E.A. Odeghe, D.E. Ezuduemoih, G.K. Oyeleke, O. Adeniyi, A. Adetona
Inflammatory bowel disease (IBD) is a chronic and life-long disease characterized by gastrointestinal tract inflammation caused by the interplay of the host’s genetic predisposition, immune responses, and various environmental factors. It is characterized by chronic diarrhea, among other symptoms. Its spectrum comprises Crohn’s disease (CD), Ulcerative Colitis (UC), and indeterminate colitis (IC). Inflammatory bowel disease occurs in two peaks, the first at 15-25 years, and the second at 40-60 years. It is rarely reported in the extremes of age. Here we report the case of a 93-year-old woman with previously undiagnosed ulcerative colitis presenting as large bowel obstruction.
{"title":"Ulcerative Colitis diagnosed for the First Time in a 93 year old Nigerian Woman: A Case Report","authors":"E.A. Odeghe, D.E. Ezuduemoih, G.K. Oyeleke, O. Adeniyi, A. Adetona","doi":"10.4314/jmbr.v22i2.2","DOIUrl":"https://doi.org/10.4314/jmbr.v22i2.2","url":null,"abstract":"Inflammatory bowel disease (IBD) is a chronic and life-long disease characterized by gastrointestinal tract inflammation caused by the interplay of the host’s genetic predisposition, immune responses, and various environmental factors. It is characterized by chronic diarrhea, among other symptoms. Its spectrum comprises Crohn’s disease (CD), Ulcerative Colitis (UC), and indeterminate colitis (IC). Inflammatory bowel disease occurs in two peaks, the first at 15-25 years, and the second at 40-60 years. It is rarely reported in the extremes of age. Here we report the case of a 93-year-old woman with previously undiagnosed ulcerative colitis presenting as large bowel obstruction. ","PeriodicalId":516875,"journal":{"name":"Journal of Medicine and Biomedical Research","volume":"129 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139894618","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}
V.T. Iyinbor, O.O.M. Olu, J. C. Nwaogwugwu, V.Y. Adam
Background: Primary Health Care is the cornerstone of a sustainable national health system for the attainment of universal health coverage. There is poor demand for health services at the primary level of care. This study assessed the perceptions and factors affecting the utilization of primary health care services in a predominantly urban community in South-South Nigeria. Methods: This descriptive cross-sectional study was done in Egor, Benin City, Southern Nigeria. A structured, and interviewer administered questionnaire was distributed to 371 heads of household who were selected using multistage sampling method. The data were analyzed using IBM SPSS version 25. Results: Majority of the respondents were males 191 (51.6%). More than half, 195 (52.5%) were in the age group of 35-49 years. Less than half, 171 (46.1%)of the respondents had utilized primary health care services. Only, 42 (24.6%) perceived the services utilized were satisfactory. Immunization, 45 (26.3%), child, 39 (22.8%) and maternal, 32 (18.7%) health care services were the most utilized. Sex (OR = 0.599; CI = 0.38-0.94, p = 0.027), religion (OR = 2.246; CI = 1.066-4.735, p = 0.033), and occupation (OR = 2.437; CI = 1.106-5.367, p = 0.027) were factors associated with the utilization of health services in the study locale. Conclusions: The utilization of the primary health care services was low, and the perception of services utilized was not satisfactory. The Local Government Health Authority needs to strengthen the primary health care system. Also, improved community engagement and participation could enhance health services access and uptake.
