Chukwuemeka Agbarakwe, Adenike Grange, Samuel Awotunde, Adebisi Fetuga
Background: Research has shown that paper-based record-keeping techniques contribute greatly to the discontinuity of patient care among healthcare providers, especially with COVID-19. The lack of readiness to adopt the use of electronic health record (EHR) systems has resulted in the continuous use of a rather flawed paper system. Objectives: This study accesses knowledge, perception, and readiness to adopt EHR in healthcare facilities in Lagos State, Nigeria. Materials and Methods: This descriptive quantitative study carried out among healthcare workers across different disciplines working in Lagos State used an interviewer-administered online questionnaire to generate data. Data methods utilized Epi Info statistical software as well as the χ2 test, with statistical significance set at P<0.05. Results: Eighty five point four percent (85.4%) of the respondents were below 35 years of age, whereas most of the respondents (93.08%) had a personal computer and little below half of them (42.31%) had a previous experience with the EHR system. Ninety three point nine percent (93.9%) of the respondents perceived that EHR was better than the paper system, mostly citing the fact that it would speed up their work and 90.77% wanted it to be adopted, even though 88.46% felt that the lack of computer systems was a barrier. Most of the respondents had a good experience (81.54%) and good perception (92.31%) and were willing to use EHR systems (95.38%). Conclusion: With the advent of COVID-19, awareness, perception, and readiness of healthcare providers to adopt EHR are increasing and this possesses an opportunity to transform healthcare service delivery.
{"title":"Knowledge, perception, and readiness of health professionals towards the use of electronic health record during COVID-19 pandemic in Lagos, Nigeria","authors":"Chukwuemeka Agbarakwe, Adenike Grange, Samuel Awotunde, Adebisi Fetuga","doi":"10.4103/ijmh.IJMH_49_21","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_49_21","url":null,"abstract":"Background: Research has shown that paper-based record-keeping techniques contribute greatly to the discontinuity of patient care among healthcare providers, especially with COVID-19. The lack of readiness to adopt the use of electronic health record (EHR) systems has resulted in the continuous use of a rather flawed paper system. Objectives: This study accesses knowledge, perception, and readiness to adopt EHR in healthcare facilities in Lagos State, Nigeria. Materials and Methods: This descriptive quantitative study carried out among healthcare workers across different disciplines working in Lagos State used an interviewer-administered online questionnaire to generate data. Data methods utilized Epi Info statistical software as well as the χ2 test, with statistical significance set at P<0.05. Results: Eighty five point four percent (85.4%) of the respondents were below 35 years of age, whereas most of the respondents (93.08%) had a personal computer and little below half of them (42.31%) had a previous experience with the EHR system. Ninety three point nine percent (93.9%) of the respondents perceived that EHR was better than the paper system, mostly citing the fact that it would speed up their work and 90.77% wanted it to be adopted, even though 88.46% felt that the lack of computer systems was a barrier. Most of the respondents had a good experience (81.54%) and good perception (92.31%) and were willing to use EHR systems (95.38%). Conclusion: With the advent of COVID-19, awareness, perception, and readiness of healthcare providers to adopt EHR are increasing and this possesses an opportunity to transform healthcare service delivery.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139325522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ikechukwu Obi, A. Madu, Uche Okenwa, Frances Madu, K. Madu, Mazi Eze
Background: Infection prevention and control (IPC) is a major pillar in the battle against COVID-19 as well as many other communicable diseases. School-age children are vulnerable to transmission of diseases via close contact. Objectives: To assess the knowledge of COVID-19 IPC among teachers in Enugu state, Nigeria. Materials and Methods: We studied 1804 teachers in primary and secondary schools of the state using a multi-stage sampling method and a 32-item, pretested, and validated questionnaire, which had four basic domains. Results: A total of 823 got information on COVID-19 from health workers and 715 (66%) had social media as their source. Investigating practice of IPC protocols, 96.6% had handwashing facilities, 83.8% knew that effective handwashing should last 40–60 s, 86.3% were aware that hand sanitizer use should be for 20–30 s, and 99.4% could correctly demonstrate this. On safety, 86.2% began meetings with a safety moment and 38.5% had internal mechanisms to track and report hygiene violators. Screening of visitors was observed in 37.8% while 91.5% were enforcing safe waste disposal. Provision of isolation for symptomatic individuals; 36.9% had this in place. Sterilization or fumigation facilities were reported to be available by 43.4% of the teachers. Conclusions: Lessons learned from COVID-19 IPC can be used in planning for the containment of other communicable diseases. Social media was a major source of information on IPC practices. Knowledge of IPC practices did not match its implementation and screening protocols were deficient, and this gap needs to be the focus of future policies.
