{"title":"Pattern of Gunshot Injuries – Experience from Baptist Medical Centre, Eku, Nigeria","authors":"A. Akhator","doi":"10.4314/EBOMED.V9I1.62464","DOIUrl":"https://doi.org/10.4314/EBOMED.V9I1.62464","url":null,"abstract":"Background: Gunshots injuries following communal clashes, youth restiveness and armed violence have reached epidemic proportions in Nigeria. Objective: The aim of the study was to determine the pattern of injuries and management of gunshot wounds in a referral centre in Delta State. Methods: This is a retrospective review of gunshot injuries seen in Baptist Medical Centre, Eku (BMCE), Delta State between January 1st 2004 and December 31st 2005. Results: There were 99 patients identified for study. Eighty-five (85.9%) of the patients were males and 14.1% (14) were females. The mean age of the male patients was 33.03 years and 30.29 years for female patients. The assailants were identified as armed robbers in 82.9% of the cases. The mean injury-arrival time was 6.02 hours. The lower limb (32.3%) was the most commonly involved single region and 23 patients (23.2%) had involvement of multiple regions. There were four (4.04%) fatalities and were directly related to prolonged injury to arrival time and 18 (18.18%) patients had complications mostly wound infection. Conclusion: Gunshot wounds are common in Delta state. Access to prompt medical care will reduce mortality and morbidity associated with gunshot injuries. Poverty eradication and firearm restriction are recommended preventive measures. Keywords: Gunshot injuries, pattern, Eku, Nigeria.","PeriodicalId":228641,"journal":{"name":"Ebonyi Medical Journal","volume":"2 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124265324","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}
{"title":"Prevalence and Behaviour Effects of Psychoactive Substance Use Among University Students in South-Eastern Nigeria","authors":"O. Ekwueme, F. Chukwuneke","doi":"10.4314/EBOMED.V9I1.62466","DOIUrl":"https://doi.org/10.4314/EBOMED.V9I1.62466","url":null,"abstract":"Background: Psychoactive substances can alter consciousness, mood and behaviour of an individual user. Objectives: To determine the pattern of psychoactive substance use and its mental and behavioural effects on university students in Enugu, Nigeria. Methods: A descriptive study was conducted among 422 undergraduates of the University of Nigeria, Enugu Campus. A simple random sampling technique was used in sample selection. A pre-tested semi-structured questionnaire was used for data collection. Analysis was done using Epi-info version 3.3.2 computer software. Results: Psychoactive substance indulged in by the students in decreasing order were alcohol 212(50.2%), coffee 200(47.4%), kolanut 128(30.3%), tobacco (smoke) 51 (12.1%) and marijuana 6(1.4%). When disaggregated by sex, the pattern of use of these substances between male and female students respectively was as follows: alcohol 196(92.5%) and 16(7.5%), coffee 122(61.0%) and 78(39.0%), kolanut 98(76.6%) and 30 (23.4%), tobacco (smoke) 49(96.1%) and two (1.0%) and marijuana 6(100.0%) and 0(0.0%). Most students, 194(46.0%) had used these substances for over five years from the time of the study. The observed difference in the use of psychoactive substance between male and female students was highly statistically significant (p Conclusion: There is prevalent use of psychoactive substance among the undergraduates of the University of Nigeria. Drug use intervention programme is advocated to stem this tide. Keywords: Psychoactive substance, behaviour effects, prevalence, students, South-Eastern Nigeria","PeriodicalId":228641,"journal":{"name":"Ebonyi Medical Journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122607198","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}
