Research Journal of Health Sciences https://www.ajol.info/index.php/rejhs <p>The <em>Research Journal of Health Sciences</em> is dedicated to promoting high quality research work in the field of health and related biological sciences. It aligns with the mission of the Osun State University, which is “to create a unique institution, committed to the pursuit of academic innovation, skills-based training and a tradition of excellence in teaching, research and community service”. The Journal acts as a medium of improving the quality of health care and medical education particularly in the context of developing countries with limited resources.</p> <p>The <em>Research Journal of Health Sciences</em> aim to make a substantial contribution towards providing high quality publications in health sciences and related biological sciences. It publishes manuscripts from basic and clinical sciences that have not been submitted for publication/or under consideration for publication elsewhere. The Journal ensures a rigorous review process.</p> <p>Research Journal of Health Sciences journal is a peer reviewed, Open Access journal. The Journal subscribed to terms and conditions of Open Access publication. Articles are distributed under the terms of Creative Commons License (CC BY-NC-ND 4.0). (<a href="http://creativecommons.org/licences/by-nc-nd/4.0">http://creativecommons.org/licences/by-nc-nd/4.0</a>). All articles are made freely accessible for everyone to read, download, copy and distribute as long as appropriate credit is given and the new creations are licensed under the identical terms.</p> en-US <h3>By submitting manuscripts to RJHS authors of original articles are assigning copyright to the College of Health Sciences, Osun State University. Authors may use their own work after publication without written permission, provided they acknowledge the original source. 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The Licensor shall not be bound by any additional or different terms or conditions communicated by You unless expressly agreed. Any arrangements, understandings, or agreements regarding the Licensed Material not stated herein are separate from and independent of the terms and conditions of this Public License. Section 8 – Interpretation. For the avoidance of doubt, this Public License does not, and shall not be interpreted to, reduce, limit, restrict, or impose conditions on any use of the Licensed Material that could lawfully be made without permission under this Public License. To the extent possible, if any provision of this Public License is deemed unenforceable, it shall be automatically reformed to the minimum extent necessary to make it enforceable. If the provision cannot be reformed, it shall be severed from this Public License without affecting the enforceability of the remaining terms and conditions. No term or condition of this Public License will be waived and no failure to comply consented to unless expressly agreed to by the Licensor. Nothing in this Public License constitutes or may be interpreted as a limitation upon, or waiver of, any privileges and immunities that apply to the Licensor or You, including from the legal processes of any jurisdiction or authority.</p> editor.rjhs@uniosun.edu.ng (Professor Alebiosu C.O. BSc, MBChB, FWACP) deskeditor2.rjhs@uniosun.edu.ng (Dr Atere M.A, MPhil) Tue, 13 Apr 2021 14:45:02 +0000 OJS 3.1.2.4 http://blogs.law.harvard.edu/tech/rss 60 Emerging Viral Disease and Orthopaedic Surgeons: COVID-19 PANDEMIC https://www.ajol.info/index.php/rejhs/article/view/205835 <p><strong>Background:</strong> COVID-19 is caused by novel Coronavirus Severe Acute Respiratory Syndrome-Corona Virus (SARS-Cov-2). It is purported to have originated from bat in Wuhan province of China in December, 2019. The epidemic spreads rapidly, reaching a pandemic proportion in January, 2020. The economic implications of the pandemic and burden on health care are enormous. We, therefore, review the impact of this disease to orthopaedic practice.<br><strong>Methods:</strong> A comprehensive review of the literature, using suitable keywords, such as COVID -19, viral disease, orthopaedic surgery, on the search engines of PUBMED, Google Scholar and SCOPUS in June 2020.<br><strong>Results:</strong> The current treatment of COVID-19 is largely supportive. Lockdown, social distancing, are among many social preventive measures that had been adopted in an attempt to halt the spread of this disease. These Social adjustments, are achieving remarkable results. Intensive monitoring is key. Profound modifications had been made in all spheres of orthopaedic practice, suspending elective surgical cases and modifying the handling of inpatients and outpatients.<br><strong>Conclusions</strong>: Globally, orthopaedic practice has been altered in elaborate terms, to accommodate peculiarities of this emerging viral disease, COVID-19. Whilst not neglecting the needs of our patients who depend on us for due care, strict precautions have been adopted to protect patients and health care workers or halt the spread of the disease.