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MEDICAL SCIENCES (2241 journals)                  1 2 3 4 5 6 7 8 | Last

Showing 1 - 200 of 3562 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 1)
3D Printing in Medicine     Open Access   (Followers: 5)
4 open     Open Access  
AADE in Practice     Hybrid Journal   (Followers: 2)
AAS Open Research     Open Access  
ABCS Health Sciences     Open Access   (Followers: 3)
Abia State University Medical Students' Association Journal     Full-text available via subscription   (Followers: 1)
AboutOpen     Open Access  
ACIMED     Open Access  
ACM Transactions on Computing for Healthcare     Hybrid Journal  
ACS Medicinal Chemistry Letters     Hybrid Journal   (Followers: 42)
Acta Bio Medica     Open Access   (Followers: 1)
Acta Bioethica     Open Access  
Acta Bioquimica Clinica Latinoamericana     Open Access   (Followers: 1)
Acta Herediana     Open Access  
Acta Marisiensis - Seria Medica     Open Access  
Acta Medica (Hradec Králové)     Open Access  
Acta Medica Bulgarica     Open Access  
Acta Medica Colombiana     Open Access   (Followers: 1)
Acta Médica Costarricense     Open Access   (Followers: 2)
Acta Medica Indonesiana     Open Access  
Acta Medica International     Open Access  
Acta Medica Iranica     Open Access  
Acta medica Lituanica     Open Access  
Acta Medica Martiniana     Open Access  
Acta Medica Peruana     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 2)
Acupuncture & Electro-Therapeutics Research     Full-text available via subscription   (Followers: 3)
Acupuncture and Herbal Medicine     Open Access  
Addiction Science & Clinical Practice     Open Access   (Followers: 9)
Addictive Behaviors Reports     Open Access   (Followers: 8)
Adıyaman Üniversitesi Sağlık Bilimleri Dergisi / Health Sciences Journal of Adıyaman University     Open Access  
Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi     Open Access  
Advanced Health Care Technologies     Open Access   (Followers: 12)
Advanced NanoBiomed Research     Open Access   (Followers: 1)
Advanced Science, Engineering and Medicine     Partially Free   (Followers: 4)
Advanced Therapeutics     Hybrid Journal   (Followers: 1)
Advances in Bioscience and Clinical Medicine     Open Access   (Followers: 6)
Advances in Cell and Gene Therapy     Hybrid Journal   (Followers: 1)
Advances in Clinical Chemistry     Full-text available via subscription   (Followers: 24)
Advances in Clinical Radiology     Full-text available via subscription   (Followers: 4)
Advances in Life Course Research     Hybrid Journal   (Followers: 7)
Advances in Medical Education and Practice     Open Access   (Followers: 29)
Advances in Medical Sciences     Hybrid Journal   (Followers: 7)
Advances in Medicine     Open Access   (Followers: 3)
Advances in Microbial Physiology     Full-text available via subscription   (Followers: 3)
Advances in Parkinson's Disease     Open Access   (Followers: 2)
Advances in Preventive Medicine     Open Access   (Followers: 6)
Advances in Protein Chemistry and Structural Biology     Full-text available via subscription   (Followers: 18)
Advances in Regenerative Medicine     Open Access   (Followers: 3)
Advances in Therapy     Hybrid Journal   (Followers: 5)
Advances in Traditional Medicine     Hybrid Journal   (Followers: 3)
Advances in Virus Research     Full-text available via subscription   (Followers: 7)
Advances in Wound Care     Hybrid Journal   (Followers: 14)
Aerospace Medicine and Human Performance     Full-text available via subscription   (Followers: 22)
African Health Sciences     Open Access   (Followers: 6)
African Journal of Biomedical Research     Open Access  
African Journal of Clinical and Experimental Microbiology     Open Access  
African Journal of Laboratory Medicine     Open Access   (Followers: 2)
African Journal of Medical and Health Sciences     Open Access  
Afrimedic Journal     Open Access   (Followers: 3)
AIDS Research and Human Retroviruses     Hybrid Journal   (Followers: 9)
Airway     Open Access   (Followers: 3)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
AJSP: Reviews & Reports     Hybrid Journal  
Aktuelle Ernährungsmedizin     Hybrid Journal   (Followers: 4)
AkupunkturPraxis     Full-text available via subscription   (Followers: 3)
Al-Azhar Assiut Medical Journal     Open Access   (Followers: 1)
Al-Qadisiah Medical Journal     Open Access  
