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  Subjects -> MEDICAL SCIENCES (Total: 7992 journals)
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MEDICAL SCIENCES (2100 journals)                  1 2 3 4 5 6 7 8 | Last

Showing 1 - 200 of 3562 Journals sorted alphabetically
16 de Abril     Open Access  
3D Printing in Medicine     Open Access   (Followers: 2)
AADE in Practice     Hybrid Journal   (Followers: 5)
ABCS Health Sciences     Open Access   (Followers: 3)
Abia State University Medical Students' Association Journal     Full-text available via subscription  
ACIMED     Open Access   (Followers: 1)
ACS Medicinal Chemistry Letters     Hybrid Journal   (Followers: 42)
Acta Bio Medica     Full-text available via subscription   (Followers: 2)
Acta Bioethica     Open Access  
Acta Bioquimica Clinica Latinoamericana     Open Access   (Followers: 1)
Acta Facultatis Medicae Naissensis     Open Access  
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Medica (Hradec Králové)     Open Access  
Acta Medica Bulgarica     Open Access  
Acta Medica Colombiana     Open Access   (Followers: 1)
Acta Médica Costarricense     Open Access   (Followers: 2)
Acta Medica Indonesiana     Open Access  
Acta Medica International     Open Access  
Acta medica Lituanica     Open Access  
Acta Medica Marisiensis     Open Access  
Acta Medica Martiniana     Open Access  
Acta Medica Nagasakiensia     Open Access   (Followers: 1)
Acta Medica Peruana     Open Access   (Followers: 2)
Acta Médica Portuguesa     Open Access  
Acta Medica Saliniana     Open Access  
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Acupuncture & Electro-Therapeutics Research     Full-text available via subscription   (Followers: 6)
Acupuncture and Natural Medicine     Open Access  
Addiction Science & Clinical Practice     Open Access   (Followers: 8)
Addictive Behaviors Reports     Open Access   (Followers: 8)
Adıyaman Üniversitesi Sağlık Bilimleri Dergisi / Health Sciences Journal of Adıyaman University     Open Access  
Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access  
Advanced Biomedical Research     Open Access  
Advanced Health Care Technologies     Open Access   (Followers: 4)
Advanced Science, Engineering and Medicine     Partially Free   (Followers: 8)
Advances in Bioscience and Clinical Medicine     Open Access   (Followers: 6)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 26)
Advances in Life Course Research     Hybrid Journal   (Followers: 8)
Advances in Lipobiology     Full-text available via subscription   (Followers: 1)
Advances in Medical Education and Practice     Open Access   (Followers: 29)
Advances in Medical Ethics     Open Access  
Advances in Medical Research     Open Access  
Advances in Medical Sciences     Hybrid Journal   (Followers: 7)
Advances in Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Advances in Medicine     Open Access   (Followers: 3)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 4)
Advances in Molecular Oncology     Open Access   (Followers: 2)
Advances in Molecular Toxicology     Full-text available via subscription   (Followers: 7)
Advances in Parkinson's Disease     Open Access  
Advances in Phytomedicine     Full-text available via subscription  
Advances in Preventive Medicine     Open Access   (Followers: 6)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 20)
Advances in Regenerative Medicine     Open Access   (Followers: 3)
Advances in Skeletal Muscle Function Assessment     Open Access  
Advances in Therapy     Hybrid Journal   (Followers: 5)
Advances in Veterinary Science and Comparative Medicine     Full-text available via subscription   (Followers: 14)
Advances in Virus Research     Full-text available via subscription   (Followers: 5)
Advances in Wound Care     Hybrid Journal   (Followers: 11)
Aerospace Medicine and Human Performance     Full-text available via subscription   (Followers: 12)
African Health Sciences     Open Access   (Followers: 3)
African Journal of Biomedical Research     Open Access   (Followers: 1)
African Journal of Clinical and Experimental Microbiology     Open Access   (Followers: 2)
African Journal of Laboratory Medicine     Open Access   (Followers: 2)
African Journal of Medical and Health Sciences     Open Access   (Followers: 2)
