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  • Perception (Of) And Willingness To Choose Neurosurgery Career Amongst Final Year Medical Students In Ibadan, Nigeria.

    Posted 2019-03-18 09:39:31 by: The HealthFolk Team

    Related Articles Perception (Of) And Willingness To Choose Neurosurgery Career Amongst Final Year Medical Students In Ibadan, Nigeria. World Neurosurg. 2019 Mar 12;: Authors: Balogun JA, Adebayo AM PMID: 30877009 [PubMed - as supplied by ...

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  • Normal Atlanto-Occipital Interval In Adults Of South-East Nigeria: An evaluation of the effect of age, gender and race.

    Posted 2019-03-18 09:39:31 by: The HealthFolk Team

    Related Articles Normal Atlanto-Occipital Interval In Adults Of South-East Nigeria: An evaluation of the effect of age, gender and race. World Neurosurg. 2019 Mar 12;: Authors: Ekuma EM, Ndubuisi CA, Mezue W, Ohaegbulam S Abstract BACKGROUND: Imaging of the craniocervical junction (CCJ) following trauma is crucial for injury detection and description. Of all the anatomical measurements of the CCJ, AOI normal value is not yet well-established in adults. The aim is to determine the normal values of AOI of Nigerians aged between 21 and 60 years, using MDCT and to determine racial, age, and sex differences. METHODS: This was a prospective observational study done at Memfys Hospital for Neurosurgery Enugu, Nigeria between May 2016 and April 2017. There were 240 subjects (120 males and 120 females) divided into age groups 21-30, 31-40, 41-50 and 51-60 years. Non-Nigerians and those with preexisting CCJ abnormalities were excluded. Normal values were those within 95% confidence interval. Results were analyzed for possible sex and age variations and compared with available literature for racial differences. Ethical approval was obtained for this study. RESULTS: The measured normal CT value of AOI in adult Nigerians was 1.181 +/- 0.018mm. The values in age group (21 to 30), (31 to 40), (41 to 50) and (51 to 60) years were 1.279 +/- 0.038mm, 1.164 +/- 0.033mm, 1.151 +/- 0.029mm and 1.133 +/- 0.033mm respectively, (p < 0.05). The average normal values in males and females were 1.188 +/- 0.025mm and 1.174 +/- 0.026mm respectively. The interobserver reliability test using the Cronbach's alpha was 0.938. CONCLUSIONS: AOI values in this study were higher than previous MDCT-based values in non-African populations. AOI decreased linearly with age and did not show any sex difference. PMID: 30877010 [PubMed - as supplied by ...

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  • Digital health at fifteen: more human (more needed)

    Posted 2019-03-18 00:00:00 by: The HealthFolk Team

    There is growing appreciation that the success of digital health – whether digital tools, digital interventions or technology-based change strategies – is linked to the extent to which human factors are ...

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  • Assessment of Perinatal Care Satisfaction Amongst Mothers Attending Postnatal Care in Ibadan, Nigeria.

    Posted 2019-03-16 15:39:36 by: The HealthFolk Team

    Related Articles Assessment of Perinatal Care Satisfaction Amongst Mothers Attending Postnatal Care in Ibadan, Nigeria. Ann Glob Health. 2018 Apr 30;84(1):36-46 Authors: Odetola TD, Fakorede EO Abstract INTRODUCTION: Patient satisfaction has been identified as a major index in the assessment of quality of healthcare globally. Mothers judge the quality of perinatal care received based on their satisfaction with the services provided, thus influencing their utilization of the available health facilities. There is currently a dearth of literature on users' satisfaction of services rendered at the primary level of care, which is the first port of call to the health system aimed at serving majority of the populace. OBJECTIVES: The study was set out to investigate maternal satisfaction with perinatal care received in selected primary health centres in Ibadan. METHODS: The study was a cross-sectional survey involving 66 women receiving postpartum care from five randomly selected primary health centres in Ibadan north-west local government using a 72-itemed questionnaire with p &lt; 0.05. FINDINGS: The majority of the respondents (98.5%) perceived the perinatal care they received as high quality, and 94% and 98% were satisfied with services and facilities used for their care, respectively. Identified causes of dissatisfaction included dirty hospital environment, inadequate water supply and hospital facilities, distance of hospital location, cost of materials, time wasting, inadequate staffing and poor attitude, and verbal and physical abuse. An association exists between maternal satisfaction with quality of care and future intention for subsequent utilization (χ2 = 13.306; p = 0.0001). CONCLUSION: The overall maternal satisfaction on the perinatal care provided was perceived as very good. However, few domains of dissatisfaction were identified that would need to be addressed by ...

