ABSTRACT
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.
ABSTRACT
The goal of the maxillofacial surgeon is to correct facial deformity while eradicating surgical diseases, prevent recurrence or complication and restore function. The aim of this paper is to review the surgical procedures carried out in a new tertiary teaching hospital. A retrospective study of patients with maxillofacial surgical diseases seen at the Department of Dental and Maxillofacial Surgery, Aminu Kano Teaching Hospital, Kano, Nigeria, between 2001 and 2003, was conducted. A total of 87 patients had various (primary and secondary) surgical procedures during the period under review. There were 51 males and 36 females, a male to female ratio of 1:0.61 with an age range of 3 days to 90 years and a mean age of 34.5 years. The majority of the patients were in the lower socio-economic group. Reduction and immobilization of the jaw fractures (n = 21, 23.3) was the most common, followed by transosseous wiring (n = 12, 13.3). The most common complications were malocclusion (n = 14, 29.8) and facial defects (n = 12, 25.5). Reduction and immobilization, and tumour surgery of the jaws seem to be the most common surgical procedures while osteotomy was the least. Reduction and immobilization with simple arch bars appeared to be very effective, more so when the patients could not afford more modern methods of treatment. Reconstructive surgeries of ablated jaws are advocated in view of the devastating aesthetic and psychosocial effects that these have on the patients.