{"title":"Knowledge of COVID-19 infection prevention and control (IPC) among teachers in Enugu State, Nigeria","authors":"Ikechukwu Obi, A. Madu, Uche Okenwa, Frances Madu, K. Madu, Mazi Eze","doi":"10.4103/ijmh.IJMH_28_23","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_28_23","url":null,"abstract":"Background: Infection prevention and control (IPC) is a major pillar in the battle against COVID-19 as well as many other communicable diseases. School-age children are vulnerable to transmission of diseases via close contact. Objectives: To assess the knowledge of COVID-19 IPC among teachers in Enugu state, Nigeria. Materials and Methods: We studied 1804 teachers in primary and secondary schools of the state using a multi-stage sampling method and a 32-item, pretested, and validated questionnaire, which had four basic domains. Results: A total of 823 got information on COVID-19 from health workers and 715 (66%) had social media as their source. Investigating practice of IPC protocols, 96.6% had handwashing facilities, 83.8% knew that effective handwashing should last 40–60 s, 86.3% were aware that hand sanitizer use should be for 20–30 s, and 99.4% could correctly demonstrate this. On safety, 86.2% began meetings with a safety moment and 38.5% had internal mechanisms to track and report hygiene violators. Screening of visitors was observed in 37.8% while 91.5% were enforcing safe waste disposal. Provision of isolation for symptomatic individuals; 36.9% had this in place. Sterilization or fumigation facilities were reported to be available by 43.4% of the teachers. Conclusions: Lessons learned from COVID-19 IPC can be used in planning for the containment of other communicable diseases. Social media was a major source of information on IPC practices. Knowledge of IPC practices did not match its implementation and screening protocols were deficient, and this gap needs to be the focus of future policies.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139331213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kanayo Obieje, Chinekwu Nwosu, Michael Aronu, kenneth Eze, Catherine Obasikene
Background: In developing countries such as Nigeria, traumatic brain injury (TBI) is on the rise due to increasing traffic load, the poor state of the roads, and other confounding factors such as industrialization. This has led to the urgent need to study the incidence of head injuries associated with craniofacial fractures. In the past, the imaging of patients with a head injury was mainly through plain skull radiography but this has largely been overtaken by the use of computed tomography due to its higher sensitivity, reliability, and increasing availability. Objectives: To determine the incidence of head injuries associated with craniofacial fractures, the most common mechanism of injury, and the most common bone involved in the fracture. Materials and Methods: This is a cross-sectional study of 170 patients with head injuries in presenting at Nnamdi Azikiwe University Teaching Hospital (NAUTH) Nnewi, Nigeria using a consecutive sampling technique. The data collected were analyzed with SPSS version 20. Pearson’s chi-square was used to assess relationships and statistical significance between categorical variables. Results: The incidence of craniofacial fractures associated with TBI was 44 per 100,000. Motorcycle road traffic accident 72 (42.3%) was the most common mechanism of injury and the facial bones (22.5%) were the most common site for the fracture. Conclusion: There is a high incidence of head injury associated with craniofacial fractures NAUTH, Nnewi, Nigeria. There is a need to put in place measures for reducing TBI and craniofacial fractures in the study population.
