scholarly journals Prevalence of visual impairment among patients attending the University of Port Harcourt Teaching Hospital, Rivers State, Nigeria

2021 ◽  
Vol 6 (3) ◽  
pp. 097-106
Author(s):  
Nweke Praise-Craig Ogochukwuka ◽  
Adjene Josiah Obaghwarhievwo ◽  
Odigie Mike Osagie

Visual impairment, also known as loss of vision is the decreased ability of a subject to see to a degree. It is a global concern that is likely to escalate with prolonged life expectancies with increasing attention in the realm of eye care. In this study, the prevalence of visual impairment among patients attending the University of Port Harcourt Teaching Hospital, Rivers state, Nigeria was investigated. The study accessed a total of 7, 345 case notes of ethically sourced, visually impaired subjects who visited the hospital within five years (2015 - 2019) in the target study area. For each year accessed, records were grouped according to participants’ age and gender, then matched with the type and causes of visual impairment in the study area. At the end of data collection, Results were passed through the graph pad prism (version 8.1), and subjected to statistical measure of central tendencies to obtain the average records and prevalence levels for collected variables, while setting confidence interval at a 95%. Differences in means across groups were also confirmed with the One-way analysis of variance (ANOVA), while setting a p value less than 0.05 as statistically significant. Following analysis, study found a statistically significant increase (p < 0.05) in cases of visual impairment for 2019 as compared other year records, even though there was an inconsistent attenuation for the various years compared, with moderate vision having an apparently higher record than other visual impairments. Severe cases came second with 2018 having the highest cases than others but, with moderate impediments. Also, a significant increase (p < 0.05) was seen in refractive error as compared to other causes of visual impediments. We recommend similar but more molecular approach to visual impairments within study area, and more.

Author(s):  
Dada A. Emmanuel ◽  
Eze N. Chinwe ◽  
Akawa B. Ayodeji

Aim: To use C-Reactive Protein (CRP) in assessing` malaria and malaria parasitemia among out-patients in the University of Port Harcourt Teaching Hospital (UPTH). Study Design: Cross-sectional descriptive study. Place and Duration of Study: This study was carried out at the Out Patients Department (OPD) of the University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria. It was conducted between November 2017 and April 2018. Methodology: This study was done on 400 subjects between the ages of 11 and 60 years which consisted of 254 falciparum malaria infected patients and 164 non-infected patients. Quantitative analysis of Serum CRP was done using the High Sensitivity C-Reactive Protein (HsCRP) enzyme immunoassay test kit (Biocheck©) while malaria diagnosis was done using microscopy Giemsa thick and thin film prepared on separate slides, slides were observed under the ×10 and ×100 objectives of the light microscope. Slides viewed under a high power field with parasite density less than three (<3), between 3 and 10 (3-10), from eleven to nineteen (11-19) and greater or equal to 20 (≥20) were classified as scanty, one plus (+), two pluses (++) and three pluses (+++) respectively. Data analysis was done using statistical packages for social science (SPSS) version 21. Results: The results showed a significant (p<0.001) overall mean high serum CRP concentration (25.63±14.40 mg/l) in the malaria infected patients compared to 3.74±1.02 mg/l in the non-infected group, with a direct increment of the CRP level from the scanty to the three pluses with 9.50±0.37 mg/l, 13.51±1.6 mg/l, 44.19±2.62 mg/l and 53.84±1.75 mg/l recorded for scanty, one plus, two pluses and three pluses respectively. CRP correlated positively and significantly with malaria parasitemia (r = 0.89; p < 0.001). Conclusion: The abnormally elevated level of CRP in the infected patients showed that CRP is a positive biomarker for Plasmodium falciparum malaria and can be used as an indicator of the disease coupled with other febrile symptoms.


