Saturday, October 27, 2018

CASE STUDY REPORTS AND DEFENCES APRIL 2018 IN CAPITOL



















CASE STUDY REPORTS AND DEFENCES APRIL 2018 IN CAPITOL


Dr MFONFU Daniel                                 
      The case study report is submitted by students in CAPITOL in partial fulfilment of the requirements for the award of higher national diploma (HND) in nursing after schooling for three years. The format for writing of the case study report is based on the format adopted at the Regional Workshop on clinical internships (placements or practicum) at Bamenda on 15 November 2016. The case report is written after the follow up of a case in a hospital, especially the Regional hospital Bamenda during an internship of one month. Emphasis is placed on the case rather than on the internship.

The generic general objective (goal) for    the case study is  Successfully manage the case as a member of the medical and nursing team; and to submit the report of this case study in partial fulfilment to obtain the HND in nursing.       (Or)
Restore the health of the case as a member of the medical and nursing team; and to submit the report of this case study in partial fulfilment to obtain the HND in nursing.

         In CAPITOL Higher Institute of Health Sciences and Beauty Therapies each report is presented in a hard copy and defended using power point. Case report writing is very closely supervised by members of staff. Students constitute resources to carry out clinical and community health research. It is customary for us to select some pertinent case study reports and their defences and publish them at the website www.mfonfudaniel.blogspot.com in order to show to the world what we do in CAPITOL, to motivate the hospital authorities to appreciate the good work they are doing and to improve the weaknesses identified and also to promote our students.

We have selected the following case study reports and their defences in power point of some of our students to publish at the website.
i)                Fournier gangrene in a 33 year old man because it is written in literature that Fournier’s gangrene is a rare disease and potentially fatal (M. N.Mallikarjuna et al., 2012) but with the HIV/AIDS pandemic the disease might not be as rare again and that with good management it responds  very favourably to treatment;  that is why I studied this case in order to sensitize health providers about the existence of this disease and its management
ii)              Preeclampsia because literature on preeclampsia says pre-eclampsia occurs at about 20 weeks of pregnancy but in this case of preeclampsia started when the pregnancy was at term. This preeclampsia at term motivated me to study it.
iii)           Malaria in a child because of the poor management of the first episode of malaria in this child I was motivated by the Poor management of the first episode of malaria in this child
iv)           Tuberculosis in an HIV positive because the case was a roaming patient moving from hospital to hospital without being diagnosed of tuberculosis in HIV, from specialised hospitals in Yaoundé to a District Hospital in Mbengwi where he was diagnosed with tuberculosis.
v)              Hemoperitoneum because this boy went into a conflict situation and he was mistakenly stabbed.
vi)           Postpartum hemorrhage because it led to total hysterectomy so I wanted to know the causes and the management
vii)         Bedsores because the patient developed the bed sores while in the hospital in the reanimation ward. This report will help to sensitize the health team on the importance of preventing bed sores in bed ridden patients.
viii)      Ectopic pregnancy because the ectopic pregnancy did not rupture because of early diagnosis and prompt action by the health team.

Thursday, September 20, 2018

HURRICANES KATRINA AND RITA COULD BE DUE TO LOW PRESSURE

HURRICANES KATRINA AND RITA COULD BE DUE TO LOW PRESSURE (VACUUM) IN THE GULF OF MEXICO CAUSED BY BURNING FLAMES FROM OIL PLATFORMS AND REFINERIES
INTRODUCTION
The pictures shown on television after the passage of Katrina was so gruesome that left no person indifferent. May the souls those who perished rest in peace.

Then came the pictures before and after Rita on 24 September 2005 that drew my attention to my childhood experience that I will like to share with scientists and world leaders.

CHILDHOOD EXPERIENCE
There was a traditional doctor who used to treat my uncle. My uncle suffered often from painful and swollen legs. The traditional doctor came on request to treat my uncle’s legs. He made some scarification at the legs using razor blades and then aspirated blood from them.

The traditional doctor burned a piece of paper in a cup and as it was still burning he put the mouth of the cup on the cut surface (Fig I). After one hour he removed the cup with force and emptied some blood from it. It was a dreadful site to me.

It was later on when I went to secondary school and studied physics that I understood that the aspiration technique of the traditional doctor was based on the creation of vacuum through the consumption of oxygen by the burning paper in the cup.

OBSERVATIONS FROM PICTURES SHOWN BEFORE THE ARRIVAL OF RITA
There are many offshore oil platforms with several flames burning from pipes in the Gulf of Mexico especially around Texas.

On land there are so many refineries with as many as the same number of pipes emitted burning flames (Fig II). It should be very hot in these cities of flames. These flames should be consuming a lot of oxygen and producing a lot of carbon dioxide.

HYPOTHESIS
The traditional doctor through burning produced a vacuum or low pressure in a cup that aspirated blood from the legs of my uncle.

