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Serum Levels of Vitamin D in Male Partners of Women with Infertility in a Tertiary Hospital in Nigeria 尼日利亚某三级医院不孕妇女男性伴侣血清维生素D水平
Pub Date : 2023-04-25 DOI: 10.4314/tjhc.v30i1.2
A. Bamgboye, O. Ogunbode, A. Arowojolu
Globally infertility affects 8-12% of couples, with male and female causes contributing equally. Micronutrient's deficiency such as vitamin D has been implicated as a cause of infertility in animal studies, there is therefore the need to evaluate its role in humans. This study determined serum levels of vitamin D in males who were partners of patients presenting with infertility. This was a prospective cross- sectional study involving 170 consenting male partners of women presenting with infertility at the University College Hospital (UCH), Ibadan. A structured questionnaire was administered while blood sample and semen were collected for serum vitamin D assay and seminal fluid analysis (SFA) analysis. The data was entered into the Statistical Package for Social Sciences version 21 and statistical significance was set at less than 5%. Eighty-four (49.4%) participants had at least one abnormal parameter on SFA. The mean vitamin D level was higher in participants with normal SFA (34.4+12.6ng/ml) compared with abnormal SFA (32.8 + 15ng/ml). None of the participants had vitamin D deficiency, however the prevalence of vitamin D insufficiency among participants with abnormal and normal SFA was 62.5 % and 37.5% and this was statistically significant. (p = 0.01). Sperm progressive motility was the only SFA parameter associated with serum Vitamin D levels. (p-value = 0.03). This study showed that vitamin D insufficiency is associated with male infertility, therefore it may be added as an investigation for men with infertility and Vitamin D supplement be given where insufficiency or deficiency are noted.
在全球范围内,8-12%的夫妇患有不孕症,男性和女性原因造成的影响相同。在动物研究中,维生素D等微量营养素的缺乏被认为是导致不孕的原因之一,因此有必要评估其在人类中的作用。本研究测定了男性不育患者伴侣的血清维生素D水平。这是一项前瞻性横断面研究,涉及伊巴丹大学学院医院(UCH)的170名不孕女性的同意男性伴侣。进行结构化问卷调查,同时采集血样和精液进行血清维生素D测定和精液分析。数据输入社会科学统计软件包版本21,统计显著性设置为小于5%。84名(49.4%)参与者至少有一个SFA参数异常。与SFA异常参与者(32.8 + 15ng/ml)相比,SFA正常参与者的平均维生素D水平(34.4+12.6ng/ml)更高。没有参与者有维生素D缺乏症,但在SFA异常和正常的参与者中,维生素D缺乏症的患病率分别为62.5%和37.5%,这具有统计学意义。(p = 0.01)。精子进行性运动是唯一与血清维生素D水平相关的SFA参数。(p值= 0.03)。这项研究表明维生素D不足与男性不育症有关,因此它可以作为一项针对男性不育症的调查,如果发现维生素D不足或缺乏,则应补充维生素D。
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引用次数: 0
Ocular Prosthesis: What you need to know and the current challenges in Nigeria 眼假体:在尼日利亚你需要知道的和当前的挑战
Pub Date : 2022-11-27 DOI: 10.4314/tjhc.v29i4.6
K. Monsudi, A. Ayodapo, J. Owoeye
Ocular prosthesis (OP) is the replacement of natural eye by an artificial material following eye removal. OP is also called artificial eye; it gives no vision but improve the quality of life in an anophthalmic patient. OP is mainly used following ocular destructive surgery (evisceration, enucleation and exenteration.). Evisceration is the removal of intraocular content leaving scleral and optic nerve, while enucleation is the removal of the whole eye ball including the optic nerve. Exenteration is the removal of the whole eye including: optic nerve, eye adnexial and part of orbital bone. There are various challenges facing the usage of OP in Nigeria. There is a need to create awareness on the importance of ocular prosthesis, its use, types and production as well as the need to set up school of Ocularistry in Nigeria.
