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  • 1
    In: Annals of African Medical Research, PAGEPress Publications, Vol. 3, No. 2 ( 2021-02-24)
    Abstract: The negative effects of HIV have affected all spheres of public lives such as individual health, economy and the employment opportunity globally. The most common way to tackle the disease is the use of Antiretroviral Therapy (ART), this has proved to be an effective way to manage HIV worldwide. The use of ART has substantially suppressed the Human Immunodeficiency Virus (HIV) Viral Load (VL) and reduced the risk of HIV infection. This study evaluates the trends analysis of HIV Viral load suppression among ART Clients in Bauchi State Nigeria for the year 2017. The study used 18 healthcare facilities providing Antiretroviral Therapy (ART) in Bauchi State. The population comprises all people living with HIV/AIDS who are residents in the study area of the 18 healthcare facilities and a convenient sampling method were used. The study found that highest number of viral load suppression existed in Toro General Hospital, even though all the sample health facilities considered in the study recorded viral load suppression. The study also tested for percentage proportion of TB/HIV coinfection among people on ART with suppressed viral loads (1000c/mL) and found that in all the 18 healthcare facilities except Jama’are General Hospital, presumptive TB/HIV co-infection recorded higher proportion compare to active TB/HIV co-infection among people on ART with suppressed viral loads (1000c/mL). The study recommends that for UNAIDS target of 90-90-90 to be achieved to help end the HIV epidemics, aggressive strategies should be put in place to improve adherence to ART by patients and access to viral load monitoring should also be improved in order to detect the patients with risk of HIV.
    Type of Medium: Online Resource
    ISSN: 2611-6642 , 2612-5498
    Language: Unknown
    Publisher: PAGEPress Publications
    Publication Date: 2021
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  • 2
    In: Pyramid Journal of Medicine, PAGEPress Publications, Vol. 2, No. 2 ( 2020-02-19)
    Abstract: Life as a medical student is often full of stress which could be physical, social, emotional and economical, especially in developing countries. Of recent, there has been an increased effort to combat self-medication which has remained a global public health burden since antiquity. Trainee health workers are particularly vulnerable to engage in self-medication practice which has remain a great panacea mitigating the efforts to combat resistance to common antibiotics in communities. This study aims to assess antibiotics self-medication among undergraduate medical students in Abubakar Tafawa Balewa University, Bauchi Nigeria. An exploratory cross-sectional study was conducted at college of medical sciences Abubakar Tafawa Balewa University Bauchi between June and July 2018. First and second year registered undergraduate medical students were specifically enrolled in the study. A sample size of 61 participants was determined by using a single population proportion formula and a close ended 25 items self-administered study tool was developed and piloted following a review of the relevant literature. All responses were analyzed using SPSS Version 21 and STATA Version 13 software for statistical analysis. A total of Eighty-one (81) medical Students were enrolled in the study. There were 39 (48.1%) males and 42 (51.9%) females. The median age among all respondents was 20 years. 41% of all the students reported having selfmedication. (22) 27.2% of the respondent’s reasons for self-medication was “Doctors gives same drug”, for (20) 24.7% “the disease was mild”, while (16) 19.7% “knew the drug to take”, while (9) 11.1% “saves time” in self-medication and (2) 2.5% said it “saved cost”. On logistic regression, gender remains the statistically significant explanatory variable, Wald Chi-square test 6.050 odds ratio 2.019 (P-value: 0.0014). The prevalence of SM among medical students is high in among Medical Students in ATBU Bauchi Nigeria. Targeted campaign programs to decrease SM among medical students in North East Nigeria as a whole, are required. Enforcement of laws and policies on un-prescribed drugs and continuous monitoring of dispensaries/drugstores and other outlets to issue drugs only on prescription are necessary to reduce self-medication.