African Journal of Trauma     Open Access   (Followers: 1)
Afrimedic Journal     Open Access   (Followers: 2)
Aggiornamenti CIO     Hybrid Journal   (Followers: 1)
AIDS Research and Human Retroviruses     Hybrid Journal   (Followers: 9)
AJOB Primary Research     Partially Free   (Followers: 3)
AJSP: Reviews & Reports     Hybrid Journal  
Aktuelle Ernährungsmedizin     Hybrid Journal   (Followers: 4)
Al-Azhar Assiut Medical Journal     Open Access  
Alexandria Journal of Medicine     Open Access   (Followers: 1)
Allgemeine Homöopathische Zeitung     Hybrid Journal   (Followers: 3)
Alpha Omegan     Full-text available via subscription  
ALTEX : Alternatives to Animal Experimentation     Open Access   (Followers: 3)
Althea Medical Journal     Open Access  
American Journal of Biomedical Engineering     Open Access   (Followers: 13)
American Journal of Biomedical Research     Open Access   (Followers: 2)
American Journal of Biomedicine     Full-text available via subscription   (Followers: 7)
American Journal of Chinese Medicine, The     Hybrid Journal   (Followers: 4)
American Journal of Clinical Medicine Research     Open Access   (Followers: 7)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Law & Medicine     Full-text available via subscription   (Followers: 11)
American Journal of Lifestyle Medicine     Hybrid Journal   (Followers: 5)
American Journal of Managed Care     Full-text available via subscription   (Followers: 11)
American Journal of Medical Case Reports     Open Access   (Followers: 1)
American Journal of Medical Sciences and Medicine     Open Access   (Followers: 4)
American Journal of Medicine     Hybrid Journal   (Followers: 48)
American Journal of Medicine and Medical Sciences     Open Access   (Followers: 1)
American Journal of Medicine Studies     Open Access   (Followers: 1)
American Journal of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American Journal of the Medical Sciences     Hybrid Journal   (Followers: 12)
American Journal on Addictions     Hybrid Journal   (Followers: 9)
American medical news     Free   (Followers: 3)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Amyloid: The Journal of Protein Folding Disorders     Hybrid Journal   (Followers: 5)
Anales de la Facultad de Medicina     Open Access  
Anales de la Facultad de Medicina, Universidad de la República, Uruguay     Open Access  
Anales del Sistema Sanitario de Navarra     Open Access   (Followers: 1)
Analgesia & Resuscitation : Current Research     Hybrid Journal   (Followers: 6)
Anatolian Clinic the Journal of Medical Sciences     Open Access  
Anatomica Medical Journal     Open Access  
Anatomical Science International     Hybrid Journal   (Followers: 3)
Anatomical Sciences Education     Hybrid Journal   (Followers: 1)
Anatomy     Open Access   (Followers: 1)
Anatomy Research International     Open Access   (Followers: 2)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Angiogenesis     Hybrid Journal   (Followers: 3)
Ankara Medical Journal     Open Access   (Followers: 2)
Ankara Üniversitesi Tıp Fakültesi Mecmuası     Open Access  
Annales de Pathologie     Full-text available via subscription  
Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale     Full-text available via subscription   (Followers: 3)
Annals of African Medicine     Open Access   (Followers: 2)
Annals of Anatomy - Anatomischer Anzeiger     Hybrid Journal   (Followers: 2)
Annals of Bioanthropology     Open Access   (Followers: 4)
Annals of Biomedical Engineering     Hybrid Journal   (Followers: 17)
Annals of Biomedical Sciences     Full-text available via subscription   (Followers: 3)
Annals of Clinical Hypertension     Open Access  
Annals of Clinical Microbiology and Antimicrobials     Open Access   (Followers: 12)
Annals of Family Medicine     Open Access   (Followers: 14)
Annals of Health Research     Open Access  
Annals of Ibadan Postgraduate Medicine     Open Access  
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Medicine     Hybrid Journal   (Followers: 12)
Annals of Medicine and Surgery     Open Access   (Followers: 7)
Annals of Microbiology     Hybrid Journal   (Followers: 11)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Rehabilitation Medicine     Open Access  
Annals of Saudi Medicine     Open Access  
Annals of the New York Academy of Sciences     Hybrid Journal   (Followers: 5)
