Background: The attendance of nursing students in clinical settings is an inherent element of the nursing education, and it is the same even with the coronavirus disease 2019 (COVID-19) pandemic. ...Globally, more than 260 nurses have been killed by the COVID-19 disease and the number is still increasing. Objective: The study assessed nursing students' perception of clinical practice amidst coronavirus pandemic in southwest Nigeria. Methods: This is a cross-sectional study that utilized a multistage sampling method to select 300 respondents from the selected nursing institution in southwest Nigeria. The questionnaire is made up of three sections namely, sociodemographic variables, knowledge of COVID-19, and students' perception of clinical practice. Data were collected with Google Form and analyzed using descriptive and inferential statistics. Result: The mean age of the respondents was 22.16 ± 3.11 years and the mean year exposed to clinical practice was 2.73 ± 0.91 years. Majority (71%) had good knowledge of coronavirus, with mean ± standard deviation (SD) 16.16 ± 1.84, while 57.7% had a positive perception of clinical practice during coronavirus pandemic, with a mean ± SD of 3.62 ± 1.22. There was no significant difference between knowledge and perception of clinical practice post coronavirus pandemic, P = 0.088. There is a significant relationship between nursing students' perception of clinical practice with coronavirus and nursing institution (P = 0.001) and level of study (P = 0.001). Conclusion: The study showed that nursing students were willing to continue with their clinical practice even with coronavirus patients in the wards.
In many low- and middle-income countries, data on the prevalence of surgical diseases have been derived primarily from hospital-based studies, which may lead to an underestimation of disease burden ...within the community. Community-based prevalence studies may provide better estimates of surgical need to enable proper resource allocation and prioritization of needs. This study aims to assess the prevalence of common surgical conditions among children in a diverse rural and urban population in Nigeria.
Descriptive cross-sectional, community-based study to determine the prevalence of congenital and acquired surgical conditions among children in a diverse rural-urban area of Nigeria was conducted. Households, defined as one or more persons 'who eat from the same pot' or slept under the same roof the night before the interview, were randomized for inclusion in the study. Data was collected using an adapted and modified version of the interviewer-administered questionnaire-Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey tool and analysed using the REDCap web-based analytic application.
Eight-hundred-and-fifty-six households were surveyed, comprising 1,883 children. Eighty-one conditions were identified, the most common being umbilical hernias (20), inguinal hernias (13), and wound injuries to the extremities (9). The prevalence per 10,000 children was 85 for umbilical hernias (95% CI: 47, 123), and 61 for inguinal hernias (95% CI: 34, 88). The prevalence of hydroceles and undescended testes was comparable at 22 and 26 per 10,000 children, respectively. Children with surgical conditions had similar sociodemographic characteristics to healthy children in the study population.
The most common congenital surgical conditions in our setting were umbilical hernias, while injuries were the most common acquired conditions. From our study, it is estimated that there will be about 2.9 million children with surgically correctable conditions in the nation. This suggests an acute need for training more paediatric surgeons.
Abstract
Purpose
The aim of this study was to determine if sedentary time is independently associated with BC risk in Nigeria. While the role of physical activity in breast cancer (BC) risk has been ...reported in a few available sub-Saharan African (SSA) studies, the independent role of sedentary behavior (prolonged sitting or reclining) hypothesized as differing from physical inactivity (the absence of health-enhancing PA) has not been investigated in SSA.
Methods
The study was a multisite hospital-based case-control design involving 379 histologically confirmed BC cases and 403 cancer-free controls. The participants ≥ 20 years were interviewed in-person using a pretested questionnaire. Data were collected on self-reported number of hours per week of sitting associated with occupation, religious activity, and television watching, as well as PA intensity scores (in metabolic equivalent hours per week) associated with each sedentary time domain. The results were stratified by estrogen receptor status (extracted from records) and body mass index (BMI). Data were analyzed using multivariable logistic regression based on Statistical Software for Social Sciences, adjusting for relevant confounders.
