Background: Diabetes is of growing global concern with a knowledge gap on how best to assess individuals on their risk of developing Diabetes Mellitus. Objective: The aim of this study is to identify individuals with high risk of developing Diabetes Mellitus using a simple scoring system so as to contribute to the knowledge in the prevention of Diabetes Mellitus.Methodology: A pre-tested self-administered questionnaire survey was carried out during the period 1
Background: Surgical site infection (SSI) is the commonest hospital acquired infection in surgical patients globally. It has remained a major cause of morbidity and mortality and a major source of worry to both the patients, doctors, hospitals and the community as a whole. Aim: To determine the role of premorbid status, wound class and cadre of surgeons on the prevalence rate of surgical site infections. Materials and methods: This was a cross-sectional study involving 200 randomly recruited surgical patients between April and June 2012 at Nnamdi Azikiwe University Teaching Hospital, Nnewi. Pre-tested, interviewer administered questionnaires and laboratory test results were used to collect data, which were analyzed using Statistical Package for Social Sciences, version 16. Results: The prevalence of surgical site infection was 15.5% (or 31 of 200) among the participants. Premorbid status, as well as, wound class, of the patients affected the rate of SSI (p=0.007) and (p=0.009), respectively. However, the wound location did not show any significant effect on the prevalence of SSI. Conclusion:The study found a high prevalence of SSI which was dependent on the class of wound, and premorbid status of the patient.
Background: Early antenatal booking leads to early detection and management of abnormalities resulting in a reduction in maternal morbidity and mortality rates. The study sought to determine the frequency of antenatal visits, the gestational age at booking and to audit the provision and examine the utilization of antenatal services provided at Comprehensive Health Centre, Umunya. Methods: A retrospective, cross sectional, descriptive study carried out among women who delivered at comprehensive health center, Umunya from January 2007 to July 2014. A sample size of 323 determined by Vaughan's formula was used. Data was extracted from the patients' records and analysed using SPSS 15. Chi-square tests was used as test of significance at p<0.05. Results: Mean gestational age at booking was (mean±SD), 22.76±8.151 weeks. Approximately, two thirds of the women (66.3%) attended antenatal clinic ≥4 times. The assessment of antenatal care services at the center showed that height and weight measurements were done in 33.7% and 65.9%, respectively. Blood pressure was recorded in 99.7%, while almost all the women (95.6%) had routine iron and folic acid supplementation prescribed. Intermittent malaria prophylaxis was prescribed in 19.5% of the women. Tetanus toxoid immunization was administered in 80.5% of the women. In the examination of the utilization of the services, heamoglobin assessment was recorded in 82% of the women, urinalysis in 292 (90.4%), HIV screening in 99.4%, Syphilis test in 75.5% and Blood group test in 77.7%. Conclusion:The study demonstrates suboptimal provision of services especially with height and weight measurements and prescription of malaria intermittent preventive therapy. It also showed suboptimal utilization of laboratory services.
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