Annals of The Royal College of Surgeons of England     Full-text available via subscription   (Followers: 3)
Annual Reports in Medicinal Chemistry     Full-text available via subscription   (Followers: 7)
Annual Reports on NMR Spectroscopy     Full-text available via subscription   (Followers: 5)
Annual Review of Medicine     Full-text available via subscription   (Followers: 16)
Anthropological Review     Open Access   (Followers: 23)
Anthropologie et santé     Open Access   (Followers: 5)
Antibiotics     Open Access   (Followers: 9)
Antibodies     Open Access   (Followers: 2)
Antibody Technology Journal     Open Access   (Followers: 1)
Antibody Therapeutics     Open Access  
Anuradhapura Medical Journal     Open Access  
Anwer Khan Modern Medical College Journal     Open Access   (Followers: 2)
Apmis     Hybrid Journal   (Followers: 1)
Apparence(s)     Open Access   (Followers: 1)
Applied Clinical Informatics     Hybrid Journal   (Followers: 3)
Applied Clinical Research, Clinical Trials and Regulatory Affairs     Hybrid Journal  
Applied Medical Informatics     Open Access   (Followers: 12)
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 1)
Arak Medical University Journal     Open Access  
Archive of Clinical Medicine     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives Medical Review Journal / Arşiv Kaynak Tarama Dergisi     Open Access  
Archives of Asthma, Allergy and Immunology     Open Access  
Archives of Medical and Biomedical Research     Open Access   (Followers: 3)
Archives of Medical Laboratory Sciences     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Medicine and Surgery     Open Access  
Archives of Trauma Research     Open Access   (Followers: 3)
Archivos de Medicina (Manizales)     Open Access  
ArgoSpine News & Journal     Hybrid Journal  
Arquivos Brasileiros de Oftalmologia     Open Access   (Followers: 1)
Arquivos de Ciências da Saúde     Open Access  
Arquivos de Medicina     Open Access  
Ars Medica : Revista de Ciencias Médicas     Open Access  
ARS Medica Tomitana     Open Access   (Followers: 1)
Art Therapy: Journal of the American Art Therapy Association     Full-text available via subscription   (Followers: 15)
Arterial Hypertension     Open Access   (Followers: 1)
Artificial Intelligence in Medicine     Hybrid Journal   (Followers: 14)
Artificial Organs     Hybrid Journal   (Followers: 1)
ASHA Leader     Open Access  
Asia Pacific Family Medicine     Open Access   (Followers: 1)
Asia Pacific Journal of Clinical Nutrition     Full-text available via subscription   (Followers: 11)
Asia Pacific Journal of Clinical Trials : Nervous System Diseases     Open Access  
Asian Bioethics Review     Full-text available via subscription   (Followers: 3)
Asian Biomedicine     Open Access   (Followers: 2)
Asian Journal of Cell Biology     Open Access   (Followers: 5)
Asian Journal of Health     Open Access   (Followers: 3)
Asian Journal of Medical and Biological Research     Open Access   (Followers: 4)
Asian Journal of Medical and Pharmaceutical Researches     Open Access   (Followers: 1)
Asian Journal of Medical Sciences     Open Access   (Followers: 2)
Asian Journal of Scientific Research     Open Access   (Followers: 3)
Asian Journal of Transfusion Science     Open Access   (Followers: 1)
Asian Medicine     Hybrid Journal   (Followers: 5)
Asian Pacific Journal of Cancer Prevention     Open Access  
ASPIRATOR : Journal of Vector-borne Disease Studies     Open Access  
Astrocyte     Open Access  
Atención Familiar     Open Access  
Atención Primaria     Open Access   (Followers: 1)
Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche     Open Access  
Audiology - Communication Research     Open Access   (Followers: 10)
Auris Nasus Larynx     Full-text available via subscription  
Australian Coeliac     Full-text available via subscription   (Followers: 1)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Journal of Medical Science     Full-text available via subscription   (Followers: 1)
Autopsy and Case Reports     Open Access  
Avicenna     Open Access   (Followers: 3)
Avicenna Journal of Clinical Medicine     Open Access  
Avicenna Journal of Medicine     Open Access   (Followers: 1)
Bangabandhu Sheikh Mujib Medical University Journal     Open Access   (Followers: 1)

