Pub Date : 2010-08-11DOI: 10.4314/NMP.V57I5-6.57837
A. Adeyemi, Da Adekanl, J. Komolafe, A. Afolabi
The aim of this retrospective study is to determine the duration of use, and the factors responsible for the discontinuation of intrauterine contraceptive device by the clients attending a tertiary health institution family planning clinic. Most of the clients 1070(71.7%) made intrauterine contraceptive device their choice of contraceptive method, and duration of use was between 1 and 79 months. The most frequent reason for discontinuing IUD was the desire to get pregnant (51.0%), and this was followed by menorrhagia (10.4%). In conclusion, more effort should be directed to counseling for adherence to the IUD use to ensure longer duration of use. Provision of the levonorgestrel intrauterine system which reduces bleeding and dysmenorrhoea, in our clinic may increase the continuation rate of IUD. Key words; IUD, duration of use, discontinuation, factors.
{"title":"Intrauterine Contraceptive Device Discontinuation Among Women in Osogbo, Western Nigeria","authors":"A. Adeyemi, Da Adekanl, J. Komolafe, A. Afolabi","doi":"10.4314/NMP.V57I5-6.57837","DOIUrl":"https://doi.org/10.4314/NMP.V57I5-6.57837","url":null,"abstract":"The aim of this retrospective study is to determine the duration of use, and the factors responsible for the discontinuation of intrauterine contraceptive device by the clients attending a tertiary health institution family planning clinic. Most of the clients 1070(71.7%) made intrauterine contraceptive device their choice of contraceptive method, and duration of use was between 1 and 79 months. The most frequent reason for discontinuing IUD was the desire to get pregnant (51.0%), and this was followed by menorrhagia (10.4%). In conclusion, more effort should be directed to counseling for adherence to the IUD use to ensure longer duration of use. Provision of the levonorgestrel intrauterine system which reduces bleeding and dysmenorrhoea, in our clinic may increase the continuation rate of IUD. Key words; IUD, duration of use, discontinuation, factors.","PeriodicalId":85759,"journal":{"name":"The Nigerian medical practitioner","volume":"2021 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73242897","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}
Pub Date : 2010-06-21DOI: 10.4314/NMP.V57I1-2.55744
M. Mezie-Okoye, C. Tobin-West
Nigeria is ranked the second most HIV/AIDS affected country in the world with 3.5million adults living with the virus and a very high prevalence among young girls and women of the reproductive age groups. Introducing HIV counselling and testing services within existing maternal and child health care package is therefore, a priority intervention for the prevention of mother-to-child transmission of the HIV virus in Nigeria, because it provides opportunity for informed decision-making about options for delivery and infant feeding. This study is aimed at determining the perception, acceptance and satisfaction with the HIV counselling and testing services offered in PMTCT centres in Rivers State, Nigeria. A cross-sectional survey was conducted among pregnant women attending antenatal clinics at three PMTCT centres in the State, using a semi-structured and pre-tested questionnaire adapted from the National Guidelines for VCT services in Nigeria. Acceptance rate of HIV testing was high (89%), and the degree of satisfaction with services provided was also high (98.6%). However, three major barriers to accessing the services were identified as distance from home 31.7%, cost of transportation to clinics 20.1% and long waiting time to receive test results (16.5%). Overall, 98.1% would recommend the services to other pregnant women. Women were mostly satisfied with the pre-test counselling for HIV and there was high acceptance of HIV testing among pregnant women attending antenatal clinics in Rivers State. This is calling for the training of more counsellors to meet the different individual counselling needs and to scale up PMTCT services to the primary health centres, nearer to the people for maximum benefits. Key words: Perceptions, VCT, PMTC services, Rivers State, Nigeria
{"title":"Perception of Routine HIV Counselling and Testing for Prevention of Mother-to-child Transmission of HIV Infection in Rivers State, South-South, Nigeria","authors":"M. Mezie-Okoye, C. Tobin-West","doi":"10.4314/NMP.V57I1-2.55744","DOIUrl":"https://doi.org/10.4314/NMP.V57I1-2.55744","url":null,"abstract":"Nigeria is ranked the second most HIV/AIDS affected country in the world with 3.5million adults living with the virus and a very high prevalence among young girls and women of the reproductive age groups. Introducing HIV counselling and testing services within existing maternal and child health care package is therefore, a priority intervention for the prevention of mother-to-child transmission of the HIV virus in Nigeria, because it provides opportunity for informed decision-making