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Search Results: 1 - 10 of 21 matches for " EAD Alikor "
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Prevalence of major HIV- risk related behaviour among SSS3 students in Port Harcourt Metropolis, Nigeria
AA Aomreore, EAD Alikor
African Journal of Health Sciences , 2008,
Abstract: The paper intended to find the prevalence of HIV infection risk-related behaviours among third year senior secondary school students in Port Harcourt metropolis. A cross-sectional survey among 1800 third year senior secondary school students randomly selected from thirteen secondary schools in Port Harcourt metropolis was done using two-stage sampling technique. Demographic data and information on the sexual behaviour of each student in the study group was obtained from self-administered structured questionnaire. The prevalence of sexual intercourse was 61.1%. Males were more sexually active than females. Age of first sexual intercourse was 13.2±5.6 years for males and 13.9±4.1 years for females. Of the sexually active students, 32.6% had multiple sexual partners. Sexual activity of the students did not increase with age. The prevalence of Intravenous drug use (IVDU) was found to be 1.4%. The use of intravenous drugs was more among the males (80.8%) than among the females. The prevalence of blood transfusion is 10.3%. Among the sexually active students only 437 (36.9%) used condom. Sex of student, social class and school gender were significant predictors of ever-had sexual activity. The paper concludes that the prevalence of sexual behaviour related to the development of HIV/AIDS amongst the students is high. The need to highlight HIV/AIDS education programmes in the school curriculum of adolescents is discussed. African Journal of Health Sciences Vol. 15 (1&2) 2008: pp. 42-49
Barriers to timely initiation of breastfeeding among mothers of healthy full-term babies who deliver at the University of Port Harcourt Teaching Hospital
DD Awi, EAD Alikor
Nigerian Journal of Clinical Practice , 2006,
Abstract: Objectives: (1) To determine the barriers to timely initiation of breastfeeding in mothers who Hospital. (2). To determine if there is any statistical association between the time of initiation of breastfeeding and certain socio-demographic, obstetric, psychosocial and environmental factors in the mother-baby pairs. Methodological: A prospective, hospital- based study of 500 consecutive health mother- infant pairs delivered at UPTH (both vaginally and by Caesarian section). Information was obtained using a structured questionnaire, medical record review and direct observation. Early initiation, i.e. mothers who initiated breastfeeding within 30 minutes of delivery (in the case of the vaginally delivered (VD) mothers) or within 30 minutes of recovery of post- operative consciousness (in the case of those delivered by Caesarian section) were compared with those who initiated breastfeeding after 30 minutes (Late initiator) in the VD and C/S groups. The association between time of breastfeeding initiation and factors under consideration were determine using the x 2 test. Results: Approximately 34% of the VD mother initiated breastfeeding early while no mother with Caesarean section had early initiation of breastfeeding. The mean time of breastfeeding initiation was 3. 35± 2. 6 hours in mother who had vaginal delivery, 6. 50± 3. 4 hours and 5. 9± 1.9 hours in those who had Caesarean section with general or spinal anaesthesia respectively. Among those with vaginal delivery, mothers younger than 25 years and of high socio- economic class were found to practice early breastfeeding initiation. Delay in the time of repair of episiotomy and labour duration less than 12 hours were associated with early breastfeeding initiation. Early contact between baby and mother, help received on the delivery table and the presence of more than one delivery assistant also positively influenced breastfeeding initiation. Similarly, the presence of a breastfeeding- trained delivery assistant enhanced the mother' practice of early initiation of breastfeeding. Observation of routine labour ward practices such as cleaning of the newborn and weight/ length measurement had negative impact on the practice of early initiation of breastfeeding. Early contact between the mother and her newborn on the delivery table with assistance to initate breastfeeding was the most important predictor of early breastfeeding initiation. Parity, attendance at the antenatal clinic, receipt of breastfeeding information and use of analgesics during labour did not show any statistical association with time of initiation of breastfeeding. Conclusion/ Recommendation: There was a low prevalence of early initiation of breastfeeding in mothers delivered at the University of Port Harcourt Teaching Hospital. This low prevalence was due to delay in helping the newly delivered mother, especially those with Caesarean delivery. Routine labour ward practices interfere with the time of breastfeeding initiation. Rout
