Ibrahim Sebutu Bello
@oauthc.com
Family Medicine
Obafemi awolowo university teaching hospital
RESEARCH INTERESTS
Malaria, Hypertension, Diabetes, Sickle cell disease, primary Health care
Scopus Publications
Scopus Publications
Azeez Oyemomi Ibrahim, Ibrahim Sebutu Bello, Oluwaserimi Adewumi Ajetunmobi, Kolawole Michael Olusuyi, Gbadebo Oladimeji Ajani, Kayode Rasaq Adewoye, Oluwatosin Oluwagbenga Oguntoye, Omowonuola Olubukola Sonibare, and Ayodele Kamal Alabi
SAGE Publications
Objectives We aimed to identify the prevalence, bacterial isolates, antimicrobial susceptibility profile, and factors associated with asymptomatic bacteriuria (ASB) in patients with type 2 diabetes mellitus (T2DM) in rural southwestern Nigeria. Methods We performed a hospital-based cross-sectional study of patients with T2DM and ASB. Demographic and clinical data were collected using questionnaires. Urine samples were cultured using standard laboratory procedures, and bacterial colonies were isolated and antimicrobial sensitivity was performed using the disc diffusion technique. Relationships between variables were assessed using adjusted odds ratios (AORs) and 95% confidence intervals (CIs). Results Of the 280 participants, 73 (26.1%) had ASB (95% CI: 20.9%–31.2%). The most commonly identified isolate was E. coli (45/73; 61.7%), 100.0% of which were sensitive to cefuroxime but resistant to ciprofloxacin. Female sex (AOR, 6.132; 95% CI: 2.327–16.157), living below the poverty line (AOR, 2.066; 95% CI: 1.059–4.029), uncontrolled blood glucose (AOR, 2.097; 95% CI: 1.000–4.404), and a history of indwelling urethral catheterization (AOR, 14.521; 95% CI: 4.914–42.908) were associated with ASB. Conclusion The findings suggest that cefuroxime should be used as an empirical treatment, pending urine culture and sensitivity, and that efforts should be made to prevent ASB in rural southwestern Nigeria.
Azeez Oyemomi IBRAHIM, Tosin Anthony Agbesanwa, Shuaib Kayode AREMU, Ibrahim Sebutu BELLO, Olayide Toyin ELEGBEDE, Olusegun Emmanuel GABRIEL-ALAYODE, Oluwaserimi Adewumi AJETUNMOBI, Kayode Rasaq ADEWOYE, Temitope Moronkeji OLANREWAJU, Ebenezer Kayode ARIYIBI,et al.
Public Library of Science (PLoS)
Background There is increasing evidence suggesting that adolescents are contributing to the populations at risk of malaria. This study determined the prevalence of malaria infection among the adolescents and examined the associated determinants considering socio-demographic, Long Lasting Insecticide Nets (LLINs) usage, and hematological factors in rural Southwestern Nigeria. Methods A hospital-based cross-sectional study was conducted between July 2021 and September 2022 among 180 adolescents who were recruited at a tertiary health facility in rural Southwestern Nigeria. Interviewer administered questionnaire sought information on their socio-demographics and usage of LLINs. Venous blood samples were collected and processed for malaria parasite detection, ABO blood grouping, hemoglobin genotype, and packed cell volume. Data were analyzed using SPSS version 20. A p-value <0.05 was considered statistically significant. Results The prevalence of malaria infection was 71.1% (95% CI: 68.2%-73.8%). Lack of formal education (AOR = 2.094; 95% CI: 1.288–3.403), being a rural residence (AOR = 4.821; 95% CI: 2.805–8.287), not using LLINs (AOR = 1.950; 95% CI: 1.525–2.505), genotype AA (AOR = 3.420; 95% CI: 1.003–11.657), genotype AS (AOR = 3.574; 95%CI: 1.040–12.277), rhesus positive (AOR = 1.815; 95% CI:1.121–2.939), and severe anemia (AOR = 1.533; 95% CI: 1.273–1.846) were significantly associated with malaria infection. Conclusion The study revealed the prevalence of malaria infection among the adolescents in rural Southwestern Nigeria. There may be need to pay greater attention to adolescent populations for malaria intervention and control programs.