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  • Women who have not utilized health Service for Delivery in Nigeria: who are they and where do they live?

    Posted 2019-03-16 15:39:36 by: The HealthFolk Team

    Related Articles Women who have not utilized health Service for Delivery in Nigeria: who are they and where do they live? BMC Pregnancy Childbirth. 2019 Mar 13;19(1):93 Authors: Adedokun ST, Uthman OA Abstract BACKGROUND: Health facility delivery has been described as one of the major contributors to improved maternal and child health outcomes. In sub-Saharan Africa where 66% of the global maternal mortality occurred, only 56% of all births take place in health facility. This study examined the individual and contextual predictors of non-use of health service for delivery in Nigeria where less than 40% births occur in health facility. METHODS: Data from 2013 Nigeria Demographic and Health Survey (DHS) involving 20,192 women who had delivery within 5 years of the survey were used in the study. Multilevel multivariable logistics regression models which had the structure of non-use of health service for delivery defined at individual, community and state levels were applied in the analysis. Spatial analysis was also used to capture the locations where the phenomenon is prevalent in the country. RESULTS: About 62% of the women did not utilize health service during delivery. More than three-quarter of those with no education and 92% of those who did not attend antenatal clinic during pregnancy never utilized health service for delivery. The odds of non-use of health service during delivery increased for women who had no education, from poor households, aged 25-34 years, unmarried, never attended antenatal clinic, experienced difficulty getting to health facility and lived in the most socioeconomically disadvantaged communities and states. CONCLUSIONS: This study has demonstrated that non-utilization of health service for delivery is influenced by individual, community and state level factors, with substantial proportions of women not utilizing such service residing in the northern region ...

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  • First Report and Pathogenicity of Myrothecium roridum, Curvularia eragrostidis, and C. lunata on seeds of Striga hermonthica in Nigeria.

    Posted 2019-03-16 15:39:36 by: The HealthFolk Team

    Related Articles First Report and Pathogenicity of Myrothecium roridum, Curvularia eragrostidis, and C. lunata on seeds of Striga hermonthica in Nigeria. Plant Dis. 1997 Jul;81(7):832 Authors: Czerwenka-Wenkstetten IM, Berner DK, Schilder A, Gretzmacher R Abstract Striga is a weed known to be devastating to crops in the tropics. Yield reductions in maize of up to 90% have been observed in West Africa. In September 1994, a seed lot of Striga hermonthica (harvested in 1993 in sorghum fields in Abuja, Nigeria) was observed to have a very low germination rate (20 to 40%). Single-spore isolates from fungal colonies growing on the striga seeds were identified as Myrothecium roridum, Curvularia eragrostidis, and C. lunata. Pathogenicity to striga was tested. Striga seeds were preconditioned for 10 days at 28°C in darkness to break dormancy, then surface sterilized in 1% NaOCl for 7 min, rinsed in sterile, distilled water, and placed in eight central wells of a 24-well plate with up to 300 seeds per well. Seeds were covered with water and inoculated with fungi by placing in each well a 4-mm-diameter hyphal plug taken from a 4-day-old potato dextrose agar culture of one of the isolates. Seeds without fungi served as controls. After 24 h, striga seeds were surface sterilized as above and dispersed evenly in petri dishes with two layers of filter paper soaked in 10 ppm of 1,000 ml of GR-24 (3 [2,5-Dihydro-3-methyl-2-oxo-5-furanyl) oxymethylene]-3, 3a, 4, 8b-tetra-hydroindeno-[1, 2-b] furan-2-one) to induce germination. Seed germination was evaluated after 24 h of incubation in darkness at 33°C. Striga germination was reduced by 100% by M. roridum and 48% by C. era-grostidis and C. lunata. PMID: 30861913 ...

