Burnout symptom is an emotional and psychological imbalance commonly experienced by students of tertiary institutions. This unhealthy state of existence is capable of undermining the quality of health and academic performances resulting in exhaustion and disengagement. The current study therefore aimed to investigate the effect of rational-emotive behavior intervention -REBI on managing burnout symptoms among postgraduate students in public universities. This research was based on experimental design involving treatment and control groups. Using a purposive sampling technique, 92 study participants were recruited from the public universities in Nigeria from July 2019 and January 2020. The treatment intervention was delivered to only the experimental group with an evidence-based REBI manual. Data collection process was completed using the Oldenburg Burnout Inventory-student version -OLBIS with internal consistency of 0.77 index. The complete data analysis was done using SPSS version 22. The results indicated that no significant difference existed between the participants in the experimental (23.17±2.71) and control groups (21.69±2.80) on OLBI-S pretest, F=0.147, P=.738, h2p =0.014, DR2=0.709, SE=1.52. Statistically significant difference was found to exist between the participants in the experimental (11.43±4.17) and control groups (22.02±5.66) on OLBI-S posttest scores, F=2.081, P=0.041, h2p=0.105, DR2=0.706, SE=1.40. This study showed that REBI was effective in managing burnout symptoms among postgraduate students in public universities in Nigeria. The REBI is considered very effective in managing diverse emotional and psychological problems existing among students. There is need for enlightenment and massive health education on burnout and prospective ways of managing it.

Background Referral linkages are crucial for efficient functioning of primary health care (PHC) systems. Fast Healthcare Interoperability Resource (FHIR) is an open global standard that facilitates structuring of health information for coordinated exchange among stakeholders. Objective The objective of this study is to design FHIR profiles and present methodology and the profiled FHIR resource for Maternal and Child Health referral use cases in Ebonyi state, Nigeria—a typical low- and middle-income country (LMIC) setting. Methods Practicing doctors, midwives, and nurses were purposefully sampled and surveyed. Different referral forms were reviewed. The union of data sets from surveys and forms was aggregated and mapped to base patient FHIR resource elements, and extensions were created for data sets not in the core FHIR specification. This study also introduced FHIR and its relation to the World Health Organization’s (WHO’s) International Classification of Diseases. Results We found many different data elements from the referral forms and survey responses even in urban settings. The resulting FHIR standard profile is published on GitHub for adaptation or adoption as necessary to aid alignment with WHO recommendations. Understanding data sets used in health care and clinical practice for information sharing is crucial in properly standardizing information sharing, particularly during the management of COVID-19 and other infectious diseases. Development organizations and governments can use this methodology and profile to fast-track FHIR standards adoption for paper and electronic information sharing at PHC systems in LMICs. Conclusions We presented our methodology for profiling the referral resource crucial for the standardized exchange of new and expectant moms’ information. Using data from frontline providers and mapping to the FHIR profile helped contextualize the standardized profile.

Background: Menstrual hygiene is an aspect of sexuality education that people do not want to discuss publicly. Because of this most adolescent girl are bereaved of knowledge about menstrual hygiene practices. Therefore, the present study attempted to ascertain the knowledge and menstrual hygiene practices among adolescent secondary school girls in Ebonyi state, Nigeria.Methods: This was an institutional based cross-sectional study conducted from 11th July to 9th September 2021 among adolescent secondary school girls in Ikwo local government area, Ebonyi State, Nigeria. Data were collected from 400 participant using administered questionnaire. However, out of 400 participants, 315 properly filled and fit for analysis.Result: From a total of 315 adolescent girls participated in this study, majority 251 (79.7%) of the girls possess good knowledge while 64 (20.3%) has poor knowledge of menstrual hygiene practices. The result further indicated a significant association between the age groups (Chi square=10.862; p=0.004 <0.05); class level (Chi square=23.601; p=0.000<0.05) and the knowledge of menstrual hygiene practices among the adolescents’ girls respectively.Conclusions: There is need for government at all level, health educators and parents to design acceptable awareness creation and advocacy programs to improve the knowledge especially among adolescent girls at their early adolescents and those at lower class and so as to promote safe hygienic practices during menstruation.

BACKGROUND Referral linkages are crucial for efficient functioning of Primary Health Care (PHC) systems. Fast Healthcare Interoperability Resource (FHIR) is an open global standard that facilitates structuring health information for coordinated exchange amongst stakeholders. OBJECTIVE The objective of this study is to profile, present methodology and the profiled FHIR resource for Maternal and Child Health (MNCH) referral use case in a typical Low-and-Middle-Income-Country (LMIC). METHODS Practicing doctors, midwives, and nurses were interviewed, and different referral forms reviewed. In this study, we have introduced the FHIR and its relation to the WHO International Classification for Disease (ICD). The union of datasets were aggregated and mapped to base patient FHIR resource elements, and extensions were created for datasets not in the core FHIR specification. RESULTS We found that there were many different data elements from the referral forms and interview responses. The resulting FHIR standard profile is published on GitHub for adaptation or adoption as necessary. Understanding datasets used in healthcare and clinical practice for information sharing is crucial in properly standardizing information sharing particularly as the world manage COVID-19 and other infectious diseases. This methodology and profiled dataset can be used by development organizations, and governments to fast-track FHIR standards adoption for paper and electronic information sharing at PHCs in LMICs. CONCLUSIONS We presented our methodology for profiling the referral resource crucial for the standardized exchange of new and expectant moms’ information. Using data from frontline providers and mapped to the FHIR profile helped contextualize the standardized profile.