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COVID -19 : PSN Donates N500,000 Worth Of Drugs To Imo Government



Imo State chapter of the Pharmaceutical Society of Nigeria (PSN) has donated drugs worth about half a million naira to the state government as part of contributions to the fight against coronavirus.

PSN chairman in Imo, Dr Stanley Emegwara, said this while handing over the drugs to the Imo COVID -19 task force in Owerri on Monday.

Emegwara, who doubles as a member of the state task force, commended the taskforce for its efforts at keeping the state COVID-19 free.

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He said that selected drugs were donated by the PSN as part of its corporate social responsibility and in line with protocols for the treatment of coronavirus patients as recommended by the Nigeria Centre for Disease Control (NCDC).

He thanked the state government for its efforts to protect health workers in the state from possible infection, while calling on them to do more especially in the provision of Personal Protective Equipment (PPE).

The Imo PSN helmsman, however, urged health workers in the state not to give up in the face of current challenges, adding that every sacrifice made in fighting the pandemic will be worthwhile .

He also urged Imo residents to accept the government imposed lockdown in good fate, adding that it was in the best interests of the state.

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” The taskforce , aided by its pharmacist members has agreed on the drugs we are going to use in the event of an index case in line with NCDC recommendations, so we decided as a body to donate all the drugs to aid the state government, and Imo citizens in general.

” We thank the state government for the level of support, and urge them to do more especially in the area of protecting health workers.

” We also enjoin all health workers to support government’s efforts and always remember that we all swore to protect lives even though these are challenging times “, he said.

In his response, chairman of the Imo COVID-19 taskforce, Prof. Maurice Iwu expressed surprise over the donation as according to him, the pharmacists had already donated themselves.

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He however thanked the PSN for what he described as their “quintessential contributions”, while assuring that the drugs will be used judiciously.

” I’m surprised that health workers who have already donated themselves are making more donations and this is quite commendable.

” Let me assure you that the drugs will be used to serve the right purposes “, he said.

The donated drugs included 200 tablets of 250mg chloroquine phosphate for 142 patients , 300 tablets of 500mg azythromycin for 60 patients, 140tablets of 625mg augmentin for 14 patients, and 160 tablets of 375mg augmentin for 16 patients.

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Others were 200 tablets of 20mg zinc sulphate for 100 patients, 30 bottles of 200mg azythromycin suspension for 30 patients, 360 tablets of 100mg zinc gluconate for 20 patients, 6,500 tablets of 100mg vitamin C for 250 patients, and 1,920 tablets of 500mg paracetamol for 164 patients.



Cough: What You Need To Know




By Silver Yeibake

The cough reflex is a protective mechanism that helps to clear the airways of mucus, irritants, or foreign particles. When our airway is irritated, it sends a signal to the brain, which then triggers the muscles in our chest and abdomen to quickly expel air, clearing or removing the irritant. This reflex acts as a crucial defense mechanism for the respiratory system. “Cough is not a disease process.”

Kindly note the beautifully coordinated steps involved in the action we know as cough:

1. Irritatant detection: The first step in the cough reflex is the detection of an irritant in the airways, such as dust, smoke, or mucus by special protein complexes called irritants receptors (for convenience) which convert the sensation into an electrical impulse.

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2. Signal Transmission: The receptors in the airway send the signals along nerves to the brain, specifically to a part called *”the cough center”* located in the medulla oblongata, a part of the brainstem.

3. Signal Processing: The brain processes these signals and responds by sending nerve impulses back to the muscles involved in the coughing process.

4. Muscle Contraction: The diaphragm, abdominal muscles, and muscles in the chest wall contract, increasing the pressure in the chest and forcing air out of the lungs at a high speed, making the sound that is characteristic of cough.

5. Expelling Irritant: The forceful release of air clears the airway, expelling/removing the irritant and helping to protect the respiratory system.

The above steps are designed to occur repeatedly until the irritant is removed from the airways or respiratory system or drugs are given to suppress this important protective function.

Although taking cough medication for relief as first aid is usual, it is best to identify and address the cause as soon as possible. Seek medical attention if 2 to 3 days of therapy do not give improvement or the symptom worsened rapidly.

