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匹配条件: “ Peace Ibo Opara” ,找到相关结果约176条。
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Newborn Cord Care Practices Amongst Mothers in Yenagoa Local Government Rea, Bayelsa State, Nigeria  [PDF]
Peace Ibo Opara, Tamunopriye Jaja, Doris Atibi Dotimi, Balafama Abinye Alex-Hart
International Journal of Clinical Medicine (IJCM) , 2012, DOI: 10.4236/ijcm.2012.31004
Abstract: Background: Clean cord care is one of the essential newborn care practices recommended by the World Health Organisation to reduce morbidity and mortality amongst the World’s newborns. Despite this, cord infections are still prevalent in developing countries because of the high rates of unhygienic cord care practices. The study aimed to explore cord care practices in our environment and identify areas for intervention. Methods: This was a cross-sectional study carried out amongst mothers attending three primary health care facilities with their infants in Yenagoa Local Government Area of Bayelsa State, Nigeria. Simple structured questionnaires were used to obtain information concerning the ages and sexes of babies, place of antenatal care and birth, treatments applied to the umbilical cord stump and the socioeconomic status of the parents. Data were analysed using SPSS version 16.0. Results: Two hundred and twenty one mothers participated in the study. The infants were aged 0 - 6 months with a male to female ratio of 1:1. Fifty four (24.4%) of mothers were of high social class. Cord care was done by grandmothers in 107(48.4%) and mothers in 89(40.3%) of babies. Sixty four (29.0%) mothers had their babies cord cleaned with Methylated spirit alone while 138(62.4%) cleaned with Methylated spirit and then applied other substances including antibiotic ointments and herbs. Maternal education, social class of parents and place of delivery were significantly associated with application of potentially harmful substances to the cord, (p = 0.049, 0.010 and 0.030 respectively). The commonest sources of information on cord care were nurses in 99 (44.8%) and grandmothers in 44 (19.9%). Conclusion: There is still a high rate of use of potentially harmful substances for cord care. All heath workers should participate in educating, mothers and grandmothers about optimal cord care.
Occupational Exposure to Blood and Body Fluids among Interns in a Tertiary Hospital in Port Harcourt, Nigeria  [PDF]
Nsirimobu Ichendu Paul, Tamunopreye Jaja, Peace Ibo Opara
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104122
Abstract:
Background: Health care workers especially interns may be at increased health risk due to exposure to blood and body fluids. Objective: To determine the prevalence of occupational exposure to blood and body fluids (EBBF) among interns at the University of Port Harcourt Teaching hospital (UPTH). Methodology: This cross-sectional study was carried out among interns at the UPTH. Informed written consent was obtained. The obtained data from a self-administered questionnaire and Infection Control Team records were analysed using SPSS version 21 and are presented as prose and tables. Results: Eighty four interns were studied giving a response rate of 93.3%: 40 (47.6%) were males while 44 (52.4%) were females giving a male:female ratio of 1:1.1. Thirty two (38.1%) were aware of the availability of sharp bins, 55 (65.5%) recapped and discarded into waste bins while 4 (4.8%) discarded into sharp bins without re-capping. Prevalence of EBBF was 89.3%. Thirty one (41.4%) had Blood and Body Fluid Splash (BBFS), 22 (29.3%) had Needle Stick Injury (NSI) while 22 (29.3%) had combined NSI and BBFS. Thirteen (29.5%) of the NSI occurred during rotation in Paediatrics. Seventeen (32.1%) and 16 (30.2%) of BBFS occurred during Obstetrics and Gynaecology and Paediatrics rotation respectively. Eleven (25%) reported the NSI to the Infection control team (ICT) and 3 (27.3%) completed 28 days of Highly Active Anti-Retroviral Therapy (HAART). Common reason for not reporting was not been aware of the Infection Control Team (ICT) in 10 (30.3%). Conclusion: There is a need for improved training and close supervision of interns.
