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  Subjects -> HEALTH AND SAFETY (Total: 1290 journals)
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    - HEALTH AND SAFETY (520 journals)
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HEALTH AND SAFETY (520 journals)                  1 2 3 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 9)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access  
Adultspan Journal     Hybrid Journal  
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 20)
African Health Sciences     Open Access   (Followers: 2)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 6)
African Journal of Health Professions Education     Open Access   (Followers: 4)
Afrimedic Journal     Open Access   (Followers: 2)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 3)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 11)
American Journal of Health Education     Hybrid Journal   (Followers: 26)
American Journal of Health Promotion     Hybrid Journal   (Followers: 22)
American Journal of Health Studies     Full-text available via subscription   (Followers: 9)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 21)
American Journal of Public Health     Full-text available via subscription   (Followers: 183)
American Journal of Public Health Research     Open Access   (Followers: 26)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 2)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 2)
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 9)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences : Interface And Interaction     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 8)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 2)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 8)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 3)
Association of Schools of Allied Health Professions     Full-text available via subscription   (Followers: 6)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 2)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 6)
Autism & Developmental Language Impairments     Open Access   (Followers: 1)
Behavioral Healthcare     Full-text available via subscription   (Followers: 5)
Best Practices in Mental Health     Full-text available via subscription   (Followers: 7)
Bijzijn     Hybrid Journal   (Followers: 2)
Bijzijn XL     Hybrid Journal   (Followers: 1)
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 5)
BMC Pregnancy and Childbirth     Open Access   (Followers: 18)
BMJ Simulation & Technology Enhanced Learning     Full-text available via subscription   (Followers: 7)
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 16)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Canadian Family Physician     Partially Free   (Followers: 12)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 11)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 1)
Canadian Journal of Public Health     Full-text available via subscription   (Followers: 18)
Case Reports in Women's Health     Open Access   (Followers: 2)
Case Studies in Fire Safety     Open Access   (Followers: 12)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
Central European Journal of Public Health     Full-text available via subscription   (Followers: 4)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 11)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access  
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia y Cuidado     Open Access  
Ciencia, Tecnología y Salud     Open Access  
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 1)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 1)
Conflict and Health     Open Access   (Followers: 8)
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 1)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Full-text available via subscription  
Duazary     Open Access   (Followers: 1)
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 13)
East African Journal of Public Health     Full-text available via subscription   (Followers: 3)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 16)
EcoHealth     Hybrid Journal   (Followers: 3)
Education for Health     Open Access   (Followers: 4)
electronic Journal of Health Informatics     Open Access   (Followers: 4)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access  
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 3)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 3)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 18)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 1)
Ethiopian Journal of Health Development     Open Access   (Followers: 8)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 7)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 2)
European Medical, Health and Pharmaceutical Journal     Open Access  
Evaluation & the Health Professions     Hybrid Journal   (Followers: 9)
Evidence-based Medicine & Public Health     Open Access   (Followers: 5)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 8)
Family & Community Health     Partially Free   (Followers: 12)
Family Medicine and Community Health     Open Access   (Followers: 3)
Family Relations     Partially Free   (Followers: 11)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 1)
Food and Public Health     Open Access   (Followers: 10)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 11)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Health : Science and Practice     Open Access   (Followers: 5)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 8)
Global Journal of Public Health     Open Access   (Followers: 10)
Global Medical & Health Communication     Open Access  
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 7)
Health and Human Rights     Free   (Followers: 8)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 7)
Health and Social Work     Hybrid Journal   (Followers: 48)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 1)
Health Care Analysis     Hybrid Journal   (Followers: 12)
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 11)
Health Issues     Full-text available via subscription   (Followers: 1)
Health Policy     Hybrid Journal   (Followers: 33)
Health Policy and Technology     Hybrid Journal   (Followers: 1)
Health Professional Student Journal     Open Access   (Followers: 1)
Health Promotion International     Hybrid Journal   (Followers: 21)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 10)
Health Promotion Practice     Hybrid Journal   (Followers: 15)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 46)
Health Psychology Research     Open Access   (Followers: 18)
Health Psychology Review     Hybrid Journal   (Followers: 39)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 10)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Services Insights     Open Access   (Followers: 2)
Health Systems     Hybrid Journal   (Followers: 2)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 11)
Health, Risk & Society     Hybrid Journal   (Followers: 11)
Healthcare     Open Access   (Followers: 1)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  
HIV & AIDS Review     Full-text available via subscription   (Followers: 10)
Home Health Care Services Quarterly     Hybrid Journal   (Followers: 5)
Hong Kong Journal of Social Work, The     Hybrid Journal   (Followers: 2)
Hospitals & Health Networks     Free   (Followers: 3)
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 3)
IMTU Medical Journal     Full-text available via subscription  
Indian Journal of Health Sciences     Open Access   (Followers: 2)
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Inmanencia. Revista del Hospital Interzonal General de Agudos (HIGA) Eva Perón     Open Access  
Innovative Journal of Medical and Health Sciences     Open Access  
Institute for Security Studies Papers     Full-text available via subscription   (Followers: 6)
interactive Journal of Medical Research     Open Access  
International Health     Hybrid Journal   (Followers: 5)
International Journal for Equity in Health     Open Access   (Followers: 7)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 32)
International Journal of Applied Behavioral Sciences     Open Access   (Followers: 2)
International Journal of Behavioural and Healthcare Research     Hybrid Journal   (Followers: 7)
International Journal of Circumpolar Health     Open Access   (Followers: 1)
International Journal of Community Medicine and Public Health     Open Access   (Followers: 5)
International Journal of E-Health and Medical Communications     Full-text available via subscription   (Followers: 2)
International Journal of Environmental Research and Public Health     Open Access   (Followers: 20)
International Journal of Evidence-Based Healthcare     Hybrid Journal   (Followers: 8)
International Journal of Food Safety, Nutrition and Public Health     Hybrid Journal   (Followers: 14)
International Journal of Health & Allied Sciences     Open Access   (Followers: 2)
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 7)
International Journal of Health Geographics     Open Access   (Followers: 6)
International Journal of Health Policy and Management     Open Access   (Followers: 2)
International Journal of Health Professions     Open Access   (Followers: 2)
International Journal of Health Promotion and Education     Hybrid Journal   (Followers: 12)