        1 2 3 4 5 6 7 8 | Last

Journal Cover
Annals of Ibadan Postgraduate Medicine
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1597-1627
Published by African Journals Online Homepage  [265 journals]
  • Editorial: Use of social media to enhance the impact of published papers

    • Authors: O.F. Fagbule
      Abstract: No
      PubDate: 2018-07-17
      Issue No: Vol. 16, No. 1 (2018)
       
  • Pattern of presentation of oral ulcerations in patients attending an oral
           medicine clinic in Nigeria

    • Authors: E.O. Oyetola, I.K. Mogaji, T.O. Aghor, O.A. Ayilara
      Abstract: Aim: This study aimed at describing the epidemiology and pattern of presentation of oral ulcerations among patients seen in Oral Medicine clinic of Obafemi Awolowo University Complex, Ile-Ife.Methodology: This study was a retrospective cohort study of all cases that presented with oral ulcers in the oral medicine clinic between May 2015 and May 2017. The clinical diagnosis of oral ulcers was based on the WHO guidelines for oral mucosa diagnosis. All the case notes in the unit were retrieved and reviewed. Information extracted from the case notes included age, sex, medical history, clinical findings and treatment received. The data was analyzed using STATA 13 statistical software.Results: Out of 250 patients seen in the Oral Medicine Clinic during the study period, oral ulcerations were seen in 50 patients comprising 34(68%) males and 16(32%) females, giving a prevalence of 20%. The mean age was 35.4 +14.7years and patients were most frequently seen in the third decade of life 16 (32%). The commonest site was lower lip (20; 40%) and ulcers were rare on the gingiva (1, 2%). More than half of the ulcers were solitary (26; 52%) and painful at presentation. Recurrent aphthous ulceration accounted for 47 cases (94%), others were traumatic ulcer (2; 4%) and Chemical burns (1; 2%). Physical stress was the most frequent implicated predisposing factor observed in 38 (76%) patients.Conclusion: Recurrent apthous ulcer was the most frequent form of oral ulceration and was commoner in males. Physical stress was the most frequently implicated predisposing factor.Keywords: Oral ulcerations, Stress, Oral medicine
      PubDate: 2018-07-17
      Issue No: Vol. 16, No. 1 (2018)
       
  • Determinants of family size among men in slums of Ibadan, Nigeria

    • Authors: T.A. Obembe, K.O. Odebunmi, A.D. Olalemi
      Abstract: Background: Fertility, particularly as it pertains to the role of men as decision makers is important with respect to demographic transition theory. Studies have explored fertility preferences of men but very little has been done with regard to fertility preferences amongst men from the slums. The aim of this study was to investigate drivers of family sizes among the urban slum households in Ibadan of South-West Nigeria.Methods: A cross-sectional survey design was conducted among 362 men in selected urban slum communities in Ibadan, Oyo State using multi-stage sampling. Data was collected using pre-tested, semi-structured, interviewer-administered questionnaires. Data were analysed using descriptive statistics, Chi square test and binary logistic regression with level of significance set at 5%.Results: Age of respondents was 41.1 ± 7.56 years. Over a third have completed tertiary education (35.9%) and were civil servants (47.0%). Ethnicity, educational status, sex distribution of children and number of children were significantly associated with desire for more children (p<0.05). Marginally over half (54.4%) of respondents with 2 or less children wanted to continue child bearing compared to other respondents (p<0.001). Men with female only children were almost 3 times more likely to desire more children than men with male only children (p<0.001; OR= 2.798; 95% CI = 1.53 – 5.13). Igbos also were 52.8% less likely to desire more children compared to Yorubas (p=0.047; OR = 0.472; 95% CI = 0.225 - 0.991).Conclusion: Programmes targeted at slum dwellers to improve their education on childbearing and family planning are required to assist the country progress through the stages of demographic transition.Keywords: Slum dwellers, Health disparities, Urban slum, Urban poor, Demographic transition
      PubDate: 2018-07-17
      Issue No: Vol. 16, No. 1 (2018)
       
  • A qualitative study on psychosocial hazards among health care workers in a
           tertiary health facility in south-south Nigeria

