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Okoye O.,University of Nigeria | Ubesie A.,University of Nigeria | Ogbonnaya C.,Federal Teaching Hospital Abakiliki
Journal of Health Care for the Poor and Underserved | Year: 2014

Introduction. Pediatric ocular trauma is a significant worldwide problem of public health importance being a leading cause of non-congenital unilateral blindness. This study evaluated the proportion, type and causes of ocular injuries among children in a rural hospital of Nigeria. Methods. Children (<16 years) presenting with ocular trauma at the Eye clinic of the Presbyterian Joint Hospital, Ohaozara, Ebonyi state, Nigeria, between November 2011 and May 2012 were studied. Participant's socio-demographics, type of trauma, cause of trauma, and occupation of parents were collected and analysed. Results. The Proportion of ocular injuries was 26.4%. Injuries were more common among males (P=.041) and children from lower social class (P=.026). Injuries occurred more frequently during farm work (59.4%) and play (21.9%). The most common causes of injury were stick (34.4%) and stones (21.8%). Conclusion. The proportion of ocular injuries among children at the rural hospital is high. Most causes are preventable © Meharry Medical College.


Manyike P.C.,Federal Teaching Hospital Abakiliki | Chinawa J.M.,University of Nigeria | Aniwada E.,University of Nigeria | Udechukwu N.P.,Federal Teaching Hospital Abakiliki | And 2 more authors.
Pakistan Journal of Medical Sciences | Year: 2015

Background and Objective: Child sexual abuse among adolescents is an often overlooked issue in pediatrics, yet it is a major cause of low self esteem and stigmatization in adolescents. The objective of this study was to determine the socioeconomic determinant and pattern of child sexual abuse among adolescent attending secondary schools in South East Nigeria. Methods: This was a cross-sectional study that was carried out among children in three secondary schools in Enugu and Ebonyi states of Nigeria. Five hundred and six adolescents who met inclusion criteria were consecutively recruited into our prospective study between June and October, 2014. Results: One hundred and ninety nine (40 %) of the respondents had been abused and the commonest form of abuse was to look at pornographic pictures, drawings, films, videotapes or magazine 93(18.4%). Fifty eight (11.5%) adolescents stated that they were abused once with age at first exposure being 7-12 years 57 (11.4%). When grouped together, family members and relatives are perpetrators of child sexual abuse. There was significant difference in sex abuse between males and females (p=0.014) while there were no significant difference for age (p=0.157) and social class (p=0.233). Conclusion: Overall prevalence and one time prevalence rates of sexual abuse among adolescents in south east Nigeria was 40% and 11.5% respectively with male perpetrators. There is no link between socioeconomic class, age and child sexual abuse among adolescents. © 2015, Professional Medical Publications. All rights reserved.


Manyike P.C.,Federal Teaching Hospital Abakiliki | Chinawa J.M.,University of Nigeria | Ubesie A.,University of Nigeria | Obu H.A.,University of Nigeria | And 2 more authors.
Italian Journal of Pediatrics | Year: 2014

Background: Malnutrition can be defined as a state of nutrition where the weight for age, height for age and weight for height indices are below -2 Z-score of the NCHS reference. It has posed a great economic burden to the developing world. Objectives: The objective of this study is to assess the prevalence of malnutrition among pre-school children in abakiliki in Ebonyi state of Nigeria. Methods: This is a cross-sectional studies that assess the prevalence of malnutrition and associated factors among children aged 1-5 years attending nursery and primary schools. Nutritional assessment was done using anthropometry and clinical examination. Results: A total of 616 children aged one to 5 years were enrolled into this study. Three hundred and sixty-seven (59.6%) were males while 249 (40.4%) were females. Sixty of the 616 children (9.7%) had acute malnutrition based on WHZ-score. Moderate acute malnutrition (MAM) was present in 33 children (5.3%) while 27 (4.4%) had severe acute malnutrition. Conclusions: The prevalence of global and severe acute malnutrition using z-score is 9.7% and 4.4% respectively while that of stunting is 9.9% with a male preponderance. © 2014 Manyike et al.; licensee BioMed Central Ltd.


