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Article ; Online: The Burden of Low Back Pain Among Fishermen: A Survey in a Rural Fishing Settlement in Rivers State, Nigeria.

Dienye, Paul O / Birabi, Bridget N / Diete-Spiff, Kaine O / Dienye, Nteimam P

2016 Volume 10, Issue 6, Page(s) NP89–NP98

Abstract: 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 ... ...

Abstract	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; χ
Language	English
Publishing date	2016-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	2275106-3
ISSN	1557-9891 ; 1557-9883
ISSN (online)	1557-9891
ISSN	1557-9883
DOI	10.1177/1557988315584375
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Article ; Online: Respiratory effects of biomass fuel combustion on rural fish smokers in a Nigerian fishing settlement: a case control study.

Dienye, Paul / Akani, Alex / Okokon, Ita

African health sciences

2016 Volume 16, Issue 2, Page(s) 516–523

Abstract: Backgroud: The aim was to study the prevalence of respiratory symptoms and assess the lung function of fish smokers in Nigeria.: Methods: A case control study was done among fish smokers in Nigeria. Women aged 15 years or older (n=210) involved in ... ...

Abstract	Backgroud: The aim was to study the prevalence of respiratory symptoms and assess the lung function of fish smokers in Nigeria. Methods: A case control study was done among fish smokers in Nigeria. Women aged 15 years or older (n=210) involved in fish smoking and equal number of matched controls were interviewed on respiratory symptoms and their peak expiratory flow rate (PEFR) measured. Data was analysed using chi square test, student's t-test and odd ratios. Results: Both groups were similar in their personal characteristics. The test group had significantly increased occurrence of sneezing (153; 72.86%), catarrh (159; 75.71%), cough (138; 65.71%) and chest pain (59; 28.10%) compared with the control group, odds ratio (OR) 2.49, 95% confidence interval CI (1.62-3.82), P < 0.001), OR 3.77,95% CI (2.44- 5.85), P < 0.001, OR 3.38, 95% CI (2.22-5.15), P < 0.001, and OR 6.45,95% CI (3.22-13.15), P < 0.001, respectively. The mean PEFR of 321±58.93 L/min among the fish smokers was significantly lower than 400±42.92 L/min among the controls (p = 0.0001). Conclusion: Fish smokers have increased risk of respiratory symptoms and reduced pulmonary function. There is a need for protective equipment and periodic evaluation.
MeSH term(s)	Adolescent ; Adult ; Animals ; Biomass ; Case-Control Studies ; Confidence Intervals ; Developing Countries ; Female ; Fishes ; Food-Processing Industry ; Humans ; Incidence ; Male ; Middle Aged ; Needs Assessment ; Nigeria ; Occupational Exposure/adverse effects ; Protective Devices/statistics & numerical data ; Reference Values ; Respiratory Function Tests ; Respiratory Tract Diseases/epidemiology ; Respiratory Tract Diseases/etiology ; Respiratory Tract Diseases/physiopathology ; Risk Assessment ; Rural Population ; Smoking/adverse effects ; Young Adult
Language	English
Publishing date	2016-08-24
Publishing country	Uganda
Document type	Journal Article
ZDB-ID	2240308-5
ISSN	1729-0503 ; 1680-6905
ISSN (online)	1729-0503
ISSN	1680-6905
DOI	10.4314/ahs.v16i2.20
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Article ; Online: Acute appendicitis masquerading as acute scrotum: a case report.

Dienye, Paul O / Jebbin, Nze J

American journal of men's health

2011 Volume 5, Issue 6, Page(s) 524–527

Abstract: Acute appendicitis presents typically with periumbilical pain that in a few hours settles at the right lower quadrant of the abdomen. Atypical presentations are common but association with acute scrotum is an extreme rarity. A 30-year-old fisherman ... ...

Abstract	Acute appendicitis presents typically with periumbilical pain that in a few hours settles at the right lower quadrant of the abdomen. Atypical presentations are common but association with acute scrotum is an extreme rarity. A 30-year-old fisherman presented at a rural medical facility with a 2-day complaint of severe pain at the right hemiscrotum followed about 24 hours later with mild diffuse abdominal pain. There was associated mild fever and nausea but no vomiting. There were no urinary symptoms and no recent sexual exposure. Initial physical examination revealed mild generalized tenderness worse at the right lower quadrant but the scrotum was not remarkable, and cremasteric sign was negative. He was admitted as a case of acute abdomen for close observation. Abdominal and scrotal ultrasound scan were normal. By the second day of admission, pain became marked at the right lower abdomen with associated vomiting. There was also marked tenderness at the right lower quadrant with rebound. A diagnosis of acute appendicitis was thus made and appendicectomy done after proper workup. The abdominal and scrotal pain stopped after surgery and the patient was discharged on the seventh postoperative day. Patients with unusual abdominal and scrotal pain should be admitted and closely observed and evaluated to prevent unnecessary scrotal exploration or negative appendicectomy.
MeSH term(s)	Abdomen, Acute/diagnosis ; Appendectomy ; Appendicitis/diagnosis ; Appendicitis/surgery ; Diagnosis, Differential ; Epididymitis/diagnosis ; Humans ; Male ; Scrotum ; Spermatic Cord Torsion/diagnosis
Language	English
Publishing date	2011-11
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	2275106-3
ISSN	1557-9891 ; 1557-9883
ISSN (online)	1557-9891
ISSN	1557-9883
DOI	10.1177/1557988311415514
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Article: Intimate Partner Violence and Associated Coping Strategies among Women in a Primary Care Clinic in Port Harcourt, Nigeria.

