ABSTRACT
Background:Moderate acute malnutrition (MAM) is a leading cause of childhood morbidity and mortality globally. The morbidity pattern of underfives with this condition is yet to be described. Objective: To describe the morbidity pattern of underfives with MAM.Method: Across sectional study was conducted in two Primary Health Centres in Uruan Local Government Area of Akwa Ibom State. Caregivers'brought children aged 6- 59 months to the health facilities following community mobilization. Eligible children were recruited into the study after obtaining parental consent. Avalidated proforma was used to obtain the biodata and symptoms of common illnesses in the children. Ageneral physical examination, anthropometric measurements and systemic examination were performed. Results: Atotal of 162 children were recruited into the study. Their mean (±SD) age was 20.4 ± 13.0 months. Over 70% of them were 6 - 23 months of age. Their mean (±SD) length/height was 77.3 ± 29.6 cm, mean (±SD) weight was 8.3 ± 3.4 kg and mean (±SD) mid upper arm circumference was 12.4 ± 4.5 cm. The main symptoms noted in the children were; fever 99 (61.1%), cough 84 (51.9%), weight loss 81 (50.0%), diarrhoea 40 (24.7%) and vomiting 40 (24.7%) while pallor 77 (47.5%), lymphadenopathy 56 (34.6%), hair changes 49 (30.2%), skin changes 27 (16.6%) were the main signs in them.Conclusion: The main symptomatology of underfives with MAM were fever, cough and weight loss
Subject(s)
Severe Acute MalnutritionABSTRACT
Introduction: Family plays an important role in health seeking behaviour and education of its members. Educating an individual especially a girl child usually results in improvements in the quality of life because women who attended school often have healthier families and if pregnant they often tend to book for antenatal care early. Objectives: This study is aimed to determine the influence of family type, educational level and occupation of women on the gestational age at booking among pregnant women in Ogbomoso, Nigeria. Methodology: The study was a cross-sectional prospective study. It was conducted among antenatal care seekers who presented for booking in the Baptist Medical Centre, Ogbomoso. The study involved consecutive recruitment of pregnant women at the antenatal booking clinic who came for antenatal care at Baptist Medical Centre, Ogbomoso. The pretested questionnaire was used to obtain the following information: Sociodemographic characteristics, family history and history of index pregnancy. Results: A total of 345 pregnant women at the antenatal booking clinic were recruited for the study. The age of the respondents ranged from 16 to 48 years with a mean age of 29.47±5.41 years. Not less than one-half of the subjects who were from monogamous and polygamous home booked at second trimester. A majority of the subjects who had no formal education (11, 73.3%) booked at the third trimester while the majority of the subjects who had post secondary education (56, 60.9%) booked at second trimester (P=0.01). More than one-half of the subjects who were artisans (25, 56.8%) booked at third trimester while most subjects who were civil servants (65, 61.3%) booked at second trimester (P=0.03). Conclusion: Many women in Ogbomoso still book late for antenatal care. Occupation and educational level have a significant influence on the gestational age at booking amongst pregnant women in Ogbomoso, Nigeria. There is need to increase public awareness on the importance of educating a girl child.
ABSTRACT
Introduction: Pain is the most common reason for physician consultation in most advanced countries such as the United States. It is a major symptom in many medical conditions, and can significantly interfere with a person's quality of life and general functioning. Objectives: This study aimed to determine the prevalence of pain among adult patients and to describe the localization, duration and severity of pain in this population. Methodology: A cross-sectional descriptive survey was used. Consenting participants aged 18 years or older were recruited for the study. Descriptive and pain-specific data were collected using a predesigned interviewer administered questionnaire and the Brief Pain Inventory (BPI). The initial questionnaire elicited information on demographic variables, pain prevalence, and pain characteristics, and the BPI was used to characterize pain further. Results: A total of 100 subjects participated in the study and the mean age was 44.94±14.92 years. The prevalence of pain (defined as any subject who reported pain as a top or secondary reason for the visit) was 84.0% (95% CI 76.7% – 91.3%). More than one-half (52.4%) of the subjects complained of pains in the lower limbs and back and the duration of pain was less than 6 months in 58.3% of the subjects. More than one-half (54.8%) of the subjects who presented with pain claimed that pain interfere with their walking ability. No significant association was found between socio-demographic characteristic and prevalence of pain. Conclusion: The prevalence of pain in Family Medicine Clinic of the Bowen University Teaching Hospital, Ogbomoso is very high. It affects mainly the lower limbs and the back and interferes with their walking ability. Majority of them presented with severe pain that is usually less than 6 months.