I. L. Mukoru, O. Adebayo, O. A. Oyabambi, K. Kanmodi, O. Ojo, S. Oiwoh, J. Agbogidi, A. Williams, M. Ibiyo, A. Samuel, O. Ogunsuji, L. Ogunjimi
Objective: The study assessed the profile and factors associated with fast food consumption among young people in tertiary educational institutions in Ibadan, Nigeria.Materials and Methods: This was a cross-sectional study carried out among 300 eligible undergraduates in four campuses in Ibadan, Nigeria. Socio-demographic characteristics and information on fast food consumption and other relevant data were collected using a self-administered questionnaire. Statistically significant p-value was set at <0.05. SPSS version 23 was used for data analysis.Results: The mean ± standard deviation (SD) age was 21.6 ± 3.7 years and females constituted 66% of the participants. Nine out of ten participants had never married, majority were fulltime students and holiday jobs were noted in less than a third. About three out of five participants consumed fast food, which was usually flour-based. The commonest pattern of fast food consumption was lunch, with the commonest frequencies of once a day and thrice a week. The strongest reasons for consumption include being considered nutritious, being readily available, claiming it provides value for money, and being accessible.Conclusion: Fast food consumption was high in this study and this potentially has serious implications on the cardiovascular health of the participants. There is need for concerted efforts by the relevant stakeholders in stemming this tide by encouraging health education for healthy eating among young persons.
{"title":"Fast food consumption habits among young people in south western Nigeria","authors":"I. L. Mukoru, O. Adebayo, O. A. Oyabambi, K. Kanmodi, O. Ojo, S. Oiwoh, J. Agbogidi, A. Williams, M. Ibiyo, A. Samuel, O. Ogunsuji, L. Ogunjimi","doi":"10.4314/rejhs.v11i2.1","DOIUrl":"https://doi.org/10.4314/rejhs.v11i2.1","url":null,"abstract":"Objective: The study assessed the profile and factors associated with fast food consumption among young people in tertiary educational institutions in Ibadan, Nigeria.Materials and Methods: This was a cross-sectional study carried out among 300 eligible undergraduates in four campuses in Ibadan, Nigeria. Socio-demographic characteristics and information on fast food consumption and other relevant data were collected using a self-administered questionnaire. Statistically significant p-value was set at <0.05. SPSS version 23 was used for data analysis.Results: The mean ± standard deviation (SD) age was 21.6 ± 3.7 years and females constituted 66% of the participants. Nine out of ten participants had never married, majority were fulltime students and holiday jobs were noted in less than a third. About three out of five participants consumed fast food, which was usually flour-based. The commonest pattern of fast food consumption was lunch, with the commonest frequencies of once a day and thrice a week. The strongest reasons for consumption include being considered nutritious, being readily available, claiming it provides value for money, and being accessible.Conclusion: Fast food consumption was high in this study and this potentially has serious implications on the cardiovascular health of the participants. There is need for concerted efforts by the relevant stakeholders in stemming this tide by encouraging health education for healthy eating among young persons.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44240451","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}
Introduction: An essential component of the Covid-19 response and a crucial public health intervention is the promotion of better hand hygiene. While several studies contend that good hand cleanliness is essential for lowering the prevalence of infectious diseases worldwide, college students have been found to inadequately wash their hands, which increases their chances of contracting the Covid-19 virus. This study aims to assess the knowledge and practice of hand hygiene among undergraduates of Osun State University, Osogbo campus.Methods: This study utilized a descriptive cross-sectional design to elicit a response from 271 male and female undergraduates of the University. A 34-item self-developed questionnaire comprising open and closed-ended questions served as the instrument for data collection. Data were analyzed in SPSS 25 using descriptive and inferential statistics at a 0.05 level of significance.Results: The study revealed that half (53%) had a fair knowledge of hand hygiene towards Covid-19 prevention, (51%) had low practice and (41%) perceived unavailability of soap and water as a barrier to its practice. The result also showed that there is a significant relationship between knowledge of hand hygiene and gender (x2=8.681; df=3; P=0.001). Also, a significant relationship exists between knowledge and practice of hand hygiene in the prevention of Covid-19 (x2=144.775, P=0.00). However, there is no significant relationship between the course of study and knowledge of hand washing among respondents (x2= .871, P=0.647).Conclusions: The study revealed that fair knowledge and moderate practice of hand hygiene exists among the respondents, coupled with many barriers such as lack of soap that hindered adequate practice, which calls for careful and immediate action through public health involvement.
