Journal of Clinical Sciences最新文献_第5页

Postmastectomy breast reconstruction awareness and attitudes in Nigerian women with breast cancer: A descriptive, cross sectional survey 尼日利亚乳腺癌妇女乳房切除术后乳房重建意识和态度:一项描述性横断面调查

IF 0.1

Journal of Clinical Sciences Pub Date : 2022-01-01 DOI: 10.4103/jcls.jcls_28_21

A. Michael, O. Olawoye, S. Ademola, Ebere Ugwu, F. Sarimiye, O. Ayandipo, R. Aderibigbe, A. Iyun, O. Oluwatosin

{"title":"Postmastectomy breast reconstruction awareness and attitudes in Nigerian women with breast cancer: A descriptive, cross sectional survey","authors":"A. Michael, O. Olawoye, S. Ademola, Ebere Ugwu, F. Sarimiye, O. Ayandipo, R. Aderibigbe, A. Iyun, O. Oluwatosin","doi":"10.4103/jcls.jcls_28_21","DOIUrl":"https://doi.org/10.4103/jcls.jcls_28_21","url":null,"abstract":"Introduction: Sub-Saharan Africa has a high burden of breast cancer and very low rates of breast reconstruction. This study aimed to determine the awareness of and attitude to breast reconstruction among women with breast cancer who had mastectomy. Methods: A cross-sectional study of women with breast cancer who underwent mastectomy was done. Participants were recruited from September 2020 to January 2021 from the surgical oncology and radio-oncology outpatient clinics of the University College Hospital, Ibadan. A multivariate logistic regression was used to determine predictors of awareness and attitudes to breast reconstruction. P ≤ 0.05 was considered statistically significant. Results: Fifty-one women participated in the study. The mean age was 54.76 (+9.94) years. Most, 30 (58.8%) of them had tertiary level of education, were working, 39 (76.5%) and were married, 41 (80%). Funding for the mastectomies was mainly out-of-pocket 34 (66.7%). Most 37 (72.5%) were not aware that the breast could be reconstructed before their surgery and only one (1.96%) of the women had breast reconstruction. The reason most proffered for declining breast reconstruction was not wanting another surgery 13 (33.3%). The age (odds ratio [OR] 0.02, 95% confidence interval [CI] 0.001–0.33), P = 0.006 of the participants and the educational status (OR 12.50, 95% CI 1.86–84.26), P = 0.009 were significant predictors of awareness of breast reconstruction. None of the variables were significant predictors of positive attitudes to breast reconstruction. Conclusion: There is a very low level of awareness of breast reconstruction. Younger age and tertiary education were significant predictors of awareness of breast reconstruction.","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78252096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Faculty of clinical sciences to hold its first international conference 临床科学学院举办首届国际会议

IF 0.1

Journal of Clinical Sciences Pub Date : 2022-01-01 DOI: 10.4103/jcls.jcls_17_22

A. Ademuyiwa

引用次数: 0

Knowledge, attitude, and anxiety of Nigerian nurses toward coronavirus: An online cross-sectional survey 尼日利亚护士对冠状病毒的知识、态度和焦虑:一项在线横断面调查

IF 0.1

Journal of Clinical Sciences Pub Date : 2022-01-01 DOI: 10.4103/jcls.jcls_10_21

O. Abazie, O. Mobolaji-Olajide, Linda C. Odikpo, E. Duke, D. Gbahabo, U. Musa-Malikki

{"title":"Knowledge, attitude, and anxiety of Nigerian nurses toward coronavirus: An online cross-sectional survey","authors":"O. Abazie, O. Mobolaji-Olajide, Linda C. Odikpo, E. Duke, D. Gbahabo, U. Musa-Malikki","doi":"10.4103/jcls.jcls_10_21","DOIUrl":"https://doi.org/10.4103/jcls.jcls_10_21","url":null,"abstract":"Background: Health care workers have been affected the most by coronavirus all over the world. Their knowledge and attitude toward caring for people with coronavirus have neither reduced their anxiety nor number of casualties from the pandemic. The aim of this study is on knowledge, attitude, and anxiety of Nigerian nurses toward coronavirus. Methods: A cross sectional, online quantitative survey of the six geopolitical zones in Nigeria was done using multistage sampling technique. Data were collected using Google Forms from 209 nurses, and the Statistical Package for the Social Science (SPSS) version 20 software was used for data analysis. Level of anxiety was determined using Generalized Anxiety Disorder Assessment. Descriptive data of participants were presented in tables, charts, percentages, means, and standard deviation, while the inferential data were tested with Chi square at a significance level of P = 0.05. Results: Mean age of the respondents was 41.01 ± 8.21 years, with 13.1 ± 8.44 years as mean for years of experience. Only 57% had good knowledge with mean of 10.67 ± 1.197, while 70.8% had positive attitude toward nursing care during coronavirus pandemic. Anxiety level increased from 1.88 ± 0.82 before to 2.33 ± 0.96 during the pandemic. Association of knowledge and anxiety before and during was P = 0.79 and P = 0.27, respectively. Gender and age were significant with anxiety during the pandemic with P = 0.01 and P = 0.02, respectively. Conclusion: Adequate knowledge with positive attitude may not be enough to reduce the anxiety level of nurses, hence the need for adequate psychosocial support and provision of personal protective equipment for the nurses in other to keep them safe for optimum health workforce.","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86903651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment in medical education: Can we pay more attention to formative assessment? 医学教育评价:能否重视形成性评价?

