Journal of BioMedical Research and Clinical Practice最新文献_第4页

Depression among Older Adult Prisoners at the Jos Central Prison- North Central Nigeria 尼日利亚中北部乔斯中央监狱老年囚犯的抑郁症

Journal of BioMedical Research and Clinical Practice Pub Date : 2019-12-06 DOI: 10.46912/JBRCP.V2.I3.2019.119

C. Piwuna, T. Piwuna, N. Dami, M. A. Bankat, T. Agbir, C. Nwoga

{"title":"Depression among Older Adult Prisoners at the Jos Central Prison- North Central Nigeria","authors":"C. Piwuna, T. Piwuna, N. Dami, M. A. Bankat, T. Agbir, C. Nwoga","doi":"10.46912/JBRCP.V2.I3.2019.119","DOIUrl":"https://doi.org/10.46912/JBRCP.V2.I3.2019.119","url":null,"abstract":"This study was carried out to determine the prevalence of depression and its correlates among Older Adult Prisoners at the Jos Central Prison, North Central Nigeria. The study was a cross-sectional descriptive chart, conducted at the Jos Central prisons on eighty-six (86) older prisoners between June 2012 to December 2012. Bio-demographic data and history of any chronic medical condition as well as that of psychiatric condition were also obtained from their clinical records in the clinic located within the prison. Depression was assessed using the Geriatric Depression Scale (GDS) on all the volunteers 50 years and above. The GDS measures cognitive, affective, functional state and a factor that reflects helplessness and fear for the future. The study was largely composed of male making up to 99%. The age range was between 50 to 75 years with a mean 54.36 (SD 3.24) with most of them between 50 to 60 years (90%). A quarter (25%) had not received any form of education while 7 out of 10 had received some form of education. Majority of them were employed (skilled or un-skilled employment) before incarceration. Only 2% were unemployed before their incarceration. Those incarcerated for violent crimes (65%) nearly doubled those in prison for non-violent crimes 35%. Occupational status, pre-existing medical conditions and the perception of their health status before incarceration were found to be statistically significant. Type of crimes committed was not statistically significant. Known chronic medical condition(s) was a risk factor in the inmates developing depression (P-value =0.009). In comparing the specific medical conditions with depression, significant findings were found (P-value= 0.003). The study revealed a prevalence of depression at 59% in older prisoners of 50 years and above. The significant predictors of depression include occupational status, pre-exisitng medical conditions, and the perception of their health status before incarceration were found to be statistically significant.","PeriodicalId":301476,"journal":{"name":"Journal of BioMedical Research and Clinical Practice","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125433977","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

Overview of Lumbosacral MRI Findings in Jos University Teaching Hospital 乔斯大学教学医院腰骶部MRI表现综述

Journal of BioMedical Research and Clinical Practice Pub Date : 2019-12-06 DOI: 10.46912/JBRCP.V2.I3.2019.128

A. Salaam, S. Danjem, A. Salaam, AE Ogbu

{"title":"Overview of Lumbosacral MRI Findings in Jos University Teaching Hospital","authors":"A. Salaam, S. Danjem, A. Salaam, AE Ogbu","doi":"10.46912/JBRCP.V2.I3.2019.128","DOIUrl":"https://doi.org/10.46912/JBRCP.V2.I3.2019.128","url":null,"abstract":"Lumbosacral conditions are common disorders involving the soft tissues and bones of the low back. They may be due to underlying pathologies such as slipped disc, low back pain, TB spine, paraplegia, spinal tumour, degenerative disc disease, lumbosacral spondylosis, cord compression syndrome, traumatic spinal cord injury, caudaequina or fractures of any part of the vertebrae below T12 down to the gluteal fold. Degenerative disc disease, lumbar spondylosis, degenerative disc disease and exit nerve root compression are common findings in the MRI scan of patients with lumbosacral conditions. The MRI scan of patients with lumbosacral conditions seen between 2016 and 2017 were evaluated for the study. The features assessed were degenerative disc diseases, lumbar spondylosis, degenerative disc disease with exit nerve root compression, spinal cord contusion/injury, Pott's disease and lumbar spondylolisthesis. myelitis, lumbar spondylosis with degenerative disc disease, as well as lumbar fracture were also assessed. A total of 233 patients with lumbosacral pathologies were included in this study. There were 132 (56.7%) males and 101 (43.3%) females. Of all the patients with radiculopathies, patients with low back pain as the major indication constituted 23.2%, followed by those with lumbosacral spondylosis (19.3%), paraplegia (15.5%) and slipped disc (13.7%), while patients with caudaequina and spinal tumour represented 2.6% and 1.7% respectively. Degenerative disc disease was the most common finding representing 38.2% patients, followed by lumbar spondylosis (14.6%) and degenerative disc disease with exit nerve root compression (14.2%). Lumbar fracture was the least common finding in 1.3% of patients with lumbosacral conditions. MRI can be used to identify pathologies of lumbosacral tissues in a non-invasive manner. There was a high prevalence of radiculopathies in the lumbosacral spine of patients.","PeriodicalId":301476,"journal":{"name":"Journal of BioMedical Research and Clinical Practice","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131930349","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