Alerta : Revista Científica del Instituto Nacional de Salud     Open Access  
Alexandria Journal of Medicine     Open Access  
Allgemeine Homöopathische Zeitung     Hybrid Journal   (Followers: 1)
ALTEX : Alternatives to Animal Experimentation     Open Access   (Followers: 1)
American Journal of Biomedical Engineering     Open Access   (Followers: 10)
American Journal of Biomedical Research     Open Access   (Followers: 2)
American Journal of Biomedicine     Full-text available via subscription  
American Journal of Chinese Medicine, The     Hybrid Journal   (Followers: 2)
American Journal of Clinical Medicine Research     Open Access   (Followers: 5)
American Journal of Family Therapy     Hybrid Journal   (Followers: 6)
American Journal of Law & Medicine     Full-text available via subscription   (Followers: 10)
American Journal of Lifestyle Medicine     Hybrid Journal   (Followers: 5)
American Journal of Managed Care     Full-text available via subscription   (Followers: 13)
American Journal of Medical Case Reports     Open Access  
American Journal of Medical Sciences and Medicine     Open Access   (Followers: 2)
American Journal of Medicine     Hybrid Journal   (Followers: 47)
American Journal of Medicine and Medical Sciences     Open Access   (Followers: 1)
American Journal of Medicine Open     Open Access   (Followers: 3)
American Journal of Medicine Studies     Open Access   (Followers: 3)
American Journal of Medicine Supplements     Full-text available via subscription   (Followers: 3)
American Journal of the Medical Sciences     Hybrid Journal   (Followers: 11)
American Journal on Addictions     Hybrid Journal   (Followers: 11)
American medical news     Free   (Followers: 3)
Amrita Journal of Medicine     Open Access   (Followers: 3)
Amyloid: The Journal of Protein Folding Disorders     Hybrid Journal   (Followers: 6)
Anales de la Facultad de Medicina     Open Access  
Anales de la Facultad de Medicina, Universidad de la República, Uruguay     Open Access  
Anales del Sistema Sanitario de Navarra     Open Access   (Followers: 1)
Analgesia & Resuscitation : Current Research     Hybrid Journal   (Followers: 5)
Anatolian Clinic the Journal of Medical Sciences     Open Access  
Anatomica Medical Journal     Open Access  
Anatomical Science International     Hybrid Journal   (Followers: 3)
Anatomical Sciences Education     Hybrid Journal   (Followers: 1)
Anatomy     Open Access   (Followers: 3)
Anatomy Research International     Open Access   (Followers: 4)
Androgens : Clinical Research and Therapeutics     Open Access  
Angewandte Nuklearmedizin     Full-text available via subscription   (Followers: 3)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Angiogenesis     Hybrid Journal   (Followers: 2)
Animal Diseases     Open Access  
Annales de Pathologie     Full-text available via subscription  
Annales françaises d'Oto-rhino-laryngologie et de Pathologie Cervico-faciale     Full-text available via subscription   (Followers: 2)
Annals of 3D Printed Medicine     Open Access  
Annals of African Medicine     Open Access   (Followers: 2)
Annals of Anatomy - Anatomischer Anzeiger     Hybrid Journal   (Followers: 2)
Annals of Biomedical Engineering     Hybrid Journal   (Followers: 18)
Annals of Biomedical Sciences     Full-text available via subscription   (Followers: 3)
Annals of Clinical and Medical Case Reports     Open Access  
Annals of Clinical Hypertension     Open Access  
Annals of Clinical Microbiology and Antimicrobials     Open Access   (Followers: 9)
Annals of Family Medicine     Open Access   (Followers: 14)
Annals of Health Research     Open Access   (Followers: 2)
Annals of Ibadan Postgraduate Medicine     Open Access  
Annals of Medical and Health Sciences Research     Open Access   (Followers: 5)
Annals of Medicine     Hybrid Journal   (Followers: 11)
Annals of Medicine and Surgery     Open Access   (Followers: 7)
Annals of Medicine and Surgery Case Reports     Open Access   (Followers: 1)
Annals of Medicine and Surgery Protocols     Open Access  
Annals of Microbiology     Open Access   (Followers: 9)
Annals of Musculoskeletal Medicine     Open Access  
Annals of Rehabilitation Medicine     Open Access   (Followers: 1)
Annals of Saudi Medicine     Open Access  
Annals of the College of Medicine, Mosul     Open Access  
Annals of the National Academy of Medical Sciences (India)     Open Access  
