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  Subjects -> HEALTH AND SAFETY (Total: 1424 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (86 journals)
    - HEALTH AND SAFETY (641 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (379 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (103 journals)
    - PHYSICAL FITNESS AND HYGIENE (112 journals)
    - WOMEN'S HEALTH (81 journals)

HEALTH AND SAFETY (641 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 25)
African Health Sciences     Open Access   (Followers: 3)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Ageing & Society     Hybrid Journal   (Followers: 43)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
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: 16)
American Journal of Health Education     Hybrid Journal   (Followers: 32)
American Journal of Health Promotion     Hybrid Journal   (Followers: 31)
American Journal of Health Sciences     Open Access   (Followers: 9)
American Journal of Health Studies     Full-text available via subscription   (Followers: 12)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 28)
American Journal of Public Health     Full-text available via subscription   (Followers: 245)
American Journal of Public Health Research     Open Access   (Followers: 28)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 5)
Annales des Sciences de la Santé     Open Access  
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 10)
Annals of Health Law     Open Access   (Followers: 4)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 3)
Apuntes Universitarios     Open Access   (Followers: 1)
Archive of Community Health     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: 10)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 9)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 3)
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: 7)
Autism & Developmental Language Impairments     Open Access   (Followers: 10)
Behavioral Healthcare     Full-text available via subscription   (Followers: 7)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 8)
BMC Pregnancy and Childbirth     Open Access   (Followers: 22)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 9)
Boletin Médico de Postgrado     Open Access  
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: 19)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 11)
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 11)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 23)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 1)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
Case Studies in Fire Safety     Open Access   (Followers: 23)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
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   (Followers: 2)
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clocks & Sleep     Open Access   (Followers: 1)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 3)
Conflict and Health     Open Access   (Followers: 7)
Contraception and Reproductive Medicine     Open Access   (Followers: 1)
Cuadernos de la Escuela de Salud Pública     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 10)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 4)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 13)
Diversity of Research in Health Journal     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Open Access   (Followers: 2)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 21)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 22)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 6)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
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   (Followers: 3)
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 19)
Ethics & Human Research     Hybrid Journal   (Followers: 3)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 6)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 8)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
Eurasian Journal of Health Technology Assessment     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 4)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 8)
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: 9)
Family & Community Health     Hybrid Journal   (Followers: 13)
Family Medicine and Community Health     Open Access   (Followers: 9)
Family Relations     Partially Free   (Followers: 13)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 16)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access   (Followers: 1)
Ganesha Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 13)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 8)
Global Reproductive Health     Open Access  
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 6)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 4)
HCU Journal     Open Access  
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 6)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 10)
Health and Human Rights     Free   (Followers: 10)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 9)
Health and Social Work     Hybrid Journal   (Followers: 58)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)
Health Care Analysis     Hybrid Journal   (Followers: 16)
Health Equity     Open Access  
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 24)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 45)
Health Policy and Technology     Hybrid Journal   (Followers: 5)
Health Professional Student Journal     Open Access   (Followers: 4)
Health Promotion International     Hybrid Journal   (Followers: 22)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 52)
Health Psychology Bulletin     Open Access   (Followers: 1)
Health Psychology Research     Open Access   (Followers: 20)
Health Psychology Review     Hybrid Journal   (Followers: 42)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 15)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access   (Followers: 1)
Health Sciences and Disease     Open Access   (Followers: 2)
Health Security     Hybrid Journal  
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 5)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 13)
Health, Risk & Society     Hybrid Journal   (Followers: 14)
Healthcare     Open Access   (Followers: 3)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 9)
Healthcare Technology Letters     Open Access  

