Nteimam Dienye - Academia.edu (original) (raw)

Papers by Nteimam Dienye

Zenodo (CERN European Organization for Nuclear Research), Mar 30, 2021

Background: Vulvovaginal haematoma is an uncommon complication of childbirth that can cause mater... more Background: Vulvovaginal haematoma is an uncommon complication of childbirth that can cause maternal death if not properly managed. We present a case of a large vulvovaginal haematoma managed surgically with a good outcome. Clinical Presentation: JP was an unbooked 34 year old para 2 woman referred from a maternity home to Bethesda Family Hospital on account of a left-sided vulva swelling of two weeks duration following a spontaneous vaginal delivery of a live male baby that weighed 4.3 kilogrammes. She sustained a vaginal tear which was repaired by the attending midwife. Vaginal examination showed a firm and tender swelling of size 12 cm by 14cm involving the left labia majora and minora and extending to the perineal region and vagina. A diagnosis of vulvovaginal haematoma was made and she was educated on her condition and the treatment options. She was haemodynamically stable and the full blood count was normal. She was placed on analgesics and antibiotics, catheterized, and the haematoma evacuated under ketamine cover. She was discharged home on the second day. Conclusion: Surgical management of large vulva haematoma at the primary care level involves counselling, institution of antibiotics and analgesics and appropriately located incisions and evacuation of clots. This leads to quick recovery with minimal scarring, pain and dyspareunia.

PubMed, Apr 28, 2023

Background: Patients' behaviour in making decisions regarding their health is currently changing ... more Background: Patients' behaviour in making decisions regarding their health is currently changing from a passive role to an active one in which they participate fully in the control of their health as well as take initiatives in self-care. Objectives: This study evaluated health-seeking behaviour and practice of self-medication among patients with abdominal pain in a rural Primary Health Centre in the Niger Delta. Methods: This was a cross-sectional study among 400 patients that attended the Primary Health Centre in Oyorokoto, Rivers State, Nigeria. Interviewer-administered questionnaires were used to collect data on participants' demographics, medicines-taking behaviour, and practice of self-medication, Data analysis was done using Statistical Package for Social Science for windows version 20. The p-value of <0.05 at a confidence level of 95% was considered significant. Results: Most of the participants chose to consult formal health care when they experienced health problems (57.3%), and self-medication prevalence was 29.5%. The majority of the respondents (65.8%) took medication based on a health worker's advice while 32.5% depended on past experience with a similar illness. The practice of self-medication was significantly associated with gender, age, and religion. The female gender and older age groups significantly practice self-medication compared to the males and younger age groups(p<0.001). Christians significantly practice self-medication (p = 0.038). Conclusion: Increasing public awareness of the rational choice of getting medical assistance is very important. A health education program to increase awareness about the use of medicines among the general public and to enable them make the right decisions relating to their health problems is advocated.

International Journal of Science and Research Archive

Background: Ovarian torsion is a common gynecological emergency prompt diagnosis and treatment re... more Background: Ovarian torsion is a common gynecological emergency prompt diagnosis and treatment results in favourable outcome. This may be unilateral or bilateral in rare cases. However, bilateral Adnexal torsion (AT) is a gynecological emergency which occurs in approximately 2.7-3.5% of women of all ages globally. Aim: To present this uncommon clinical condition and offer management modality. Presentation of case: AC was a 28 -year- old nulliparous woman, who presented to our institution with a history of sudden onset of severe lower abdominal pain and nausea. On physical examination, she was acutely ill-looking, in mild painful distress, and her vital signs were within normal limits. On abdominal examination, there was no distension but there was lower abdominal tenderness, with muscle guarding. A pelvic examination revealed bilateral adnexal tenderness. Ultrasound examination showed a right ovarian cyst of size about 9 × 7 cm poor visualization of the left ovary. An impression of ...

World Journal of Biology Pharmacy and Health Sciences

Aims: Overweight and obesity constitute a major risk to the development of chronic non communicab... more Aims: Overweight and obesity constitute a major risk to the development of chronic non communicable diseases such as hypertension, diabetes mellitus, dyslipidaemias, osteoarthritis which in turn impact on the individual, the family and the community. This study explored specific comorbidities associated with overweight and obesity among adults attending the Family Medicine Clinic of a tertiary health centre in Nigeria. Methods: This was a descriptive hospital-based study. A combination of structured questionnaires, physical examination and laboratory analysis were used to generate appropriate data. The information was analysed using Statistical Package for Social Sciences (SPSS) version 22. Chi square (x2) and Fisher’s exact test were used to investigate the association between variables and the level of significance was set at p<0.05. Results: The mean age of the subjects was 44.9±13.8years. Females constituted the majority (64.4%) with a female to male ratio of 1.8:1. While 55 ...

British Journal of In-Service Education, 1987

American Journal of Men's Health, 2016

Although fishing is of great economic importance, it has been described as a very dangerous and s... more Although fishing is of great economic importance, it has been described as a very dangerous and strenuous occupation worldwide. The current study was designed to determine the prevalence of low back pain (LBP) and explore the coping strategies of fishermen in the Oyorokoto fishing settlement in Nigeria. Three hundred and eighty-four fishermen with an age range of 18 to 64 years and a mean age of 34.12 years ( SD = 6.52) were recruited. LBP was identified in 262 (68.23%) of the participants. LBP was significantly associated with age, educational status, and body mass index (BMI; χ2= 102.23, p < .001) but not with marital status ( p = .211). Severe LBP was identified among participants who were in the age group 35 to 44 years (33.93%), married (79.46%), primary education (45.54%), and abnormal BMI (73.32%). Participants ≥55 years (6.25%), widowers (1.79%), tertiary education (3.57%), and normal BMI (27.68%) had the least LBP. LBP was least prevalent in those who had practiced fishi...