{"title":"Clinical aspects of temporo-mandibular joint dislocation in Calabar, Nigeria","authors":"C. Anyanechi","doi":"10.4314/EBOMED.V9I1.62468","DOIUrl":"https://doi.org/10.4314/EBOMED.V9I1.62468","url":null,"abstract":"Background: Dislocation of the temporo mandibular joint (TMJ) dislocation does occur and patients seek early treatment because of the resultant facial deformity and inability of the mandible to function. Objective: The purpose of this study was to clinically evaluate clinical presentations, treatment and treatment outcomes of temporo-mandibular joint (TMJ) dislocation amongst 48 Nigerians who presented at the Dental and Maxillofacial Surgery Clinic, University of Calabar Teaching Hospital Calabar, South-South Nigeria. Methods: This was a prospective study of 48 Nigerians with TMJ dislocation. The emphasis was on their ages, gender, time of presentation, aetiology, type of TMJ dislocation with clinical features and the corrective treatment procedures and outcome of treatment. The data obtained were subjected to statistical analysis using EPI info 2000 version software. Results: There were 32 (66.7%) males and 16 (33.3%) females giving a male- to- female ratio of 2:1. Patients’ ages ranged from 19-79 years with mean age of 42.0 ± SD 3.4 years. The types of dislocation encountered were unilateral, bilateral, recurrent, non-recurrent, acute and chronic. The patients kept follow-up appointments and 43 (89.6%) had successful treatment outcome while five (10.4%) were unsuccessfully treated. Conclusion: Yawning and trauma are the main aetiological factors in TMJ dislocation. The treatment employed depends on the time of presentation and the frequency of occurrence of dislocation. It is hoped that this clinical evaluation will contribute to the understanding and management of this condition by the oral and maxillofacial surgeons. Keywords: Temporo-mandibular joint, dislocation, occurrence, treatment, Nigeria.","PeriodicalId":228641,"journal":{"name":"Ebonyi Medical Journal","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124434668","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}
{"title":"Management Of Ileo-Cutaneous FistulaWith Oral Feeding: A Report Of Three Cases And Review Of The Literature.","authors":"E. Sule","doi":"10.4314/EBOMED.V9I1.62471","DOIUrl":"https://doi.org/10.4314/EBOMED.V9I1.62471","url":null,"abstract":"","PeriodicalId":228641,"journal":{"name":"Ebonyi Medical Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116590935","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}
{"title":"Are obstetric intervention rates and pregnancy outcome worsened by gestational hypertension in Nigerian women managed at a tertiary hospital","authors":"P. Ebeigbe, G. Igberase, P. Okonta, H. Abedi","doi":"10.4314/EBOMED.V8I2.54479","DOIUrl":"https://doi.org/10.4314/EBOMED.V8I2.54479","url":null,"abstract":"Background: Pregnancy induced hypertension and it sequelae eclampsia are major causes of maternal and perinatal morbidity and mortality in developing countries. The aim of this study was to compare the obstetric intervention rates and maternal and fetal outcome in cases of gestational hypertension to that of normotensive women randomly selected from the general obstetric population in a tertiary hospital in Nigeria Methods: Selected measures of obstetric intervention rates and maternal and fetal outcomes in 215 cases of gestational hypertension were compared to that in 300 randomly selected low risk non cases from the general obstetric population. Univariate statistical analysis was done using the Fisher’s exact test. The 95% Confidence interval and Relative risk were also determined. Results: Women with Gestational hypertension had statistically significant higher rates of induction of labour, instrumental delivery and prolonged hospital stay beyond 6 days compared to normotensive women. There were no significant differences in the measures of perinatal outcome. Conclusion: The findings of this study suggest that prompt management of cases of gestational hypertension in a tertiary hospital is associated with reduced risk of maternal and perinatal morbidity and mortality. Key words: Obstetric; intervention; outcome; Gestational hypertension","PeriodicalId":228641,"journal":{"name":"Ebonyi Medical Journal","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129345396","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}