        1 2 3 | Last

Journal Cover Highland Medical Research Journal
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   ISSN (Print) 1596-2407
   Published by African Journals Online Homepage  [266 journals]
  • Chronic kidney disease screening: Results of the 2013 World Kidney Day
           activities conducted at the Jos University Teaching Hospital
    • Authors: Esala E. Abene, Zumnan M. Gimba, Patricia A. Agaba, Daniel G. Uchendu, Olumide B. Olaniru, Isaac E. Ocheke, Emmanuel I. Agaba
      Abstract: Background: Chronic kidney disease (CKD) is on the rise globally due to the increase in prevalence of common risk factors. Screening for CKD risk factors is important for early detection and institution of measures to retard its progression. This study aimed to determine the markers of CKD and its risk factors in a selected population.Methods: A cross sectional study of 510 individuals who were recruited during the 2013 world kidney day activities. History, clinical examination as well as the collection of urine and blood samples was performed on each participant to determine the presence of CKD and its risk factors. CKD markers were defined as the presence of proteinuria and or an estimated glomerular filtration rate (eGFR) of < 60ml/min.Results: The mean age of the participants was 39±11 years with majority of them being females (64.7%). Hypertension was present in 256 (50.2%) while diabetes mellitus was seen in 27 (5.29%). Forty three individuals (8.4%) had proteinuria while the prevalence of CKD markers was 10.5%. Only age, (OR =1.03; 95% CI: 1.01-1.06) was found to be a factor independently associated with the development of CKD.Conclusion: Though the prevalence of the traditional risk factors for CKD was high, only age was found to be independently associated with CKD markers. . Screening exercise is encouraged for the early detection of CKD markers with a view to mitigating their impact.Keywords: Chronic kidney disease, risk factors, screening, world kidney day
      PubDate: 2017-06-26
      Issue No: Vol. 17, No. 1 (2017)
       
