Sexual risk behavior and HIV infection among adolescents in secondary schools in Jos, Nigeria

Background: In adolescents sexual risk behaviours are believed to enhance the transmission of HIV infection. This study, therefore aims to examine prevalent sexual risk behaviours of adolescents in secondary schools in a town in northern Nigeria and its relation to HIV infection.Method: A total of 883 subjects drawn from 10 schools out of 37, were recruited for the study. Structured self administered questionnaire was given to each subject. Consenting subjects received group pretest counseling and had HIV screening using Determine HIV test kits. HIV positive subjects had confirmatory test using Unigold test kit.Result: Males accounted for 42.5% (374) out of the 883 students studied. Of this, 169 (19.2%) were sexually active. Mean age at sexual debut was 13.8±2.9 years; 13.3±2.7 years for males and 14.6±3.2 years for females, p=0.006. Males 101 (27%) were more sexually experienced as against 13.4% of the females, p<0.0001. Among the sexually active37.6% had two or more sex partners, and 63.9% of them never used condoms. In the sexually active, 54 (42.5%) had nonconsensual sex (NCS), with more of NCS occurring in younger subjects p<0.0001, more females p<0.0001, associated with less condom use (p=0.02). Nine (eight females and one male) of the 883 subjects tested HIV positive. among the sexually active subjects, only four tested HIV positive. Condom use among the sexually active, HIV positive subjects was 25%.Conclusion: Prevalent sexual risk behaviors noted were early sexual debut, nonconsensual sex, unprotected sex and multiple sex partners.Key words: Adolescents, Sexual risk behavior, HIV infection, Jo

Awareness of the benefits of breastfeeding among mothers and its influence on the breastfeeding practices in Jos

Background: Breastfeeding is an effective intervention to reduce child morbidity and mortality. The third of ten steps to successful breastfeeding is to inform all pregnant mothers about the benefits of breastfeeding. This awareness of the benefits of breastfeeding bybreastfeeding/Nursing mothers may serve as a motivation for good breastfeeding practices. The aim of this study therefore was to determine awareness of breastfeeding benefits among nursing mothers in Jos and its relationship with selected breastfeeding practicesMethods: The cross-sectional study was carried out among 482 breastfeeding mothers in 6 immunization clinics in Jos. Information on sociodemographics, breastfeeding practices and Mothers' level of awareness of the benefits of breastfeeding. The awareness level was then graded good, fair and no awareness. Bivariate analysis was done using SPSS 21Results: Of the 482 nursing mothers interviewed, 77.6% were assessed to have good knowledge, 8% had fair, while 14.5% had no knowledge of the benefits of breastfeeding. Significantly more women of younger ages, lower socioeconomic status, lower education and unskilled had No awareness of the benefits of breastfeeding.Good breastfeeding practices and intention to breastfeed for more than a year were associated with good level of awareness.Keywords: Awareness, Benefits, Breastfeeding, Mothers, Influence, Practice

Pattern of acute respiratory infections in hospitalized children under five years of age in Jos Nigeria

Background: Acute respiratory infections are the commonest cause of acute morbidity in children especially those under five in the developing countries. Clinical diagnosis is of utmost importance considering the unavailability of radiological and microbiological services in most primary care settings in most developing countries.Methodology: Thirty nine children with symptoms of acute respiratoryinfection attending our emergency room over a one year period wererecruited. Each had a CXR and blood culture ordered by the attendingphysician on admission.Results: Thirty nine subjects were admitted with ARI with a hospitalprevalence of 43.5/1000 person per year (39/897). Mean age was18.75+17.23 mo, (Females =25.6+19.1, Males = 13.8+14.2, t=2.2, p=0.03). Bronchiolitis was the commonest ARI seen in infants, tonsillitis in children beyond infancy while pneumonia was seen in all age groups. The cardinal feature of each disease entity was Fever, cough, breathlessness, tachycardia and hypoxemia in those with Pneumonia; Catarrh, nasal congestion and tachypnoea in those with bronchiolitis, while fever and vomiting were seen in those with pharyngotonsilitis.Conclusion: This review highlights the common ARI in our setting.Efforts need to be intensified on the identification of children with ARIin the children emergency room with the aim of prompt and appropriatemanagement in order to meet the MDG targets