Neonates presenting with severe complications of frenotomy: a case series
Peace I Opara, Nneka Gabriel-Job, Kingsley O Opara
Journal of Medical Case Reports , 2012, DOI: 10.1186/1752-1947-6-77
Abstract: Case 1 was a one-day-old male neonate, a Nigerian of Igbo ethnicity, who was admitted with bleeding from the mouth and passage of dark stools after clipping of the frenulum by a traditional birth attendant. He was severely pale and in hypovolemic shock, with a severed frenulum which was bleeding actively. His packed cell volume was 15%. He was resuscitated with intravenous fluids and a blood transfusion. The bleeding was controlled using an adrenaline pack. He also received antibiotics. He was discharged five days later.Case 2 was a three-day-old male neonate, a Nigerian of Ikwerre ethnicity, who was admitted with profuse bleeding from a soft tissue injury under the tongue, after clipping of the frenulum by a community health worker. He was severely pale and lethargic. He was resuscitated with intravenous fluids and a blood transfusion. The bleeding vessel was ligated with repair of the soft tissue. He also received antibiotics and was discharged home one week later.Treatment of tongue-tie, a benign condition, when done by untrained personnel may result in life-threatening complications. Clinicians should pay more attention to parents' worries about this condition and give adequate counseling or refer them to trained personnel for surgical intervention where clinically indicated.Tongue-tie (ankyloglossia) is a congenital condition, often hereditary, in which the lingual frenulum is abnormally short and may therefore restrict mobility of the tongue tip [1,2]. In this condition, the lingual frenulum, a normal structure present in all babies, tethers the tongue to the floor of the mouth thereby preventing extension of the tongue beyond the lower gum.Reported prevalence varies from 1.7% to 10.7% with a male predominance [2-5]. Persistence of the condition is uncommon beyond two to three years of age when compared with the higher incidence in neonates, suggesting a lessening of the degree of the abnormality with growth and development [6].Tongue-ties can be symptomatic o
Morbidity and mortality amongst infants of diabetic mothers admitted into a special care baby unit in Port Harcourt, Nigeria
Peace I Opara, Tamunopriye Jaja, Uche C Onubogu
Italian Journal of Pediatrics , 2010, DOI: 10.1186/1824-7288-36-77
Abstract: The study aimed to determine morbidity and mortality pattern amongst infants of diabetic mothers (IDMS) admitted into the Special Care Baby Unit of University of Port Harcourt Teaching Hospital.This was a study of prevalence of morbidity and mortality among IDMs carried out prospectively over a two year period. All IDMs (pregestational and gestational) admitted into the Unit within the period were recruited into the study.Data on delivery mode, GA, birth weight, other associated morbidities, investigation results, treatment, duration of hospital stay and outcome were collated and compared with those of infants of non diabetic mothers matched for GA and birth weight admitted within the same period. Maternal data were reviewed retrospectively. Data were analyzed using SPSS 16.0.Sixty percent of the IDMs were born to mothers with gestational diabetes, while 40% were born to mothers with pregestational DM. 38 (74.3%) were born by Caesarian section (CS), of which 20 (52.6%) were by emergency CS. There was no significant difference in emergency CS rates, when compared with controls, but non-IDMs were more likely to be delivered vaginally. The mean GA of IDMs was 37.84 weeks ± 1.88. 29 (61.7%) of them were macrosomic. The commonest morbidities were Hypoglycemia (significantly higher in IDMs than non-IDMs) and hyperbilirubinaemia in 30 (63.8%) and 26 (57.4%) respectively.There was no difference in morbidity pattern between infants of pre- gestational and gestational diabetic mothers. Mortality rate was not significantly higher in IDMsThe incidence of macrosomia in IDMs was high but high rates of emergency CS was not peculiar to them. Hypoglycaemia and hyperbilirubinaemia were the commonest morbidities in IDMs.Referring women with unstable metabolic control to specialized centers improves pre- and post- natal outcomes. Maternal-Infant centers for management of diabetes in pregnancy are advocated on a national scale to reduce associated morbidity and mortalityDiabetes has lon
The Contours of a Just and Lasting Peace
Coalition for Peace
Kasarinlan : Philippine Journal of Third World Studies , 1988,
Abstract:
The People's Christmas Ceasefire and the Challenge of Forging Genuine and Lasting Peace
Coalition for Peace
Kasarinlan : Philippine Journal of Third World Studies , 1988,
Abstract:
Between beauty and humiliation: casting a sharp eye on the panacea of psychology
Peace Kiguwa
Psychology in Society , 2009,
Abstract:
Efficacy and Cost-Benefit Analysis of Indigenous Technical Knowledge versus Recommended Integrated Pest and Disease Management Technologies on Common Beans in South Western Uganda  [PDF]
