bluuebunny/crossref_metadata_2025_split huggingface dataset:
Comportements sexuels à risque d’infections sexuellement transmissibles / VIH chez les élèves du secondaire du Collège d’Enseignement Général1 de Natitingou
Authors: Atade Raoul Sèdjro , Dangbemey Patrice , Klipezo Roger , Kpanhoun Marleine , Kpokoun Ernest , Togbenon David Lionel , Salifou Kabibou 
Published: December 2022

Contexte et objectif. L’éviction des infections sexuellement transmissibles et du VIH (IST/VIH) chez les jeunes et adolescents passe par l’adoption de comportement sexuel sain. L’objectif était de décrire les comportements sexuels à risque d’IST/VIH chez les élèves du secondaire du CEG1 de Natitingou en 2020. Méthodes. Il s’est agi d’une étude transversale à visée analytique qui s’était déroulée au CEG1 de Natitingou. Ont été inclus dans l’étude, les élèves régulièrement inscrit au CEG1 de Natitingou. Résultats. Les élèves du CEG1 de Natitingou avaient des comportements sexuels à risque dans 28,71%. Ils fréquentaient les professionnelles de sexe dans 5,9 % et le préservatif était utilisé occasionnellement (55 %). Les élèves filles (17 %) avaient des rapports sexuels, en compensation de l’argent. La partouze a été pratiquée dans 9,9 % des cas. Le sexe masculin (p= 0,011), l’âge (p< 0,0001), l’auto prise en charge des frais d’étude (p= 0,037) et la méconnaissance des élèves sur les IST/SIDA (p= 0,041) étaient associés de manière indépendante à l’adoption d’un comportement sexuel à risque. Conclusion. Les adolescents du CEG1 de Natitingou ont des comportements sexuels à risque d’IST/VIH. L’école, l’environnement religieux et les parents doivent s’unir pour amener les jeunes à réduire les comportements à risque.
English title: Sexual behaviors at risk of sexually transmitted infections /HIV among secondary school students at the Natitingou General Education College
Context and objective. The eviction of sexually transmitted infections and HIV (STIs/HIV) among young people and adolescents requires the adoption of healthy sexual behavior. The objective was to describe the sexual behaviors at risk of STIs/HIV among secondary school students of General Education College (CEG1) in Natitingou in 2020. Methods. This was a cross-sectional analytical study which took place at the CEG1 in Natitingou. Were included in the study, students regularly enrolled in CEG1 Natitingou. Results. Natitingou CEG1 students (28.7 %) had risky sexual behavior. They frequented sex workers (5.9 %) and condoms were used occasionally (55 %). Female students (17 %) had sex as compensation for money. Orgy was practiced in 9.9 % of cases. Male sex (p= 0.011), age (p= 0.000), self-payment of study costs (p= 0.037) and students' unknowledge of STIs/HIV (p= 0.041) were statistically associated with engaging in risky sexual behavior. Conclusion. Teenagers of the CEG1 of Natitingou have sexual behaviors that put them at risk of STI/HIV. Schools, church leaders and parents need to come together to help students reduce these behaviors.
Keywords: sexual behavior, adolescents, sexually transmitted infections, HIV/AIDS
Adénocarcinome du col utérin au Gabon : caractéristiques clinico-pathologiques d’une série des cas
Authors: Likonza Dadou Lokengo , Engohan – Aloghe Corinne , Bigoundou-Nzamba Stéphane , Revignet Rose , Mabika Barthélémy Mabika 
Published: December 2022

