Tropical Journal of Health Sciences最新文献_第10页

Prevalence of obesity among women attending a Nigerian primary care clinic. 在尼日利亚初级保健诊所就诊的妇女肥胖率。

Tropical Journal of Health Sciences Pub Date : 2010-03-15 DOI: 10.4314/TJHC.V17I1.52812

A. Ogunbode, Ladipo Mm, I. Ajayi, O. Ogunbode, L. Adebusoye, A. Fatiregun

{"title":"Prevalence of obesity among women attending a Nigerian primary care clinic.","authors":"A. Ogunbode, Ladipo Mm, I. Ajayi, O. Ogunbode, L. Adebusoye, A. Fatiregun","doi":"10.4314/TJHC.V17I1.52812","DOIUrl":"https://doi.org/10.4314/TJHC.V17I1.52812","url":null,"abstract":"The objective was to determine the prevalence of obesity and associated risk factors among women in a Nigerian Out-Patient clinic. A pre-tested structured questionnaire was administered on women at the General Outpatients' Department (G.O.P.D.) of the University College Hospital (U.C.H.), Ibadan. The prevalence of obesity was 41.8%. Age was significantly associated with obesity, p=0.001. Majority of the obese participants (68.9%) in comparison to non obese (46.4%) were traders, p=0.001. Many of the obese respondents were married (82.6%) in comparison to non obese respondents who were widowed (67.4%), p=0.001. Many of the obese respondents were multiparous (44.3 %) having more than 4 children in comparison to the non obese respondents with the highest proportion of women with no children (36.1%), p=0.001. Fewer of the obese women had no formal education (28.1%) and no primary education (26.4%), in comparison to the non obese with 32.2% having secondary education and 27% having post-secondary education, p=0.015.Majority of the obese women (62.3%) were pre-menopausal in comparison to the non obese with 79.0% being pre-menopausal, p=0.001. Multivariate analysis done using logistic regression showed that risk factors for obesity included age group 50-59 years (Odds Ratio 15.914, 95% CI=1.389-182.26, p=0.026), and being menopausal (Odds Rat io 1.452. 95%CI=0.587-3.594,p=0.017).Having greater than five children was also found to be a risk factor for obesity (OR=3.321,95%CI=1.236-8.921,p=0.017). The prevalence of obesity among Nigerian women remains high. There is a need to plan and implement measures for control. Keywords: Prevalence, obesity, women, primary care, Nigeria.","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79554967","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: 4

End-use of health policy analysis – the case of maternal mortality reduction in Nigeria 卫生政策分析的最终用途——以尼日利亚降低产妇死亡率为例

Tropical Journal of Health Sciences Pub Date : 2010-03-15 DOI: 10.4314/TJHC.V17I1.52786

F. Okonofua, L. Omo-Aghoja

{"title":"End-use of health policy analysis – the case of maternal mortality reduction in Nigeria","authors":"F. Okonofua, L. Omo-Aghoja","doi":"10.4314/TJHC.V17I1.52786","DOIUrl":"https://doi.org/10.4314/TJHC.V17I1.52786","url":null,"abstract":"Nigeria presently has one of the highest rates of maternal mortality (MM) in the developing world. As part of efforts to reduce her MM, Nigeria's Federal Ministry of Health has formulated policies on sexual and reproductive health, health sector reform and safe motherhood. However, actual implementations of these policies have been less successful, resulting in persisting high rates ofMMin the country. Part of the reasons for this state of affairs includes the non-inclusion in the policy development process, of issues such as unsafe abortion, adolescent sexuality and early marriage. Secondly, although MM is largely driven by poverty and under-development, there is very poor understanding of this inter-relationship, with little attention given to addressing the various multisectorial issues that impact on MM. Thirdly, the lack of a conscientious and organized policy network to drive the process of policy implementation has ensured that health policies have never been implemented at a sustainable level. However, there is some evidence that political will for safe motherhood has recently increased in Nigeria, with efforts being given to prioritizing the problem as a major developmental and public health issue. Disappointingly, major challenges still remain in the actual implementation of health policies relating to the reduction of MM. We believe that strategic advocacy and public health education, improved coordination of policy networks and the use of the human rights and gender analysis frameworks will ensure better use of policy analysis for the reduction of MM in Nigeria. Key words End-use, health policy analysis, maternal mortality reduction, Nigeria","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73348209","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: 2