Annals of the New York Academy of Sciences     Hybrid Journal   (Followers: 5)
Annals of The Royal College of Surgeons of England     Full-text available via subscription   (Followers: 3)
Annals of the RussianAacademy of Medical Sciences     Open Access  
Annals of Vascular Surgery - Brief Reports and Innovations     Full-text available via subscription  
Annual Reports in Medicinal Chemistry     Full-text available via subscription   (Followers: 6)
Annual Reports on NMR Spectroscopy     Full-text available via subscription   (Followers: 4)
Annual Review of Medicine     Full-text available via subscription   (Followers: 18)
Anthropological Review     Open Access   (Followers: 27)
Anthropologie et santé     Open Access   (Followers: 4)
Antibiotics     Open Access   (Followers: 10)
Antibodies     Open Access   (Followers: 2)
Antibody Reports     Open Access  
Antibody Therapeutics     Open Access  
Anuradhapura Medical Journal     Open Access  
Anwer Khan Modern Medical College Journal     Open Access  
Apmis     Hybrid Journal   (Followers: 1)
Apparence(s)     Open Access   (Followers: 1)
Applied Clinical Informatics     Hybrid Journal   (Followers: 4)
Applied Medical Informatics     Open Access   (Followers: 11)
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 2)
Arabian Journal of Scientific Research / المجلة العربية للبحث العلمي     Open Access  
Archive of Biomedical Science and Engineering     Open Access  
Archive of Clinical Medicine     Open Access   (Followers: 1)
Archives Medical Review Journal / Arşiv Kaynak Tarama Dergisi     Open Access  
Archives of Asthma, Allergy and Immunology     Open Access   (Followers: 1)
Archives of Clinical Hypertension     Open Access  
Archives of Medical and Biomedical Research     Open Access   (Followers: 2)
Archives of Medical Laboratory Sciences     Open Access  
Archives of Medicine and Health Sciences     Open Access   (Followers: 5)
Archives of Organ Transplantation     Open Access  
Archives of Preventive Medicine     Open Access  
Archives of Pulmonology and Respiratory Care     Open Access  
Archives of Renal Diseases and Management     Open Access  
Archives of Trauma Research     Open Access   (Followers: 4)
Arquivos de Medicina     Open Access  
Ars Medica : Revista de Ciencias Médicas     Open Access  
ARS Medica Tomitana     Open Access  
Art Therapy: Journal of the American Art Therapy Association     Hybrid Journal   (Followers: 14)
Arterial Hypertension     Open Access  
Artificial Intelligence in Medicine     Hybrid Journal   (Followers: 19)
Artificial Organs     Hybrid Journal   (Followers: 1)
ASA Monitor     Full-text available via subscription  
Asia Pacific Journal of Clinical Nutrition     Full-text available via subscription   (Followers: 10)
Asian Bioethics Review     Full-text available via subscription   (Followers: 2)
Asian Journal of Cell Biology     Open Access   (Followers: 4)
Asian Journal of Health     Open Access   (Followers: 3)
Asian Journal of Medical and Biological Research     Open Access   (Followers: 3)
Asian Journal of Medical and Pharmaceutical Researches     Open Access  
Asian Journal of Medical Sciences     Open Access   (Followers: 2)
Asian Journal of Medicine and Health     Open Access   (Followers: 1)
Asian Journal of Population Sciences     Open Access   (Followers: 1)
Asian Journal of Research in Medical and Pharmaceutical Sciences     Open Access  
Asian Journal of Scientific Research     Open Access   (Followers: 2)
Asian Journal of Social Health and Behavior     Open Access   (Followers: 3)
Asian Journal of Transfusion Science     Open Access  
Asian Medicine     Hybrid Journal   (Followers: 5)
Asian Pacific Journal of Health Sciences     Open Access   (Followers: 2)
ASPIRATOR : Journal of Vector-borne Disease Studies     Open Access  
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access  
Atti della Accademia Peloritana dei Pericolanti - Classe di Scienze Medico-Biologiche     Open Access  
Auris Nasus Larynx     Full-text available via subscription  
Australasian Journal of Ultrasound in Medicine (AJUM)     Hybrid Journal   (Followers: 1)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Journal of Medical Science     Full-text available via subscription   (Followers: 4)
Autopsy and Case Reports     Open Access  
Avicenna     Open Access   (Followers: 1)

