Background: High job strain, mental stress, sedentary lifestyle, increase in BMI are among the factors associated with significantly higher incidence of hypertension. The job of bank employees is both sedentary in nature and accompanies high mental stress. The aim of this study is to assess the level of knowledge of risk factors among respondents and to compare the blood pressure pattern of bankers and traffic wardens. Methodology: The study design is a descriptive cross-sectional conducted among bankers and traffic wardens in Ilorin to determine the pattern and knowledge of blood pressure. Self-administered questionnaires, weighing scale (Omron Digital scale), stadiometer and sphygmomanometer were used as the research instruments. Simple random sampling was used to select respondents involved in the study. Results:The prevalence of hypertension in this study was 34.4% in bankers and 22.2% in traffic wardens. The risk factors the bankers commonly had knowledge of are alcohol, obesity, high salt intake, certain drugs, stress, emotional problems and family history while the traffic wardens commonly had knowledge of all these in addition to cigarette smoking. Also, more bankers (32.2%) than traffic wardens (13.3%) were smoking cigarette and more of these cigarette smokers that are bankers (17.8%) had elevated blood pressure compared to the traffic wardens (3.3%). Conclusion: Workers in the banking industry as well as traffic wardens should be better educated about the risk factors of hypertension and bankers should be encouraged to create time for exercise.

Introduction:Welding is associated with workplace hazards that can affect the health of those who engaged in it as they are exposed to harmful dust.Subjects and Methods:This was a health education intervention study carried out among self-employed electric arc welder. Data were collected using an interviewer administered questionnaire and health education intervention was carried out between the preintervention and postintervention stages. Epi-info version 3.5.1 software package was used for data analysis and Chi-square analysis was used to determine the statistical significance of observed differences between the study and control groups before the intervention and after intervention. Level of significance was set at a P < 0.05.Results:At the preintervention phase, 285 respondents were interviewed in each of the study and control groups, while 280 study respondents and 275 control respondents were available for the postintervention phase of the study. Before the intervention, 279 (97.9%) of the respondents in the study group were aware of eye goggles as a means of protection, 20 (7%) were aware of welding helmet, 206 (72.3%) were aware of hand gloves and 4 (1.4%) were aware of face mask. All showed a significant increase in awareness postintervention (P < 0.05) while there was no significant increase in awareness in the control group.Conclusion:Health education brought about a significant increase in awareness and use of personal protective equipment among the welders. There is a need for proper education of welders on workplace hazards, the types and use of different protective devices in other to safeguard their health.

Introduction This study aims to assess the treatment adherence rate among People Living With HIV/AIDS (PLWHA) receiving treatment in a Nigerian tertiary Hospital. Methods This was a cross-sectional study that assessed self-reported treatment adherence among adults aged 18 years and above who were accessing drugs for the treatment of HIV. Systematic random sampling method was used to select 550 participants and data were collected by structured interviewer administered questionnaire. Results The mean age of respondents was 39.9±10 years. Adherence rate for HIV patients was 92.6%. Factors affecting adherence include lack of money for transportation to the hospital (75%), traveling (68.8%), forgetting (66.7%), avoiding side effects (66.7%), and avoiding being seen (63.6%). Conclusion The adherence rate was less than optimal despite advancements in treatment programmes. Adherence monitoring plans such as home visit and care should be sustained.

Technology has been identified as an important strategy in making caring sustainable. This article takes the design process for carer support technology as a lens on the divergent definitions that are in play when governments, technology developers and carers contemplate ‘sustainability’. We argue that a central impediment to finding a productive point of overlap among the three perspectives is a predominant focus on carers’ needs. We contrast this needs-based approach, and its focus on doing the tasks of care, with a goal-oriented approach focused on being in relationships. Reframing the conversation around goals is important to achieving truly sustainable caring.