Cardiovascular health benefits of some locally adoptable exercise techniques 一些适合当地的运动技巧对心血管健康的益处

Tropical Journal of Health Sciences Pub Date : 2010-03-15 DOI: 10.4314/TJHC.V17I1.52810

A. Adeniyi, U. A. Ahmed

引用次数: 0

Haemagglutination assay of some human and animal arcobacter specie 一些人畜弧菌的血凝试验

Tropical Journal of Health Sciences Pub Date : 2010-03-15 DOI: 10.4314/TJHC.V17I1.52798

Adesiji Yo, B. Oseni, J. Oloke, Coker Ao

{"title":"Haemagglutination assay of some human and animal arcobacter specie","authors":"Adesiji Yo, B. Oseni, J. Oloke, Coker Ao","doi":"10.4314/TJHC.V17I1.52798","DOIUrl":"https://doi.org/10.4314/TJHC.V17I1.52798","url":null,"abstract":"Arcobacter are emerging food borne enteropathogens which can cause severe diarrhea and occasional systemic infection such as bacteraemia and peritonitis in humans. To understand the pathogenicity of this emerging pathogen, putative adhesive factors in the organism were studied by examining their ability to agglutinate erythrocytes from humans and other animal species. A total of 10 Arcobacter species from which four strains were obtained from humans and one from pigs in France. Five isolates were obtained from stool of healthy pigs and chicken in Nigeria. They were identified and confirmed by phenotypic and PCR techniques. Bacteria cells were washed in PBS by centrifugation. 20 μl of bacteria cells was reacted with equal volume of erythrocytes. Macroscopic haemagglutination was scored as either positive or negative after 5 minutes of mixing at room temperature. To understand the nature of red cell receptor for haemagglutinin, various sugars was used to inhibit previously positive haemagglutination reaction. Fresh cultures of all strains agglutinated erythrocytes from humans (blood group A+), sheep, guinea-pig and chicken. 20μl of all suspension containing 10 cellsml gave a strong microscopic haemagglutination within 5 minutes after mixing with an equal volume of 3% erythrocytes suspension on a clean microscopic slide. No inhibition was observed with D glucose and mannose on previously positive haemagglutinating strains, but galactose inhibited by the same 50/50% (v|v). The result of this experiment provides a basis for further development of specific immunogen required for a more detailed study of characterization of specific adhesins. Keywords : Arcobacter, Haemagglutination, Adhesive factors, Nigeria","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74512223","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: 2

Pattern of intestinal parasites at open air defecation sites in Kathmandu Valley, Nepal. 尼泊尔加德满都谷地露天排便地点肠道寄生虫的分布。

Tropical Journal of Health Sciences Pub Date : 2010-03-15 DOI: 10.4314/TJHC.V17I1.52808

