Open Access Original Research Article

Stroke Awareness and Drug Adherence among Adult Hypertensives in a Tertiary Health Care Centre

N. Ndubuisi Unamba, C. Eze Nwafor, O. Ernest Nwazor

Asian Journal of Medicine and Health, Page 1-9
DOI: 10.9734/AJMAH/2017/32897

Stroke is rated as the second leading cause of death worldwide. Stroke is mostly a preventable neurological disease because many of its risk factors such as hypertension, dyslipidemia, diabetes mellitus and smoking can be prevented either by lifestyle modification or by pharmaco-therapeutic interventions. Effective therapy for stroke prevention involves the use of antihypertensive therapy since antihypertensive medications is key in achieving controlled blood pressure. This is a cross-sectional study of 130 participants from the University of Port Harcourt Teaching Hospital, Nigeria conducted between August and September 2016. The results showed that 90.8% of the study population knew what a stroke was. Out of the 130 participants, the results showed that 70% were nonadherent to their antihypertensive medication, and among those classified as non-adherent, 45.4% were classified as low adherent. This study showed that a significant predictor of stroke awareness was the level of patient education (p=0.01, OR=0.143, 95%CI= [0.030-0.682]).  A significant predictor of high adherence to antihypertensive medications in this study was the duration of been hypertensive (p=0.035, OR=0.377, 95%CI = [0.153-0.934]). Finally, a significant predictor of optimal blood pressure control was the level of adherence (p=0.01, OR=0.523, 95%CI= [0.318-0.861]).  The outcome of this study underscores the need to enhance the level of formal education of the populace.

Open Access Original Research Article

Food Contamination from Catering Services in Khartoum Teaching Hospital

Mona Abdalgadir

Asian Journal of Medicine and Health, Page 1-5
DOI: 10.9734/AJMAH/2017/31370

Food poisoning is a term used to describe an illness brought about by eating food or drink contaminated with harmful microbes. The three scientific causes of food poisoning are bacteria, viral or chemical "either naturally occurring in food or introduced" Pathogenic organisms are thought to be widely distributed among food handlers and bacteria can be found everywhere; in the environment, on our bodies, the soil, water, air and in the food we eat. Many types of bacteria are useful and essential to our health and survival but there are certain strains of bacteria known as pathogenic bacteria that are harmful to humans this study aimed to assess the prevalence of some pathogenic bacteria due to poor food catering services and study possible contamination causes when food not consumed immediately. This study was conducted in Khartoum teaching hospital, mostly in dietetic units. This hospital has about 50 food services workers and 400 beds. A total of 65 different samples (ready to eat food and swab samples taken from workers hands and utensils) were collected and sent for bacteriological culture. The results obtained in this study varied and the dominant bacteria isolated were Staphylococcus species (55.6%), Escherichia coli, Micrococcus, Aerococcus viridians, Staphylococcus epidermidis and Corynebacterium species. These were present in samples of ready to eat food taken from wards (95%) and the hospital kitchen (85%). Approximately 48% of swab samples were also positive. We concluded that the bacteria isolated from different samples are an indication of poor hygiene practices of the catering system in the intended hospital. We suggest that food should be brought to the patients immediately to avoid any microorganism growth. Food workers must strictly follow food hygiene and safety regulations.

 

Open Access Original Research Article

Mycoplasma genitalium in Infertile and Pregnant Women in Lagos, Nigeria

E. I. Ikeh, Ebie Mike, Allanana John, A. A. Oluwole, Idika Nneoma

Asian Journal of Medicine and Health, Page 1-8
DOI: 10.9734/AJMAH/2017/32825

Aim: The aim of this study is to determine the prevalence of Mycoplasma genitalium in infertile and pregnant women in Lagos metropolis, Nigeria.

Study Design: The study is a cross sectional survey for the presence of M. genitalium in infertile and pregnant women aged 22 to 45 years that attended the Gynecology and Antenatal clinics at Lagos.

Place and Duration of Study: The study was conducted over a 3 month period within Lagos, Nigeria.

Methodology: First- void urine and high vaginal swab samples were collected from 143 infertile women; while 90 pregnant women had their samples collected from the two hospitals. The samples were immediately inoculated into 5ml of sterile Mycoplasma broth and transported to the laboratory. The nucleic acid amplification test (Polymerase Chain Reaction) was used to analyze the samples.

Results: Out of the 143 infertile women, 5 (7.7%) yielded M. genitalium while 3 of the 90 pregnant women were positive for M. genitalium using the high vaginal swab specimens. The first voided urine samples from infertile women gave a percentage of 2.6% (2 positives) while 2 of the urine samples from the pregnant women were positive giving a percentage of 4.4.

Conclusion: The study shows that M. genitalium can be demonstrated in both pregnant and infertile women using PCR since it is a very fastidious organism. This pathogen should be routinely sought for in all cases of infertility where no other known case is implicated and in pregnancy to prevent recurrent pregnancy outcome. 

 

Open Access Original Research Article

Surveillance of Uterine Myomata Cases in Tradomedical Centres in Benin Metropolis, Nigeria

Bolaji Efosa Odigie, Blessing Emosho Atoigwe

Asian Journal of Medicine and Health, Page 1-8
DOI: 10.9734/AJMAH/2017/32946

Aims: The information relating to uteri myomata in tradomedical centres (TMC) in Benin metropolis, Nigeria are lacking compared with the same from modern hospitals. The aim of this study is to assess the patterns of care for uteri myomata sufferers attending TMC in Benin metropolis. The physical and observational factors (hygiene condition, environment, and herbs preparation for patients) were also studied in each centre.

Study Design: Involved probabilistic (simple random) sampling of attendees from 32 tradomedical centres.

Place and Duration of Study: The study was carried out in Benn Metropolis, South-southern, Nigeria from June 2015 to December 2016.

Methodology: This study was a probabilistic (simple random) surveillance of 462 women of reproductive age who participated voluntarily using multiple choice questionnaires, while, the physical factors were observed and documented. The statistical software INSTAT+ version 3.3 was used for data analysis while the statistical significance was set at P < 0.05.

Results: Majority of participants were aged (31-40), mean age (37.5), median (36.5) and range (19-56) years. In addition, 21/32(65.6%) of TMCs were of poor hygiene conditions, 31/32(96.9%) herbs preparation were unscientific and 19/32(59.4%) operated in an unconducive environment.

Conclusions: Generally the hygiene situations, practising environments and herbs preparation were questionable. The decision to patronise tradomedical centres was majorly by choice, phobia for surgery, and cost of hospitalisation amongst others. Hence, widespread health education on uterine myomata for the general public and amongst traditional birth practitioners is recommended.

 

Open Access Case Report

Thrombocytopenia-absent Radius Syndrome with Vitamin B12 Deficiency: Case Report with Literature Review

Sohaila Fatima, Wajih Ahmed Siddiqui

Asian Journal of Medicine and Health, Page 1-5
DOI: 10.9734/AJMAH/2017/33836

Thrombocytopenia-absent radius syndrome (TAR) is a rare malformation in which thrombocytopenia is associated with lateral radial bone aplasia. The major cause of mortality is hemorrhage which is usually limited to first 14 months of life. Thrombocytopenic episodes decrease as age advances. We present a 22 years old male who was diagnosed as nutritional vitamin       B12 deficiency. Despite of giving treatment his platelets did not improve so the patient was   reviewed and a revised diagnosis of TAR Syndrome with nutritional vitamin B12 deficiency          was made.