Youths’ perception on cashew production towards poverty reduction.

The study assessed youth perception on cashew production towards reducing poverty in Osun State, Nigeria. The specific objectives are; to describe the socio-economic characteristics of the youths involved in cashew production, identify the factors that encourage the involvement of youths in cashew production and examine the perception of youth about cashew production in Osun State. A multistage sampling procedure was adopted to select 96 respondents and structural interview scheduled was used to collect data from the selected respondents. The data collected were subjected to descriptive analysis such as frequency counts, percentage, mean, standard deviation and inferential analysis such as chi-square analysis to test for the hypothesis. Results show that the majority (83.3%) of the youths  that involved in cashew production are male, with mean age of 30.94 ± 2.4 years, an average farm size of 2.19 ± 0.45 hectares and average annual income of ₦164,844 00K ± ₦41,965.40K ($457.9 ±$116.6). About 53.1 percent of the respondents practice cashew farming mainly to earn a living. Findings from the study show those factors such as unemployment in non-agricultural sectors; favourable environment for cashew production including marketing availability and provide employment opportunity among others are motivational factors that enhances their involvement. Furthermore, source of information (χ2=32.331, p ≤0.01)), sex (χ2=7.513, p ≤0.05), marital status (χ2= 10.603, p ≤0.05) and reason for practicing cashew farming (χ2=29.766, p ≤0.05) had a positive and significant association with perception of youths towards cashew production. The study concluded that youths had a positive perception of cashew production and recommended among others that trainings in cashew value chain activities should be organized by agricultural development stakeholders to promote youth involvement in cashew value chain activities

POTABILITY AND IRRIGATION POTENTIAL OF GROUNDWATER SOURCES AT THE FEDERAL UNIVERSITY OF AGRICULTURE, ABEOKUTA, NIGERIA

Groundwater is an important source of freshwater and its quality determines it’s potential for domestic and agricultural use. Water samples from ten boreholes located within the Federal University of Agriculture Abeokuta, Nigeria were collected and analysed for physico-chemical and bacteriological properties, cations and metals using standard procedures. Results were compared with the regulatory standards while water quality index (WQI) method was used to classify the water potability. Potential of groundwater for irrigation was investigated using appropriate indices. The range of values for the measured parameters include: pH: 6.9 – 7.82; electrical conductivity(EC): 127 – 650 μS/cm; total dissolved solids (TDS): 58 to 284 mg/L; magnesium (Mg2+): 10 - 61 mg/L; nitrates (NO3-): 0.01 – 1.38 mg/L; iron (Fe): 0.02 – 0.05 mg/L; biological oxygen demand (BOD): 0.1 – 2.83 mg/L and total coliform: ND - 28×10cfu/mL. Majority of the water quality parameters fell within regulatory limits with the exception of magnesium and total coliforms. Escherichia coli, an indicator of faecal contamination was also absent in the water samples. On the average, groundwater within the study area has a WQI = 46.3 and can be classified to be of good quality for domestic use.  Sodium absorption ratio (SAR) was less than 10% and Magnesium adsorption ratio (MAR) was less 50 %, and are therefore classified as of excellent quality for irrigation purpose. Soluble sodium percentage (SSP) values range between 11.1 and 51 %. All samples were found to be good or fair for irrigation purpose with no harmful effects to the soil.     &nbsp

Stigma and utilization of treatment for adolescent perinatal depression in Ibadan Nigeria

This study identified predisposing, enabling, and hindering factors to health services utilization by adolescent mothers. Approximately 95% of all births to girls under age 18 occur in low- and middle -income countries (LMICs), where supporting infrastructure for healthcare is limited. Depression is a common and severe disorder among low-income adolescent mothers, where treatment often includes stigmatizing attitudes towards adolescent sexuality by healthcare providers. The study recognizes that it is difficult for someone young to enforce anything at home because they are not autonomous

Previous disorders and depression outcomes in individuals with 12-month major depressive disorder in the World Mental Health surveys

AIMS: Major depressive disorder (MDD) is characterised by a recurrent course and high comorbidity rates. A lifespan perspective may therefore provide important information regarding health outcomes. The aim of the present study is to examine mental disorders that preceded 12-month MDD diagnosis and the impact of these disorders on depression outcomes.METHODS: Data came from 29 cross-sectional community epidemiological surveys of adults in 27 countries (n = 80 190). The Composite International Diagnostic Interview (CIDI) was used to assess 12-month MDD and lifetime DSM-IV disorders with onset prior to the respondent's age at interview. Disorders were grouped into depressive distress disorders, non-depressive distress disorders, fear disorders and externalising disorders. Depression outcomes included 12-month suicidality, days out of role and impairment in role functioning.RESULTS: Among respondents with 12-month MDD, 94.9% (s.e. = 0.4) had at least one prior disorder (including previous MDD), and 64.6% (s.e. = 0.9) had at least one prior, non-MDD disorder. Previous non-depressive distress, fear and externalising disorders, but not depressive distress disorders, predicted higher impairment (OR = 1.4-1.6) and suicidality (OR = 1.5-2.5), after adjustment for sociodemographic variables. Further adjustment for MDD characteristics weakened, but did not eliminate, these associations. Associations were largely driven by current comorbidities, but both remitted and current externalising disorders predicted suicidality among respondents with 12-month MDD.CONCLUSIONS: These results illustrate the importance of careful psychiatric history taking regarding current anxiety disorders and lifetime externalising disorders in individuals with MDD.</p