T.R. Ghimire

{"title":"Pattern of intestinal parasites at open air defecation sites in Kathmandu Valley, Nepal.","authors":"T.R. Ghimire","doi":"10.4314/TJHC.V17I1.52808","DOIUrl":"https://doi.org/10.4314/TJHC.V17I1.52808","url":null,"abstract":"The poor socio-economic status of street children leads to dangerous and unhealthy living environments. Also open defecation and regular contact with dogs, flies and contaminated soil, water, faeces, foods and fomites; increase their chance of infestation by intestinal protozoa and helminths. This study intends to found out the intestinal parasites among the stools collected from openly-defecating street children in KathmanduValley, Nepal. A total of 93 stool samples were collected in plastic vial with spoon and tight-fitting lid from 93 of street children who were defecating in the roadside and air-bridge in different locations of Kathmandu Valley from May 2008 to July 2008. Stool microscopy included examination by direct wet mount in 2.5% potassium dichromate solution and confirmation techniques used for oocysts of was Z-N (acid-fast) s taining, oculo- s tage micrometer and bisporulation assays. Analysis of the results show that majority of stool specimens were brown or pale yellow (63.4%), soft-formed (78.5%), without blood (96.8%), with mucus (62.4%) and without adult forms of helminths (96.8%). The entire stool specimen was positive for intestinal parasite, (prevalence of 100.0%). The intestinal parasites seen included: spp, spp, Hookworm, , and The intensity of the intestinal parasitic infection was recorded in percentage such as 1.0% for single, 7.1% for double, 51.2% for triple, 30.2% for quadruple and 10.5% for quintuple. It is therefore concluded that a program should be conducted to treat intestinal parasites in street children living in this environment. Government should implement strict laws and orders against indiscriminate defecation and support this by provision of public toilet. Keywords: Intestinal parasites; stool; street children; Kathmandu.","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86183620","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: 4

Views of primary and secondary school teachers of childhood epilepsy and asthma 中小学教师对儿童癫痫和哮喘的看法

Tropical Journal of Health Sciences Pub Date : 2010-03-15 DOI: 10.4314/TJHC.V17I1.52818

E. Sanya, P. Kolo, O. Buhari, J. A. Ogunmoded, S. Aderibigbe

{"title":"Views of primary and secondary school teachers of childhood epilepsy and asthma","authors":"E. Sanya, P. Kolo, O. Buhari, J. A. Ogunmoded, S. Aderibigbe","doi":"10.4314/TJHC.V17I1.52818","DOIUrl":"https://doi.org/10.4314/TJHC.V17I1.52818","url":null,"abstract":"Epilepsy and asthma are 2 common chronic medical conditions that are seen in school-age children. Both are characterized by paroxysmal attacks that require prolonged medication and regular clinic attendance. Since teacher's attitudes and perception of chronic condi t ions affect s s tudent ' s academic performance and adjustment in the class, this study compares teachers' knowledge and attitude to these ailments. Six hundred sel f -admini s tered standardized questionnaires were given to teachers in public schools (primary and secondary) in Ilorin metropolis, the capital of Kwara State. The response rate was 88%. Respondents were 35% males and 65% females with age range of 20 to 67years (mean of 35.±8.9). All the teachers had been educated for 12years, but there health educational knowledge about epilepsy and asthma appear inadequate. However, responses were more in favor of asthma than epilepsy.About 21% and 4% of teachers associated epilepsy and asthma with insanity respectively. Forty-eight percent of participants indicated that epilepsy was contractible through saliva, compared to 13% that held same opinion of asthma (P Keywords: Teachers-Epilepsy-Asthma-Attitude-Perceptio","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81064454","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

Investigation of an outbreak of food poisoning in a resource-limited setting 调查一宗资源有限的食物中毒个案

Tropical Journal of Health Sciences Pub Date : 2010-03-15 DOI: 10.4314/TJHC.V17I1.52816

