The incident of COVID – 19 in Nigeria has exposed the dilapidated level of the health sector, inadequacy in the provision and administration of social welfare to the citizens and the challenges faced by the street-level bureaucrats in their course of duties to fight COVID 19. The Study assesses the social welfare policy of COVID 19 in Nigeria and the involvement of the street-level bureaucrat. The study relies on secondary data with content analysis of books, journals, internet source and other relevant materials. The study revealed that COVID 19 pandemic with its damaging effects is real in Nigeria and the number of effected persons and death are gradually increasing. The social welfare policy measures by the government is inadequate, the frontline healthcare bureaucrats faced the challenge of coping with the outbreak of COVID-19 due to shortage of resources such as: equipment, staff, protection gears and other accessories needed to work. Most Nigerian did not believe in the existence of the coronavirus. The study recommended that Nigeria should improve on testing capacity; recruit more health care personnel, Institutionalize people oriented social welfare policies with or without emergency situation; there should investment on street level bureaucrats in area of capacity building and motivation. Awareness and sensitization should be created on the existence COVID 19 pandemic and its ravaging effects through mobilization of the people at the grassroots. Government should open up the economy school and the churches should be opened. People must be ready to take responsibility for their healths while the WHO and countries of the word should be proactive in finding cure for the COVID 19 pandemic.
Abstract Research shows that the presence of cancer increases the likelihood of developing venous thromboembolism (pulmonary thromboembolism and deep vein thrombosis) from as much as fourfold up to sevenfold. It is imperative that after early diagnosis we treat cancer-associated thrombosis with grave seriousness in order to reduce its morbidity and mortality. We present 14 case reports of patients with cancer-associated thrombosis including thrombosis related to malignant hemopathies.
Background: Our goal is to present a case of anencephaly, detected during the 1 9th week of pregnancy.Case: The patient is a 38 year old in her 3 rd pregnancy,.During the 8 th week of pregnancy, ultrasound imaging revealed that the embryo had a "jagged" cranial shape, further observation lead to confirmation of the diagnosis and termination of the pregnancy.Conclusion: Anencephaly is a major congenital anomaly that can be detected early in the first trimester of pregnancy.A "jagged" cranial shape raises suspicion for the presence of this anomaly.
I am writing to report a case of a pregnant woman in her 3rd trimester (34W0D) who is positive for COVID19 infection and presents with oligohydramnios. Our case is a 27 year old woman, pregnant in her 2nd pregnancy with singletons, currently in the 34W0D who has been regularly followed-up and has had a normal uncomplicated flow of the pregnancy. She consults, before her next scheduled check-up, with complaints of fever, increased body temperature (self assessed to be 37.3 C) and dry cough that were present for the past 7 days. Up to this point she hasn't consulted another medical professional or received treatment beyond over-the-counter medications. Ultrasound was performed and biometric measurements result as expected for a 33 W pregnancy. Measurements of the amniotic fluid result in depth < 13 mm and AFI < 48 mm which translates to severe oligohydramnion with intact fetal membrane. The placenta doesn't show any particular changes, umbilical convolutes are noticeably wrinkled and the fetus is assuming a forced position with pathological CTG. The fetus is clearly suffering and the patient is urgently referred to a tertiary specialized gynecological institution. Furthermore, since the mother shows clear signs of infective syndrome which are compatible with the ongoing COVID19 pandemic, she is instructed to be tested. The patient, being highly suspected of COVID19 infection, is processed as such taking all the necessary precautions. Her pregnancy is terminated early with sectio caesarea resulting with a premature newborn with APGAR score 8/8 and body weight of 2150 g. The COVID19 test results positive for the mother and negative for the newborn. In our case the COVID19 caused infective syndrome is highly-suspected to be the reason for the development of oligohydramnion. Bearing in mind that this is a serious condition resulting with poor perinatal outcome, it's reasonable for pregnant women who are positive of COVID19, beside routine examinations, to be followed-up with ultrasound more often for any signs of oligohidramnion. None.