Dr. Yeibake, Weriwoyingipre Silver, a
Senior Registrar, Faculty Of Pediatrics, West Africa College of Physician (WACP), writes from Yenagoa, Bayelsa State.

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Urinary Retention: What You Need To Know




By Yeibake Silver

Urinary retention is defined by an inability to empty the bladder completely. It can be caused by a number of circumstances, including a urinary tract obstruction, nerve issues, drugs, and certain medical diseases.

There are two types of urine retention: acute and chronic. Acute urine retention happens unexpectedly and is frequently painful, necessitating quick medical intervention. Chronic urine retention, on the other hand, occurs gradually and may not be as painful.

Urinary retention symptoms include a frequent urge to urinate, difficulties commencing urination, a weak urine stream, dribbling after urination, and the sensation that the bladder is not completely emptied. In more severe situations, urine retention can result in consequences such as urinary tract infections, kidney damage, or bladder damage.

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Treatment for urine retention may include addressing the underlying cause, such as eliminating a urinary tract obstruction or modifying medications. Catheterization may be required to empty the bladder in severe situations. In some cases, surgery may be required to address the condition causing urine retention.

It is important that individuals having symptoms of urinary retention seek medical attention and therapy to avoid problems and enhance their quality of life.

Dr. Yeibake, Weriwoyingipre Silver, a
Senior Registrar, Faculty Of Pediatrics, West Africa College of Physician (WACP), writes from Yenagoa, Bayelsa State.

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HEALTH CORNER: What You Need To Know About Peptic Ulcer Disease




Peptic ulcer disease (PUD) is a condition that affects the stomach and first part of the small intestine. It is characterized by open sores(wounds), known as “ulcers,” that form in the lining of these organs.

Peptic ulcer disease (PUD) affects four million people worldwide annually and has an estimated lifetime occurrence of 5−10% in the general population. Its frequency is reducing among young males and increasing in older females.

The most common cause of PUD is a bacterial infection called  “Helicobacter pylori”  (H. pylori), but it can also be caused by long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as Aspirin, Diclofenac, Ibuprofen, Puroxicam, or excessive acid production in the stomach in some disease conditions.

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The risk factors include alcohol abuse, smoking, prolonged use or use of high doses of NSAIDs, misuse of steroids such as Prednisolone and Dexamethasone, and exposure to high doses of ionizing radiation.

“Stress, carbonated soft drinks, and spicy foods do not cause ulcers but can make them worse.”

Symptoms of PUD can vary from person to person, but they commonly include:

1. Burning or gnawing abdominal pain, usually in the upper middle part of the abdomen.
2. Feeling full and bloated after eating.
3. Nausea or vomiting.
4. Loss of appetite.
5. Weight loss.
6. Dark or black stools (indicating gastrointestinal bleeding).

If a person has symptoms suggestive of PUD, it is important to seek medical attention for an accurate diagnosis.

A healthcare provider will take relevant history, perform a physical examination, and may recommend tests such as an upper endoscopy, a breath test for H. pylori, or blood tests.

Treatment for PUD typically involves a combination of medications and lifestyle changes. Medications may include proton pump inhibitors (PPIs) and antihistamines to reduce stomach acid production, antacids to neutralize already produced acid, and antibiotics to eliminate H. pylori.

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Lifestyle changes may include avoiding NSAIDs, alcohol, and smoking, as well as managing stress levels and eating a healthy diet.

In severe cases of PUD, complications like bleeding, perforation (a hole in the stomach or intestine wall), or obstruction may occur. These require immediate medical attention and may lead to hospitalization or surgery.

“Please do understand that PUD, just like Malaria, is curable with appropriate and adequate treatment, and not a life-long diagnosis. However, it can recur as many times as possible as long as the patient keeps exposing himself/herself to the causative agents or keeps indulging in behaviours that can trigger and/or worsen its symptoms.”

It is worth noting that while PUD can cause discomfort and complications, with proper treatment and management, most people can find relief from their symptoms and prevent recurrence.

It is important to follow the healthcare provider’s advice and attend regular follow-up appointments to monitor the condition.

Dr. Yeibake, Weriwoyingipre Silver is a Senior Registrar, Paediatrics, Federal Medical Centre, Yenagoa, Bayelsa State.

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