{"title":"Hand Hygiene: major panacea for prevention of the spread of Covid-19 in a Nigerian south-western university","authors":"K. Adesina, O. O. Afolalu, R. Oyekale, D.M. Afere","doi":"10.4314/rejhs.v11i2.7","DOIUrl":"https://doi.org/10.4314/rejhs.v11i2.7","url":null,"abstract":"Introduction: An essential component of the Covid-19 response and a crucial public health intervention is the promotion of better hand hygiene. While several studies contend that good hand cleanliness is essential for lowering the prevalence of infectious diseases worldwide, college students have been found to inadequately wash their hands, which increases their chances of contracting the Covid-19 virus. This study aims to assess the knowledge and practice of hand hygiene among undergraduates of Osun State University, Osogbo campus.Methods: This study utilized a descriptive cross-sectional design to elicit a response from 271 male and female undergraduates of the University. A 34-item self-developed questionnaire comprising open and closed-ended questions served as the instrument for data collection. Data were analyzed in SPSS 25 using descriptive and inferential statistics at a 0.05 level of significance.Results: The study revealed that half (53%) had a fair knowledge of hand hygiene towards Covid-19 prevention, (51%) had low practice and (41%) perceived unavailability of soap and water as a barrier to its practice. The result also showed that there is a significant relationship between knowledge of hand hygiene and gender (x2=8.681; df=3; P=0.001). Also, a significant relationship exists between knowledge and practice of hand hygiene in the prevention of Covid-19 (x2=144.775, P=0.00). However, there is no significant relationship between the course of study and knowledge of hand washing among respondents (x2= .871, P=0.647).Conclusions: The study revealed that fair knowledge and moderate practice of hand hygiene exists among the respondents, coupled with many barriers such as lack of soap that hindered adequate practice, which calls for careful and immediate action through public health involvement.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47562751","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}
O. Fatungase, S. Olateju, E. Emmanuel, P. Adefuye, T. Shorunmu, R. Shoyemi, S. Dada, Y.O. Omoregie
Objectives: To review the pattern of anaesthesia techniques among pregnant women with pre-eclampsia or eclampsia who had caesarean section in our health facility and their management outcomeMethods: A retrospective analysis was undertaken for all the obstetric patients with pre-eclampsia or eclampsia who had caesarean sections under different types of anaesthesia in a tertiary hospital between January 1st 2014 and December 31st 2018.Results: A total of one hundred and eighty-two patients who presented with pre-eclampsia and eclampsia had emergency caesarean sections. Of these, 134 (74%) were diagnosed pre-eclampsia and 48 (26%) had eclampsia. The mean age was 29.71±6.40years. Subarachnoid block was performed in 165 (90.66 %), 15 (8.24 %) had general anaesthesia relaxant technique, and the remaining two (1.10 %) had local anaesthetic infiltration ± total intravenous anaesthesia. Peri-operative anaesthetic complications encountered included post-anaesthetic shivering 19 (10.44%), hypotension 16 (8.79 %) and nausea 1 (0.55 %). Incidence of death on table was six percent (11 patients). Among those that died, the anaesthesia technique was general anaesthesia in eight cases (73%) while three patients (27%) had subarachnoid blocks.Conclusion: Spinal anaesthesia was the most commonly used anaesthesia technique in this centre for patients with pre-eclampsia and conscious eclamptic patients, and it proved to be a relatively safe technique with few mortality.