Background and Objective: Family caregivers provide vital assistance to older adults living with dementia. An accurate assessment of the needs of caregivers supports the development and provision of appropriate solutions to address these needs. This review of systematic reviews analyzes and synthesizes the needs identified by family caregivers. Method:We conducted a systematic review of systematic reviews using the AMSTAR guideline. Electronic databases were searched for systematic reviews on the needs of caregivers in the context of dementia using a combination of keywords and medical subject headings. Records resulting from the search were screened by 2 reviewers. Data on the needs of caregivers were extracted from the articles and analyzed using a narrative synthesis approach.Results: Out of the 17 potentially eligible systematic reviews obtained initially, 6 met the inclusion criteria. In total, 20 main needs were identified in the reviews included in this study. The need for information and social support were prominent in this review. Factors such as gender, resources available to the caregiver and the care recipient's health status may influence caregivers' needs. Conclusion:Interventions can be tailored towards addressing the most prominent needs of caregivers such as adequate information and resources and available programs may further accommodate and offer need-tailored support to them.

IntroductionPoor retention of patients in care is a major driver of poor performance and increased morbidity and mortality in HIV/AIDS programme despite the expansion and advancement Anti-retroviral Therapy (ART). The objective of this study is to assess retention rates and possible determining factors in People Living with HIV (PLHIV) on ART.MethodsThis is a descriptive, cross-sectional study conducted in Federal Medical Center, Ido-Ekiti, Nigeria. Medical records of clients who were enrolled in ART Care and support unit (HIV Clinic) of the health facility from 2005 to 2012 were reviewed and analyzed using SPSS version 16. A total of 621 client records were reviewed for basic demographic information, CD4 count, WHO stage, number of follow-up visit, client ART status and client retention status (defined as client attending at least one clinic visit in 2012.ResultsA total of 347(63%) patients were retained in care and 208(37%) were not retained over the seven year review period. Retention was statistically significant with age (P-value 0.031), ART status (P-value 0.000) baseline CD4 (P-value 0.004), year of diagnosis and ART initiation (P-value= 0.027). Poor retention was associated decreasing age, pre-ART client, HIV stage 1&IV client and baseline CD4 above 400cell/mm3.ConclusionRetention in care of PLHIV is a minimum necessary condition for maintaining or restoring health in the long run. The strategies to sustain and improve retention rate should be adopted to maximize ART benefits. A follow-up study on other factors affecting retention from diagnosis to long term retention ART programme is recommended.

This research aims to clarify the arguments in the body of knowledge on IT use in fall prevention among the elderly, synthesize ideas to assist in the delivery of healthcare to prevent falls in older people and further add to the available body of knowledge. An extensive literature search was carried out and the information retrieved from the literature was synthesised into paragraphs using themes to structure the types of information technology used for falls prevention. The different modalities of IT used in falls prevention at the different places of care for each category were explored and inferences were drawn from the structured themes which summarized the major findings. The research found that there is potential ground for a wider use of the forms of IT used in falls prevention in the elderly in various settings and outlined the factors involved in this usage. With further refinements in larger studies, many of these forms of IT would be better explored and acceptance is likely guaranteed provided they are accessible and affordable. The need for IT use in fall prevention in the elderly is unavoidable with the trend in technology and the associated convenience. More work is needed to further define the effects of IT in falls prevention using larger prospective studies that will be more generalizable.

Background: Hypertension is one of the major risk factors for cardiovascular disease (CVD). Though generally believed to be a disease of the adults, It has been shown to start in early life and tracks through adolescence into adulthood. Aims and Objectives: The objective of this study was to determine the prevalence of hypertension and associated factors among adolescents in Ekiti State. Materials and Methods: The study was a cross sectional survey involving 416 secondary school adolescents aged 10 to 19 years. A 'twostage' sampling technique was used to select the subjects. Facilitated self-administered questionnaire was used for the study. Data was analyzed using SPSS version 20. Level of significance was set at P<0.05. Results: A total of 416 students participated in the study. Prevalence of hypertension was 10.1% with male and female prevalence rates of 5.8% and 14.4% respectively (P=0.004). Hypertension was higher among adolescents with BMI ≥ the 85 th percentile for age and sex compared to those with lower BMI (P=0.004). There was a weak positive correlation between BMI and blood pressure in the study (Systolic r=0.33, P=0.001: diastolic r=0.31, P=0.001). Conclusion: The study concluded that hypertension is not a rare phenomenon among adolescents and that female gender and high BMI were the main risk factors for adolescent hypertension in this study.