Azeez Oyemomi Ibrahim, Ibrahim Sebutu Bello, Adewumi Oluwaserimi Ajetunmobi, Abayomi Ayodapo, Babatunde Adeola Afolabi, and Makinde Adebayo Adeniyi
Public Library of Science (PLoS)
Background Asymptomatic malaria infections have received less attention than symptomatic malaria infections in major studies. Few epidemiological studies on asymptomatic malaria infections have often focused on pregnant women and children under-five years of age as the most vulnerable groups. However, there is limitation on data regarding asymptomatic infections among the old adult populations, particularly in the study area. Therefore, this study determined the prevalence of asymptomatic malaria infection by microscopy and its determinants among residents of Ido- Ekiti, Southwestern Nigeria. Methods A hospital-based cross-sectional study was conducted between July and September 2021 among 232 consenting apparently healthy individuals aged 40 years and above who were recruited during a free health screening program using a standardised interviewer-administered questionnaire. The questionnaire sought information on respondents’ socio-demographics, presence and types of co-morbidity, and the prevention methods being adopted against malaria infection. Venous blood samples were collected and processed for asymptomatic infections using Giemsa-stained blood smear microscopy. Data were analysed using SPSS version 21. Multivariate logistic regression was used to identify factors associated with asymptomatic infections. Results Of the total 232 respondents, 19.0% (48/232) were confirmed to be infected with Plasmodium falciparum (95% confidence interval (CI): 14.1% - 24.6%). Lack of formal education (Adjusted odds ratio (AOR): 5.298, 95% (CI): 2.184-13.997), being diabetic (AOR: 4.681, 95% CI: 1.669-16.105), and not sleeping under Long Lasting Insecticide Net (LLINs) (AOR: 4.594, 95% CI: 1.194-14.091), were the determinants of asymptomatic Plasmodium falciparum infection. Conclusion The prevalence of asymptomatic Plasmodium falciparum was 19%. Lack of formal education, being diabetic, and not sleeping under LLINs were the determinants of asymptomatic infections.
Ibrahim Sebutu Bello, Temitope Oluwafemi Olajubu, Olusegun Olumuyiwa Osundiya, Oluwasina Tajudeen Salami, Azeez Oyemomi Ibrahim, and Abdulakeem Ayanleye Ahmed
SAGE Publications
Objective: The level of immunity against pathogens decreases with old age. As a result, the elderly may be regarded to be at increased risk of malaria morbidity and fatality. There is paucity of studies on malaria among the elderly population in Osun East district, Southwest Nigeria. This study aimed to determine the prevalence of malaria and its association with medical comorbidities among the elderly. Methods: A descriptive cross-sectional study was carried out, which involved 972 adult residents of five communities in Osun State, who were selected using a multistage random sampling technique. Data was collected with aid of a structured questionnaire. The medical history of respondents and anthropometric measures were obtained. The presence of malaria parasitaemia in the respondents was determined by rapid diagnostic test (RDT). Appropriate descriptive and inferential analyses were done. Results: Out of the 972 respondents, 504 (51.9%) were 60 years and above. The overall prevalence of malaria RDT positivity was 4%. The positivity rate was higher among the elderly (4.6%) compared to those less than 60 years (3.4%), albeit not statistically significant ( p = 0.36). Among these elderlies, 52.6% and 16.1% used insecticide-treated nets and insecticide sprays, respectively. There was no association between the prevalence of malaria positivity and comorbid conditions, such as hypertension ( p = 0.37), overweight/obesity ( p = 0.77), or diabetes ( p = 0.15). Malaria positivity rate was also not significantly associated with the use of insecticide-treated nets ( p = 0.64) or insecticide sprays ( p = 0.45). Conclusion: The malaria positivity rate was higher among the elderly in the study area, although not statistically significant. The prevalence was not associated with comorbid medical conditions.