Results
Following full adjustment including total PA intensity, total sedentary time (OR ≥43.3 hrs./wk. vs < 28.30hrs/wk. 1.78, 95% CI: 1.07, 2.94) was associated with an increased BC risk. Every additional hr./wk. of sitting was associated with a 2% (1.00,1.04, p for trend = 0.044) increased BC risk among women with estrogen receptor negative (ER-) BC, and 1% (95% CI: 1.00,1.03) increase in women with BMI> 25kg/m2. Similarly, every additional hr./wk. of sitting watching television was associated with a 5% (95% CI: 1%, 9%, p for trend = 0.023) increased BC risk especially among women < 50 years (OR 1.05, 95% CI:1.01, 1.09) and women with BMI > 25kg/m2 (OR 1.06, 95% CI:1.01,1.10) following full adjustments.
Conclusion
The findings suggest that the number of hours of sitting independently increased BC risk especially among women with ER- breast cancer and women with high BMI ≥25kg/m2. Health enhancing physical activity Intervention programs aimed at reducing sedentary time especially those associated with television watching will help reduce BC risk in Nigeria and SSA.
Support/Funding source
National Open University of Nigeria.
The Surgeons OverSeas Assessment of Surgical Needs (SOSAS) survey tool is used to determine the unmet surgical needs in the community and has been validated in several countries. A major weakness is ...the absence of an objective assessment to verify patient-reported surgically treatable conditions. The goal of this study was to determine whether a picture portfolio, a tool previously shown to improve parental recognition of their child's congenital deformity, could improve the accuracy of the SOSAS tool by how it compares with physical examination. This study focused on children as many surgical conditions in them require prompt treatment but are often not promptly diagnosed.
We conducted a descriptive cross-sectional community-based study to determine the prevalence of congenital and acquired surgical conditions among children and adults in a mixed rural-urban area of Lagos, Southwest Nigeria. The picture portfolio was administered only to children and the surgical conditions to be assessed were predetermined using an e-Delphi process among pediatric surgeons. The modified The Surgeons OverSeas Assessment of Surgical Needs–Nigeria Survey Tool (SOSAS-NST) was administered to household members to collect other relevant data. Data were analyzed using the REDCap analytic tool.
Eight hundred and fifty-six households were surveyed. There were 1984 adults (49.5%) and 2027 children (50.5%). Thirty-six children met the predetermined criteria for the picture portfolio–hydrocephalus (n = 1); lymphatic malformation (n = 1); umbilical hernia (n = 14); Hydrocele (n = 5); inguinal hernia (n = 10) and undescended testes (n = 5). The picture portfolio predicted all correctly except a case of undescended testis that was mistaken for a hernia. The sensitivity of the picture portfolio was therefore 35/36 or 97.2%.
The SOSAS-NST has improved on the original SOSAS tool and within the limits of the small numbers, the picture portfolio has a high accuracy in predicting diagnosis in children in lieu of physical examination.
Nurses in Nigeria and the whole world are facing an unprecedented severe level of anxiety in their professional and individual lives, compounded by not knowing what the future holds especially with ...regards to the present COVID-19 pandemic. This research is to evaluate the knowledge and reasons for anxiety toward COVID 19 among nurses in Nigeria.
An online cross-sectional quantitative survey that utilized a multistage sampling technique and data was collected with questionnaire instrument from 418 nurses using Google form for a period of eight weeks. Analysis of the result was with the aid of the Statistical Package for Social Science (SPSS) version 20 software. Descriptive data of participants was presented in tables while the test of the inferential data was with Chi-square at 95% level of significance (p = 0.05).
The result revealed that 81.3% of the respondents are female, with a mean age of 37.81+8.21 years and mean years of experience of 13.1+8.44 years. One hundred and eighty (56.9%) of the respondents have good knowledge of COVID -19, with mean of 10.67±1.19. 88.5% were anxious because they are front line workers and having direct contact with COVID-19 patients. The relationship between identified reasons for the anxiety experienced among Nigerian nurses and level of knowledge of COVID-19 were not significant (p > 0.05).
Although nurses in Nigeria are knowledgeable about the COVID-19, they have reasons for being anxious. Addressing the reasons for their anxiety will promote their physical and psychological well-being.
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