    Type of Medium: Online Resource
    ISSN: 2612-2332
    Language: Unknown
    Publisher: PAGEPress Publications
    Publication Date: 2020
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  • 3
    In: Annals of African Medical Research, PAGEPress Publications, Vol. 1, No. 1 ( 2018-07-11)
    Abstract: Chronic diarrhea remains one of the commonest manifestation of HIV and a leading cause of morbidity and mortality despites gains in greater access to antiretroviral drugs and treatments of opportunistic infections globally. Yet, there is lack of precise evidence about the place of antimicrobials in chronic HIV associated diarrhea among adults. Physicians have continued to prescribe antimicrobials empirically or otherwise for chronic HIV associated diarrhea among adults. The aim of this study is to assess Physicians’ intension to prescribe antimicrobials in chronic HIV associated diarrhea among adults in Nigeria using the constructs of theory of planned behavior: Attitudes, Subjective Norms and Perceived behavioral control. An exploratory cross sectional survey was carried out. A structured questionnaire was developed following a pilot study to elicit salient beliefs among Physicians and a review of the literature. The study was carried out in 3 Northern Nigerian states among Physicians in Primary/Secondary and Tertiary hospitals in 2014. Data was analyzed using SPSS and STATA. After descriptive statistics, multiple logistic regression analysis was used to determine the relationship between the key constructs of TPB and Physician’s intension to prescribe antimicrobials in chronic HIV associated diarrhea among adults. We found strong intention to prescribe antimicrobials among Physicians respondents. The constructs of the theory of planned behavior explained 40% of variance of the Physicians’ intention to prescribe antimicrobials for chronic AIDS associated diarrhea in adults. Perceived control behavior and knowledge were the most important components of the model associated with intention. This study has further added new knowledge to the pool of evidence that Perceived Control Beliefs and Knowledge significantly influence Physicians’ intention to prescribe antimicrobials in chronic AIDS associated diarrhea. This finding reinforces the utility of theory of planned behavior as a tool to study health care service provision and utilization. There is need for future studies to test if changes in perceived control behavior and knowledge will leads to changes in intention to prescribe antimicrobials for chronic AIDS associated diarrhea and ultimately leading to a change in the clinical practice of managing chronic AIDS associated diarrhea in adults.
    Type of Medium: Online Resource
    ISSN: 2611-6642 , 2612-5498
    Language: Unknown
    Publisher: PAGEPress Publications
    Publication Date: 2018
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  • 4
    In: Pyramid Journal of Medicine, PAGEPress Publications, Vol. 2, No. 1 ( 2019-07-04)
    Abstract: Migration and mobility have contributed significantly in the spread of Human- Immunodeficiency Virus (HIV) globally: more especially among transport corridors. Identifying risk factors of HIV among long distance drivers (LDDs) could provide strategies for more effective preventive intervention. This was a cross-sectional descriptive study design that used multistage sampling technique to select four hundred and thirty-four study participants. An interviewer-administered questionnaire was used to collect information and blood for HIV testing. The mean and standard deviation of age of the respondents were 42.3±11.2 years. The sero-prevalence of HIV was 12.5% (95%CI: 8.8-16.3%). On adjusting for confounding effect using logistic regression analysis, the risk factors for HIV were marital status of single [AOR=4.25; (95%CI: 1.97- 9.31)] and separated [AOR=6.07; (95%CI: 5.26-16.45)] , monthly income [ 〉 100,000.00 AOR=6.11; (95%CI: 1.53-41.97)] and history of extramarital sex [AOR=4.01; (95% CI: 6.07- 10.43)] . Establishment of clinic for treatment of sexually transmitted diseases in a strategic location, scaling up of condom distribution, and effective behavioural change communication were recommended in order to reduce the risk of acquiring HIV infection.
    Type of Medium: Online Resource
    ISSN: 2612-2332
    Language: Unknown
    Publisher: PAGEPress Publications
    Publication Date: 2019
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  • 5
    In: Annals of African Medical Research, PAGEPress Publications, Vol. 2, No. 1 ( 2019-07-30)
    Abstract: Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV) and Hepatitis C Virus (HCV) are blood borne viral infection with huge disease burden on pregnant women and their babies especially in Bauchi, Nigeria. Data on the prevalence rates of these infections would aid the clinical management and public health control of these infections. The study determined the prevalent rates of HIV, HBV and HCV among ante-natal care (ANC) attendees in health facilities in Bauchi State, north-eastern Nigeria. This is a a descriptive study that reviewed data secondarily from 13 health facilities in Bauchi State, Nigeria. Data were collected for a 12-month period from July 2017 - June 2018. The study found the following average prevalence rates among the ANC attendees: HIV (0.71%), HBV (1.57%) and HCV (0.64%). The study found low but significant prevalent rates of HIV, HBV and HCV infections among the ANC attendees. The study recommends for strengthening of preventive and curatives measures against these viruses among the pregnant women. These include health education, HBV vaccination, anti-retroviral therapy and early diagnosis and treatment of these viruses. The study also recommends for appropriate, complete and consistent medical records to monitor these viruses. Further studies are required for the HIV, HBV and HCV infections and their co-infections among the pregnant women.
