Prevalence and Determinants of Psychiatric Morbidities in Nigerian Men with LUTS Due to Prostatic Diseases

Aims: This study aimed at determining the prevalence and significant factors associated with psychiatric morbidity in men with LUTS secondary to prostatic diseases in a tertiary health centre in a developing country. Study design: This is a prospective, cross-sectional study. Place and duration: The urology unit of Ekiti State University Teaching Hospital, Ado-Ekiti. Ekiti State, Nigeria. The study period was from 1stJanuary2018 to 31stDecember2019. Methodology: Hospital Anxiety and Depression Scale (HADS) was used to assess for psychiatric morbidity among 224 patients with LUTS. While, International prostate symptom score (IPSS) was used to assess the severity of LUTS. The data was analysed using SPSS version 20. Results: The prevalence of depression and anxiety were 17% and 9.8% respectively. The mean IPSS and PSA scores of the respondents were 19.95±8.06 and 31.48±37.03 respectively. The only factors found to be significantly associated with depression were use of alcohol by the respondents (T-test = .058, P = .01, CI = -2.885 ˗˗ -0.391) and high scores on IPSS (T-test = .765, P value = .003, CI = 1.436 ˗˗ 6.995). While the factors found to be associated with anxiety disorders were alcohol use by the respondents (T-test =2.661, P = .033, CI = -2.519 ˗˗ -0.103) and high PSA scores (T-test =9.473, P value = .036, CI = -28.942 ˗˗ -1.068). Conclusion: This study shows that there is a high rate of psychiatric morbidity among patients with LUTS. Main factors associated with these morbidities were alcohol use, severity of the LUTS and high PSA scores. Assessment of psychiatric morbidity in patients with LUTS using simple psychological instruments will help in early detection and prompt treatment of psychological morbidities.

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SEMEN ANALYSIS OF INFERTILE NIGERIAN MALES IN SOKOTO STATE NORTH WESTERN NIGERIA.

Caliphate Medical Journal ◽

10.47837/cmj.19770126.nma.201311135 ◽

2013 ◽

Vol 1 (1) ◽

Author(s):

Yusuf TS ◽

Panti AA ◽

Ekele BA ◽

Nwobodo EI

Keyword(s):

Male Infertility ◽

Teaching Hospital ◽

Sperm Count ◽

Previous History ◽

University Teaching ◽

High Rate ◽

Semen Parameters ◽

P Value ◽

Unprotected Sexual Intercourse ◽

Tract Infections

Background: Male infertility can occur when sperms are limited innumber or function. Infertility is a socially destabilizing and stigmatizing condition for couples but in our society many erroneously believe it is a problem from the female alone. Objectives: To evaluate the semen of infertilemale partners of couplesattending gynaecological clinic of Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto. Methodology: This was a prospective study conducted at the gynaecological clinic of Usmanu Danfodiyo University Teaching Hospital Sokoto between 1stJanuary 2011 and 30th June 2011. For the purpose of this study all male partners of women who complained of inability to conceive after a period of a year or more of unprotected sexual intercourse were recruited into the study. Data was extracted and analyzed using SPSS (version 11). A P–value of less than 0.05 was considered significant. Results: There were 125 cases of male infertility recruited during the period. Majority of the male patients (51.2%) were aged 40 years and above. Considerable percentage of the patients (46.4%) presented with duration of Infertility of 5 years and above. The identified risk factors were a previous history of Urethral discharge (37.6%) and previous treatment of sexually transmitted infections (29.6%). Hypospermia (33%) and Asthenospermia (42.4%) were the commonest disorders of semen Parameters seen. Low sperm count was seen in (36.8%) of studysubjects, Azoospermia was observed in 8% while 16% of them had disorder of sperm morphology. Conclusion: The study shows that infertility is associated with relatively high rate of abnormal sperm volume, motility and count. In addition, genital tract infections are major associated factors. Therefore, efforts to address STIs through primary, secondary and tertiary preventive measures may make significant contributions to reducing the prevalence of male infertility in Sokoto State.

