Publisher: Olabisi Onabanjo University Teaching Hospital   (Total: 1 journals)   [Sort by number of followers]

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Annals of Health Research     Open Access   (Followers: 2)
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Annals of Health Research
Number of Followers: 2  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2476-8642 - ISSN (Online) 2536-6149
Published by Olabisi Onabanjo University Teaching Hospital Homepage  [1 journal]
  • Legalisation and Liberalisation of Cannabis: The Benefits and Drawbacks of
           the Global Trend

    • Authors: OA Fasesan
      Pages: 165 - 176
      Abstract: Cannabis sativa is a complex domesticated plant that has an unstable taxonomy. It is the most utilised illicit substance that has gained prominence in some parts of the world as it is used for therapeutic and recreational purposes. C. Sativa has also been used to manage numerous medical conditions since antiquity. The pharmacological benefits of C. sativa are still subject to intense research due to inconsistent outcomes. C. sativa, like other psychoactive substances, has both medical and psychological side effects. Despite the lack of knowledge, medical practitioners continue to recommend this substance. This review aims to highlight the effects of legalisation and liberalisation on the global trend of cannabis use. A search was conducted on Google Scholar and Medline from 2012 to date. The results showed that cannabis was found to be effective in the management of some medical conditions, though more work is required. Recreational use is rising due to a reduced perception of harm and the availability of more potent species. Cannabis use persists despite the several medical and psychological side effects. It is concluded that there is a shortage of information on the safety and pharmacological properties of C. sativa, and more work is required.
      PubDate: 2022-09-07
      DOI: 10.30442/ahr.0803-01-168
      Issue No: Vol. 8, No. 3 (2022)
       
  • Determinants of Low Birth Weight among Term Babies at the Sacred Heart
           Hospital, Abeokuta, Nigeria

    • Authors: VI Olafimihan, AJ Ariba, SO Malomo
      Pages: 177 - 191
      Abstract: Background: Low birth weight (LBW) is a major contributor to the global burden of neonatal morbidity and mortality. It is important to identify the significant determinants of LBW, mainly among term babies, who should have achieved optimal weight gain before delivery to reduce the burden of LBW. Objectives: To determine the Prevalence of LBW among term babies delivered in a Nigerian hospital and the socio-demographic and clinical correlates of LBW. Methods: A cross-sectional study was conducted among two hundred and twenty-seven term babies and their mothers at the Sacred Heart Hospital, Lantoro (SHHL), Abeokuta, Nigeria, between November 2017 and February 2018. Results: The Prevalence of LBW was 4.4 %. Over 90% of the mothers were educated, married and employed. There was a significant association between term-LBW and maternal booking BMI, anaemia at booking, multiple pregnancies, alcohol intake in pregnancy and paternal level of education. Underweight booking BMI, anaemia at booking, and low paternal level of education were independent predictors of term-LBW. Conclusions: The Prevalence of term-LBW babies in this study was relatively low. Aside from multiple pregnancies, the other main determinants of LBW include modifiable parental socioeconomic factors. Further reduction in term LBW can be achieved by improving parental education and enhancing maternal health through pre-conception care.
      PubDate: 2022-09-07
      DOI: 10.30442/ahr.0803-02-169
      Issue No: Vol. 8, No. 3 (2022)
       
  • A Bibliometric Analysis of Health and Medicine Research in Uganda

    • Authors: A Kasule, B Mutebi, A Ssentumbwe
      Pages: 192 - 204
      Abstract: Background: Research is one of the many domains that help countries to provide solutions to various challenges and improve facilities. The bibliometric analysis measures the research output of individuals/research teams, institutions, and countries and identifies national and international research networks across the globe. Objective: To examine key research topics, interrelations, and collaboration patterns of published health-related research in Scopus from Ugandan institutions and authors. Methods: Using the search term "Uganda, health, medicine" in the title, abstract and keywords, documents published between 1963 and 2022 were retrieved from Scopus. The extracted records were analysed in terms of keywords analysis and collaboration networks. The R Bibliometrics package was used to analyse and visualise the data. Results: The results reveal to scholars and practitioners the most relevant authors, affiliations, publication sources, trends in research topics and collaborating countries. The results provide valuable information for more investigation into the revealed research trends. Conclusion: Bibliometric analysis of health research in Uganda revealed that the most frequent topics are medicinal plants, traditional medicine and herbal medicine. Research work on malaria, Covid-19 and HIV/AIDS is also evident. There is a significant research collaboration with authors from the United States and the United Kingdom.
      PubDate: 2022-09-07
      DOI: 10.30442/ahr.0803-03-170
      Issue No: Vol. 8, No. 3 (2022)
       