Jonathan Ayobami Oyeniyi, Ibrahim Sebutu Bello, Olanrewaju Oloyede Oyegbade, Azeez Oyemomi Ibrahim, Oyeladun Funmi Okunromade, and Oladipupo Omolade Fakoya
SAGE Publications
Objective We determined the malaria prevalence and ascertained the degree of agreement among rapid diagnostic tests (RDTs), urine malaria tests, and microscopy in malaria diagnosis of adults in Nigeria. Methods This was a cross-sectional study among 384 consenting patients recruited at a tertiary health facility in southwestern Nigeria. We used standardized interviewer-administered questionnaires to collect patients’ sociodemographic information. Venous blood samples were collected and processed for malaria parasite detection using microscopy, RDTs, and urine malaria tests. The degree of agreement was determined using Cohen’s kappa statistic. Results The malaria prevalence was 58.3% (95% confidence interval [CI]: 53.0–63.1), 20.6% (95% CI: 16.6–25.0), and 54.2% (95% CI: 49.0–59.2) for microscopy, RDTs, and urine malaria test, respectively. The percent agreement between microscopy and RDTs was 50.8%; the expected agreement was 45.1% and Cohen’s kappa was 0.104. The percent agreement between microscopy and urine malaria tests was 52.1%; the expected agreement was 50.7% and Cohen’s kappa was 0.03. Conclusion The malaria prevalence was dependent on the method of diagnosis. This study revealed that RDTs are a promising diagnostic tool for malaria in resource-limited settings. However, urine malaria test kits require further improvement in sensitivity prior to field use in malaria-endemic settings.
Ibrahim S. Bello, Omowonuola O. Sonibare, Temitope O. Olajubu, Aanuoluwapo O. Olajubu, Ernest O. Orji, and Caitlin Dean
Elsevier BV
Murithada Kadiri Uthman, Ibrahim Sebutu Bello, Akinyemi Olaleye Fadugbagbe, Temitope Oluwafemi Olajubu, Waheed Olalekan Ismail, and Azeez Oyemomi Ibrahim
SAGE Publications
Background: A high rate of unintended pregnancy is said to be driving population growth, particularly in Sub-Saharan Africa, where approximately half of all pregnancies are unintended, coming too soon or even unwanted. Most of these unintended pregnancies could have been prevented with effective family planning services. There, however, remains an unmet gap between the women’s reproductive intention and their contraceptive behaviour. Objectives: This study determined the prevalence of unmet needs for family planning and examined its determinants among women of reproductive age group at a tertiary health facility in Southwest Nigeria. Design: This was a hospital-based cross-sectional study. Methods: Two hundred eighty-five sexually active women were recruited using a pre-tested, semi-structured, validated, interviewer-administered questionnaire. The questionnaire assessed the respondent’s socio-demographic characteristics, obstetrics and gynaecological history, and contraceptive history. Relevant clinical parameters were measured and recorded. Data were analysed using SPSS version 21. Multivariable logistic regression analysis was done using a 5% significance level to identify the determinants of unmet needs for family planning. Results: The prevalence of unmet family planning needs for prevention, spacing and limiting were 28.8%, 33.1% and 38.1%, respectively, with 58.2% overall prevalence of unmet needs. The commonest reason for the non-uptake of contraceptives among those with unmet need was the fear of side effects (66.3%). The odds of having unmet needs for family planning were higher for respondents with four or fewer children (adjusted odds ratio (AOR): 7.731; 95% confidence interval (CI): 28.504–2.907, p = 0.002) and those with one partner (AOR: 2.008; 95% CI: 3.669–1.090, p = 0.025). Conclusion: A high rate of unmet family planning needs was found in the study. This requires specific interventions and policies towards increasing contraceptive uptake, such as intensified health education aimed at allaying fears related to the side effects.