    • Authors: C.U. Okeafor, F.E. Alamina
      Abstract: Background: Psychosocial hazards pose a great threat to the mental health of health care workers. There is a dearth of research on this type of hazard in hospital settings in Nigeria.Objective: This study aimed to assess the psychosocial hazards and the corresponding risks among health care workers in a tertiary health facility in Rivers State.Methods: A cross sectional study was carried out in the University of Port Harcourt Teaching Hospital, Rivers State, Nigeria using qualitative method. Data on the psychosocial hazards were obtained from medical and surgical clinics, medical and surgical wards, theatre, laboratory, radiology and administrative sections of the hospital via key informant interviews. The risk assessment matrix was used to ascertain the risk scores and levels of identified hazards. The scores were summarized using medians and interquartile ranges and the differences in the median scores across the sections were compared using Kruskal Wallis statistics.Results: A total of eighteen subjects were interviewed from the sections of the hospital. Work overload had the highest proportion of all the psychosocial hazards in the theatre (83%), radiology (71%), clinic (52%), ward (42%) and laboratory (38%). Other psychosocial hazards were poor interpersonal relationship, assault from patient relatives and job dissatisfaction/boredom. The differences in the median psychosocial hazard risk scores across the sections were not statistically significant (P =0.915).Conclusion: This study showed that health care workers are exposed to psychosocial hazards in the workplace. Work policies targeted at addressing these hazards among this group of workers need to be implemented.Keywords: Psychosocial, Hazards, Health care, Workers, Nigeria
      PubDate: 2018-07-17
      Issue No: Vol. 16, No. 1 (2018)
       
  • Gastroesophageal reflux disease and etiological correlates among Nigerian
           adults at Ogbomoso

    • Authors: A.C. Jemilohun
      Abstract: Background: Gastroesophageal reflux disease is a common disorder globally but the prevalence and severity of symptoms and complications do have ethnic and geographic variations.Aim: The aim of the study was to determine the prevalence of gastroesophageal reflux disease (GERD) among adults in Ogbomoso, Southwest Nigeria, and the risk factors associated with it.Methodology: The study was a hospital-based descriptive cross-sectional survey. The study population consisted of consenting male and female adults aged 18 to 87 years recruited from the outpatient departments of three health institutions in
      Ogbomoso, Oyo State, Nigeria. A predesigned questionnaire consisting of GerdQ and other relevant information was administered to the participants.Results: A total of 772 subjects were interviewed. The prevalence of GERD was 9.3% among the subjects. There was a significant association between increasing age and GERD. Other risk factors considered showed no significant association with the disease.Conclusion: GERD has a moderate prevalence among adults in Ogbomoso, Southwest Nigeria and there is a significant association between increasing age and GERD.Keywords: Gastroesophageal reflux disease, Prevalence, Risk factors, Nigeria
      PubDate: 2018-07-17
      Issue No: Vol. 16, No. 1 (2018)
       
  • Determinants of choice of health facility for reproductive morbidity by
           female traders in a Nigerian city

    • Authors: O Ojifinni, O Ige, M.C. Asuzu
      Abstract: Background: Reproductive health (RH) services are important to reduce reproductive morbidity and mortality. This is only possible if such services are used. Knowledge of the determinants of choice health facility for reproductive morbidity is useful to design interventions aimed at increasing utilization of RH services.Objective: This study therefore explored the determinants of choice of health facility for reproductive morbidity among female traders within Ibadan metropolis.Methods: This was a cross-sectional study using interviewer-administered questionnaire among 410 female traders aged 15-49 years selected by systematic random sampling in Aleshinloye market in the city of Ibadan, Nigeria. Government and private hospitals were classified as orthodox health facilities. Data was analysed using logistic regression at 5% significance level.Results: Mean age was 34.6 ± 7.8, 78.2% were married and 58.7% had secondary education. Above half (52.9%) used orthodox health facilities. Perceived quality of care influenced the use of orthodox facilities and likelihood of using the same facility in the future. Factors predicting the use of orthodox health services were social economic status (OR 2.77 95%CI 1.06-6.73), delay in attaining conception (OR 2.70 95%CI 1.39-5.22), menstrual problems (OR 2.15 95%CI 1.19-3.90) and complications in previous pregnancy (OR 2.11 95%CI 1.21-3.78).Conclusion: The use of orthodox health facilities was affected by respondents’ past experience of reproductive morbidity and socioeconomic status. These factors should be borne in mind in planning interventions for improvement in reproductive health service utilisation.Keywords: Reproductive morbidity, Orthodox healthcare services, Healthcare seeking behaviour, Female traders, Nigeria
      PubDate: 2018-07-17
      Issue No: Vol. 16, No. 1 (2018)
       