Barriers to timely initiation of breastfeeding among mothers of healthy full-term babies who deliver at the University of Port Harcourt Teaching Hospital
DD Awi, EAD Alikor
Nigerian Journal of Clinical Practice , 2006,
Abstract:
Knowledge and attitudes of parents toward children with epilepsy
AI Frank-Briggs, EAD Alikor
Annals of African Medicine , 2011,
Abstract: Introduction: The attitude towards people with epilepsy is infl uenced by the level of their knowledge about the condition. Parents usually do not accept the diagnosis of epilepsy in their children easily. This study was to assess 280 parents’ knowledge and their attitude toward children suffering from epilepsy by answering a questionnaire. Aim: To evaluate the knowledge and attitudes of parents toward children with epilepsy. Materials: This was a prospective study in a tertiary hospital. All parents who had children suffering from epilepsy seen from April 1st 2009 to March 31st 2010 were recruited. Questionnaires were administered to all the parents who attended the neurology clinic with their children diagnosed of epilepsy. Results: A total of 914 neurological patients were seen and treated during the study period. Of these, 280 parents whose children suffered from epilepsy participated in the study. Almost all, 267 (95.36%) parents had heard about epilepsy prior to presentation in the clinic. Some parents thought that epilepsy was contagious and linked with evil spirit/demonic attack. A few of them rejected the word epilepsy and did not think that an epileptic child could achieve much in life. The knowledge about the clinical characteristics and initial procedures to attend a person during a seizure were unscientific. Conclusions: We concluded that more than 90% of parents and caregivers know about epileptic seizures. However, there is a need to disseminate more information to the public about its causes, clinical manifestation, approach to managing a convulsing child, and its outcome. In addition, periodic medical campaigns aimed at educating the public about epilepsy through the media could go a long way in reducing the morbidity and mortality associated with this disorder.
Sociocultural issues and causes of cerebral palsy in Port Harcourt, Nigeria
AI Frank-Briggs, EAD Alikor
Nigerian Journal of Paediatrics , 2011,
Abstract: Background: Cerebral palsy (CP) is a common neurological disorder of childhood with significant neurological complications and associated comorbidities. The aim of this study was to determine the socio- cultural characteristics and causes of CP in children who presented to the Paediatric neurology clinic in Port Harcourt, Nigeria. Method: Hospital records of 834 children with CP who presented between 1 June 2008 and 1 June .2010 were reviewed Demographic data were extracted and a validated socio-economic classification of parents was used. Data was analyzed using SPSS version 15 software. Results: of the 2,288 patients with neurological disorders seen. 834 had cerebral palsy giving a prevalence of 36.45%. Theirages ranged from 5 months to 13 years. Socio-economic stratification of the patients showed concentration in the lower socioeconomic groups IV (35.73%) andV(56.35%). Majority of the children 668 (80.09%) had spastic CP. Eighty seven (10.43%) had hypotonic and 57 (6.83%) extrapyramidal types, the mixed type 22 (2.64%) was the least common. Asphyxia (27.94%), kernicterus (26.26%) and Central Nerves System infections (15.95%) were the leading identified causes. Co-morbidities such as seizures, microcephaly and speech and auditory deficits were present in majority of the subjects. Seizures and microcephaly were commoner among CP cases associated with asphyxia than those associated with kernicterus. Conclusion: Cerebral palsy was commoner amongst those in low socio-economic status with perinatal problems. Improved perinatal care will reduce the burden of CP. Continuing training of health workers and traditional birth attendants are essential.
