Open Access Original Research Article

Surgery as a Career Choice among Rotatory Interns in North Central Nigeria – A Multi-center Study

B. A. Eke, B. A. Ojo, A. Adekwu, I. O. Ochola, D. Gyenger

Asian Journal of Medicine and Health, Page 1-7
DOI: 10.9734/AJMAH/2017/32497

Background: The future specialty of choice of interns determine the composition of medical practitioners  workforce and the factors that underline this choice needs to be explored to help in healthcare planning and policy formulation for an economically  poor country like Nigeria.

Aim: The study aims to examine the factors that influence rotatory interns on their specialty choice with special reference to surgery with the hope that the information obtained might be of help in improving any imbalances in distribution of medical manpower in our country.

Materials and Methods: This is a survey of 126 interns, using an objective pre tested semi structured questionnaire which explores factors influencing specialty choices among interns in three tertiary hospitals in North Central Nigeria, namely, Federal Medical Center, Makurdi, Benue State University Teaching Hospital, Makurdi and Jos University Teaching Hospital, Jos.

Results: The three most popular specialties were Surgery (30.2%), Pediatrics (14.3%) and Obstetrics and Gynecology (14.3%). The least preferred specialty of choice was Family Medicine and Community Medicine at 1.6% each. These choices are determined by natural interest (38.1%), job satisfaction (38.1%), personal convenience (19%), financial rewards (3.2%) and personal aptitude (1.6%). Among the female interns, a possibility of job satisfaction is the most important determinant of specialty choice. Majority of the respondents consider surgery as important and interesting with 32% saying it’s difficult to understand.

Conclusions: Our findings have implication for provision of specialty health care for Nigerians. Health care service delivery planners have to devise means of attracting interns to the less preferred specialty choice.


Open Access Original Research Article

Organizational Role Stress among Health Science Faculty Members of Kathmandu, Nepal

Ramanand Pandit, Ram Chandra Prasad Yadav, Ashok Pandey

Asian Journal of Medicine and Health, Page 1-6
DOI: 10.9734/AJMAH/2017/35104

Background: Stress is a problem of high teacher turn-out, brain drain, massive alcohol consumption, and high morbidity and mortality rates in the recent years. The main objective of this research is to find out the organizational reasons of being stress among health science faculty members.

Methods: A total of 290 faculty members were selected using the method of simple random sampling from the list of faculty members. A self-administrated questionnaire comprised of organizational role stress scale was used to examine the stressors the participants.

Results: There was significant relationship between organizational stress and stress related to linkage for example role stagnation, role erosion, role expectation/coordination and inter-role distance.

Conclusion: Faculty members were found to be stressed in their roles. Stagnant role was the main contributor in the high stress level among the faculty members.

Open Access Original Research Article

Effects of Hydro-ethanolic Leaf Extract of Tithonia diversifolia on Parasitaemia Level, Serum Metabolites and Histopathology of Organs in Swiss Albino Mice Infected with Plasmodium berghei NK65