Azeez Oyemomi Ibrahim, Ibrahim Sebutu Bello, Olabode Muftau Shabi, Adejumoke Oluwatosin Omonijo, Abayomi Ayodapo, and Babatunde Adeola Afolabi
SAGE Publications
Objectives: The study determined the prevalence of malaria infection and its association with socio-demographics, environmental, housing, and co-morbid ailment factors. Methods: The study was a cross-sectional of 330 consented adult febrile patients who were recruited at a tertiary health facility in rural Southwestern Nigeria. The standardized interviewer-administered questionnaire sought information on their socio-demographics, environmental, housing, and co-morbid ailment factors. Venous blood samples were collected and processed for malaria parasite detection, retroviral screening, glycated hemoglobin, and hemoglobinopathy. Data were analyzed using SPSS version 20. The strength of the association between independent and dependent variables was measured using odds ratio and 95% confidence interval with a significant level ( p value <0.05). Results: The prevalence of malaria parasitemia was 63.3% (95% confidence interval: 57.9%–68.5%). Being a farmer ( p = 0.002), lack of formal education ( p = 0.043), low-income earners ( p = 0.031), presence of bushes ( p = 0.048), stagnant water ( p = 0.042), not sleeping under long-lasting insecticide-treated nets ( p < 0.001), and sickle cell disease ( p = 0.041) were significantly associated with malaria infection. Conclusion: The study revealed that there is a high prevalence of malaria infection in rural Southwestern Nigeria. There may be a need to pay greater attention to adult populations in rural areas for malaria intervention and control programs.
Waheed O Ismail, Ibrahim S Bello, Samuel A Olowookere, Azeez O Ibrahim, Tosin A Agbesanwa, and Wulaimat A Adekunle
African Journals Online (AJOL)
Background: Caesarean delivery is an essential surgical skill within the primary care setting aimed at reducing maternal morbidity and mortality.
 Objectives: To determine the rate and indications for caesarean deliveries with a view to improving on the service delivery in the study area.
 Methods: A retrospective review of all caesarean deliveries over a five-year period, January 1st, 2012 to December 31st, 2016.
 Results: A total of 2321 deliveries were recorded during the study duration and 481 of them were through caesarean sec- tion (CS) giving a caesarean section rate of 20.4%. The rate was higher in the multigravida 255 (53.1%). The commonest indication for caesarean section was previous caesarean section 131 (27.2%). Emergency caesarean delivery accounted for 278 (57.8%). Only 16 (3.3%) stayed more than five days postoperatively while the rest, 465 (96.7%), stayed less than five days. There was a gradual yearly increase in rate from 12.1% in 2012 to 19.5% in 2016.
 Conclusion: The rate of CS in this study has shown a gradual yearly increase with emergency CS having a higher percentage. Early diagnosis and referral of high-risk pregnancies from peripheral hospitals could reduce emergency CS among the study population.
 Keywords: Caesarean section; rate; secondary healthcare; Nigeria.
Olusegun Adams, Olabode M. Shabi, Busuyi Kolade Akinola, Olusegun E. Gabriel, Ibrahim S. Bello, and Ololade Akinpelu
Termedia Sp. z.o.o.
A – study design, B – Data Collection, C – Statistical Analysis, D – Data Interpretation, E – Manuscript Preparation, F – literature search, G – Funds Collection Background. diabetes self-care is yet to be incorporated into diabetes management policy, hence the need to establish its practice as an essential catalyst for good glycemic control in the management of diabetes patients. Objectives. This study was aimed at determining the role of diabetes self-care education (DSME) and practice in the management of T2DM patients. Material and methods. A hospital-based study was conducted on 120 adults with T2DM who had been presenting at the clinic for at least two months. The study participants were divided into two groups. Group 1 was the test group and had DSME, while group 2 served as the control. Data was collected using a questionnaire, and clinical parameters of glycemic control were measured both pre-and post-intervention period. Results. A significant relationship was found between diabetes education, diabetes self-care and glycemic control. This was demon strated by the significant difference in the proportion of those who achieved good FPG from 28.3% pre-intervention to 51.7% post--intervention ( p = 0.001); 2HPP from 30% to 46.7% ( p = 0.060) and HbA 1c from 53.3% to 85% ( p < 0.001) in the test group; while that of the control was FPG 18.3% to 30% ( p = 1.355), 2HPP 11.7% to 26.7% ( p = 0.369) and HbA 1c 43.3% to 53.3% ( p = 0.804). This showed a significant improvement in the glycemic control of the test group compared to the control group. Conclusions. We conclude that good knowledge and practice of diabetes self-care is relevant to the achievement of good glycemic control.