  • Effect of Intramuscular Hyoscine-N-Butyl Bromide on Tubal Spasm and Pain
           Perception in Women with Infertility Undergoing Hysterosalpingography: A
           Randomised Controlled Trial

    • Authors: PC Oriji, EK Kiridi, EGE Kiridi, AE Ubom, JU Ugwoegbu, P Bosrotsi, IJ Abasi
      Pages: 205 - 218
      Abstract: Background: A tubal patency test is essential in evaluating women with infertility. Hysterosalpingography (HSG) is the investigation of choice for assessing tubal patency. Objective: To evaluate the effect of intramuscular hyoscine-N-butyl bromide on tubal spasms and pain perception during hysterosalpingography. Methods: This randomized, controlled trial was conducted at the Radiology Departments and Infertility Clinics of four health institutions in Bayelsa State, Nigeria, between January 2021 and April 2022. Five hundred and twenty infertile women undergoing hysterosalpingography were randomized into two groups. Women in group I (control) received a placebo, while women in Group II (experimental) received 20 mg of intramuscular hyoscine-N-butyl bromide. Pain scores at different steps of the procedure were recorded. Results: The overall mean pain scores progressively decreased from contrast instillation (4.97 ± 2.08) through 30-minutes post-procedure (3.54 ± 1.54) to 24 hours post-procedure (1.96 ± 1.78). Pain scores at contrast instillation, 30 minutes and 24 hours after HSG were significantly lower in the hyoscine group compared to the placebo group (p = 0.001 each). There were significantly fewer women with tubal blockage in the hyoscine group compared to the placebo group [78 (30.0%) vs 131 (50.4%); p = 0.001]. Conclusion: Intramuscular hyoscine-N-butyl bromide before hysterosalpingography significantly reduces pain and tubal spasm during the procedure.
      PubDate: 2022-09-07
      DOI: 10.30442/ahr.0803-04-171
      Issue No: Vol. 8, No. 3 (2022)
       
  • Prevalence of Human Immunodeficiency Virus Infection and Risky Sexual
           Behaviours among Clients Attending HIV Testing Service in Ogun State,
           Nigeria

    • Authors: AA Salako, OE Amoran, OE Okere, KS Oritogun
      Pages: 219 - 228
      Abstract: Background: HIV testing services (HTS) are a component of HIV prevention and care programs in developed countries and have proven to be a cost-effective way of monitoring the disease, reducing risky behaviours and leading patients to other services. Objective: To determine the prevalence and risky behavioural factors associated with HIV among the attendees of HIV testing services in a part of Ogun state, Nigeria. Methods: This was a descriptive cross-sectional study of HTS clients in health facilities within Ogun State, Nigeria. A multi-stage sampling technique was used for data collection using a pretested, close-ended, interviewer-administered questionnaire. Results: A total of 800 respondents with a mean age of 32.57±10.39 years were surveyed. The prevalence of HIV was 1.6%. The majority (93.6%) of the respondents were sexually experienced. The percentage tested previously among study participants was 5.0%. This significantly comprised those below the age of 18 years (X2 = 22.01, p = 0.0001) and female respondents (Χ2 = 4.84, p = 0.028). Only 21 (2.6%) have had unprotected sex with a casual partner. Significantly more of the female respondent had been involved in this risky sexual behaviour (X2 = 4.52, p = 0.034). Only 7 (0.9%) had sex with multiple sexual partners in the last three months, and 17 (2.1%) were positive for symptomatic STI screening. Conclusion: The prevalence of HIV was low to be 1.6%, and the percentage tested previously was 5.0%. The practice of free HIV screening should be maintained to encourage more people to undergo the test.
      PubDate: 2022-09-07
      DOI: 10.30442/ahr.0803-05-172
      Issue No: Vol. 8, No. 3 (2022)
       