D. A. Oloruntola, E. O. Dada, I. B. Osho, O. O. Ogundolie

Asian Journal of Medicine and Health, Page 1-11
DOI: 10.9734/AJMAH/2017/34048

This study was aimed to determine the antiplasmodial, biochemical and histopathological activities of hydroethanolic leaf extract of Tithonia diversifolia in Swiss albino mice infected with P. berghei NK65. Thirty (30) mice were randomly distributed into six groups of five mice each. Groups A, B and C were infected with P. berghei and treated with 0.2 mL of 200 mg/kg, 400 mg/kg and 600 mg/kg body weight of T. diversifolia extract respectively. Group D (positive control) was infected with P. berghei and treated with 0.2 mL of 5 mg/kg body weight of chloroquine. Group E (negative control) was infected with P. berghei and treated with 0.2 mL of normal saline while group F (normal control) was not infected and administered with 0.2 mL of normal saline for four consecutive days. Blood samples and selected organs were collected using standard procedure. Biochemical analysis and histopathological evaluation of the organs were also carried out according to the standard methods. The ethanolic leaf extract of T. diversifolia produced average parasitaemia level of 1489.37, 1318.25 and 136.75 at doses of 200 mg/kg, 400 mg/kg and 600 mg/kg body weight in groups A, B and C respectively. Group D (positive control) and group E (negative control) having 0 and 3607 parasitaemia respectively. The AST, bilirubin, triglyceride, urea and creatinine were not significantly (p>0.05) affected by the treatment. However, significantly higher (p<0.05) level of ALT and cholesterol were recorded in group E. Light microscope examination of liver and kidney tissue of mice treated with extract did not show any structural abnormality. This study shows that the hydro ethanolic leaf extract of T. diversifolia has antiplasmodial effect and may not exact toxic effect on the internal organs.


Open Access Original Research Article

Bacteria Associated with Hospital Handrails in a Tertiary Institution in Nigeria

Amala, Smart Enoch, Monsi, Tombari Pius

Asian Journal of Medicine and Health, Page 1-7
DOI: 10.9734/AJMAH/2017/34991

Background: Hospital acquired infections are serious health issues in the health-care system. These infectious agents are usually drug resistant and complicate patient treatments after diagnosis by physicians.

Aim: The aim of this research was to isolate and identify important bacteria associated with handrails at Braithwaithe Memorial Specialist Hospital (BMSH) hospital, Port Harcourt, Rivers State, Nigeria as this will assist in solving issues associated with hospital acquired infection in health facilities.

Methods: Ten (10) samples were examined by swabbing the different types of handrails at various wards and inoculating onto different media for isolation and identification of isolated bacteria. In this study, only three types of handrails were investigated.

Results: The study show different prevalence of the four (4) types of bacteria isolated: S. aureus (37.5%), E. coli (31.3%), Streptococcus (18.7%) and Proteus (12.5%). In addition, the different types of hand rails examined were: iron (10), wooden handrails (4) and stainless steel (2).

Conclusion: These data have shown that handrails can serve as a potential source of transmitting pathogenic agents as they harbor pathogens and opportunistic pathogens which may thrive in immunocompromised or immunosuppressed individuals.


Open Access Original Research Article

Environmental Sanitation Practices on Malaria Control and Prevention in Abi Local Government Area, Cross River State, Nigeria

Simon Alain Inah, Zacchaeus Uwadiegwu, Jimmy Ebi Eko, Joseph Anuqua Inah

Asian Journal of Medicine and Health, Page 1-12
DOI: 10.9734/AJMAH/2017/34870

Aim: This study was conducted to determine the environmental sanitation practices on malaria prevention and control in Abi Local Government Area, Cross River State, Nigeria.

Study Design: A descriptive cross-sectional study design

Place and Duration of Study: Abi Local Government Area, Cross River State, Nigeria from June to August, 2016

Methodology: A pre-tested structured questionnaire was used to generate data from 450 adult respondents who were selected using multi-stage sampling technique. An observational checklist was used to assess the sanitary condition of residential dwellings and facilities. Data generated was entered into excel spread sheet and exported to Statistical Package for Social Sciences (SPSS version 20.0) software for analysis. Results were presented in frequencies, tables and charts. Chi-square was used to test for association between variables at 0.05 α level.

Results: It was revealed that 283 (62.9%) respondents exhibited poor environmental sanitation practices while 167 (37.1%) had good environmental sanitation practices. It also was observed that age (p=0.023), gender (p=0.000), educational status (p=0.000) and income (p=0.000) were found to be statistically significantly associated with environmental sanitation practices.

Conclusion: Hence, malaria intervention programmes should be redesigned or remodeled to include the core components of environmental sanitation to prevent mosquito breeding and mitigate malaria transmission in rural areas.