        1 2 3 4 5 6 7 8 | Last

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Annals of Ibadan Postgraduate Medicine
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1597-1627
Published by African Journals Online Homepage  [261 journals]
  • Focus on tobacco prevention among non-smoking adolescents in Africa; A
           call to tobacco control experts

    • Authors: O.F. Fagbule, A.O. Adebiyi
      Pages: 5 - 7
      Abstract: No .
      PubDate: 2022-05-06
      Issue No: Vol. 19, No. 1 (2022)
  • Efficacy and safety of low-intensity extracorporeal shockwave therapy for
           treatment of vascular erectile dysfunction in Nigerian men: Report of a
           study in Ibadan, south-west Nigeria

    • Authors: T.O. Akande, O.M. Akinwunmi, S.A. Adebayo, A.O. Akinyinka, O.B. Shittu
      Pages: 8 - 14
      Abstract: Background: Low Intensity Extracorporeal Shock Wave Therapy (LI-SWT) has been found to be effective in men with vascular erectile dysfunction (ED) but its efficacy and safety has not been investigated in a  predominantly black population so we sought to study this. Materials and Methods: Men with vascular erectile dysfunction (ED) were assessed using the five-item  International Index of Erectile Function (IIEF) score after which they were treated with 12 sessions of LI-  SWT. Treatment efficacy was evaluated immediately after treatment, at 1 month and 6 months after using  the IIEF questionnaire. 30 persons were recruited out of which 22 completed the study. Results: Mean IIEF score improved from 8.27+2.741 at baseline (pre-treatment) to 10.43 ± 8.43 one  month post treatment and was sustained six months post treatment at mean IIEF score of 10.70 + 8.84. A larger no (86.4%) had an improvement of at least 5 in the IIEF score from baseline to 6 months -post  treatment. None of the participants reported any adverse effects of treatment. Conclusion: Low intensity shock wave treatment is a useful addition to the medical armamentarium for the treatment of vascular ED.
      PubDate: 2022-05-06
      Issue No: Vol. 19, No. 1 (2022)
  • Persistence of Plasmodium falciparum HRP2 antigen after effective
           antimalarial therapy

    • Authors: O.S. Michael, A.E. Orimadegun, C.O. Falade
      Pages: 15 - 21
      Abstract: Introduction: Histidine Rich Protein 2 based (HRP2-based) malaria rapid diagnostic tests (mRDTs) have been shown to perform as well as routine light microscopy, however, they are limited by some factors including persistence of HRP2 antigenemia. In this paper we report the evaluation of an HRP2-based mRDT in a prospective study that enrolled children and followed them up for 28 days. Methods: Children aged below five years, with acute episode of fever/pyrexia,were enrolled. The enrolled participants had expert malaria microscopy and RDT done at enrolment (Day 0), and on days 1, 2, 3, 7, 14, 21, and 28. The malaria RDT test was considered positive when the antigen and control lines were visible  in their respective windows, negative when only the control band was visible and invalid when the control  band was not visible. Faint test lines were considered positive. The RDT results were compared to  those of expert microscopy. Results: Two hundred and twenty-six children aged 29.2 ± 15.5 months were enrolled. The proportion of children positive by expert malaria microscopy and RDT was 100% and 95.6% respectively. During the 28 day follow up of the children the proportions positive by microscopy and RDT on days 3, 7, 14, and 28  were 1% and 94.6%, 0% and 93.5%, 0% and 91%, and 16.5% and 80.6% respectively. Gender and age dependent analysis of proportion of positive children were similar. Proportion of children with persistence of HRP2 antigen appeared to be lower in those with parasite density below 200/µL, however, this  observation requires further evaluation in larger studies. Conclusions: the study revealed a high proportion of persistence of HRP2 antigen in the children 28 days  after effective antimalarial therapy. Histidine rich protein 2 based malaria rapid diagnostic tests are not  recommended for monitoring of antimalarial therapies.
      PubDate: 2022-05-06
      Issue No: Vol. 19, No. 1 (2022)
  • Parasite-based diagnosis of malaria in pregnant women in a Tertiary
           Hospital in southwest Nigeria