Iloh G.U.P.,Federal Medical Center | Ikwudinma A.O.,Federal Teaching Hospital Abakiliki
North American Journal of Medical Sciences | Year: 2013

Background: Hepatitis-B infection is not commonly perceived as a serious medical problem in Nigeria. However, chronic hepatitis-B infection, which is a subject of global concern, may lead to lethal liver diseases. Aim: The study was to determine the sero-epidemiology of hepatitis-B surface antigenaemia among adult Nigerians with clinical features of liver diseases attending a primary-care clinic in a resource-constrained setting of Eastern Nigeria. Materials and Methods: A cross-sectional study was carried out on 140 adult Nigerians with clinical features of liver diseases at the primary-care clinic of Federal Medical Centre, Owerri. They made up three groups: 44 patients, 62 patients and 34 patients with clinical features of hepatitis, liver cirrhosis and hepatocellular carcinoma, respectively. Hepatitis-B surface antigen (HBsAg) was assayed using an immunochromatographic method. Demographic variables were collected. Results: The overall sero-positivity rate was 50.7%. The sero-positivity rates for these patients were 23.9%, 39.5% and 36.6% for hepatitis, liver cirrhosis and hepatocellular carcinoma, respectively. The age group 40-60 years (P = 0.048) and artisans (P = 0.019) were significantly infected. Abdominal swelling (86.4%) and ascites (67.1%) were the most common symptoms and signs, respectively. Conclusion: HBsAg prevalence was high and has significant association with age and occupation.


Nwokocha A.R.C.,University of Nigeria | Chinawa J.M.,University of Nigeria | Ubesie A.C.,University of Nigeria | Onukwuli V.I.,University of Nigeria | Manyike P.C.,Federal Teaching Hospital Abakiliki
Journal of Pediatric Endocrinology and Metabolism | Year: 2016

Background: Menstruation in the teenage age has assumed variable trends which is been influenced by several variables. This study is aimed at determining the pattern and trend of menstruation among teens attending secondary school in south east Nigeria and associated factors. Methods: Menstruation patterns were investigated using a stratified random sampling method of teens from junior secondary schools in Enugu, south east Nigeria. A self-administered questionnaire was developed and data analyzed using SPSS version 19. Results: A total of 897 female teenagers aged 9-18 years completed the questionnaire with a mean age of 13.9±1.9 years. The mean age (SD) at onset of menarche was 12.5±1.2 years. Teenage girls with higher BMI achieved menarche earlier at age 8 and 9 when compared with their counterparts with lower BMI and this is statistically significant. F=7.60, df=8, p<0.001. Teens with a 14-day cycle had a higher BMI when compared with teens with longer cycle but this is not statistically significant. F=1.05, df=4, p=0.381. There is a statistical significance difference between teens duration of menstrual flow and BMI. Those with higher BMI had longer duration(4-5 days) compared with those with lower BMI. F=3.329, df=4, p=0.01 Conclusions: This study revealed that the mean age at onset of menarche was 12.5±1.2 years showing a continuing decreasing trend. Teens with higher BMI attain menarche earlier and had longer days of periods when compared with their counterpart with lower BMI. © 2016 by De Gruyter.


Chinawa J.M.,University of Nigeria | Obu H.A.,University of Nigeria | Manyike P.C.,Federal Teaching Hospital Abakiliki | Obi I.E.,University of Nigeria | Chinawa A.T.,University of Nigeria
Annals of Tropical Medicine and Public Health | Year: 2016

