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EN
A survey of 104 sexually active young females tested on on cervico-vaginal swabs showed that 26 of the females (25%) had vulvovaginal candidiasis with a species distribution of Candida isolates accounting for 13 (50%) with C. albicans, 6 (23%) with C. glabrata, 1 (4%) with C. krusei, and 6 (23%) with C. tropicalis. Of the 26 (25 %) subjects that were positive for VVC, 8 (7.8 %) were symptomatic and 18 (18.8 %) were asymptomatic. However, distribution among different age groups revealed an increase in the 23–27 age group. The comparative analysis of sensitivity of the given fungi to the number of antimycotic preparations used revealed the following: in fluconazole, 2 (7.8%) isolates were sensitive, 5 (19.2%) were susceptible and dose dependent, and 19 (73%) were resistant. For voriconazole, 4 (18.4%) isolates were sensitive, 6 (23.1%) were susceptible and dose dependent, and 16 (61.5%) were resistant. For nystatin, 5 (19.2%) isolates were sensitive, 10 (38.5%) were susceptible and dose dependent, and 11 (42.3%) were resistant. It appears that Candida isolates have a variable resistance response, but 19 (73%) had maximum resistance of the isolated fungi of the genus Candida to fluconazole. Therefore, further studies on the evaluation of combination therapy should be considered for a better outcome in treatment of vulvovaginal candidiasis.
Medicina Internacia Revuo
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2013
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vol. 25
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issue 101
237- 242
EN
The article presents the work of St. Joseph’s Eye Hospital, a young hospital in the Mgbirichi Ohaji / Egbeme LGA Imo State of Nigeria. The hospital is run by the catholic order of the Congegration of the Daughters of Mary and provides basic eye care in a rural part of Africa. The article highlights the potentials of the hospital, that also offers collaboration with neighbouring health care institutions and the limitations due to lack of personnel and the equipment for more special interventions.
PL
Podstawy i cele: Posiadanie uniwersalnego narzędzia do oceny bólu u dzieci jest utrudnione przez wrażliwość kulturową. Badanie to miało na celu opracowanie i walidację przyjaznego kulturowo narzędzia do oceny bólu u dzieci tj. Skali Bólu wg Wizerunków Płaczących Twarzy (Crying Faces Pain Scale, CFPS) wśród nigeryjskich dzieci. Metody: W badaniu tym zastosowano standard wzorcowy. Badanie odbyło się w 3 fazach, mianowicie: 1) opracowanie CFPS, 2) walidacja krzyżowa oraz 3) walidacja CFPS. W fazie walidacji wzięło udział 70 dzieci, (39 (55.7%) chłopców i 31 (44.3%) dziewcząt) w przedziale wiekowym 4-13 lat, cierpiących na ból pooperacyjny, ból ortopedyczny, ból brzucha czy ból głowy. Zbadano właściwości psychometryczne i preferencje dla CFPS, w porównaniu z Graficzną Skalą Oceny Bólu Wonga-Bakera (FACES, Wong-Baker Faces Pain Rating Scale). Do analizy danych wykorzystano statystyki opisowe i inferencyjne. Poziom Alpha ustawiono na p<0.05. Wyniki: Średni wynik dla CFPS wyniósł 4,60, w porównaniu do średniego wyniku FACES wynoszącego 4,49. Wystąpiła słaba korelacja pomiędzy FACES a CFPS (r=0,325; p=0,.006). Preferowany wynik dla kulturowo przyjaznego narzędzia dla CFPS i FACES wyniósł odpowiednio 6,07 ±1,23 i 3,67 ±1,09, na podstawie zmodyfikowanej liczbowej skali bólu 0-10. Wnioski: Skala CFPS ma wystarczające właściwości psychometryczne do szacowania bólu u dzieci. Jednak preferowano bardziej CFPS niż FACES, jako bardziej przyjazne kulturowo narzędzie do oceny bólu wśród dzieci w Nigerii. Implikacje: CFPS jest bardziej przyjazny kulturowo i dlatego mógłby być bardziej odpowiedni, jako skala bólu w Afryce. Jednak, ze względu na swoje właściwości psychometryczne, potrzebne będą dalsze badania w celu poprawy tej skali.