Contexte et objectifs. L’adénocarcinome du col utérin a fait l’objet de peu de publications notamment en Afrique. L’objectif de la présente étude était de décrire les aspects cliniques, pathologiques et évolutifs de ce cancer au Gabon puis d’évaluer la reproductibilité du pattern d’invasion (PI) afin d’améliorer le choix thérapeutique. Méthodes. Il s’agissait d’une série des cas d’adénocarcinomes du col utérin confirmés histologiquement en 8 ans. Les données clinico-pathologiques et le suivi ont été enregistrés à partir des dossiers médicaux. 3 pathologistes ont évalué le PI de chaque cas puis, la reproductibilité a été réalisée. Résultats. Sur les 378 cas recensés, 16 ont été retenus. Leur âge moyen était de 57 ans. Les femmes étaient de grandes multipares (68,7 %) et ayant consulté pour des métrorragies (87,5 %). Elles étaient récués à un stade clinique avancé (62,5 %) et l’évolution était défavorable dans 81,25 % des cas. Le type endocervical et le grade intermédiaire étaient les plus fréquents. Le niveau de concordance du PI était faible (28,6 %). Conclusion. L’adénocarcinome du col utérin au Gabon survient chez la femme d’âge jeune, grande multipare, est de diagnostic tardif et d’évolution péjorative d’où l’intérêt d’assurer un dépistage précoce et une prévention. Par ailleurs, la reproductibilité du PI devrait être réévaluée par des études supplémentaires.
English title: Adenocarcinoma of the uterine cervix in Gabon: clinico-pathological characteristics of serial cases
Context and objective. Little has been published on cervical adenocarcinoma, especially in Africa. The objective of the present study was to describe the clinical, pathological and follow-up aspects of this cancer in Gabon, then to evaluate the reproducibility of the invasion pattern (IP) in order to improve the therapeutic choice. Methods. It was a series of histologically confirmed cases of cervical adenocarcinoma over 8 years. Clinicopathological data and follow-up information were collected from medical records. 3 pathologists evaluated the IP of each case and then the reproducibility was carried out. Results. Of the 378 cases identified, 16 were selected. The average age was 57 years. The women were large multiparous (68.7 %), consulted for metrorrhagia (87.5%), had an advanced clinical stage (62.5 %) and evolution was often unfavourable (81.25%). Endocervical type and intermediate grade were the most frequent. The level of concordance of the IP was low (28.6 %). Conclusion. Adenocarcinoma of the uterine cervix in Gabon occurs in young, multiparous women, is diagnosed late and has a poor outcome, hence the interest of prevention. In addition, the reproducibility of the IP should be reevaluated by additional studies.
Keywords : adénocarcinoma- clinico pathological aspects- uterine cervix Gabon
Exploring the effects of the withdrawal of the capitation policy on Cesarean rates in public hospitals in Ghana: an interrupted time series analysis
Authors: Yambah John Kanyiri , Kuunibe Naasegnibe , Laar Kindness , Mensah Kofi Akohene , Apawu Jones , Titigah Abraham Babatiuamo , Saanwie Aiden Suntaa , Sopiimeh Edgar Lierdong 
Published: December 2022

Context and objectives. In Ghana, CS rates have increased by 2% since 2014 even though the World Health Organization has called for the procedure only for medically justifiable cases. Provider payment mechanisms such as capitation have been used to moderate CS rates in some settings. We explored the effects of the withdrawal of the capitation policy on the Cesarean Surgery (CS) rate in public primary care hospitals together with vaginal delivery (VD) and antenatal care for women with 4+ visits (ANC4+) rates. Methods. An interrupted time-series analytical design was used to assess the effects of the withdrawal of capitation on selected variables from the secondary District Health Information Management System (DHIMS 2) of public hospitals between January 2015 and December 2019. Results: The results show that after the policy withdrawal, the trend and level of provision of CS and VD were not significantly altered. Significant declining trends of ANC4+ reversed with significant positive trends after the policy removal. Conclusion. We conclude that the withdrawal of the capitation policy may not have impacted the CS rate significantly in public hospitals. Enhanced capitation payment mechanisms and specific policies aimed at limiting CS are needed to curtail the rise in Ghana.
Alterations in the histology of the prostate of Sprague-Dawley rats treated with oxytocin
Authors: Odetola Amos Amoo , Idaguko Chika Anna 
Published: December 2022

