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THE IDEAL ISLAMIC STATE IN SHAYKH ALIKINLA'S MUSTAQBAL ILORIN AL-ZAHIR
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HIV-RELATED STIGMA, DISCRIMINATION AND COPING STRATEGIES AMONG PEOPLE LIVING WITH HIV/AIDS RECEIVING TREATMENT AT THE UNIVERSITY COLLEGE HOSPITAL, IBADAN, NIGERIA
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HOUSEHOLD ATTRIBUTES IN THE PREVENTION AND MANAGEMENT OFASTHMA IN CHILDREN ATTENDING SELECTED HOSPITALS IN IBADAN, NIGERIA
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KOLA OGUNMOLA: A SOCIO-CULTURAL STUDY OF HIS FOLKLORIC PLAYS
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- In Nigeria, as in many developing countries, the private health sector provides a significant proportion of reproductive health services. However, there are concerns about the quality of the reproductive health services provided by personnel operating in this sector. Few interventions exist to improve the quality of reproductive health services being provided by private practitioners. This three year intervention project, which was implemented in Oyo, Ogun and Gombe States, was designed to improve the capacity of personnel working in the private sector to deliver quality reproductive health service to their clients. One hundred and thirty nine privately owned health facilities participated in the project. Baseline data were collected from staff and clients using these facilities through self-completed questionnaires. A total of 458 nurses/auxiliaries were trained to improve their counseling and service delivery skills; 138 proprietors/proprietresses were trained on total quality management to enhance the quality of reproductive health service; and 84 physicians' knowledge were updated on reproductive health/family planning, and post-abortion care. Provision of contraceptive, drugs for treatment of sexually transmitted infections, supply of equipment and development of educational materials were the other components of the intervention. A follow-up survey was conducted three years after implementing the interventions to gauge outcome. At baseline, only 35.2% managed postpartum sepsis compared to 97.8% at follow-up. Thirty-nine percent provided post-abortion care at baseline the figure rose to 97.2% at follow-up. The proportion of respondents who reportedly provided family planning services increased from 39.5% at baseline to 43.0% at follow-up. Report of managernent of persons living with HIV/AIDS increased from 16.0% to 24.3% while counseling services increased from 36.1 % to 37.6%. At baseline, only 55% of the health workers reported that they had male condoms in stock, the figure rose to 88.2% at follow-up. Sixty-one percent of clients reported that it took 1- 5 minutes before being attended at follow-up, compared to 95% who claimed they spent about an hour before receiving care at baseline. The interventions improved availability and quality of reproductive health services provided by private health facilities. Similar interventions should be replicated to scale up the proportion of private health facilities that provide quality reproductive health services in the country. 2 results 2
- Knowledge 2 results 2
- Mental health care 2 results 2
- Nigeria. 2 results 2
- Pregnant Women 2 results 2
- Prevalence and Conservation Strategies 2 results 2
- Sickle Cell Disease 2 results 2
- Survey 2 results 2
- The study was carried out to investigate the prevalence and utilization of non-timber forest products (NTFPs) plant species in Omo and Shasha Forest Reserves, Southwestern Nigeria. Data were obtained through the use of structured questionnaires administered to households in forest communities. To complement information from the household survey, focus group discussions (FGDs) were also carried out in each of the sampled communities. In-depth interview (IDI) of forestry staff was further used to supplement the information collected. A simple random sampling technique was employed for the study. In Omo Forest Reserve (OFR), a total of seventy five species distributed in forty three families were recorded, while fifty six species in thirty one families were documented in Shasha Forest Reserve (SFR). Local end-uses of NTFPs include food and food supplements, snacks/sweeteners, wrapping leaves, soup and spices, beverages, dental care supplies, washing tools, roofing/construction materials, medicine and traditional rites items. While access to these resources is important to guarantee the socio-economic well being of the forest dwellers and communities, their sustainable management has not been taken seriously by policy makers thereby contributing to reduction of biodiversity and gradual but irretrievable loss of indigenous knowledge on the uses of most species. To ensure the sustainable utilization of NTFPs in these and similar tropical forest environments therefore, a number of conservation approaches are proposed. 2 results 2
- Utilization 2 results 2
- 30‑day Mortality Rate 1 results 1
- A one and a half (1½) year old Primiparous West African dwarf ewe, weighing 12 kg was presented with history of anorexia and straining of about 24 hours duration to the University of Ibadan Veterinary Teaching Hospital, Ibadan. Close observation of the animal showed a narrow birth canal with bilateral carpal flexion of the foetus which also appeared too big for the dam. Rectal temperature was 36.9°C, Heart rate was 68beats per minute and respiratory rate was 36 breathes per minute. The dam was reported to be mated with a ram of same breed weighing 40kg. Dystocia was diagnosed and caesarean section was recommended to relieve the dystocia. The right lateral side of the abdomen close to the Paralumbar fossa was carefully and aesthetically shaved and prepared. Induction of anaesthesia was done using 2 ml of Lignocaine given epidurally as an inverted L-block and 1 ml of Duracaine was given posteriorly. Complete desensitization of the region was achieved within 5minutes of induction. Drapes were used to prevent contamination as much as possible. A small straight 10cm long incision was made on the lateral side with no obvious bleeding observed. The uterus was located and incised with the apparently big dead foetus weighing 2.2kg taken out and chromic catgut size 1 was used to suture the uterus. The skin was about to be sutured with nylon suture material when the dam passed on. This report highlighted the detrimental effect of poor reproductive management practices and the delay in seeking veterinary care leading to maternal and fetal death with its grave economic consequences. 1 results 1