        1 2 3 4 | Last

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Highland Medical Research Journal
Number of Followers: 0  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 1596-2407
Published by African Journals Online Homepage  [265 journals]
  • Serum zinc status in sickle cell anaemia children at the Jos University
           Teaching Hospital, Jos, Nigeria
    • Authors: Akinyemi O.D Ofakunrin, Janet I. Obayomi, Edache S. Okpe, Collins John, Tolulope O. Afolaranmi, Bose O. Toma, Stephen Oguche, Selina N. Okolo
      Abstract: Background: Several clinical manifestations of sickle cell anaemia (SCA) have been associated with zinc deficiency. Determining the zinc status of children with SCA in Nigeria, a country that accounts for the highest burden of the disease worldwide, will provide a template that could assist in critically appraising the need or otherwise for zinc supplementation or fortification programmes in these children.
      Methods: This was a cross-sectional comparative study conducted at the Jos University Teaching Hospital, Jos, Nigeria among 700 children (350 SCA patients and 350 age and sex matched hemoglobin AA controls). Serum zinc was analysed using the atomic absorption spectrophotometry.
      Results: The median serum zinc concentration of children with SCA was 6(3-7) μmol/l and it was significantly lower than that of the controls 8(4-9) μmol/l, p = 0.04. The prevalence of zinc deficiency in this study was 67% in children with SCA compared with 34% in the control group, (p<0.0001). The
      proportion of zinc deficient patients was more among children from lower socio economic class (68.5%, 35.5%) than in the upper socio economic class (38.5%, 16.3%) in both cases and controls groups respectively.
      Conclusion: There is a high prevalence of zinc deficiency in the study population especially among those with sickle cell anaemia. Zinc  supplementation or fortification should be considered as part of  intervention strategies to improve the zinc status of these children particularly those with sickle cell anaemia.Key words: Serum zinc, Sickle cell anaemia, children, Jos, Nigeria
      PubDate: 2018-07-10
      Issue No: Vol. 18, No. 1 (2018)
       
  • Serum levels of selected trace metals and their association with body mass
           index and c-reactive protein in type 2 diabetes mellitus patients in Oredo
           Local Government Area, Benin City
    • Authors: Olanike .F Adewolu, Kenneth Atoe
      Abstract: Background: Diabetes is a major worldwide health problem, characterized by chronic hyper glycaemia resulting from diverse aetiologies. It is associated with increased metabolic processes and oxidative stress. There is accumulating evidence that the metabolism of several trace elements is altered in type 2 diabetic patients. To determine serum levels of copper, manganese,  selenium and chromium in type 2 diabetes mellitus patients, and their association with body mass index and C Reactive protein.
      Methods: Forty six type 2 diabetic subjects, both male and female, in the age range 38 to 83 years and 23 age matched controls were involved in the study. Fasting plasma glucose, glycated haemoglobin, trace elements (copper, chromium selenium, manganese), body mass index, C Reactive protein levels were determined.
      Results: Fasting plasma glucose, glycated haemoglobin, , C  reactive protein levels were significantly elevated in the diabetics (7.9 ± 0.4 mmol/L, 8.3 ± 2.2, 155.4 ± 29.9mg/L) than in the  controls (4.5 ± 1.1mmol/L, 4.5 ± 1.0%, , 10.3 ± 2mg/L) P<0.05. There was no statistically significant difference between the body mass index in the diabetics (27.6 ± 2 2 5.8 kg/m ) and the controls ( 23.2 ± 1.0 kg/m ) p > 0.05. The mean serum levels of manganese and selenium were significantly lower in the diabetic subjects (122.3 ± 44.7 'mol L, 244.9 ± 15.8'mol /L) than in the controls (170.9 ± 39.4 'mol /L, 353.4 ± 10.9 'mol /L) respectively P<0.05. Mean serum copper and chromium levels were significantly higher in the diabetic subjects (242.5 ±68.0 mmol, 9 ± 1.2'mol/L) than in the controls (198.3 ± 22.0 'mol /L, 0.0 'mol/L) p < 0.05. Serum copper showed a significant positive correlation with body mass index, r = 0.440, p <0.05, and showed a weak positive correlation with C Reactive protein which was not  significant.Serum chromium, showed a non significant positive correlation with body mass index and C Reactive protein.
      Conclusion:Decreased serum levels of selenium and manganeese in type 2 diabetes mellitus may be suggestive of the possible roles deficiency of these micronutrients play in aietio pathogenesis of type 2 diabetes mellitus. The significantly elevated serum copper levels and its positive correlation with body mass index, is suggestive that elevated copper levels may play a role in aietio pathogenesis of type 2 diabetes mellitus and the  mechanism by which it does this could be multiple.
      Key words: Type 2 diabetes mellitus, Trace metals, Body mass index, C-reactive protein
      PubDate: 2018-07-10
      Issue No: Vol. 18, No. 1 (2018)
       