Background: The role of oxytocin in female reproductive system has been well studied. Very little is known about the long-term administration of oxytocin in prostatic tissues. This study aimed to assess the histological effects of prolonged administration of exogenous oxytocin on prostate in the male Sprague-Dawley rats.
Methods: Twenty adult male Sprague-Dawley rats weighing between 180-250g were randomly distributed into four groups A, B, C and D of five rats each. Group A served as the control while groups B to D were the treated groups. Oxytocin was administered intramuscularly two days per week at the doses of 1, 2 and 3 IU/kg/b.w. to groups B, C and D respectively while 0.5ml of physiologic saline was administered to the control. The treatment was carried out over a period of 8 weeks (one spermatogenic cycle). At the end of study, blood was collected for testosterone assay and the prostate was also harvested for histological procedure.
Result: Result showed significant decrease in the prostatic weight of all the treated groups. However, testosterone significantly increased in group D and the histology revealed moderate to severe stroma fibrosis, high vascularization with vascular congestion which was due to severe infiltration of inflammatory cells in a dose dependent manner.
Conclusion: Prolonged administration of exogenous oxytocin could led to a decrease in prostatic weight. Hence, clinician prescribing oxytocin for the treatment of oligozoospermia should be conscious of the risk of exogenous oxytocin in inducing prostatic disorders.
A spectrum of findings on computed tomography in paediatric abdominal and pelvic tumours in a Ghanaian teaching hospital
Authors: Gbadamosi Hafisatu , B. Mensah Yaw , A. Appau Andrea , A. Renner Lorner 
Published: December 2022

Objectives: To review the Computed Tomography( CT )features of pediatric oncological patients with abdominal and pelvic tumours and correlate these findings with their histopathological diagnosisDesign: This was a retrospective cross-sectional facility-based study.Setting: This study was conducted in the Pediatric Oncology Unit and Radiology Department of the Korle Bu Teaching HospitalParticipants: Fifty-six pediatric oncology patients with contrast-enhanced abdominal and pelvic CT scans.Data Collection: The abdominal and pelvic CT scans findings, patient biodata, and histopathology reports of oncology patients over four years were reviewedStatistical analysis: Simple descriptive statistics using frequency distribution, percentages, means, and standard deviation were used to describe the various variables and presented tables. Results: The four commonest tumours were nephroblastoma, neuroblastoma, lymphoma, and hepatoblastoma. The mean age at diagnosis was 4.8 years, with a slightly higher male predominance. The majority of the tumours were extremely large at presentation. Overall, the CT – histopathology concordance was 79.2%.
Conclusion: Abdominal and pelvic CT scans play an important role in the diagnostic workup of pediatric malignancies by ensuring early and accurate diagnosis of these tumours
Early Growth Response of Persea americana Seedlings to Interaction of Soil Collected under Tree Plantations with Fertilizer Combinations
Authors: Olayiwola V. A. , Abiodun F. O. , Musa F. B. , Salaudeen G. T. , Amao A. O. 
Published: December 2022

The greatest problem of most tree species is to have good planting material or seedlings, and one of the means to achieve this is by fertilization of the seedlings. This study was aimed at determining the influence of organic and inorganic and organomineral fertilizers on the early growth response of Persea Americana in interaction with soils collected under four forest plantations of Terminalia superba, Gmelina arborea, Tectona grandis and natural forest using standard methods. Plant height, stem diameter and number of leaves were assessed at two weeks intervals starting from two weeks after transplanting while plant dry matter yield was determined at the end of the experiment. Data collected were subjected to analysis of variance (ANOVA) while means were separated using Duncan’s multiple Range test at 5% level of probability. Results showed that at 4, 6 and 10 WAT, there was a significant increase in plant height at interaction of S1 and T4 (Terminalia superba Ikija and FRIN compost @ 50 kg N/ha) with the highest height of 50.33cm while the control had the least height of 19.22cm. Also, at 16 WAP, the interaction of S2 and T5 gave the biggest stem diameter of 10.50mm, while the S1and T5 gave the smallest diameter of 2.14mm. S4 performed better than the other the soils from other sources while the effect of the amendment on the leaves showed that T3 gave the best leaves dry matter yield of 10.19g. It was concluded that the combination of S4 and T5 was found to be the best soil type and treatment for growth of Persea Americana. However, T5 and T3 are recommended as the best fertilizer to grow Persea americana with soils under the selected plantations as shown in this study.
Effect of Maize Husk Treatment of Crude Oil Contaminated Soil on Morphological and Biochemical Indices of Cowpea Seedlings
Authors: Aruoren O. , Onakurhefe P. , Onyeukwu O. B. , Ohwokevwo O. A. , Achuba F. I. 
Published: December 2022

