Open Access Original Research Article

Theoretical Knowledge of Cardiopulmonary Resuscitation among Some Nigerian Primary and Secondary School Teachers

Adedamola Olutoyin Onyeaso, Onyedikachi Oluferanmi Onyeaso

Asian Journal of Medicine and Health, Page 1-10
DOI: 10.9734/AJMAH/2017/36073

Background / Aim of Study: Although the teaching of cardiopulmonary resuscitation (CPR) to of primary and secondary schools teachers is highly recommended and practiced internationally for the purposes of increasing potential lay person bystander CPR providers for out-of-hospital cardiac arrests, effective management of emergency situations in schools as well as teaching of the school children the same, Nigeria is yet to move in this direction. This study aimed at assessing the pre-training and post-training CPR theoretical knowledge of a group of Nigerian teachers.

Study Design: Cohort quasi-experimental study.

Place and Duration of the Study: Department of Human Kinetics and Health Education, Faculty of Education, University of Port Harcourt in September 2016.

Methodology: A group of Nigerian primary and secondary schools teachers who came for further education at the University of Port Harcourt, Port Harcourt, Nigeria had their pre-training and post-training CPR theoretical knowledge assessed by a certified CPR instructor. The training was based on the American Heart Association (AHA) conventional CPR teaching standard and a questionnaire was used in the data collation.

Results: Although the pre-training CPR theoretical knowledge of the teachers was very poor, there was statistically significant improvement after the training (P = .000)

Conclusion: Nigerian primary and secondary schools teachers hold promise as potential CPR instructors for school children and public, if well exposed as in advanced parts of the world.

 

Open Access Original Research Article

Prevalence of Hypertension among Diabetic Patients in Benghazi: A Study of Associated Factors

Faiza Nouh, Mariam Omar, Manal Younis

Asian Journal of Medicine and Health, Page 1-11
DOI: 10.9734/AJMAH/2017/35830

Diabetes mellitus (DM) and hypertension are diseases reported to be the first and second leading cause of all deaths in both developed and developing countries, including Libya. Increasing age, the presence of obesity, and worsening renal function all contribute to an increased likelihood of hypertension in people with diabetes; which makes both crucial public health concerns for the twenty first century. The purpose of this paper was to identify the prevalence of hypertension among diabetes patients in Benghazi via cross-sectional study. Moreover, it aimed to study the subjects’ characteristics, anthropometric, and clinical variables contributing to this prevalence. The sample, representing subjects aged 30 years and older, consisted of 118 subjects, 72 of whom were females (61.02%), while 46 were males (38.99%). The current study reported (85.6%) prevalence of hypertension among diabetic patients in Benghazi. Age, sex, physical activity, duration of DM and basal body mass index (BMI) were the variables which associated with prevalence of hypertension among Benghazi diabetic patients.

Open Access Original Research Article

Vitamin D and Insulin Resistance in Metabolic Syndrome

Mohamed A. Mashahit, Eman M. Ezzat

Asian Journal of Medicine and Health, Page 1-6
DOI: 10.9734/AJMAH/2017/36087

Poor vitamin D status is frequently linked with nearly all elements of the metabolic syndrome. There is insufficient evidence of beneficial effect to recommend vitamin D supplementation as a means of improving insulin resistance. The aim of this study was to determine the relation between vitamin D deficiency and insulin resistance in patients with metabolic syndrome.

Materials and Methods: Ninety patients with metabolic syndrome received 200,000 IU vitamin D intramuscularly every 4 weeks for 12 weeks. Serum 25-hydroxy vitamin D [25(OH)D], fasting blood sugar, Hb A1c, homeostasis model assessment of insulin resistance(HOMA IR), serum lipid profiles anthropometric factors and blood pressure were assessed before and after intervention.

Results: After intervention, Serum 25-hydroxy vitamin D [25(OH)D] concentration increased in all subjects (14.5 ± 2.2 vs. 32 ± 5.5 (P .0001)]. There was a significant decrease of HOMA-IR (3.05 ± 0.34 vs 2.08 ± .25(P=0.003) in patients with vitamin D deficiency before supplementation.