{"title":"Perceptions and Factors affecting Utilization of Primary Health Care Services in a predominantly Urban Community in South-South Nigeria","authors":"V.T. Iyinbor, O.O.M. Olu, J. C. Nwaogwugwu, V.Y. Adam","doi":"10.4314/jmbr.v22i2.6","DOIUrl":"https://doi.org/10.4314/jmbr.v22i2.6","url":null,"abstract":"Background: Primary Health Care is the cornerstone of a sustainable national health system for the attainment of universal health coverage. There is poor demand for health services at the primary level of care. This study assessed the perceptions and factors affecting the utilization of primary health care services in a predominantly urban community in South-South Nigeria. \u0000Methods: This descriptive cross-sectional study was done in Egor, Benin City, Southern Nigeria. A structured, and interviewer administered questionnaire was distributed to 371 heads of household who were selected using multistage sampling method. The data were analyzed using IBM SPSS version 25. \u0000Results: Majority of the respondents were males 191 (51.6%). More than half, 195 (52.5%) were in the age group of 35-49 years. Less than half, 171 (46.1%)of the respondents had utilized primary health care services. Only, 42 (24.6%) perceived the services utilized were satisfactory. Immunization, 45 (26.3%), child, 39 (22.8%) and maternal, 32 (18.7%) health care services were the most utilized. Sex (OR = 0.599; CI = 0.38-0.94, p = 0.027), religion (OR = 2.246; CI = 1.066-4.735, p = 0.033), and occupation (OR = 2.437; CI = 1.106-5.367, p = 0.027) were factors associated with the utilization of health services in the study locale. \u0000Conclusions: The utilization of the primary health care services was low, and the perception of services utilized was not satisfactory. The Local Government Health Authority needs to strengthen the primary health care system. Also, improved community engagement and participation could enhance health services access and uptake. ","PeriodicalId":516875,"journal":{"name":"Journal of Medicine and Biomedical Research","volume":"109 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139963519","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":"Improving Telemedicine Practice in Nigeria","authors":"W.E. Sadoh, V. Omuemu","doi":"10.4314/jmbr.v22i2.1","DOIUrl":"https://doi.org/10.4314/jmbr.v22i2.1","url":null,"abstract":"No Abstract","PeriodicalId":516875,"journal":{"name":"Journal of Medicine and Biomedical Research","volume":"87 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139963840","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}
A.I. Obi, G. Pop-Yornwin, E.T. Taiwo, E. Adayonfo, J.N. Obi
Background: Sexual abuse is a public health problem that poses serious challenge to health and wellbeing of young persons, globally. This study assessed prevalence and predictors of sexual abuse among undergraduate students in the University of Benin, Benin City, Nigeria in order to develop appropriate preventive intervention Methods: An analytical cross-sectional study was carried out among 500 undergraduate students of the University of Benin, Benin City, Edo State. Respondents were selected using multi-stage sampling technique. Selfadministered questionnaires were utilized for the study. Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 25 and statistical significance was set at p < 0.05. Results: The mean age of the respondents was 21.4 ± 2.8 years and 300 (60%) were females. Awareness of sexual abuse was 98.0%. Lifetime and period (one year) prevalence of sexual abuse was 320 (64.0%) and 200 (62.5%) respectively. Determinants of sexual abuse were female sex (OR=2.234, CI= 1.532 – 3.527, p<0.001), room sharing (OR=2.637, CI= 0.416 – 0.977, p = 0.039), self-support in school (OR = 2.587, CI= 0.416 – 0.977, p = 0.036), history of previous sexual abuse (OR = 6.043, CI= 3.689 – 6.238, p = 0.001) and history of abusive relationship (OR= 5.010, CI= 1.321 – 3.234, p = 0.023). Conclusion: Sexual abuse is prevalent among study population, with more females than males affected. The University of Benin Management should develop preventive measures that will aid prompt identification and reporting of sexual abuse with anonymity to appropriate authority
{"title":"Prevalence and Predictors of Sexual Abuse among University Undergraduates in Benin City, Edo State, Nigeria","authors":"A.I. Obi, G. Pop-Yornwin, E.T. Taiwo, E. Adayonfo, J.N. Obi","doi":"10.4314/jmbr.v22i2.4","DOIUrl":"https://doi.org/10.4314/jmbr.v22i2.4","url":null,"abstract":"Background: Sexual abuse is a public health problem that poses serious challenge to health and wellbeing of young persons, globally. This study assessed prevalence and predictors of sexual abuse among undergraduate students in the University of Benin, Benin City, Nigeria in order to develop appropriate preventive intervention \u0000Methods: An analytical cross-sectional study was carried out among 500 undergraduate students of the University of Benin, Benin City, Edo State. Respondents were selected using multi-stage sampling technique. Selfadministered questionnaires were utilized for the study. Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 25 and statistical significance was set at p < 0.05. \u0000Results: The mean age of the respondents was 21.4 ± 2.8 years and 300 (60%) were females. Awareness of sexual abuse was 98.0%. Lifetime and period (one year) prevalence of sexual abuse was 320 (64.0%) and 200 (62.5%) respectively. Determinants of sexual abuse were female sex (OR=2.234, CI= 1.532 – 3.527, p<0.001), room sharing (OR=2.637, CI= 0.416 – 0.977, p = 0.039), self-support in school (OR = 2.587, CI= 0.416 – 0.977, p = 0.036), history of previous sexual abuse (OR = 6.043, CI= 3.689 – 6.238, p = 0.001) and history of abusive relationship (OR= 5.010, CI= 1.321 – 3.234, p = 0.023). \u0000Conclusion: Sexual abuse is prevalent among study population, with more females than males affected. The University of Benin Management should develop preventive measures that will aid prompt identification and reporting of sexual abuse with anonymity to appropriate authority ","PeriodicalId":516875,"journal":{"name":"Journal of Medicine and Biomedical Research","volume":"44 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139964175","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}
K. A. Durowade, O.I. Musa, A. Salaudeen, M.A. Adeniyi, T.A. Sanni, V. Omuemu
Background: The Corona Virus Disease-2019 caused by the virus, Severe Acute Respiratory Syndrome-Corona Virus - 2 resulted in a global public health problem. Various strategies and interventions were implemented to contain the spread around the world. Despite this, the pandemic persisted with fear and anxiety leading to worsening psychological state. Therefore, the aim of this study was to assess the profile and predictors of psychological manifestations of COVID-19 among adults in Ekiti State, Nigeria. Methods: This was a community-based cross-sectional study. Multi-stage sampling technique was used to select adults aged 18 years and above. A pre-tested, structured, interviewer-administered questionnaire was used to collect data. Statistical Package for the Social Sciences version 23 was used for data analysis and spatial mapping. Level of statistical significance was set at p<0.05. Results: More than a tenth (15.3%) of the respondents had experienced severe psychological manifestations due to COVID-19. Younger age (p<0.001), higher level of education (p<0.001), higher monthly income (p=0.013), smaller household size (p=0.001), working in the hospital environment (p=0.001), and rural residence (p=0.005) were significantly associated with psychological manifestations due to COVID-19. Younger age (p=0.030), tertiary education (p=0.020), rural location (p<0.001) and working in the hospital environment (p=0.021) were significant predictors of severe psychological manifestations due to COVID-19. Conclusion: Psychological manifestations due to COVID-19 was high among the study population and this cuts across socio-demographic and socio-economic groups. Awareness campaigns by the Ekiti State government and other relevant stakeholders could help to reduce this in the population
{"title":"Profile and Predictors of Psychological Manifestations of COVID-19 among Adults in Selected Communities of Southwest Nigeria","authors":"K. A. Durowade, O.I. Musa, A. Salaudeen, M.A. Adeniyi, T.A. Sanni, V. Omuemu","doi":"10.4314/jmbr.v22i2.5","DOIUrl":"https://doi.org/10.4314/jmbr.v22i2.5","url":null,"abstract":"Background: The Corona Virus Disease-2019 caused by the virus, Severe Acute Respiratory Syndrome-Corona Virus - 2 resulted in a global public health problem. Various strategies and interventions were implemented to contain the spread around the world. Despite this, the pandemic persisted with fear and anxiety leading to worsening psychological state. Therefore, the aim of this study was to assess the profile and predictors of psychological manifestations of COVID-19 among adults in Ekiti State, Nigeria. \u0000Methods: This was a community-based cross-sectional study. Multi-stage sampling technique was used to select adults aged 18 years and above. A pre-tested, structured, interviewer-administered questionnaire was used to collect data. Statistical Package for the Social Sciences version 23 was used for data analysis and spatial mapping. Level of statistical significance was set at p<0.05. \u0000Results: More than a tenth (15.3%) of the respondents had experienced severe psychological manifestations due to COVID-19. Younger age (p<0.001), higher level of education (p<0.001), higher monthly income (p=0.013), smaller household size (p=0.001), working in the hospital environment (p=0.001), and rural residence (p=0.005) were significantly associated with psychological manifestations due to COVID-19. Younger age (p=0.030), tertiary education (p=0.020), rural location (p<0.001) and working in the hospital environment (p=0.021) were significant predictors of severe psychological manifestations due to COVID-19. \u0000Conclusion: Psychological manifestations due to COVID-19 was high among the study population and this cuts across socio-demographic and socio-economic groups. Awareness