Background: When a pediatrician has the right attitude and displays good clinical skills, it is often associated with a wide range of positive health outcomes among children. Objectives: The objective of this study is to determine caregivers' perception of the attitude and skill of pediatricians attending to children in tertiary hospitals. Materials and Methods: This study was carried out in the pediatric wards of three teaching hospitals from two Southeastern states of Nigeria, namely, the University of Nigeria Teaching Hospital (UNTH) Ituku-Ozalla, Enugu, Enugu State University Teaching Hospital (ESUTH) (both in Enugu State), and Federal Teaching Hospital, Abakaliki (FETA) in Ebonyi State. A structured, self-administered questionnaire was used to collect information from the caregivers of children who were admitted in the hospitals during the study period. Results: A total of 227 respondents were involved in this study. Of all the children, 94 (41.4%) were females and 133 (58.6%) were males. Over a third of the caregivers, i.e., 78 (34.4%), did not know the cadre of the doctor who examined them while the majority, i.e., 204 (89.9%), believed that the doctors who examined them were qualified and competent. Moreover, over half of the respondents admitted that the doctors who examined their wards were either very good [83 (36.6%)] or good [84 (37%)]. Conclusion: Pediatricians and doctors who care for children in tertiary hospitals in Southeastern Nigeria are perceived by caregivers to be skillful, caring, and friendly. © 2016 Annals of Tropical Medicine and Public Health | Published by Wolters Kluwer - Medknow.


PubMed | Federal Teaching Hospital Abakiliki and University of Nigeria
Type: | Journal: International journal of mental health systems | Year: 2016

Medical students are exposed to stress and this can predispose them to psychological and behavioral consequences.Psychosomatic disorders were investigated among 385 medical students from two teaching hospitals using a stratified random sampling. The Enugu somatization Scale (ESS) was used to evaluate for presence of somatization in the participants. Statistical analysis was done with the Statistical Package for Social Sciences (SPPS) version 19 (Chicago IL).A total of 385 medical students with a calculated mean age of 23.553.33years were recruited in this study. The prevalence of psychosomatic disorder was 55 (14.3%) with prevalence among males 33 (14.2%) and among females 22 (14.4%). Based on features, 44 (11.4%) had head features while 30 (7.8%) had body features of psychosomatic disorder respectively. Similar proportion of both males and females (about 14% each) had psychosomatic disorder. There was no statistically significant difference ([Formula: see text]=0.002, p=0.966). Students aged 24years and below had similar proportion of psychosomatic disorder 38 (14.3%) with those aged over 24years 17 (14.2%). The difference was not statistically significant ([Formula: see text]=0.002, p=0.964). Students from lower social class had lower proportion of psychosomatic disorder (10.6%) when compared to middle (17.2%) and upper (15.2%). The difference was equally not statistically significant ([Formula: see text]=1.759, p=0.415). Male students had similar likelihood of psychosomatic disorder with females (OR 1.01, 95% CI 0.56-1.82). Those had belong to middle socio-economic class were about 1.2 times (AOR 1.15, 95% CI 0.54-2.45) and lower socio-economic class about 0.6 times (AOR 0.66, 95% CI 0.31-1.37) likely to have psychosomatic disorder than those from upper socio-economic class.Psychosomatic disorders constitute an emerging mental health problem among medical students in Nigerian Universities. This can pose a major mental health problem if neglected.


PubMed | Federal Teaching Hospital Abakiliki and University of Nigeria
Type: Journal Article | Journal: Pakistan journal of medical sciences | Year: 2015

Child sexual abuse among adolescents is an often overlooked issue in pediatrics, yet it is a major cause of low self esteem and stigmatization in adolescents. The objective of this study was to determine the socioeconomic determinant and pattern of child sexual abuse among adolescent attending secondary schools in South East Nigeria.This was a cross-sectional study that was carried out among children in three secondary schools in Enugu and Ebonyi states of Nigeria. Five hundred and six adolescents who met inclusion criteria were consecutively recruited into our prospective study between June and October, 2014.One hundred and ninety nine (40 %) of the respondents had been abused and the commonest form of abuse was to look at pornographic pictures, drawings, films, videotapes or magazine 93(18.4%). Fifty eight (11.5%) adolescents stated that they were abused once with age at first exposure being 7-12 years 57 (11.4%). When grouped together, family members and relatives are perpetrators of child sexual abuse. There was significant difference in sex abuse between males and females (p=0.014) while there were no significant difference for age (p=0.157) and social class (p=0.233).Overall prevalence and one time prevalence rates of sexual abuse among adolescents in south east Nigeria was 40% and 11.5% respectively with male perpetrators. There is no link between socioeconomic class, age and child sexual abuse among adolescents.

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