Microbial Contaminants of Barbers’ Clippers and It’s Public Health Effect

Microbial Contaminants of Barbers’ Clippers and It’s Public Health Effect in Abakaliki Metropolis

ABSTRACT

The assessment of clippers which is made up of blade assemblies used repeatedly with or without sterilization by barbers during barbering operations has always been crucial with reference to public health importance. This study focused on the identification of the microorganisms that contaminates electric hair clippers used by barbers in public barbing saloons, with the aim of ascertaining their public health implications. Swabs were made of all the hair clippers used in the saloons (before and after disinfection) and cultured in Nutrient Agar (NA) and MacConkey Agar (MCA), for isolation of bacteria and in Saboraud’s Dextrose Agar (SDA), for growth of fungi. The study revealed Malassezia and Trichophyton species as consistent fungi species while staphylococcus Streptococcus and Bacillus species were common bacteria consistently isolated from barbing clippers before and after the use of disinfectant (Jik, Izal, Dethol, Kerosene, Fuel, methylated spirit and others), which are the disinfectant commonly used by babers in Abakaliki town. Malassezia and Trichophyton occurred respectively, which is evident of infectious scalp diseases and significant infectious dermatophytes. Of all the used disinfectants, hydrogen peroxide (H2O2) showed more antiseptic properties on all isolates with a zone of inhibition of 12mm (Malassezia), 14mm (Trichophyton), 42mm (Staphylococcus), 40mm (Streptococcus) and 30mm (Bacillus) while fuel and kerosene were least in antiseptic properties and showed zero of inhibition for all the isolates. The result therefore showed that Hydrogen peroxide is suitable for barbing operations and could be an alternative to high level disinfection. Read More »

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A Case Study of Patient with Pre-Eclampsia

A Case Study of Patient with Pre-Eclampsia

 CHAPTER ONE

INTRODUCTION

Overview of the study

This is a client case study carried out on Mrs. L.O. a 30 years old primigravida with pre-eclampsia who was admitted in the labour ward of mile 4 hospital Abakaliki on 5th February 2017. She was referred from antenatal clinic to the labour ward on account of raised BP(180/120 mmHg), proteinuria of 2+ on dipstick and paedal oedema that is pitting. A diagnosis of pre-eclampsia was made by the doctor in charge and the following treatment prescribed: magnesium sulphate (4mg in IV infusion for hours and 5mg on each buttock) and 10mg IV hydralazine slowly for 15 minutes. Mrs. L.O. now called the husband on phone and intimated him on the situation at hand. The husband now reported immediately with Mrs. L.O.’s mother-in-law and sister-in-law; all looking perplexed not knowing the reason for admitting somebody looking healthy and mobile. Also, the mother-in-law was crying aloud that her enemy is after the daughter-in-law to take away her life and have buried charm for her that makes the leg swollen. It is at this point that I approached them and allayed their anxiety, explained to them that Mrs. L.O. is suffering from severe pre-eclampsia. I further counseled them on the need for immediate intervention and close observation to avoid fitting which may endanger her life and that of her baby which they did not object. Read More »

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Hindrance to Exclusive Breastfeeding Among Lactating Mothers

Hindrance to Exclusive Breastfeeding Among Lactating Mothers, A Case Study of Ezza South Local Government Area of Ebonyi State.

ABSTRACT

This study investigates the hindrance to exclusive breastfeeding, a case study of Ezza South LGA of Ebonyi state. The objectives of the study are to assess the social factors that influence exclusive breastfeeding practice among lactating mothers, assess the cultural factors that influence exclusive breastfeeding practice among lactating mothers, and to ascertain the extent to which ignorance hinders exclusive breastfeeding among lactating mothers in Ezza South. A stratified sampling and a systematic sampling techniques were adopted for the study. The study population comprises of 300 lactating mothers. 171 respondents were selected through systematic sampling technique. Questionnaire was the instrument use for data collection. The data were analyzed using frequency distribution tables and charts. The major findings wherel that a greater percentage (99.4%) of mothers do not practice EBF due to the fear that baby would not get satisfied with breast milk alone, majority (76.6%) do not practice EBF due to the belief that giving child water is a way of welcoming the child into the world and a greater percentage (53.2%) has not heard of EBF. Based on these findings, it was recommended that Nurses and members of public health concerned with child health should be more aggressive in implementing the existing policy on EBF. Read More »

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Indiscriminate Waste Disposal on the Aesthetic Quality of the Environment

The Influence of Indiscriminate Waste Disposal on the Aesthetic Quality of the Environment in Abakaliki Metropolis.