  • Patients’ Perception of Anaesthesia, the Anaesthetist and Experience
           of Anaesthesia Care

    • Authors: EA Emmanuel, OM Fatungase, RO Shoyemi
      Pages: 229 - 243
      Abstract: Background: The anaesthetist is a health care professional, but misconceptions about her identity and roles influence patient satisfaction, a unique clinical endpoint. Objective: To determine patients’ perception of the anaesthetist and their satisfaction with perioperative anaesthesia care. Methods: This prospective study recruited adult patients scheduled for elective surgeries in a Nigerian tertiary health facility. A structured questionnaire was administered during the pre-anaesthetic visit, before the administration of anaesthesia and 24 hours post-operative to elicit information on socio-demographics, type of surgery, patient's perception of anaesthetist as a specialist, previous and index anaesthesia experience, and patient's satisfaction from the perioperative anaesthesia care. Results: One hundred (23 males and 77 females) adult patients with a mean age of 42.17±12.87 years were recruited for elective surgeries in various surgical specialities. Seventy-eight per cent were familiar with the roles of anaesthetists, but those with previous exposure to anaesthesia and a higher educational status showed better knowledge. Most participants (89%) realised that the anaesthetist was a qualified doctor. Still, when probed further, it was discovered that only 42% could anticipate that the anaesthetist was in charge of the operating theatre. A majority (73%) were unaware that the anaesthetist works outside the operating theatre. The participants were very satisfied (68%) or satisfied (32%) with the post-operative assessment of perioperative anaesthesia care. Conclusion: Most patients scheduled for elective surgeries were familiar with anaesthetist roles and identity but were unaware of her role outside the operating theatre.
      PubDate: 2022-09-07
      DOI: 10.30442/ahr.0803-06-173
      Issue No: Vol. 8, No. 3 (2022)
       
  • Autoamputation of the Breast in Invasive Ductal Carcinoma: A Case Report

    • Authors: MA Olusola-Bello, AA Olatunji, BA Ayoade, AO Adekoya, SB Ogunlade
      Pages: 244 - 249
      Abstract: Autoamputation is the spontaneous detachment from the body and elimination of an appendage or abnormal growth. Autoamputation of an organ due to malignancy has been reported in various organs, although its aetiopathogenesis has not been fully explained. Autoamputation of the breast is associated with late presentation and slow desmoplastic reaction in breast cancer. The patient was a 43- year- old Nigerian woman who presented with a one-year history of left breast mass diagnosed as triple negative invasive ductal carcinoma. She defaulted from hospital care but represented after autoamputation of the left breast. The case is reported to showcase the variations in the clinical course of breast cancers.
      PubDate: 2022-09-07
      DOI: 10.30442/ahr.0803-07-174
      Issue No: Vol. 8, No. 3 (2022)
       
  • Necrotising Fasciitis following Intramuscular Injection in a Nigerian
           Neonate: A case report

    • Authors: T Ogundele, E Egwumah-Atule, YJ Osundare, O Oyelami
      Pages: 250 - 255
      Abstract: Necrotizing fasciitis (NF) is a rare but severe, life-threatening bacterial infection of the fascia, with secondary necrosis of the subcutaneous tissues. Necrotizing fasciitis is caused by an infection of the skin, subcutaneous tissue, and fascia by one or more bacterial organisms, resulting in the death of these tissues. NF is rare in neonates, but it has been reported following omphalitis, balanitis, mastitis, and postoperative complications. The mortality in neonates with necrotizing fasciitis has been reported to be as high as fifty per cent. We report a case of NF in a term male neonate with an intramuscular injection at the left shoulder at birth under suspected septic conditions. The wound swab yielded Escherichia coli and Pseudomonas species, while the blood culture yielded Staphylococcus aureus and Pseudomonas species. The infant received antibiotics, and the wound was debrided. He was discharged after sixteen days of hospitalization. This case is reported to highlight the possible role of injections under septic conditions as a risk for necrotizing fasciitis in the newborn. Health workers are encouraged to ensure aseptic skin preparation before injections.
      PubDate: 2022-09-07
      DOI: 10.30442/ahr.0803-08-175
      Issue No: Vol. 8, No. 3 (2022)
       
 
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