Prevalence of enuresis among primary school children in Port Harcourt
NI Paul, EAD Alikor, IC Anochie
Nigerian Journal of Paediatrics , 2012,
Abstract: Background: Enuresis is a common problem among children and adolescents. It can lead to important psychosocial disturbances. Knowledge of the prevalence and types of enuresis in a community would guide early intervention. Objectives: To determine the prevalence of enuresis among primary school children aged 6-12years in Port Harcourt (PHC) and the types of enuresis among these children. Methods: A cross sectional study of enuresis among school children in 13 primary schools in three school districts in PHC was performed. Pretested questionnaires completed by parents/guardians and augmented by history obtained from the children were used to collect data from 922 school children. Descriptive statistics and chi-square test were used for data analysis. Results: A total of 922 school children, consisting of 463 (50.2%) males and 459 (49.8%) females were studied. The response rate was 82.2%. The overall prevalence of enuresis was 23.2%. Enuresis was notably more common in boys (male: female ratio 1.4:1), and the prevalence rates decreased with increasing age. Of all enuretic children, 92.1% had nocturnal enuresis, 0.9% had diurnal and 7.0% had nocturnal-diurnal enuresis. Conclusion: Enuresis is a common problem among school children in PHC, is more common in males. The predominant type is the primary nocturnal enuresis. Key Words: Prevalence, Enuresis, Primary school-children, Port-Harcourt
Case Report: Diabetes Mellitus In An Infant: An Unusual Presentation
IC Anochie, EAD Alikor, CN Unachukwu
Nigerian Journal of Clinical Practice , 2004,
Abstract:
Trend of HIV-seropositivity among children in a tertiary health institution in the Niger Delta Region of Nigeria
DE Alikor, NO Erhabor
African Journal of Health Sciences , 2006,
Abstract: The objective of the study was to investigate the recent trends and magnitude of pediatric HIV-infection in the Niger Delta of Nigeria. It is a descriptive study of 1,559 consecutively recruited children (0-16 years), in whom laboratory requests for HIV screening were made, and seen in the Pediatrics Department of the University of Port Harcourt Teaching Hospital between January 1999 to December 2004 were evaluated for HIV –infection. The overall prevalence obtained was 25.8%. HIV-1 constituted the predominant viral serotype (97.6%) compared to HIV-2 (2.4%). The peak HIV seropositivity occurred in pediatrics 6-8 years. There was no statistically significant difference in prevalence rate based on gender (OR = 1, p = 0.98). Children with clinical diagnosis of bronchopneumonia, neonatal sepsis, septicemia and pulmonary tuberculosis had higher prevalence of HIV seropositivity. There is a trend of increasing HIV prevalence from 1999 to 2004 (χ2 for trend= 6.23, p = 0.39). History of previous blood transfusion was not significantly associated with HIV positivity (OR = 0.94, p = 0.94). This study shows that, in spite of the anti HIV campaign, there is a high prevalence of HIV among children attending tertiary health institution in the Niger Delta of Nigeria and the trend is increasing over the last 5 years. This calls for a re-intensified effort on health education and risk control programme, provision of antiretroviral regimen to prevent mother-to-child transmission of HIV, provision of supportive environment for voluntary counseling and confidential testing of pregnant women coupled with the provision of pediatric antiretroviral therapy to reduce HIV-related mortality and morbidity of HIV-infected Nigerian children. African Journal of Health Sciences Vol. 13 (1-2) 2008: pp. 80-85
Trend of HIV-seropositivity among children in a tertiary health institution in the Niger Delta Region of Nigeria
Daniel E Alikor, Nelson O Erhabor
African Journal of Health Sciences , 2005,