{"title":"Pattern and outcome of Anaesthesia techniques in patients presenting with pre-eclampsia/eclampsia for caesarean section in a Teaching Hospital","authors":"O. Fatungase, S. Olateju, E. Emmanuel, P. Adefuye, T. Shorunmu, R. Shoyemi, S. Dada, Y.O. Omoregie","doi":"10.4314/rejhs.v11i2.8","DOIUrl":"https://doi.org/10.4314/rejhs.v11i2.8","url":null,"abstract":"Objectives: To review the pattern of anaesthesia techniques among pregnant women with pre-eclampsia or eclampsia who had caesarean section in our health facility and their management outcomeMethods: A retrospective analysis was undertaken for all the obstetric patients with pre-eclampsia or eclampsia who had caesarean sections under different types of anaesthesia in a tertiary hospital between January 1st 2014 and December 31st 2018.Results: A total of one hundred and eighty-two patients who presented with pre-eclampsia and eclampsia had emergency caesarean sections. Of these, 134 (74%) were diagnosed pre-eclampsia and 48 (26%) had eclampsia. The mean age was 29.71±6.40years. Subarachnoid block was performed in 165 (90.66 %), 15 (8.24 %) had general anaesthesia relaxant technique, and the remaining two (1.10 %) had local anaesthetic infiltration ± total intravenous anaesthesia. Peri-operative anaesthetic complications encountered included post-anaesthetic shivering 19 (10.44%), hypotension 16 (8.79 %) and nausea 1 (0.55 %). Incidence of death on table was six percent (11 patients). Among those that died, the anaesthesia technique was general anaesthesia in eight cases (73%) while three patients (27%) had subarachnoid blocks.Conclusion: Spinal anaesthesia was the most commonly used anaesthesia technique in this centre for patients with pre-eclampsia and conscious eclamptic patients, and it proved to be a relatively safe technique with few mortality.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45081012","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}
{"title":"Assessment of challenges inhibiting effective delivery of health care services among frontline Professional health workers during COVID 19 Lock down in Nigeria","authors":"E. Awolola, S. Maharaj","doi":"10.4314/rejhs.v11i1.4","DOIUrl":"https://doi.org/10.4314/rejhs.v11i1.4","url":null,"abstract":"No Abstract","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49356056","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}
B. A. Mohammed, A. Oyaramade, A. Ogunlaja, I. Ogunlaja
Background: Uterine rupture is a major cause of perinatal and maternal morbidity and mortality, it usually has a devastating outcome if not promptly attended to. The study determined the trends, risk factors, feto-maternal outcomes following uterine rupture as seen at ASYBSH. Method: The study was a retrospective review of cases of uterine rupture managed at the ASYBSH between March 2015 and February 2021. Records of the theatre and labour wards were searched and the folders of patients with uterine rupture were retrieved. Relevant information such as socio- demographic variables, booking status, clinical presentations were retrieved and entered into a structured profoma. Results: Deliveries in the hospital during the period were eleven thousand four hundred and twenty (11,420), out of which one hundred and fifty-six (156) were complicated by uterine rupture giving an overall incidence of 1.36 percent or one in every seventy-four (74) deliveries. Uterine rupture occurred mainly among women of low socio-economic status and high parity. The major predisposing factors were injudicious use of oxytocin (62.8%) prolonged obstructed labour (19.8%), previous caesarean section scar (8.5%), use of misoprostol (5.3%), fundal pressure (2.4%) and unexplained factors (1.2%) Conclusion: Uterine rupture remains a devastating obstetric calamity with a high incidence. Injudicious use of oxytocin, prolonged obstructed labour and previous caesarean section scar were the three leading predisposing factors identified in this study.
