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Objective:The aim was to assess the use of optic nerve sonography (ONS) as a quick, noninvasive diagnostic test tool for detecting raised the intracranial pressure (ICP).Materials and Methods:A prospective blinded observational study was conducted at Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, Nigeria. The study population consisted of 160 adult patients referred to the radiology department for cranial computed tomography (CT) scan. There were 80 subjects and 80 controls. Optic nerve sheath diameter (ONSD) was measured by a radiologist using a 7.5 Megahertz ultrasound probe while cranial CT was reviewed by other radiologists blinded to the ONSD.Results:Sixty-nine subjects (86.3%) had intracranial space occupying lesions (SOL) with cranial CT confirmed features of increased ICP, mean binocular ONSD of 5.7 ± 0.59 mm while 11 (13.7%) had intracranial SOL without any cranial CT evidence of increased ICP, mean binocular ONSD of 4.8 ± 0.39 mm. The difference of mean ONSD of the two groups was statistically significant (P = 0.0001). The controls had a mean binocular ONSD of 4.5 ± 0.22 mm and the difference in mean binocular ONSD for subjects with raised ICP and the controls were also statistically significant (P = 0.0001). A cut-off value of 5.2 mm (sensitivity 81.2% [95% confidence interval (CI): 69.9–89.6], specificity 100% [95% CI: 71.5–100]) was obtained from the receiver operator characteristics curve as the mean binocular ONSD that best predicts raised ICP confirmed by at least a sign on cranial CT.Conclusions:Optic nerve sonography can differentiate between normal and elevated ICP and may serve as a useful screening tool in resource-limited practice.

There is much concerns that despite the "Innocenti Declaration" and all efforts to promote Exclusive Breastfeeding in Nigeria, the prevalence of malnutrition and infant mortality is high. The study determined the knowledge, attitudes and practices (KAP) of nursing mothers in Osogbo, Nigeria. The study design was cross sectional. A total of 328 nursing mothers attending infant welfare clinics were recruited from selected four health centres in Osogbo Local Government Area by convenience sampling method. Semi-structured questionnaires were used to collect data on the Knowledge, Attitudes and Practices of respondents. Data were analyzed using Statistics Package for Social Scientists (SPSS) version 16. About 97.6% of the respondents were aware of EBF, but only 64.6% had adequate knowledge. Majority of the respondents (92.7%) learnt about EBF from health workers. Attitude to EBF was good as reported by 75.6% of respondents who practiced EBF on demand. About 73.8% of respondents practiced EBF. The respondents have good knowledge and attitude of EBF. The practice of EBF was equally good however less than one third used either water or herbs during EBF before six months.

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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.