The prevalence of essential hypertension has continued to increase worldwide, and its consequences have remained a growing concern. A number of sociodemographic and clinical variables may however serve as key determinants of the extent to which it is associated with psychiatric comorbidity as well as impairment of quality of life. The aim of this study, therefore, was to determine the sociodemographic and clinical factors that may influence the level of psychiatric comorbidity and quality of life associated with persons with essential hypertension attending the general outpatient clinic of the University of Port Harcourt Teaching Hospital (UPTH). Following ethical approval and informed consent from the participants, 360 subjects making up the study group were recruited based on the study's inclusion and exclusion criteria. A pilot study was carried out. Subjects were further administered with the study's instruments including the socio-demographic/clinical questionnaire, GHQ-12, WHO Composite International Diagnostic Interview (WHOCIDI) and the WHOQOL-Bref. The data were analysed using the Statistical Package for Social Sciences version 16 statistical package. Confidence interval was set at 95%, while p-value of less than 0.05 was considered statistically significant. The study found a prevalence of psychiatric comorbidity of 64.4% among the hypertensives. Among the study group, there was no significant relationship between the presence of psychiatric comorbidity and age class (p = 0.350), gender (p = 0.22), level of education (p = 043), income class (p = 0.81) and occupation. Persons who were married were significantly more likely to have a psychiatric comorbidity (p = 0.001). There was also no significant relationships between age of onset of illness (p = 0.60), duration of illness (p = 0.73), duration of treatment (p = 0.82) and self-stigma (p = 0.15). The findings of this study support the impression that essential hypertension is a chronic debilitating illness, associated with psychiatric comorbidity and reduced quality of life, that is largely significantly influenced by a number of sociodemographic and clinical factors. The results support the call that the management of patients with

The impact of mental wellness on the work performance and wellbeing of workers has generated much academic and corporate debates. Most recently, due to some high-profile cases involving the performance and wellness of sports people, conversations around the impact of mental wellness on work performance have dominated public discourse, yet the nature and degree of this impact has not been sufficiently studied and analysed and many questions remain unanswered. Indeed, there has been a growing awareness of the centrality of the role of mental wellness in the productivity of workers, especially in the Oil and Gas industry. Thus, this research sought to investigate how rotational work, its impact on sleep and endurance, affect workers in the Oil and Gas industry, using as methodology a simple random sampling of workers from the Port Harcourt metropolis, in the oil-rich delta area of Nigeria. To obtain data, this research used questionnaires, telephone interviews and cohort discussion session. Questions posed during this research focused on sleep and its perceived effect on endurance. The questionnaires were administered to the workers from selected international Oil and Gas companies located in Port Harcourt. Findings revealed that both sleep and the circadian cycle were negatively affected and impacting the self-reported well-being and productivity of the workers. From the data collected, 27.5% and 66.2%, which represented a total of 93.7% of the respondents, agreed and strongly agreed that their sleep was affected. 100% of the participants in the cohort session agreed that their sleep was affected. Furthermore, the interview sessions revealed specific details as more than 50% of the interview respondents indicated that the sleep distortion affected them even up to the first week of their time off. 48.8% and 37.5% agreed and strongly agreed to the fact that rotational work had effect on their endurance on site. This represented a total of 86.2% of the participants whose endurance level was affected due to rotational work. Over 60% of the participants in the cohort session admitted to feeling of extreme tiredness towards the end of their rotation period and prior to departure from site. The participants unanimously submitted that shorter rotation would give room for adequate recuperation and make work more productive and enhance the sense of mental wellness for rotational Oil and Gas workers.

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Complex partial seizure complicated by psychiatric comorbidities like depression and conduct disorder presents management challenges for both the physician and parents. The etiology of such psychiatric comorbidities may be related to the seizure or to several other unrelated risk factors. The psychiatric comorbidities and the seizure affects the child's activities of daily living and are often a source of worry to parents and school authorities A high index of suspicion and a multidisciplinary approach are essential in the management of the affected adolescents.

The impact of rotational work system on the mood and energy level among Oil and Gas workers was evaluated. The design was set in Port Harcourt metropolis Nigeria and questionnaire, cohort session and interviews were the instruments deployed. Questionnaires were administered to randomly selected workers from international Oil and Gas Companies located in Port Harcourt, Questions that bothered on the effect of rotational work on the mood and energy level of Oil and Gas workers were posed. It was observed that 38.8% and 41.2% agree and strongly agree that their mood is affected on site while 13.8% remained neutral. Interestingly, over 80% of Oil and Gas workers agreed to feeling of anxiety from the interview and cohort sessions. 40% and 43.8% of workers agree and strongly agree respectively that rotational work does affect their energy on site. Obtained median of 4 means that over 50% of the response belongs to the category that agree strongly agree while a mode of 5 has more responses in the category of strongly agree which is in agreement with results from the percentage frequency. Rotational workers were affected by absence from family and loved ones, social isolation and constant reminder of hazard and working in hazardous environment with work pressures and unrealistic deadlines. These cause depression and general dissatisfaction with life. Results from interviews revealed neglect of mental wellness of workers. The Oil and Gas workers are willing to face these hazards because of the economic gains arising from their work, however provision of recreational amenities and making policies that bring the Oil and Gas workers back home every seven days forbidding the schedule of trainings and workshops during time off duty will make rotational work more bearable.