{"title":"Uterine rupture; An obstetric tragedy still with us. A six year review of cases in a specialist hospital, NorthWest Nigeria","authors":"B. A. Mohammed, A. Oyaramade, A. Ogunlaja, I. Ogunlaja","doi":"10.4314/rejhs.v11i1.7","DOIUrl":"https://doi.org/10.4314/rejhs.v11i1.7","url":null,"abstract":"Background: Uterine rupture is a major cause of perinatal and maternal morbidity and mortality, it usually has a devastating outcome if not promptly attended to. The study determined the trends, risk factors, feto-maternal outcomes following uterine rupture as seen at ASYBSH. \u0000Method: The study was a retrospective review of cases of uterine rupture managed at the ASYBSH between March 2015 and February 2021. Records of the theatre and labour wards were searched and the folders of patients with uterine rupture were retrieved. Relevant information such as socio- demographic variables, booking status, clinical presentations were retrieved and entered into a structured profoma. \u0000Results: Deliveries in the hospital during the period were eleven thousand four hundred and twenty (11,420), out of which one hundred and fifty-six (156) were complicated by uterine rupture giving an overall incidence of 1.36 percent or one in every seventy-four (74) deliveries. Uterine rupture occurred mainly among women of low socio-economic status and high parity. The major predisposing factors were injudicious use of oxytocin (62.8%) prolonged obstructed labour (19.8%), previous caesarean section scar (8.5%), use of misoprostol (5.3%), fundal pressure (2.4%) and unexplained factors (1.2%) \u0000Conclusion: Uterine rupture remains a devastating obstetric calamity with a high incidence. Injudicious use of oxytocin, prolonged obstructed labour and previous caesarean section scar were the three leading predisposing factors identified in this study.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47881060","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}
{"title":"Prevalence of Gram-negative bacteria and their antibioticresistance pattern at tertiary care hospital Amreli Gujarat India","authors":"K. Sanjeev, V. Krina","doi":"10.4314/rejhs.v11i1.2","DOIUrl":"https://doi.org/10.4314/rejhs.v11i1.2","url":null,"abstract":"No Abstract","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44409916","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}
{"title":"A cliniccopathologic correlation study of 2396 histopathologic skin biopsy specimens","authors":"E. Anaba, O. Dawodu, A. Arabambi","doi":"10.4314/rejhs.v11i1.3","DOIUrl":"https://doi.org/10.4314/rejhs.v11i1.3","url":null,"abstract":"No Abstract","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48083997","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}
S. Bola-Oyebamiji, R. Azeez, E. Farinloye, E. O. Folami
Background/Objective: Labour pain is perceived as the most harrowing and agonizing event of a woman's life. Efforts at reducing the pain and making the event less stressful have predated modern obstetric practice. Epidural analgesia has provided effective pain relief in labour for over three decades. Delivery with epidural analgesia is routine for willing parturients in the developing world, however ignorance, cost as well as lack of qualified personnel has made this to be out of reach of the average Nigerian mother. The aim of this study was to assess level of awareness, acceptability, previous utilization and willingness to utilize epidural analgesia in labour following health education. Subjects/Methods: This cross-sectional study was carried out in the antenatal clinic of UTH, Osogbo. Health education on events of labour and methods of analgesia available was provided to all antenatal clinic attendees between September 2021and March 2022, following which a semi–structured purpose designed, and self- administered questionnaire was administered to 415 of these women who consented to participate in this study. Results: The mean age of the respondents was 32.57± 4.42 years and mean parity of 1.73± 0.96. 70.8% reported that labour pain was severe. 41.7% were aware of epidural analgesia before the health talk. 3.6% of our subjects had utilized epidural in their last confinement. However, only 47.7% expressed a wish to utilize epidural analgesia in labour. Conclusion: Awareness of epidural analgesia in study population was passable at 40% however willingness to utilize it was less than average despite health talk and reassurance by their attending obstetric team.