about options for delivery and infant feeding. This study is aimed at determining the perception, acceptance and satisfaction with the HIV counselling and testing services offered in PMTCT centres in Rivers State, Nigeria. A cross-sectional survey was conducted among pregnant women attending antenatal clinics at three PMTCT centres in the State, using a semi-structured and pre-tested questionnaire adapted from the National Guidelines for VCT services in Nigeria. Acceptance rate of HIV testing was high (89%), and the degree of satisfaction with services provided was also high (98.6%). However, three major barriers to accessing the services were identified as distance from home 31.7%, cost of transportation to clinics 20.1% and long waiting time to receive test results (16.5%). Overall, 98.1% would recommend the services to other pregnant women. Women were mostly satisfied with the pre-test counselling for HIV and there was high acceptance of HIV testing among pregnant women attending antenatal clinics in Rivers State. This is calling for the training of more counsellors to meet the different individual counselling needs and to scale up PMTCT services to the primary health centres, nearer to the people for maximum benefits. Key words: Perceptions, VCT, PMTC services, Rivers State, Nigeria","PeriodicalId":85759,"journal":{"name":"The Nigerian medical practitioner","volume":"341 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79537501","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}
Eighteen cases of post-neonatal tetanus managed between January 2005 and December 2008 at the Federal Medical Centre, Nguru were retrospectively reviewed. The male female ratio was 3.5: 1, and mean ±SD age of 5.83 ±3.38years with range between 2 and 12 years. The immunization status was uncertain in 83.3% of the cases. Suppurative otitis media (SOM) and circumcision by the traditional ‘surgeon’ were important portals of entry of the infection, accounting for 50% of cases. A mortality of 5.9% was recorded. It is therefore recommended that patronage of traditional surgeons should be discouraged and parents should be encouraged to seek for medical care from Orthodox Health Care facilities. The role of Government in these matters is also vital. Furthermore, there is need to improve on routine immunization activities at the Local Government Area levels. Keywords : Post-neonatal tetanus, Immunization status, SOM, Circumcision.
{"title":"Post-Neonatal Tetanus in Nguru, Yobe State, North-Eastern Nigeria","authors":"R. Akuhwa, M. Alhaji, M. Bello, S. Bulus","doi":"10.4314/NMP.V57I3.55752","DOIUrl":"https://doi.org/10.4314/NMP.V57I3.55752","url":null,"abstract":"Eighteen cases of post-neonatal tetanus managed between January 2005 and December 2008 at the Federal Medical Centre, Nguru were retrospectively reviewed. The male female ratio was 3.5: 1, and mean ±SD age of 5.83 ±3.38years with range between 2 and 12 years. The immunization status was uncertain in 83.3% of the cases. Suppurative otitis media (SOM) and circumcision by the traditional ‘surgeon’ were important portals of entry of the infection, accounting for 50% of cases. A mortality of 5.9% was recorded. It is therefore recommended that patronage of traditional surgeons should be discouraged and parents should be encouraged to seek for medical care from Orthodox Health Care facilities. The role of Government in these matters is also vital. Furthermore, there is need to improve on routine immunization activities at the Local Government Area levels. Keywords : Post-neonatal tetanus, Immunization status, SOM, Circumcision.","PeriodicalId":85759,"journal":{"name":"The Nigerian medical practitioner","volume":"237 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72653023","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}
To determine the effect of HIV sero - positivity on the prevalence of intestinal helminthiasis. Descriptive, crossectional study design was undertaken. A cross sectional study among 496 HIV sero- positive (cases) and 490 HIV sero- negative (controls) children 1 – 15 years attending paediatrics clinic were surveyed for intestinal helminthiasis. Faecal samples were collected and examined for the presence of characteristic helminth ova using formol ether concentration method while intensity of infection was determined using McMaster counting chamber. Overall prevalence of intestinal helminthiasis was 15.4%. Prevalence was higher among the cases, 21.4% than the control, 9.5% and the difference in rate of infection was found to be statistically significant (PÂ 0.0000). The prevalence of helminthiasis is significantly higher among the cases than the controls. It is likely that in the cases, HIV status could have accentuated their susceptibility to helminthiasis. Regular deworming of cases alongside improved personal hygiene should be practiced to reduce infection burden. Key words: HIV sero - positive, intestinal helminth, children, health facility.