Assessing the Clinical Utility of Haptoglobin to Creatinine Ratio as a Test for Detecting Nephropathy among Type 2 Diabetic Patients 结合珠蛋白/肌酐比值检测2型糖尿病肾病的临床应用价值评估

Journal of BioMedical Research and Clinical Practice Pub Date : 2019-12-06 DOI: 10.46912/JBRCP.V2.I3.2019.130

IY Mohammed, A. Busari, M. Ahmad

{"title":"Assessing the Clinical Utility of Haptoglobin to Creatinine Ratio as a Test for Detecting Nephropathy among Type 2 Diabetic Patients","authors":"IY Mohammed, A. Busari, M. Ahmad","doi":"10.46912/JBRCP.V2.I3.2019.130","DOIUrl":"https://doi.org/10.46912/JBRCP.V2.I3.2019.130","url":null,"abstract":"Diabetic nephropathy is the leading cause of diabetic complications and end-stage renal disease worldwide, especially in Nigeria. This study assessed the clinical utility of urine Albumin to Creatinine ratio (UACR) and urine Haptoglobin to Creatinine ratio (UHCR) in detecting nephropathy among type 2 diabetic patients attending Aminu Kano Teaching Hospital. Eighty (80) type 2 diabetic patients attending Aminu Kano Teaching Hospital were recruited for this study after excluding those with overt proteinuria. Blood sample was collected for quantitative determination of serum creatinine using Jaffe's method while the Urine sample was received for quantitative determination of urine albumin and urine haptoglobin levels. Linear regression model revealed a unit change in urine albumin to creatinine ratio (UACR) and urine haptoglobin to creatinine ratio (UHCR) with a significant reduction in estimated Glomerular Filtration Rate (eGFR) by 2.197ml/min and 27.969 ml/min respectively (p<0.05) when used while logistic regression model demonstrated that UHCR have 91.7% sensitivity, 95% specificity, 98% positive predictive value and 79% negative predictive compared to UACR with 83.3% sensitivity, 75% specificity, 91% positive predictive and 60% negative predictive. Based on these findings, UHCR is a good marker for detecting nephropathy in diabetic patients.","PeriodicalId":301476,"journal":{"name":"Journal of BioMedical Research and Clinical Practice","volume":"418 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131595465","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

Food Safety in Sub-urban Market: Knowledge, Attitude and Practice of Hand Hygiene in Wadata Market, Makurdi, Benue State, Nigeria 郊区市场的食品安全:尼日利亚贝努埃州马库尔迪Wadata市场手部卫生的知识、态度和实践

Journal of BioMedical Research and Clinical Practice Pub Date : 2019-12-06 DOI: 10.46912/JBRCP.131

O. Ogbeyi, T. Afolaranmi, PO Amede, O. Audu, BT Koko

{"title":"Food Safety in Sub-urban Market: Knowledge, Attitude and Practice of Hand Hygiene in Wadata Market, Makurdi, Benue State, Nigeria","authors":"O. Ogbeyi, T. Afolaranmi, PO Amede, O. Audu, BT Koko","doi":"10.46912/JBRCP.131","DOIUrl":"https://doi.org/10.46912/JBRCP.131","url":null,"abstract":"A large number of males and females are engaged in the provision of food in Wadata market. Hand hygiene is the cornerstone of infection prevention (IP). When optimally performed, hand hygiene reduces healthcare-associated infections (HAI), spread and antimicrobial resistance (AMR). Poor compliance with hand hygiene practices remains a challenge for IP practitioners all over the world. More than 250 foodborne diseases are caused by bacteria or parasites. This study was conducted using a descriptive cross-sectional study of 138 respondents in Wadata market. Peer-reviewed and pilot tested questionnaires were employed. The questionnaires were classified into four sections namely-socio - demographic characteristics, knowledge on hand hygiene, attitude towards food hygiene and hygiene practices. Data analysis was done using Epi info a software package for statistical analysis version 23. Majority (40.6%) of the respondents were between the ages of 21-30 years. There were more females (80.6%) food vendors than males. Over 65% of the respondents had education above secondary school; and most of them obtained information on hand hygiene from mass media. Over 62% could define hand hygiene correctly while more than 90% had positive attitude towards hand hygiene. The practice level of the respondents of hand hygiene in this study was poor 42.7%. There was significant association between educational status and knowledge of hand hygiene (p<0.05). Overall knowledge of hand hygiene of the respondents was good and they had positive attitude towards hand hygiene but this did not strictly translate to good practices of hand hygiene.","PeriodicalId":301476,"journal":{"name":"Journal of BioMedical Research and Clinical Practice","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124211746","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