  • A comparison of mid upper arm circumference with other Indices for
           discharge from community-based management of malnutrition clinics in
           Jigawa State, Nigeria
    • Authors: U.M. Diala, R.O. Adah, E.A. Envaladu, L. Lar, I. Adedeji, H. Abdu, K.E. Lasisi, O. Olosunde, J.B. Ajibuah, C. John
      Abstract: Background: Community-based management of acute malnutrition (CMAM) program has saved millions of children with severe acute  malnutrition (SAM) globally. World Health Organization recommended discharge indices include Midupper arm circumference (MUAC) =12.5cm, =15-20% weight gain and weight-for-height Z score (WHZ) =-2. We compared MUAC with WHZ and percentage weight gain as discharge criteria from CMAM.
      Methods: It was a community based cohort study of children aged 6-59 months with SAM discharged from CMAM clinics in Jigawa State, Nigeria. Socio-demographic data, nutrition history and anthropometry were recorded at enrolment and discharge.
      Results: Of a total of 405 children studied, 209(51.6%) were females and had a peak age group of 12-23months (43.7%, range 6-42 months). At discharge, 353(87.2%) had MUAC = 12.5cm while 231(57.0%) and 204(50.4%) had percentage weight-gain =15% and WHZ=-2 respectively. There was weak agreement between MUAC and WHZ (agreement 50.8%, ê=0.012) and MUAC and percent weight-gain (agreement 54.8%, ê=-0.004). Children aged between 11-23 months (OR 2.12, p=0.006) and 24-35 months (OR 2.60, p=0.002) had increased risk of discharge with inadequate percentage weight gain. WHZ <-3 at enrolment was associated with increased risk of discharge with WHZ <-3 (OR 3.21, p<0.001) and reduced risk of discharge with inadequate percentage weight gain (OR 0.45, p<0.001). Age sex, WHZ at enrollment were not associated with MUAC at discharge.
      Conclusion: The use of MUAC alone as discharge criterion allows a  significant proportion of children still needing urgent care exiting CMAM clinic prematurely. Stratifying these criteria may lead to better recovery before discharge.Keywords: malnutrition, Community management of acute malnutrition, Mid upper-arm circumference, Weight-forheight Z score.
      PubDate: 2018-07-10
      Issue No: Vol. 18, No. 1 (2018)
       
  • Presentation and Management Outcomes of Pelvic fractures: A single
           Institutional Review
    • Authors: George O. Enweluzo, Osaze Amaju Ogbeide, Kenneth N Ozoilo, S.O. Giwa
      Abstract: Background: Pelvic fractures are orthopaedic emergencies associated with  polytrauma. These fractures have gradually increased in recent times as a result of increasing high speed and complex road traffic accidents.
      Objective: To describe the presentation and management outcome of patients that were managed in our institution for pelvic fractures over the study period
      Methodology: We retrospectively reviewed the hospital records of patients who were admitted and treated in our hospital with pelvic injuries from February 2012 to January 2015.
      Results: Majority 122 (75.8%) of the patients in this study were aged below 40 years. These fractures were mostly caused by road traffic accidents. Most 116 (71.9%) of our patients had Tile class A and B fractures. Polytrauma seen in 41.6% of the patients was the most common associated injury seen with pelvic fractures. The mean Injury Severity Score (ISS) 31.4 shows that these patients were mostly severely injured patients. The fatality rate in this study was 16.12%. These mortality were higher for patients with Tile class C than B injury and no death was recorded for class A injuries.
      Conclusion: Majority of the patients were less than 40 years and Road Traffic Accident is the commonest aetiology. Many were successfully  managed conservatively particularly those with stable and partially stable injuries. Functional outcome is generally good.
      Key words: Pelvic Fractures, Injury Severity Score, Pelvic Fractures
      PubDate: 2018-07-10
      Issue No: Vol. 18, No. 1 (2018)
       