Omowonuola O. Sonibare, Ibrahim S. Bello, Samuel A. Olowookere, Olabode Shabi, and Niyi O. Makinde
Elsevier BV
Omowonuola Olubukola Sonibare, Jamiu Adetayo Adeniran, and Ibrahim Sebutu Bello
Springer Science and Business Media LLC
Yusuf Ghazali, Ibrahim Bello, and Adeola Kola-Mustapha
Elsevier BV
Oladipupo O. Fakoya, Emmanuel A. Abioye-Kuteyi, Ibrahim S. Bello, Olarenwaju O. Oyegbade, Samuel A. Olowookere, and Ikechi T. Ezeoma
SAGE Publications
Background Aging is associated with change in health status and decreasing functional capacity affecting the general well-being of individuals with increase in the prevalence of chronic noncommunicable diseases. Objective This study aimed to assess the quality of life (QoL) and its determinants in elderly patients attending a general practice clinic in Southwest Nigeria. Method Descriptive cross-sectional study of consenting elderly patients completed an interviewer-administered questionnaire on QoL and its determinants. Data were analyzed using descriptive and inferential analysis. Logistic regression was done to identify predictors of QoL. Results A total of 216 older adults were interviewed. Only 25% had good QoL with majority having multiple morbidities which was associated with poorer QoL. Predictors of QoL were family support (odds ratio = 0.249, 95% confidence interval [0.079, 0.850], p = .026) and socioeconomic class (odds ratio = 3.66, 95% confidence interval [1.47, 7.87], p = .004) of the respondents. Conclusion QoL was found to be poor among the study population and worst in those with multiple morbidities. There is a need for policy direction to advocate for preventive strategies for risk of chronic diseases as well as provide better access to primary care through National Health Insurance Scheme (NHIS).
Akinlolu Gabriel Omisore, Bridget Omisore, Emmanuel Akintunde Abioye-Kuteyi, Ibrahim Sebutu Bello, and Samuel Anu Olowookere
Springer Science and Business Media LLC
Akinjide Olurotimi Ogundokun, Emmanuel Akintunde Abioye-Kuteyi, Ibrahim Sebutu Bello, Olanrewaju Oloyede Oyegbade, Samuel Aanu Olowookere, and Akintunde Julius Olowookere
AOSIS
The outcome of a young person’s future is affected by the support received from the family. Support that is received is related to the quality of family functioning of the young person. Family-oriented interview assesses the family of a patient who presents for consultation, through the patient. It diagnoses relationship issues in a family and helps in solving them. It may be best suited for the young-person encounter in a clinic as it ensures privacy, an important requirement for young-person care. The study objective was to assess the perceived family function of young persons and the perceived effect on this of family-oriented interview. The study had a quasi-experimental, pre- and post-test design, and the setting was in the family medicine clinic. Family-oriented interview was conducted for 221 young persons after an initial family function assessment. They were each followed up for 12 weeks and family function was reassessed. Perceived family function was significantly associated with very close relationships with the family members, especially fathers and mothers. Family-oriented interview may have significantly improved perceived family function in the study. Family-oriented interview of young persons presenting for medical care is recommended.