Pathways to care for people for dementia: an international multi-centre study

Objective: the aim of the present study was to characterize the clinical pathways that people with dementia (PwD) in different countries follow to reach specialized dementia care. Methods: we recruited 548 consecutive clinical attendees with a standardized diagnosis of dementia, in 19 specialized public centers for dementia care in 15 countries. The WHO “Encounter Form”, a standardized schedule that enables data concerning basic socio-demographic, clinical and pathways data to be gathered, was completed for each participant. Results: the median time from the appearance of the first symptoms to the first contact with specialist dementia care was 56 weeks. The primary point of access to care was the general practitioners (55.8%). Psychiatrists, geriatricians and neurologists represented the most important second point of access. In about a third of cases, PwD were prescribed psychotropic drugs (mostly antidepressants and tranquillizers). Psychosocial interventions (such as psychological counselling, psychotherapy and practical advice) were delivered in less than 3% of situations. The analyses of the ‘pathways diagram’ revealed that the path of PwD to receiving care is complex, diverse across countries, and that there are important barriers to clinical care. Conclusions: the study of pathways followed by PwD to reach specialized care has implications for the subsequent course and the outcome of dementia. Insights into local differences in the clinical presentations and the implementation of currently available dementia care are essential to develop more tailored strategies for these patients, locally, nationally and internationally

Population-level risks of alcohol consumption by amount, geography, age, sex, and year: a systematic analysis for the Global Burden of Disease Study 2020

Background: The health risks associated with moderate alcohol consumption continue to be debated. Small amounts of alcohol might lower the risk of some health outcomes but increase the risk of others, suggesting that the overall risk depends, in part, on background disease rates, which vary by region, age, sex, and year. Methods: For this analysis, we constructed burden-weighted dose–response relative risk curves across 22 health outcomes to estimate the theoretical minimum risk exposure level (TMREL) and non-drinker equivalence (NDE), the consumption level at which the health risk is equivalent to that of a non-drinker, using disease rates from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2020 for 21 regions, including 204 countries and territories, by 5-year age group, sex, and year for individuals aged 15–95 years and older from 1990 to 2020. Based on the NDE, we quantified the population consuming harmful amounts of alcohol. Findings: The burden-weighted relative risk curves for alcohol use varied by region and age. Among individuals aged 15–39 years in 2020, the TMREL varied between 0 (95% uncertainty interval 0–0) and 0·603 (0·400–1·00) standard drinks per day, and the NDE varied between 0·002 (0–0) and 1·75 (0·698–4·30) standard drinks per day. Among individuals aged 40 years and older, the burden-weighted relative risk curve was J-shaped for all regions, with a 2020 TMREL that ranged from 0·114 (0–0·403) to 1·87 (0·500–3·30) standard drinks per day and an NDE that ranged between 0·193 (0–0·900) and 6·94 (3·40–8·30) standard drinks per day. Among individuals consuming harmful amounts of alcohol in 2020, 59·1% (54·3–65·4) were aged 15–39 years and 76·9% (73·0–81·3) were male. Interpretation: There is strong evidence to support recommendations on alcohol consumption varying by age and location. Stronger interventions, particularly those tailored towards younger individuals, are needed to reduce the substantial global health loss attributable to alcohol. Funding: Bill & Melinda Gates Foundation

Global, regional, and national burden of disorders affecting the nervous system, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