{"title":"Ethical Considerations In Instructions To Authors Of Some Journals Published In Cameroon.","authors":"S. M. Nchangwi, C. Asahngwa, P. Chi","doi":"10.4314/EBOMED.V8I2.54478","DOIUrl":"https://doi.org/10.4314/EBOMED.V8I2.54478","url":null,"abstract":"Background/Aim With increased public awareness on research ethics in Cameroon and the world over, the role of editors and publishers of scientific journals in promoting good ethical practices in scientific research cannot be minimized. This study had as objective to check if the “instructions to authors” of journals published in Cameroon, reflect the rising need for the maintenance of high ethical standards in the conduct and reporting of scientific research. Method The “instruction to authors” of nine journals published in Cameroon were reviewed for ethical considerations. The “instructions to authors” of these journals were then compared to some journals published out of Cameroon. Results 11.11% of the journals will not publish articles that were being considered for publication elsewhere. 22.22% required that a statement be made, if ethical clearance had been obtained. 11.11% of the journals required that studies involving humans be conducted according to an international guideline. 22.22% of the journals stated the need for the corresponding author to sign a document certifying that ethical considerations were respected. 22.22% of the journals stated the need for the submitting authors to approve of the paper being submitted. 22.22% of the journals had as a requirement, the declaration of conflict of interest. Conclusions This study reveals that editors/publishers of journals published in Cameroon are interested in maintaining hig ethical standards in their journals, however there is a need for editors and publishers to introduce or revise the “ethics section” in their instructions to authors, to meet up with international standards. Keywords : ‘Instruction to authors”, journals, Cameroon, ethics 76","PeriodicalId":228641,"journal":{"name":"Ebonyi Medical Journal","volume":"29 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114124918","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}
{"title":"Spectrum Of Eye Diseases At The Ebonyi State University Teaching Hospital, Abakaliki Nigeria","authors":"C. Ogbonnaya","doi":"10.4314/EBOMED.V8I2.54476","DOIUrl":"https://doi.org/10.4314/EBOMED.V8I2.54476","url":null,"abstract":"Objective To determine the pattern of eye disorders presenting at the eye clinic of EBSUTH, Abakaliki. Methodology: This is a prospective, descriptive, total population study. The sample size consists of all consecutive new patients seen at the eye clinic over a 7- month period. A proforma developed for the study was used to enter biodata, visual acuity and clinical diagnosis, for each patient. Data analysis was done using SPSS software package. Analysis was by means of simple tables showing frequencies, percentages and proportions. Relationship between socio-demographic variables and clinical diagnosis were tested using the chi squared statistic. Significance was set at p < 0.05. Result: Out of 781 new patients 381 were males (48.8%) and 400 were females (51.2%). Majority 557 (71.3%) had good vision (VA ≥ 6/18). The most frequent eye disorders were refractive errors/presbyopia (27.4%), allergic conjunctivitis (12.9%), cataract (12.4%), glaucoma (10.6%), pterygium (7.6%), eye trauma (4.7%), and infective conjunctivitis (3.4%). Conclusion Refractive errors, allergic conjunctivitis, cataract, glaucoma, pterygium and eye trauma were the top- six conditions noted. The spectrum of ocular disorders presenting at the eye clinic of EBSUTH is similar to the findings by other recent studies in Nigeria.Key Words: Eye diseases, spectrum, Abakaliki","PeriodicalId":228641,"journal":{"name":"Ebonyi Medical Journal","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132118060","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}
{"title":"Profiling Of Contraceptive Acceptors And Services In A Secondary Health Care Facility In The Niger Delta Region Of Nigeria","authors":"P. Okonta, F. N. Ugoji, H. Abedi","doi":"10.4314/EBOMED.V8I2.54477","DOIUrl":"https://doi.org/10.4314/EBOMED.V8I2.54477","url":null,"abstract":"Background: Increase in contraceptive uptake is a key strategy to reduce unplanned pregnancy and maternal mortality. Reviews of contraceptive uptake and services provide data for assessing progress. Method: A five year review of contraceptive acceptors and service at the Central Hospital, Warri. Results: A total of 528 contraceptive acceptors were seen during the 5 year period. The mean age was 34.2+ 2.3 years. More clients practiced contraception for child spacing (56.4%) than for limiting family size (39.8%). The IUCD, Hormonal Injectables, pills and condoms were available for clients. The IUCD was the preferred contraceptive accepted. Age and parity but not education were significantly associated with type of contraceptive chosen. Conclusion: The range of contraceptives offered clients needs to be expanded and the information management system improved. Key words : Clients, contraceptives, Niger-Delta","PeriodicalId":228641,"journal":{"name":"Ebonyi Medical Journal","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116261918","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}
