Background: Female age is a known independent index in determining outcome of fertility treatment with ovulatory and fertility potentials declining rapidly after age 35 however it an assumed fact that men are capable of spermatogenic activity beyond age 60 with world oldest father procreating at age 97. (Myers, 1972) Objectives: Determine if age affected semen concentration and motility of male partners undergoing invitro fertilization. Determine if age of male partners had influence on percentage of oocytes that are fertilized following invitro fertilization cycles. Method: A descriptive retrospective review of data of IVF cycles performed between July 2015 and June 2017. Inclusion criteria was that age of oocytes producer must be less than 36, post sperm wash count of at least 10million per milliliters and 15% active motile sperm. Exclusion criteria were female age of oocyte producer more than 35, incomplete relevant data. Results: One hundred and twenty cycles met inclusion criteria. Mean husband age was 45.70 (±7.07). Mean percentage oocyte fertilized among the group was 51.95% (± 29.85%). Mean percentage of oocytes fertilized among husband equal to or less than 50 was 54.21% (± 28.87%) while mean percentage of oocytes fertilized among husband age 51 and above was 45.20% (± 32.20), the observed difference being statistically significant (p= 0.0000; X 2 =90.133). Conclusion: There is a significant drop in ability of men above 50years to fertilize oocytes compared to men below 51years of age during invitro fertilization cycles.
Introduction: About 600 million (10%) of the world population has chronic kidney diseases (CKD). It is progressive, irreversible but effectively treated with maintenance hemodialysis and renal transplantation. In Nigeria, majority of end stage kidney disease patients struggle to continue regular hemodialysis as renal transplantation is beyond the reach of many. The financial burden and other restrictions on the life of the patients have implications for quality of life of these patients. Objectives: To compare health related quality of life of end stage CKD patients with that of healthy pregnant women without any medical co-morbidity. Methodology: WHOQOL-BREF questionnaire was used to determine quality of life of 64 CKD patients and 64 healthy pregnant women in a cross sectional comparative descriptive study. Statistical significance difference between the two groups attributed to events with a p-value lower than 5% (p < 0.05). Results: The mean quality of life index among the maintenance hemodialysis patient was 43.03±15.96 while it is 63.56±12.61 among the healthy pregnant women and the difference is statistically significant (T= 8.01, p =0.000). Hemodialysis participants had lower QOL across all the four domains when compared to healthy pregnant women. Conclusion: Health related quality of life of CKD patients in Nigeria is low. The government and care givers need to push for interventions known to make quality of life of CKD as well as that of healthy populace.
Introduction: Increasing CKD cases means higher demands for haemodialysis nurses. Haemodialysis nurses are required to fulfil many demanding roles such as advocate, caregiver, educator, mentor and technician while patients attend a dialysis unit. The complexities of the role that are performed by these nurses along with organization factors within the work environment have led to haemodialysis nurses experiencing high levels of burnout thus impacting on satisfaction derived from job done. Objectives: To compare job satisfaction among haemodialysis nurses with that of labour ward nurses and determine if the type of patient managed affects job satisfaction of nurses. Methodology: The multidimensional Job satisfaction scale designed and validated by Murat Ozpehlivan and Zafer Acar was used to determine job satisfaction among sixty-six hemodialysis nurses and sixty-four labour ward nurses in a cross sectional comparative descriptive study. Statistical significance difference between the two group of nurses attributed to events with a p-value lower than 5% (p < 0.05). Results: The overall mean job satisfaction score was higher among the labour ward nurses 67.95 ± 13.39 compared to the mean score among renal nurses 65.07 ± 14.24 (T= 1.81, p = 0.240). The mean score of labour ward nurses regarding satisfaction based on patient managed 74.51 ± 14.96 is higher than the mean score among renal participants of 71.21 ± 14.70 (T= 1.27, p = 0.201). Conclusion: Hemodialysis nurses in Nigeria are satisfied with the job they do and this is comparable to that of nurses in labour ward.
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