Nutritional status and morbidity in children 0-5years seen in Jos University Teaching Hospital

Malnutrition underlies more than 50% of childhood mortality in Nigeria. It contributes significantly to mortality rates in children less than 5years of age. Prevalent childhood illnesses beyond the neonatal period are acute respiratory infections amongst other and outcome of treatment is invariably related to nutritional status. We sought to  determine the morbidity pattern and nutritional status of children 5 years and below admitted into the children emergency unit without primary diagnosis of malnutrition. Consenting subjects over a one year period between  0-5years were recruited into the study. Data retrieved included age, sex, weight, length/height and mid-upper arm circumference, clinical diagnosis amongst others. Seventy three subjects 5years and below were recruited out of 113 patients seen during the period. Mean age 21.518.5months. Most (43.8%) were infants. Acute respiratory infections (pneumonia, bronchiolitis and pharyngotonsillitis) accounted for 51.4% of admission, malaria 22.3% sickle cell  anaemia 8.3% and UTI 6.1% amongst others. Malnutrition was seen in 48.9% using WHZ, 15.1% had severe acute malnutrition, 10.9% were overweight while 9.6% had severe stunting. Most cases of SAM were seen in patients with pneumonia (35.7%). Malaria had mainly subjects with MAM (60%). Over-nutrition was seen more in subjects with UTI (50%), pneumonia (28.4%), bronchiolitis (33.3%) and malaria (20%). Severe stunted was noted among  subjects with pneumonia (21.4%), UTI (25%) and bronchiolitis (33.3%). Malnutrition remains an underlying  co-morbidity in children 5years and below. Intensified efforts at community and clinical management of  malnutrition in all children is needed

Spectrum of Skin Diseases among School Aged Children in Jos North-Central Nigeria

Skin diseases are common causes of morbidity among children in developing nations. An awareness of the types of skin morbidities seen in school children and the associated factors may enable individuals’ families and government carry out or direct preventive and therapeutic measures appropriately.The aim of this study was to assess the spectrum of skin diseases among primary school children in Jos North Local Government Area. Three hundred and ninety (390) pupils were recruited from selected public and private primary schools using multistage sampling technique. Structured Interviewer administered questionnaires were used to obtain information. Key diagnostics features were used for clinical diagnosis of major skin diseases. Data collected were analyzed using SPSS version 21. There were a total of 199 males and 191 females. Age range was between 6 and 12 years. Prevalence rate of skin disease was 36.2%. A total of 28 different types of skin diseases were seen among the pupils, with infections making up the bulk (47.3%). Among the infections, Tinea (23.9%) was the most prevalent. while dermatitis accounted for 20.7%. There was no sex predilection. Skin diseases were significantly more prevalent in children between 6-7 years ( p-0.014) and associated with lower socioeconomic class (p-0.001) and children from public schools (p0.000). Preventive and curative health services should be provided in the school health programme especially in public schools for reduction of the prevalence of skin disorders

Are skin diseases in school children related to keeping of animals in homes?

Background: Families in Jos keep animals in the home vicinity for various reasons such as companionship, security, nutrition, and financial support. Children in such homes live in close proximity with such animals. The skin being the outermost organ to interface with animals may be exposed to infections and allergens. There is therefore a need to determine the proportion of children in the population who are exposed to animals in their homes, and to describe any relationship with skin diseases.Objectives: The study was carried out to investigate the proportion of school children in close contact with animals and the relationship between skin disease and presence of such animals in homes.Methods: This was a descriptive cross sectional study of 390 (aged 6-12 years) children of primary schools in Jos North Local Government Area of Plateau state, Nigeria. Clinical diagnosis of skin disease was made from information on, disease symptomatology and examination of skin, hair and nails of respondents. Diseases were grouped into Infectious skin diseases (fungal, bacterial, viral and ectoparasitosis), dermatitis, urticaria and others. Data was analyzed using SPSS version 21.Results: The proportion of school aged children that had animals at home were 77.2 % ( 301 of 390).The prevalence of skin diseases in the school children was 36.2% (141 among 390). There was no statistically significant difference (p=0.144) in the occurrence of skin disease among those that kept animals 34.2%(103 of 301) and those that did not 42.7%(38 of 89). However there was a statistically significant difference in the pattern as children who had animals in their homes were observed to have more infectious skin diseases and  less urticaria and dermatitis (p-0.001)Conclusion: A large proportion of families with children keep animals in the vicinity of the homes and this may affect the type of skin diseases children present with. Simple personal hygiene should be taught to children and practiced at home after contact with animalsKeywords: Skin diseases, animals, zoonosis, childre