A. Fatiregun, O. Oyebade, L. Oladokun

{"title":"Investigation of an outbreak of food poisoning in a resource-limited setting","authors":"A. Fatiregun, O. Oyebade, L. Oladokun","doi":"10.4314/TJHC.V17I1.52816","DOIUrl":"https://doi.org/10.4314/TJHC.V17I1.52816","url":null,"abstract":"An acute onset of gastrointestinal symptoms among people who had attended and eaten at a burial ceremony generated a lot of public concern as indicated by subsequent media reports. We, therefore, set out to investigate this outbreak with the aim of assessing its magnitude and identifying the implicated food item.Case patients were sought, line listed and described. A retrospective cohort design was used to evaluate the risk for each food item reported to have been served at the ceremony.Atotal of 60 case patients and 3 deaths were identified. Symptoms reported included fainting spells in 100% of patients, vomiting in 86% and diarrhea in 7%. The average incubation period of the disease was 90 minutes (range 30 to 150 minutes). The risk difference for each food item reported to have been served at the ceremony was observed to be 59.2% for meat, 52.9% for mixed yam/cassava flour “amala”, 52.9% for vegetable “ewedu”, 42.9% for rice grain and 45% for sachet water. This investigation provided the opportunity to identify the major constraints to an effective outbreak investigation in our environment, including inadequate preparedness and lack of public health laboratories; hence it is necessary for the government at all levels to support the provision of this service. Keywords : Outbreak Investigation, Food Poisoning, Nigeria.","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80935239","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: 14

Home management of childhood diarrhoea among mothers in Sokoto, Nigeria. 尼日利亚索科托母亲儿童腹泻的家庭管理。

Tropical Journal of Health Sciences Pub Date : 2010-03-15 DOI: 10.4314/TJHC.V17I1.52801

A. Abiola, A. L. Ndaman, S. Idris, N. Jiya, M. Ibrahim

{"title":"Home management of childhood diarrhoea among mothers in Sokoto, Nigeria.","authors":"A. Abiola, A. L. Ndaman, S. Idris, N. Jiya, M. Ibrahim","doi":"10.4314/TJHC.V17I1.52801","DOIUrl":"https://doi.org/10.4314/TJHC.V17I1.52801","url":null,"abstract":"Diarrhoea diseases are major causes of childhood morbidity and mortality in developing countries. Treatment guidelines by the World Health Organization indicate that most cases of childhood diarrhoea can be treated at home by increased fluid intake and continued feeding during diarrhoea episodes. The aim of this study was to determine the knowledge, perception and practice of home management of childhood diarrhoea with ORS/SSS among mothers in Sokoto Metropolis. The study design was a cross-sectional descriptive study. Multistage sampling technique was used to select respondents. Pre-tested, structured, open and close-ended interviewer administered questionnaires and observer checklist were used for data collection. A total of 423 respondents were interviewed. The mean knowledge score (%) was 59.7±23.0. Majority (62.9%) knew correctly that diarrhoea is said to occur when a child passes loose stool more than three times within 24hours. Majority (81.1%) knew that diarrhoea can be caused by contaminated water; however, 32.4% were also of the view that evil eye is the cause of diarrhea. Majority (73.7%) of the mothers believed that ORS/SSS is the best method for home management of diarrhea while 11.1% believed it is harmful to the child.Agreat proportion (90.5%) of those who had attempted to manage diarrhoea at home reported that the child's condition improved. In conclusion this study has demonstrated high level of knowledge of home management of childhood diarrhoea using ORS/SSS among the study subjects. There is therefore need for more enlightenment campaigns to improve and sustain the knowledge. The use of ORS/SSS for home management of childhood diarrhoea should be included in the curriculum of females and perhaps males as well in secondary schools. Keywords: Laboratory results, clinical diagnosis, malaria","PeriodicalId":23292,"journal":{"name":"Tropical Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87076107","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: 13

Prolonged upper airway obstruction in an eclamptic patient – challenges of management 子痫患者长时间上气道阻塞-处理的挑战

Tropical Journal of Health Sciences Pub Date : 2009-08-24 DOI: 10.4314/TJHC.V16I2.45282

B. Bolaji

引用次数: 0

Body weight and blood pressure profile in Nigerian secondary school adolescents 尼日利亚中学青少年的体重和血压状况

Tropical Journal of Health Sciences Pub Date : 2009-08-24 DOI: 10.4314/TJHC.V16I2.45274

A. Akinpelu, O. Oyewole, K. Oritogun

引用次数: 0