ABSTRACT

The study assessed the influence of indiscriminate waste disposal on the aesthetic quality of the environment in Abakaliki metropolis. Three objectives guided the study which includes to determine the causes of indiscriminate disposal of waste, to identify the environmental problems associated with indiscriminate waste disposal, to identify the various method of waste disposal and to identify the factors that limit the level of efficiency of waste disposal on the aesthetic quality of the environment in Abakaliki metropolis. Related literatures were reviewed and summarized. A descriptive research designs were used for the study. The study population comprised of 400 women. 200 respondents were selected through simple random technique. A self-structured questionnaire validated by the project supervisor is the only instrument used for data collection. Data collected were analyzed with the use of frequency distribution tables and charts. The result of the study showed that a greater percentage 70(35%) said the cause of indiscriminate waste disposal is due to the lack of access to waste collection point; majority 60(30%) said water pollution is major environmental problem, majority 60(30%) said open dumping is the major method used in waste disposal and finally 60(30%) said poor equipment is the limiting factor in the efficiency of EBSEPA in Abakaliki Metropolis. Based on the findings, it was recommended that so far people’s attitude was discovered as the main causes of indiscriminate disposal of waste in Abakaliki metropolis, the need to employ a new orientation on people should be vigorously pursued by the agency concerned, by organizing workshops and seminars where there will always be interaction between the people and environmental professional who will educate them. Read More »

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A Family Case Study of A 74 Years Old Woman with Type II Diabetes Mellitus

A Family Case Study of A 74 Years Old Woman with Type II Diabetes Mellitus

CHAPTER ONE

INTRODUCTION

Client and health condition

This case study is about Mr. F.O’s family with special attention to Mrs. U.O., a 74 years old woman who hails from Egbegbu village, Njikoka L.G.A of Anambra State but resides at No. 7 obiora street, Abakaliki who was accompanied to the outpatient department of the Federal Teaching Hospital Abakaliki (FETHA II) on 10th February, 2017, where I happened to be on duty. She came in with the complaints of general malaise, excess urination, excess hunger, excess thirst e.t.c. on examination, she had a temperature of 380C, pulse 90b/m, respiration 26c/m, weight 90kg and blood sugar test read 250mg/dl (fasting blood sugar level). The diagnosis of diabetes mellitus was then made by the doctor Read More »

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Attitude of Nurses Towards Patients Living with HIV/AIDS

The Attitude of Nurses Towards Patients Living with HIV/AIDS in Federal Teaching Hospital, Abakaliki (Fetha) Ebonyi State.

ABSTRACT

The study assessed the attitude of nurses towards patients living with HIV/AIDS in Federal Teaching Hospital Abakaliki (FETHA), Ebonyi State. Three objectives guided the study which includes to identify the acceptable standard of care for patients living with HIV/AIDS among nurses, to determine the attitude of nurses towards patients living with HIV/AIDS, to determine the ways of improving attitudes of nurses toward patient living with HIV/AIDS in Federal Teaching Hospital, Abakaliki (FETHA). Related literature were reviewed and summarized. A descriptive research designs were used for the study. The study population comprised of 133 registered nurses. 100 registered nurses were selected through stratified random sampling technique and systematic sampling technique. A self-structured questionnaire was validated by the project supervisor and is the only instrument used for data collection. Data collected were analyzed with the use of frequency distribution tables. The result of the study showed that 50% of the nurses that the standard of care for these patients are counseling and reassurance, majority 65% of the nurses have negative attitude towards these patients and Majority 48(48%) of the nurses stated that the attitude of the nurses towards patients living with HIV/AIDS can be improved by employing adequate skilled/trained nurses. Based on the findings, there is need to intensity health education and improve knowledge and attitude of health care professionals through workshops, seminars, group discussions and conferences. Read More »

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Impact of Nurses’ Shortage on Patient’s Care

The Impact of Nurses’ Shortage on Patient’s Care at Federal Teaching Hospital, Abakaliki (Fetha)

 

ABSTRACT

The nursing shortage in Federal Teaching Hospital Abakaliki has undermined the hospital’s goal of rendering quality and excellent care. The purpose of this study therefore was to assess the impact of nurses’ shortage from the views of its causes, impacts on patient care and nurses work life using all cadres of nurses working in the institution as study sample. A descriptive case study research design was adopted for the study and a sample of two hundred and sixty nurses were selected from the nurse’s population of 746. A validated questionnaire constructed by the researcher was used to collect data for the study. Data derived from the study were subjected to simple descriptive statistics. Major findings of the study revealed that the nurses are aware of the impact of nurses’ shortage in FETHA (69.6%). The findings also showed that heavy workload resulting from nursing and non-nursing work in FETHA are responsible for the nursing shortage, skin breakdown and pressure sore formation were revealed to be the impact of nurses’ shortage on patient’s care outcome, increase in job dissatisfaction and frustration  were also revealed to be the effect of nurses’ shortage on nurses’ work life. It is recommended that the factors in the work environment of FETHA which affects recruitment and retention of nurses be addressed.  Read More »