  • Screening for chronic kidney disease and its risk factors in Oghara,
           Nigeria: a World Kidney Day 2014 report
    • Authors: Ogochukwu C. Okoye, Henry Ovwasa, Anthony G. Kweki, Isoken Idenigbe, Nyemike Awunor, Ayo B. Odonmeta, Nilum Rajora
      Abstract: Background: The risk factors associated with CKD such as hypertension, diabetes and obesity remain prevalent globally, resulting in a high prevalence of CKD especially in developing countries. Screening for CKD and its' risk factors is recommended for high-risk population. This study aimed to determine the prevalence and risk factors of CKD in a semiurban community in Nigeria.Methods: A cross-sectional survey was conducted in the teaching hospital premises at Oghara, after a world kidney day (WKD) health awareness campaign was undertaken in the community. A total of 135 subjects were interviewed and the following measurements were performed: blood pressure, body mass index, blood glucose, dipstick urinalysis, serum creatinine and estimation of glomerular filtration rate (GFR) using CKDEPI.Results: Mean age was 40 ± 13 years and 69.6% of participants were young. Male to female ratio was 1:4. The prevalence of proteinuria was 4.4% while 10.7% of all subjects had CKD (GFR <60ml/min). Although 11.1% of participants were known hypertensives only 6.7% had high blood pressure on screening. Other risk factors identified were Diabetes mellitus (10.3%), family of history of hypertension (14.1%), family of history of diabetes (9.6%), family of history CKD (1.5%) and obesity (11.9%). Proteinuria, diabetes and family history of hypertension were significantly associated with CKD.Conclusions: CKD and its risk factors are common in the population. Dipstick proteinuria remains a useful and significant indicator of CKD. Community screening for the risk factors of CKD in developing countries is realistic and should be encouraged as a public health priority.Keywords: Chronic kidney disease, Diabetes mellitus, Hypertension, Proteinuria
      PubDate: 2017-06-26
      Issue No: Vol. 17, No. 1 (2017)
       
  • Relationship between quality of life and postpartum depression among women
           in North-Central, Nigeria
    • Authors: Friday P. Tungchama, Christopher G. Piwuna, Aishatu Y. Armiya'u, Yusufu T. Maigari, Francis J. Davou, Musa U. Umar, Suleiman A. Sadiq, Taiwo J. Obindo, Richard Uwakwe
      Abstract: Background: Postpartum depression is a problem of public health interest and impacts negatively on the perception of quality of lifer of sufferers. Quality of life' (QoL) as an outcome measure, is scantly used on women with postpartum depression in Nigeria. The current study was designed to assess the QoL of women with postpartum depression (PPD) in a tertiary hospital in North-Central, Nigeria.Method: A two-stage cross sectional procedure was used to recruit 550 participants 6 to 8 weeks postpartum in Jos, Northcentral, Nigeria. The Edinburgh Postnatal Depression Scale (EPDS), the World Health Organization Quality of Life-BREF-26 (WHOQoL-BREF-26) questionnaire and the Depression Module of the Structured Clinical Interview for DSM-IV axis I Diagnosis (SCID) were used.Results: The studied participants were 531 out which 21.8% with postpartum depression had significantly poor perception in all the four domains of the WHOQoL-BREF-26 i.e., in the physical health (p<0.001), psychological (p<0.001), social relationships (p<0.001) and environmental (p<0.001) domains. On the whole, the overall rating of quality of life (p=0.002) and satisfaction with general health (p<0.001) were also perceived to be poor when compared to those without depression. However, regression model analysis showed that the presence of postpartum depression in a participant predicts a significant negative perception on physical and environmental domains of quality of life, but a positive prediction on the general satisfaction with health.Conclusion: Postpartum depression as a disorder of public health importance impacts on the perception of quality of life of women who suffer from it. Early detection and treatment will improve the quality of life of women with postpartum depression.Keywords: Quality of life, WHOQoL-BREF-26, Postpartum Depression, prevalence, North-Central, Nigeria
      PubDate: 2017-06-26
      Issue No: Vol. 17, No. 1 (2017)
       
