Category Archives: International Journal of Medical Science and Applied Biosciences, volume 7 , number 1, 2022

The Need for all HealthCare Workers to be Able to Control their Temper at all Times: Always Cheerful!

Mabiaku Y.O¹.; MabiakuT. O²; Anyanwu, E.B². & Umukoro D.O ²

¹Department of Surgery.

²Department of Family Medicine.

Delta State University Teaching Hospital, P.M.B 07 Oghara, Nigeria

Email: yvonnemabiaku@gmail.com

It goes without saying that health workers are human beings facing the same issues and challenges as everyone else. These workers mostly work under the expectations by the general public to deliver answers to all of their health needs. Thus, such workers on whom public have placed such “divine” expectations on must be seen to be humble and temperate at all times. It will not be acceptable to see these groups of workers to be unnecessarily angry, aggressive, shouting, temperamental, easily aroused to anger, and worse still, physically involved in a combat. The observing public must be able to trust these workers and see them as mild tempered individual, who can reason with them, not appear as all knowing, not aloof nor proud. These personal attributes often put people off and the expert capabilities of these physicians may thus not impact on the needy(ing) populace. Healthcare providers must be easily approachable, with no obstruction or restrain, and be seen to be happy to help persons in quest for answers to their challenges. Even in the face of the inadequacies that are encountered regularly in all or probably in most of our health facilities, providers or workers must be seen to be tolerant, cool headed and not to vent their frustrations on the innocent populace. They too are probably equally frustrated by the near total breakdo

Effects of Continuous Training Programme on Serum Lipids and Lipoprotein of Young Male Adult University Students in Nigeria

Abdul Mohammed PhD

Department of Human Kinetics and Health Education

Ibrahim BadamasiBabangida University, Lapai,Niger State, Nigeria

Email: drabdulmohammed5@gmail.com

ABSTRACT:

The purpose of this study was to find out the effects of continuous training on TG, [Triglycerides] TC, [Total Cholesterol] LDL-C [Low Density Lipoprotein- Cholesterol] and HDL-C [High Density Lipoprotein Cholesterol] of healthy young adult male University students. A total of 32 volunteer male subjects were randomly assigned to two groups. Continuous training group with 16 male and thecontrol group with 16 male too.  All the subjects were tested for serum TG, TC, LDL-C and HDL-C before starting the training. These tests were repeated on all the subjects after 12 weeks of training. All the subjects were allowed to perform the normal regular activities while the subjects for continuous training groups underwent their respective training protocols for 30 minutes in each training session, 3 training session on alternate days for 12 weeks. The data thus collected were analyzed using t- test for mean differences between male experimental group and male control group and One way Analysis of variance (ANOVA) for the mean effects of the training between the training group and the control group in serum TG, TC, LDL-C and HDL-C. The result showed significant decrease in serum TG, (5.80%) TC (15.9%)and LDL-C(11.4%) due to 12 weeks continuous training. . There was also significant increase in HDL-C as a result of the training programmes in the male subjects (20.0%) It was concluded that, continuous training conducted for 30 minutes or above per session for 3 sessions on alternate days of a week at moderate intensity cause significant decrease in serum  TG, TC, LDL-C and significant increase in HDL-C in young male adults. On the basis of the findings, it was recommended that continuous training programme at moderate intensity (30 – 60% vo2max) should be followed at least for 12 weeks to produce desired favourable modification in lipids and lipoproteins of young male adults in Nigeria.

A Randomized Study of Isotonic Versus Hypotonic Maintenance Intravenous Fluids in Hospitalized Children in a Tertiary Institution in Nigeria, Sub-Saharan Africa

Odion-Obomhense Helen K¹; OcheiOboratare²&Otene Cletus³

¹Paediatric Surgical Unit, Department of Surgery, Delta State University Teaching Hospital, Oghara,

²Department of Community Health, Community Medicine, Delta State University Teaching Hospital

³Plastic Surgical Unit, Department of Surgery, Delta State University Teaching Hospital, Oghara,

Email:***drkesoghene@gmail.com;droboratare@gmail.com;oteneclet@yahoo.com

ABSTRACT:

Maintenance intravenous fluids are administered to hospitalized children who cannot maintain adequate hydration through the enteral intake. Isotonic crystalloids have been said to be a safer alternative to hypotonic solutions as intravenous maintenance fluids to prevent hyponatremia; however, in many pediatric units in Nigeria, hypotonic fluids are still routinely administered.This study was done to assess the complications and the change in serum sodium that arose in patients that had either hypotonic or isotonic intravenous fluids pre-operatively and post-operatively for maintenance. The study was a randomized clinical study conducted among children aged 6 months to 17 years, who required intravenous fluids for at least 8 hours. The children used for the study were randomized into three arms; either they received 5.0% dextrose in normal saline or 5% dextrose in ringers’ lactate or, 4.3% dextrose in one-fifth saline. The primary outcome variable was to determine acute hyponatremic state; while the secondary outcome variables measured were severe hyponatremia, hypernatremia, or, any adverse events attributable to acute plasma sodium level changes. The study showed a significantly higher risk of acute hyponatremia and severe hyponatremia in patients who received hypotonic intravenous fluids than in patients who received isotonic fluids. However, there was no significant difference found in the risk of hypernatremia in patients who received either hypotonic intravenous fluids or isotonic fluids.Isotonic fluids are safer than hypotonic fluids in hospitalized children requiring maintenance intravenous fluids therapy to prevent

hyponatremia.