The ameliorative potential of maize husk on crude oil impacted soil had been documented. The aim of this study was to evaluate the effect of maize husk treatment of crude oil contaminated soil on morphological and biochemical indices of cowpea seedlings. Treatment of soil with maize husk significantly (p< 0.05) increased the morphological and biochemical indices comparable to control seedlings. On the other hand, exposure of cowpea seedlings to crude oil-contaminated soil caused significant (p< 0.05) decreases in both morphological and biochemical indices compare to values in control seedlings. However, these values were restored close to control values by treatment of crude oil-contaminated with maize husk. The treatment of soil with maize husk caused improvement of morphological parameters and alteration of biochemical indices of cowpea seedlings grown in uncontaminated and crude oil-contaminated soils. This has affirmed the use of maize husk as possible soil conditioner.
Prevalence and Determinants of Medication Adherence in Patients with Multi-morbidities attending General Outpatient Clinics in Secondary Health Care Facilities in Kaduna State
Authors: Usman NO , Muhammad MI , Nwankwo B , Usman OA 
Published: December 2022

Background: Multi-morbidity is a global public health issue which requires medication adherence to aid in the management. Poor adherence could lead to reduced quality of life, and mortality. This study was carried out to determine the prevalence and determinants of medication adherence among patients attending the general outpatient clinics in secondary health facilities in Kaduna State.
Methods: This was a hospital-based cross-sectional study carried out among 119 patients attending the general outpatient clinics in secondary health facilities in Kaduna State. Respondents were selected via multistage sampling technique. Data was obtained from the respondents using a pre-tested interviewer-administered questionnaire. Medication adherence was assessed with eight-item Morisky Medication Adherence Scale (MMAS-8). Data was analysed using IBM SPSS Statistics version 23. Statistical significance was set at a p-value of <0.05.
Results: Seventy-four (62.2%) of the respondents were aged at least sixty years. The mean age of respondents was 60.3±13.6 years. Seventy-six (63.7%) of the respondents had low medication adherence. The older age (≥60 years) of the respondents (AOR=6.19, 95%CI=1.42-4.81, p=0.001), lack of education (AOR=5.74, 95%CI=1.39-3.42, p<0.001), out-of-pocket spending (AOR=5.29, 95%CI=1.41-3.53, p<0.001), low monthly income (AOR=3.39, 95%CI=1.53-4.81, p=0.004) and taking over 4 medications (AOR=8.25, 95%CI=1.26-5.13, p=0.002) were found to be predictors of low medication adherence.
Conclusion: The finding of low adherence among majority of the respondents highlights the fact that achieving desired health outcomes will be a challenge. Improving this situation would require government interventions which are focused on social drivers of health as well as improving healthcare financing.
Predictors of Willingness to Use Modern Contraceptives among female undergraduate students in a tertiary institution in Nigeria: The Health Belief Approach
Authors: Fehintola FO , Okoro NE , Adedibu DO , Adeniyi KA , Adeniyi CL , Folorunso OE 
Published: December 2022

Background: More than half of unintended pregnancies in Nigeria end in induced abortion. Unsafe abortion from unintended pregnancies contributes significantly to maternal mortality in Nigeria. Modern contraceptives have proven useful in preventing unintended pregnancy. The health belief model is a comprehensive tool that can be used to predict contraceptive behaviour. It provides a theoretical framework that gives better understanding of how individual beliefs affect contraceptive behaviour. This study determined the predictors of willingness to use modern contraceptives among female undergraduates of Obafemi Awolowo University Ile-Ife from the perspective of the health belief model.
Methods: This descriptive cross-sectional study was conducted among 422 female undergraduates selected by multistage sampling technique. Data were collected using pretested self-administered questionnaire and analysed using IBM SPSS Version 25. Chi square test was used for association while logistic regression was used to determine the predictors. A p-value of <0.05 was considered statistically significant.
Results: The mean age of respondents was 21.4±2.4 years. The prevalence of modern contraceptive use was 9.2%. Majority of the respondents 268 (79.3%) were willing to use contraceptives. The most commonly used modern contraceptive was oral pills 289 (68.5%). Perceived benefit (AOR=0.32, 95%CI=0.17-0.63, p=0.001), perceived severity (AOR=0.48, 95%CI=0.44-0.89, p=0.004) and perceived self-efficacy (AOR=0.41, 95%CI=0.22-0.78, p=0.006) were predictors of willingness to contraceptive use.
Conclusion: Although willingness to use modern contraceptives was high, the actual use of contraceptives was low. Health education programs and improvement of access to different contraceptive methods can improve un-met need for contraception among respondents.
Clinical applicability of peak expiratory flow measured with peak flow metre compared to spirometer in a resource-limited setting
Authors: Jumbo J. , Onini E.N. , Ikuabe O.P. 
Published: December 2022