IF 0.1

Journal of Clinical Sciences Pub Date : 2021-10-01 DOI: 10.4103/jcls.jcls_51_21

C. Esezobor

引用次数: 0

17th annual scientific conference of the faculty of clinical sciences held on wednesday july 17, 2021 临床科学学院第十七届年度科学会议于2021年7月17日星期三举行

IF 0.1

Journal of Clinical Sciences Pub Date : 2021-10-01 DOI: 10.4103/jcls.jcls_40_21

引用次数: 0

IF 0.1

Journal of Clinical Sciences Pub Date : 2021-10-01 DOI: 10.4103/jcls.jcls_13_21

D. Kayoma, C. Ukponmwan, J. Ese-Onakewhor

{"title":"Eye-related complaints presenting to the accident and emergency department in a Nigerian tertiary hospital","authors":"D. Kayoma, C. Ukponmwan, J. Ese-Onakewhor","doi":"10.4103/jcls.jcls_13_21","DOIUrl":"https://doi.org/10.4103/jcls.jcls_13_21","url":null,"abstract":"Background: In resource-limited countries, it is important that only genuine ophthalmic emergencies should be seen in the Accident and Emergency department to reduce the pressure on the limited human and material resources. The aim of the study is to determine the pattern of eye-related emergencies who presented to the Accident and Emergency department in a Nigerian Tertiary Hospital. Methods: This was a retrospective chart review of all consecutive ophthalmic patients who presented at the general Accident and Emergency department of the University of Benin Teaching Hospital between July 2018 and December 2020. Patients who discharged themselves against medical advice were not included in the study. Results: A total of 363 presented with ophthalmic complaints, and their mean age was 32.6 ± 20.2 years. Most of the cases presented as emergencies (61.4%) with more than half (32.8%) requiring ocular surgery. Eyelid laceration was the leading cause of presentation (12.4%). Emergency cases were more likely to present during the weekend (71.5%). Males were 5.1% less likely to present as emergencies. Conclusion: Most of the cases were emergencies with eyelid laceration and penetrating eye injuries being the leading cause. Although the number of nonemergencies was less, the need for the inclusion of primary eye care in the existing primary healthcare centers will further reduce the number of non-emergency cases seen.","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75902263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The resilience of microbes – Man's great enemies 微生物的复原力——人类的大敌

IF 0.1

Journal of Clinical Sciences Pub Date : 2021-10-01 DOI: 10.4103/jcls.jcls_39_21

A. Osibogun

{"title":"The resilience of microbes – Man's great enemies","authors":"A. Osibogun","doi":"10.4103/jcls.jcls_39_21","DOIUrl":"https://doi.org/10.4103/jcls.jcls_39_21","url":null,"abstract":"More than 1400 microbes are known to cause disease in man and are therefore classified as pathogenic microbes. Only 12% of microbes on earth are responsible for the emerging and re-emerging diseases. All infectious agents have adapted routes for exiting from their reservoirs of infection because that is the only way there can be a perpetuation of their species. Factors aiding the seeming resilience of microbes include microbial evolution and adaptation, human susceptibility, climate and weather, changing ecosystem, human demography and behaviour amongst others. Therefore, man must recognize that the war against microbes is likely going to be there permanently. If we are careless however, the microbes may make life uncomfortable for man and change how we live drastically. A strengthened health intelligence system will support an early warning system that gives clear pictures of what is on the ground and what is evolving. This will also monitor the environment including the water supply system, the sewage, the soil, and the air for evidence of microbes that may be pathogenic to man. We must also mount a robust anthropological surveillance to monitor human behavior as it may affect disease transmission and must search for and deploy effective antimicrobial agents. Overall, we must develop the human capacity that will efficiently deliver our selected strategies to detect, prevent, and mitigate the impact of microbes on human health.","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87454979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge, attitude, and risk factors of hepatitis B among waste scavengers in Lagos, Nigeria 尼日利亚拉各斯拾荒者乙型肝炎的知识、态度和危险因素