    • Authors: B. Adesina-Adewole, F.I. Olusola, A.D.A. Adedapo, C.O. Falade
      Pages: 22 - 30
      Abstract: Background: Malaria in pregnancy has significant adverse consequences for the mother, foetus and  baby. Presumptive diagnosis continues despite recommendation for parasite-based diagnosis. We  performed Paracheck-Pf™, an HRP-II based malaria Rapid diagnostic test (Paracheck-Pf RDT) and  microscopy among pregnant women in a prospective, cross sectional study, at the University College  Hospital in Ibadan, Nigeria. Methods: The study was conducted between 2009-2011. Consecutive pregnant women presumptively  diagnosed as having malaria >18 years were enrolled after obtaining written informed consent.  Demographic information, symptoms and clinical measurements were obtained. Capillary blood was obtained by finger prick for thick blood smear and RDT evaluation. Summary statistics included mean  (standard deviation) for quantitative variables and percentages for categorical variables. Chi-square,  analysis of variance (ANOVA), the odds ratio (OR) and 95% confidence intervals (CI) were computed with  p-value less than 0.05 considered statistically significant. Results: Of the 746 pregnant women aged 30.9 ± 4.6 years enrolled, 243 (32.7%) were primigravida. The  mean gestational age was 23.3 ± 9.2 weeks with about 81% in the second and third trimester. The  prevalence of malaria parasitaemia by microscopy and Paracheck-Pf ™ were 22.8% and 24.5%  respectively. The geometric mean parasite density was 2,091/µL (range 40-156,975/µL). HIV positivity rate  was 8.1 % and 16.1% of patients were anaemic (PCV <30%). Women with axillary temperature  >37.40C were significantly more likely to have malaria parasitaemia [p<0.0001] by microscopy. Sensitivity  and specificity of Paracheck overall were 69.9% and 88.2% respectively while those at of parasite densities  >200/µL were 84.8% and 88.7% respectively. Positive and negative predictive values were 66.9%  and over 90% respectively. Conclusion: RDTs are a reasonable alternative in view of the need for    parasite-based diagnosis of malaria.
      PubDate: 2022-05-06
      Issue No: Vol. 19, No. 1 (2022)
  • Prevalence and predictors of exclusive breastfeeding among mothers in a
           semi-urban Nigerian community: A cross-sectional study

    • Authors: A.M. Adebayo, O.S. Ilesanmi, D.T. Falana, S.O. Olaniyan, A.O. Kareem, I.F. Amenkhienan, F.O. Alele, A.A. Afolabi, B.A. Omotoso, O.O. Ayodeji
      Pages: 31 - 39
      Abstract: Background: The uptake of exclusive breastfeeding (EBF) is low globally including Nigeria despite its benefits and interventions. This study aimed to assess the prevalence and predictors of EBF among mothers in a semiurban Nigerian community. Methods: We conducted a cross-sectional study among nursing mothers attending the immunization clinic at the Federal Medical Centre, Owo, Ondo State. A semi-structured questionnaire containing the World Health Organization’s indicators for assessing breastfeeding practices was used for data collection. Results: A total of 386 mothers were recruited with a mean age of 30.8 ± 5.0 years. Among them, 149 (36.8%) were below 30 years, 345 (89.4%) have had ANC visit at least four times, and 259 (67.1%) had initiated breastfeeding immediately after delivery. The prevalence of EBF was 52.6%. Natural feeds were the common feeds introduced after 6 months among 159 (78.3%) mothers. One hundred and forty-four  (62.1%) nursing mothers aged 30 years or older practiced EBF compared to 72 (48.3%) persons below 30  years (X2 = 6.290, p = 0.012). Also, 38 (70.3%) mothers who have delivered four or more children practiced  EBF compared to 180 (54.2%) with fewer children (X2 = 5.437, p = 0.020). Nursing mothers aged  30 years or older had 36% higher odds of practicing EBF compared to younger persons (Adjusted  Odds Ratio = 1.358, 95%CI = 0.886 – 2.081, p = 0.160). Conclusion: To achieve the WHO recommended target of ensuring that 90% of nursing mothers practice EBF, advocacy and health education must be intensified.
      PubDate: 2022-05-06
      Issue No: Vol. 19, No. 1 (2022)
  • Knowledge of menstrual disorders and health seeking behaviour among female
           undergraduate students of University of Ibadan, Nigeria