    Type of Medium: Online Resource
    ISSN: 2611-6642 , 2612-5498
    Language: Unknown
    Publisher: PAGEPress Publications
    Publication Date: 2019
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  • 6
    Online Resource
    Online Resource
    PAGEPress Publications ; 2010
    In:  Journal of Public Health in Africa Vol. 1, No. 1 ( 2010-09-01)
    In: Journal of Public Health in Africa, PAGEPress Publications, Vol. 1, No. 1 ( 2010-09-01)
    Type of Medium: Online Resource
    ISSN: 2038-9930 , 2038-9922
    Language: Unknown
    Publisher: PAGEPress Publications
    Publication Date: 2010
    detail.hit.zdb_id: 2574977-8
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  • 7
    In: Annals of African Medical Research, PAGEPress Publications, Vol. 2, No. 1 ( 2019-07-05)
    Abstract: The prevalence of type 2 diabetes mellitus (T2DM) among children and adolescents is on the rise and this correlates well with increasing prevalence of obesity and overweight worldwide. T2DM was thought to be a disease of the adults, however this has since changed. High index of suspicion is required especially in obese children with family history of type T2DM. To the best of our literature search, till date, no case was reported from Northeast Nigeria. We hereby report a case of newly diagnosed type 2 DM in a 14-year old obese teenage girl, who presented with polyuria, polydipsia and weight loss. Her father is a T2DM patient. She had acanthosis and multiple ovarian cysts. She underwent acute phase of care with insulin before discharge and has remained euglycaemic and clinically state on oral hypoglycaemic agent.
    Type of Medium: Online Resource
    ISSN: 2611-6642 , 2612-5498
    Language: Unknown
    Publisher: PAGEPress Publications
    Publication Date: 2019
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  • 8
    In: Annals of African Medical Research, PAGEPress Publications, Vol. 1, No. 2 ( 2018-12-19)
    Abstract: Communicable diseases continue to be major causes of, morbidity, mortality and rising health-care costs especially in developing countries. Integrated Diseases Surveillance and Response (IDSR) strategy was endorsed by Nigeria in 1998, as a means of strengthening communicable disease surveillance and response in order to make it more sensitive at all levels of government. A quasi-experimental study design was used to assess the effect of training and supportive supervision on knowledge and practice of IDSR among Primary Health Care (PHC) workers. Data was collected using an interviewer-administered questionnaire, and analyzed with the aid of Epi info version 3.5.3. Statistical significance was set at P 〈 0.05. The mean knowledge score of IDSR at baseline was 28.9±9.7 in the study and 27.4±10.5 in the control group. However, after the intervention, it improved to 51.3±11.8 in the study and slightly changed to 27.1±10.6 in the control group (P 〈 0.05). While, with regards to practice of IDSR, the mean practice scores improved in the study group from 6.43±1.25 to 16.37±3.86 after intervention (P 〈 0.05). In the control group, however, the mean practice score changed from 6.89±1.36 to 8.45±2.75 (P 〈 0.05) at the end of the study. The proportion of some IDSR core activity and supportive function changed from 0% and 16.6% to the standard benchmark of 80%. Training and retraining of health workers on IDSR were recommended as well as periodic supportive supervisory approach in order to enhance health workers capacity.
    Type of Medium: Online Resource
    ISSN: 2611-6642 , 2612-5498
    Language: Unknown
    Publisher: PAGEPress Publications
    Publication Date: 2018
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  • 9
    In: Pyramid Journal of Medicine, PAGEPress Publications, Vol. 5, No. 1 ( 2022-06-28)
    Abstract: There is consistent increase in prevalence of antibiotics misuse and self-medication in Nigeria. The exact quality of information available in the public domain is unknown. There is no previous systematic review and meta-analysis that address antibiotics misuse and self-medication in Nigeria. Being the most populous country in Africa, understanding the drivers of antibiotics misuse and self-medication will impact in not only Nigeria, but Africa as a whole. The aim of this systematic review and meta-analysis is therefore to determine the prevalence and factors associated with antibiotics misuse and self-medication among adults in Nigeria. Attempt will be made to find and include published papers on prevalence and reasons associated with antibiotics misuse and self-medication among adults in Nigeria from 2011-2021. Systematic search for the literature will be conducted according to the Preferred Reporting Item for Systematic Reviews and Meta-Analysis (PRISMA) guidelines to identified published studies based on our predetermined inclusion and exclusion criteria in PubMed, EMBASE, PsychINFO, CINAHL and Web of Sciences. Two independent reviewers will assess all identified studies and another set of reviewers will extract data for analysis and evidence synthesis.
    Type of Medium: Online Resource
    ISSN: 2612-2332
    Language: Unknown
    Publisher: PAGEPress Publications
    Publication Date: 2022
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  • 10
    In: Pan African Medical Journal, Pan African Medical Journal, Vol. 35 ( 2020)
    Type of Medium: Online Resource
    ISSN: 1937-8688
    Language: English
    Publisher: Pan African Medical Journal
    Publication Date: 2020
    detail.hit.zdb_id: 2514347-5
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