{"title":"A prospective study of the incidence of traumatic brain injury associated with craniofacial fractures","authors":"Kanayo Obieje, Chinekwu Nwosu, Michael Aronu, kenneth Eze, Catherine Obasikene","doi":"10.4103/ijmh.IJMH_17_23","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_17_23","url":null,"abstract":"Background: In developing countries such as Nigeria, traumatic brain injury (TBI) is on the rise due to increasing traffic load, the poor state of the roads, and other confounding factors such as industrialization. This has led to the urgent need to study the incidence of head injuries associated with craniofacial fractures. In the past, the imaging of patients with a head injury was mainly through plain skull radiography but this has largely been overtaken by the use of computed tomography due to its higher sensitivity, reliability, and increasing availability. Objectives: To determine the incidence of head injuries associated with craniofacial fractures, the most common mechanism of injury, and the most common bone involved in the fracture. Materials and Methods: This is a cross-sectional study of 170 patients with head injuries in presenting at Nnamdi Azikiwe University Teaching Hospital (NAUTH) Nnewi, Nigeria using a consecutive sampling technique. The data collected were analyzed with SPSS version 20. Pearson’s chi-square was used to assess relationships and statistical significance between categorical variables. Results: The incidence of craniofacial fractures associated with TBI was 44 per 100,000. Motorcycle road traffic accident 72 (42.3%) was the most common mechanism of injury and the facial bones (22.5%) were the most common site for the fracture. Conclusion: There is a high incidence of head injury associated with craniofacial fractures NAUTH, Nnewi, Nigeria. There is a need to put in place measures for reducing TBI and craniofacial fractures in the study population.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139328556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Estimation of blood loss during surgery is a critical component that may affect patients’ management. Objective: The study evaluated the accuracy of the gravimetric method of blood loss estimation in women with an open myomectomy. Materials and Methods: This was a cross-sectional analytical study that evaluated the accuracy of the gravimetric method of measuring blood loss during open myomectomy for patients with symptomatic fibroid at a Teaching Hospital in Nigeria. The diagnosis of uterine fibroids was based on clinical examination and ultrasound scan. A proforma was used to record information from those who gave written consent. The gravimetric method and visual estimation were compared with the actual blood loss (ABL) as the gold standard. Statistical analysis was done using Stata version 16. Student’s t-test was used to compare the mean blood loss estimation of the different methods. The significant level was set at P-value <0.05. Results: A total of 78 women who had open myomectomy participated in the study. The mean ABL was 787.11 ± 63.17 mL. The mean blood loss by the gravimetric method was 755.95 ± 492.72 mL, while the mean estimation error by the gravimetric method was 31.16 ± 263.23 mL. The mean difference between the estimated ABL and the loss estimated by the gravimetric method was 31.18 mL. This was not statistically significant (P-value = 0.30). However, there was a statistically significant difference between the ABL and blood loss by visual method (mean difference = 161.64, P-value = 0.02). Conclusion: The gravimetric estimation of blood loss during surgery correlated with actual estimated blood loss. It should be considered in the routine estimation of blood loss during surgery.
背景:手术中出血量的估计是影响患者治疗的关键因素。目的:评价剖宫腔子宫肌瘤切除术后重量法测定出血量的准确性。材料和方法:这是一项横断面分析研究，评估了尼日利亚一家教学医院对有症状的肌瘤患者进行切开子宫肌瘤切除术时重量法测量出血量的准确性。子宫肌瘤的诊断主要基于临床检查和超声扫描。表格被用来记录那些给予书面同意的人的信息。将重量法和目测法与实际失血量(ABL)作为金标准进行比较。统计分析使用Stata version 16完成。采用学生t检验比较不同方法估计的平均失血量。p值<0.05为显著水平。结果:共有78名接受开放性子宫肌瘤切除术的妇女参加了这项研究。平均ABL为787.11±63.17 mL。重量法的平均失血量为755.95±492.72 mL，重量法的平均估计误差为31.16±263.23 mL。估计的ABL与重量法估计的损失之间的平均差值为31.18 mL。这没有统计学意义(p值= 0.30)。而目测ABL与出血量比较，差异有统计学意义(平均差异= 161.64,p值= 0.02)。结论:术中失血量的重量估计值与实际失血量估计值具有相关性。术中出血量的常规估计应考虑到这一点。