Shakirat I Bello and Ibrahim K Bello
Bangladesh Journals Online (JOL)
The role of pharmacist has not only advanced from medication dispensing but also to direct patient care and pharmaceutical interventions aiming at enhancing the populace wellbeing. The objective of this research was to assess the impact of rural community pharmacist interventions on self-medications and disease prevalence among rural settings in the Kwara State Central, Nigeria. A descriptive, cross-sectional study was conducted in eight rural communities with a pre-piloted questionnaire. Data obtained from respondents were computed with Statistical Package for Social Sciences (SPSS) Version 16 using descriptive analysis procedures, and relationships between variables were tested using the chi square. Respondents between the age of 40 and 50 years dominated with 42.3% and majority (88.1%) of the rural residents were illiterates. Farming was the major occupation of the respondents and survived on less than ten thousand naira Nigeria money ($63) per month. Among the combinations of drugs abused by the respondents, the regimen containing combination of prednisolone, diclofenac and paracetamol had the highest users. The least used combination was ibuprofen, diclofenac plus prednisolone. These combinations were taken twice daily by the majority participants. The most common reasons given for self-medications were osteoarthritis (31.1%), poverty (17.4%), general body pain (14.3%), inadequate of health facilities (4.6%), ignorance (4.3%) among others. The intervention offered by the pharmacists had reduced the mean systolic blood pressure significantly (P < 0.05) from 161 mmHg to 129 mmHg and diastolic blood pressure from 104 mmHg at baseline to 86 mmHg. Postintervention evaluation revealed the impact of the pharmacists, as the respondents with dyspepsia at baseline significantly (P < 0.05) reduced from 220 to 53 participants. Dhaka Univ. J. Pharm. Sci. 12(1): 1-9, 2013 (June) DOI: http://dx.doi.org/10.3329/dujps.v12i1.16294
EA Abioye Kuteyi, IS Bello, TM Olaleye, IO Ayeni, and MI Amedi
AOSIS
Abstract Background: Patient satisfaction influences the outcomes of the physician-patient encounter. Patient satisfaction has become a significant health care outcome and a useful indicator of the quality of care. The aim of the study was to assess the level of satisfaction among Obafemi Awolowo University Health Centre attendees in relation to physician-patient interaction and ascertain the relationship between the different aspects of physician-patient interaction, patient satisfaction and adherence intent. Methods: Demographic information and information on patients' feelings about their doctors was collected from 300 consenting patients in a cross-sectional survey, using an adapted Medical Interview Satisfaction Scale self-administered questionnaire. Data were analysed with SPSS version 11. Logistic regression was conducted to identify the factors predicting patient satisfaction and adherence intent. Results: Of the 300 patients studied, 63.3% were generally satisfied with their physician-patient interaction. Nineteen per cent of patients were uncertain of their level of satisfaction. Patient satisfaction was positively associated with adherence intent. Patient confidence in the doctor and good communication skills and information provision on the part of the doctor predicted patient satisfaction, while patient confidence in the doctor and information provision by the doctor predicted adherence intent. Conclusions: A fifth of the study subjects were dissatisfied with their doctor-patient relationship. This study suggests the need for primary care physicians to be aware of the important place of interpersonal skills development in the application of medical knowledge and expertise in the provision of health care.
Emmanuel A. Abioye-Kuteyi, Olanrewaju Oyegbade, Ibrahim Bello, and Chiddude Osakwe
AOSIS
Background: In Nigeria, as in the rest of equatorial Africa, sickle cell disease (SCD) has its highest incidence and continues to cause high morbidity and early death. The condition is a major public health problem among the black race. The aim of this survey is to determine the level of knowledge about SCD and the factors associated with its prevention among local government workers in Ile- Ife.Method: This is a cross-sectional descriptive study of the knowledge about SCD, attitude towards premarital sickle cell screening and marital decisions among local government workers in Ile-Ife, Nigeria, using a self-administered questionnaire.Results: 69% of study subjects had poor knowledge of SCD, while attitude towards premarital screening was favourable in 95% of the study subjects. Knowledge and attitude were significantly better among subjects with tertiary education. There was a strong positive association between attitude towards sickle cell screening and a history of undergoing screening or partner screening. Most (86.7%) of the respondents and 74.0% of their partners have had sickle cell screening. One-quarter of married and engaged respondents did not know their partner’s sickle cell status. One-third to two-thirds of study subjects will continue the relationship with their partner when either or both have haemoglobinopathy.Conclusion: This study showed poor knowledge of SCD among the studied subjects. There is a need for more emphasis on health education through programmes promoting sickle cell education. In addition, the development of multifaceted patient and public health education programmes, the intensification of screening for the control of SCD by heterozygote detection, particularly during routine preplacement and premarital medical examinations, and the provision of genetic counselling to all SCD patients and carriers are vital to the identification and care of the couples at risk. These will enhance the capacity of the intending couples to make informed decisions and be aware of the consequences of such decisions. Policies are needed to ensure easily accessible community-wide sickle cell screening and premarital and genetic counselling to achieve the desired decline in new births of children with SCD.