Comparism of Knowledge, Attitude and Acceptance of Cervical Cancer Screening Between Female Health and Non-Health Personnel in Jos University Teaching Hospital 乔斯大学附属医院女性健康人员与非健康人员宫颈癌筛查知识、态度及接受程度比较

Journal of BioMedical Research and Clinical Practice Pub Date : 2019-07-06 DOI: 10.46912/JBRCP.V2.I2.2019.118

D. Attah, S. Ochejele, M. Attah, M. Ochoga

{"title":"Comparism of Knowledge, Attitude and Acceptance of Cervical Cancer Screening Between Female Health and Non-Health Personnel in Jos University Teaching Hospital","authors":"D. Attah, S. Ochejele, M. Attah, M. Ochoga","doi":"10.46912/JBRCP.V2.I2.2019.118","DOIUrl":"https://doi.org/10.46912/JBRCP.V2.I2.2019.118","url":null,"abstract":"Cervical carcinoma is a preventable disease yet it remains the leading genital malignancy among women in sub-Saharan Africa. The study objective was to compare the knowledge, attitude and acceptance of cervical cancer screening among female health Personnel and non- health Personnel in Jos University Teaching Hospital (JUTH). JUTH. This was a across-sectional study conducted in JUTH between 15th June and 31st July, 2008. There was significant difference in knowledge between the health personnel 288(91.4%) and non-health personnel 145(36.2%) p value < 0.01. Most (73.7%) of the health personnel had correct knowledge about pap smear as a screening procedure for cervical cancer. Doctors had the highest correct knowledge of 97.5%. Only 64(16.0%) of the non-health personnel had correct knowledge about pap smear. Teachers and those attending Gynaecological clinics had the highest correct knowledge of 45.0% and 24.0% respectively. There was significant difference in the overall rate of screening between the health personnel 75(23.8%) and the non-health personnel 44(11.0%). Out of the respondents that had knowledge about pap smear 42(29.0%) of the 145 non-health personnel and 75(26.0%) of the 288 health personnel had screened with no significant difference between the two groups. The two groups had similar reasons why those that were yet to screen had not screened. About 81.3 % of the health personnel and 87.1% of non-health personnel who were yet to screen would like to be screened. There is the need to carefully draw up a plan to tackle the poor knowledge, attitude and acceptance of cervical cancer and its prevention among our women.","PeriodicalId":301476,"journal":{"name":"Journal of BioMedical Research and Clinical Practice","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126268022","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

Indications for Destructive Eye Surgeries among Children in a Tertiary Eye Care Center in North-Central Nigeria: A Ten Year Review 尼日利亚中北部三级眼科护理中心的儿童破坏性眼科手术指征:十年回顾

Journal of BioMedical Research and Clinical Practice Pub Date : 2019-07-06 DOI: 10.46912/JBRCP.113