  • Correlates of undiagnosed hypertension among health care workers in a
           secondary health care facility in north central Nigeria
    • Authors: Mark D. Gyang, Salihu A. Danjuma, Badung Z. Gyang, Halima Sule, Dankyau Musa
      Abstract: Background: Hypertension is a major risk factor for cardiovascular disease, yet many health care workers rarely check their blood pressure. The  detection of hypertension among health care workers is key to prevention of hypertension, its attendant complications in the community and a strategy for health care workers retention.
      Objective: To determine the prevalence and correlates of undiagnosed hypertension among health care workers in a secondary health care facility.
      Methods: Using a structured questionnaire, sociodemographic variables and risk factors for hypertension were obtained. Measurements of blood  pressure, weight, height and waist circumference were carried out and body mass index calculated.
      Results: The prevalence of hypertension was 41.9%. The prevalence of undiagnosed hypertension was 35.1%. Multivariate analysis showed that age greater than 42 years (OR=0.24; 95%CI: 0.10-0.72) is a significant  correlate of undiagnosed hypertension. Those who self-reported that they
      had been diagnosed to have hypertension were 15.5% of the study population. Among those who had self-reported hypertension, 79.1% were found to have hypertension by the researchers while among those who had no history of hypertension, 35.1% were hypertensive. When a history of
      hypertension is used as a screening test for the diagnosis of hypertension, it gave a sensitivity of 29.2%, a specificity of 94.4%, a positive predictive value of 79.1%, a negative predictive value of 64.9% and an accuracy of 67.1%.
      Conclusion: One in three persons had undiagnosed hypertension and those who were over 42 years are at risk for undiagnosed hypertension. This calls for urgent workplace strategies to create more awareness as a prevention and control strategy for the facility and the general population.
      Key words:


      PubDate: 2018-07-10
      Issue No: Vol. 18, No. 1 (2018)
       
  • Perception of insulin therapy among patients with type 2 diabetes mellitus
           in Jos, North Central Nigeria
    • Authors: Jemimah O. Edah, Gabriel Odoh, Nafisat E. Abdulfatai, Tangkat T. Jonah, Orighomisan F. Agboghoroma, Tonde G. Elijah, Fabian H. Puepet
      Abstract: Background -The implementation of insulin in the management of type 2  diabetes mellitus is often necessary for better glycaemic control. However,  many still consider insulin therapy as the last resort. Several factors come  to play in the acceptance of insulin as a form of therapy by patients. This study evaluated the perception of insulin therapy among patients with type 2 diabetes mellitus.
      Methods- This was a descriptive cross-sectional study carried out at the Jos University Teaching Hospital (JUTH) Jos, North Central Nigeria. One hundred and eighty five persons (100 insulin naïve persons and 85 persons on  insulin) were recruited consecutively. The insulin treatment appraisal scale (ITAS) was used to evaluate the perception of insulin therapy among these patients
      Results- fifty five (64.7%) females were on insulin while 64 (64%) were insulin naïve. The mean age was 52 ± 11 years and 59 ± 10 years in those on insulin and insulin naïve persons respectively. Twenty one (24.7%) persons on insulin and 33 (33%) insulin naïve persons had tertiary level of education. Insulin naïve persons had higher mean total score of the 20 items, total score of the 16 negative items and total score of the 4 positive items compared with persons on insulin. Among persons on insulin, those with less than one year of education had a better perception of insulin therapy compared with persons who had six years or more of education; Duration of insulin use, gender and age had no impact on perception of insulin therapy.
      Conclusion- The perception of insulin therapy among persons with type 2 diabetes mellitus is poor.
      Key words-Insulin, insulin treatment appraisal scale, type 2 diabetes mellitus, perception of insulin therapy
      PubDate: 2018-07-10
      Issue No: Vol. 18, No. 1 (2018)
       