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Parallel and Concurrent Infection of Dengue Virus and Plasmodium falciparum among Patients with Febrile Illnesses Attending Bingham University Health Centre, Karu, Nigeria

International Journal of TROPICAL DISEASE & Health ◽

10.9734/ijtdh/2020/v41i1230340 ◽

2020 ◽

pp. 45-51

Author(s):

Nanret Kyeswet Suchi ◽

Haruna Isa Mohammed ◽

Adegbite Olutunde Ademola ◽

Pennap Grace Rinmecit

Keyword(s):

Plasmodium Falciparum ◽

Dengue Virus ◽

Malaria Parasite ◽

Health Centre ◽

Cross Sectional Study ◽

University Teaching ◽

P Value ◽

Concurrent Infection ◽

Cross Sectional ◽

And Gender

Aims: This study was conducted to determine the parallel and concurrent infection of dengue virus and Plasmodium falciparum among patients with febrile illnesses attending Bingham University Health Centre, Karu, Nigeria. Study Design: The study was a cross sectional study. Place and Duration of Study: Department of Medical Microbiology and Parasitology, Jos University Teaching Hospital, Jos, Department of Microbiology, Nasarawa State University, Keffi and 68 Nigerian Army Reference Hospital, Yaba-Lagos, between February and July 2017. Methodology: Blood samples were collected from 400 patients with febrile illnesses at the University Health Centre. The resulting sera was screened for dengue virus seromarkers (IgM, IgG and NS1) using Aria Dou dengue virus RDT kits (CTK Biotech, Inc, San Diego, USA) while malaria parasitemia was detected by Giemsa stained thick and thin film microscopy. Data collected were analysed using Smith’s Statistical Package (version 2.8, California, USA) and P value of ≤ 0.05 was considered statistically significant. Results: Of the 400 patients screened, 12(3.0%) were positive for dengue virus, 20(5.0%) for malaria parasite while 10(2.5%) for dengue/malaria co-infection. Infection with dengue virus and malaria parasite was found to be higher among female subjects aged ≤30 years. However, age and gender were not significantly associated with both infections in this study (P > 0.05). Conclusion: Our findings confirmed the presence of dengue virus infection in the study area which probably may have been misdiagnosed and mistreated. Hence, differential diagnosis of febrile illnesses should not only be limited to malaria and typhoid as is always the case in our health care centres.

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Geographical variation and factors associated with unsafe child stool disposal in Ethiopia: A spatial and multilevel analysis

PLoS ONE ◽

10.1371/journal.pone.0250814 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0250814

Author(s):

Biniyam Sahiledengle ◽

Zinash Teferu ◽

Yohannes Tekalegn ◽

Tadesse Awoke ◽

Demisu Zenbaba ◽

...

Keyword(s):

Spatial Distribution ◽

Secondary Data ◽

High Rate ◽

P Value ◽

Oral Diseases ◽

Poverty Level ◽

Multivariable Logistic Regression Model ◽

Statistical Tool ◽

Factors Associated ◽

Toilet Facility

Background Unsafe disposal of children’s stool makes children susceptible to fecal-oral diseases and children remain vulnerable till the stools of all children are disposed of safely. There is a paucity of data on spatial distribution and factors associated with unsafe child stool disposal in Ethiopia. Previous estimates, however, do not include information regarding individual and community-level factors associated with unsafe child stool disposal. Hence, the current study aimed (i) to explore the spatial distribution and (ii) to identify factors associated with unsafe child stool disposal in Ethiopia. Methods A secondary data analysis was conducted using the recent 2016 Ethiopian demographic and health survey data. A total of 4145 children aged 0–23 months with their mother were included in this analysis. The Getis-Ord spatial statistical tool was used to identify high and low hotspots areas of unsafe child stool disposal. The Bernoulli model was applied using Kilduff SaTScan version 9.6 software to identify significant spatial clusters. A multilevel multivariable logistic regression model was fitted to identify factors associated with unsafe child stool disposal. Results Unsafe child stool disposal was spatially clustered in Ethiopia (Moran’s Index = 0.211, p-value< 0.0001), and significant spatial SaTScan clusters of areas with a high rate of unsafe child stool disposal were detected. The most likely primary SaTScan cluster was detected in Tigray, Amhara, Afar (north), and Benishangul-Gumuz (north) regions (LLR: 41.62, p<0.0001). Unsafe child stool disposal is more prevalent among households that had unimproved toilet facility (AOR = 1.54, 95%CI: 1.17–2.02) and those with high community poorer level (AOR: 1.74, 95%CI: 1.23–2.46). Higher prevalence of unsafe child stool disposal was also found in households with poor wealth quintiles. Children belong to agrarian regions (AOR: 0.62, 95%CI 0.42–0.91), children 6–11 months of age (AOR: 0.65, 95%CI: 0.52–0.83), 12–17 months of age (AOR: 0.68, 95%CI: 0.54–0.86), and 18–23 months of age (AOR: 0.58, 95%CI: 0.45–0.75) had lower odds of unsafe child stool disposal. Conclusions Unsafe child stool disposal was spatially clustered. Higher odds of unsafe child stool disposal were found in households with high community poverty level, poor, unimproved toilet facility, and with the youngest children. Hence, the health authorities could tailor effective child stool management programs to mitigate the inequalities identified in this study. It is also better to consider child stool management intervention in existing sanitation activities considering the identified factors.

