Prevalence and risk factors for high-risk human papillomavirus infection among women from three southern geopolitical zones of Nigeria

IntroductionHuman Papillomavirus (HPV) infection is a risk factor for cervical cancer, the fourth most common cancer among women globally. Its burden is the highest in sub-Saharan Africa, with over 90% mortality. Interventions may fail without evidence-based data on stratified prevalence and risk factors among most at-risk women across Nigeria.MethodsA cross-sectional comparative study, with participants recruited from the Nigerian Institute of Medical Research’s Clinics, NGO outreaches, a cancer screening centre and a university teaching hospital. Questionnaires were self-administered. Trained medics performed sampling at healthcare facilities, and self-sampling was used at outreaches.ResultsNine hundred eighty-five study participants were recruited. About 37% and 27% of the women knew about HPV and its vaccines, respectively, but only 6% confirmed vaccination with HPV vaccines. HPV prevalence was highest among women with unknown marital status (35.9%), single women (33.8%), widowed/divorced/separated women (30.3%), and married/cohabiting women (19.6%). HPV infection was significantly higher among women who take alcohol (odds=1.7 [95% CI: 1.2-2.4]) and women who smoke (odds=2.6 [95% CI: 1.4 - 4.6]. HPV strains detected included HPV16 (1.3%), HPV18 (1.5%), Low Risk (0.2%) and Other High-Risk groups (19.7%).ConclusionThe inverse relationship between prevalence and education suggests interventions improving awareness and prevention would be impactful. Such interventions could also target HIV-positive women, women presenting with sexually-transmitted infections, who smoke and frequently drink alcohol

The imperative of students and teachers' well-being in Finnish university: a bibliometric approach

Many education stakeholders focus on schools' role in fostering mental health as they investigate ways to improve school climate, safety, and student well-being. While most of this attention is focused on students' mental health requirements, it is necessary to investigate methods to assist teachers and other learning facilitators who frequently endure significant stress levels. Failure to address the mental health needs of teachers while concentrating on the effects of stress and trauma on students may impair their capacity to meet crucial needs among the students. There is a need to address the stress in relation to the mental health of teachers as well as the traumatic effects it has on the student's academic performance. There is a connection between well-being and the physical health of teachers, the stability of schools, the efficiency of teaching, and students' success. This study aims to clarify the concepts of teacher and student well-being in the literature and to add to the knowledge of the overlapping daunting task of teachers and student well-being in Finland with the bibliometric lens. This study also intends to examine the departure and alignment of published academic work with the PERMA Theory of Well-Being. This bibliometric study will investigate how academic work authors in Finland perceived positive emotion, engagement, relationship, meaning and accomplishment as the impactful factors of the theory of well-being. This study adopted Olaleye’s (2020) updated bibliometric workflow to achieve this study's goal and two significant databases: Web of Science and Scopus were utilized for data extraction. The search string "university student or university teacher and well-being" were used in the two databases. Web of Science generated 4216, while Scopus generated 528 academic papers. After the exclusion criteria, Web of Science remained 58 while Scopus remained 12 articles. The two outputs from the databases were merged with RStudio App, and the duplicates of 7 articles were expunged. Finally, 63 articles were used for the data analysis with the Biblioshiny App. In the Finnish context, there was a publication spike in 2021 as the results recorded 13 publications. This result is a distance from the three publications of 2020. This result shows the limited number of authors' activeness in well-being research and the need for more authors and studies in Finland. Among the active researchers, the results reveal Pyhalto K. as the most consistent author in the well-being research domain between 2012 and a half years 2022. The result also reveals four distinct clusters of well-being, study-related burnout, stress, and mental health that pertains to teachers and students. Regarding well-being literature on teachers and students, Finland had intra-publication more than inter-publication, and inter-continental authors were involved in the well-being research. This bibliometric study contributes to the well-being literature by better understanding how the literature on well-being aligns with the PERMA theory and how well-being literature evolves and grows in Finland. Managerially, this study will help the higher institutions' policymakers and administrators to formulate policies that promote the well-being of teachers and the students. It will also help the oncoming researchers to know the importance of well-being literature and encourage them to fill the existing gaps

Home Care and Mobile Health Services Provision for Rural Dwellers : A Conceptual Framework of Poverty Alleviation and Rural Development