O. Odugbo, P. Wade, O. Samuel, C. Mpyet

{"title":"Indications for Destructive Eye Surgeries among Children in a Tertiary Eye Care Center in North-Central Nigeria: A Ten Year Review","authors":"O. Odugbo, P. Wade, O. Samuel, C. Mpyet","doi":"10.46912/JBRCP.113","DOIUrl":"https://doi.org/10.46912/JBRCP.113","url":null,"abstract":"This study aimed to assess the indications for destructive eye surgeries (DES) among children and ascertain the proportion avoidable. The Eye theatre register was retrospectively reviewed. Data on children who had DES from 1st January 2008-31st December 2017 was retrieved. These included biodata; clinical presentation, diagnosis, indication and type of surgery, and outcome of management. The total number of paediatric ophthalmic surgeries within the study period was computed. The data were entered into Epi Info statistical software, version 3.4 for analysis. Descriptive and analytical statistics were applied, p-values < 0.05 were considered statistically significant. A total of 634 ophthalmic surgeries were performed on children within the study period, 50(7.9%) eyes of 49 children had destructive eye surgeries. Thirty-three (67.3%) were males and 16(32.7%) were females; M:F ratio was 2.1:1. The mean age was 6.7±5.0 years with a range of 1.7-11.7years (Mean±SD). Most, 27(55.1%) of the participants had evisceration, 15(30.6%) had enucleation while 7(14.3%) had exenteration. More males, 24(72.7%) had evisceration while more females 10(62.5%) had enucleation (Fisher’s exact test=13.8, p=0.001). The main indications for DES included tumour in 22(44%) eyes, trauma to eyes in 13(26%) and intractable infections in 8(16%) eyes. All the 15 eyes enucleated were confirmed cases of retinoblastoma. Seven (14.3%) persons had orbital exenteration of which 6(85.7%) were retinoblastoma. In all, 42(84%) destructive eye surgeries in this study were avoidable. There is a need for improved enforcement of the “Child’s Right Act” in our environment.","PeriodicalId":301476,"journal":{"name":"Journal of BioMedical Research and Clinical Practice","volume":"21 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120997727","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 Role of Micro-RNA 466i on Vaso-Occlusive Complications of Sickle Cell Anaemia 微rna 466i在镰状细胞性贫血血管闭塞并发症中的作用

Journal of BioMedical Research and Clinical Practice Pub Date : 2019-07-06 DOI: 10.46912/JBRCP.V2.I2.2019.111

U. Anike, I. Nwannadi, I. Okpala, A. Madu

{"title":"The Role of Micro-RNA 466i on Vaso-Occlusive Complications of Sickle Cell Anaemia","authors":"U. Anike, I. Nwannadi, I. Okpala, A. Madu","doi":"10.46912/JBRCP.V2.I2.2019.111","DOIUrl":"https://doi.org/10.46912/JBRCP.V2.I2.2019.111","url":null,"abstract":"Vaso-occlusion in sickle cell anaemia (SCA) is mediated via increased expression of adhesion molecules. Micro-RNA 466i up regulates the expression of interleukin-10 and may contribute to the pathogenesis of the complications in SCA. We sought to investigate the relationship between changes in the level of micro-RNA 466i and the frequency of vaso-occlusive complications in SCA patients. Red blood cells were lysed using ammonium chloride. The resulting white blood cell pellets were lysed in guanidiumisothiocyanate (GITC) lyses buffer. From the GITC lysate, total RNA was extracted. Thereafter, the amount of micro-RNA 466i was quantified. There were no relationships between microRNA 466i and the frequency of complications in SCA patients. (p=0.066) There was also no significant difference in the levels of micro-RNA 466i between patients who had vaso-occlusive complications and those that did not.(p=0.9307) Micro-RNA 466i increased with age (p=0.03) but there was no significant difference between the males and the females patients.(p= 0.370) Micro-RNA 466i (a pro-inflammatory nucleotide) play little or no role in the pathogenesis of vaso-occlusive complications in SCA. Its assay in this group of patients may is not useful in the overall management of these patients.","PeriodicalId":301476,"journal":{"name":"Journal of BioMedical Research and Clinical Practice","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128189624","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

Pattern of Presentation and Diagnostic Profile of Patients Attending a Mental Health Facility in North-Central Nigeria 尼日利亚中北部一家精神卫生机构的病人表现模式和诊断概况

Journal of BioMedical Research and Clinical Practice Pub Date : 2019-07-06 DOI: 10.46912/jbrcp.v2.i2.2019.106