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Total Score Differences of Hospital Anxiety and Depression Scale – Depression (HADS-D) in Patients with Multidrug-Resistant Tuberculosis (MDR-TB) Based on Gender at H. Adam Malik General Hospital Medan

Budapest International Research and Critics Institute (BIRCI-Journal) Humanities and Social Sciences ◽

10.33258/birci.v4i1.1774 ◽

2021 ◽

Vol 4 (1) ◽

pp. 1461-1466

Author(s):

M. Surya Husada ◽

Bahagia Loebis ◽

Ariwan Selian

Keyword(s):

General Hospital ◽

Psychiatric Morbidity ◽

Depression Scale ◽

Multidrug Resistant ◽

Anxiety And Depression ◽

P Value ◽

Hospital Anxiety ◽

Resistant Tuberculosis ◽

Multidrug Resistant Tuberculosis ◽

Mdr Tb

Tuberculosis (TB) is a contagious and airborne disease. Over the decades, psychiatric morbidity in patients with MDR-TB has become increasingly recognized. Resistant tuberculosis is currently a serious health problem worldwide. This chronic disease takes a long time and causes various side effects, often causing symptoms of depression and anxiety in patients with Multidrug-resistant tuberculosis (MDR-TB) and pulmonary tuberculosis (TB). However, there are still relatively few who focus on psychiatric disorders in patients with MDR-TB. To find out the total score differences of Hospital Anxiety and Depression Scale - Depression (HADS-D) in patients with Multidrug-Resistant Tuberculosis (MDR-TB) based on gender. This study is an Unpaired Two Group Numerical Comparative Analytical study with a cross-sectional approach, namely by describing and analyzing a situation at a certain time using the Hospital Anxiety and Depression Scale - Depression (HADS-D) instrument. The results of the analysis with the Pearson test obtained a p-value <0.001 (p <0.05). There is a difference in the total score of Hospital Anxiety and Depression Scale - Depression (HADS-D) in patients with Multidrug-resistant tuberculosis (MDR-TB) based on gender at the H. Adam Malik General Hospital Medan.

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Factors Associated With Alcohol Use Disorder Among People Living With HIV/AIDS Attending Art Clinic, Mizan Tep University Teaching Hospital, South West Ethiopia

10.21203/rs.2.11097/v2 ◽

2019 ◽

Author(s):

Bereket Beyene Gebre

Keyword(s):

Alcohol Use ◽

Teaching Hospital ◽

Alcohol Use Disorder ◽

University Teaching ◽

Southern Ethiopia ◽

People Living With Hiv ◽

Factors Associated ◽

Khat Chewing ◽

Living With Hiv ◽

Hiv Aids

Abstract Abstract Objective: To assess the magnitude of alcohol use and factors among HIV/AIDS positive adults visiting ART clinic at Mizan Tep university Teaching Hospital (MTUTH), Southern Ethiopia from October 2017 to December 2017. Result: A total of 332 participants were enrolled in the study with the prevalence of alcohol use disorder (AUD) of 18.4%. Factors associated with alcohol use disorder were sex AOR=3.48 (95%CI: 1.27, 9.59), cigarette smoking AOR=5.12(95%CI:4.02,8.61), “Khat” chewing AOR=3.23(95%CI: 2.06,6.89),and CD4 count of 0-200 AOR = 19.49 (95% CI:1.74 ,218.4). Key words:-Magnitude, Alcohol use disorder, factors.

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ANALISI FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN INSOMNIA PADA WANITA MENOPAUSE DI POSYANDU WILAYAH KERJA PUSKESMAS PUNTI KAYU TAHUN 2021

Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) ◽

10.36911/pannmed.v16i3.1210 ◽

2021 ◽

Vol 16 (3) ◽

pp. 624-631

Author(s):

Rima Syafaria ◽

Titin Dewi Sartika ◽

Turiyani ◽

H Hazairin Efendi

Keyword(s):