  • Postpartum depression: The burden and determinants in resource constrained
           environments
    • Authors: I. Tor-Anyiin, T.J. Igbudu
      Abstract: Background: Depression occurring after delivery of a baby can be missed especially in resource constrained environments. Constraint in personnel and a low diagnostic index are probable reasons. A low diagnostic index or delay in diagnosis and treatment of postpartum depression (PPD) has adverse consequences on the family dynamics.
      Objective: The study aimed at determining the burden of postpartum depression that was missed after the first postnatal follow up visit at a tertiary hospital in Makurdi, Nigeria.
      Methods: A cross-sectional study of postpartum women at the immunization clinic at the Federal Medical Centre, Makurdi using the a semi-structured questionnaire containing the Edinburgh postnatal depression scale (EPDS) to assess for depression with a diagnostic cut off of 10 was done.
      Results: Three hundred and thirty postpartum women were assessed and the burden of PPD that was missed during a postnatal visit was 27.6%. No correlation was found between any social or economic demographics and PPD.
      Conclusion: The prevalence of missed PPD in Makurdi is high (27.6%), hence the need for high diagnostic index of suspicion and routine screening by the primary care physicians. Social or economic demographics alone should not be criteria for its suspicion.
      Key words: missed postpartum depression, determinants, prevalence
      PubDate: 2018-07-10
      Issue No: Vol. 18, No. 1 (2018)
       
  • Knowledge and awareness of HIV/AIDS and its socio-demographic determinants
           among undergraduates in a Southern Nigeria University
    • Authors: Celestine O. Umuerri, Ejiroghene M. Umuerri
      Abstract: Background: Globally, young people are at increased risk of the infection from human immunodeficiency virus (HIV). This study aims to assess the knowledge of HIV/AIDS and its sociodemographic determinants among university undergraduate students.
      Methods: This was a descriptive cross-sectional study of 296 full-time undergraduates of the University of Benin using semistructured self-administered questionnaires.
      Results: The male to female ratio was 1.5:1. The modal age group was 20-24 years (55.7%). Respondents reported multiple sources of information, with television as the major source of information (72.9%). Almost all (98.0%) of the respondents were aware of HIV/AIDS while 65.5% knew their HIV status. The majority (91.9%) of the respondents knew that a virus causes HIV/AIDS and 97.3% had correct knowledge of the modes of transmission of HIV/AIDS. Correct knowledge of HIV/AIDS prevention and cure was reported by 88.5% and 62.5% of the respondent, respectively. The overall mean knowledge score is 8.1. There was no statistically significant
      difference in the self-knowledge of respondent's HIV status among young people aged less than 25 years compared with those 25 years and above (OR: 2.24, 95% CI: 0.02-16.02, p 0.683) and sex (OR: 0.98, 95% CI: 0.58-1.65, p 0.006).
      Conclusion: This study revealed an overall good knowledge of HIV/AIDS among university undergraduates. However, there were some knowledge gaps in the self-knowledge of HIV status as well as the cause and modes of transmission of HIV which may potentially influence risky behaviours. There should be sustained efforts by all stakeholders on HIV education and
      testing at various ecological levels.
      Keywords: young adults, university undergraduates, knowledge of HIV, socio-demographic determinants
      PubDate: 2018-07-10
      Issue No: Vol. 18, No. 1 (2018)
       