IF 0.1

Journal of Clinical Sciences Pub Date : 2021-10-01 DOI: 10.4103/jcls.jcls_59_20

Aishat Oladipo, K. Odeyemi

{"title":"Knowledge, attitude, and risk factors of hepatitis B among waste scavengers in Lagos, Nigeria","authors":"Aishat Oladipo, K. Odeyemi","doi":"10.4103/jcls.jcls_59_20","DOIUrl":"https://doi.org/10.4103/jcls.jcls_59_20","url":null,"abstract":"Background: Hepatitis B is a major global health problem with a higher prevalence among waste workers compared to the general population. Inefficient waste segregation techniques and the unique property of hepatitis B whereby it can survive outside the body for about a week puts waste scavengers at a significant risk of this disease. The study aims to assess the knowledge and attitude toward hepatitis B and identify the risk factors of hepatitis B among waste scavengers in Lagos, Nigeria. Methods: In a descriptive cross-sectional study, information was obtained from waste scavengers using interviewer administered questionnaires. Respondents were selected consecutively. Data were analyzed using Epi Info™ version 7.2.2.6 and MS-Excel. The associations between variables were considered statistically significant if the two-tailed probability is <5%. Results: Out of 417 respondents, 51 (12.0%) were aware of hepatitis B. Among those aware, 95.0% had poor knowledge of hepatitis B. Majority (87.5%) had a negative attitude toward hepatitis B. The prevalence of needle stick injuries and exposure to blood was 46.5% and 25.7%, respectively. There is also a statistically significant association between the age and level of education of respondents and their attitude toward hepatitis B. Conclusions: Overall knowledge and attitude toward hepatitis B among respondents was poor. Exposure of the respondents at work to risk factors of hepatitis B was high as majority reported presence of used syringes and bloody materials in the waste. Health education programs focused on enlightening waste scavengers about hepatitis B should be organized.","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79982953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Direct cost of treating childhood cancer in Lagos, Nigeria: A tale of financial inaccessibility to care 尼日利亚拉各斯治疗儿童癌症的直接费用:经济上无法获得治疗的故事

IF 0.1

Journal of Clinical Sciences Pub Date : 2021-10-01 DOI: 10.4103/jcls.jcls_87_20

A. Joseph, A. Akinsete, O. Awofeso, O. Balogun, K. Oyeyinka, A. Onitilo

{"title":"Direct cost of treating childhood cancer in Lagos, Nigeria: A tale of financial inaccessibility to care","authors":"A. Joseph, A. Akinsete, O. Awofeso, O. Balogun, K. Oyeyinka, A. Onitilo","doi":"10.4103/jcls.jcls_87_20","DOIUrl":"https://doi.org/10.4103/jcls.jcls_87_20","url":null,"abstract":"Background: Unaffordable health-care costs are a critical factor in poor cancer care in low and middle-income countries. Net costs of treating childhood cancer in Nigeria are largely undocumented. This study sought to define the direct cost of pediatric cancer treatment in Lagos, Nigeria, to address this knowledge gap. Methods: This was a longitudinal study design targeting determination of cost of cancer-related care delivered to newly diagnosed childhood cancer patients at the Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria, from January 2017 to January 2020. Study participants included children with histologically confirmed diagnoses. All direct costs associated with care from the time of diagnosis until either remission or death were documented based on a parental survey at each patient encounter. Results: Among 46 enrolled participants (median age of 6 years), leukemia was the most common diagnosis. The median duration from diagnosis to last assessment was 11 months, and the average cost directly related from diagnosis to remission or death was NGN 5,064,700 (USD 13,876). The highest cost of care was associated with rhabdomyosarcoma, with an average cost of ₦6,798,635 ($18,678). These costs were juxtaposed to the average monthly family earning of NGN 115,228 (USD 316). Conclusion: This study revealed the direct cost of managing childhood cancer in Lagos, Nigeria, which proved unaffordable for most caregivers. Policies are needed to improve the affordability of health-care delivery for childhood cancer, including a focus on the adequacy of health insurance coverage and public health-related policies governing financial support targeting health-care delivery in the context of childhood cancer to improve outcomes.","PeriodicalId":15490,"journal":{"name":"Journal of Clinical Sciences","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84184826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Dunbar (or median arcuate ligament) syndrome: A case series 邓巴(或正中弓状韧带)综合征:一个病例系列

IF 0.1

Journal of Clinical Sciences Pub Date : 2021-09-14 DOI: 10.51201/jusst/21/09562

Praveen Sharma, Pavankumar Mathapati, M. Meyyappan, Keerthi Vatsan

引用次数: 0