International Journal of Healthcare and Medical Sciences
Online ISSN: 2414-2999
Print ISSN: 2415-5233
Print ISSN: 2415-5233
Volume 2 Number 7 July 2016
Relationship between Knowledge of Hiv Transmission and Prevention and Hiv Counseling and Testing (Hct) Uptake Among Young People in Nigeria
Authors: Adaeze Oguegbu
This study examined the relationship between knowledge of HIV transmission and prevention and HIV counselling and testing uptake among young people in Nigeria. The study is a quantitative research guided by one research question and one hypothesis. The target population comprised young people in Nigeria ages 15 to 24 years because the focus of this study was to identify the factors affecting HCT uptake among young people in this age cohort. The representative sample was obtained from the updated master sample frame of rural and urban zones developed by the National Population Commission in Nigeria. This master sample frame was a national survey that comprises all 36 states in Nigeria . Probability sampling technique was used to obtain a sample of 10091 respondents (ages 15 to 24 years) for the study. The multistage cluster sampling was used to select suitable young people with known probability. Data were collected throughout Nigeria between September and December 2012 from 32,543 households (rural = 22,192; urban = 10,351) using structured and semi-structured questionnaires. The individual questionnaires asked about household characteristics, background characteristics of the respondents. Data were analyzed by inputing them into SPSS v21.0 for analysis  and then coded them for each participant. The data were summed using descriptive statistics. Frequencies and percentages; measures of central tendencies were used to answer the research question while nonparametric test such as chi-square was used to analyze non-normally distributed data at 0.5 level of significance. Results of data analysis indicated that the cognitive factors of knowledge of HIV prevention and knowledge of HIV transmission were statistically significant predictors of the likelihood of having HCT uptake. It was among others recommended that stakeholders, authorities, and providers of health services in Nigeria should strive to increase the rate of HCT uptake among young people ages 15 to 24 years.
Missed Abortion Associated With Subserosal Leiomyoma
Authors: Anele T. I. ; Ekezie J. ; Okeke S. N.
Subserosal leiomyomas rarely have any significant effect on a pregnant uterus, but very large ones may compress the uterine cavity in early pregnancy resulting in abortion. A 32 year old female presented with vagina bleeding for days. There was a 3 month history of amenorrhoea. Her last confinement was 3 years prior to presentation which ended with vaginal delivery with no complication. However, obstetric ultrasound scan done 3 years earlier during the first pregnancy showed a subserous leiomyoma at the fundus of the uterus. On examination, the uterine size was greater than the gestational age. Abdomino-pelvic ultrasound showed huge degenerating leiomyoma extending from the uterine fundus to the left lobe of the liver. The uterus was anteverted and harbours a 12 week non-viable foetus which appeared compressed in the upper aspect of the uterine cavity. The size of the myometrium was normal for the gestational age. An impression of missed abortion associated with a huge degenerating subserous leiomyoma was made.