{"title":"Accuracy of gravimetric method of blood loss estimation during open myomectomy","authors":"C. Osakwe, I. Mbachu, Oluchi Osakwe, O. Ikpeze","doi":"10.4103/ijmh.IJMH_18_23","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_18_23","url":null,"abstract":"Background: Estimation of blood loss during surgery is a critical component that may affect patients’ management. Objective: The study evaluated the accuracy of the gravimetric method of blood loss estimation in women with an open myomectomy. Materials and Methods: This was a cross-sectional analytical study that evaluated the accuracy of the gravimetric method of measuring blood loss during open myomectomy for patients with symptomatic fibroid at a Teaching Hospital in Nigeria. The diagnosis of uterine fibroids was based on clinical examination and ultrasound scan. A proforma was used to record information from those who gave written consent. The gravimetric method and visual estimation were compared with the actual blood loss (ABL) as the gold standard. Statistical analysis was done using Stata version 16. Student’s t-test was used to compare the mean blood loss estimation of the different methods. The significant level was set at P-value <0.05. Results: A total of 78 women who had open myomectomy participated in the study. The mean ABL was 787.11 ± 63.17 mL. The mean blood loss by the gravimetric method was 755.95 ± 492.72 mL, while the mean estimation error by the gravimetric method was 31.16 ± 263.23 mL. The mean difference between the estimated ABL and the loss estimated by the gravimetric method was 31.18 mL. This was not statistically significant (P-value = 0.30). However, there was a statistically significant difference between the ABL and blood loss by visual method (mean difference = 161.64, P-value = 0.02). Conclusion: The gravimetric estimation of blood loss during surgery correlated with actual estimated blood loss. It should be considered in the routine estimation of blood loss during surgery.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72582973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Chijioke, Michael Okafor, Uzoamaka A Okoli, Clinton Ide, A. Obiefuna, Ruphina Effiong-Essien, Samuel Nite, N. Nubila, O. Nwoke, George Ali, R. Anakwue
Background: Claiming over 92 million adjusted life years per annum globally, systemic arterial hypertension is at the forefront of noncommunicable diseases and mandates urgent attention to the etiopathogenic mechanism rather than depending on suppressive drug therapies. Good diet, adequate sleep, and moderate-intensity exercise are immune optimizers as well as life-style modifiers and may have substantial impact on antihypertensive drug treatment requirements for blood pressure control in essential hypertension (EH). Objective: We appraised the impact of diet-mediated immune optimization on antihypertensive drug treatment requirement. Materials and Methods: This was a longitudinal study and part of an open clinical trial of a personalized food avoidance dietary to stop hypertension approved by the University of Nigeria Teaching Hospital Ethics Committee. Drug treatment parameters assessed were antihypertensive drug prescription, adherence, actual treatment (AdhRx), and antihypertensive drug treatment requirement (ADTR) scores. ADTR score was determined by adding or subtracting 0.1 to AdhRx score for every mmHg that average systolic automated office blood pressure or average systolic home blood pressure get higher or lower than 120 and 100 mmHg, respectively. Results: There was no significant reduction of AdhRx and ADTR scores of study participants with good dietary compliance to a personalized food avoidance dietary approach to stop hypertension, although mean of the scores were lower than that of those with bad dietary compliance (P > 0.05). Conclusion: We conclude that AdhRx and ADTR scores may serve as valid tools to assess the impact of diet-mediated immune optimization which addresses etiopathogenic dysfunction in EH.