    • Authors: U.C. Igbokwe, Y.O. John-Akinola
      Pages: 40 - 48
      Abstract: Background: Menstrual disorders are physical or emotional problems that affect the normal menstrual cycle and bring about pain, unusually heavy or light bleeding and missed periods. They are one of the most occurring gynaecologic issues that affect women of child bearing age with a global prevalence of 30-70% and one of the frequent reasons women consult physicians worldwide. Objectives: This study investigated the knowledge, prevalence of menstrual disorders, pattern of health seeking behaviours, association between age at menarche and prevalence of menstrual disorder,  association between knowledge and health seeking behaviour among the female undergraduate  students. Methods: A descriptive cross-sectional study was employed to randomly select 381 respondents through  a three-stage sampling technique. A pretested semi-structured questionnaire was used for data  collection. Data collected were analysed using IBM SPSS version 20; statistical tests were conducted using  Chi-square and fischer exact test. Results: The mean age of the respondents was 20.45±2.66 and the mean age at menarche was 12.90±1.84. Majority of the respondents (79.3%) had good knowledge of menstrual disorders. The overall prevalence of menstrual disorders among the respondents was 90.4%. and only 28.3% had sought  help for menstrual disorders. Inferential analysis showed a statistically significant association  between knowledge and health seeking behaviour of menstrual disorders (p<0.05). Conclusion: Menstrual disorders are highly prevalent among young females of child bearing age in our environment; the role of mass media (Internet) and interpersonal relationships in health education is  very acknowledgeable and should be harnessed to improve young females’ knowledge of positive health  seeking behaviours with regard to menstrual disorders.
      PubDate: 2022-05-06
      Issue No: Vol. 19, No. 1 (2022)
  • National Health Insurance Scheme: Perception and participation of Federal
           Civil Servants in Ibadan

    • Authors: O.O. Akinyemi, O.F. Owopetu, I.O. Agbejule
      Pages: 49 - 55
      Abstract: Introduction: The National Health Insurance Scheme is a social health insurance programme designed by the Federal Government of Nigeria to complementsources of financing the health sector and to improve access to health care forthe majority of Nigerians. Presently, the enrolment level on the Scheme is majorly among those in the formal sector and user experiences have been different. This study seeks to determine the perception and participation of Civil Servants regarding the National Health Insurance Scheme in Ibadan Methods: A descriptive cross-sectional study was conducted among 273 civil servants working at the Federal Secretariat, Ikolaba, between October and November 2015. An interviewer-administered questionnaire was used to collect information on socio-demographic characteristics, awareness, and  membership of the NHIS, perception of NHIS, and health-seeking behaviour. Participation was defined as  the number of civil servants registered or enrolled under the scheme, in other words, members of the  scheme. Information on perceptions was sought using a 3-point Likert scale. Descriptive statistics and  chi-square tests were used for data analysis at a 5% level of significance. Results: About 60.1% of the respondents were males. The average age was 39.7+9.1 years, with 85.0% of  the respondents being married. The majority (65.2%) of the respondents were mid-level cadre workers,  17.62% were working as senior-level workers and the remaining 17.6% were low cadre workers. The  majority (88.9%) completed tertiary education, while just 11.1% completed basic education. The mean  household size was 2.5+0.6. Awareness of the National Health Insurance Scheme was very high (95.2%)  with 83.5% enrolled under the scheme. About (50%) of the respondents joined the scheme because it is  cheap and affordable. There was a significant association between awareness, level of education,  knowledge of NHIS, and registration into the scheme by respondents. The majority of the respondents  (87.3%) claimed that NHIS is a better means of settling healthcare costs than Out-of-pocket-payment. The  majority of the respondents thought that health insurance is a viable programme. Conclusion:The perception of health insurance among civil servants was varied while participation was  high. Relevant intervention should be introduced to remove bottlenecks to accessing and operating the scheme.
      PubDate: 2022-05-09
      Issue No: Vol. 19, No. 1 (2022)
  • Healthcare financing for antenatal care and delivery services in a
           tertiary health facility in south-west Nigeria