Postmenopausal Women ◽

Research Method ◽

Health Centre ◽

Sampling Technique ◽

Total Sample ◽

P Value ◽

Cross Sectional ◽

Factors Associated ◽

Menopausal Women ◽

Anxiety Levels

Menopausal women will experience several problems, one of which is sleep disorders (Insomnia). Insomnia is characterized by difficulty in initiating sleep. Various factors are thought to have a significant relationship with the occurrence of insomnia in postmenopausal women, including response to disease, lifestyle and anxiety levels. The purpose of this study was to determine the factors associated with the incidence of insomnia in postmenopausal women at the Posyandu in the Punti Kayu Palembang Health Centre in 2021. The research method used a survey Analytical by using design cross sectional, the sampling of this research used total sampling technique with a total sample of 63 people. Collecting data using a questionnaire sheet. The analysis used is analysis univariate and bivariat eusing testchi-square. The univariate results showed that 37 (58.7%) menopausal women experienced insomnia, 27 (42.9%) menopausal women, 27 (42.9%) postmenopausal women, and 33 (52.4%) menopausal women experienced poor lifestyle. anxiety as many as 30 (47.6%) postmenopausal women. ResultsIt is known that there is a relationship between response to disease and the incidence of insomnia in postmenopausal women with (p value = 0.000), there is a relationship between lifestyle and the incidence of insomnia in menopausal women with (p value = 0.000), there is a relationship between anxiety levels and the incidence of insomnia in menopausal women with (p value = 0.003). The conclusion of this study is that there is a relationship between response to disease, lifestyle, anxiety levels with the incidence of insomnia in postmenopausal women at the Posyandu in the Punti Kayu Health Centre in 2021. This study is expected to encourage postmenopausal women to maintain their health, change lifestyle habits and consume water, and reduce anxiety.

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Factors associated with psychiatric morbidity and hazardous alcohol use in Australian doctors

The Medical Journal of Australia ◽

10.5694/j.1326-5377.2010.tb03887.x ◽

2010 ◽

Vol 193 (4) ◽

pp. 248-248

Author(s):

Louise M Nash ◽

Michele G Daly ◽

Patrick J Kelly ◽

Elizabeth H Van Ekert ◽

Garry Walter ◽

...

Keyword(s):

Alcohol Use ◽

Psychiatric Morbidity ◽

Hazardous Alcohol Use ◽

Factors Associated ◽

Hazardous Alcohol

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Geographical variation and factors associated with unsafe child stool disposal in Ethiopia: A spatial and multilevel analysis

10.1101/2020.09.07.20189902 ◽

2020 ◽

Author(s):

Biniyam Sahiledengle ◽

Zinash Teferu ◽

Yohannes Tekalegn ◽

Tadesse Awoke ◽

Demisu Zenbaba ◽

...

Keyword(s):

Spatial Distribution ◽

Secondary Data ◽

Binary Logistic Regression ◽

High Rate ◽

P Value ◽

Poverty Level ◽

Binary Logistic Regression Model ◽

Statistical Tool ◽

Factors Associated ◽

Toilet Facility

Background: Unsafe disposal of childrens stool makes children susceptible to fecaloral diseases and children remain vulnerable till the stools of all children are disposed of safely. There is a paucity of data on spatial distribution and factors associated with unsafe child stool disposal in Ethiopia. Previous estimates, however, do not include information regarding individual and community level factors associated with unsafe child stool disposal. Hence, the current study aimed to explore the spatial distribution and to identify factors associated with unsafe child stool disposal in Ethiopia. Methods: A secondary data analysis was conducted using the recent 2016 Ethiopian demographic and health survey data. A total of 4145 children aged 0 to 23 months with their mother were included in this analysis. The Getis Ord spatial statistical tool was used to identify high and low hotspots areas of unsafe child stool disposal. The Bernoulli model was applied using Kilduff SaTScan version 9.6 software to identify significant spatial clusters. A multilevel binary logistic regression model was fitted to identify factors associated with unsafe child stool disposal. Results: Unsafe child stool disposal was spatially clustered in Ethiopia (Morans Index 0.211, p value< 0.0001), and significant spatial SaTScan clusters of areas with a high rate of unsafe child stool disposal were detected. The most likely primary SaTScan cluster was detected in Tigray, Amhara, Afar (north), and Benishangul Gumuz (north) regions (LLR: 41.62, p<0.0001). Unsafe child stool disposal is more prevalent among households that had unimproved toilet facility (AOR=1.54, 95%CI: 1.17-2.02), and those with high community poorer level (AOR: 1.74, 95%CI: 1.23-2.46). Higher prevalence of unsafe child stool disposal was also found in households with poor wealth quintiles. Children belong to agrarian regions (AOR: 0.62, 95%CI 0.42-0.91), children 6/11 months of age (AOR: 0.66, 95%CI: 0.52-0.83), 12-17 months of age (AOR: 0.68, 95%CI: 0.54-0.86), and 18/23 months of age (AOR: 0.58, 95%CI: 0.45-0.74) had lower odds of unsafe child stool disposal. Conclusions: Unsafe child stool disposal was spatially clustered. Higher odds of unsafe child stool disposal were found in households with high community poverty level, poor, unimproved toilet facility, and with the youngest children. Hence, the health authorities could tailor effective child stool management programs to mitigate the inequalities identified in this study. It is also better to consider child stool management intervention in existing sanitation activities considering the identified factors.