{"title":"Effect of diet-mediated immune optimization on antihypertensive drug treatment requirement","authors":"C. Chijioke, Michael Okafor, Uzoamaka A Okoli, Clinton Ide, A. Obiefuna, Ruphina Effiong-Essien, Samuel Nite, N. Nubila, O. Nwoke, George Ali, R. Anakwue","doi":"10.4103/ijmh.IJMH_2_23","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_2_23","url":null,"abstract":"Background: Claiming over 92 million adjusted life years per annum globally, systemic arterial hypertension is at the forefront of noncommunicable diseases and mandates urgent attention to the etiopathogenic mechanism rather than depending on suppressive drug therapies. Good diet, adequate sleep, and moderate-intensity exercise are immune optimizers as well as life-style modifiers and may have substantial impact on antihypertensive drug treatment requirements for blood pressure control in essential hypertension (EH). Objective: We appraised the impact of diet-mediated immune optimization on antihypertensive drug treatment requirement. Materials and Methods: This was a longitudinal study and part of an open clinical trial of a personalized food avoidance dietary to stop hypertension approved by the University of Nigeria Teaching Hospital Ethics Committee. Drug treatment parameters assessed were antihypertensive drug prescription, adherence, actual treatment (AdhRx), and antihypertensive drug treatment requirement (ADTR) scores. ADTR score was determined by adding or subtracting 0.1 to AdhRx score for every mmHg that average systolic automated office blood pressure or average systolic home blood pressure get higher or lower than 120 and 100 mmHg, respectively. Results: There was no significant reduction of AdhRx and ADTR scores of study participants with good dietary compliance to a personalized food avoidance dietary approach to stop hypertension, although mean of the scores were lower than that of those with bad dietary compliance (P > 0.05). Conclusion: We conclude that AdhRx and ADTR scores may serve as valid tools to assess the impact of diet-mediated immune optimization which addresses etiopathogenic dysfunction in EH.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82191675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Obinna Remigius Okwesili, A. Chukwulebe, Celestine E. Nnamani, V. Enemuo, Iheanyi Orji
Gigantomastia is a huge physical and psychological burden on affected patients, and it usually reduces their quality of lives drastically. Bilateral gigantomastia coexisting with multiple bilateral breast lumps is a rare condition. We have reported the case of an 18-year-old adolescent who presented with bilateral gigantomastia and multiple fibroadenomas in both breasts that were treated with reduction mammoplasty using the inferior pedicle with inverted-T technique. Treating bilateral gigantomastia using the inferior pedicle with inverted-T technique gives the best esthetic and functional results. Total resection weight of more than 1000 g should not be an absolute contraindication to use of inferior pedicled technique.
{"title":"Reduction mammoplasty for bilateral gigantomastia and multiple breast fibroadenomas in an 18-year-old girl","authors":"Obinna Remigius Okwesili, A. Chukwulebe, Celestine E. Nnamani, V. Enemuo, Iheanyi Orji","doi":"10.4103/ijmh.IJMH_68_22","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_68_22","url":null,"abstract":"Gigantomastia is a huge physical and psychological burden on affected patients, and it usually reduces their quality of lives drastically. Bilateral gigantomastia coexisting with multiple bilateral breast lumps is a rare condition. We have reported the case of an 18-year-old adolescent who presented with bilateral gigantomastia and multiple fibroadenomas in both breasts that were treated with reduction mammoplasty using the inferior pedicle with inverted-T technique. Treating bilateral gigantomastia using the inferior pedicle with inverted-T technique gives the best esthetic and functional results. Total resection weight of more than 1000 g should not be an absolute contraindication to use of inferior pedicled technique.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91408807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The accident and emergency unit is usually the first port of call for patients involved in road traffic and domestic accidents, emergency dental conditions, and advanced-stage malignancies during call hours and weekends. Objective: This study aimed to evaluate the pattern of emergency maxillofacial injuries in the University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu. Materials and Methods: This is a 3-year retrospective study of patients that presented to the accident and emergency unit of the University of Nigeria Teaching Hospital Enugu on account of pathologies involving the oral and maxillofacial region. Results: One hundred and eighty-three cases were recruited into the study. There were 131 males and 52 females. The mean age of the patients was 38.0 ± 18.6 years. The majority 121 (66.1%) occurred due to road traffic accidents followed by 18 (9.8%) due to complications of untreated carious teeth, then 12 (6.6%) from complications of advanced-stage tumors. Facial bone fractures 76 (41.5%) followed by lacerations 42 (23.0%) were the commonest conditions seen. Eighty-four (45.9%) had reduction and immobilization of their fractures, whereas 51 (27.8%) had suturing of various lacerations. Conclusions: Pathologies resulting from road traffic accidents, orofacial space infections, and late-stage malignancies were the commonest indications for accident and emergency unit visits by oral and maxillofacial surgery patients in the study center. The need for regular training of first-line staff in the emergency units of hospitals in this part of the world is necessary.