眼假体(OP)是在眼球摘除后用人工材料代替天然眼睛的手术。OP又称人工眼;它不能使无眼病人恢复视力,但能提高他们的生活质量。OP主要用于眼部破坏性手术(摘除、去核和剜出)后。剜骨是摘除眼内内容物,留下巩膜和视神经,而去核是摘除包括视神经在内的整个眼球。摘除是指摘除全眼,包括:视神经、眼附件和部分眶骨。在尼日利亚,OP的使用面临着各种挑战。有必要提高人们对眼假体的重要性、其用途、类型和生产的认识,并有必要在尼日利亚设立眼科学校。
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引用次数: 0
Drug utilization pattern among paediatric asthma patients attending the respiratory clinic of a Nigerian tertiary hospital: a five-year retrospective survey 尼日利亚某三级医院呼吸内科儿科哮喘患者的药物使用模式:一项五年回顾性调查
Pub Date : 2022-11-27 DOI: 10.4314/tjhc.v29i4.3
K. Amorha, O. Isiogugu, E. C. Nsionu
Drug prescribing indicators can assess prescribing performance. This study assessed the drug utilization pattern among paediatric asthma patients in University of Nigeria Teaching Hospital (UNTH). The study protocol for this five-year retrospective survey (1st January, 2015 to 31st December, 2019) was approved by the Health Research and Ethics Committee of UNTH. Eligibility criteria included folders of the paediatric asthma patients within the period under review. Descriptive statistics summarized the data and World Health Organization (WHO)/International Network of Rational Use of Drugs (INRUD) core prescribing indicators. The result presented that 272 prescriptions were extracted from the 68 folders. Majority of the patients were ≤ 10 years old (n = 167, 61.4%) and allergic rhinitis (n = 62, 22.8%) was the most common comorbidity. Antihistamines (n = 1407, 35.5%) were the most commonly prescribed class of drugs. Salbutamol (n = 156, 100.0%) was the only prescribed short-acting beta agonist (SABA) inhaler. The average number of drugs per encounter was 2.92 (reference range: 1.6 – 1.8). The percentage of drugs prescribed by generic name and from the essential drugs list were 66.2% and 18.1%, respectively (expected compliance: 100%). The percentage of encounters with inclusion of prescription of an antibiotic was 22.1% (reference range: 20.0% – 26.8%). The percentage of encounters with inclusion of prescription of an injection was 9.6% (reference range: 13.4% – 24.1%). Our conclusion was that there is need for rational prescribing in asthma settings, with focus on prescribing drugs using their generic name and also from the essential drugs list, while avoiding unnecessary polypharmacy.
药物处方指标可以评估处方绩效。本研究评估了尼日利亚大学教学医院(UNTH)儿童哮喘患者的药物使用模式。这项为期五年的回顾性调查(2015年1月1日至2019年12月31日)的研究方案经UNTH健康研究与伦理委员会批准。资格标准包括在审查期间的儿科哮喘患者的文件夹。描述性统计概述了数据和世界卫生组织(卫生组织)/国际合理用药网络(合理用药网)的核心处方指标。结果显示,从68个文件夹中提取出272个处方。大多数患者年龄≤10岁(n = 167,占61.4%),最常见的合并症为变应性鼻炎(n = 62,占22.8%)。抗组胺药(n = 1407, 35.5%)是最常用的处方类药物。沙丁胺醇(n = 156, 100.0%)是唯一处方的短效β受体激动剂(SABA)吸入剂。每次就诊的平均药物数量为2.92(参考范围:1.6 - 1.8)。仿制药处方占66.2%,基本药物目录占18.1%(预期符合性:100%)。纳入抗生素处方的就诊百分比为22.1%(参考范围:20.0% - 26.8%)。纳入注射处方的就诊百分比为9.6%(参考范围:13.4% - 24.1%)。我们的结论是,在哮喘环境中需要合理的处方,重点是使用其通用名称和基本药物清单中的药物,同时避免不必要的多重用药。
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引用次数: 0
Facing two faces of malnutrition among schooling adolescents in North-Central Nigeria 面对尼日利亚中北部在校青少年营养不良的两面
Pub Date : 2022-11-27 DOI: 10.4314/tjhc.v29i4.5
A. Omotoso, K. Adediran, J. Abdulmalik, O. Omigbodun
 Adolescence is a period of transition in which there are unique nutritional requirements. Our study determined the nutritional status of adolescents, schooling in north-central Nigeria.  A cross-sectional study was conducted among 512 in-school adolescents. The sociodemographic and anthropometric data were analysed with the Statistical Package for Social Sciences version 22 and the WHO Anthro software (Version 3.1.0) respectively. Chi square statistics tested the association between categorical variables at 5% level of statistical significance. Binary logistic regression analysis determined the predictors of anthropometric indicators. From eight public schools, 512 students were interviewed, 53.5% of which were girls. While 21% were underweight, 20% were overweight, 12.1% were stunted and 0.1% was obese. Being from a polygamous family was predictive of stunting. The dietary pattern was starchy and meat consumption was rare. Meal skipping and snacking were common. The two faces of malnutrition were common among the adolescent students. There is a need for nutrition education and effective school mental health policies in Nigeria and across Africa. Good nutrition among adolescents has an impact on mental health and education – two promising pillars to support the demographic dividend of Africa’s youthful population.