- AABR 1 results 1
- Access 1 results 1
- Acute Care 1 results 1
- Adolescent Mothers 1 results 1
- Anglophone 1 results 1
- Anomaly screening 1 results 1
- Ante-Natal 1 results 1
- Antenatal Care 1 results 1
- Antibody avidity 1 results 1
- Asthma is one of the most prevalent non-communicable respiratory diseases in less developed countries. Nigeria ranks 49th in asthma prevalence among children worldwide. Previous studies have focused on asthma triggers and the seasonal pattern of asthma in children, yet they have not examined the influence of household attributes and activities on asthma prevention and management among children. This study was, therefore, designed to examine the perceived factors responsible for asthma in children, perceived household attributes and activities influencing its prevention and management, the influence of intergenerational factors and the pathways for seeking care for children living with asthma in Ibadan.The Health Belief Model served as the framework, while cross-sectional survey design was employed. The University College Hospital (Tertiary Hospital), Adeoyo Maternity Hospital (State Hospital), while Our Lady of Apostles Catholic Hospital (Private Hospital) were purposively selected. A sample of 273 respondents was drawn using Cochran (1977) formula. Purposive sampling was used to administer a structured questionnaire to parents of children aged 6 to 14 years, and physician-diagnosed asthma patients attending asthma clinics comprising UCH (124), Adeoyo Maternity Hospital (84) and Our Lady of Apostles Catholic Hospital (65). In-depth interviews were conducted with 10 children living with asthma in each of the hospitals, while Key Informant Interviews were also conducted with health practitioners in each of the hospitals. Six case studies were conducted with grandparents of children living with asthma to probe the influence of intergenerational factors. The Quantitative data were analysed using descriptive and inferential (chi-square and logistic regression) statistics at p≤0.05, while the qualitative data were content analysed.The Respondents’ age was 37±5.7years, 87.2% were female, while 63.8% had tertiary education. A majority (67.0%) lived in rented houses, while 69.6% used upholstered furniture and 73.6% used asbestos as roofing material. Nearly half (45.9%) perceived asthma to be caused by environmental factors (dust, smoke and weather conditions), inherited factors (37.5%), spiritual attack (13.0%), and punishment for sin (3.5%). Cooking methods (90.1%), cooking fuel (79.1%) and poor ventilation (72.9%) were reported as household attributes triggering asthma in children. Activities such as frying (χ2=6.00), baking (χ2=6.30) and laundry (χ2=7.14) were significantly associated with regularity of asthma attacks. The respondents’ religion (χ2=10.26), income (χ2=29.58), family type (χ2=15.18), ownership of house (χ2=8.77), type of house (χ2=23.88), education (χ2=52.07), household size (χ2=18.14), age of children living with asthma (χ2=6.14), occupation (χ2=18.60) and household decision making (χ2=4.20) were significantly related to treatment pathways. Family history of asthma was vital in its management in children. Grandparents’ experiences of use of natural home remedies such as honey, pawpaw leaves, camphor, mango seeds and turmeric were reported in the management of children with asthma. Household attributes and activities of children living with asthma in Ibadan influenced the prevention of asthma and was moderated by socio economic status, while natural home remedies were used in the management of asthma. Households with children living with asthma should improve housing conditions and cooking technologies. 1 results 1
- Asthmapreventionandmanagement. 1 results 1
- Awareness 1 results 1
- BACKGROUND: Early mobilisation of acute stroke survivors has been associated with fewer deaths and better clinical outcomes. Yet, there are conflicting reports about the knowledge, attitude and practice of early mobilisation among clinicians. We investigated the knowledge, attitude and practice of early mobilization among health care professionals in South-West, Nigeria. MATERIALS AND METHODS: All the 159 health care professionals comprised 68(42.8%) nurses, 45(28.3%) physicians and 46(28.9%) physiotherapists involved in acute stroke care were surveyed using a content-validated questionnaire. Pearson’s Product Moment correlation and ANOVA were used to analyse data at p < 0.05. RESULTS: Most (n=147; 92.5%) of the participants agreed that early mobilization reduces complications of immobility. Majority of the HCPs were knowledgeable and had positive attitude towards early mobilisation (n=139; 87.4%). Attitude differed significantly across different healthcare professions (p=0.02). Most health care professionals (n=149; 93.7%) reported practicing early mobilization of acute stroke patients. There was a significant relationship between years of work experience and each of knowledge and attitude (p<0.05) CONCLUSIONS: Although, many health care professionals expressed concerns about the risks of early mobilization, including possibility of death, they reported practicing early mobilisation. It may be necessary to conduct a risk-benefit analysis of early mobilisation and provide appropriate practice guidelines to promote implementation. This could further enhance the health care professionals’ confidence in practicing early mobilisation and improve stroke care. 1 results 1