  • Knowledge and attitude of medical doctors to kidney donation
    • Authors: Afeaje B. Olokor
      Abstract: Background: Medical practitioners by virtue of their training and exposure are expected to educate and counsel patients and their relatives about kidney donation. Therapeutic strategies for patients with end-stage renal disease are dialysis and kidney transplantation. Hemodialysis is done sub-optimally because it's expensive with resultant poor quality of life and death. Kidney transplantation, although also expensive, offers better
      quality of life with a major drawback being unavailability of kidney donors. A poor knowledge about kidney donation in itself may partly be responsible for low donation rates. This survey was carried out to assess knowledge and attitude of medical doctors in a tertiary hospital to kidney donation and
      transplantation.
      Methods: A cross-sectional descriptive study carried out among medical doctors from the Departments of Surgery, Family Medicine and Internal Medicine, in the University of Benin Teaching Hospital. Knowledge and attitude towards kidney donation and transplantation was assessed using pretested self-administered questionnaires.
      Results: One hundred and twelve doctors participated in the study with age range being 24 –55 years, 51(45.5%) of the doctors had a good knowledge of kidney donation and transplantation while 61 (54.5%) had fair knowledge. Sixtynine (61.6%) were willing to donate a kidney with the most
      common reason being to save lives.
      Conclusion: Knowledge of kidney donation and transplantation among doctors is relatively good; however same cannot be said for their attitude, with constraints to kidney donation being fear of post-surgical complications and fear of developing kidney disease in the future.
      Key words: Kidney, donation, transplantation, doctors
      PubDate: 2018-07-10
      Issue No: Vol. 18, No. 1 (2018)
       
  • Knowledge and attitude of undergraduates towards blood donation: A cross
           sectional study of the University of Benin, Benin City
    • Authors: Ayinbuomwan Ekiye, Nwogoh Benedict
      Abstract: Background: Blood is an essential but scarce therapeutic element. The  youth constitute an important age group that can contribute significantly to donor blood availability in health institutions. Their knowledge and attitude towards blood donation may influence their disposition to blood donation
      practices.
      Objective: The study seeks to determine the knowledge, attitude and blood donation practices among undergraduate students of the University of Benin.
      Methodolgy: This is a cross sectional study, conducted at the University of Benin, Benin City. Two hundred pretested questionnaires on knowledge, attitude and practice of blood donation were distributed among consenting undergraduate students across different faculties of the university. Data was
      analyzed with the statistical package for social science (SPSS IBM) version 20.
      Result: A total of 155 (79.5%) males and 40 (20.5%) females (M:F of approximately 3.8:1) completed the questionnaires. Their modal age group was 16 – 20 years. Sixty eight (34.9%) had good knowledge of blood donation process, 43 (22.1%) had average knowledge and 84 (43.0%) had poor knowledge. Repeat donation rate was 11.3% among the respondent. The practice of blood donation was significantly associated with good knowledge of blood donation process (p = 0.001). Blood donation was higher in those between the age groups of 21 – 25 years.
      Conclusion: Good knowledge of blood transfusion is below average. Blood donation practices is low among undergraduate students of the University of Benin and there is high disposition to family replacement donation.
      Keywords: Knowledge, attitude, practice, blood donation, University of Benin
      PubDate: 2018-07-10
      Issue No: Vol. 18, No. 1 (2018)
       
  • Congenital Diaphragmatic Hernia in a 2-Month Old Infant: A case report
    • Authors: A.O. Jimoh, T.O. Ubanyi, Y. Mava, A.H. Shitta, L.B. Chirdan, A.M. Yakubu
      Abstract: Congenital diaphragmatic hernia (CDH) in young infants is easily  misdiagnosed as bronchopneumonia yet survival of such patients lies in prompt diagnosis and surgical treatment. The report aimed to increase awareness among Paediatricians and Paediatric Surgeons of the need for high index of suspicion for this condition to allow for early diagnosis and management. A two-month old infant presented with a five-week history of
      cough of sudden onset and a week history of difficulty in breathing. He had been managed in several hospitals for bronchopneumonia. Examination findings showed features of respiratory distress, widespread coarse crepitations and bowel sounds in the lung fields. Chest radiograph showed `loops of bowel in the mediastinum. He had surgical reduction and repair of the hernia, made excellent recovery post-op and was discharged home. CDH is an uncommon anomaly but a high index of suspicion will allow early diagnosis and treatment with favourable outcome when picked early.Key words: Congenital diaphragmatic hernia, Infant, Bronchopneumonia, Respiratory distress
      PubDate: 2018-07-10
      Issue No: Vol. 18, No. 1 (2018)
       
 
 
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