Ehichoya D Oseyemwen, Ndudi K Oseyemwen, B. James, O. Enabulele, Joseph Ajokpaniovo, A. Adewole, L. A. Atsikidi, O. E. Egharevba
{"title":"Intimate partner violence among women attending a general practice clinic in Nigeria","authors":"Ehichoya D Oseyemwen, Ndudi K Oseyemwen, B. James, O. Enabulele, Joseph Ajokpaniovo, A. Adewole, L. A. Atsikidi, O. E. Egharevba","doi":"10.4103/NNJCR.NNJCR_10_18","DOIUrl":"https://doi.org/10.4103/NNJCR.NNJCR_10_18","url":null,"abstract":"Background: There has been an increasing concern about the magnitude of violence against women, especially pregnant women in Nigeria. The long-term health impact of violence on the victims as well as the difficulty in directly associating violence with the health outcome of the victims is understudied in Nigeria. This study aimed to determine associations between physical health outcomes and intimate partner violence (IPV) in adult females attending a general practice clinic. Methodology: This was a cross-sectional descriptive study of 360 participants recruited using systematic sampling methods. A modified Abuse Assessment Screen tool was used to screen for IPV and the data were analyzed using version 21 of the Statistical Package for the Social Sciences (SPSS). Results: The prevalence of IPV in this study was 80%. Sexual abuse had the highest prevalence (56.4%), followed by physical and psychological abuse which had the prevalence of 46.7% and 31.9%, respectively. The common risk factors for IPV observed in this study included younger age of respondents, having a large family size, being employed, and partner's educational status. The common comorbidities found among the respondents experiencing IPV included hypertension, pelvic inflammatory disease, peptic acid disorders, osteoarthritis, and depressive illnesses. Alcohol use by partners was the most common perceived reason given by the respondents for their partners' perpetration of IPV. Conclusion: IPV as a part of violence against women remains very high and underreported in our society. The study showed a strong association between IPV and hypertension; this should be of interest to health-care practitioners and researchers.","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129388392","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":"Subseptate uterus causing recurrent miscarriage","authors":"Onyekachi Okechukwu Moemenam, C. Okeudo","doi":"10.4103/NNJCR.NNJCR_2_18","DOIUrl":"https://doi.org/10.4103/NNJCR.NNJCR_2_18","url":null,"abstract":"Subseptate uterus is a variety of congenital uterine malformations that can result in recurrent pregnancy wastages. A high index of suspicion with the application of radiological imaging by experienced personnel will go a long way in achieving the early diagnosis of this uncommon condition. This was a case of 29-year-old Para 0+4 who presented with recurrent miscarriages and was diagnosed of having subseptate uterus using histerosalpingogram, but she declined corrective surgery.","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121885305","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 sonographic patterns of uterine fibroids in Northern Nigeria","authors":"Y. Lawal, Ishaku Bala Yaro, A. Rabiu, R. Emmanuel","doi":"10.4103/NNJCR.NNJCR_4_18","DOIUrl":"https://doi.org/10.4103/NNJCR.NNJCR_4_18","url":null,"abstract":"Background: Uterine fibroids are benign tumors which commonly affect women of reproductive age. Ultrasound scan is regarded as the commonly available method of diagnosing and growth monitoring of uterine fibroids. Objectives: To determine the prevalence of uterine fibroids, their sonographic pattern, and their association with body mass index (BMI) among patients undergoing pelvic ultrasound scan. Methodology: It was a descriptive cross-sectional study that was conducted among patients in Aminu Kano Teaching Hospital. Ethical approval was obtained from the hospital's Ethics Committee. Information such as sociodemographic characteristics was recorded in the questionnaire after obtaining informed consent. Mindray Digital Ultrasound Imaging System (Model DC6; Shenzhen Mindray Biomed Electronics, Shenzhen, China) was used for the study. The data obtained were analyzed using SPSS software version 20 (SPSS Inc., IL, Chicago, USA). A test of association was computed on the categorical variables using Fisher's exact test. P < 0.05 was considered statistically significant. Results: The prevalence of uterine fibroids was 12.1%. Age group of 36–40 years had the highest number of patients with fibroids (25 [29.8%]). Multiple fibroids of more than two nodules were the findings in almost half of the participants (41 [48.8%]). There was no statistically significant association between the number of fibroid nodules and parity P (Fishers') = 0.474 or BMI P (Fishers') = 0.181. Age group was statistically associated with the number of fibroid nodules P (Fishers') = 0.030. Conclusion: The prevalence of uterine fibroids in this study was high. Mixed echo pattern of fibroid nodules was the predominant finding in this study.","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127234722","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":"Perforation of the appendix due to intestinal schistosomiasis at a tertiary hospital in North Central Nigeria","authors":"S. Sani, M. Yilkudi","doi":"10.4103/nnjcr.nnjcr_25_18","DOIUrl":"https://doi.org/10.4103/nnjcr.nnjcr_25_18","url":null,"abstract":"In Nigeria, schistosomiasis is endemic and intestinal form affects the various internal organs. However, perforation of the appendix secondary to intestinal schistosomiasis is few. We report the case of a 35-year-old male with perforation of the appendix due to infestation with Schistosoma