Background: The use of modern forms of contraception can significantly improve women reproductive health. The rate of sexually transmitted disease, unwanted pregnancies and maternal morbidity and mortality can be significantly reduced following the use of modern forms of contraception. However, there is paucity of studies on the place of modern forms of contraception in improving women reproductive health in Yenagoa. Objective: This study aimed to access the knowledge of modern forms of contraceptive methods and its uptake among female students of Federal University Otueke, Bayelsa State. Methods: This was a descriptive cross-sectional study that was conducted among the female students of Federal University Otueke Bayelsa State. To elicit information about their knowledge of modern forms of contraceptives methods and its uptake. A structured interviewer administered questionnaire was used to obtain required information for the study from a total of 424 students. Results: A total of 424 female undergraduates students of the Federal University Otueke were enrolled for the study. The mean age group of the participants was 20.9±3.2 years. The study showed that most of responds have good knowledge of contraceptives (97.4 %). The awareness of family planning was 96.7%. The study showed that age was found to influence the awareness of contraceptives. (x2=11.8;df=3;p<0.05). Most of the respondents had used oral contraceptive pills 146 (34.4%); followed by those that had used Condom 138 (32.5%). Conclusion: Our study showed that the respondents demonstrated a high level of knowledge and awareness of family planning. However, it is worrisome to note that the uptake of modern forms of contraceptives was low. The importance of improving the uptake of these forms of contraceptives cannot be over-emphasized, especially in our societies where the protection of the reproductive health of young women is paramount.
Background: Cervical cancer is one of the commonest cancers in women. It is the commonest cause of cancer related death in Africa. It is one of the cancers that have well known screening methods. In developed societies with standard protocol for screening, the morbidity and mortality following the disease have been greatly reduced. There is paucity of knowledge of cervical cancer and its screening methods in Yenagoa. Objectives: To determine the knowledge of cervical cancer and its screening methods in female students of a Tertiary educational institution. Methods: This was a cross-sectional descriptive study that was conducted amongst the female students of Federal University Otuoke. Information about their socio-demographic characteristics, knowledge of cervical cancer and the screening methods was obtained using a questionnaire. Results: A total of four hundred and twenty four (424) female students of the Federal University Otuoke were enrolled for the study. The mean age of the respondents was 21.0±3.4 years. The predominant age group was 15-20 years (50.6%). One hundred and eighty three respondents (57.9%) were aware of cervical cancer and the age groups 21-25 years were most aware of cervical cancer. Age was found to influence awareness of cervical cancer. (x2=12.8; df=3; p<0.05). A total of eighty one respondents 26.9% were aware of Pap smear. Age was found to influence the awareness of Pap smear (x2=12.8; df=3; p<0.05). Conclusion: Our study showed that awareness of cervical cancer and the role of Pap smear in the screening of cervical cancer was low amongst the female students of the Federal University Otuoke. Hence the need to make every effort to increase the awareness of this condition and the screening methods amongst these female undergraduates, who are at the prime of their age and at the greatest risk of developing this condition, especially in our societies that lack well organized screening protocols.
Elevated Uric acid levels in humans have been associated with cancer, though the pathogenic mechanism is still unclear. The present study attempts to investigate if elevated uric acid levels could be used to investigate the pre-malignant lesions leading to cervical cancer. The study which was carried out at the Department of Obstetrics and Gynaecology, University of Benin Teaching Hospital Benin City and Department of Chemical Pathology, Edo University Iyamho, Edo state Nigeria, between August, 2017 and January 2019, examined the capacity of detecting Cervical Intraepithelial Neoplasia (CIN) early with serum uric acid in order to increase the chances of survival of women at risk. A total of 197 female participants were recruited for the study. Based on histological diagnosis, they were grouped as CIN 1, CIN 2 and CIN 3. The control group were negative for CIN. Venous blood was obtained from participants and serum uric acid levels were determined using standard laboratory methods. The benchmark for serum uric acid levels in diagnosing CIN presented in this study was at 6.55 mg/dL. The probability that uric acid level higher than 6.55 mg/dL indicate the disease probabilty was 93.1%. The age category within the CIN group with the highest level of uric acid was 31-40 years (10.86 mg/dL). The use of serum uric acid as an excellent biomarker for the diagnosis of CIN is therefore suggested due to its high sensitivity.
Introduction: Herpes simplex type 2 (HSV-2) is the main curse of Genital Herpes (GH) infection worldwide with developing countries having larger proportions. Little is known about its diagnosis using the synergy techniques of Immunoglobulin G (IgG) and Polymerase chain reaction (PCR) for its accurate diagnosis. This study focuses on carrying out the synergy (concurrent) between serology and PCR techniques for diagnosing GH caused by HSV-2. Methods: A total of 388 pregnant women were sampled using a well-structured questionnaire, a self-collected vaginal swab for PCR shedding detection and 10 ml of blood collected for serological assay. Data were analyzed using statical packages for Social sciences. P value were kept at <0.05. Results: A total 85 (21.9%) of the 388 sampled women were positive for Herpes simplex type 2 by PCR shedding techniques. Majority of the samples 345 (88.9%) were positive to serology assay. 57 (16.5%) of all 345 seropositive respondent are also shedders of the virus by PCR assays, p <0.05. Conversely, 28 (65.1%) of all 43 seronegative patients were shedders of HSV-2. Conclusion: The synergistic technique of Serology and PCR should be considered incorporated as detection techniques for accurate diagnosis as this will assist in prompt management of genital herpes infection.
<p><strong>BACKGROUND</strong></p><p>Chronic kidney disease (CKD) is an increasing burden on individuals and on the healthcare system. The need to identify more sensitive and specific markers of CKD cannot be overemphasized to facilitate detection and appropriate intervention. β2 microglobulin is one of such markers of CKD. The aim of this study was to investigate the sensitivities and specificities of serum β2 microglobulin and major biochemical markers of CKD, namely creatinine and urine albumin.</p><p><strong> </strong></p><p><strong>METHODS</strong></p><p>This was a hospital-based cross-sectional study involving 124 subjects with CKD and 124 healthy controls. Participants were categorized in two groups : group 1 the CKD based on persistent reduction in GFR <60 mL/min/1.73 m2 and group 2 healthy subjects as controls. Blood (serum) samples of participants were analyzed for serum creatinine and serum β2 microglobulin while their urine samples were analyzed for creatinine and albumin. Urine albumin creatinine ratio (UACR) was calculated from the results of the analyses.</p><p><strong> </strong></p><p><strong>RESULTS</strong></p><p>There was a very strong positive correlation of serum β2 microglobulin with serum creatinine (r=0.750; p=0.000) and UACR (r=0.775; p=0.000), respectively. Also, there was a very strong negative correlation between serum β2 microglobulin and eGFR (r=-0.866; p=0.000). UACR had the highest sensitivity and specificity as shown by receiver operating curve characteristics (ROC) analysis.</p><p><strong> </strong></p><p><strong>CONCLUSION</strong></p><p>In CKD, UACR and serum β2 microglobulin had the best diagnostic value. Periodic renal assessment of renal patients is mandatory as they may be affected by hidden renal dysfunction.</p>
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