M. Amedu, I. Obekpa, M. Oyigeya, E. A. Iorfa, E. Agbara

{"title":"Pattern of Presentation and Diagnostic Profile of Patients Attending a Mental Health Facility in North-Central Nigeria","authors":"M. Amedu, I. Obekpa, M. Oyigeya, E. A. Iorfa, E. Agbara","doi":"10.46912/jbrcp.v2.i2.2019.106","DOIUrl":"https://doi.org/10.46912/jbrcp.v2.i2.2019.106","url":null,"abstract":"Despite significant advances in the diagnoses and treatment of mental illnesses, it remains shrouded in mystery, myth, and superstition particularly in sub-Saharan Africa. This is often reflected in delayed presentations, frequent relapse and non-treatment, with dire consequences on affected individuals, family, and society. The aim of this study was to evaluate the pattern of presentation and diagnoses of psychiatric illness among attendees of a psychiatric facility in a tertiary hospital in North-Central Nigeria. This was a descriptive, explorative, cross-sectional study. A pro forma was designed to obtain information about patients’ socio-demographic variables, diagnoses, duration of untreated illness, GAF Score and other clinical data, from case files, spanning over a three year period. A total of 720 case files were analyzed with 54% of the patients being male. Only 66(9.2%) comprised of children and adolescents with 83% making up the adult population and 7.5% being elderly (60 years and above). While 129(17.9%) were employed (government and self), most (88%) of the patients reside within the state. Only 12.2% were clinically stable at 6 months follow-up assessment even though most (79.3%) of the patients had absconded at 6months follow-up. Mean duration of untreated illness was 117.5 weeks (SD±226.3) (approximately 2.3years) with Psychotic disorders predominating 355(41.8%). Only 13.4% were diagnosed with depression and 0.6 % mental retardation. Mean GAF score at presentation was 43.23(SD±14.87), a reflection of illness severity at presentation. Mental illness is a common occurrence, however, the majority of patients only present when symptoms become severe or when patients become disruptive. Mental disorders of childhood and old age are particularly underrepresented, underscoring the need for more public enlightenment programs that are geared towards detection, early presentation, treatment and stigma reduction.","PeriodicalId":301476,"journal":{"name":"Journal of BioMedical Research and Clinical Practice","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127880595","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

A Study of Patients who leave the Accident & Emergency Department against Medical Advice: An Eastern Nigeria Tertiary Institution Experience 对不遵医嘱离开急诊科的病人的研究:尼日利亚东部高等教育机构的经验

Journal of BioMedical Research and Clinical Practice Pub Date : 2019-07-06 DOI: 10.46912/JBRCP.116

G. Oguzie, O A Lasebikan, D. Chukwumam, D. Oparaocha, C. Onyempka, NN Lasebikan

{"title":"A Study of Patients who leave the Accident & Emergency Department against Medical Advice: An Eastern Nigeria Tertiary Institution Experience","authors":"G. Oguzie, O A Lasebikan, D. Chukwumam, D. Oparaocha, C. Onyempka, NN Lasebikan","doi":"10.46912/JBRCP.116","DOIUrl":"https://doi.org/10.46912/JBRCP.116","url":null,"abstract":"The concept of patients leaving the Accident & Emergency Department against medical advice, Discharging Against Medical Advice (DAMA) or Signing Against Medical Advice (SAMA) is a common occurrence in our sub-region. These groups of patients are often considered high-risk, as they are prone to complications from seeking alternative healthcare services, which might be detrimental to their health. The objective was to determine the characteristics of patients signing against medical advice and the subspecialty with the highest prevalence of patients leaving the hospital against medical advice. A quantitative cross-sectional study design was chosen to accomplish the objectives of the study. A retrospective study was carried out in the Accident & Emergency Department (A & ED) of Federal Medical Center, Owerri (FMCO), to determine the characteristics of this distinct group of patients who left the hospital against medical advice. A review of the records of all patients who left against medical advice between 1st of August 2012 and 31st of July 2014 was done. There were 137 DAMA cases during the study period. The mean age of the DAMA study group was 32.3 years +/- 15.9. The major subspecialty involved was Orthopedics and Trauma with 51.8% (n = 71). The modal age group was between 21 – 30 years with 41.6% (n = 57) while 77.4% were males. In conclusion younger males with orthopedics and trauma cases were the most involved in DAMA and so this group of patients should be counseled as soon as they arrive the Accident and Emergency Department. A further study is needed to find out where they go and their outcome.","PeriodicalId":301476,"journal":{"name":"Journal of BioMedical Research and Clinical Practice","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121408357","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

Obstructed Left Amyand’s Hernia in a Seven Month Male Infant with Meatal Stenosis: Case Report and Review of Literature 梗阻性左Amyand疝在7个月男婴的金属狭窄:1例报告和文献复习

Journal of BioMedical Research and Clinical Practice Pub Date : 2019-07-06 DOI: 10.46912/JBRCP.V2.I2.2019.117

E. Ogwuche, Ct Soo, A. Animashaun, M. Ochoga

引用次数: 0