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Search Results: 1 - 10 of 225 matches for " Uchenna Okeke "
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Nonadherence Factors and Sociodemographic Characteristics of HIV-Infected Adults Receiving Antiretroviral Therapy in Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria
Ijeoma Okoronkwo,Uchenna Okeke,Anthonia Chinweuba,Peace Iheanacho
ISRN AIDS , 2013, DOI: 10.1155/2013/843794
Abstract: Adherence to treatment instructions with antiretroviral therapy (ART) is very crucial for successful treatment outcome. However, sticking to treatment instructions pose-great challenges to HIV/AIDS patients. This cross-sectional study was on HIV infected adults attending ART clinic in Nigeria to explore nonadherence factors in relation to their socioeconomic characteristics. Validated structured questionnaire was administered to 221 participants. Results showed a high nonadherence rate of 85.1%. The commonest occurring factors of non-adherence were forgetfulness (53.8%), busy schedule (38.8%), side effects of drugs (31.9%), and stigma (31.9%). Males were more likely to complain from busy schedule, feeling healthy, fear of partner disclosure, long waiting period, and long term regimen. Patients with no formal education were more likely to attribute non-adherence to poor communication, side effects of drugs, and stigma. Employed patients seemed to miss their drugs more than the unemployed and artisans. The high non-adherence rate has serious implications for the control of HIV in infected individuals and management of HIV in general. Nurses should intensify efforts on patient education and counseling. 1. Introduction HIV/AIDS is one of the major public-health problems worldwide, affecting mostly people who are at the most productive stage of life. Out of the estimated 34 million people living with HIV/AIDS globally as at the end of 2010, 68% reside in Sub-Saharan Africa [1]. Nigeria has an HIV prevalence of 4.1% and currently an estimated 3.6 million people are living with HIV/AIDS [2] which puts Nigeria as the second country with the largest number of people living with HIV (PLWH) after South Africa. The development and availability of antiretroviral therapy (ART) became a turning point in the control and prevention of the epidemic. With the success of ART in improving the quality of life of PLWH and reducing morbidity and mortality, HIV has become a chronic manageable disease [3]. Studies have shown a correlation between higher levels of adherence and improved virological and clinical outcomes [4, 5]. However, ensuring that PLWH receive, and adheres to their highly active ART poses a challenge to the treatment efficacy [6]. In Nigeria ART was commenced (i.e., combining at least 3 drugs from various classes of ART into a cocktail that produces a dramatic reduction in viral load and allows immune suppression) in 2002 and coverage stood at 359,181 in 2010 [2]. Adherence to ART according to Carter [7] refers to timely intake of the right dose of prescribed
Investigation of the Effect of Solanum incanum on Postprandial Blood Glucose Concentration of Normoglycemic Nigerians
V. Uchenna Okolie,E. Chinwe Okeke,O. Ijeoma Ehiemere,O. Pauline Ezenduka
Pakistan Journal of Nutrition , 2009,
Abstract: The effect of a Nigerian vegetable plant, Solanum incanum on postprandial blood glucose levels of normoglycemic Nigerians was investigated. Proximate analysis indicated that this vegetable contained significant amount of fiber, which is a Non-soluble Polysaccharide (NSP). The effect of the vegetable was compared with those of other indigenous vegetables also taken by diabetic patients, Vernonia amygdalina and Gongronema latifolium. A-50 g glucose was used for standard glucose tolerance test of each subject. The values were used to compare other test results. The blood glucose concentration of the subjects was determined (post absorptively) using Accu-chek active glucometer. The vegetables (50 g each) were processed according to the methods used by the patients; squeeze-wash-drink and chew-raw. They were administered to the different groups of subjects who also served as their own controls (n 8, Solanum; n 8, Vernonia; n 8, Gongronema) on separate days in randomized order. Blood glucose levels were checked at fasting (0 min) and postprandially at 30 min intervals for 2 h. Compared with other vegetables, Solanum elicited significant reductions (p<0.05) in blood glucose levels at most postprandial time points and for Area-under-curve (AUC) values. AUC reductions; Solanum, 18%; Vernonia, 15%; Gongronema, 13%). The bioactive antioxidant substances that occur naturally in stems, roots and leaves of African plants may possess insulin - like effect. The rich NSP content of Solanum incanum is also likely to be a reducing factor.