- Bacground: A palliative care and Hospice service is a neglected aspect of medical discipline especially in a developing country like Nigeria. With the global increase in incidence of cancer and HIV/A IDS and 70% of them presenting late, coupled with limited resources, for effective symptom control, palliative care therefore remains the only option left to improve the quality of life of the patients. Objective: To assess the, knowledge and attitudes of patients and their relations to palliative care and hospice services {PC&H} and to fashion out appropriate services for the patients. Materials and methods: A total of 130 participants were studied using a questionnaire which comprised of three parts: Socio-demographic variables. Information about Knowledge and Attitudes towards PC&H. Results: Sixty nine were patients while 61 were family members. Ninety four [72.3%] had no knowledge of PC&H regardless of level of education and social status. 109 (84%) agreed that symptoms of the terminally ill patients should be treated to improve their quality of life and 75%. of the participants agreed that this will be better done in a Hospice. 106 183% | participants desire to have hospice established in every community, this again was regardless of tribe Conclusion: There is a gross lack of knowledge about PC&H in our community as evidenced among, the participants studied. However, there is a positive attitude towards PC&H suggesting a general acceptance, since there is presently no well established Hospice, in Nigeria; we recommend that government and Non-governmental organizations should assist in this area. A hospital based Hospice might be a starting point 1 results 1
- Background The management of severe traumatic brain injury is directed at avoidance of secondary brain injuries. The intensive care unit (ICU) provides the ideal environment to achieving improved survival and functional outcome. The study sets out to identify the factors that determine the access of patients with severe head injury presenting at our hospital, to the ICU and their impact on outcome. Materials and Methods This was a longitudinal study at the University College Hospital, Ibadan. Data of all consecutive severe head injury patients over a 9-month period, presenting to the accident and emergency department, was collected and analyzed using descriptive statistics and chi-squared test. The level of significance was p < 0.05. Result There were 36 males (80.0%) in our study, with road crashes (25; 79.5%) as the most common mechanism of injury. Most patients (33; 73.3%) were transferred to our center after initial care in another hospital. Though 31(68.9%) patients had access to the ICU, they were all delayed, with the most common reason for the delay being lack of ICU space. More patients who got admitted into ICU (14; 45.2%) were alive at 28 days into admission (p = 0.04). The females (6; 13.3%) significantly survived till 28 days on admission compared with males (p = 0.03), but there was no difference in the survival rates between children and adults. Conclusion Our study underscores the need for ICU admission in these patients to optimize outcome and identify the non-availability of beds, as the most important cause of delayed access, as well as the need for increased manpower capacity and organized resource utilization. 1 results 1
- Background. A key to the effective management of malaria is prompt and accurate diagnosis, and the use of malaria rapid diagnostic tests (mRDTs) is becoming relevant in the absence of reliable microscopy. This study explored the phenomenon of using the wrong buffer vial (often a kit from another brand or buffer from HIV rapid test kits), dextrose, saline or distilled water among health care providers who used RDTs for malaria diagnosis in resource poor settings in Enugu South East, Nigeria. Materials and Methods. Laboratory personnel (medical laboratory scientists, technicians, assistants, nurses, community health extension workers (CHEW), community health officers (CHO) and doctors) were interviewed using structured questionnaires and results were checked using the SOP checklist. The selection criterion was a prior experience with using RDTs, and any facility that did not use RDTs was excluded. Results. Of the 80 study participants that completed their questionnaires, 56.3% reported that malaria diagnosis was positive using non-buffer RDTs detection while others reported negative results. Among the various professionals who used RDTs, 76.2% reported to have run out of RDT buffer stock at least once. Of the study participants that ran out of RDT buffer solution, 73% declared to have used non-RDT alternatives (physiological saline, 0.9% NaCl), distilled water, HIV buffer or ordinary water). Only 30% had received formal training on the proper usage and application of RDTs while 70% had never received any formal training on RDTs but learnt the technique of using RDT on the job. Conclusions. This study demonstrated that at least three quarters of health care workers in a resource poor setting had run out of buffer when using malaria RDTs and that the majority of them had used buffer substitutes, which are known to generate inaccurate tests results. This has the consequence of misdiagnosis, thus potentially damaging the credibility of malaria control. 1 results 1
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