  • Case finding of hypertension at a secondary health care facility in
           south-west Nigeria

    • Authors: I.A. Azeez, B.O. Yusuf
      Abstract: Background: The prevalence of hypertension is higher in Semi-urban areas than in rural areas. There is a rising prevalence of hypertension in developing countries. Significant independent association has been found between age, family history and prevalence of hypertension according to the literature. This study sought to determine the prevalence of hypertension at the State Hospital Oyo and provide evidence for routine checks of blood pressure (BP) for adult patients.Methods: A Cross-sectional study was conducted at the General Outpatient Clinic of the State Hospital Oyo. 350 adults between the ages of 18 and 70 years were recruited for the study. A total sampling technique was used to recruit consecutive patients until a sample size of 350 was achieved.Results: The prevalence of hypertension was 102/350 = 29%. Thirty (29.70%) of respondents who were 55 years and above had systolic hypertension while 24 (23.80%) had normal BP (x2 = 87.62, p-value = 0.0001). Majority (57.6%) of respondents who had tertiary education had normal blood pressure while 24 (20.3%) had systolic hypertension (x2 = 39.88, p-value = 0.0001). Twenty one (36.8%s) of respondents who were obese had systolic hypertension while 16 (28.1%) had normal blood pressure (x2 = 20.61 , p-value = 0.02). Thirteen (12.80%) of respondents who were 55 years and above had diastolic hypertension while a majority (58.40%) had normal BP (x2 = 33.40, p-value = 0.0001).Conclusions: Age, obesity and education were found to be risk factors for developing hypertension. However after adjusting for other variables, the predictor of risk of developing hypertension was age of respondents.Keywords: Obesity, Age, Prevalence, Hypertension
      PubDate: 2018-07-17
      Issue No: Vol. 16, No. 1 (2018)
       
  • Factors influencing health-seeking behaviour among civil servants in
           Ibadan, Nigeria

    • Authors: O.O. Latunji, O.O. Akinyemi
      Abstract: Background: Health-seeking behaviours (HSB) are closely linked with the health status of a nation and thus its economic development. Several studies have described HSB within the context of various diseases. However, knowledge of HSB among population sub-groups is still scanty. This study aims to determine factors most important to civil servants when seeking health care.Methods: A descriptive cross-sectional study was conducted among 337 civil servants working in the Federal Secretariat, Ibadan, Nigeria. An interviewer administered semi-structured questionnaire was used to collect information. Chi-square tests were used to test for associations while binary logistic regression test was used for determining predictors. All data analysis were done at 5% level of significance.Results: Members of the poorest quartile were 6 times more likely to have inappropriate HSB than the richest quartile (Q4:Q1= 5.83;O.R: 16.12, 95% C.I: 2.61-11.03). Visits to the hospital or clinic (62.2%) was the most common source of healthcare sought. This was followed by visits to the chemist (33.0%), traditional healers (4.3%). A little more than one-third (34.5%) of respondents considered good service delivery as the most important factor affecting HSB. This was followed by proximity (23.9%), affordability (20.4%), prompt attention (8.8%) and readily-available drugs (7.1%). Completing only basic education [O.R: 0.24 (0.06, 0.96)] and out of pocket payment [O.R: 0.04 (9.16, 82.45)] were associated with a reduction in the likelihood of seeking healthcare from formal sources.Conclusion: Appropriate health-seeking behaviour was found to be high among civil servants. However, lower cadre workers and those with lower levels of education need to be targeted during policy formulation to improve healthseeking behaviour. In addition, health insurance schemes should be extended to cover more of the population in order to improve health-seeking behaviour.Keywords: Health seeking behaviour, Civil servants, Healthcare provider, Service-based characteristics
      PubDate: 2018-07-17
      Issue No: Vol. 16, No. 1 (2018)
       
  • Ludwig’s angina: an analysis of cases seen at the University College
           Hospital, Ibadan