Peace Kankwatsa
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104589
Abstract:
The common bean is the second most important food and third economically important crop after banana and coffee in the South Western Agro-Ecological Zone of Uganda. Farmers’ returns to investment in bean production are consistently negative mainly due to losses resulting from collective effects of insect pests and diseases that cause damages at the various plant growth stages. This research study was carried out to 1) identify the major insect pests and diseases affecting the common beans in the zone; 2) test and compare the performance of the local/traditional practices versus integrated pest and disease management (IPDM) technology combinations; 3) determine the yield performance of improved varieties under the different pest control practices; 4) evaluate the profitability of the different pest and disease management practices. Results showed that cutworm, thrips, aphid and defoliating beetles were the major insect pests, while angular leaf spot, ascochyta blight, anthracnose and the bean common mosaic virus (BCMV) were the major diseases. Improved varieties managed with the recommended IPDM technology combination were more protected compared to the farmers’ indigenous practices. The climbing varieties had significantly higher yield (3.4 t/ha) than the local bush variety (1.2 t/ha). Consequently, the application of indigenous practices resulted in negative returns to investment while the combination of research recommended technologies including judicial inorganic pesticide application led to positive returns to investment in bean production. The marginal rate of return (MRR) of IPDM technologies including inorganic pesticides was two times greater, implying that integration of improved variety with recommended agronomic crop management technologies plus judicial chemical application is economically feasible for increased common bean production in South Western Uganda.
Revealing the Ubiquitous Effects of Quantum Entanglement—Toward a Notion of God Logic  [PDF]
Wen-Ran Zhang, Karl E. Peace
Journal of Quantum Information Science (JQIS) , 2013, DOI: 10.4236/jqis.2013.34019
Abstract:

Following Spinoza-Einstein’s interpretation of God or nature, the notion “God Logic” is proposed. This notion is to serve as an elicitation for a consistent set of necessary criteria for: 1) developing the logical foundation of quantum gravity as envisaged by Einstein, 2) revealing the ubiquitous effects of quantum entanglement as suggested by Roger Penrose, and 3) programming the universe as proposed by Seth Lloyd. An evolving set of eleven criteria is proposed for the notion. The possibility of inventing such a logical system is analyzed. A supersymmetrical candidate logic of negative-positive energy dynamic equilibrium is introduced and assessed against the set of criteria. It is shown that the first 10 criteria are met or partially met by the candidate. But the question whether the 11th criterion has been or can be met is left open for discussion and further research effort. The assessment leads to a few predictions. Notably, it is predicted that, should Boson-Fermion symmetry or broken symmetry be observed, it would be caused by bipolar symmetry or broken symmetry of negative-positive energies.

Awareness of breast cancer risk factors and practice of breast self examination among female undergraduates in university of Nigeria Enugu campus  [PDF]
Peace Iheanacho, Afam Ndu, Amaka Doris Emenike
Open Journal of Nursing (OJN) , 2013, DOI: 10.4236/ojn.2013.31019
Abstract:
Breast cancer patients generally have low rates of survival due to being diagnosed at advanced stages raising critical issues about prevention and avoidance of risk factors. Breast self examination makes women more “breast aware”, which in turn may lead to an earlier diagnosis of breast cancer. In Nigeria, the statistics of breast cancer have overtaken cancer of the cervix to become the commonest malignancy in women. This study was carried out to determine the awareness of breast cancer risk factors and practice of breast self examination among female students of the University of Nigeria Enugu Campus. The descriptive survey design was used for the study. The population of the study was all the female students that reside in hostels in the campus (2400) in number. A sample of 240 students was selected using quota sampling technique. Structured questionnaires based on the research objectives were used for data collection. The results of the study showed that most of the students have little knowledge of breast cancer risk factors and majority of the students do not practice BSE monthly. It was recommended that there should be regular organization of seminars and workshops for students to address sensitive topics like breast cancer risk factors and breast self examination.
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