mansoni, following histopathological examination of the appendix after a laparotomy.","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133286128","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":"Dysmenorrhea and menstrual patterns among adolescent school girls in Kano","authors":"A. Rabiu, I. Abubakar, I. Garba","doi":"10.4103/NNJCR.NNJCR_3_18","DOIUrl":"https://doi.org/10.4103/NNJCR.NNJCR_3_18","url":null,"abstract":"Background: Dysmenorrhea is a periodic cramping lower abdominal pain which occurs at menstruation. It could be primary when there is no organic basis and secondary when its due to underlying pelvic pathology. The primary dysmenorrhea frequently begins during adolescence. Abnormal menstrual patterns can also be encountered among adolescent. Objective: The objective of the study is to determine the rate of dysmenorrhea and menstrual patterns among adolescent school girls. Methods: It was a descriptive cross-sectional survey that was carried out among female adolescent girls in three secondary schools at Kano. Approval for the study was obtained from Kano State Ministry of Health. Consent/assent was obtained from all the participants/guardians. Information on dysmenorrhea and menstrual patterns was recorded on a pretested structured questionnaire. The data obtained were analyzed using SPSS Version 19, Statistics (SPSS Inc., IL, Chicago, USA). P < 0.05 was considered statistically significant. Results: The mean menstrual cycle ± standard deviation was 27.5 ± 8.76 days. Up to 52 (25%) of the adolescent girls have a 28-day menstrual cycle. The average duration of menstrual flow was 4.9 ± 1.51. The amount of blood flow was normal in 177 (81.6%), scanty/light in 21 (9.7%), and heavy in 19 (8.7%) of the adolescent school girls. The menstrual cycle was regular in 194 (89%) adolescent girls. The prevalence of dysmenorrhea and metrorrhagia was 42.5% and 12.5%, respectively. Conclusion: The prevalence of dysmenorrheal (42.5%) was high in the study. About one-quarter of the adolescent girls had a cycle length of 28 days. The average duration of flow was 4.9 ± 5.1 days with a normal amount of blood flow and regular menses in more than 80% of the adolescent school girls. There was a statistically significant association between heavy menstruation and dysmenorrhea (P < 0.005).","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134426470","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":"Umbilical cord thrombosis, a cause of intrauterine fetal demise: A case study","authors":"M. Al-Mendalawi","doi":"10.4103/nnjcr.nnjcr_26_18","DOIUrl":"https://doi.org/10.4103/nnjcr.nnjcr_26_18","url":null,"abstract":"","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130134383","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":"The usefulness of aortic arch width measurements on chest radiographs of adult patients with systemic hypertension and hypertensive heart disease","authors":"Solomon Halilu, J. Aiyekomogbon","doi":"10.4103/NNJCR.NNJCR_25_17","DOIUrl":"https://doi.org/10.4103/NNJCR.NNJCR_25_17","url":null,"abstract":"Background: Systemic hypertension is a worldwide epidemic and often called a silent killer. It is the most common cardiovascular disease among Africans, and an acknowledged potential risk factor for the development of complications such as stroke, hypertensive heart disease, hypertensive heart failure, and end-organ damage to the brain, eyes, and kidneys. Systemic hypertension and hypertensive heart disease are major causes of widened aortic arch width (AAW) which is evident on chest radiographs. Aim and Objectives: This study is aimed to establish the usefulness of AAW measurements on chest radiographs of patients with systemic hypertension and hypertensive heart disease among adults in Zaria. Materials and Methods: The present study was carried out in the Department of Radiology, Ahmadu Bello University Teaching Hospital, Zaria. Consecutive 305 hypertensive patients and equal number of normotensive individuals, age- and sex-matched controls were recruited. The chest radiographs of the participants were taken according to the standard technique. Results: The mean AAW for the hypertensive patients and controls were 4.34 cm ± 0.79 cm and 3.35 cm ± 0.63 cm, respectively. There was a significant correlation between AAW and blood pressure, particularly in patients <50 years of age. Other variables such as age, body mass index, hypertensive heart disease, and cardiothoracic ratio also correlated positively with AAW. Conclusion: The AAW showed a positive correlation with age and blood pressure with the relationship been more positive with blood pressure. Hypertensive heart disease also correlated positively with AAW.","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"274 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124428750","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":"Knowledge, attitude, and perception of parents of children with congenital anomalies seen at a new tertiary hospital in Nigeria","authors":"S. Olori","doi":"10.4103/NNJCR.NNJCR_27_17","DOIUrl":"https://doi.org/10.4103/NNJCR.NNJCR_27_17","url":null,"abstract":"Context: Congenital anomalies (CAs) which are also known as birth defects constitute a major deficit in health indices of the world. They occur in 3%–5% of all live births and are responsible for high mortality and morbidity, especially in the infancy. Aim: This study aims to evaluate the knowledge, attitude, and perception of CAs by parents in our environment. Materials and Methods: This was a cross-sectional study in which consenting parents whose children had CAs were asked to participate by completing the semi-structured questionnaire at the end of clerking their children