Abstract: The objective of the study was to investigate the recent trends and magnitude of pediatric HIV-infection in the Niger Delta of Nigeria. It is a descriptive study of 1,559 consecutively recruited children (0-16 years), in whom laboratory requests for HIV screening were made, and seen in the Pediatrics Department of the University of Port Harcourt Teaching Hospital between January 1999 to December 2004 were evaluated for HIV – infection. The overall prevalence obtained was 25.8%. HIV-1 constituted the predominant viral serotype (97.6%) compared to HIV-2 (2.4%). The peak HIV seropositivity occurred in pediatrics 6-8 years. There was no statistically significant difference in prevalence rate based on gender (OR = 1, p = 0.98). Children with clinical diagnosis of bronchopneumonia, neonatal sepsis, septicemia and pulmonary tuberculosis had higher prevalence of HIV seropositivity. There is a trend of increasing HIV prevalence from 1999 to 2004 (χ 2 for trend= 6.23, p = 0.39). History of previous blood transfusion was not significantly associated with HIV positivity (OR = 0.94, p = 0.94). This study shows that, in spite of the anti HIV campaign, there is a high prevalence of HIV among children attending tertiary health institution in the Niger Delta of Nigeria and the trend is increasing over the last 5 years. This calls for a re-intensified effort on health education and risk control programme, provision of antiretroviral regimen to prevent mother-to-child transmission of HIV, provision of supportive environment for voluntary counseling and confidential testing of pregnant women coupled with the provision of pediatric antiretroviral therapy to reduce HIV-related mortality and morbidity of HIV-infected Nigerian children. African Journal of Health Sciences Vol. 12(3-4) 2005: 108-113
HIV Encephalopathy (HIVE) in Children at the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Nigeria  [PDF]
Nsirimobu Ichendu Paul, Boma Alali Ngozi Okoh, Edward Achinike Daniel Alikor
International Journal of Clinical Medicine (IJCM) , 2018, DOI: 10.4236/ijcm.2018.96042
Abstract: Background: HIV encephalopathy (HIVE) is associated with cognitive impairment in children with HIV infection, early diagnosis and initiation of HAART may reduce the morbidity associated with HIVE. Objective: To determine the prevalence of HIVE and associated comorbiditiesin children at the UPTH. Methodology: This was a retrospective study carried out from January to June 2017. The case notes of all HIV positive children presenting to the Paediatric Department of the University of Port Harcourt Teaching Hospital (UPTH) were studied. Children who met the diagnostic criteria for HIVE according to the Centre for Disease Control (CDC) definition were selected. The socio-demographic characteristics of the patients, mode of HIV transmission, CD4 count and associated comorbidities in these children were retrieved from the case notes. Obtained data was analyzed using Epi Info version 7.2. Comparisms of subgroups was carried out using the chi square test while statistical significance at 95% confidence interval was p value < 0.05. Results: A total of thirty five out of the 196 HIV positive children presenting to the hospital had HIV encephalopathy (HIVE) giving a prevalence rate of 17.9%. Of these 35 children, 18 were males and 17 females, giving a male to female ratio of 1:1. The mean age of the children was 5.7 ± 3.1 years. The mean age for the males was 6.4 ± 3.2 years and 5.0 ± 2.8 years for the females. There was no statistically significant difference observed between the sexes (t = 1.35, p = 0.187). Thirty (85.7%) of the patients with HIVE were on HAART at diagnosis. The mean age at diagnosis of HIV was 3.2 ± 3.1 years and the mean age at diagnosis of HIV encephalopathy was 3.4 ± 3.2 years. The documented route of transmission for all the subjects was mother-to-child-transmission (MTCT). Seventy five percent of the children were breastfed from birth and at 6 months all the mothers had discontinued breastfeeding. The mean CD4 count was 1053 ± 630 cells/ml. Tuberculosis was the most prevalent co-morbidity occurring among the patients. Conclusion: The prevalence of HIVE in children at the UPTH is high and Tuberculosis is the commonest comorbidity. Early infant diagnosis, use of modern diagnostic tool and early initiation of HAART are advocated to reduce its associated morbidity.
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