campaigns by the Ekiti State government and other relevant stakeholders could help to reduce this in the population ","PeriodicalId":516875,"journal":{"name":"Journal of Medicine and Biomedical Research","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139894677","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: Lassa fever (LF) is an acute viral haemorraghic fever caused by the Lassa virus. The objective of this study was to describe the profile of confirmed cases of Lassa fever during an outbreak in Etsako West Local Government Area, Edo State. Methods: A descriptive review of records of cases of Lassa fever between 1st of January to 4th of March, 2019 was done. Confirmation of cases was done using reverse transcriptase polymerase chain reaction. Data analysis was by Statistical Package for Social Science (SPSS) version 20 and descriptive statistics was done. Results: Out of a total of 150 suspected cases of Lassa fever recorded during the period, 63 (42.0%) were confirmed. Among the confirmed cases, the mean age was 28±16.4 years and 34 (54.0%) were males. The incidence of the disease was highest among those within the ages of 15-45 (66.7%) years. The highest proportions of confirmed cases were from Jattu 25 (39.7%) and Auchi 24 (38.1%) communities. The case fatality rate was 12 (19%). Conclusion: The incidence of Lassa fever was highest among the productive age group with about one in five deaths recorded during the outbreak. The State Government should step-up environmental sanitation activities in Jattu and Auchi Communities in Etsako West LGA.
{"title":"Profile of Confirmed Cases during Lassa fever Outbreak in Etsako West Local Government Area, Edo State","authors":"I. Alenoghena","doi":"10.4314/jmbr.v22i2.8","DOIUrl":"https://doi.org/10.4314/jmbr.v22i2.8","url":null,"abstract":"Background: Lassa fever (LF) is an acute viral haemorraghic fever caused by the Lassa virus. The objective of this study was to describe the profile of confirmed cases of Lassa fever during an outbreak in Etsako West Local Government Area, Edo State. \u0000Methods: A descriptive review of records of cases of Lassa fever between 1st of January to 4th of March, 2019 was done. Confirmation of cases was done using reverse transcriptase polymerase chain reaction. Data analysis was by Statistical Package for Social Science (SPSS) version 20 and descriptive statistics was done. \u0000Results: Out of a total of 150 suspected cases of Lassa fever recorded during the period, 63 (42.0%) were confirmed. Among the confirmed cases, the mean age was 28±16.4 years and 34 (54.0%) were males. The incidence of the disease was highest among those within the ages of 15-45 (66.7%) years. The highest proportions of confirmed cases were from Jattu 25 (39.7%) and Auchi 24 (38.1%) communities. The case fatality rate was 12 (19%). \u0000Conclusion: The incidence of Lassa fever was highest among the productive age group with about one in five deaths recorded during the outbreak. The State Government should step-up environmental sanitation activities in Jattu and Auchi Communities in Etsako West LGA. ","PeriodicalId":516875,"journal":{"name":"Journal of Medicine and Biomedical Research","volume":"57 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139964128","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 COVID-19 pandemic has accelerated the adoption of telemedicine, addressing healthcare service gaps. This study aimed to evaluate the knowledge and utilization of telemedicine among residents in Benin City, Edo State, Nigeria. Methods: A descriptive cross-sectional survey was conducted among adult residents of Benin City. A multi-staged sampling technique comprising four stages was employed to select respondents, and data were collected through a pre-tested self-administered questionnaire. Statistical analysis was carried out using IBM SPSS vs 25.0. Significance was established at p < 0.05, and results were presented as prose and frequency tables. Results: The study included 413 participants with a mean age (SD) of 26.9 ± 7.1 years. The majority, 279 (67.6%), were students, and 289 (70.0%) had tertiary education. Good knowledge of telemedicine was demonstrated by 192 (61.5%) of the respondents but 122 (39.1%) had used telemedicine services. Fifty-seven (46.7%) of those who used telemedicine favoured phone calls as the primary medium, citing its accessibility. Notably, 106 (86.9%) reported using telemedicine to reduce hospital waiting times, and 105 (86.1%) appreciated its ready availability. Barriers to telemedicine use included network challenges during consultations (42.6%) and inconsistent power supply (36.3%). Age (p = 0.045), sex (p = 0.038) and higher education (p = 0.009) were significantly associated with better telemedicine knowledge. Conclusion: The study revealed that while a significant proportion of residents in Benin City possessed good knowledge of telemedicine, its utilization remains low. Addressing infrastructure limitations and extending educational efforts will be pivotal in bridging the knowledge-utilization gap in telemedicine.