The several burning flames from oil platforms and refineries in the Gulf of Mexico should be producing a vacuum or low pressure in the region. This might not be easily noticed by the population or scientists because the region is not a cup; but is noticed by nature that must fill this vacuum through very strong winds, storms, or hurricanes depending on the volume of vacuum created. This very low-pressure area (vacuum) pulled the eyes of the hurricanes towards New Orleans and Texas with great precision.

Hurricanes Katrina and Rita could be due to low pressure (vacuum) in the Gulf of Mexico caused by burning flames from oil platforms and refineries

These burning flames in the Gulf of Mexico with the consequent vacuums could be also pulling the hurricanes that come across Florida but because of land they do not reach Texas or New Orleans. This time the Katrina and Rita did not originate from the Atlantic Ocean but from a short distance in the Gulf of Mexico.

PROPOSITION
Studies should be carried out objectively to appreciate this my childhood experience and hypothesis.

The gas that burns through the pipes of oil platforms and refineries could be channelled for domestic use or for the generation of electricity.

CONCLUSION
This is my modest contribution to help the population of New Orleans, Texas, Louisiana, and the Gulf of Mexico in general.

A profound and extensive study based on this hypothesis should be carried out and measures that could produce a hurricane free Gulf of Mexico be determined and put in place.

I pray that this my childhood experience should not just be dismissed, but it should be carefully considered.

May God Help us.

Fore more information download the PDF File below

- MANMADE CLIMATE CHANGE & GLOBAL WARMING – DIARY OF DISASTERS -  HURRICANES, TYPHOONS, WILD BUSH FIRES

- THE STRUGGLE FOR RECOGNITION THAT MFONFU HENRY (COCONUT OIL, MFONFU INGREDIENTS) TREATS INTERNAL FUNGAL INFECTIONS IN HIV/AIDS. 


Fig I: Traditional doctor vacuum aspiration from my uncle’s leg

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Fig II: Flames from oil platforms and refineries in the Gulf of Mexico

View image on next POST
Offshore oil platforms in the Gulf of Mexico with burning flames

Friday, July 20, 2018

COMMUNITY HEALTH INTERNSHIP IN BAMBUI AND BAMBILI HEALTH AREAS














COMMUNITY HEALTH INTERNSHIP IN BAMBUI AND BAMBILI HEALTH AREAS
BY DR MFONFU DANIEL

Community health internship is an exercise that is carried out by nursing students of CAPITOL to diagnosehealth problems and health related problems in a community. The study is made using a questionnaire to interview households and synthesis is made with a soft ware elaborated by me.These studies were carried outin Bambui and Bambili Health Areas.

These reports were given to local health authorities as a feedback in order that they should use them to try to solve the health problems identified.

Performance of Health Districts can only be appreciated through such a study not by routine statistics.

We have published this so that other schools can join us to improve the health system. Routine statistics which are sometimes rare and cumbersome to analyse could be complementedby such a study.  

Click on the pdf documents and softwares to read the tools and reports

Bambili Community Health Internship Report 24/09/2017
Bambui Community Health Internship Report 15/09/2017
Community Health Internship Synthesis Software
Community Health Internship Questionnaire
Community Health Internship Questionnaire Synthesis Manual
Vaccination Questionnaire
Vaccination Questionnaire Synthesis Manaul
Vaccination Synthesis Software



Monday, April 02, 2018

CAPITOL PUBLIC HEALTH COURSES FOR HIGHER NATIONAL DIPLOMA (HND)IN NURSING AND LABORATORY SCIENCES – DECEMBER 2016














Mr. Ngalah Edward – Proprietor of CAPITOL

          Dr. Mfonfu Daniel – Dean of studies of CAPITOL 

CAPITOL PUBLIC HEALTH COURSES FOR HIGHER NATIONAL DIPLOMA (HND) IN NURSING AND LABORATORY SCIENCES – DECEMBER 2016
 
We haveproducedthis booklet on Public Health courses to help our students to have all these lectures in one document instead of photocopying each lecture notes. They will just have to pay for the printing cost. In CAPITOL ‘hope is the key’, it is for that reason that we have compiled these public health notes to enable the students achieve their expectation, acquire the Higher National Diploma in Nursing (HND)and laboratory sciences.

These lecture notes have been produced based on the original syllabus of the Public Health elaborated by the Ministry of Higher Education for students studying nursing and laboratory sciences to obtain the Higher National Diploma in Nursing and in laboratory sciences.We have made references to several books of public health, epidemiology, infection prevention, environmental sanitation, pesticides and herbicides; etc; listing them will be very long; thus we acknowledge that some of the statements are from these reference books.

We do not pretend to have produced an exhaustive book of Public Health.
We have developed some pedagogic methods of explaining the lectures to students to enhance their understanding.

We wish our students success in Public Health in the exams for HND in nursing.


Thanks be to The Almighty God, Through Jesus Christ!