EN
Having a universal tool for assessing pain in children is hamstrung by cultural sensitivity. This study aimed to develop and validate a culturally-friendly pain assessment tool (i.e. Crying Faces Pain Scale (CFPS)) among Nigerian Children. This study employed criterion-standard design. The study was in three phases, namely: (1) development of CFPS, (2) cross-validity and (3) validation of the CFPS. 70 children (39 (55.7%) males and 31 (44.3%) females) within the age range of 4-13 years who had post-surgical pain, orthopaedic pain, stomach pain or headache were involved in the validation phase. Psychometric properties and preferences for the CFPS compared with the Wong-Baker FACES Pain Rating Scale (FACES) were examined. Descriptive and inferential statistics were used to analyze the data. Alpha level was set at p<0.05. The median score of the CFPS was 4.60 compared to FACES median score of 4.49. There was weak correlation between FACES and CFPS (r=0.325; p=0.006). Preference score as a culturally friendly tool for CFPS and FACES was 6.07±1.23 and 3.67±1.09 respectively, based on a modified 0-10 numerical pain scale. Conclusions: The crying faces pain scale has fair psychometric properties for assessing pain in children. However, CFPS was preferred to FACES as a culturally friendly tool for assessing pain among Nigerian children. Implications: The CFPS is more culturally friendly and so might be better suited as a pain scale in Africa. However, due to its fair psychometric properties, further studies may be needed to improve upon this scale.
EN
In this review we discussed the challenges and prospects for translational medical research in Nigeria, a developing African country. We also provided some relevant recommendations on how to improve the future of translational medical research in the Nigeria.
EN
Studies were carried out to investigate cultivation of some indigenous edible mushrooms in Anambra State. The most suitable substrates for cultivation of Pleurotus tuberregium and Volvariella volvacea were also investigated. Spawn of V. volvacea was obtained from the Department of Life Science, University of Benin, Edo State and sclerotia of P. Tuberregium purchased from Eke Awka Market, Anambra State were used for this study. Plantain leaves and oil palm bunch wastes were substrates employed for V. volvacea whereas topsoil was used for P. tuberregium cultivation. The methods used were site preparation, substrate preparation, soil preparation, sclerotia preparation, cultivation of sclerotia, irrigation, spawn cultivation and harvesting of mushrooms. Means were analyzed statistically using (ANOVA) to test for significance. Means were separated using Duncan’s Multiple Range Tests (DMRT).The highest number of fruit bodies of V. volvacea, 312.68 was obtained from plantain leaves on day 2 after primordial emergence whereas the least, 21.00 was recorded from oil palm bunch wastes on days 6 and 14, respectively. The highest number of P. tuberregium, 61.58 was recorded on day 12 after primordial emergence while the least, 20.49 was recorded on days 7, 13 and 14, respectively. All the three substrates utilized for cultivation of mushrooms in this study supported their growth and development. Plantain leaves supported fast colonization and produced high yield fruit bodies of V. volvacea. The ability to use agricultural wastes for cultivation of mushrooms will boost food production for ever increasing population.
EN
Introduction - Physical activity (PA) in Chronic Kidney Disease (CKD) requires positive attitude and practice among the renal care team (RCT). The study examined the perceptions and practices of PA and exercise counselling among the RCT in Nigeria. Methods – The study is 24-item cross-sectional survey on exercise counselling practices on 281 renal care practitioners (females = 149, males = 132; mean age = 42 ± 10 years; renal physicians (39%), nurses (50%), and others (11%)) at the 30th annual conference of NANCONF. Results – Forty two percent did not exercise regularly and 58% engaged in moderate-to-vigorous intensity. 92% agreed sedentary lifestyle is a health risk; 96% agreed that increasing PA is beneficial; and 81% reported that PA is beneficial for patients. 35% recommended PA; 17% referred patients to exercise professionals and 11% facilitated implementation of PA. Barriers to the implementation of PA were lack of motivated patients (75%), resources (69%), funds (66%), and motivated staff (63%). Conclusion - Perceptions and practices of PA and exercise counselling in the RCT in Nigeria is promising with inconsistencies between beliefs in the benefits of PA and actual implementation. Addressing the reported barriers could improve the recommendation of PA in patient’s management.