    • Authors: V.N. Okoje, O.O. Ambeke, O.O. Gbolahan
      Abstract: Background: Ludwig’s angina (LA) is defined as a rapidly spreading cellulitis involving submandibular, sublingual and submental tissue spaces bilaterally and simultaneously.Aim: The aim of this study was to determine the causes, complications, duration of hospital stay and outcome of cases that presented within a 2-year period in the University College Hospital Ibadan and reviewing the management protocols used for such cases.Materials and Methods: All cases of LA seen in the department of Oral and Maxillofacial Surgery from January 2015 to December 2016 were studied. Information retrieved from patients’ case files included the aetiology, signs and symptoms at presentation, possible predisposing factors, results of laboratory investigations, duration of hospital stay and treatment outcome. Data obtained was analysed using SPSS 22.0 statistical software package (SPSS Inc., Chicago, IL, USA) to present descriptive statistics.Results: There were 13 cases of LA, consisting of 7 males and 6 females with a mean age of 47.7 + 16.8 years (age range 24-80 years). An odontogenic focus was noted in all cases. Almost all patients underwent surgical treatment, which consisted of an extraction of the offending teeth as well as incision and drainage of abscesses. Length of hospital stay ranged from 1 to 30 days (Mean 10 days) with all but 2 patients surviving.Conclusion: This Study recorded an 84.6% survival rate because our management is handled as a surgical emergency with early recognition and attention paid to the airway in collaboration with the Otorhinolaryngology Unit in our center.Keywords: Ludwig’s Angina, Underlying medical conditions, Treatment outcome
      PubDate: 2018-07-17
      Issue No: Vol. 16, No. 1 (2018)
       
  • Teratoma in a tertiary hospital in south-east Nigeria: a fifteen year
           retrospective study at Fetha, Abakaliki, Ebonyi State

    • Authors: F Edegbe, C.O. Okani, A.A. Obasi, P.O. Ezeonu
      Abstract: Any neoplastic growth within a tissue or an organ harboring components derived from more than one germ layer is called a teratoma. Teratoma may be monodermal or polydermal in origin and they can also be classified as mature or immature teratomas. In a retrospective study of teratomas histologically diagnosed in the Department of Pathology, Federal Teaching Hospital Abakaliki (FETHA), Ebonyi State, the entire specimens received at the Department for histological assessment over a fifteen-year period (2000-2014), was 6,548. However, only 28 (0.4%) of the entire specimens represented teratoma. Twenty five (89.3%) of the teratomas were females and only 3(10.7%) were males, giving a male to female gender ratio of 1:8.3. The most common site of occurrence was the ovary accounting for 18(64.3%) followed by the sacrococccyx representing 4(14.3%) cases. All the 28(100%) cases of teratomas were benign neoplasm (mature cystic teratomas) containing two or three germ cell layers with one of the cases noted as a giant teratoma. We observed an important bimodal age distributions; with a first peak occurring between 0-10 years (in the first decade of life) and a second peak (in the 3rd decade) between 20-30 years of age.Keywords: Teratoma, Germ cells
      PubDate: 2018-07-17
      Issue No: Vol. 16, No. 1 (2018)
       
  • Necroturia with acute urinary retention: a rare presentation of bilateral
           Wilms’ tumour

    • Authors: T.T. Ibiyeye, A.A. Abolarinwa, R.I. Osuoji
      Abstract: Background: Wilms’ tumour is one of the most common solid abdominal tumours in children in sub-Saharan Africa. Most cases present with an asymptomatic abdominal mass. We report a 2 year old male child who presented with acute urinary retention of 6 hours duration. He had a left flank mass and ascites, with a piece of necrotic tissue protruding from the urethral meatus. The urinary retention was relieved by manual removal of the necrotic tissue and passage of a Foley’s urethral catheter. Abdominal ultrasound and computed tomographic scan revealed bilateral Wilms’ tumour.The child commenced neoadjuvant chemotherapy and he has made significant improvement.Conclusion: This is a rare mode of presentation of bilateral Wilms’ tumour which presented with a diagnostic dilemma. The need to palpate the abdomen of children who come to the hospital, cannot be over-emphasized.Keywords: Bilateral Wilms’, Tumour; Necroturia, Acute urinary retention
      PubDate: 2018-07-17
      Issue No: Vol. 16, No. 1 (2018)
       
 
 
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