  • Prevalence and sociodemographic determinants of developmental delay: a
           cross-sectional study of under-five Nigerian children
    • Authors: Adenike O. Jimoh, Jane O. Anyiam, Alhassan M. Yakubu
      Abstract: Background: developmental problems or delays are preventable and others may be ameliorated by interventions. Developmental delay and factors associated with it therefore need to be identified in order for early and appropriate interventions to be instituted. This study therefore aimed to determine the prevalence of developmental delay among under-fives and identify the sociodemographic factors associated with the delay.Methods: Four hundred and fifteen Nigerian children, aged 6- 59 months were assessed for development using the Schedule of Growing Skills II tool. Developmental quotient below threshold point of 85% in a developmental domain was used to define developmental delay.Results: Of the 415 children assessed, 147 (35.4%) had delay in the various developmental domains. The highest prevalence was in the manipulative domain (25.8%) followed by visual (17.1%), cognitive skill (13.5%), hearing and language (6.3%), interactive social (5.8%), self-care social (4.4%) and speech and language (4.1%). Low maternal education was significantly associated with delay in locomotive domain (4.3%; OR=5.00; 95% CI=1.04-23.84), manipulative domain (32.4%; OR=1.89; Most 95% CI=1.21-2.95), visual domain (22.9%; OR=2.11; 95% CI=1.25-3.55), speech and language (6.4%; OR=3.03; 95% CI=1.05-8.75), interactive social (8%; OR=3.05; 95% CI=1.32-7.04), self-care social (6.9%; OR=3.30; 95% CI=1.15-9.43), cognitive (17.6%; OR=1.89; 95% CI= 1.07-3.35). Birth order and household size also had significant association with delay in various domains. There was no significant association between socioeconomic class and developmental delay in any of the domains.Conclusion: The study showed that developmental delay was relatively common among under-five children in North-West Nigeria; and has a strong association with some sociodemographic factors. There is need to screen children for developmental delay for early intervention.Keywords: Child Development, Developmental Delay, Developmental Domain, Developmental Skills, Under-Fives, Sociodemograhic factors
      PubDate: 2017-06-26
      Issue No: Vol. 17, No. 1 (2017)
       
  • Prevalence of Helicobacter pylori in children by noninvasive stool Antigen
           Enzyme Immunoassay
    • Authors: Augustine O. Ebonyi, Emeka Ejeliogu, Stanley T. Odigbo, Martha Omoo Ochoga, Stephen Oguche, Anejo-Okopi A. Joseph
      Abstract: Background: Helicobacter pylori (H. pylori) infection is contracted in childhood, and it is considered as an important risk factor for acid-pectic disorders and neoplasms later in life. A noninvasive H. pylori stool antigen test was used to determine the prevalence of H. pylori infection in children and the sociodemographic and clinical characteristic of children with H. pylori infection described.Methods: A total of 102, symptomatic and asymptomatic, children aged 1-15 years, were consecutively recruited at the outpatient department of Plateau State Specialist Hospital in Jos, Nigeria. Eighty-seven (87/102, 85.3%) stool samples were analyzed using H. pylori stool antigen kit (HpSATM GeneFronts elisaVUE TM, 2950 Scott Blvd, Santa Clara, CA 95054, USA) to detect H. pylori antigen. Prevalence of H. pylori infection, socio-demographic and clinical characteristics of children with H. pylori infection, and the association of these factors with H. pylori infection were determined.Results: Of 87 stool samples tested, 32 were positive for H. pylori giving a H. pylori prevalence of 36.8%. Majority of the children were males (51.2%) and their median age (IQR) 10 (6- 12) years. Majority of those with H. pylori infection resided in urban areas compared to rural areas (15, 51.7% versus 14, 48.3%); p = 0.354), lived in room type accommodation compared to flat apartment accommodation (17, 53.1% versus 15, 46.9%; p = 0.235) and fewer were HIV-positive compared to those who were negative (5, 15.6% versus 27, 84.4; p = 0.330). No significant associations were observed between any of the socio demographic or clinical variables and H. pylori infection.Conclusion: In this study, the prevalence of H. pylori infection among the children tested was low. Stool antigen testing has the potential advantage of being relatively simple to perform and is also a non-invasive technique, therefore it could be a useful tool for mass screening for H. pylori infection in children.Keywords: Helicobacter pylori, Stool antigen, Enzyme immunoassay, Prevalence, Children, Nigeria
      PubDate: 2017-06-26
      Issue No: Vol. 17, No. 1 (2017)
       