BackgroundDisorders affecting the nervous system are diverse and include neurodevelopmental disorders, late-life neurodegeneration, and newly emergent conditions, such as cognitive impairment following COVID-19. Previous publications from the Global Burden of Disease, Injuries, and Risk Factor Study estimated the burden of 15 neurological conditions in 2015 and 2016, but these analyses did not include neurodevelopmental disorders, as defined by the International Classification of Diseases (ICD)-11, or a subset of cases of congenital, neonatal, and infectious conditions that cause neurological damage. Here, we estimate nervous system health loss caused by 37 unique conditions and their associated risk factors globally, regionally, and nationally from 1990 to 2021.MethodsWe estimated mortality, prevalence, years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life-years (DALYs), with corresponding 95% uncertainty intervals (UIs), by age and sex in 204 countries and territories, from 1990 to 2021. We included morbidity and deaths due to neurological conditions, for which health loss is directly due to damage to the CNS or peripheral nervous system. We also isolated neurological health loss from conditions for which nervous system morbidity is a consequence, but not the primary feature, including a subset of congenital conditions (ie, chromosomal anomalies and congenital birth defects), neonatal conditions (ie, jaundice, preterm birth, and sepsis), infectious diseases (ie, COVID-19, cystic echinococcosis, malaria, syphilis, and Zika virus disease), and diabetic neuropathy. By conducting a sequela-level analysis of the health outcomes for these conditions, only cases where nervous system damage occurred were included, and YLDs were recalculated to isolate the non-fatal burden directly attributable to nervous system health loss. A comorbidity correction was used to calculate total prevalence of all conditions that affect the nervous system combined.FindingsGlobally, the 37 conditions affecting the nervous system were collectively ranked as the leading group cause of DALYs in 2021 (443 million, 95% UI 378–521), affecting 3·40 billion (3·20–3·62) individuals (43·1%, 40·5–45·9 of the global population); global DALY counts attributed to these conditions increased by 18·2% (8·7–26·7) between 1990 and 2021. Age-standardised rates of deaths per 100 000 people attributed to these conditions decreased from 1990 to 2021 by 33·6% (27·6–38·8), and age-standardised rates of DALYs attributed to these conditions decreased by 27·0% (21·5–32·4). Age-standardised prevalence was almost stable, with a change of 1·5% (0·7–2·4). The ten conditions with the highest age-standardised DALYs in 2021 were stroke, neonatal encephalopathy, migraine, Alzheimer's disease and other dementias, diabetic neuropathy, meningitis, epilepsy, neurological complications due to preterm birth, autism spectrum disorder, and nervous system cancer.InterpretationAs the leading cause of overall disease burden in the world, with increasing global DALY counts, effective prevention, treatment, and rehabilitation strategies for disorders affecting the nervous system are needed

Factors associated with paternal perinatal depression in fathers of newborns in Nigeria

Introduction: There is a lack of information on paternal postnatal depression in developing countries such as Nigeria. Methods: This study aims to assess the prevalence of depression in fathers at the birth of their infants and the incidence of paternal postnatal depression at 6 weeks postpartum. We also examined the correlation between paternal postpartum depression (PPD) at 6 weeks and maternal PPD as well as the sociodemographic and other correlates of paternal PPD at 6 weeks. Results: All the 331 fathers recruited at baseline completed the study. Prevalence of depression in fathers at birth of their babies was 10 (3%). After excluding the 3%, the incidence of PPD in fathers (N = 321) at 6 weeks was 19 (5.9%). In all, 29 (8.8%) fathers had PPD. The prevalence of depression in mothers at 6 weeks postpartum was 57 (17.8%). The prevalence of depression in mothers at 6 weeks was significantly higher than the incidence of depression in fathers at 6 weeks (X2 = 26.2, p < .001). There was no significant correlation between maternal PPD and paternal PPD. At baseline, prevalence of PPD among the unemployed fathers was higher than in the employed, 3 (21.4%) versus 7 (2.2%), this was significant (FE p < .01). There was no significant correlate of paternal PPD at 6 weeks. Discussion: Postpartum mental health services should be extended to fathers of newborns especially those who are unemployed. Our findings have implications for family health

Assessment of the alcohol consumption among outdoor bar drinkers in Nigeria by qualitative methods

Abstract Background There are indications that drinking in outdoor bars, such as at motor-parks, by the roadsides or street corners have become popular in Nigeria. Method Three sets of qualitative assessments were carried out from three outdoor bars, randomly selected from 22 of such in Ibadan, Nigeria. The main sources of data were by direct observation and focus group discussion (FGD), conducted by a non-probabilistic sample of outdoor bar drinkers, alcohol vendors and from community members. The qualitative assessments were recorded, followed by a thematic analysis of the contents of the qualitative assessments. Results Widespread use of alcohol was reported. Patrons of outdoor bars reported that their context of drinking was pleasurable to them. Use of local beverages usually called ‘sepe’ is increasing. The majority of them do not have adequate health information about the harmful consequences of alcohol. Alcohol and other substances of abuse were openly displayed, sold and consumed at the study sites. There were poor law provision and enforcement of laws prohibiting open display of alcohol and other substances. Conclusion A high proportion of social drinkers in outdoor bars require intervention for their drinking behaviour. This is important because they have little or no information about the health hazards associated with excessive drinking. Presentation of these findings should contribute to increased awareness and improved response from the policy makers