青春期是一个有独特营养需求的过渡时期。我们的研究确定了尼日利亚中北部上学青少年的营养状况。对512名在校青少年进行了横断面研究。社会人口统计学和人体测量学数据分别使用社会科学统计软件包第22版和世卫组织人类软件(3.1.0版)进行分析。卡方统计在5%的显著性水平上检验分类变量之间的相关性。二元logistic回归分析确定了人体测量指标的预测因子。来自8所公立学校的512名学生接受了采访,其中53.5%是女生。21%的人体重不足,20%的人超重,12.1%的人发育不良,0.1%的人肥胖。来自一夫多妻家庭预示着发育迟缓。饮食结构以淀粉为主,很少吃肉。不吃饭和吃零食很常见。营养不良的两面性在青少年学生中很常见。尼日利亚和整个非洲需要营养教育和有效的学校心理健康政策。青少年的良好营养对心理健康和教育有影响,这是支持非洲青年人口人口红利的两个有希望的支柱。
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引用次数: 0
Evaluation of referral letters to the antiretroviral therapy outpatient specialist clinic of the tertiary health facility in Ilorin, Nigeria. 对尼日利亚伊洛林三级卫生设施抗逆转录病毒治疗门诊专科诊所的转诊信函进行评价。
Pub Date : 2022-11-27 DOI: 10.4314/tjhc.v29i4.4
O. Agede, J. Ogunmodede
Human immunodeficiency virus (HIV) disease is a chronic medical condition that requires lifelong treatment. Specialist care is of importance in its management and referral process to a specialist is mostly initiated through a referral letter. The ability to design a good management plan during consultation depends on the quality of clinical information in the referral. This study was designed to assess the information provided in referral letters presented to Antiretroviral Therapy (ART) outpatient specialist clinic in a tertiary hospital in Nigeria It was a retrospective study conducted between January and June 2022. All referral presented to ART clinic on clinic days were reviewed for information provided using a data capture form. A total of 142 referrals were analyzed. The majority of the referral provided information on patient identifiers. Information on clinical parameters considered important for quality review and management were generally unsatisfactory. Less than a quarter of the referral provided information on laboratory investigations like cluster of differentiation 4 count. Majority (97.9%) of the referrals stated the reason for the referral but physical examination findings and medication history were only reported in 38.7% and 43% respectively. Referral letters to ART clinic were deficient in the information needed for quality review. The deficiencies delayed patient management. Institution of measures to address the deficiencies will help to improve HIV care. The use of a structured referral form and training of doctors on the required information in a referral letter will also impact positively on HIV care.