Health-related issues remain a continuous point of discussion globally among policymakers, health experts and researchers because there is no one-time solution to health problems. This study intends to link home care and mobile health services to illuminate the poverty-stricken society on alleviating poverty through smart health services. First, we conducted a literature review on mobile health and rural nursing. Second, we embarked on a thoughtful analysis to include influential materials not found in the literature reviewed. Third, we analysed the external influences and grouped them accordingly. Fourth, we integrate the factors into a conceptual model showing external and internal factors. Fifth, we analysed the role of mobile technology in rural nursing and finally developed practice recommendations. This study explores the urgent need for home care health services for rural dwellers with three pertinent questions: (1) How can home care and mobile health services enhance social development? (2) How can government policies impact home care mobile health services for rural dwellers? (3) Why are home care and mobile health services necessary for rural dwellers? The study employs the concepts of home care and mobile health services with an insightful literature review and integrated theories to probe poverty permeation and health inequality. It is expected that introducing home care and mobile health services will lead to easiness and convenience for rural dwellers and give assurance as they have access to treatment in the confines of their homes and the language they understand with the aid of smart nurses and smart technologies.Peer reviewe

The Use of Integrative Nursing in Pain Management in Palliative Care: A systematic review

Integrative nursing is using non-pharmacological methods or techniques to relieve pain and improve health without opposing conventional medicines. This thesis is guided by the topic “The use of integrative nursing in pain management in palliative care”. The aim is to raise more awareness among nurses on the importance of integrative nursing in pain management. Two research questions were raised to accomplish this aim. How can nurses support patients who use integrative nursing practices to manage chronic pain? and how can nurses improve their skills to support patients in managing pain in palliative care? Method: This thesis was done using a qualitative systematic review process. Fifteen scientific peer-reviewed articles were gotten among many from the following databases (EBSCO, MEDLINE, CINAHL, and Greenfile). These articles were published by researchers from different countries and years ranging from 2016-2022. The ideas and knowledge from these articles were carefully analyzed and examined, to evaluate the use of integrative nursing practices, how nurses can support patients using integrative nursing strategies, and lastly what skills nurses will need to support patients who use integrative nursing strategies to manage pain. Result: The result from the articles showed a positive impact of integrative nursing practices on pain management. The aspect of patient comfort was equally met as patients got the opportunity to receive care from their homes’ confines. Integrative nursing emphasizes repairing the body holistically rather than just the diseased body parts as they have offered treatments to deal with stress, discomfort, and symptoms of diseases. Integrative strategies are preferred to be used on daily basis during their treatment because according to them, it relieves their symptoms of pain

Effect of climate change on social development programmes in Kosofe Local Government Area, Lagos State, Nigeria

Climate change is a significant global threat to humanity and its effect cannot be over emphasized. It requires social development solutions and action. The ability of local communities to adapt to the numerous and varied effects of climate change is a pressing concern on the global agenda. Thus, this study assessed the climate change effect and social development programmes in Kosofe Local Government Area, Lagos State, Nigeria. The study adopted a descriptive survey research design while a proportional simple random sample was used to select the 250respondents. A standardized questionnaire was used for data collection with a reliability coefficient of .86. Analysis of data was done using descriptive statistics, and regression analysis fixed at the 0.05 level of significance. The findings of the study revealed a significant influence of climate change effect on social development programmes, economic support programmes, and self-help project support. It is therefore concluded that the challenges of climate have equally paved ways to various economic and social development programmes in order to alleviate the problem created as a result of climate change. There is the need to prevent the effects of climate change in our community through conscientious efforts and serious adaptation measures

Object Based and Pixel Based Classification Using Rapideye Satellite Imager of ETI-OSA, Lagos, Nigeria

Several studies have been carried out to find an appropriate method to classify the remote sensing data. Traditional classification approaches are all pixel-based, and do not utilize the spatial information within an object which is an important source of information to image classification. Thus, this study compared the pixel based and object based classification algorithms using RapidEye satellite image of Eti-Osa LGA, Lagos. In the object-oriented approach, the image was segmented to homogenous area by suitable parameters such as scale parameter, compactness, shape etc. Classification based on segments was done by a nearest neighbour classifier. In the pixel-based classification, the spectral angle mapper was used to classify the images. The user accuracy for each class using object based classification were 98.31% for waterbody, 92.31% for vegetation, 86.67% for bare soil and 90.57% for Built up while the user accuracy for the pixel based classification were 98.28% for waterbody, 84.06% for Vegetation 86.36% and 79.41% for Built up. These classification techniques were subjected to accuracy assessment and the overall accuracy of the Object based classification was 94.47%, while that of Pixel based classification yielded 86.64%. The result of classification and accuracy assessment show that the object-based approach gave more accurate and satisfying result

Socio-demographic determinants of children home learning experiences during COVID 19 school closure.

There were concerns about the inclusivity of learning for children living in countries with limited technology facilities during the COVID 19 school closure. This study investigates the socio-demographic determinant of engagement in home learning and the type of activity engagement for school children across Nigeria during the COVID 19 school closure. Regression and descriptive analysis of 1121 respondents revealed that household size, school communication and perceived socioeconomic status of parents were related to engagement in home learning while household wealth was associated to all types of activity engagement. We conclude that school communication is important for home learning