Background: Peak Expiratory Flow (PEF) is the maximum flow produced during a forced expiration following a full inspiration. It is useful in the management of lung diseases especially the domiciliary assessment of disease control in patients with Asthma. PEF can be measured with either a peak flow meter or a spirometer. We aimed at comparing PEF measured using a Mini Wright peak flow meter with PEF measured using Spirolab III spirometer in order to assess its clinical applicability in resource-limited settings.Method: A method-comparison study with records of PEF values at the Niger-Delta University Teaching Hospital, Okolobiri. Hypotheses were formulated and tested after data was analyzed using the IBM SPSS version 25 software.Results: PEF readings of a total of 100 adults were analyzed. Mean age was 48.90 ± 19.77 years. Males (51%) were slightly more than females (49%). One- sample t-test showed no statistical difference in the mean PEF values measured with the two devices (p = 0.295). There was significant correlation between the PEF values measured with the two devices (p<0.0001) with demonstration of agreement and absence of proportional bias in the PEF values measured by the two methods following linear regression analysis (p = 0.959).Conclusion: PEF values obtained from the Mini wright PEF meter and the Spirolab III spirometer are comparable. Therefore, the Mini Wright peakflow meter may be effectively used in the diagnosis and monitoring of Asthma and other lung diseases in resource-limited settings.
Searching for simpler sensitive diagnostic methods for assessing malaria prevalence during pregnancy in resource constrained setting
Authors: Ihemanma C.A. , Melariri P.E. , Sibanda W.O. , Etusim P.E. 
Published: December 2022

Background: Malaria infection during pregnancy causes maternal mortality with severe consequences for the foetus and infant. This research was aimed at assessing prevalence and clinical symptoms via urinalysis among pregnant women.Method: A cross-sectional study involving 300 pregnant women purposively selected from six health care centres was conducted. Data were analysed using SPSS version 26.Results: The overall malaria prevalence rate was 48% (n=143). Age group ≤25 years had the highest prevalence rate of 55.8% (n=68). Pregnant women in their first and second trimester had prevalence rate of 49% (n=101) and 49% (n=77) respectively, while the primigravidae recorded the highest prevalence rate of 56% (n=91). Logistic regression revealed that women younger than 30 years old had lower odds of being malaria negative OR 0.96(95%Cl 0.56-1.65), P=0.87. Women in their first trimester had higher odds of being malaria negative by 1.01 (95%Cl 0.41-2.46), P=0.99. Women who used LLINs had higher odds of being malaria negative OR 4521746.902, P=0.0000.Conclusion: Urinalysis revealed highest prevalence rate of 27.3% (n=82) for bilirubinuria (+) samples. Bilirubinuria in pregnancy could serve as a good indicator for malaria.
Sero-prevalence and risk factors for cytomegalovirus infection among pregnant women in a teaching hospital in Ogun state, Nigeria
Authors: Elikwu C.J. , Otaigbe I. , Oluwole T. , Shonekan O. , Nwadike V. , Tayo B. , Okangba C. , Omeonu A. , Faluyi B. , Umebuani S. , Aluko M. , Idowu O. , Okhagbuzo M.J. , Alabi B. 
Published: December 2022

Background: Infection with cytomegalo virus is usually asymptomatic however in pregnant women the risk of congenital infection and foetal abnormalities makes antenatal screening for CMV infection necessary. The aim of this study was to determine the sero-prevalence and risk factors for CMV infection among pregnant women in Babcock University Teaching Hospital (BUTH), Ilishan Remo, Ogun State, Nigeria.Methods: The study was a cross-sectional descriptive study conducted between January and May, 2017 on patients attending the antenatal clinic of Babcock University Teaching Hospital. Enzyme Linked Immunosorbent Assay (ELISA) Kits were used to determine IgM and IgG anti CMV antibody titresinvenous blood samples obtained from study participants.Results: A total of 80 patients were recruited into the study. The mean age was 30 years.All (100%) respondents were sero-positive for anti CMV IgG antibodies while 28.75% of respondents were seropositive for anti CMV IgM antibodies.Conclusion: There was a highsero-prevalence rate of CMV infection in the study. Screening of pregnant women for CMV infection is necessary due to the risk of congenital infection and fetal defects.