{"title":"Effect of Multi-Faceted Health Education Campaign on Attitude and Uptake of HIV Counselling and Testing (HCT) among Antenatal Clients attending Primary Health Care Facilities in Kano State, Nigeria","authors":"U. Lawan","doi":"10.4314/EBOMED.V8I2.54480","DOIUrl":"https://doi.org/10.4314/EBOMED.V8I2.54480","url":null,"abstract":"Setting: This study tests the effect of health education on the attitude and uptake of HIV Counselling and Testing among Antenatal clinic (ANC) clients in Primary Health Care (PHC) setting. Aim and Objectives: To determine the combined effect of health education intervention in the clinic and community on the attitude and uptake of HCT among newly booked antenatal clients at PHC setting Method: An intervention study design was implored for the study. Data generated were analyzed using Epi info 3.2.03 and Minitab 12.01 computer statistical softwares. Respondents’ attitude towards HCT was scored and graded using methods adapted from past studies. Percentage difference in attitude and uptake of HCT were summarized and “t”-test was used to compare mean attitude scores. Results: The results show no remarkable difference in the clients’ attitude and their uptake of HCT at baseline, but a marked difference in attitude and uptake parameters in the intervention group at post-intervention. Conclusion and Recommendation: The findings suggest that multifaceted health education campaign is a formidable strategy for improving attitude and uptake of HCT in PHC setting and should be adopted for PHC systems. Key words : Health education; Antenatal clients; HIV Counselling and Testing; PHC setting","PeriodicalId":228641,"journal":{"name":"Ebonyi Medical Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124600640","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}
A. Kullima, B. Audu, M. Bukar, M. Kawuwa, A. Mairiga, B. Bako
{"title":"Vesico vaginal fistula (VVF): a shift in epidemiology in northeastern Nigeria.","authors":"A. Kullima, B. Audu, M. Bukar, M. Kawuwa, A. Mairiga, B. Bako","doi":"10.4314/EBOMED.V8I1.52633","DOIUrl":"https://doi.org/10.4314/EBOMED.V8I1.52633","url":null,"abstract":"Background: Vesico vaginal fistula is not only a medical disorder, but a serious social calamity. It reflects the state of health system failing to meet the basic needs of a growing population. Objective: To determine the epidemiological variables and outcome of the VVF patients. Methodology: Eighty cases of VVF managed over the 10 year period was retrospectively studied. Information pertaining to age, parity, and cause of VVF and outcome of management were retrieved from the case notes. The data was analyzed using SPSS package. Results: VVF Constituted 1.4%, of the total Gynecological admissions during the period. About 76 % were over 20 years, with a peak-age specific prevalence rate of 33.8% at the 20-24 years age group. Teenagers accounted for 23.8%. Most (51.3%) sustained the VVF during their first childbirth, by the second delivery 78.8% were involved. All the teenagers had only one delivery. Majority had no supervised antenatal care and had their deliveries at home under TBAs. Prolonged obstructed labour was the leading cause in 90% and most were in social class IV and V ( using standard occupational classification, OPCS.). Seventy five percent had successful repair, while about 50% were either divorced or neglected by their husbands. Conclusion: Vesico-vaginal fistula remains one preventable medical/social calamity too many. Now, afflicting not just teenagers and primipara, but predominantly, older and parous women. Public health education with the provision of accessible and efficient intrapartum care is the cornerstone to eradicating this problem. Key words : VVF, epidemiology, northeastern, Nigeria, Maiduguri","PeriodicalId":228641,"journal":{"name":"Ebonyi Medical Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129360772","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}