Associate Professor, Department of Internal Medicine, Faculty of Clinical Sciences
NIGER DELTA UNIVERSITY
Tamaraemumoemi Okoro is a Fellow of the West African College of Physicians. She is an internal medicine physician and a cardiologist. She has served as the Head of the Cardiology Unit at Niger Delta University Teaching Hospital since 2010. She is an associate professor and was the Head of the Department of Internal Medicine, at Niger Delta University, Nigeria, from 2015 to 2021 and the Sub-Dean at the Faculty of Clinical Sciences at Niger Delta University from 2019 to 2021. She is currently undergoing a Ph.D. program in public health at Morgan State University, Maryland, USA. She has over 30 publications in peer-reviewed journals.
cardiovascular diseases, maternal and child health
Background There is ample historical evidence that Non-Hispanic Blacks (NHBs) have the highest infant and maternal mortality rates and the lowest life expectancy across racial and ethnic groups in the USA. Maryland mirrors the national profile in these health indices. Objective This review aims to highlight the counties in Maryland with significant racial disparities in maternal and infant mortality rates and life expectancy, highlight the identified contributory factors and make recommendations on how Historically Black Colleges and Universities can be critical partners in providing solutions. Methods Google Scholar and PubMed electronic databases were used for literature extraction. Inclusion criteria: peer-reviewed published literature assessing racial disparities in infant and maternal mortality and life expectancy; data from the CDC and state health departments. Exclusion criteria: unverified data sources; studies without data on African American population.
Tamaraemumoemi Emmanuella Ambakederemo and Eze Uzoechi Chikezie Informa UK Limited
Introduction Almost one third of deaths globally are caused by cardiovascular diseases (CVDs). Certain occupations may promote the development and worsening of risk factor for CVDs. We assessed some traditional cardiovascular risk factors and lifestyle choices that may predispose to CVDs in medical doctors in a tertiary health facility in Southern Nigeria. Study design Cross-sectional study Participants and methods One hundred sixty-nine apparently healthy medical doctors were recruited. A structured self-administered questionnaire was used to gather data on CVD risk factors. Anthropometric and blood pressure (BP) measurements were taken. Results Majority were males (68.0%), aged 20–39 years (43.8%), single (62.7%), and house officers (58.0%) with<1 year (48.5%) work experience. Over half were either overweight or obese. While 77.2% of those not centrally obese were males, only about 22.8% of females did not meet the criteria for central obesity (P-value < 0.05). While respondents had BP in prehypertensive (48.2%), stage 1 (18.5%), or stage 2 hypertension (3.6%) ranges, only 7.7% had a previous diagnosis of hypertension. Only 25.4% took fruits on a daily basis and engaged in aerobic exercises up to 30 minutes daily or at least 3–5 times a week. Other poor lifestyle choices included non-lean meat intake (76.8%), low water intake (88.2%), and junk food and soda drinks intake (daily 28%, weekly 51.2%). Conclusion Findings of a high prevalence of overweight/obesity, physical inactivity, and junk food intake and low fruits intake among doctors is worrisome. There is a need to educate doctors on adopting healthier lifestyles to reduce risk of CVDs.
Tamaraemumoemi Emmanuella Ambakederemo, Sotonye Tamunobelema Dodiyi-Manuel, and Ikenna Desmond Ebuenyi Pan African Medical Journal
Haematospermia is often associated with severe uncontrolled hypertension. The bloody semen is often very worrisome for the patient and his sexual partner(s). In addition to anti-hypertensive, counselling and lifestyle modification are essential for management of the condition.