scholarly journals An appraisal of pattern and presentation of gynaecological malignancies in Bowen University Teaching Hospital, Southwest Nigeria

2021 ◽  
Vol 10 (1) ◽  
pp. 1-8
Author(s):  
O.A Ogunlaja ◽  
S.E Akinola ◽  
Y.T Bakare ◽  
A.S Adeniran ◽  
I.P Ogunlaja ◽  
...  

Background: Gynaecological malignancies are cancers that occur in or on a woman's reproductive organs and genitals which includes the vulva, vagina, cervix, uterus, fallopian tubes, and ovaries. The prevalence of gynaecological malignancies varies from one country to another. The factors responsible for the observed variance includes lifestyle, dietary pattern, level of education and the sophistication of health care system. This study aims to identify the pattern and clinical presentations of gynaecological malignancies at Bowen University Teaching Hospital, Ogbomoso over a five-year period.Methods: This was a retrospective study involving one hundred and twenty-three (123) patients with a histological diagnosis of gynecological malignancy.Results: Patients with gynaecological malignancies accounted for 3.6% of the patients seen in the period under review. Majority of these patients were multiparous and between the age range of 50 and 69 years. The commonest form of gynaecological malignancy seen was cervical cancer.Conclusion: Health care programs and policies that strengthen public awareness campaigns, health education and health promotion like human papilloma virus vaccination and follow up surveillance will help to reduce the morbidity and mortality associated with gynaecological malignancies. Keywords: appraisal, pattern, presentation, gynaecological malignancies

2017 ◽  
Vol 11 ◽  
pp. 117822181668508 ◽  
Author(s):  
Julia Woo ◽  
Anuja Bhalerao ◽  
Monica Bawor ◽  
Meha Bhatt ◽  
Brittany Dennis ◽  
...  

Introduction: Despite its efficacy and widespread use, methadone maintenance treatment (MMT) continues to be widely stigmatized. Reducing the stigma surrounding MMT will help improve the accessibility, retention, and treatment outcomes in MMT. Methods: Semi-structured interviews were conducted with 18 adults undergoing MMT. Thematic content analysis was used to identify overarching themes. Results: In total, 78% of participants reported having experienced stigma surrounding MMT. Common stereotypes associated with MMT patients included the following: methadone as a way to get high, incompetence, untrustworthiness, lack of willpower, and heroin junkies. Participants reported that stigma resulted in lower self-esteem; relationship conflicts; reluctance to initiate, access, or continue MMT; and distrust toward the health care system. Public awareness campaigns, education of health care workers, family therapy, and community meetings were cited as potential stigma-reduction strategies. Discussion and Conclusion: Stigma is a widespread and serious issue that adversely affects MMT patients’ quality of life and treatment. More efforts are needed to combat MMT-related stigma.


Author(s):  
Edmund O. Ndibuagu ◽  
Onyinye H. Chime ◽  
Ejiofor T. Ugwu

Aim: Patients perception of health care delivery system can be expressed as an opinion. The aim of the study is to assess patients’ opinion on availability and cost of drugs in the General Outpatient Department of a state teaching hospital in Nigeria. Study Design: The study was of descriptive, cross-sectional design. Place and Duration of Study: This study was conducted at the General Outpatient department, Enugu State University Teaching Hospital, Enugu state, Nigeria. It was conducted between August 1st and October 31st, 2017. Methodology: Information was collected from 313 patients exiting the Pharmacy unit, using structured interviewer-administered questionnaire. Statistical Package for Social Sciences (SPSS) was used for analysis, and the results expressed as frequencies and percentages. Education, sex, and age patterns of the responses were looked at. Results: A total of 313 patients responded, 131 (41.9%) males and 182 (58.1%) females. Out of these, 91 (29.0%) were of the opinion that drugs were reasonably or completely available, while 184(58.8%) reported that it was either few or completely unavailable; with 38(12.1%) having no opinion on availability. With respect to price; 198(63.3%) believed that price is affordable or very affordable, while 78(24.9%) thought it was exorbitant or very exorbitant; with 37(11.8%) being uncertain about the price of drugs. Conclusions: In LMIC, inadequate stock of drugs in health facilities is a common occurrence. More than half of patients that presented in the study health facility were of the opinion that only few prescribed drugs, or completely none were available. However, most of them believed that the price of drugs was affordable or very affordable. It is crucial that governments and health care managers redouble their efforts towards provision of drugs, if meaningful progress will be made in the area of global Universal Health Coverage.