  • Inmates perception of the living conditions in a medium security prison in
           North Central Nigeria
    • Authors: Audu Onyemocho, Aondoaseer Alexis Ugande, Don Omale, Gabriel Ofikwu Ogbeyi, Yusuf Ikwuobe
      Abstract: Background: The United Nations in her quest for the humane treatment of all human beings, had created and adopted a number of International legal instruments to protect and guarantee human rights to all persons including those who are incarcerated in the prisons. However, the application of these instruments in practice falls short of prescribed standards in many prisons and reformation centers in Nigeria. This study empirically assessed the prison inmate's perception of living conditions in Makurdi Medium Security Prisons, North-Central Nigeria.Methods: A cross sectional descriptive study was carried out on 132 inmates, selected by simple random sampling technique. Data analysis was done with Statistical Package for Social Sciences version 23.0 and presented as tables.Results: The mean age of the respondents was 25.±6.5 years. The male inmates formed the majority with ratio of 17.6:1. The mean duration of stay in prison custody was 3.2±2.6 years with culpable homicide being the commonest reason for imprisonment in 31.1% of cases. The majority of inmates were not satisfied with the quality and quantity of food provided for them (90.9% and 94.7% respectively), where they sleep (87.9%), water they drink (60.6%), methods of refuse and sewage disposal (81.1%), recreational facilities (80.3%) and the nature of the health care services provided (80.3%).Conclusion: The inmates perceive that the standard of living was generally below the minimum international standards. Hence it is recommended that Nigerian prison service should implement relevant policies aimed at improving the living standard of inmates in Nigeria prisons.Keywords: Perception, Living Conditions, Inmates, Prison, Nigeria
      PubDate: 2017-06-26
      Issue No: Vol. 17, No. 1 (2017)
       
  • Perception of patients accessing out- patient pharmacy on the quality of
           pharmaceutical services in a tertiary health facility in Lagos, Nigeria
    • Authors: R.I. Aderemi-Williams, P.G. Musa, R.O. Soremekun, O.C. Adeyemi, I.O. Abah
      Abstract: Background: Periodic assessment of Pharmacists' services is beginning to be of necessity in resource constrained settings. This study aimed to provide baseline information of patients' perception and associated factors on different aspects of pharmaceutical services currently provided at the out- patient pharmacy of Lagos University Teaching Hospital (LUTH).Methods: A cross-sectional survey was conducted between August and October 2015 amongst patients accessing services provided in three LUTH out-patient pharmacies. Patients' perception on different aspect of pharmacy services were assessed by a 28-item questionnaire. Factors associated with patients' perception of pharmacy services were evaluated by appropriate non parametric tests.Results: Participants included a total of 428 patients; 54% females (n=231), 54% married (n=229), and a little above onethird in the age bracket of 30-39 years. The median percentage score of overall perception of pharmacy services was 59% [interquartile range (IQR):45%-73%); appearance of the pharmacy and pharmacists, 80% (IQR: 80%-100%); prescription services, 60% (IQR:40%-100%); and counselling and drug information, 58% (IQR:33%-75%). There was no correlation between patients' knowledge of pharmacy profession and perception of pharmacy services (r=0.02, p =0.72).There was significant variation in the patients' perception across different pharmacy service points (p=0.009). Also, more educated patients had lower perception of pharmacy service, while self-employed respondents had high perception of pharmacy services.;Conclusion: Patients' overall perception of pharmacy services was above average. There is need for improvement in the quality of services, especially in the availability of essential drugs at competitive prices and provision of adequate counselling and drug information services to patients.Keywords: Patient satisfaction, Hospital Pharmacy Services, Pharmacists, Pharmaceutical care 
      PubDate: 2017-06-26
      Issue No: Vol. 17, No. 1 (2017)
       