{"title":"HIV - sero Positivity and Intestinal Helminthiasis among Children in a Tertiary Health Facility in Benin-City, Nigeria.","authors":"V. Wagbatsoma, E. Ogbaini, H. Esene, K. Ibadin","doi":"10.4314/NMP.V57I3.55750","DOIUrl":"https://doi.org/10.4314/NMP.V57I3.55750","url":null,"abstract":"To determine the effect of HIV sero - positivity on the prevalence of intestinal helminthiasis. Descriptive, crossectional study design was undertaken. A cross sectional study among 496 HIV sero- positive (cases) and 490 HIV sero- negative (controls) children 1 – 15 years attending paediatrics clinic were surveyed for intestinal helminthiasis. Faecal samples were collected and examined for the presence of characteristic helminth ova using formol ether concentration method while intensity of infection was determined using McMaster counting chamber. Overall prevalence of intestinal helminthiasis was 15.4%. Prevalence was higher among the cases, 21.4% than the control, 9.5% and the difference in rate of infection was found to be statistically significant (PÂ 0.0000). The prevalence of helminthiasis is significantly higher among the cases than the controls. It is likely that in the cases, HIV status could have accentuated their susceptibility to helminthiasis. Regular deworming of cases alongside improved personal hygiene should be practiced to reduce infection burden. Key words: HIV sero - positive, intestinal helminth, children, health facility.","PeriodicalId":85759,"journal":{"name":"The Nigerian medical practitioner","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86366900","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}
Pub Date : 2010-06-21DOI: 10.4314/nmp.v57i1-2.55745
O. Ejiofor, J. Ofomata
Pattern of morbidity and mortality in children in a hospital setting is essential because it serves as a guide to what happens in the larger society. By these findings, health facilities could be modified and improved upon for better management of those cases. To document the pattern of morbidity and mortality in children’s ward of Amaku General Hospital Awka (AGHA) Anambra State, the hospital records of children aged above one month to 18 years admitted to the children’s ward of AGHA from 1st January 2007 to 31st December 2008 were retrieved and reviewed. Of the 491 patients admitted during the period, 400 patients met the criteria for the study. The youngest child was 7 weeks old and the oldest 18 years. The commonest causes of admission were severe malaria (21.75%), Gastroenteritis (15.50%), febrile convulsion (14.75%), pneumonia (13.75%) andHIV/AIDS (10%). The commonest causes of death were severe malaria with anemic heart failure (30.61%), Gastroenteritis with severe dehydration (20.41%), pneumonia (16.33%) and HIV/AIDS (12.25%). Among the deaths, infancy period was mostly affected (36.74%). Having seen the pattern of morbidity and mortality in our area to be infection related, we recommend to government and society the improvement in our environmental sanitation, sustained health education, reducing poverty while promoting routine immunization, growth monitoring, Breastfeeding of our children and introduction of new vaccines. Keywords : Pattern, morbidity, mortality, children’s ward, Awka
{"title":"Pattern of Morbidity and Mortality in a Children’s Ward – the Awka Experience","authors":"O. Ejiofor, J. Ofomata","doi":"10.4314/nmp.v57i1-2.55745","DOIUrl":"https://doi.org/10.4314/nmp.v57i1-2.55745","url":null,"abstract":"Pattern of morbidity and mortality in children in a hospital setting is essential because it serves as a guide to what happens in the larger society. By these findings, health facilities could be modified and improved upon for better management of those cases. To document the pattern of morbidity and mortality in children’s ward of Amaku General Hospital Awka (AGHA) Anambra State, the hospital records of children aged above one month to 18 years admitted to the children’s ward of AGHA from 1st January 2007 to 31st December 2008 were retrieved and reviewed. Of the 491 patients admitted during the period, 400 patients met the criteria for the study. The youngest child was 7 weeks old and the oldest 18 years. The commonest causes of admission were severe malaria (21.75%), Gastroenteritis (15.50%), febrile convulsion (14.75%), pneumonia (13.75%) andHIV/AIDS (10%). The commonest causes of death were severe malaria with anemic heart failure (30.61%), Gastroenteritis with severe dehydration (20.41%), pneumonia (16.33%) and HIV/AIDS (12.25%). Among the deaths, infancy period was mostly affected (36.74%). Having seen the pattern of morbidity and mortality in our area to be infection related, we recommend to government and society the improvement in our environmental sanitation, sustained health education, reducing poverty while promoting routine immunization, growth monitoring, Breastfeeding of our children and introduction of new vaccines. Keywords : Pattern, morbidity, mortality, children’s ward, Awka","PeriodicalId":85759,"journal":{"name":"The Nigerian medical practitioner","volume":"139 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86590875","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}
