Predictors of the usuage of contraceptive implants among women of reproductive age in Ondo State, Southwest Nigeria.

ABSTRACT Background A major characteristic of all developing countries is rapid population growth which is due to high fertility, birth rates and poor utilization of contraceptive methods. This study therefore assessed the predictors of contraceptive implants utilization among women of reproductive age in Ondo State, Nigeria. Methods A descriptive cross sectional study design was used and a total of 230 women were selected by multi-stage sampling technique. Questionnaire administration was interviewer-based majority of the women could not read. Data analysis was conducted using SPSS version 23. Research questions and hypotheses were answered and tested with descriptive statistics (frequency, percentages), chi-square test of significance and binary logistic regression. Levels of significance was set at p ≤ 0.05. Results The prevalence of contraceptive utilization (any method) and contraceptive implant utilization were 92.2% and 31.1% respectively. Variables such as education (χ2 = 6.91, p = 0.03) and lack of counseling from providers (χ2 = 5.05, p = 0.03) were significantly associated with the utilization of contraceptive implant. These two variables were also the predictors of contraceptive implant utilization. Women with secondary and tertiary education have higher odds of utilizing contraceptive implants (OR = 1.21, 95% CI = 1.01 – 7.82, p = 0.04) and (OR = 2.53, 95% CI = 1.49 – 11.47, p = 0.03) compared to women who had primary or no education while those who claimed to be adequately counseled by providers are about two times more likely to use contraceptive implants (OR = 2.33, 95% CI = 1.08 – 5.51) Conclusion This study showed the important role of education and health workers in providing information about contraceptive implants. Therefore, health workers’ knowledge of family planning counseling and services should be constantly upgraded so as to improve their roles in educating, mobilizing, counseling the women regarding contraceptive implant insertion.                           &nbsp

Microbiological Assessment of Commercial Yogurt Sold in Ota Metropolis, Ogun State, Nigeria

Ten authorized Yogurt products purchased within Ota metropolis, Ogun State of Nigeria were subjected to pH, Total Bacterial Count (TBC) and Total Fungal Count (TFC) analysis. pH values were in the range of 4.05 to 5.50, the TBC and TFC values ranged between 1.0 x 103 - 5.0 x 105 cfu/ml and 1.0 x 103- 5.0 x 105 cfu/ml respectively. Eleven bacterial isolates were detected in the yogurt samples. Lactobacillus spp. and Bacillus spp. constituted 16% of the total microbial load, Corynebacterium spp., Klebsiela spp., Staphylococcus spp., and Pseudomonas spp. constituted 8% while Proteus spp., Micrococcus spp., Shigella spp., Listeria spp., and Streptococcus spp. constituted 4%. Fungal isolates obtained were Mucor spp. (22%), Geotrichum spp. (17%), Montospora spp. (11%), while Aspergillus spp., Rhizopus spp., and Fusanrium spp. constituted 6%.The antimicrobial susceptibility test showed that the isolates exhibited susceptible to Ciprofloxacin and Ofloxacin and resisted Nitrofurantoin, Augumentin, Cefixime, Ceufuroxime, Gentamicin and Ceftazidime. The isolates were plasmid encoded, with size range of 20,000- 40,000 Kilo base pairs. Result show no significant difference within the bacteria isolates (P> 0.05), while the fungi isolates showed significant difference (P<0.05). Significant difference also occurred between the bacteria and the fungi isolate (P< 0.05)

Relationship between glycemic control and perceived family support among people with type 2 diabetes mellitus seen in a rich kinship network in Southwest Nigeria

Objective: The practice of diabetes self-care behaviors has been cited as a foundation for achieving optimal glycemic control. Proper motivation of people with diabetes mellitus is, however, needed for the performance of these behaviors. It is therefore pertinent to know if motivation by the family will improve glycemic control in people with type 2 diabetes mellitus. This study aimed to investigate the relationship between glycemic control and perceived family support among Nigerians with type 2 diabetes mellitus. Methods: A cross-sectional study was conduced on 316 adults with type 2 diabetes mellitus who attended a medical outpatient clinic. Data were collected through a pretested interviewer-administered questionnaire and a standardized tool (Perceived Social Support – Family scale). Hemoglobin A1c level was used as an indicator of glycemic control. Results: The proportion of participants with good glycemic control was 40.6%. Most of the participants (137, 43.8%) had strong perceived family support. Strong perceived family support (P=0.00001, odds ratio 112.51) was an independent predictor of good glycemic control. Conclusion: This study shows that strong perception of family support is a predictor of glycemic control among the adults with type 2 diabetes mellitus studied. Physicians working in sub-Saharan African countries with rich kinship networks should harness the available family support of people with type 2 diabetes mellitus in their management

STATUS OF PLASMA ELECTROLYTES, UREA, CREATININE, AND C-REACTIVE PROTEIN IN CANCER PATIENTS.

 Objective: Cancer is a major health problem not only in developed countries but also in developing countries like Nigeria. This study was designed to study the status of plasma electrolytes, urea, creatinine, and C-reative proteins (CRPs) in freshly diagnosed cancer patients.Methods: Plasma electrolytes (sodium [Na+], potassium [K+], chlorine [Cl-], and bicarbonate [HCO3-]), urea, creatinine, and CRP were estimated in four different types of cancer (liver, colon, cervical, and uterine) patients attending Ekiti State University Teaching Hospital Ado Ekiti Nigeria. A total of 250 patients (between age of 45 and 70 years) consisting of 50 patients in each cancer type and 50 normal subjects as control were considered in this study.Results: The result obtained revealed a significant (p&lt;0.05) increase in the plasma levels of Na+, Cl-, creatinine, and CRP in all the cancer types when compared with the control subjects. Plasma urea level decreased significantly in patients with colon (3.16±0.70 mmol/L) and liver (3.03±1.75 mmol/L) cancer when compared with the control subjects (4.80±1.12 mmol/L). K+ and HCO3_ level was not significantly (p&gt;0.05) different in all cancer types when compared with the control subjects.Conclusion: This study revealed a possible link between plasma electrolytes, creatinine, CRP, urea, and cancer which could be useful in the assessment and management of cancer