  • Frequency and specificity of red blood cell alloantibodies among blood
           transfusion recipients in Specialist Hospital, Sokoto
    • Authors: A.M. Makusidi, H.M. Ahmed, B Muhammad, M.K. Dallatu, M.H. Yeldu
      Abstract: Background: Blood transfusion usually results in production of alloantibody against one or more foreign red blood cell antigens which may complicate subsequent transfusions. The probability of alloimmunization depends on number and frequency of transfusion, antigen immunogenicity, recipient immune response and ethnicity. Studies have demonstrated varied frequency of alloimmunization after multiple blood transfusions. The paucity of information on the foregoing in our environment prompted this study.Methods: A cross-sectional descriptive survey of the frequency and specificity of alloantibodies among transfused patients. Using their clinical records and blood transfusion history, data were analyzed with reference to sex, date of birth, history of transfusion, surgery and pregnancy.Results: A total of 150 transfused participants, in Specialist Hospitals, Sokoto were studied. Overall alloantibody positivity was 17.3% with females accounting for 96% and males 4%. The three most frequent alloantibodies were anti-K (34.62%), anti-E (23.08%) and anti- C (15.39%). Most common clinically significant alloantibody identified in men and women were anti-K and anti-E, respectively. The most common causes of alloimmunization for men and women were surgery and pregnancy related blood transfusion respectively.Conclusions: Alloimmunization against RBC antigens among blood transfused patients is common. Most common alloantibodies identified were anti-K and anti-E in females and anti-K in male and female respectively. The testing of blood donors for red cell antigens and antibody screening of recipients will be rewarding.Keywords: Transfusion, RBC, Alloantibody, Sokoto
      PubDate: 2017-06-26
      Issue No: Vol. 17, No. 1 (2017)
       
  • Anaesthesia workforce and infrastructure in a north central state of
           Nigeria: a survey
    • Authors: Samuel I. Nuhu, Henry Y. Embu, Abraham A. Onoja, Daniel Dung
      Abstract: Background: Anaesthesia has evolved over the decades to have become a specialty in medicine. The dearth of personnel and unavailability of required equipment world over has made safe delivery of anaesthesia difficult. This study evaluated workforce situation and availability of anaesthetic drugs/equipment in public secondary health facilities.Methods: A multi-centre study using an interviewer administered questionnaire was carried out in September 2013. Information about the anaesthesia personnel situation, surgical work force, as well as infrastructure, equipment and drugs was obtained.Results: Nine (64.3%) out of the 14 public hospitals surveyed had general physicians (medical officers who performed surgeries) and nurse anaesthetists. Ten (71.4%) of the hospitals had at least one back-up generator as a source of electricity. All the hospitals had laryngoscopes but there were no functional anaesthetic machines and none had oxygen or pulse oximeters. None of the hospitals had pipe-borne water though 11 (78.6%) had wells as a source of their water supply. However, 12 (85.7%) of the hospitals had laboratories where blood could be grouped and cross matched.Conclusion: There is a dearth of anesthetic and surgical workforce and basic infrastructure in public hospitals. Capacity building, revamping of existing infrastructure and workforce expansion in anaesthesia is needed as an integral part of tackling the burden of surgical diseases.Keywords: Anaesthetic workforce, infrastructure, equipment, drugs, Plateau State, Nigeria
      PubDate: 2017-06-26
      Issue No: Vol. 17, No. 1 (2017)
       