</p> <p><strong>Key words</strong>: COVID-19, pandemic, orthopaedic surgeon </p> E.O. Edomwonyi, U.E. Anyaehie, J.E. Onuminya Copyright (c) https://www.ajol.info/index.php/rejhs/article/view/205835 Wed, 14 Apr 2021 00:00:00 +0000 A Cross-sectional Study of Female HIV Patient Perspective of Dyadic Adjustment in HIV Sero-concordant and Sero-discordant couples https://www.ajol.info/index.php/rejhs/article/view/205842 <p><strong>Background</strong>: Dyadic Adjustment is defined as the process with which couples form a steady relationship. This study assessed dyadic adjustment in HIVcouples in Ogun State, Nigeria.</p> <p><strong>Methods</strong>: This cross sectional study was carried out among 458 women accessing HIV care in tertiary hospitals in Ogun State, Nigeria. Participants were evaluated using the Revised Dyadic Adjustment Scale and analyzed using the Stata/SE 15.1 statistical Package. Chi-square and t-tests were used to determine the correlates of dyadic adjustment (Distress/Non-distress) while logistic regression was used to determine the predictors of distress.</p> <p><strong>Results</strong>: Only 28.82% had relationship distress while the majority (71.18%) had no distress. There was a statistically significant association between marital status and the level of distress. Those who were currently married were less likely to have distress than those who were single or previously married.</p> <p><strong>Conclusion:</strong> Those who were not married were more predisposed to distress. More support for these groups is therefore recommended.</p> <p><strong>Keywords:</strong> Couple, Distress, Dyadic adjustment, HIV, Sero-concordant, Sero-discordant </p> K.J. Sodeinde, O. Olu-Abiodun, E.F. Bamdele , O.A. Abiodun Copyright (c) https://www.ajol.info/index.php/rejhs/article/view/205842 Tue, 13 Apr 2021 00:00:00 +0000 The knowledge and attitude of students of a Nigerian tertiary institution about peptic ulcer disease https://www.ajol.info/index.php/rejhs/article/view/205850 <p><strong>Objectives:</strong> This study was aimed at assessing the knowledge and attitude of students of a tertiary institution in North-Central Nigeria about peptic ulcer disease (PUD)<br><strong>Methodology:</strong> Three hundred students of the Kwara State Polytechnic, Ilorin, were recruited using a multistage sampling method. Asemi-structured questionnaire was used to obtain socio-demographic data and assess their knowledge about and attitude towards PUD.<br><strong>Results:</strong> Two hundred and thirty-four (78.0%) of respondents had heard about PUD before. Two hundred and fifty (83.3%) of the respondents thought PUD was a gastrointestinal disease whereas 40 (13.3%) thought it was a disease of the heart. Only one (0.3%) of the respondents knew Helicobacter pylori as a cause of PUD, and only 17.3% believed drugs could treat PUD. Students of Science-based courses were twice as likely as non-Science based students to have had a prior knowledge of PUD (OR: 1.98, CI: 1.054- 3.717, P=0.034).<br><strong>Conclusion</strong>: Though majority of respondents had heard about PUD, their knowledge of its aetiology, symptoms and treatment was poor. This reflects the need to strengthen public health education about PUD because of its potential for causing morbidity and mortality.</p> <p><strong>Key words</strong>: Peptic ulcer disease, gastrointestinal disease, Helicobacter pylori, knowledge </p> M.O. Bojuwoye, J.A. Ogunmodede, O.A. Ogunlaja, M.M. Fasiku, G.K. Oyeleke, A.B. Olokoba Copyright (c) https://www.ajol.info/index.php/rejhs/article/view/205850 Tue, 13 Apr 2021 00:00:00 +0000 Community-acquired lower respiratory tract infections in an adult population with HIV infection in a Nigerian tertiary hospital https://www.ajol.info/index.php/rejhs/article/view/205855 <p><strong>Objective</strong>: Lower respiratory tract infections (LRTI) are 25-fold more common in people with HIV than in the general population. This study aimed to determine the prevalence of community-acquired LRTI and its associated factors in an adult population of people living with HIV (PLWH) in a Nigerian tertiary Hospital.<br><strong>Methodology</strong>: This was a prospective study done at the HIV clinic of Ladoke Akintola University of Technology (LAUTECH) Teaching Hospital Osogbo, Nigeria. It involved 130 randomly selected adult participants with a confirmed HIV-positive serology. The participants were followed up for a period of one year while looking out for symptoms and signs suggestive of LRTI.<br><strong>Results</strong>: The participants had a mean age of 41.9±10.02 years and a male to female ratio of 0.4:1. Seventeen (13.9%) of the participants developed LRTI during the study period and this was significantly associated with CD4 count and cigarette smoking history.