Nigerian Medical Practitioner https://www.ajol.info/index.php/nmp <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. SAME Ventures en-US Nigerian Medical Practitioner 0189-0964 Copyright belongs to the journal. Sonography of the injured eyes of children - a suburban tertiary care experience https://www.ajol.info/index.php/nmp/article/view/204505 <p>When children eyes are exposed to trauma, imaging modalities including ultrasonography can be used to establish diagnosis, type, and extent of injury. To evaluate the usefulness of ultrasonography in the management of children with eye injuries as well as find out the pattern of lesions found in the pediatric age group. This was a retrospective study of all the children aged 17years and below that attended the emergency or eye clinic and or referred from private health facility around a tertiary Health facility south West Nigeria and were referred to Radiology Department for ultrasound assessment over a two year period.There was a lot of overlap of sonographic findings in the examined eyes. Cataract (38.5%) and Vitreous Hemorrhage (25.6%) were the most frequent findings, followed by choroidal (17.9%) and retinal detachments (17.9%), lens rupture (5.1%) and subluxation (5.1%) respectively. The pattern of findings in children is different from the adult pattern. The findings were found to influence the management in the various cases and post traumatic cataract was the most frequent complication found. Increased awareness is to be mounted in health talks to parents/guardians as well as school teachers on the safe mode of discipline of a child to avoid eye injuries following canning.</p> A.A. Olutunji O.T. Bodunde M.A. Olusola-Bello O.A. Adekoya Copyright (c) 2021-03-05 2021-03-05 78 3-6 35 41 Sero-prevalence of hepatitis B and C co-infections among suspected intravenous drug users attending Federal Neuro-Psychiatric Hospital in Maiduguri. https://www.ajol.info/index.php/nmp/article/view/204506 <p>Hepatitis infection among suspected Intravenous Drug Users (IDU), continue to be on the rise with frequent complications of more than 10 to 20 times as observed in the general population; this has been attributed to high risk behavior among IDU, tattooing with non-sterile equipments and Syringes. The aim of this study is to investigate the prevalence of Hepatitis B and C co-infections among suspected IDU attending Neuro-psychiatric Hospital in Maiduguri. A total of 150 samples were tested with the overall prevalence rate of 5.3% and 1.3% for hepatitis B and C respectively. The prevalence among male (n = 142) was 5.6% for hepatitis B and 1.4% for hepatitis C while among female (n=8) 0.0% was obtained for both hepatitis B and C. A higher prevalence rate of 14.2% were observed for both hepatitis B and C among age group of (26 – 30 years). Similarly, sero-prevaelence distribution of 9.4% and 2.4% for hepatitis B and C respectively were among married individuals. While no case of hepatitis B and C were detected among single individuals. Government should create awareness on the prevention of these viruses especially in correctional facilities and psychiatric hospitals.</p> M. Talle A. Lawan M.T. Akinola Y.M. Shettima I. Mshelia B.J. Musa Copyright (c) 2021-03-05 2021-03-05 78 3-6 42 46 Assessment of marital satisfaction: a survey of infertile women in a public tertiary hospital. https://www.ajol.info/index.php/nmp/article/view/204507 <p>Despite substantial gain in infertility treatment with the advent of assisted reproduction technique, the psychological and social aspects of infertility management is still often overlooked. To investigate marital satisfaction in infertile women and the factors affecting it. The Index of Marital Satisfaction (IMS) Scale was used to assess the level of marital satisfac­tion among infertile women in a cross-sectional survey. Comparative analysis was performed to determine significant difference between groups as well as predictors of marital satisfaction. Two hundred and sixty respondents were interviewed. The total mean IMS score of the participants was 28.3 ± 14.2. From the IMS scale, majority (64.2%) of infertile women were satisfied while 35.8% were dissatisfied with their marital relationship. Significant predictors for marital dissatisfaction were low educational status, secondary infertility, male and female factor infertility, infrequent sexual intercourse and previous failed in-vitro fertilization. Infertile women are at increased risk of reduced marital satisfaction. Fertility specialists should adopt a comprehensive psycho-social approach in fertility treatment to include routine screening for marital satisfaction using proxy socio-clinical predictors. Couple therapy and counseling aimed at improving sexual, marital satisfaction as well as quality of life in infertile couple is recommended.</p> J.A. Osaikhuwuomwan O.I. Iribhogbe N.O. Enaruna I.O. Aina J.D. Sodja Copyright (c) 2021-03-05 2021-03-05 78 3-6 47 54 Predictors of long-term staff retention at a rural secondary health care facility in central Nigeria https://www.ajol.info/index.php/nmp/article/view/204508 <p>Staff retention is closely related to employee satisfaction which in turn is intertwined with salaries and benefits. Secondary health care facilities in low resource settings are finding it difficult to retain their staff. This is more difficult for Faith based not- for-profit hospitals where the cost of services is kept at the barest minimum. This was a cross-sectional survey of health care workers using the Linda Powells (Mountains State Group Inc) self-administered questionnaire. The long-term retention rate was found to be 78.0%. Bivariate analysis showed that being married, health maintenance support staff, supervisory issues and training and salary issues had a significant association with long term retention intentions. Multinomial logistic regression showed that health management support staff (OR = 8.33; 95% CI 2.13 – 32.56) rather than Health Service Providers, and non-permanent staff (OR = 3.75; 95% CI 1.08 – 13.03) rather than permanent staff were more likely to have long term retention intentions. Surprisingly, staff who were not satisfied with training and salary issues (OR = 7.69; 95% CI 1.70 – 34.76) were more likely than those who were satisfied to have long term retention intentions. More than three quarters of the staff plan to continue to work in the hospital in the long term. Health management support staff, non-permanent staff and staff who were not satisfied with the level of training and salary were more likely to continue working in the hospital in the long term. This calls for long term retention strategies which pay attention to employee factors.</p> M.D. Gyang S. Gidado B.A. Gyang J.K. Madaki M.S. Dankyau Copyright (c) 2021-03-05 2021-03-05 78 3-6 55 59 Importance of bronchoscopy in investigating patients with chronic cough: case report. https://www.ajol.info/index.php/nmp/article/view/204509 <p>A 67 year old accountant with no history of smoking that presented with chronic cough of 14 months, weight loss and difficulty with breathing of three months. Features and investigations at early presentation were diagnosed initially as interstitial lung disease and later tuberculosis and was so treated in peripheral hospitals. Worsening of symptoms prompted patient to self-refer and further investigations with bronchoscopy showed he had adenocarcinoma of the lungs. There is the need to include bronchoscopy in investigating patients with chronic cough and early referrals made where not available so that early diagnosis of cancer of the lungs can be made and therefore early treatment and better prognosis.</p> M.A. Ogunsina M.L. Makarfi G.I. Ayuba Copyright (c) 2021-03-05 2021-03-05 78 3-6 61 63