    • Authors: R.A. Abdus-salam, T. Mark, A.D. Agboola, T. Babawarun
      Pages: 56 - 62
      Abstract: Background: Universal health coverage and healthcare financing for maternal health services are essential for quality care, prevention of complication and a reduction in maternal morbidity and mortality. Objective: To evaluate the modes of healthcare financing for antenatal and delivery care among pregnant women in a tertiary health facility in SouthWest Nigeria. Methods: This is a four-year retrospective review of maternal healthcare financing models adopted by  pregnant/postpartum women at the antenatal clinic and labour/delivery unit. Data for health financing in  antenatal booking clinic for a four-year period from 2016-2019 and labour & delivery for a two year period from  2018 and 2019 were reviewed. The information collected were – number of women that paid out-of-pocket for  services, number of women that paid for services using health insurance and other means of payment during  the period. Data were analysed using SPSS version 23. Result: A total of 7,129 women accessed antenatal care services during the period under review. About 58.9% of the women paid for antenatal care servicesout-of-pocket, 36.6% were covered under the health insurance (social andprivate health insurance). A total of 2,881 women accessed delivery servicesat the health facility. About 66.4% of the women paid out-of-pocket for both caesarean section and vaginal delivery. Prepaid health  insurance was used by about 31% of the women. Conclusion: Health insurance has been available for over a decade; however prepaid healthcare financing model  remains less popular. Out-of-pocket payment constitutes the predominant mode of healthcare financing  for maternal healthcare among pregnant women at the tertiary health facility. The out-of-pocket payment  exposes the pregnant women and her family to financial burden and catastrophic spending especially in  obstetric emergency.
      PubDate: 2022-05-06
      DOI: 10.4314/aipm.v19i1.
      Issue No: Vol. 19, No. 1 (2022)
  • Management outcome of premature rupture of membranes in A Tertiary Health
           Facility in south western Nigeria

    • Authors: B.K. Suleiman, O.O. Bello, A.M. Tijani, T.A.O. Oluwasola
      Pages: 63 - 69
      Abstract: Background: Pre-labour Rupture of Membranes (PROM) contributes immensely to the potential risk of maternal morbidity and mortality. Objective: To explore the incidence and management outcome of PROM at Ladoke Akintola University of  Technology Teaching Hospital (LTH), Ogbomoso, Nigeria Methods: A retrospective study of 61 cases of PROM managed at LTH, Ogbomoso over a 3-year period.  Information on the socio-demographics and obstetrics characteristics, management instituted, and  outcomes were obtained using a structured proforma. Data were analysed using SPSS version 20. Level  of statistical significance was set at <0.05 and 95% confidence interval. Results: The incidence of PROM was 4.1% with a perinatal mortality rate of 0.18 per 1000 deliveries.  Twenty (33%) were pre-term while 41 (67%) were term PROM with 10% of the perinatal death occurring  among those with preterm PROM. The mean age of the women was 36.9 (SD=2.1) years and median  parity of 1(range 1-5) children. There was a significant association between the women’s gestational age  at which PROM occurred with the latency period (p< 0.001). Fetal birth weight, APGAR score and Neonatal  Intensive Care Unit (NICU) admission were all significantly associated with the gestational age  at which PROM occurred (p<0.05). There was a significant difference between the intervention instituted  and mode of delivery (p=0.009). Conclusion: The incidence of PROM at term was high and conservative/expectant management was  effective. The latency period and fetal outcomes such as birth weight, apgar score and NICU admission were determined by the gestational age at which PROM occurred.
      PubDate: 2022-05-06
      Issue No: Vol. 19, No. 1 (2022)
  • Self assessment of oral health and risk factors affecting oral hygiene
           status in adolescents attending dental clinic in University College
           Hospital, Ibadan

    • Authors: O.O. Ogunsuji, E.B. Dosumu, M.D. Dairo, A.I. Ogunsuji
      Pages: 70 - 77
      Abstract: Introduction: Globally, there is an increasing incidence of Non-Communicable Diseases (NCDs). Major oral diseases such as caries and periodontal disease which are classified as NCDs, are not left out of this  trend. Recent reports are suggestive of increasing prevalence and severity of oral diseases among  adolescents, despite accessibility of dental services. Ascertaining the oral health status of adolescents  making use of dental services and how they perceive their oral health could help develop preventive and  therapeutic strategies. This study therefore aims to determine the self-perception of adolescents utilizing  dental services about their oral health and factors affecting their oral hygiene status. Methodology: This clinic-based cross-sectional study was carried out among adolescents attending the  Dental Center, University College Hospital, Ibadan Nigeria. A total of 113 adolescents were recruited into  this study using a systematic random sampling technique. A WHO Oral health questionnaire was  administered to the participants. Questions were asked on sociodemographics, self-perception of oral  health and oral hygiene practices. Descriptive statistics such as frequency, percentages, mean, standard deviation were used to present the data. Independent T test and One way ANOVA were used to analyze  categorical exposure variables with normally distributed numerical outcomes. A p-value of <0.05 was  considered statistically significant. Results: Majority of study participants had positive self-perception of health of their teeth (53.1%) and  gingiva (62.8%) respectively, their mean OHI-S was 2.24 with 62.8% of adolescents having a fair oral  hygiene. Mean DMFT was 0.96 with 75.2% of participants having a very low DMFT. OHI-S and DMFT were  both significantly associated with age of adolescents, with late adolescents having significantly higher  mean OHI-S and DMFT scores than early adolescents (p < 0.05). Adolescents who cleaned their teeth at  least twice daily had significantly higher DMFT values than those who cleaned once daily (P < 0.05).  Conclusion: This study found late adolescents had higher DMFT and OHI-S scores. There might be need  to increase oral health awareness in senior secondary schools and tertiary institutions to help improve  their oral health status. Its pertinent that adolescents are encouraged and taught good oral hygiene  measures when they visit dental clinics, in school and at home. Adolescents utilizing dental services are  likely to be more self-conscious about their oral health thus increasing the frequency of their teeth  cleaning.
      PubDate: 2022-05-06
      Issue No: Vol. 19, No. 1 (2022)
  • Pericardial effusion in a patient with hyperthyroidism: A case report