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  • Hypertension among adolescents in Nigeria: a retrospective study of adolescent university freshmen.

    Posted 2019-03-16 15:39:35 by: The HealthFolk Team

    Related Articles Hypertension among adolescents in Nigeria: a retrospective study of adolescent university freshmen. Int J Adolesc Med Health. 2019 Mar 16;: Authors: Abiodun O, Ladele A, Olu-Abiodun O, Ashipa T Abstract Purpose The burden of hypertension is rising both globally and in Africa specifically. We determined the prevalence of hypertension and the risk factors for clinical hypertension in a population of new university intakes over a 4-year period. Methods We analyzed retrospectively, the records of 6980 older adolescents (15-19 years). We used population-specific metrics to categorize blood pressure (BP) based on the 2017 Clinical Practice Guidelines by the American Academy of Pediatrics. Results The overall prevalence of high BP in our study was 25.1% [95% confidence interval (CI) 24.1-26.2] for elevated BP, 19.8% (95% CI 18.9-20.8) for stage 1 hypertension, and 5.5% (95% CI 5.0-6.1) for stage 2 hypertension. The prevalence of stage 2 hypertension was 8.7% (7.5-9.5) among the male participants and 3.2% (95% CI 2.7-3.2) among the female participants (p < 0.001). The multivariate analyses demonstrated an increased risk of high levels of BP (p < 0.001) with age (1.21: 95% CI 1.16-1.26), waist-to-height ratio (WHtR) (1.05: 95% CI 1.04-1.05), z-score for body mass index (BMI) (1.47: 95% CI 1.41-1.54), and hemoglobin concentration (1.10: 95% CI 1.09-1.12). It demonstrated a reduced risk of high levels of BP (p < 0.001) being female (0.35: 95% CI 0.32-0.39). Conclusions Hypertension, its risk factors and the risk of cardiovascular diseases in later life are prevalent in our Nigerian adolescent population. There is, therefore, a need for the development, evaluation and implementation of context-appropriate strategies and interventions to mitigate the risk of hypertension among adolescents, and cardiovascular diseases later in life. PMID: 30875324 [PubMed - as supplied by ...

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  • Determinants of Timely Presentation for Birth Dose Vaccination at an Immunization Centre in North-central Nigeria.

    Posted 2019-03-16 15:39:35 by: The HealthFolk Team

    Related Articles Determinants of Timely Presentation for Birth Dose Vaccination at an Immunization Centre in North-central Nigeria. Ann Glob Health. 2019 Mar 01;85(1): Authors: Ibraheem R, Abdulkadir M, Akintola M, Adeboye M Abstract BACKGROUND: Timely receipt of immunization is an essential prerequisite to ensure early protection of the child. However, a low proportion of children in Nigeria benefit from the timely administration of the birth dose vaccines. OBJECTIVES: These were identification of factors associated with timely presentation and reasons for presentation beyond 24 hours at an immunization centre in Ilorin, Nigeria. METHOD: A descriptive cross-sectional study involving 480 mother-infant pairs was conducted at an immunization centre. Socio-demographic, antenatal care (ANC) and delivery details, infant's birthday and day of presentation for vaccination were recorded. Logistic regression was used to identify factors associated with time to presentation within day one. FINDINGS: 239 (49.8%), 421 (87.7%) and 454 (94.6%) babies were vaccinated within days one, seven and 14 respectively. Post-secondary education level of mothers (OR = 3.60; 95% C.I: 1.30-9.91), antenatal care attendance (OR = 9.55; 95% C.I: 1.75-52.12), and hospital delivery (OR = 6.36; 95% C.I: 1.33-30.38) were associated with presentation within day one. Having correct knowledge of the immunization schedule increased the odds of early presentation by three times, p = 0.025. The commonest reason for presentation after day one for vaccination was weekend/public holiday delivery identified in 83 (35.2%) mother-infant pairs. CONCLUSION: Hospital delivery, attendance at antenatal care, postsecondary education and knowledge of the immunization schedule were factors associated with timely presentation for birth dose vaccination. Strategies to improve timeliness of the birth dose vaccination should target ...

