scholarly journals Predictors of stimulants use among physicians in a Nigerian tertiary health institution in Sokoto, Northwest Nigeria

2018 ◽  
Vol 10 (2) ◽  
pp. 9-17
Author(s):  
Adamu Habibullah ◽  
Mubarak Ahmad Muhammad ◽  
Mudi Kabiru ◽  
Muhammad Dakani Kabiru ◽  
Tomori Bakare Abdulfatai
Keyword(s):  
2021 ◽  
Vol 9 (2) ◽  
pp. 11-22
Author(s):  
Taofeek Adedayo Sanni

Maternal Mortality Remains A Leading Cause Of Death Among Women Of Reproductive Age Group. This Study Determined The Cost Of Antenatal Care Among Health Insurance (HI) Enrollees And Out-Of-Pocket (OOP) Payers Accessing Maternal Healthcare Services In A Tertiary Health Institution In Southwest Nigeria. A Comparative Cross-Sectional Study Was Carried Out Among 380 Women (190 HI Enrollees And 190 OOP Payers) Attending Antenatal Care Services In A Tertiary Health Institution In Southwest Nigeria Using A Systematic Random Sampling Technique. Data Was Gathered Using An Interviewer-Administered Semi-Structured Questionnaire And Analyzed Using IBM SPSS Version 23. Chi-Square And Binary Logistic Regression Were Used To Assess The Association Between Dependent And Independent Variables And A P-Value Of <0.05 Was Taken As Significant. The Overall Mean Age Of Respondents In This Study Was 33.8 ± 5.0 Years (HI Group: 34.1 ± 4.9 Years And OOP Group: 33.6 ± 5.0 Years). The Mean Total Cost Of Antenatal Care (ANC) Is Lesser For HI Enrollees (₦5,095.2 ± 1,753.1 Equivalent To $13.3 ± 4.6) As Compared With OOP Payers (₦15,050.6 ± 5,548.9 Equivalent To $39.6 ± 14.6). Predictors And Enablers For HI Uptake Are Marital Status, Family Size, Level Of Education, Occupation, Appropriate And Quality HI Package, And Trust In The HI Scheme. It Was Concluded That The Total Cost Of Antenatal Care Is Lower Among The Health Insurance Enrollees Than The Out-Of-Pocket Payers. Therefore, Interventions To Increase Awareness And Designing More Enticing HI Packages Are Recommended.


2019 ◽  
pp. 431-437
Author(s):  
E. Morgan ◽  
C. O. Okwumezie ◽  
G. C. Akasike ◽  
E A. Morgan

First described in a publication by two Nigerian Neurosurgeons, Adeloye A and Odeku EL, in 1971, Adeloye-Odeku disease is a solitary congenital subgaleal inclusion dermoid cyst of the anterior fontanelle. This rare lesion, which makes up about 0.1-0.5% of all cranial tumours and 0.2% of all inclusion cysts, was initially thought to be found only in Africans. However, further reports have shown it to have a universal occurrence, as it has been reported in Caucasians, Chinese, Indians, and other part of the world. This lesion is also known as Congenital inclusion dermoid cyst (CIDS), is a benign slow-growing lesion, and if untreated, may persist to adult life. This article gives a highlight of the disease and its management and goes further to report 3 cases of this rare benign lesion seen in Irrua, South-South Nigeria, a rural, low-resource tertiary health institution. Incidentally and interestingly, all three cases presented within three consecutive months (January-March, 2019) at the neurosurgery outpatient clinic. Being uncomplicated cases, private and group counselling was done. The parents of the patients were much more reassured and relieved from their anxieties seeing others with similar problem. They were all worked up for surgery at different dates, had excision of the cysts with no complication and are currently being followed at the outpatient clinic. 


2019 ◽  
Vol 17 (3) ◽  
pp. 41-50
Author(s):  
Aleksei V. Antipov

Suicidal behavior in the modern scientific world is considered from the perspective of different disciplines (sociology, anthropology, philosophy, etc.), but psychiatry stands out in this list, because it can directly impact the suicider. Antipsychiatry, considered as a space of problematization and criticism of psychiatry, concerns both the foundation of psychiatry and individual situations related to the implementation by psychiatrists of their functions. This is why the phenomenon of suicide attracts the attention of one of the prominent representatives of the American anti-psychiatrist movement – T. Szasz. The key point in suicide analysis for Т. Szasz is that suicide is considered as a phenomenon closely associated with mental disease, thus, it is medicalized. In this case, it becomes much more important, why suicide as a phenomenon turns into an object of study of psychiatry. Т. Szasz refers to this transformation as a transition from a sin-and-crime to an illness-as-excuse. He fairly points out that the emergence of an explanatory suicide model within the framework of psychiatry made it possible for suiciders to change their category from those accused and rejected from Christian burial and rights of inheritance to those affected by a disease, and requiring medical treatment. Besides, Т. Szasz emphasizes the situation, in which suiciders find themselves in a mental health institution. The main feature of this situation is restriction of personal freedom and the ability to have a life worth living.


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