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Neonatal Sepsis Incidence among Neonates (0-1) Month

Neonatal Sepsis Incidence among Neonates (0-1 Month) in Teaching Hospital, Enugu (June 2015-June 2016)

ABSTRACT

This research assessed the incidence of neonatal sepsis among neonates (0-1) month in Teaching Hospital Enugu. Three objectives guided the study which include to determine the number of neonates (0-1) month with sepsis, to identify the factors responsible for neonatal sepsis among the neonates and to identify the treatment modalities used in the management of neonatal sepsis in Teaching Hospital, Enugu. Related literature was reviewed and summarized. A descriptive and retrospective research designs were used for the study. The study population comprised of 400 neonates with sepsis. A self-structured proforma validated by the project supervisor was used to collect the needed data. The data collected were analyzed with the use of frequency distribution tables. The result of the study showed that 400 neonates had sepsis within period of June 2015-June 2016 with a lower incidence of 35.75%. The major factors responsible for sepsis among neonates were out-born delivery and prematurity, with antibiotic therapy as the major treatment modality used. Based on the findings, it was recommended that midwives should ensure that adequate history of every mother is taken and early adequate management of such condition during antenatal visit for early identification of problems or complications and early adequate management of such conditions which might lead to neonatal sepsis. Read More »

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Assessing The Knowledge on Premenstrual Syndrome Among Women

Assessing The Knowledge on Premenstrual Syndrome Among Women of Reproductive Age (15-45) Years in Nursing Science Department, Enugu State University, Enugu

ABSTRACT

The study assessed the knowledge on premenstrual syndrome among women of reproductive age (15-45) years in Nursing Science Department, Enugu State University, Enugu. To this effect, three objectives guided the study to assess the knowledge of premenstrual syndrome among women of reproductive age (15-45yrs), to determine the impact of premenstrual syndrome on the health and academic performance of women of reproductive age (15-45) years and to identify the age range that are mostly affected with Premenstrual sydrome among women of reproductive age (15-45) years in Nursing Science Department, Enugu State University. Related literature was reviewed and summarized. A descriptive research designs was used for the study. The study population comprised of 108 female student (100-200level). A self-structured questionnaire validated by the project supervisor was used to collect the needed data. The data collected were analyzed with the use of frequency distribution tables and charts. The result of the study showed that majority of the women of reproductive age (15-24years) are aware of premenstrual syndrome, majority 82.4% said it has negative impact on their health and academics performance and the age range of women of reproductive age that experience this syndrome falls between 15-24years. Based on the findings, it was recommended that public health nurse educate Women of reproductive age on what premenstrual syndrome are, its signs and symptoms and the management strategies to adopt in other to reduce its negative impact on their health. Read More »

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Factors Affecting the Choice of Contraceptive Devices Among Women

Factors Affecting the Choice of Contraceptive Devices Among Women of Child Bearing Age (15-49 Years) Attending Federal Teaching Hospital, Abakaliki (Fetha I), Ebonyi State.

ABSTRACT

The study assessed the factors affecting the choice of contraceptive devices by women of child bearing age (15-49 years) attending Federal Teaching Hospital Abakaliki (FETHA I) in Ebonyi State. Three objectives guided the study which include: to determine whether these women are aware of the contraceptive devices, to ascertain their most commonly used method of contraception and to identify factors that influence the choice of contraceptive devices by women of child bearing age (15-49 years) attending Federal Teaching hospital, Abakaliki. Related literatures were reviewed and summarized. A descriptive research design was used for the study. The study population comprised 1339 women. 308 women were selected through Yaro Yamane and systematic sampling technique. A self-structured questionnaire validated by the project supervisor is the only instrument used for data collection. Reliability of the instrument was also ensured. Data collected were analyzed with the use of frequency distribution tables and charts. The result of the study showed that a greater percentage (97.7%) said they have heard about contraceptive devices, majority (29.2%) used condom as a contraceptive device, a greater percentage (21.8%) said religion influenced their choice of contraceptive devices including 59.1% who said that their average monthly income affected their choice of contraceptive device. It was then recommended that family planning Providers should be encouraged to update their knowledge from time to time. This could be done by international aid such as pathfinders who can motivate such providers by giving them incentives to improve their services and reduce cost to clients. Read More »

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