人类免疫缺陷病毒(HIV)疾病是一种需要终身治疗的慢性疾病。专科护理在其管理中很重要,而转介到专科医生的过程大多是通过转介信开始的。在会诊期间设计良好的管理计划的能力取决于转诊时临床信息的质量。本研究旨在评估向尼日利亚一家三级医院抗逆转录病毒治疗门诊专科诊所提交的转诊信中提供的信息。这是一项于2022年1月至6月进行的回顾性研究。所有在门诊日向抗逆转录病毒治疗诊所提交的转诊资料均通过数据采集表格进行审查。对142例转诊患者进行分析。大多数转诊提供了患者标识符的信息。被认为对质量审查和管理很重要的临床参数信息通常不令人满意。不到四分之一的转诊患者提供了聚类分化计数等实验室调查的信息。绝大多数(97.9%)的转诊者报告了转诊原因,但分别只有38.7%和43%的转诊者报告了体检结果和用药史。ART诊所的转诊信缺乏质量审查所需的信息。这些缺陷耽误了病人的治疗。采取措施解决这些不足将有助于改善艾滋病毒护理。使用有组织的转诊表格,并就转诊信中的所需信息对医生进行培训,也将对艾滋病毒护理产生积极影响。
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引用次数: 0
Knowledge, practice of and factors influencing birth preparedness and complication readiness among pregnant women attending antenatal clinic in a tertiary institution in South-Western Nigeria 尼日利亚西南部一所高等院校产前门诊孕妇对分娩准备和并发症准备的知识、做法和影响因素
Pub Date : 2022-11-27 DOI: 10.4314/tjhc.v29i4.2
I. Ademuyiwa, O. O. Oyediran, A. O. Olowe, A. O. Emikpe, T. Oshinyemi, T. E. Oladehinde
Pregnancy and child birth are normal physiological processes expected to be uneventful with a fruitful outcome of a healthy mother and baby(ies). However, every pregnant woman faces the risk of sudden unpredictable complications that could lead to injury to herself, her infant or even death. Furthermore, no one can reliably predict pregnancy related complications and its outcome, hence the need to be birth prepared and complication ready. Therefore, this study assessed the knowledge, practice of and factors influencing birth preparedness and complication readiness among pregnant women attending antenatal clinic in a tertiary in a South-Western, Nigeria. The study adopted a cross-sectional descriptive research design utilizing quantitative approach. One hundred and forty-six (146) consenting pregnant women participated in this study. Data were manually collected and analyzed electronically with the use of SPSS computer software version 23. The results showed that more than half of the respondents 74 (50.7%) had overall poor knowledge of BPCR while majority of the respondents 88 (60.3%) had good overall practice of BPCR. The findings revealed that factors influencing practice of BPCR were inadequate prenatal education (82.2%), knowledge of key danger signs (80.8%), poverty and place of residents (80.1%), educational level (70.5%) and family size (60.3%). There was a significant relationship between the knowledge and practice of birth preparedness and complication readiness, with a p-value <0.05.  Base on the results we conclude that although the overall practice of BPCR is good while the overall knowledge is poor. There is a need to create an awareness and give adequate education on knowledge and practice of birth preparedness and complication readiness among pregnant women.
怀孕和分娩是正常的生理过程,预期是平静的,健康的母亲和婴儿(ies)的丰硕成果。然而,每个孕妇都面临着突发不可预测的并发症的风险,这些并发症可能导致她自己、她的婴儿受伤,甚至死亡。此外,没有人能够可靠地预测妊娠相关并发症及其结果,因此需要做好分娩准备和并发症准备。因此,本研究评估了尼日利亚西南部一所高等学校产前门诊孕妇的分娩准备和并发症准备的知识、实践和影响因素。本研究采用横断面描述性研究设计,运用定量方法。146名孕妇自愿参与了这项研究。数据采用人工采集,并使用SPSS 23版计算机软件进行电子分析。结果显示,超过一半的受访者74人(50.7%)对BPCR的整体知识较差,而大多数受访者88人(60.3%)对BPCR的整体实践良好。调查结果显示,影响BPCR实施的因素为产前教育不足(82.2%)、对关键危险体征的了解(80.8%)、贫困及居住地(80.1%)、文化程度(70.5%)、家庭规模(60.3%)。分娩准备知识与实践与并发症准备有显著相关,p值<0.05。根据结果我们得出结论,虽然BPCR的整体实践是好的,但整体知识是差的。有必要提高孕妇对分娩准备和并发症准备的认识,并对其进行充分的教育。
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引用次数: 0
Assessment of thyroid dysfunction in type 2 diabetes mellitus patients in Sokoto, North -Western Nigeria 尼日利亚西北部索科托2型糖尿病患者甲状腺功能障碍的评估
Pub Date : 2022-11-27 DOI: 10.4314/tjhc.v29i4.1
M. Abdulrahman, L. Jamilu, M. Ladan, D. M. Sahabi, U. A. Abdullahi, B. Aminu, A.A. Fakku, S. Kasimu, W. T. Adanlawo, M. M. Birnin Kebbi, K. Sanusi
Diabetes Mellitus (DM) and Thyroid Dysfunction (TD) are the two most common endocrinopathies seen in general population. Type 2 diabetes mellitus (T2DM) is commonly associated with altered thyroid function. The aim of this study is to evaluate TD in patients with T2DM in Sokoto, Nigeria. Blood samples were collected from 80 type 2 diabetic patients and equal number of apparently healthy matched controls and analyzed for fasting blood sugar (FBS), glycated hemoglobin (HbA1c), thyroid stimulating hormone (TSH), triiodothyronine (T3), thyroxine (T4), cholesterol, triglycerides (TG), high density lipoprotein (HDL-C), and low density lipoprotein (LDL-C). The mean age of T2DM patients and controls were 37.06±6.09 and 37.10±9.90 respetively. The levels of FBS, HbA1c, Cholesterol, TG, and LDL-C were observed to be significantly high and the level of HDL-C was significantly low in diabetics as compared to control. The levels of T3 and T4 were significantly low while the level of TSH was significantly high in Type 2 diabetics. Thyroid dysfunction may complicate metabolic control in diabetes mellitus. It’s important for routine screening of thyroid disease (hormones) among patients with diabetes so as to stabilize metabolic control and reduce morbidity.