Pub Date : 2010-06-21DOI: 10.4314/NMP.V57I1-2.55746
F. Salawu, M. Abdurrahman, A. Olokoba, A. Danburam
Cardiovascular autonomic neuropathy (CAN) is a common form of diabetes autonomic neuropathy, causes abnormalities in heart rate control as well as central and peripheral vascular dynamics, and may carry an increased risk of mortality. The aim of this article was to review the importance of identifying CAN and discussing potential treatment interventions. Literature search was conducted using the reference databases Medline, Science Citation Index and the Cochrane Library. In addition, subsequent references of retrieved articles were reviewed. Search strategies included using key terms such as CAN, heart rate variability, orthostatic hypotension, and diabetes mellitus. The clinical manifestations of CAN include exercise intolerance, orthostatic hypotension, painless myocardial ischaemia, and reduced quality of life for persons with diabetes. Once CAN is suspected in a patient with diabetes, healthcare providers should increase surveillance for cardiac ischaemia, carefully re-examine the list of prescribed medications, and aggressively treating cardiovascular risk factors that may be associated with the development of CAN. Keywords: Diabetes mellitus, autonomic neuropathy, autonomic nervous system, orthostatic hypotension, heart rate variability
{"title":"Cardiovascular autonomic dysfunction due to diabetes mellitus: An overview","authors":"F. Salawu, M. Abdurrahman, A. Olokoba, A. Danburam","doi":"10.4314/NMP.V57I1-2.55746","DOIUrl":"https://doi.org/10.4314/NMP.V57I1-2.55746","url":null,"abstract":"Cardiovascular autonomic neuropathy (CAN) is a common form of diabetes autonomic neuropathy, causes abnormalities in heart rate control as well as central and peripheral vascular dynamics, and may carry an increased risk of mortality. The aim of this article was to review the importance of identifying CAN and discussing potential treatment interventions. Literature search was conducted using the reference databases Medline, Science Citation Index and the Cochrane Library. In addition, subsequent references of retrieved articles were reviewed. Search strategies included using key terms such as CAN, heart rate variability, orthostatic hypotension, and diabetes mellitus. The clinical manifestations of CAN include exercise intolerance, orthostatic hypotension, painless myocardial ischaemia, and reduced quality of life for persons with diabetes. Once CAN is suspected in a patient with diabetes, healthcare providers should increase surveillance for cardiac ischaemia, carefully re-examine the list of prescribed medications, and aggressively treating cardiovascular risk factors that may be associated with the development of CAN. Keywords: Diabetes mellitus, autonomic neuropathy, autonomic nervous system, orthostatic hypotension, heart rate variability","PeriodicalId":85759,"journal":{"name":"The Nigerian medical practitioner","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79829795","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}
Pub Date : 2010-06-21DOI: 10.4314/NMP.V57I1-2.55748
J. Ashindoitiang, C. Atimomo
Agenesis of gallbladder is rare. It may occur as isolated finding or in association with additional abnormalities. The overall incidence is between 0.01 and 0.04% but there is evidence of a much higher incidence in certain families suggesting a hereditary trait.(1,2) Encountering gallbladder agenesis during operation for gallbladder related pathology is a dilemma and a challenge to an astute surgeon to confirm the diagnosis by searching for it in ectopic sites and also to perform intra-operative cholangiography to locate it. Ectopic sites as listed by Sherson (3) include intrahepatic, left sided, between the leaves of lesser omentum, retroperitoneal and retrohepatic, within the falciform ligament, retroduodenal and retropancreatic. There are three groups of patients with agenesis of gallbladder, those with multiple anomalies, asymptomatic cases and symptomatic cases. Right upper quadrant pain occurs in 90% of the cases, nausea and vomiting in 60% and jaundice in 35%. (4) We treated a 30year old lady with agenesis of the gallbladder and obstructive jaundice.