  • Management of long bone fractures using SIGN nail: experience from a
           Nigerian Hospital
    • Authors: George O. Enweluzo, Olakunle O. Badmus, Tayo Alabi, Suleiman O. Giwa
      Abstract: Background: Intramedullary nailing with interlocking nails has become the treatment of choice for closed diaphyseal fractures of femur and tibia. When possible locked nailing should be performed as a closed procedure. Fractures fixed by interlocking nailing have comparatively less complications in fracture healing.Methods: A retrospective study of all fractures treated using SIGN nailing system at the Lagos University Teaching Hospital between December 2011 and November 2015 was carried out using information obtained from patient records and SIGN data base. These included biodata, aetiology of fractures, fracture type, injury presentation interval, associated lesions, outcome as well as complications and challenges in treatment.Results: A total of 184 fixations in 169 patients were carried out over a 4years period. The studied patients were aged 17 to 88years with mean of 37.66± 13.98years. One hundred and sixteen (65.2%) were aged below 40 years. There were 121 males and 48 females showing a male to female ratio 2.5:1. Road traffic accident was the most common aetiology (70.8%) The acute (recent) fractures made up about 86% of the cases seen while chronic fractures were 14%, this included malunited fracture 3.8% and non-union 10.2% The surgical approaches were ante grade in 115 cases (62.5%) and retrograde in 69 (37.5%) cases. All the retrograde procedures were performed on the femur. Fifteen patients had multiple fixations The most frequently fixed fracture using SIGN nail were femur 62.5%, tibia 31.5% and humerus 6%. The major challenges included multiple fixations in multiply injured patient as well as Fixation in non- union and malunion of three to four years post injury without image intensifier.Conclusion: Sign interlocking nail system is very effective in treatment of long bone fractures. The major challenges were seen in multiply injured patients with multiple fractures. Also patients that present after several years of injury with malunion and\or non-union may pose some challenges in treatment using SIGN nail.Keywords: Sign, Intramedullary Nail, Image Intensifier, External Jig, Fractures
      PubDate: 2017-06-26
      Issue No: Vol. 17, No. 1 (2017)
       
  • Does Electroconvulsive therapy aggravate the rise in potassium and
           creatine kinase following suxamethonium administration'
    • Authors: O.O. Adekola, I Desalu, N.O. Akanmu, I.D. Menkiti, O.A. Owoeye, O.A. Agbabiaka
      Abstract: Background: Potassium and creatine kinase levels increase after the administration of suxamethonium. This rise may be exaggerated by the combination of suxamethonium fasciculation and the modified tonic/clonic convulsion induced by electroconvulsive therapy. This study compared the magnitude of increase in potassium and creatine kinase levels after electroconvulsive therapy and surgery using suxamethonium.Methods: A total of 40 patients were studied; electroconvulsive therapy (ECT), n=20 and surgery (Control), n=20. Intravenous sodium thiopentone (5mg/kg) and suxamethonium (1.5mg/kg) were administered. The changes in potassium and creatine kinase levels were assessed at presuxamethonium, 1 and 3 minutes after fasciculation in Control group and ECTinduced seizure activity in the ECT group. Our hypothesis was that a significant increase occurs in the mean potassium and creatine kinase levels after suxamethonium administration during electroconvulsive therapy.Results: Both groups exhibited a rise in potassium concentration after administration of suxamethonium. The mean increase was significantly higher in the ECT group than in the Control group; at 1 minute; ECT (0.71 ±SEM 0.24) versus control (0.28 ±SEM 0.19) mmol/L, p =0.003, and at 3 minutes; ECT (0.35 ±SEM 0.23) versus control (0.20 ±SEM 0.15), p =0.044. The mean increase in the creatine kinase concentration was significantly higher in the ECT group (34.11 ±SEM 10.76) than in the Control group (19.71 ±SEM 6.32) IU/L, p = 0.023, at 3 minutes.Conclusion: The creatine and potassium concentrations following suxamethonium administration were significantly higher in the electroconvulsive therapy group than in the control group.Keywords: ECT, surgery, creatine kinase, potassium
      PubDate: 2017-06-26
      Issue No: Vol. 17, No. 1 (2017)
       