Keywords: Children; Hyponatremia, Hypotonic Fluid, Isotonic Fluid. Intravenous Fluid

 

Proximate, Microbial and Organoceptic Characteristics of Juice Blend From Carrot and Coconut Spiced with Ginger and Turmeric (Curcumalonga)

D.O.Ochulor; F.CDuru; J.FIgwe; V.N Amadi-Uzonna &N.G Eze

Department of Food Technology,

Federal Polytechnic Nekede, Owerri, Imo State

Corresponding Author: Ochulor, D.O

Email: ejelonunelson@gmail.com

ABSTRACT: The proximate composition, microbial quality and the level of consumer acceptability of coconut and carrot juice blend when spiced with ginger and turmeric were investigated. The juice was produced in various proportions and coded as follows: AOA 50:50:0:0 of coconut and carrot, no ginger and turmeric, BOB 60:30:5:5; coconut, carrot, ginger and turmeric, COC 50:30:10:10; coconut, carrot, ginger and turmeric DOD 50:30:5:5, coconut, carrot, ginger and turmeric and on addition of 5% sugar, they were pasteurized at 65 – 75^oc for 15mins. The proximate, microbial and organoleptic properties and the result of the proximate analysis revealed a moisture range of 84.60 – 88.20 with BOB having the highest (88.20%) moisture and AOA (84.60%) the least moisture. The ash level was highest in DOD (320%) ash and least in AOA (1.40). The crude fibre was highest in sample COC (0.60%) and least (0.40%) in AOA. The fat contents was highest (7.80) in COC and least (4.80) in BOB, protein was highest (2.16%) in AOA and least (1.67%) in DOD there were no significant differences (P<0.05) in the carbohydrate content of all the samples. The result of the microbiological analysis showed that sample AOA had the highest. Total plate content of (1.2×10⁵/ml) while COC had the least 3.1×10⁴/ml. The result of the organoleptic analysis showed that sample AOA (8.1) was the overall best in appearance followed by DOD (7.1). The flavor of sample AOA was the best followed by DOD (6.9) for taste, consistency and general acceptability, there are slight differences between samples at (P<0.05). This study recommends that the blended juice should be served in meals to aid digestion, serve as food supplement and source of energy. The low microbial count indicates antimicrobial properties from ginger and turmeric for a more stable predict and diversify its utilization by value-creation to yield a desired blend. 

Key words: Proximate, carrot, coconut, ginger, sensory juice.

Never Too Little to Teach – A Narrative of the Sorry State of a Naïve teenager with Literature Review

Yovwin, D. G¹.,Afamefuna F. A²., Mabiaku T. O¹.&Anyanwu, E. B¹.,

¹Department of Family Medicine,Delta State University Teaching Hospital, P.M.B. 07, Oghara, Nigeria.

²Department of Accident and Emergency, Delta State University Teaching Hospital,P.M.B.07, Oghara, Nigeria.

Email: cicigyde@yahoo.co.uk

ABSTRACT:

The teenage period is full of new developments which require attention and care especially of the female gender. New and sometimes embarrassing features emerge such as the sudden show of unprovoked bleeding per vagina and the issues of hygiene in such situations. The consequences of poor hygiene is far reaching both for the immediate as well as at later years of adolescence and adulthood. It should therefore be an issue of paramount importance to parents and guardians to initiate health education as these young ones begin to approach this critical period of their lives. These teenagers are very often naïve about their general health hygiene and are almost blank about how to care for themselves during their menstrual cycles. A scenario where an unprepared uneducated active and healthy young girl suddenly developed abdominal pain which may be excruciating and then vaginal spotting of bright red blood will not only be alarming but embarrassing. More alarming than is when this naive girl then seeks for counsel from her peer who often may know even less than her or at best have bits of varying information on what is happening and what can be done. Such situation is preventable if these vulnerable individuals are well informed before time on what to expect, and on how to manage themselves when it comes. Such information include but not limited to knowing that it is natural and should be expected, the kinds of sanitary pads/tampons to use and how it is used, appropriate disposal and their general hygiene during this period. We report a case of a naïve teenage girl who was managed for sepsis as a consequence of poor menstrual hygiene.

Keywords: Teenage,septicaemia pads, tampon, hygiene.