{"title":"Agenesis of the Gallbladder: A Case Report","authors":"J. Ashindoitiang, C. Atimomo","doi":"10.4314/NMP.V57I1-2.55748","DOIUrl":"https://doi.org/10.4314/NMP.V57I1-2.55748","url":null,"abstract":"Agenesis of gallbladder is rare. It may occur as isolated finding or in association with additional abnormalities. The overall incidence is between 0.01 and 0.04% but there is evidence of a much higher incidence in certain families suggesting a hereditary trait.(1,2) Encountering gallbladder agenesis during operation for gallbladder related pathology is a dilemma and a challenge to an astute surgeon to confirm the diagnosis by searching for it in ectopic sites and also to perform intra-operative cholangiography to locate it. Ectopic sites as listed by Sherson (3) include intrahepatic, left sided, between the leaves of lesser omentum, retroperitoneal and retrohepatic, within the falciform ligament, retroduodenal and retropancreatic. There are three groups of patients with agenesis of gallbladder, those with multiple anomalies, asymptomatic cases and symptomatic cases. Right upper quadrant pain occurs in 90% of the cases, nausea and vomiting in 60% and jaundice in 35%. (4) We treated a 30year old lady with agenesis of the gallbladder and obstructive jaundice.","PeriodicalId":85759,"journal":{"name":"The Nigerian medical practitioner","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89079883","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}
Pub Date : 2010-01-13DOI: 10.4314/NMP.V55I1-2.49410
R. Mordi, M. Ibadin
{"title":"Urinary catheter related infections in University of Benin Teaching Hospital(UBTH) Benin City, Nigeria","authors":"R. Mordi, M. Ibadin","doi":"10.4314/NMP.V55I1-2.49410","DOIUrl":"https://doi.org/10.4314/NMP.V55I1-2.49410","url":null,"abstract":"","PeriodicalId":85759,"journal":{"name":"The Nigerian medical practitioner","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86035845","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}
Pub Date : 2010-01-13DOI: 10.4314/NMP.V55I1-2.49405
B. Adefuye
{"title":"Prevalence of hypertenstion and other cardiovascular risk factors in an Africa Sub-Urban religious community","authors":"B. Adefuye","doi":"10.4314/NMP.V55I1-2.49405","DOIUrl":"https://doi.org/10.4314/NMP.V55I1-2.49405","url":null,"abstract":"","PeriodicalId":85759,"journal":{"name":"The Nigerian medical practitioner","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85214582","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}
Pub Date : 2010-01-13DOI: 10.4314/NMP.V55I1-2.49409
Ma Okunlalo, Km Okonikoko, A. Adeyemi, Fab Adeyeni-Doro
{"title":"Chlamydia serology and ectopic pregnancy in Ibadin","authors":"Ma Okunlalo, Km Okonikoko, A. Adeyemi, Fab Adeyeni-Doro","doi":"10.4314/NMP.V55I1-2.49409","DOIUrl":"https://doi.org/10.4314/NMP.V55I1-2.49409","url":null,"abstract":"","PeriodicalId":85759,"journal":{"name":"The Nigerian medical practitioner","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82401395","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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