糖尿病(DM)和甲状腺功能障碍(TD)是普通人群中最常见的两种内分泌疾病。2型糖尿病(T2DM)通常与甲状腺功能改变有关。本研究的目的是评估尼日利亚索科托T2DM患者的TD。采集80例2型糖尿病患者和同等数量的表面健康对照者的血液样本,分析空腹血糖(FBS)、糖化血红蛋白(HbA1c)、促甲状腺激素(TSH)、三碘甲状腺原氨酸(T3)、甲状腺素(T4)、胆固醇、甘油三酯(TG)、高密度脂蛋白(HDL-C)和低密度脂蛋白(LDL-C)。T2DM患者和对照组的平均年龄分别为37.06±6.09岁和37.10±9.90岁。与对照组相比,糖尿病患者的FBS、HbA1c、胆固醇、TG和LDL-C水平显著升高,HDL-C水平显著降低。2型糖尿病患者T3、T4水平明显低,TSH水平明显高。甲状腺功能障碍可能使糖尿病患者的代谢控制复杂化。对糖尿病患者进行甲状腺疾病(激素)常规筛查,对稳定代谢控制,降低发病率具有重要意义。
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引用次数: 0
Evaluating the Relationship between Fructosamine and Indices of Dyslipidaemia in Adults with Type 2 Diabetes Mellitus 评价果糖胺与成人2型糖尿病血脂异常指标的关系
Pub Date : 2022-09-06 DOI: 10.4314/tjhc.v29i3.8
M. Abdulrahman, T.J. Ndidiamaka, A. S. Mainasara, I. Aliyu, J. El-Bashir, A. Bello, A.A. Fakku, K. Saidu, U. A. Abdullahi, M. Dalili, K. Sanusi
No Abstract
没有抽象的
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引用次数: 0
COVID-19 Vaccine hesitancy among Healthcare Workers in Kaduna State, Nigeria 尼日利亚卡杜纳州医护人员对COVID-19疫苗的犹豫
Pub Date : 2022-09-06 DOI: 10.4314/tjhc.v29i3.3
A. Koledade, O. Jimoh, J. Ejembi, M. Ibrahim, A. Olorukooba, A. Umar, A. Ahmad, E. Eboh, S. Danmori, M. A. Zayyad
No Abstract.
没有抽象的。
{"title":"COVID-19 Vaccine hesitancy among Healthcare Workers in Kaduna State, Nigeria","authors":"A. Koledade, O. Jimoh, J. Ejembi, M. Ibrahim, A. Olorukooba, A. Umar, A. Ahmad, E. Eboh, S. Danmori, M. A. Zayyad","doi":"10.4314/tjhc.v29i3.3","DOIUrl":"https://doi.org/10.4314/tjhc.v29i3.3","url":null,"abstract":"No Abstract.","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80329496","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}
引用次数: 0
Mental health of Adults in Kwara State Nigeria during COVID-19 Pandemic Lockdown 2019冠状病毒病大流行封锁期间尼日利亚夸拉州成年人的心理健康状况
Pub Date : 2022-09-06 DOI: 10.4314/tjhc.v29i3.1
O. Buhari, A. J. Ogunmodede, O. Adegunloye, D. Sulyman, O. A. Bolarinwa
No Abstract
没有抽象的
{"title":"Mental health of Adults in Kwara State Nigeria during COVID-19 Pandemic Lockdown","authors":"O. Buhari, A. J. Ogunmodede, O. Adegunloye, D. Sulyman, O. A. Bolarinwa","doi":"10.4314/tjhc.v29i3.1","DOIUrl":"https://doi.org/10.4314/tjhc.v29i3.1","url":null,"abstract":"No Abstract","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86448184","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}
引用次数: 0
期刊
Tropical Journal of Health Sciences
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