MO Afolabi, EA Abioye-Kuteyi, FA Arogundade, and IS Bello
AOSIS
Abstract Background: Chronic kidney disease (CKD) is a global public health problem, with a greater burden and prohibitive cost of care particularly in developing countries. This study determined the prevalence of chronic kidney disease and identified its associated risk factors in patients attending the Family Practice Clinic, Wesley Guild Hospital, Ilesa, Nigeria. Method: Consecutive newly-registered patients who attended the Family Practice Clinic of Wesley Guild Hospital, Ilesa from August 2005 to January 2006 were recruited and studied. Relevant data were collected by using an interviewer-administered questionnaire, and determining the spot urinary ACR (albumin-creatinine ratio) of the subjects by using Microalbustix™ reagent strips and using their serum creatinine concentration. The glomerular filtration rate (GFR) of each subject was estimated using the Modification of Diet in Renal Disease (MDRD) formula. A repeat urine test was done three months after the initial screening to identify subjects with persistent microalbuminuria. Results: The age of the study subjects ranged from 20 to 74 years, with a mean age of 50.52 + 13.03 years. There were 68 males and 182 females in the sample population, showing a male to female ratio of 1:2.7. One hundred and thirteen of the 250 subjects (45.2%) were found to have pathologic albuminuria at the initial screening, while 31 (12.4%) had persistent albuminuria three months later. Also, 51 subjects (20.4%) had estimated low GFR at the initial screening and 26 (10.4%) had persistent low GFR three months later. Significant risk factors for CKD in the study subjects were increasing age, elevated blood pressure, history of diabetes mellitus (DM), habitual intake of analgesics and herbs, and an abnormal waist to hip ratio (p < 0.05). The association between persistent abnormal ACR and low GFR did not reach statistical significance (p = 0.053). Habitual analgesic intake (p = 0.002) and age group (p = 0.0027) were true predictors of CKD among the study subjects. Conclusions: The prevalence of CKD in the study population was high and its association with modifiable risk factors was demonstrated. Family physicians have a unique opportunity to identify and address these factors in their patients. Routine screening for CKD in family practice clinics is indicated to reduce the burden of renal disease in the population.
Adetoyeje Y Oyeyemi, Bashir O Oyeyemi, and Ibrahim S Bello
Wiley
Nurses' feeling of comfort during care is important to stay on the job and for their choice of specialty of care. This study aimed to assess nurses' level of comfort in providing care to patients living with AIDS and to determine the sociodemographic variables that influence nurses' comfort. Nurses in four hospitals in Nigeria (n = 277) were surveyed using a questionnaire that elicited information on their demographic characteristics, previous AIDS encounter, and their comfort taking vital signs, casually handling, administering enema and mouth-to-mouth resuscitation, and in recommending exercise and physical therapy to patients living with AIDS. Nigerian nurses were uncomfortable with resuscitation and also showed discomfort not wearing gloves while handling these patients. Being single and male gender influenced nurses' comfort with vital signs and enema administration. Special orientation to include analysis of common tasks and procedures for new nurses assigned to AIDS units is suggested.
O.P. Opreh, E.A. Abioye-Kuteyi, A.O. Aboderin, H. Giebel, I.S. Bello, and I.O. Senbanjo
Oxford University Press (OUP)
Adetoyeje Oyeyemi, Bashir Oyeyemi, and Ibrahim Bello
SAGE Publications
Background: Feeling of comfort is important for efficient and compassionate care. This study aimed to determine physicians’ level of comfort in administering common medical procedures to patients living with AIDS and to identify the demographic variables that may influence level of comfort. Methods: Residents and house officers (n = 211) in 2 Nigerian teaching hospitals were surveyed by a questionnaire that elicited demographic information and information on physicians’ level of comfort in administering medical procedures. Results: Overall, physicians were very uncomfortable with mouth-to-mouth resuscitation. Invasive procedures evoked a lower level of comfort than noninvasive procedures. Knowing a person living with AIDS influenced the comfort level. Older age and professed willingness to treat persons with AIDS were associated with a higher comfort level. Conclusions: This study reinforced the need to address idiosyncrasies as they relate to the AIDS epidemic and to emphasize ethics and altruistic feelings of responsibility to care for those in need.