founding the Centre for Right to Health (CRH) in 1999, a non-governmental organization pushing the frontiers in the area of women rights, reforms and a better Nigeria as a whole, Dr. Stella has never relented in the fight for the soul of Nigeria. According to her, to achieve this, “there is a need to recruit younger people to join the fight. The young and older generations need to come together to fight for the nation- one neighborhood at a time through volunteering and service”.

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On the issue of poverty and how it serves as an impediment to social emancipation, Dr. Iwuagwu philosophizes that where there is a will, there is a way. She added that there is a need to embrace self-determination and entrepreneurship as a quicker and better alternative to make life habitable. “In every human being is that survival strategy, all we need to do is to reach within and garner the strength and will to live against all odds”.

Apart from being a selfless advocate for women, and campaigning against domestic violence amongst others, she

Dr. Iwuagwu

is an accomplished scholar. Little wonder she is currently an

assistant Professor with the Cleveland State University and has carried out many research works and published widely on issues of women’s health.

Rather than allow her health challenges to dampen her morale, Dr. Stella Iwuagwu remains undeterred and is instead more determined to make a change in the society. She now hopes to explore the issue of women with breast cancer and their body image, and the sexuality of people with disability.

In a world increasingly beset with self-obsession and self-gratification, she is a shining light in the dark, a lone voice in the wild, calling on us to be selfless, and render our services to humanity, as that is the only legacy we’ll leave behind.

In concluding the interview, Dr. Stella expressed gratitude to the Nursing Science department and the College authorities for giving her the opportunity to come back-She thanked her hosts for the great care enjoyed; the frequent medical attention, adequate therapy, and the strategically located office she was given.

She also urged other old students of the College in Diaspora to show more enthusiasm in giving back and so become sources of brain enrichment contrary to the brain draining that has been the case decades ago. “Nigeria is home for us all and needs all the investment it can get” she added.

With the support of some of the other old students of the Department of Nursing Science, Dr. Stella Iwuagwu coordinated the procurement of textbooks and mannequins for the use of the department and is helping in the subscription for several international journal of nursing.

At the end of the two months scholarly visit to Nigeria; she hopes to have completed the online virtual teaching class she is working on in collaboration with the Centre for Distance Learning and the Department of Nursing.

CONTACT US

College of Health Sciences

Obafemi Awolowo University, Ile-Ife

E-mail: academia.provostchs@gmail.com

Alumni E-mail: chsalumnioau@gmail.com

Phone: +234 (0) 8111357063