2004 ◽  
Vol 6 (4) ◽  
pp. e45 ◽  
Author(s):  
Ibrahim S Bello ◽  
Fatiu A Arogundade ◽  
Abubakr A Sanusi ◽  
Ikechi T Ezeoma ◽  
Emmanuel A Abioye-Kuteyi ◽  
...  

Author(s):  
Tolulope O. Afolaranmi ◽  
Zuwaira I. Hassan ◽  
Bulus L. Dawar ◽  
Bamkat D. Wilson ◽  
Abdulbasit I. Zakari ◽  
...  

Background: Electronic Medical Records system (EMRs) in any healthcare system has the potential to transform healthcare in terms of saving costs, reducing medical errors, improving service quality, increasing patients’ safety, decision-making, saving time, data confidentiality, and sharing medical. Evidence on the current state of EMR system in Nigeria health system particularly its knowledge among health professionals is limited. Hence, this study was conducted to assess the level of knowledge EMRs among frontline health care workers in a tertiary health institution in Jos, Plateau State.Methods: This was a cross-sectional study conducted between April and August 2019 among 228 frontline health care workers in Jos University Teaching Hospital using quantitative method of data collection. SPSS version 20 was used for data analysis and a p-value of ≤ 0.05 considered statistically significant.Results: The mean age of the respondents in this study was 35 ± 8 years with 93 (40.8%) being 36 years and above. The overall level of knowledge of EMRs was adjudged to be good among 163 (71.5%) of the participants. Category (pharmacists) of the respondents was found to influence good knowledge of EMRs (OR = 1.37; 95% CI = 1.007 – 1.865; p = 0.045).Conclusions: This study has demonstrated a relatively high level of good knowledge of EMRs with variation existing along the categories of health care workers bringing to light the existence of a good knowledge base in the light of future EMRs implementation.


Author(s):  
Dahal A. Samuel ◽  
Daniel Z. Egah ◽  
Kandakai-Olukemi T. Yvonne

Aim: The aim of this study was to determine the prevalence of GBS serotype distribution in Jos University Teaching Hospital. Materials and Methodology: This was a hospital based descriptive cross-sectional study of 300 women receiving health care at the Jos University Teaching Hospital between July 2017 and November 2017. Systematic sampling technique was employed in recruiting consenting subjects for this study. High vaginal and anorectal swabs were collected from each subject after obtaining their consent by signing a structured consent form. The identified Streptococcus agalactiae (GBS) isolates were serotyped using immuLex strep-B antisera from SSI Diagnostica, 2 Herredysvejen, DK-3400 Hillerod Demnark to identify the different serotypes. The results obtained were computed using SPSS version 21. Results: A total of 300 women obtaining health care in Jos University Teaching Hospital (JUTH) were enrolled in this study between the months of July, 2017 and November, 2017. In all, vaginal and anorectal swabs were taken from 200 pregnant women and 100 non-pregnant women. The age range of the study population was between 16 years to 48 years with a mean age of 31.9 year (SD ± 6.6). The prevalence rate among the study population was 6.3%. The colonization rate among pregnant and non-pregnant women was 6.5% and 6.0% respectively with no significant statistical difference. Serotype Ia was the commonest isolate responsible for 42.1% of the GBS isolates. Serotype III accounted for 31.6% of the isolates, followed by serotype V (15.8%). Serotype II was less common, responsible for only 10.5%. Conclusion: This study showed that GBS colonization rate among the study population was 6.3%. Approximately, 6.5% and 6.0% prevalence rate were found among pregnant and non-pregnant women respectively. Of all the GBS isolates, serotypes Ia, II, III, and serotype V were isolated with serotype Ia being the most prevalent serotype. This knowledge of serotype distribution will help in instituting serotype specific GBS vaccines for the prevention of GBS diseases in Jos.


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