EN
In our study, an inventory was carried out of plants used in managing sexual diseases by Ogba/Egbema/Ndoni tribal people in Rivers State, Nigeria. Ten (10) communities (Kreigani, Odugili, Oboh, Agah, Obakata, Obirikom, Ndoni, Agwe, Egbema and Omoku) were randomly selected within the ethnic clan for the study. Structured pre-tested questionnaires were then administered among Traditional Medicine Practitioners (TMPs), Traditional Birth Attendants (TBAs), herb vendors and knowledgeable individuals. In all, 111 randomly selected informants were interviewed. The collected data was analysed using descriptive statistics and utilization tables. Accordingly, males constituted 50.5% and females 49.5% of the studied population, and a majority of the respondent were subsistent farmers (50.5%), petty traders (22.5%), TBAs (10.8%), TMPs (9.9%) and herb vendors (0.9%). Prevalent health conditions were categorized into twelve areas (miscarriage, menstrual disorder, hernia and weak erection, among others). As a result of the work, taxonomic diversity showed 119 medicinal plants species, belonging to 47 families and 71 genera. Most cited plant families were Malvaceae (7 species) and Fabaceae (6 species). The plant parts that were mostly used were the leaves (52.28 %), roots (37.54 %) and barks (3.86%). This study shows that rural inhabitants still rely on traditional medicine for health care needs, and that many of the medicinal plants should undergo research for future drug development and conservation.
EN
For the management of groundwater resources, understanding aquifer parameters is critical. The Vertical electrical sounding (VES) is considered one of the most common methods in groundwater exploration/aquifer vulnerability assessment. For the study, 15 VES survey was conducted using the Schlumberger configuration with a maximum electrode spacing of 200 m. The data were acquired using ABEM SAS 4000 Terrameter and processed using the WINRESIST program. The data collected were analyzed and interpreted in both qualitative and quantitative terms. Results obtained from the study area revealed that geoelectric layers range from 3 to 4, while the major kind of curve type that domain the study area is the H curve. The evaluation of aquifer protective capacity/groundwater potentials was based on the following parameters: Reflection Coefficient (Rc), Resistivity Contrast (Fc), Longitudinal Conductance (S), and Average Transverse Resistance (T). Result obtained from the study revealed that Rc, Fc, S, and T ranges from -0.70 to 0.95 with an average value of 0.10, 0.17 to 35.79 with an average value of 0.57, 822.26 to 32009.8 with an average value of 13908.8, and 0.001 Ω/m2 to 0.25 Ω/m2 with an average value of 0.063 Ω/m2 respectively. Deductions from Rc and Fc suggest that the study area showed good prospects for groundwater potential. Findings from S suggest that the study is vulnerable to surface contamination due to anthropogenic activities.
EN
A literature analysis was conducted to assess the effects of tricycles and health information in the Nigerian environment, with the goal of studying their impact on human health and the environment. According to the reviewed literature, road users are constantly exposed to tricycle emissions and other environmental pollutants, which may be hazardous to health and cause climate change due to air pollution consequences, as described by a few academics. CO, N2O, SO2, CH4, H2S, PM, S2O, Pb, and VOCs were found to be above NAAQS and FMEnv, indicating that the ambient air around Nigerian towns and cities was polluted. The accumulation of pollutants in the air, on people (road users), and in the immediate environment creates major health and environmental dangers. If not carefully monitored, the occurrence of these contaminants in humans and the environment may tend to increase in the coming years, having a harmful influence on man and the ecosystem as a whole. As severe as it gets human and climatic changes have unavoidable health consequences. As a result, regular re-evaluation of tricycle emissions and their influence on human health and the environment is essential.