{"title":"Trends in emergency room visits of oral and maxillofacial surgery patients in a tertiary hospital in South-East Nigeria","authors":"U. Okechi, D. Obi, Chukwudi Aniagor","doi":"10.4103/ijmh.IJMH_9_23","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_9_23","url":null,"abstract":"Background: The accident and emergency unit is usually the first port of call for patients involved in road traffic and domestic accidents, emergency dental conditions, and advanced-stage malignancies during call hours and weekends. Objective: This study aimed to evaluate the pattern of emergency maxillofacial injuries in the University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu. Materials and Methods: This is a 3-year retrospective study of patients that presented to the accident and emergency unit of the University of Nigeria Teaching Hospital Enugu on account of pathologies involving the oral and maxillofacial region. Results: One hundred and eighty-three cases were recruited into the study. There were 131 males and 52 females. The mean age of the patients was 38.0 ± 18.6 years. The majority 121 (66.1%) occurred due to road traffic accidents followed by 18 (9.8%) due to complications of untreated carious teeth, then 12 (6.6%) from complications of advanced-stage tumors. Facial bone fractures 76 (41.5%) followed by lacerations 42 (23.0%) were the commonest conditions seen. Eighty-four (45.9%) had reduction and immobilization of their fractures, whereas 51 (27.8%) had suturing of various lacerations. Conclusions: Pathologies resulting from road traffic accidents, orofacial space infections, and late-stage malignancies were the commonest indications for accident and emergency unit visits by oral and maxillofacial surgery patients in the study center. The need for regular training of first-line staff in the emergency units of hospitals in this part of the world is necessary.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84947710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Anikwe, O. Umeononihu, P. Osuagwu, C. Ikeoha, Ikechukwu S Ugwoke, J. Eze
Background: Maternal mortality is a preventable public health challenge in sub-Saharan Africa including Nigeria. Reporting of its trend and causes is important in auditing of care. Objectives: The study is aimed at evaluating the trends, causes, and maternal mortality rate in Alex Ekwueme Federal University Teaching Hospital Abakaliki (AEFUTHA), Ebonyi State, Nigeria. Materials and Methods: This is a 9-year retrospective review of case note of maternal deaths (MDs) in AEFUTHA. All pregnancy-related deaths of patients managed at the hospital were included in the study. Data obtained were analyzed using IBM SPSS Statistics version 20. Results: The maternal mortality ratio (MMR) was 1,114 per 100,000 live births. The MMR remained high at above 1,100 per 100,000 live births between 2012 and 2016; and a sharp decline was seen between 2017 and 2020. The lowest MMR was in 2018 (512 per 100,000 live births). Most of the MDs occurred in unbooked (85.4%) and grand multiparous (43.4%) women. Obstetric hemorrhage was the leading cause of death (28.0%), followed by hypertensive disorders of pregnancy. Less than 3% of MD was caused by Lassa fever. Women with low socioeconomic status, lower level of education, and rural place of abode were major contributors to MD. Conclusion: Our study shows that MD is unacceptably high in the hospital. The burden of MD is borne by unbooked and grand multiparous women. Obstetric population should be educated on the importance of antenatal care and the need for family size reduction via the use of modern method of contraception.
背景:在包括尼日利亚在内的撒哈拉以南非洲，孕产妇死亡是一个可预防的公共卫生挑战。报告其趋势和原因在护理审计中很重要。目的:本研究旨在评估尼日利亚埃邦伊州阿巴卡利基亚历克斯·埃库梅联邦大学教学医院(AEFUTHA)的趋势、原因和孕产妇死亡率。材料和方法:本研究是对AEFUTHA地区孕产妇死亡(MDs)病例记录的9年回顾性分析。该医院管理的所有与妊娠相关的死亡患者都包括在研究中。使用IBM SPSS Statistics version 20对所得数据进行分析。结果:产妇死亡率(MMR)为每10万活产1,114例。2012年至2016年期间，孕产妇死亡率保持在每10万活产1100例以上的高位;2017年至2020年期间，这一数字急剧下降。产妇死亡率最低的是2018年(每10万例活产512例)。大多数MDs发生在未预约(85.4%)和大产(43.4%)妇女。产科出血是主要死亡原因(28.0%)，其次是妊娠期高血压疾病。不到3%的MD是由拉沙热引起的。社会经济地位低、受教育程度低和居住在农村的妇女是MD的主要贡献者。结论:我们的研究表明，医院的MD高得令人无法接受。医学博士的负担是由未预约和大的多胎妇女承担的。应教育产科人口了解产前保健的重要性和通过使用现代避孕方法减少家庭规模的必要性。
