The impact of a psychiatry clinical rotation on the attitude of Nigerian medical students to psychiatry

Objective: Undergraduate medical students have ingrained and often negative attitudes towards psychiatry as a field and as a career. This in turn has affected recruitment of graduate medical students into the specialty. Little is known about the impact of psychiatry rotations during undergraduate medical training on students’ attitudes about psychiatry and eventual specialty choice in developing countries. This study examined the impact of a psychiatry clinical rotation on medical students’ attitudes to psychiatry and possible career choice. Method: Eighty-one and one hundred and six fifth year medical students completed the ATP-30, socio-demographic and career choice questionnaires at the beginning and the end of a four week clinical rotation respectively. Results: The overall attitude of the students to psychiatry was favourable at the beginning of the rotation with significant improvement following the rotation (p=0.003). Significant improvement in attitude was observed among female and younger students. Students who indicated preference for specialties other than psychiatry showed a greater improvement in their attitude to psychiatry following the rotation (p= 0.011). The rotation however did not enhance students’ preference for psychiatry as a future career. Conclusion: The four-week clinical rotation in psychiatry resulted in increased mean attitudinal score, but not in enhanced preference for psychiatry as a career.Keywords: Psychiatry; Attitude; Medical students; Nigeri

Perception and beliefs about mental illness among adults in Karfi village, northern Nigeria

BACKGROUND: This study was designed to examine the knowledge, attitude and beliefs about causes, manifestations and treatment of mental illness among adults in a rural community in northern Nigeria. METHODS: A cross sectional study design was used. A pre-tested, semi-structured questionnaire was administered to 250 adults residing in Karfi village, northern Nigeria. RESULTS: The most common symptoms proffered by respondents as manifestations of mental illness included aggression/destructiveness (22.0%), loquaciousness (21.2%), eccentric behavior (16.1%) and wandering (13.3%). Drug misuse including alcohol, cannabis, and other street drugs was identified in 34.3% of the responses as a major cause of mental illness, followed by divine wrath/ God's will (19%), and magic/spirit possession (18.0%). About 46% of respondents preferred orthodox medical care for the mentally sick while 34% were more inclined to spiritual healing. Almost half of the respondents harbored negative feelings towards the mentally ill. Literate respondents were seven times more likely to exhibit positive feelings towards the mentally ill as compared to non-literate subjects (OR = 7.6, 95% confidence interval = 3.8–15.1). CONCLUSIONS: Our study demonstrates the need for community educational programs in Nigeria aimed at demystifying mental illness. A better understanding of mental disorders among the public would allay fear and mistrust about mentally ill persons in the community as well as lessen stigmatization towards such persons

Depression among medical outpatients with diabetes: A cross-sectional study at Jos University Teaching Hospital, Jos, Nigeria

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Blood chemistry, haematological indices and nutrient digestibility of starter turkeys fed macaroni waste meal as a replacement for maize

A 56-days experiment was carried out to study the effect of replacing macaroni waste meal (MWM) with maize on nutrient digestibility and blood chemistry of indigenous turkey starter. Ninety-six indigenous turkey poults with an average weight of 52 g were randomly assigned to four dietary treatments containing macaroni waste meal at 0%, 15%, 30% and 45% level as replacement for maize. Each treatment consist of 24 turkey poults replicated thrice with 8 turkeys per replicate. A three day metabolic study trial was carried out for nutrient digestibility determination. Blood samples were also collected for serum and haematological indices. Data collected were subjected to one way analysis of variance. Result showed that MWM at 15% had the highest values for packed cell volume, red blood cell, white blood cell while values recorded for serum uric acid and creatinine were significantly lower (P<0.05) for the turkeys. The nutrient digestibility coefficient such as crude protein digestibility, nitrogen retention were not affected significantly (P>0.05). However, the packed cell volume, red blood cell count, albumin, hemoglobin, total serum protein and serum glucose. It can be concluded that MWM could be incorporated into the diet of indigenous turkey starter at 15% level without any deleterious effect on nutrient digestibility and blood chemistry.Keywords: Nutrient digestibility, Blood chemistr