  • Yellow nail syndrome – report of a rare disorder
    • Authors: Peter Ogie Ikuabe, Ikenna Desmond Ebuenyi, Olugbenro Osinowo, Nathan Ebimobowei Onini
      Abstract: Background: The Yellow Nail Syndrome (YNS) is a rare disorder of unknown cause characterized by the trail of yellow and thickened nails, lymphoedema and respiratory manifestation. We have no record of any case report of yellow nail syndrome in our setting.Methods: We reviewed the records of an 80 year old woman who presented with two weeks history of exacerbation in her three months history of cough, leg swelling, shortness of breath and left sided chest pain.Results: She was found to have thickened and yellow nails, lymphoedema and pleural effusion. The pleural fluid had an acellular smear with Lactate dehydrogenase(LDH) of 2,214U/L, glucose was 11.9mmol/L and protein of 59g/L and culture yielded growth of streptococcus pneumoniae.Conclusion: This case report highlights the need for a high index of suspicion in making such a diagnosis.Keywords: Yellow nail syndrome, pleural effusion, leg swelling
      PubDate: 2017-06-26
      Issue No: Vol. 17, No. 1 (2017)
       
  • Extranodal NK/ T-Cell lymphoma in an African
    • Authors: Bakari Aminu, Iliyasu Yawale, Kirfi Abdullahi Musa
      Abstract: Background: Extranodal Nasal NK (Natural Killer) / T-Cell lymphoma is one of the rare tumours of the head and neck region. Its prevalence is unknown among Africans. It is characterised by progressive destruction of the structures in the nasal cavity, may erode the palate and in some cases, it may metastasize. Hallmark of diagnosis is immunohistochemistry. With delayed presentation, the prognosis is very poor.Methods: We present a 30 year old lady with complaints of two years' history of thick nasal discharge, progressive nasal blockage, hyponasal speech and pains in the nose. She was diagnosed with retroviral disease few weeks before presentation. Anterior rhinoscopy revealed a mass in the right nasal ala, destroyed nasal septum, crusts filling both nasal cavities. Patient had biopsy of the nasal mass and was screened for syphilis and Tuberculosis. She also had full blood count, serum electrolytes urea and creatinine assessment.Results: Mantoux test and VDRL (Veneral Disease Research Laboratory) test were negative, histology result revealed malignant lymphoma and immunohistochemistry was positive for CD45, CD3, CD79a and Epstein-Barr virus-encoded RNA (EBER) but negative for CD10, CD20, EMA and Vimentin. By the time of making the diagnosis, the patient was lost to followup.Conclusion: Extranodal NK/T-Cell lymphoma, being rarely seen among Africans, required high index of suspicion for diagnosis. Physicians should be on the lookout for it, multicentre reports should be collated to find its prevalence among Africans.Keywords: African, NK / T-cell lymphoma, immunohistochemistry
      PubDate: 2017-06-26
      Issue No: Vol. 17, No. 1 (2017)
       
  • Mass casualty from electrical injury at Makurdi, Nigeria
    • Authors: Priscilla Denen Akaa, Chukwukadibia N. Ahachi, Akeem A. Jenrola, Peter Inunduh, Ushaka R. Swem, Richard E.E. Nnabuko
      Abstract: Background: Mass casualty electrical injury is not a common occurrence. This is a report of a mass casualty electrical injury event that occurred at the building site of a Pentecostal church at Makurdi involving 12 patients in a single electrical contact.Method: This is a case presentation of twelve young men aged 22 - 28 years who were mounting the metal gate of a Pentecostal church under sagging high tension electrical lines. Contact of the gate with the power lines caused production of sparks and electrocution of the patients.Results: There were 2 instant mortalities, varying levels of electrical shock in 7 and burns in 3 patients. The hall mark of treatment was resuscitation, and management of the burn wounds. No obvious gross internal organ complications were present.Conclusion: Prompt resuscitation and care of burn wounds gave a favourable outcome for the 10 surviving victims.Keywords: Electric Shock, Electrocution, Resuscitation
      PubDate: 2017-06-26
      Issue No: Vol. 17, No. 1 (2017)
       
 
 
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