    • Authors: M.O. Fabowale, O.S. Ogah, A.M. Kehinde, F.I. Olusola, I.J. Okafor, T.A. Bakare, V. Obasuyi, O.O. Orimolade, A. Aje, A. Adebiyi
      Pages: 78 - 81
      Abstract: Pericarditis and pericardial effusion are commonly associated with hypothyroidism. It is an uncommon association with hyperthyroidism. We present a case of pericarditis/pericardial effusion in a 28-year-old Nigerian lady with hyperthyroidism. There was resolution of the pericardial effusion with antithyroid  medications and steroid therapy. We recommend a high index of suspicion of this association in patients  with hyperthyroidism and/or Graves’ disease.
      PubDate: 2022-05-09
      Issue No: Vol. 19, No. 1 (2022)
  • A rare case of preperitoneal abscess in a Nigerian female: Ultrasound
           diagnosis and percutaneous catheter drainage

    • Authors: A.O. Adeyinka, P.T. Adenigba, A.J. Adekanmi, A.T. Adeniji-Sofoluwe, B.E. Osobu, T.O. Oke
      Pages: 82 - 86
      Abstract: A preperitoneal abscess is an uncommon manifestation of extraperitoneal collection. We present a case of an anterior abdominal wall preperitoneal abscess in a 30-year-old Nigerian female with abdominal pain and purulent abdominal wall discharge ten days after an initial admission for spontaneous bacterial peritonitis. This report underscores the role of ultrasound in diagnosis and follow-up and percutaneous ultrasound-  guided continuous percutaneous catheter drainage and management of an extraperitoneal abscess.
      PubDate: 2022-05-09
      Issue No: Vol. 19, No. 1 (2022)
  • Delayed diagnosis of AVM presenting with stroke and seizures in a young
           Nigerian: A case report

    • Authors: A.I. Makanjuola, P. Bolaji, C. Onyejelam, G.I. Ogbole, R.O. Akinyemi
      Pages: 87 - 93
      Abstract: Background: Brain arteriovenous malformations (BAVM) are a cause of intracerebral haemorrhage (ICH) and seizures especially in young patients. ICH due to BAVMs seem to have relatively better neurologic  outcomes compared to other causes of spontaneous ICH as patients often recover fully. In this report we highlight a case of delayed diagnosis of BAVM in a young man who presented with seizures and stroke.
      Case summary: A 36-year-old man was referred on account of focal, secondarily generalized tonic clonic  convulsions. He had suffered a right ICH 3 years before the index presentation. His general physical and  neurologic examination were normal. Electroencephalography revealed right sided focal epileptiform  discharges and brain MRI revealed a right parieto-occipital AVM. The seizures were controlled with  carbamazepine and he was referred for neurosurgical evaluation.
      Conclusion: BAVMs are an important cause of intracerebral haemorrhage and attendant neurologic  morbidity especially in young individuals. Neuroimaging plays a central role in BAVM diagnosis and MRI is  of great value where facilities and expertise for conventional angiography do not exist. In some  instances, delayed presentation of BAVM cases may be due to relatively better neurologic outcomes in  BAVM-related ICH.
      PubDate: 2022-05-09
      Issue No: Vol. 19, No. 1 (2022)
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
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