{"title":"Patterns and causes of hospital maternal mortality in a tertiary center in Nigeria: A 9-year retrospective review","authors":"C. Anikwe, O. Umeononihu, P. Osuagwu, C. Ikeoha, Ikechukwu S Ugwoke, J. Eze","doi":"10.4103/ijmh.IJMH_30_22","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_30_22","url":null,"abstract":"Background: Maternal mortality is a preventable public health challenge in sub-Saharan Africa including Nigeria. Reporting of its trend and causes is important in auditing of care. Objectives: The study is aimed at evaluating the trends, causes, and maternal mortality rate in Alex Ekwueme Federal University Teaching Hospital Abakaliki (AEFUTHA), Ebonyi State, Nigeria. Materials and Methods: This is a 9-year retrospective review of case note of maternal deaths (MDs) in AEFUTHA. All pregnancy-related deaths of patients managed at the hospital were included in the study. Data obtained were analyzed using IBM SPSS Statistics version 20. Results: The maternal mortality ratio (MMR) was 1,114 per 100,000 live births. The MMR remained high at above 1,100 per 100,000 live births between 2012 and 2016; and a sharp decline was seen between 2017 and 2020. The lowest MMR was in 2018 (512 per 100,000 live births). Most of the MDs occurred in unbooked (85.4%) and grand multiparous (43.4%) women. Obstetric hemorrhage was the leading cause of death (28.0%), followed by hypertensive disorders of pregnancy. Less than 3% of MD was caused by Lassa fever. Women with low socioeconomic status, lower level of education, and rural place of abode were major contributors to MD. Conclusion: Our study shows that MD is unacceptably high in the hospital. The burden of MD is borne by unbooked and grand multiparous women. Obstetric population should be educated on the importance of antenatal care and the need for family size reduction via the use of modern method of contraception.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89672944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Height is easy to measure and may serve as a triaging and referral tool in the rural communities of the West African subregion where a significant proportion of deliveries are undertaken by unskilled birth attendants with devastating maternal and perinatal outcomes. Objective: The objective of this study was to determine the association between maternal height and the route of delivery. Materials and Methods: This was a cross-sectional study undertaken at the Federal Teaching Hospital Abakaliki, Ebonyi State, Nigeria. A total of 180 consenting randomly selected pregnant participants who met the inclusion criteria and had presented in spontaneous labor at the maternity unit were selected for the study. Each participant′s sociodemographic data, height, mode of delivery, and neonatal birth weight were obtained using a semistructured proforma. Data analysis was done using the Statistical Package for Social Sciences (IBM-SPSS) version 22, Atlanta, Georgia. Results: The mean age of the study participants was 30.4 ± 4.2 years and the mean height was 164.5 ± 6.1 cm. Approximately 82% of the women had vaginal delivery. Majority (96.6%) of the participants were booked and more than 75% have had previous vaginal delivery. There was no significant association between the maternal height and mode of delivery (P = 0.95). However, there was a significant association between neonatal birthweight and route of delivery (P < 0.001). Conclusion: There is no significant association between maternal height and route of delivery in Abakiliki, Nigeria. Although height has traditionally been used in participant counseling regarding potential route of delivery, this study shows that height may not serve as an evidence-based tool in screening or predicting the route of delivery in the Abakaliki metropolis. Further larger studies are advocated to corroborate or refute this observation
{"title":"Association of maternal height with delivery outcome: A prospective anthropometric study at the Federal Teaching Hospital, Abakaliki, Southeast Nigeria","authors":"A. Onyebuchi, J. Mamah","doi":"10.4103/ijmh.IJMH_79_22","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_79_22","url":null,"abstract":"Background: Height is easy to measure and may serve as a triaging and referral tool in the rural communities of the West African subregion where a significant proportion of deliveries are undertaken by unskilled birth attendants with devastating maternal and perinatal outcomes. Objective: The objective of this study was to determine the association between maternal height and the route of delivery. Materials and Methods: This was a cross-sectional study undertaken at the Federal Teaching Hospital Abakaliki, Ebonyi State, Nigeria. A total of 180 consenting randomly selected pregnant participants who met the inclusion criteria and had presented in spontaneous labor at the maternity unit were selected for the study. Each participant′s sociodemographic data, height, mode of delivery, and neonatal birth weight were obtained using a semistructured proforma. Data analysis was done using the Statistical Package for Social Sciences (IBM-SPSS) version 22, Atlanta, Georgia. Results: The mean