Politics and Educational Leadership in Nigerian Schools: Issues and Challenges  [PDF]
Njideka Gloria Ikegbusi, Uchenna C. Chigbo-Okeke, Melody Ndidi Modebelu
Open Access Library Journal (OALib Journal) , 2016, DOI: 10.4236/oalib.1102741
Abstract:
This paper intended to provide a brief overview of the issues and challenges in the educational leadership in Nigerian schools and the political involvement in the managerial structure. Tracing down the history of education during and after the colonial era, were indications of types of schools within the stated period, whether public or mission schools, and the political involvement in the management, leadership and students' admission. Many concerned citizens have written on the educational system and attributed its deploying conditions to poor implementation of curriculum, inadequate funding and poor monitoring or supervision. The paper concludes that the politics in the educational sector was based mostly on quota system and godfathers, which adversely affect educational leadership of the country. Based on these it was recommended among others that politicians should allow the education authorities to select leaders for schools with a stated standard. Again, experts should be in the leadership positions of schools and should be made to be autonomous.
How to Implement Change in Asthma Management in a Developing Country  [PDF]
Uchenna Onubogu
Open Journal of Respiratory Diseases (OJRD) , 2019, DOI: 10.4236/ojrd.2019.91003
Abstract: The goal of asthma management is to control symptoms, reduce the need for short acting beta agonist, and maintain optimal pulmonary function, and normal physical activities. Uncontrolled asthma can lead to obesity, suboptimal pulmonary function, poor quality of life and mortality. Children with bronchial asthma in River State University Teaching Hospital were just receiving acute care in the emergency room with no concrete plan for a follow up care for their chronic asthma; as a result most of the patients had uncontrolled asthma. In the hospital, the situation led to increased emergency hospitalization, resulting in decreased bed availability, increased burden on manpower and health resource utilization thereby putting more pressure on the limited health resources. Using the Kotter’s model for change management, transformational and situational leadership style, the change in the desired quality and scope of health service rendered to asthmatic patients was successfully implemented; as a result there was a decrease in emergency room visit for acute asthma by 57.5% and an increase in the uptake of scheduled clinic visits for asthma control services. The effect of these changes was an improvement in the control of asthma and quality of life of our patient cohort. Implementation of change in health service delivery is a delicate process that needs a stepwise approach in order to successfully implement and sustain the desired change.
Parental Exposure of Children to New Experiences and Learning Outcome: A Perspective of Home Factor in Productive Child Education  [PDF]
Ajake Uchenna Egodi, Tamunoimama Jamabo
Open Journal of Social Sciences (JSS) , 2015, DOI: 10.4236/jss.2015.36007
Abstract:

Survey data collected from 1000 primary school children in Calabar metropolis, Nigeria were analysed to determine the extent of parental exposure of children to new experiences and its influence on their learning outcome. One research question and one hypothesis were formulated to guide the study. The instrument for data collection was captioned Pupils Opinion and Achievement Test Questionnaire (POATQ). Descriptive statistics was used in answering the research question while the independent t-test was used in testing the hypothesis at 0.05 alpha level. The result showed low parental exposure of children to new experiences. The result also revealed that there is a significant influence of parental exposure of children to new experiences on their learning outcomes. Based on the findings it is recommended that for productive learning outcome, parents are encouraged to fully be involved in every aspect of the child’s education for all round development of the child.

Management and challenges of operating cooperative small business in Imo State
OC Uchenna
Journal of Agriculture and Social Research (JASR) , 2007,
Abstract:
Démocratie et consensus : le cas igbo
Uchenna Osigwe
Phares : Revue Philosophique étudiante de l’Université Laval , 2006,
Abstract:
The Influence of Head Librarians’ Leadership Styles on Job Satisfaction of Librarians’ in Tertiary Institution Libraries in Imo State, Nigeria  [PDF]
Uchenna Nwaigwe
Open Access Library Journal (OALib Journal) , 2015, DOI: 10.4236/oalib.1101572
Abstract: A general opinion that is supported by research is that leadership style in any organization exerts a major influence on the structure, strategy and well being of the organization. In the library environment therefore, the influence of leadership style on the job satisfaction of librarians is very crucial to the success of the library. Common observations from informal interactions with librarians who work in the libraries show that leadership styles in tertiary institution libraries in Imo state are poor and ineffective. This research work therefore investigated the influence of head librarians’ leadership styles on librarians’ job satisfaction in tertiary institution libraries in Imo State, Nigeria. The survey research design was adopted, while four research questions guided the investigation. The population of study consists of all librarians working in tertiary institution libraries in Imo State. Instrument for data collection was a four point questionnaire, designed by the researcher. Sixty-five questionnaires were distributed, while sixty-one were returned. Data collected were analyzed using mean and percentage where applicable. The findings of the study revealed a strong influence between head librarians’ leadership styles and librarians’ job satisfaction. Some recommendations were made to improve librarians’ job satisfaction.
