Nigerian Medical Practitioner https://www.ajol.info/index.php/nmp <p><em>The Nigerian Medical Practitioner</em>, a monthly Journal publishes clinical and research articles in medicine and related fields which are of interest to a large proportion of medical and allied health practitioners. It also publishes miscellaneous articles-hospital administration, business practice, accounting, law-for health practitioners. Case reports and letters about published papers are welcome.</p> SAME Ventures en-US Nigerian Medical Practitioner 0189-0964 Copyright belongs to the journal. Post-operative Anaemia and Prevalence of Blood Transfusion In Surgical Patients at The Rivers State University Teaching Hospital https://www.ajol.info/index.php/nmp/article/view/229963 <p>Blood transfusion following surgical procedures may be a life saving venture especially in anaemic patients. Even though there is no universal accepted consensus on blood transfusion in surgical patients there should be clear cut indications prior to blood transfusion. The prevalence varies from centers and regions in the world. To determine post-operative anaemia and prevalence of blood transfusion in surgical patients at the Rivers State University Teaching Hospital (RSUTH). This was a six-month retrospective study of post-operative patients at the Surgery and Obstetrics/Gynaecology department of the Rivers State University Teaching Hospital. Ethical clearance was obtained from ethical committee of the Rivers State Hospital Management Board. The cut- off for anaemia was 33% in line with the World Health Organisation (WHO). Structured profoma was used to extract information from patients case notes and analysed using SPSS version 25. The subjects for the study were 370, comprising of 146 (39.5%) males and 224 (60.5%) females. The mean age was 31 years of which 194 (52%) were obstetrics and gynaecological surgeries while 176 (47.6%) were non-gynaecological surgeries. The commonest indication for surgery was ceasaren section representing 126 (34.1%) of the subjects; 259 (70%) had anaemia, of which 168 (64.8%) were females while 91 (35.2%) were males. Eighty-four (22.7%) of the subjects had blood transfusion. The prevalence of post-operative anaemia and blood transfusion in surgical patients at the RSUTH were 70% and 22.7% respectively. Optimizing surgical patients prior to operative procedures as well as taking measures to reduce blood loss intra-operatively cannot be overemphasized.&nbsp;</p> S Eli KE Okagua AC Iyama E Nonye-Enyidah E Nonye-Enyidah P Kua G Emeghara UA Oparadou DA Okoh SN Elenwo Copyright (c) 2022-08-19 2022-08-19 81 4-6 33 36 Obesity and Associated Factors among In-school Adolescents in Port Harcourt Metropolis https://www.ajol.info/index.php/nmp/article/view/229964 <p>Epidemiologic studies show that obesity is one of the most serious health problems of the 21st century and its prevalence in adolescents is currently on the increase. In many developing countries, this toll is increasing and is seen as a challenge to the health care system. In Africa, the estimated prevalence of obesity increased from 4% in 1990 to 7% in 2011 and it is expected to reach 11% in 2025. Evidence has shown that obesity in the adolescent age group is significantly associated with increased risk of premature mortality in adulthood. The findings of the study will inform pro-active measures that will curb the risk of diseases associated with obesity in the later life of adolescents. To determine the prevalence of obesity and associated risk factors amongst in-school adolescents in Port Harcourt Metropolis.This was a cross-sectional study involving adolescents aged 10-19 years attending secondary schools in Port-Harcourt, recruited using a stratified multistage sampling technique. Self-administered semi-structured questionnaires were used to obtain information about the subjects' socio-demographic characteristics. Body Mass Index (BMI) was calculated from the measured weight and height. We defined obesity as BMIfor-age z-score &gt; 2SD for age and sex using the WHO 2007 reference standards. The prevalence of obesity was obtained and its associated risk factors calculated using bivariate and multivariate analysis. Atotal of 1428 adolescents were enrolled with a mean age of 14.30 + 2.04 years and a M:F ratio of 1:1.5. The prevalence of obesity was 5.4%. Presence of obesity was significantly associated with being in the early adolescent age-group of 10-14 years (7.4%; p=0.001). There was no significant relationship between the presence of obesity and other socio-demographic variables assessed (sex, socio-economic status and family structure; p&gt;0.05). There is a high prevalence of obesity among school-going adolescents in Port-Harcourt metropolis, especially in the early adolescent group. It is recommended that adolescents undergo routine screening as part of the School Health Program for early detection and management of obesity and its related morbidities.</p> EA Alinnor EAD Alikor BAN Okoh S Eli Copyright (c) 2022-08-19 2022-08-19 81 4-6 37 44 Body Image Dissatisfaction and Mental Health among Patients with Dermatological Disorders https://www.ajol.info/index.php/nmp/article/view/229965 <p>The self-perception of one's body image could influence mental health outcome. Body image dissatisfaction is a growing research area that is under-diagnosed and under-reported in Nigeria and Africa. The study aimed to assess body image dissatisfaction among patients with dermatological disorders and determine its relationship with perceived stigma and depressive feelings. The study employed a cross-sectional hospital-based design. The study population comprised 94 adult patients attending the dermatology out-patient clinic of the University of Port Harcourt Teaching Hospital (UPTH). Body Image Disturbance Questionnaire (BIDQ), a validated and reliable tool was used to determine body dissatisfaction scores. Scores greater than or equals to 18 were categorized as body image dissatisfaction. Mental health outcomes (perceived stigma and depressive feelings) were assessed from the open-ended responses of the BIDQ. Statistical analyses were performed using IBM Statistical Package for Social Sciences version 25 at p&lt;0.05. The mean (┬▒standard deviation) BIDQ score was 11.0 (┬▒5.6). The differences in the mean scores across the dermatological disorders were not statistically significant (ANOVA=1.507; p=0.111). The prevalence of body image dissatisfaction was 12.8% (n=12). A significantly higher proportion of participants with body image dissatisfaction had depressive feelings (66.7% versus 22.0%; p=0.003) and perceived stigma (41.7% versus 9.8%; p=0.011) in comparison to those that had no body image dissatisfaction. Significantly higher odds of depressive feelings (Odds Ratio=7.1; 95%CI=1.9- 26.3) and perceived stigma (Odds Ratio=6.6; 95%CI=1.7-25.7) were reported among patients with body image dissatisfaction. Body image dissatisfaction is associated with perceived stigma and depressive feelings. Measures to promote mental health are advocated among patients with skin problems.</p> I Otike-Odibi Bolaji U Okeafor Chukwuma Copyright (c) 2022-08-19 2022-08-19 81 4-6 45 49 Hypohidrotic Ectodermal Dysplasia: A Case Report in a Seven Year Old Nigerian Child https://www.ajol.info/index.php/nmp/article/view/229966 <p>Hypohidroitic ectodermal dysplasia is a rare genetic disorder that causes defect in the development of two or more tissues derived from embryonic ectoderm. There is no cure for the disease at present but affected individuals can live a normal life span if the disease is detected early and appropriate supportive treatment instituted. We report a rare case of hypohidroitic ectodermal dysplasia in a 7- year old Nigerian boy as well as highlight challenges in the management of this rare genetic disorder in a resourceconstrained setting.</p> K Achigbu K Odinaka I Amamilo Copyright (c) 2022-08-19 2022-08-19 81 4-6 50 52