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  • Effect of Peer Education on Knowledge of Human Papilloma Virus and Cervical Cancer among Female Adolescent Students in Benin City, Nigeria.

    Posted 2019-03-16 15:39:35 by: The HealthFolk Team

    Related Articles Effect of Peer Education on Knowledge of Human Papilloma Virus and Cervical Cancer among Female Adolescent Students in Benin City, Nigeria. Ann Glob Health. 2018 Apr 30;84(1):121-128 Authors: Sadoh AE, Okonkwobo C, Nwaneri DU, Ogboghodo BC, Eregiea C, Oviawe O, Famuyiwa O Abstract INTRODUCTION: It is well documented that Human Papilloma Virus (HPV) is the cause of cervical cancer which is a major cause of morbidity and mortality especially in low- and middle-income countries. Vaccines against HPV are available. In developed countries where the vaccines have been deployed, lack of information among the target population (adolescents) is a major contributor to suboptimal uptake. In Nigeria, the vaccine is yet to be provided in the national programme on immunization, which is free, but it is available for a fee. In this study we determined the effect of peer education on the knowledge of female adolescents about HPV, cervical cancer, its treatment and prevention. METHODS: This was an intervention study. The knowledge and awareness of female students of four secondary schools were assessed using a pre-tested self-administered questionnaire prior to the training of some of the students (peers). The trained students delivered messages on cervical cancer and HPV using fliers containing key information (peer training) to their school mates in formal delivery in a class setting. The knowledge and awareness of students, post-peer training, was then assessed. RESULTS: There were 1337 students who responded to the baseline questionnaire while 1201 responded to the post-peer training questionnaire. Awareness of cervical cancer, knowledge of risk factors and cause of cervical cancer was low prior to the peer training. There was statistically significant improvement in awareness about cervical cancer and in the knowledge domains following peer training. Mean knowledge score prior to training ...

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  • Maternal Employment and Child Survival During the Era of Sustainable Development Goals: Insights from Proportional Hazards Modelling of Nigeria Birth History Data.

    Posted 2019-03-16 15:39:35 by: The HealthFolk Team

    Related Articles Maternal Employment and Child Survival During the Era of Sustainable Development Goals: Insights from Proportional Hazards Modelling of Nigeria Birth History Data. Ann Glob Health. 2018 Apr 30;84(1):15-30 Authors: Akinyemi JO, Solanke BL, Odimegwu CO Abstract BACKGROUND: One of the targets for the third and fifth Sustainable Development Goals (SDGs) borders on children survival and women economic empowerment, respectively. A robust investigation of the relationship between maternal employment and childhood mortality will provide information useful for programs aimed at ensuring the complementarity of SDG 3 (healthy life for all) and SDG 5 (gender equality, girls and women empowerment). OBJECTIVE: We addressed the following questions: (1) What is the independent relationship between maternal employment and infant (0-11 months) and child (12-59 months) mortality in Nigeria? (2) How does father's occupation, type of residence, and geopolitical region modify the relationship? METHODS: We retrospectively analysed cross-sectional data on weighted sample of 31,828 under-five children extracted from the birth history in the 2013 round of Nigeria Demographic and Health Survey, using Cox proportional hazards models. The outcomes of interest were infant (0-11 months) and child (12-59 months) mortality, and the main explanatory variables include maternal employment, involvement in decision making on work earnings, and father's occupation. Other confounding variables were also controlled. FINDINGS: Results showed that about two-third (68.7%) of under-five children had mothers who were working, with the majority engaged in self-employed occupations such as sales or small businesses, agriculture, and other manual labour. Infant mortality rate amongst children of employed mothers (65 per 1000 live births) was slightly less than the unemployed (70 per 1000 live births). A similar pattern ...

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