2020 ◽  
Vol 7 (3) ◽  
pp. 35-42
Author(s):  
R. O. Ekechukwu ◽  
Osuagwu Isabella

The study investigated personality traits as predictors of burnout syndrome among nurses in the University of Port Harcourt Teaching Hospital Rivers State. The study used the correlational research design. The population of the study comprised of all 750 nurses in the University of Port Harcourt Teaching Hospital. A sample of 300 nurses from Paediatrics Ward, Male Ward, Female Ward and Intensive Care Unit (ICU), were randomly selected using the simple random sampling technique (balloting). Two instruments titled; Maslach Burnout Scale (MBS) by Maslach (1996) and Personality Inventory (NEO) by Costa and McCrae (1992) were used to collect data for the study. The Cronbach Alpha reliability was used to establish the internal consistency reliability coefficients of 0.87 and 0.81respectively. Responses to the research questions were analyzed with mean and standard deviation, while the hypotheses will be tested with multiple regression associated with independent sample t-test statistics. The findings of the study revealed that personality traits (neuroticism, extraversion, openness to experience) jointly predict burnout syndrome among nurses in University of Port Harcourt Teaching Hospital. Further analysis of the result showed that when personality traits of neuroticism, extraversion, openness to experience where looked at independently, only neuroticism and extraversion relate significantly predict burnout syndrome while openness to experience did not. Based on the findings of the study it was recommended among others that counsellors, psychologists and others in the helping profession should readily offer practical assistance to nurses experiencing burnout to enable them cope with the stressful experience they encounter in their daily work assignments.


Author(s):  
N. I. Paul ◽  
B. A. Alex- Hart ◽  
R. O. Ugwu

Background: Tuberculosis (TB) is a leading cause of death in young children and the risk of progression from infection to disease is higher in the very young especially among those with Human Immunodeficiency Virus (HIV) infection. This study therefore aimed to examine the method of TB diagnosis and how common HIV infection is among children 0-5 years with tuberculosis at the University of Port Harcourt Teaching Hospital (UPTH). Methods: Information of children aged 0-5 years from 1st January, 2011 to 31st December 2014 were retrieved from the TB register of the Directly Observed Treatment Short course (DOTS) clinic of UPTH. This included the age, sex, HIV status, Sputum AFB status, method of diagnosis of tuberculosis and the treatment outcome of the patients. Ethical approval for the study was obtained from the Research and Ethics committee of the University of Teaching Hospital. Results: Three hundred and thirty five children were treated for TB and 179 (53.43%) of them were aged 0-5 years. There were 93 (51.96%) males and 86 (48.04%) females, with male: female ratio of 1.08:1.  Their mean age was 1.96 ±1.45. The sputum or gastric lavage of 21 (11.73%) were positive for acid fast bacilli (AFB). The common method of TB diagnosis was clinical/ radiological method and this constituted 158 (88.27%) of the patients with TB. Ninety (50.28%) children with TB were less than one year of age and there was no statistical significant relationship between age and method of TB diagnosis (x2 = 2.78, p = 0.249). More males 93 (51.96%) than females 86 (48.04%) had TB but more females 13 (61.90%) than males 8 (38.10%) were AFB positive, however, these were not statistically significant. (x 2  = 1.26 p-value = 0.262). Seventy two (40.22%) of the children with TB were HIV positive. One hundred and thirty five (75.42%) of the children recovered following treatment while 44 (24.58%) were referred to Dots centres closest to the patients. No child died. Conclusion: The prevalence of TB among under-fives especially among infants is high. Clinical and radiological methods were the common methods of TB diagnosis. HIV prevalence among children with TB was lower than expected by the authors, however, the treatment outcome was good. Re-training of clinicians to improve their expertise on clinical diagnosis of TB and a more in depth search of TB in the community among children 0-5 years who are HIV sero-negative with persistent cough is advocated.


2009 ◽  
Vol 39 (3) ◽  
pp. 150-152 ◽  
Author(s):  
Arthur Onwuchewa ◽  
Hope BellGam ◽  
God'spower Asekomeh

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