In conclusion vitamin D supplementation improve IR in patients with metabolic syndrome with vit D deficiency. So, vitamin D supplementation based on baseline [25(OH)D] is recommended.

 

Open Access Original Research Article

Trichomonas vaginalis Infection in a Typical Urban and a Suburban Area of Rivers State Nigeria

A. E. Abah

Asian Journal of Medicine and Health, Page 1-6
DOI: 10.9734/AJMAH/2017/36011

Aims: To assess Trichomonas vaginalis infection in a typical urban and a suburban area of Rivers state Nigeria.

Place and Duration: Three research and diagnostic laboratories in Port Harcourt and its environment between January 2014 and April 2016.

Methodology: High vaginal swab (HVS) was collected from a total of 1431 subjects and examined using a wet mount method after their consent was secured.

Results: The socio-demographic data showed that out of the total of 1431 persons examined 28.09 % (402/1431) were traders and that represents the highest group followed by students 27.17 % (389/1431) while civil servants were the least in the group 12.79 % (183/1431). Among the studied group, more subjects 38.23 % (547/1431) had secondary school education followed by subjects that had tertiary school education 26.00 % (372/1431) while subjects without formal education were the least with 10.55% (151/1431). The overall prevalence of 0.63 % (9/1431) was recorded in present study with more infections in the Revelations laboratories, Diobu (Urban) 0.77 % followed by Diagnostrix laboratories, Diobu (Urban)  0.59 % while the least infection was recorded at Reliable Diagnostics, Ozuoba (Suburban) 0.50 %. Incidentally, the first two laboratories were in the urban area while the last where the least infection was recorded, was in suburban area, showing no significant difference (p>0.05). Age Prevalence showed that subjects within 15-25 years had the highest prevalence of 0.92 % (4/433) followed by subjects within 26-35 years with 0.68 % (3/440) while the least prevalence of zero per cent was recorded among subjects within 46-55 years. More widows (1.10 %) were infected followed by single girls (0.68 %) while the least prevalence was recorded among the married (0.40 %).

Conclusion: The prevalence of T.vaginalis infection is low in Port Harcourt and environment and actually lower in the suburban area than the urban area.  This low prevalence is suggestive of the fact that there is increased health awareness, improved personal hygiene, safer sex practices through the use of preventive measures, as a result of regular campaigns mounted to reduce HIV transmissions and other sexually transmissible diseases in Port Harcourt and surrounding environment.

 

Open Access Original Research Article

Visfatin Level in Diabetic and Non-diabetic Chronic Kidney Diseases

Samer S. Zekry, Maher A. Al Amir, Mohamed A. Mashahit, Hoiyda A. Abd El-Rasol, Ehab A. Hassan

Asian Journal of Medicine and Health, Page 1-11
DOI: 10.9734/AJMAH/2017/36085

Introduction: Chronic kidney disease (CKD) has become a global public health threat. The irreversible nature of the disease, its association with significant morbidity and mortality as well as the cost of renal replacement therapy leads to a large burden for health care providers, particularly in developing countries like Egypt.

Objective: To find a non-invasive method to evaluate association of serum visfatin with chronic kidney disease secondary to diabetic nephropathy and compare to patients with chronic kidney disease secondary to other causes.

Methods: Ninety individuals including 30 healthy controls and 60 patients of CKD were included in this study. Patients with CKD were further grouped based on etiology of CKD into 30 diabetic patients and 30 non-diabetic patients. Patients with type 1 diabetes mellitus, urinary tract           infection, urolithiasis, liver cirrhosis, stroke, ischemic heart disease, and rheumatoid arthritis were excluded. Measurement of serum visfatin was done through ELISA Kit (Elabscience pharmaceuticals).

Results: Visfatin concentration was significantly high in patients with CKD compared to controls (p < 0 .001). No significant difference in Visfatin concentrations between patients of CKD with and without diabetes was detected (p > 0.05). Visfatin concentration was significantly high in patients with CKD stage 2 compared to CKD stage 1 (p < 0 .001).

Conclusion: The present study confirms the association of visfatin with CKD, however further studies at molecular level to check its expression within renal tissue may clarify its definitive role in CKD.