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Penyuluhan kesehatan tentang menarche menggunakan metode ceramah pada siswi kelas VI

HOLISTIK JURNAL KESEHATAN ◽

10.33024/hjk.v14i2.1814 ◽

2020 ◽

Vol 14 (2) ◽

pp. 170-176

Author(s):

Eka Trismiyana ◽

Italia Italia ◽

Irma Rani Zofitri

Keyword(s):

Elementary School ◽

Community Service ◽

Sexual Maturity ◽

Quantitative Research ◽

Health Centre ◽

T Test ◽

Breast Development ◽

P Value ◽

Public Health Centre ◽

Health Counseling

Knowledge regarding menstruation among elementary school girlsBackground: The adolescent stage is indicated by puberty signs and continued with sexual maturity. Puberty is a drastic change on the physical maturity including body and hormone changes signed by breast development, widen and enlarge hips, the growth of hair on armpits and vaginal area, and the sexual maturity signed by the first menstruation or menarche.Purpose: To identify the effect of health counseling toward on knowledge regarding menstruation among elementary school girlsMethod: A quantitative research by design quasi experiment with One Group Pretest-Posttest. The population was of 36 students girls in Grade V at Rejosari Elementary Public School 02 of Kotabumi of Lampung Utara Regency in 2019. It was taken by total technique, analyzed statistical by T test dependent.Results: The statistical test was conducted with T Test resulting p- value 0.044 where p value < 0.05 that indicated there was an effect of health counseling toward on knowledge regarding menstruation among elementary school girlsConclusion: This program to be continue in to other elementary school through community service join with public health centre local. Promoting and providing by distributing leaflet, poster or banner informing about menarche.Keywords: Knowledge; Menstruation; Elementary school girlsPendahuluan: Masa remaja ditandai sebagai masa dimana seseorang menunjukkan tanda-tanda pubertas dan berlanjut hingga dicapainya kematangan seksual. Pubertas adalah perubahan yang cepat pada kematangan fisik yang meliputi perubahan tubuh dan hormonalditandai oleh pertumbuhan payudara, pinggul melebar dan membesar, tumbuhnya rambut-rambut halus didaerah ketiak dan kemaluan serta dimulainya kematangan seksual yang ditandai dengan menstruasi pertama atau menarche. Tujuan: Diketahui pengaruh penyuluhan kesehatan terhadap pengetahuan tentang menarche pada siswi kelas VI SDN.02 Rejosari Kota Bumi Kab. Lampung Utara Tahun 2019.Metode: Jenis penelitian yang digunakan dalam penelitian ini adalah kuantitatif. Dalam penelitian ini menggunakan desain penelitian metode Quasi Eksperimental dengan pendekatan One group Pretes-Postes. Populasi dalam penelitian ini adalah seluruh siswi kelas V SDN.02 Rejosari Kota Bumi Kab. Lampung Utara Tahun 2019 sebanyak 36 siswi. Teknik sampling yang digunakan adalah total sampling.Hasil: Nilai rata-rata pengetahuan sebelum diberikan penyuluhan kesehatan 9,11 sesudah 14,78 dengan standar deviasi 2,493 dan 2,166 dengan selisih nilai 12,621. Berdasarkan Uji T di dapatkan p-value 0,044, bahwa terdapat pengaruh penyuluhan kesehatan terhadap pengetahuan tentang menarche pada siswi kelas VSimpulan: Diharapkan hasil penelitian ini dapat dijadikan salah satu informasi kesehatan bagi tenaga kesehatan agar dapat memberikan penjelasan kepada seluruh masyarakat tentang menarche, sehingga sudut pandang atau stigma tentang menarche tidak buruk. Serta puskesmas rutin melaksanakan promosi kesehatan ke masyarakat melalui meda cetak seperti leaflet, poster dan banner yang berhubungan dengan menarche.

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