<br><strong>Conclusion</strong>: LRTI is common among PLWH in Osogbo, and it occurs more commonly in those with low CD4 Tcell count and those with a history of cigarette smoking.</p> <p><strong>Keywords</strong>: Lower respiratory tract infection, HIV, pneumonia.</p> A.O. Odeyemi, A.O. Odeyemi, O.F. Awopeju, O.O. Adewole, M.O. Tanimowo, M.O. Tanimowo, G.E. Erhabor Copyright (c) https://www.ajol.info/index.php/rejhs/article/view/205855 Tue, 13 Apr 2021 00:00:00 +0000 Nigeria’s development process, methodology and milestones planned for VISION 20:2020 - 13 years after https://www.ajol.info/index.php/rejhs/article/view/205861 <p>Since after independence in Nigeria in 1960, the country has been fighting for good governance and a capable state in terms of economic and socioeconomic. The Nigeria development programs have been implemented to achieve the objectives. In 2009, the government of Nigeria embarked upon vision 2020, the ambition to position Nigeria to become one of the top 20 economic in the world national development by 2020 by linking the objective of the National Economic and Empowerment Development Strategy<br>(NEEDS) and the seven-point agenda. However, there are certain questions that need to be asked such as; how much the vision 2020 myth is becoming reality; how has Nigeria performed in terms of good governance and a capable state as far as vision 2020 is concerned.</p> <p><strong>Keywords</strong>: government of Nigeria, good governance, vision 2020, national development, ambition and capable state</p> M.O. Abanikannda , D.A. Adekomi Copyright (c) https://www.ajol.info/index.php/rejhs/article/view/205861 Tue, 13 Apr 2021 00:00:00 +0000 Nigeria’s development process, methodology and milestones planned for VISION 20:2020 - 13 years after https://www.ajol.info/index.php/rejhs/article/view/205864 <p>How has Nigeria performed in the area of human resource development and a knowledge-based economy?</p> <p>Amidst various reforms agenda, policies, development plans and programmes, Vision 2010, Seven-Point Agenda and a host of others, Nigerian leaders have articulated the Vision 20:2020, which targets to catapult Nigeria into the league of the first global 20 economies by the year 2020. This article focuses only on the second pillar of Nigerian vision 2020 which is “Human resources development and knowledgebased economy” and compare recent development indicators for Nigeria with those of advanced countries, the first 20 of which Nigeria aspired to join this year (2020). In contrast to the situation in highincome OECD nations, the vast majority of Nigerians are ill-fed, ill-clothed, ill-housed and ill-educated. They live in the rural areas characterized by massive underdevelopment. Poverty is the basic malady of Nigeria which is involved in misery-go-round, as part of the slum of the world economy. Nigeria's Vision 20:2020 is, therefore, too ambitious. Furthermore, against the backdrop of the antecedents of policy reversals, summersaults and failures in Nigeria, the Vision is utopian. Recommendations include commitment of the leadership to sufficient discipline and political will to enforce development policies and programmes.</p> M.O. Abanikannda, O. Omobuwa Copyright (c) https://www.ajol.info/index.php/rejhs/article/view/205864 Tue, 13 Apr 2021 00:00:00 +0000 Nigeria’s development process, methodology and milestones planned for VISION 20:2020 - 13 years after https://www.ajol.info/index.php/rejhs/article/view/205866 <p><em><strong>Protection of environment and sustainable natural resources</strong></em></p> <p>Nigeria is endowed with abundant human and natural resources, hence, her potential of becoming one the world's prosperous economy cannot be overemphasized. Despite the country's vision of becoming one of the world top 20 largest economies, Nigeria is yet to harness and utilized her endowments to transform her economy. Apparently Vision 2020 goals is not achievable in no distant future. This paper reviewed the level at which Nigeria is in the NV20:2020 plan and suggests measures necessary for the realization of the vision. Nigerian Government should recognise poverty eradication and sustainable management of natural resources as important factors that can propel a nation to the realm of wealthy economy.