Computed Tomography Scanner Distribution and Downtimes in Southeast Nigeria

Background: It is clearly known and documented that the first computed tomography (CT) scanner was installed in 1987 at the University College Hospital (UCH) Ibadan, Southwest-Nigeria. Ironically, it is neither clearly documented how many more scanners have been installed after then, nor about their functionality. Objective: To establish the actual number and functionality of CT scanners in the Southeast geopolitical zone of Nigeria.Methodology: The survey was undertaken from March – June, 2016. Radiographers across different tertiary hospitals in southeast (SE) Nigeria, were requested through phone calls to ascertain the number of CT scanners in their respective states of residence. Their feedback was crosschecked using entirely different Radiographers. Internet searches were conducted to authenticate some information obtained. For Anambra State where all but one of the authors worked or schooled, physical visits were made to all centres. Data elicited covered scanner specifications, installation details, ownership, and functionality, amongst others. These were recorded in a pro forma sheet and later collated and presented in tables. Result: A total of 23 CT centres with 28 CT scanners were confirmed. These were distributed across the zone as follows: Anambra; 10 (35.8 %), Imo; 6 (21.4 %), Enugu; 6 (21.4 %), Abia; 4 (14.3 %) and Ebonyi; 2 (7.1 %). Private ownership accounted for 19 (68.0 %) of the scanners while the remaining 9 (32.0 %) were distributed between the Federal Government (n = 5; 18.0 %), public-private partnership (n = 2; 7.0 %), and state governments (n = 2; 7.0 %), respectively. Appropriate personnel were engaged in the facilities. Majority of the scanners were installed in the current decade (2006 – 2016). At least 12 (43.0 %) of the scanners experienced downtime within the period of the survey with 7 scanners having downtime ≥ 1 year. Conclusion: There are 23 radiodiagnostic facilities with 28 CT scanners in the Southeast zone of Nigeria. Five facilities each own two scanners. There appears to be a good distribution of CT scanners with appropriate personnel. A high downtime rate was observed, suggesting the need for the employment of centre-based CT engineers, to ensure that CT patients have as prompt an access as can be achieved

Chemical and structural characterization of char development during lignocellulosic biomass pyrolysis

The chemical and structural changes of three lignocellulosic biomass samples during pyrolysis were investigated using both conventional and advanced characterization techniques. The use of ATR-FTIR as a characterization tool is extended by the proposal of a method to determine aromaticity, the calculation of both CH2/CH3 ratio and the degree of aromatic ring condensation ((R/C)u). With increasing temperature, the H/C and O/C ratios, XA and CH2/CH3 ratio decreased, while (R/C)u and aromaticity increased. The micropore network developed with increasing temperature, until the coalescence of pores at 1100 °C, which can be linked to increasing carbon densification, extent of aromatization and/or graphitization of the biomass chars. WAXRD-CFA measurements indicated the gradual formation of nearly parallel basic structural units with increasing carbonization temperature. The char development can be considered to occur in two steps: elimination of aliphatic compounds at low temperatures, and hydrogen abstraction and aromatic ring condensation at high temperatures

Nutritional status and intestinal parasitic infestation among Rural Fulani children in Vom, Plateau State

No Abstract. Nigerian Journal of Paediatrics Vol. 33 (2) 2006: pp. 47-5