背景：COVID-19 大流行加速了远程医疗的采用，从而弥补了医疗服务的不足。本研究旨在评估尼日利亚埃多州贝宁市居民对远程医疗的了解和使用情况。研究方法对贝宁市的成年居民进行了描述性横断面调查。调查采用了多阶段抽样技术（包括四个阶段）来选择受访者，并通过预先测试的自填式问卷收集数据。统计分析使用 IBM SPSS vs 25.0 进行。显著性以 p < 0.05 为标准，结果以散点图和频数表的形式呈现。研究结果研究共纳入 413 名参与者，平均年龄（标清）为 26.9 ± 7.1 岁。其中 279 人（67.6%）为学生，289 人（70.0%）受过高等教育。192名受访者（61.5%）对远程医疗有一定了解，但122名受访者（39.1%）曾使用过远程医疗服务。在使用过远程医疗的受访者中，57 人（46.7%）认为电话是最主要的媒介，理由是其便捷性。值得注意的是，106 人（86.9%）称使用远程医疗减少了医院候诊时间，105 人（86.1%）赞赏其随时可用性。使用远程医疗的障碍包括会诊期间的网络挑战（42.6%）和供电不稳定（36.3%）。年龄（p = 0.045）、性别（p = 0.038）和受教育程度（p = 0.009）与远程医疗知识的普及程度显著相关。结论研究表明，虽然贝宁市相当一部分居民对远程医疗有较好的了解，但其利用率仍然很低。解决基础设施的局限性和扩大教育努力将是缩小远程医疗知识和使用差距的关键。
{"title":"Assessing Telemedicine Knowledge and Utilization among Residents in Benin City, Edo State during the COVID-19 Pandemic: A Descriptive Study","authors":"E. Ogboghodo, O.H. Okojie, V. Omuemu, E.E. Abdul","doi":"10.4314/jmbr.v22i2.3","DOIUrl":"https://doi.org/10.4314/jmbr.v22i2.3","url":null,"abstract":"Background: The COVID-19 pandemic has accelerated the adoption of telemedicine, addressing healthcare service gaps. This study aimed to evaluate the knowledge and utilization of telemedicine among residents in Benin City, Edo State, Nigeria. \u0000Methods: A descriptive cross-sectional survey was conducted among adult residents of Benin City. A multi-staged sampling technique comprising four stages was employed to select respondents, and data were collected through a pre-tested self-administered questionnaire. Statistical analysis was carried out using IBM SPSS vs 25.0. Significance was established at p < 0.05, and results were presented as prose and frequency tables. \u0000Results: The study included 413 participants with a mean age (SD) of 26.9 ± 7.1 years. The majority, 279 (67.6%), were students, and 289 (70.0%) had tertiary education. Good knowledge of telemedicine was demonstrated by 192 (61.5%) of the respondents but 122 (39.1%) had used telemedicine services. Fifty-seven (46.7%) of those who used telemedicine favoured phone calls as the primary medium, citing its accessibility. Notably, 106 (86.9%) reported using telemedicine to reduce hospital waiting times, and 105 (86.1%) appreciated its ready availability. Barriers to telemedicine use included network challenges during consultations (42.6%) and inconsistent power supply (36.3%). Age (p = 0.045), sex (p = 0.038) and higher education (p = 0.009) were significantly associated with better telemedicine knowledge. \u0000Conclusion: The study revealed that while a significant proportion of residents in Benin City possessed good knowledge of telemedicine, its utilization remains low. Addressing infrastructure limitations and extending educational efforts will be pivotal in bridging the knowledge-utilization gap in telemedicine.","PeriodicalId":516875,"journal":{"name":"Journal of Medicine and Biomedical Research","volume":"265 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139894604","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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