</p> <p><strong>Keywords:</strong> Nigeria, sustainable management, poverty eradication, Vision 2020 </p> O.A. Akinsorotan Copyright (c) https://www.ajol.info/index.php/rejhs/article/view/205866 Tue, 13 Apr 2021 00:00:00 +0000 Nigeria’s development process, methodology and milestones planned for VISION 20:2020 - 13 years after https://www.ajol.info/index.php/rejhs/article/view/205867 <p><em><strong>A private sector-led economy</strong></em></p> <p>Aprivate sector led economy is the sine qua non of an egalitarian, capitalistic and welfare oriented society where every individual is free to develop and contribute to the national economy at their own pace and the individual's reward based on their productivity. However, this is only achievable where infrastructural facilities and support are optimal a situation that has been lacking in the country due to high cost of production; unfavourable business environment; lack of skilled manpower in the country; lack of adequate financial support and others. Opportunity for the government to provide a lead was adequately enunciated in the Nigeria Vision 20:2020 document but this has really not been met. This review as part of a series actually confirms this and will be a pointer to the way forward in enunciating future policy directions for the country</p> M.B. Hassan, O. Omobuwa Copyright (c) https://www.ajol.info/index.php/rejhs/article/view/205867 Tue, 13 Apr 2021 00:00:00 +0000 Nigeria’s development process, methodology and milestones planned for VISION 20:2020 - 13 years after https://www.ajol.info/index.php/rejhs/article/view/205868 <p><em><strong>Infrastructure development</strong></em></p> <p>Infrastructural development is a key requirement for the development of any nation as it is an indispensable tool in facilitating growth and development. The usefulness of infrastructure cuts across many varying sectors relevant to development including health,&nbsp; education, agriculture, telecommunication, power, etc. as well as the sustenance of economic growth and preservation of the environment for sustainable economic development. This article takes a look at the critical areas/aspects of infrastructure for the purpose of judging the level of accomplishment of the Vision 2020. The sectors examined are: power supply, transportation,&nbsp; information communication and technology (ICT), education, health, agriculture, land use management, rural and urban development, water supply and waste management. By and large, Nigeria can not be said to have met her tall, yet laudable goals of the vision 2020, largely as a result of inadequacies in governance, policies and other factors. There is a great need for significant improvement in the political will of the government of the day to commit to the goals and aspirations of the nation for rapid development. <em><strong><br></strong></em></p> O. Omobuwa, M.B. Hassan Copyright (c) https://www.ajol.info/index.php/rejhs/article/view/205868 Tue, 13 Apr 2021 00:00:00 +0000 Nigeria’s development process, methodology and milestones planned for VISION 20:2020 - 13 years after https://www.ajol.info/index.php/rejhs/article/view/205869 <p><em><strong>Regional and international economic integration</strong></em></p> <p>Regional economic integration has helped many countries of the world to concentrate on issues that are essential to their development as well as encourage local, national, and international trade between countries and neighbors. In the past years, there has been increase in trading blocs with numerous agreements in place and more in the pipeline(s). These agreements provide more opportunities for countries to interact and trade with one another without barriers to investment and trade. This manuscript discusses regional and international economic integrations in line with VISION-20-20 and the Nigeria economy.</p> <p><strong>Keywords</strong>: Trade, investment, money, economic goals, Africa</p> D.A. Adekomi, C.O. Alebiosu Copyright (c) https://www.ajol.info/index.php/rejhs/article/view/205869 Tue, 13 Apr 2021 00:00:00 +0000 Prolapsed ileocolic intussusception in an adult : A bizarre presentation leading to delayed diagnosis in a low resource setting https://www.ajol.info/index.php/rejhs/article/view/205828 <p><strong>Background</strong>: Intussusception is the telescoping of one part of the intestine into the lumen of the adjoining part, which occurs more in the ileocaecal part of the intestine. It is the most common cause of intestinal obstruction in children younger than 3years of age. Occurrence is rare in adult, with prolapsed intussusceptions even rarer and occuring more in association with an underlying predisposing intestinal abnormality.<br><strong>Case Report</strong>: A 19year old boy presented with 6months history of recurrent non-specific, occasionally dull aching abdominal pain, progressive weight loss and a 4hour history of anal protrusion. He had presented multiple times to a peripheral hospital where the definitive diagnosis was missed. He was evaluated for ileocolic intussusception and he had exploratory laparotomy and right hemi colectomy done.<br><strong>Conclusion</strong>: Intussusceptions are rare outside childhood, however there should be a high index of suspicion of intussusception in adult with nonspecific abdominal symptoms who has not responded to conventional conservative therapy.</p> <p><strong>Keywords</strong>: intussusception, ileocolic, tubular adenoma, adult intussusception </p> M. Umar, Y. Stephen, U. Aminu, I. Adogu Copyright (c) https://www.ajol.info/index.php/rejhs/article/view/205828 Tue, 13 Apr 2021 00:00:00 +0000