{"title":"Knowledge, acceptability and utilization of epidural analgesia in antenatal clinic attendees at UNIOSUN Teaching Hospital (UTH), Osogbo, Osun State","authors":"S. Bola-Oyebamiji, R. Azeez, E. Farinloye, E. O. Folami","doi":"10.4314/rejhs.v11i1.8","DOIUrl":"https://doi.org/10.4314/rejhs.v11i1.8","url":null,"abstract":"Background/Objective: Labour pain is perceived as the most harrowing and agonizing event of a woman's life. Efforts at reducing the pain and making the event less stressful have predated modern obstetric practice. Epidural analgesia has provided effective pain relief in labour for over three decades. Delivery with epidural analgesia is routine for willing parturients in the developing world, however ignorance, cost as well as lack of qualified personnel has made this to be out of reach of the average Nigerian mother. The aim of this study was to assess level of awareness, acceptability, previous utilization and willingness to utilize epidural analgesia in labour following health education. \u0000Subjects/Methods: This cross-sectional study was carried out in the antenatal clinic of UTH, Osogbo. Health education on events of labour and methods of analgesia available was provided to all antenatal clinic attendees between September 2021and March 2022, following which a semi–structured purpose designed, and self- administered questionnaire was administered to 415 of these women who consented to participate in this study. \u0000Results: The mean age of the respondents was 32.57± 4.42 years and mean parity of 1.73± 0.96. 70.8% reported that labour pain was severe. 41.7% were aware of epidural analgesia before the health talk. 3.6% of our subjects had utilized epidural in their last confinement. However, only 47.7% expressed a wish to utilize epidural analgesia in labour. \u0000Conclusion: Awareness of epidural analgesia in study population was passable at 40% however willingness to utilize it was less than average despite health talk and reassurance by their attending obstetric team. ","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47604483","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}
O. Abiodun, A.O. Omobuwa, A. Fakunle, V.T. Oluwagbaye, M. Komolafe, O. Adewale, A. Akindele, A. Fasanu, J. Komolafe
Background: Ovarian stimulation using gonadotropins is associated with premature progesterone rise (PPR) in late follicular phase compared to natural cycle. Two schools of thoughts exist concerning implications of PPR during late follicular phase with one insisting that outcome of in vitro fertilization (IVF) is adversely affected when PPR occurs while the second school of thought argues that PPR has no adverse effect on IVF outcome. The study is aimed at determining the incidence of PPR in the cohort data evaluated; pregnancy rates across the sides of adopted cut-off level of progesterone and association if any between PPR & pregnancy rates. Methods: It was a descriptive retrospective cohort study of data of 114 patients and egg donors.. Analysis of continuous & categorical data was done using IBM SPSS Statistics 25. Results: Mean serum progesterone on HCG day of IVF cycle among the cohort was 2.490±1.355 with a PPR incidence of 55%. The odds of having PPR was 6.7 times higher among subjects with follicular number more than 13 compared to subjects with follicular numbers ≤13 . Number of follicles retrieved & age of subjects were strongly associated with progesterone level. The odds of subject with PPR getting pregnant was found to be 1.5 times less compared to the subjects with pre-HCG P4 < 1.5ng/ml. Conclusion: Pre-HCG progesterone level is positively associated with pregnancy outcome in IVF cycles
{"title":"Premature progesterone rise incidence & its effects on in vitro fertilization cycles","authors":"O. Abiodun, A.O. Omobuwa, A. Fakunle, V.T. Oluwagbaye, M. Komolafe, O. Adewale, A. Akindele, A. Fasanu, J. Komolafe","doi":"10.4314/rejhs.v11i1.1","DOIUrl":"https://doi.org/10.4314/rejhs.v11i1.1","url":null,"abstract":"Background: Ovarian stimulation using gonadotropins is associated with premature progesterone rise (PPR) in late follicular phase compared to natural cycle. Two schools of thoughts exist concerning implications of PPR during late follicular phase with one insisting that outcome of in vitro fertilization (IVF) is adversely affected when PPR occurs while the second school of thought argues that PPR has no adverse effect on IVF outcome. The study is aimed at determining the incidence of PPR in the cohort data evaluated; pregnancy rates across the sides of adopted cut-off level of progesterone and association if any between PPR & pregnancy rates. \u0000Methods: It was a descriptive retrospective cohort study of data of 114 