age of the study participants was 30.4 ± 4.2 years and the mean height was 164.5 ± 6.1 cm. Approximately 82% of the women had vaginal delivery. Majority (96.6%) of the participants were booked and more than 75% have had previous vaginal delivery. There was no significant association between the maternal height and mode of delivery (P = 0.95). However, there was a significant association between neonatal birthweight and route of delivery (P < 0.001). Conclusion: There is no significant association between maternal height and route of delivery in Abakiliki, Nigeria. Although height has traditionally been used in participant counseling regarding potential route of delivery, this study shows that height may not serve as an evidence-based tool in screening or predicting the route of delivery in the Abakaliki metropolis. Further larger studies are advocated to corroborate or refute this observation","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91112657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Uzoigwe, E. Asimadu, C. Adiri, S. Okoro, Sylvester Nweze
Background: Female urinary incontinence (UI) impacts female workers’ quality of life and working life. Objectives: This study aims to determine the prevalence of UI among female health workers in Enugu, Nigeria, and its impact on their quality of life. Materials and Methods: A cross-sectional study of female health workers at the University Teaching Hospital in Nigeria. A structured self-administered questionnaire was used for data collection. The first section contained socio-demographic information, whereas the second section consisted of items derived from the UK English Version of the International Consultation on Incontinence Questionnaire on Urinary Incontinence (ICIQ-UI Short Form). Results: Two hundred and fifty-six (256) women filled out the questionnaires. The mean age of the respondents was 36.6 ± 3.2 years (ranging from 19 to 56 years). Of the 256 respondents, 115 women had UI giving a prevalence of 44.9%. Older female health workers (>39 years old) compared to younger female health workers were significantly more likely to have UI (odd ratio 6.387, 95% confidence intervals 3.684–11.045, P < 0.001). Types of female UI seen were urge UI (39.1%), stress UI (29.6%), and mixed UI (31.3%). Most women (50.4%) leaked about once a week and had small amounts of leakages (62.8%). The impact on quality of life was mild (39.0%) and moderate (32.2%) for most of the female health workers, with 19% reporting severe impact. Conclusion: The prevalence of female UI is high among female health workers in Enugu, Nigeria and it impacts greatly on their quality of life.
{"title":"Urinary incontinence among female health workers in a tertiary health facility in Enugu, Nigeria","authors":"J. Uzoigwe, E. Asimadu, C. Adiri, S. Okoro, Sylvester Nweze","doi":"10.4103/ijmh.IJMH_5_23","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_5_23","url":null,"abstract":"Background: Female urinary incontinence (UI) impacts female workers’ quality of life and working life. Objectives: This study aims to determine the prevalence of UI among female health workers in Enugu, Nigeria, and its impact on their quality of life. Materials and Methods: A cross-sectional study of female health workers at the University Teaching Hospital in Nigeria. A structured self-administered questionnaire was used for data collection. The first section contained socio-demographic information, whereas the second section consisted of items derived from the UK English Version of the International Consultation on Incontinence Questionnaire on Urinary Incontinence (ICIQ-UI Short Form). Results: Two hundred and fifty-six (256) women filled out the questionnaires. The mean age of the respondents was 36.6 ± 3.2 years (ranging from 19 to 56 years). Of the 256 respondents, 115 women had UI giving a prevalence of 44.9%. Older female health workers (>39 years old) compared to younger female health workers were significantly more likely to have UI (odd ratio 6.387, 95% confidence intervals 3.684–11.045, P < 0.001). Types of female UI seen were urge UI (39.1%), stress UI (29.6%), and mixed UI (31.3%). Most women (50.4%) leaked about once a week and had small amounts of leakages (62.8%). The impact on quality of life was mild (39.0%) and moderate (32.2%) for most of the female health workers, with 19% reporting severe impact. Conclusion: The prevalence of female UI is high among female health workers in Enugu, Nigeria and it impacts greatly on their quality of life.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72874335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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