Effect of warm intravenous and irrigating fluids on body temperature during transurethral resection of the prostate gland
LI Okeke
BMC Urology , 2007, DOI: 10.1186/1471-2490-7-15
Abstract: One hundred and twenty consented patients with obstructing benign prostatic hyperplasia were randomly assigned to one of 3 groups. Group 1 received irrigation and intravenous fluids at room temperature, group 2 received warmed irrigation fluid at 38°C along with intravenous fluid at room temperature while group 3 patients received warmed irrigation fluid and warmed intravenous fluids at 38°C. Their perioperative body temperature changes were monitored, analyzed and compared.The mean decrease in body temperature at the end of the procedure was significantly greater in group 1 (0.98 ± 0.56°C) than in group 2 (0.42 ± .21°C) (p < 0.001). Significantly more patients in group 1 also experienced shivering. However, in group 3, there was no significant change in the mean body temperature (p > 0.05) and none of them felt cold or shivered.It is concluded that the use of isothermic irrigation fluid together with warm intravenous fluids during TURP prevents the occurrence of perioperative hypothermia.CCT-NAPN-15944Perioperative hypothermia is an unintentional drop in the core body temperature to less than 36°C during or immediately following a surgical operation [1]. Contributing factors vary and include extremes of age, low ambient room temperature, length and type of surgical procedure, use of cold irrigants and the type of anesthesia [1,2]. Perioperative hypothermia can have a wide range of underappreciated, detrimental effects. It increases left ventricular afterload, indicating increased myocardial work and oxygen demand which could result in myocardial ischaemia [3,4]. It induces shivering which has been shown to increase the oxygen consumption by as much as 500% [5]. This could be associated with post operative instability and prolonged recovery [3,6]. In patients with compromised cardiac function, there is increased risk of cardiac arrhythmias, angina pectoris and myocardial infarction in the subsequent 24 hours after surgery [7,8]. Studies by Jaffe et al [9] suggested
Thread embedded into penile tissue over time as an unusual hair thread tourniquet injury to the penis: a case report
Linus Okeke
Journal of Medical Case Reports , 2008, DOI: 10.1186/1752-1947-2-230
Abstract: A 9-year-old boy presented with a 3-year history of hair thread tourniquet injury to his penis. Instead of the usual strangulation or amputation, the tourniquet had become embedded into the penile tissue, manifesting with exuberant granulation tissue and a tight urethral stricture. At surgery, the intact tourniquet was still in place, embedded in dense fibrous tissue and associated with a dense urethral fibrosis which measured about 2 cm long. The tourniquet was divided and removed, the fibrotic urethra excised and a distal penile pedicled skin flap used to perform a single-stage substitution urethroplasty. The patient has been voiding well for 28 months.This case is unusual and is the first report of its kind. It is also the first report of a hair thread tourniquet as the cause of pediatric penile injury in Nigeria.Hair thread tourniquet syndrome has been recognized since the 1960s when a strangulating strand of hair was reported around the penis [1]. The patient usually presents acutely and responds well to removal of the tourniquet [2]. When there is a delay in presentation, partial amputation of the penis is often seen, with varying degrees of urethral transection [3].We report the case of a 9-year-old boy who had a hair thread tourniquet on his penis for 3 years, but presented with only urethral stricture and granulation tissue and no strangulation or amputation of the penis.A 9-year-old boy was seen at our urology outpatients' clinic in September 2005 with a 3-year history of straining at micturition and fleshy non-healing wounds located on the dorsolateral aspects of his penile shaft associated with minimal purulent discharge. The amount of discharge was not related to the act of voiding. He lived with his grandmother, who had tried topical applications of native medications without much improvement. On clinical examination, he had a ring scar located at the midshaft of his penis. The scar did not appear to be constrictive. There was no change in skin colorat
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