patients and egg donors.. Analysis of continuous & categorical data was done using IBM SPSS Statistics 25. \u0000Results: Mean serum progesterone on HCG day of IVF cycle among the cohort was 2.490±1.355 with a PPR incidence of 55%. The odds of having PPR was 6.7 times higher among subjects with follicular number more than 13 compared to subjects with follicular numbers ≤13 . Number of follicles retrieved & age of subjects were strongly associated with progesterone level. The odds of subject with PPR getting pregnant was found to be 1.5 times less compared to the subjects with pre-HCG P4 < 1.5ng/ml. \u0000Conclusion: Pre-HCG progesterone level is positively associated with pregnancy outcome in IVF cycles ","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70611124","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: Neurosurgical patients are the most critical ICU admissions. While advancements in neurosurgical ICUs (NICU) have improved outcomes of care globally, ICU mortality remains a major clinical issue in developing nations. This study evaluates ICU mortalities of neurosurgical patients in a general ICU setting at the UNIOSUN Teaching Hospital, Osogbo, Nigeria. Method: Case records of neurosurgery patients who died in the ICU of UNIOSUN Teaching Hospital, Osogbo, South-Western, Nigeria from June 2012 to May 2022 were reviewed. Simple descriptive statistics of data on demographics, clinical diagnoses, management and outcome were done. Results: Mortality rate was 38.9% (84 of 216 admissions). Males were 67(79.8%) and the mean age was 41.5years (Range: 2-85years). The average duration of ICU stay was 3.5days (Range: 30minutes-20days). Most patients had severe traumatic brain injury (TBI) (62, 73.8%). This was followed by cerebrovascular diseases (12, 14.3%) and brain tumours (6, 7.1%). Two had brain abscess. One patient each had mixed subacute/chronic subdural haematoma and severe cervical spondylotic myelopathy. Of the 69 whose case files were found, 7(10.1%) had a diagnosis of brainstem death before eventual 'final' death after an average of 13.5 additional hours on mechanical life support. The identified secondary causes of death included raised ICP, sepsis, primary surgical haemorrhage, seizures, acute kidney injury, malignant hypertension, poor glycaemic control and aggressive blood pressure lowering. Only 1 patient had autopsy. Conclusion: Most ICU mortalities among neurosurgical patients were from severe TBI. The establishment of NICU is necessary to improve outcome of care of neurosurgical patients.
{"title":"Intensive care unit deaths among neurosurgery patients in a tertiary hospital in South Western Nigeria","authors":"T. Rabiu, I. Uthman, E. O. Folami","doi":"10.4314/rejhs.v11i1.6","DOIUrl":"https://doi.org/10.4314/rejhs.v11i1.6","url":null,"abstract":"Background: Neurosurgical patients are the most critical ICU admissions. While advancements in neurosurgical ICUs (NICU) have improved outcomes of care globally, ICU mortality remains a major clinical issue in developing nations. This study evaluates ICU mortalities of neurosurgical patients in a general ICU setting at the UNIOSUN Teaching Hospital, Osogbo, Nigeria. \u0000Method: Case records of neurosurgery patients who died in the ICU of UNIOSUN Teaching Hospital, Osogbo, South-Western, Nigeria from June 2012 to May 2022 were reviewed. Simple descriptive statistics of data on demographics, clinical diagnoses, management and outcome were done. \u0000Results: Mortality rate was 38.9% (84 of 216 admissions). Males were 67(79.8%) and the mean age was 41.5years (Range: 2-85years). The average duration of ICU stay was 3.5days (Range: 30minutes-20days). Most patients had severe traumatic brain injury (TBI) (62, 73.8%). This was followed by cerebrovascular diseases (12, 14.3%) and brain tumours (6, 7.1%). Two had brain abscess. One patient each had mixed subacute/chronic subdural haematoma and severe cervical spondylotic myelopathy. Of the 69 whose case files were found, 7(10.1%) had a diagnosis of brainstem death before eventual 'final' death after an average of 13.5 additional hours on mechanical life support. The identified secondary causes of death included raised ICP, sepsis, primary surgical haemorrhage, seizures, acute kidney injury, malignant hypertension, poor glycaemic control and aggressive blood pressure lowering. Only 1 patient had autopsy. \u0000Conclusion: Most ICU mortalities among neurosurgical patients were from severe TBI. The establishment of NICU is necessary to improve outcome of care of neurosurgical patients. ","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42690570","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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