EN
The study examined the application of Remote Sensing and Geographic Information Systems in estimating the potential health effects of solid waste dump sites located close to residences within Jalingo town, in mapping out the existing dumpsites, in carrying out proximity analysis and in assessing the impact of these dump sites on residences within the study area. Both primary and secondary data were used to achieve the objectives of the study. The primary data were the geographical coordinates of all the dumpsites from the selected five wards in the study area. This was obtained using hand held GPS. The secondary data applied included administrative boundary maps (Ancillary data) and recorded cases of malaria incidence from health facilities located in the area. Data were analyzed in ArcGIS 10.3 environment to display the X and Y coordinates and to obtain the spatial distribution of the dumpsites on a composites map. Geo-processing using ring buffering was carried out to form a proximity analysis of the dumpsites. Assessment of the impact of the dumpsites on the health of dwellers within the study area was achieved from a proximity analysis that compared location with the recorded cases of malaria. The findings of the study revealed that proximity analysis of a 500m and 1000m standard demonstrated that residences within 7.857 km2 and 31.439 km2 of each dumpsite, respectively, are in danger of dumpsite related disease. This is because out of the total built-up area of 61.479 km2 in the study area; most of the dumpsites located within 31.439 km2 of the built-up area do not conform to the NESREA standard criteria of siting a dumpsite. The assessment of the cases of malaria incidence recorded and the numbers of dumpsites revealed that dumpsites location close to residence had more cases of malaria incidence, thus it is believed that the dumpsites contribute to the breeding the female anopheles mosquito that transmit malaria to humans. The study recommends dumpsite location suitability analysis be performed in Jalingo and that to avoid endemic Malaria, the appropriate authorities close down dumpsites close to residences.
EN
The study ascertains some physiochemical properties of soils around Power-line dumpsite at Boji-Boji Owa, Delta State, Nigeria. In order to evaluate the effects of municipal solid waste dumpsites on soils, soil samples were collected with the aid of a graduated soil auger at depths of 0 – 10 cm, 15 – 25 cm and 25 – 40 cm, representing top to sub and bottom soil sand also 500 m away from dumpsites which serves as control site (R). Samples were taken for laboratory analyses to determine the level of physiochemical properties such as: pH, grain size distribution, Electrical Conductivity (Ec), Organic Carbon (OC), Organic Matter (OM), Available Phosphorous (Av. P), Overall Nitrogen (ON), Basic Cations and Cation Exchange Capacity (CEC) in soils. Results obtained from the study, revealed that values between waste dumpsite and control site were significantly different. Findings showed that the pH value in sampled soils from studied dumpsites ranged from 6.22±0.06 and 7.97±0.04 while the mean pH value for controlled site was 39.8±0.08. The increase in the pH value of the sampled soil indicated an increase in CEC mean value of soil which ranged from 4.73±0.30 and 10.28±0.46 mEq/100 g while a low pH indicated low CEC mean value of 1.50±0.22 mEq/100 g. This is because there exists a positively significant relationship between pH, OC, OM, Av.P, ON, basic cations and CEC. As Ec varied between 692±4.50 to 918±4.03 μScm-1, OC varied between 0.05±0.00 to 0.64±0.03%, OM varied between 0.10±0.06 to 0.57±0.07%, Av.P varied between 8.98±0.06 to 25.36±0.22 mg/kg and ON varied between 0.44±0.01 to 0.93±0.03% across all studied dumpsites.
EN
A comprehensive review of literature was carried out to evaluate the presence of heavy metals (HMs), with a view to study its effect on man, plants and aquatic organisms in Ebonyi State, southeastern Nigeria. From reviewed literature it was observed that the major source of HM in soil and water can be attributed to anthropogenic activities such as mining and quarrying. Geogenic activities were also implicated by some scholars. Detail analysis showed that 62 % of HMs in water and soil is attributed to mining, while 23 % is attributed to indiscriminate waste disposal, and 15 % is due of other human and geogenic activities. The accumulation of HMs in plants, soil and water poses a serious risk to human, plants and aquatic organisms within the study area. The occurrence of HMs in soil and water if not properly monitored may tend to increase in years to come and this may have negative impact on plants and aquatic organisms. Severe health effects of humans are inevitable. Therefore, constant re-evaluating of HM in water and soil in the area is highly required.
EN
Lineament study over Hawal Basement Complex has not been fully mapped out for mineral exploration to generate revenue and employment. The study which was carried out using upward continuation filter, first and second vertical derivative filter, analytical signal filter, and Euler deconvolution filter were interpreted. It shows that the Basement Complex has high magnetic intensities with multiple fault lines, and three major trend directions of lineament NE-SW, NW-SE, and E-W respectively. The analytical signal filter gives additional evidence that there is tectonic control on the emplacement of these basic rocks (Younger basalt and Basalt). Their emplacement utilized pre-existing fractures or lineaments in the Precambrian Basement Complex and correlate with major river courses/foliation trends. These fault zones discovered around areas like Meringa, Biu, Shaffa, Shani, Song, and environs may serve as hosts for mineral exploration.
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