who presented to the pediatric surgical outpatient clinic of our hospital. The questionnaires were self-administered except for few parents who were not literate for whom an interpreter was engaged to assist them in completing the forms. Results: Sixty forms were returned completed, but seven were rejected due to poor completion representing 11.6% of the total questionnaires. The modal age at which the children presented was 0–1 month. There were 32 males and 21 females children giving a male-to-female ratio of 1.5:1. Of a total of twenty-one different CAs, Hirschsprung's disease, and spinal bifida were the most common CAs, each accounting for seven (13.2%). Twenty-two (41.5%) of respondents thought the condition could affect the development of their children, but only 20 (37.7%) could state how they would. Fifteen (28.8%) respondents believed that the defects would negatively impact the social rating and societal relevance of their children; however, 37 (37.2%) thought otherwise. Conclusion: In this study, parental concerns about the cosmetic effects and growth deficit were high. Parent's disposition on how to raise their children with these CAs points to the level of knowledge they had about them.","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125359356","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":"Patterns and predictors of management strategies of dysmenorrhea among ghanaian undergraduate students","authors":"A. Osonuga, M. Ekor, Osonuga Odusoga","doi":"10.4103/NNJCR.NNJCR_14_18","DOIUrl":"https://doi.org/10.4103/NNJCR.NNJCR_14_18","url":null,"abstract":"Background and Aim: Dysmenorrhea is a major medical problem as it is the most common gynecological disorder of females of reproductive age and a major complaint of women presenting to a gynecologist. It has a repertoire of negative consequences, which can be severely incapacitating, even though not life-threatening. Our study was an attempt to understand the way Ghanaian undergraduate students managed dysmenorrhea and to see if differences exist in the way medical and nonmedical students managed it. Methodology: The study was a descriptive cross-sectional study involving 200 female undergraduate students (100 medical and 100 nonmedical students) of the University of Cape Coast, Ghana. Data were analyzed using standardized and acceptable statistical tools. P < 0.05 was considered statistically significant. Results: Only 8.9% of the women with menstrual pain sort formal medical advice for dysmenorrhea, while others either practiced self-management or did nothing (88.7%). Females with severe dysmenorrhea were more likely to seek medical help (P < 0.05). Nonmedical students were more likely to seek medical help than their counterparts in medical school. Although analgesic use was high in this study (58.9%), with the use of nonsteroidal anti-inflammatory drugs predominating (72.1%), only 28.2% had very effective control of menstrual pain. This resulted in the high use of combination of pharmacologic and nonpharmacologic means in pain control in 53.3%. Conclusion: Pain relief was grossly inadequate in this study; we advocate for widespread health education on the management of dysmenorrhea among females and their families. Healthcare personnel are also encouraged to treat patients with dysmenorrhea with empathy and offer them the best care available so as to improve their quality of life.","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129947461","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":"Cardiovascular risk factors in a sampled cluster of geriatric Nigerians in a tertiary hospital in South-Eastern Nigeria: Implications for primary care geriatric cardiovascular health advocacy","authors":"G. Pascal Iloh, J. Ofoedu, O. Iro","doi":"10.4103/NNJCR.NNJCR_28_16","DOIUrl":"https://doi.org/10.4103/NNJCR.NNJCR_28_16","url":null,"abstract":"Background: Cardiovascular (CV) risk factors tend to aggregate in geriatric population with variable distribution. These risk factors may act as alert signals for proactive geriatric CV health programs. Aim: This study was aimed at determining the frequencies of nonconstitutional CV risk factors in a sampled cluster of geriatric Nigerians in a tertiary hospital in South-eastern Nigeria. Setting and Design: This was a cross-sectional study carried out on a sampled of 280 geriatric Nigerians at the primary care clinic of Federal Medical Centre, Umuahia, Nigeria, between May 2012 and October 2012. Subjects and Methods: Geriatric Nigerians aged 60 years and above were screened for nonconstitutional risk factors of CV disease. The data collected included sociodemographic variables, metabolic, dietary, and behavioral risk factors using a structured, pretested, and researcher administered the questionnaire. Results: The top five most common CV risk factors were as follows: physical inactivity (67.1%), inadequate fruits consumption (65.7%), hypertension (48.2%), abdominal obesity (47.9%), and dyslipidemia (36.8%). Others were general obesity (31.1%), inadequate vegetable consumption (22.5%), diabetes mellitus (15.7%), habitual use of alcohol beverages (9.0%), habitual use of snuff (3.9%), and nonhabitual smoking of cigarettes (2.8%). Conclusion: This study has demonstrated that risk factors of CV disease exist among geriatric Nigerians in primary care with five most frequent being physical inactivity, inadequate fruits consumption, hypertension, abdominal obesity, and dyslipidemia. Screening geriatric Nigerians for modifiable CV risk factors should be integrated into geriatric primary health care in the study area.","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132710654","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}