Itimi, Kalamawei / Dienye, Paul O / Gbeneol, Precious K

Journal of family medicine and primary care

2014 Volume 3, Issue 3, Page(s) 193–198

Abstract: Context: Intimate partner violence (IPV) is an important gender-based, social, and public health problem, affecting women globally.: Aims: The aim was to report the prevalence of IPV and describe the coping strategies of the victims.: Settings and ... ...

Abstract	Context: Intimate partner violence (IPV) is an important gender-based, social, and public health problem, affecting women globally. Aims: The aim was to report the prevalence of IPV and describe the coping strategies of the victims. Settings and design: It was conducted in the general outpatient clinic of a tertiary care hospital using a cross-sectional design. Materials and methods: A random sample of consenting women living in an intimate partnership for a minimum of 1 year were served with a three part structured questionnaire which sought information on sociodemographic characteristics, the experience of IPV and the Brief COPE Inventory. Statistical analysis used: SPSS version 17.0 software, Microsoft word and Excel were used in data handling and analysis. Means, percentages, standard deviations, and Chi-square were calculated. P < 0.05 was considered to be significant. Results: Of the 384 participants, 161 (41.9%) were physically abused. IPV was significantly common among women ≤40 years of age, married couples (78.5%), unemployed and in Christians. It was precipitated by argument with husband (19.25%) and financial demands (44.10%). The employed coping strategy with the highest score was religion. The least score was found in substance abuse. Conclusion: There was significantly high prevalence of domestic violence against women in this study. Hence, routine screening is advocated by family physicians to elicit abuse in order to avoid the more devastating psychological consequences after the incidence so as to institute appropriate treatment as multiple episodes of abuse appears to be cumulative in effect. The reason for violence mainly borders around the argument with husband and finance issues. The coping strategies utilized by the participants minimally involve substance abuse, but more of a religion.
Language	English
Publishing date	2014-10-21
Publishing country	India
Document type	Journal Article
ZDB-ID	2735275-4
ISSN	2278-7135 ; 2249-4863
ISSN (online)	2278-7135
ISSN	2249-4863
DOI	10.4103/2249-4863.141601
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Article ; Online: Fever of unknown origin in an infant with an unexpected blood film report: a case report.

Dienye, Paul O / Gbeneol, Precious K

Rural and remote health

2010 Volume 10, Issue 1, Page(s) 1242

Abstract: Introduction: Fever of unknown origin (FUO) can be defined as a rectal temperature higher than 38.3 degrees C on several occasions over more than 3 weeks, the diagnosis of which remains uncertain after initial investigations. Identification of the ... ...

Abstract	Introduction: Fever of unknown origin (FUO) can be defined as a rectal temperature higher than 38.3 degrees C on several occasions over more than 3 weeks, the diagnosis of which remains uncertain after initial investigations. Identification of the causes and management of FUO in children is an important role of rural primary care physicians, and is guided by thorough history-taking and repeated physical examinations combined with standard laboratory tests and simple imaging procedures. This can be difficult in rural practice due to poor availability and reliability of laboratory and imaging procedures, and the cost and misuse of antibiotics. Dependence on clinical and laboratory examinations may fail in diseases presenting in non-endemic areas. Trypanosomiasis is a known cause of fever; however, it is an unusual cause of FUO considering the place of residence of this patient. Case report: This report describes a case of trypanosomiasis presenting as FUO. The patient was a one-year-old Nigerian female who had been managed for malaria and bronchopneumonia for 2 weeks in a private clinic and was finally referred for further management to Eku Baptist Hospital, a rural mission hospital in the Niger Delta of Nigeria. Results of her laboratory tests showed nothing of significance apart from anaemia and trypanosomes discovered unexpectedly in the blood film. This was confirmed after a cervical lymph node biopsy and microscopic examination of the glandular fluid. Treatment with eflornithine was effective. Conclusion: The diagnosis of trypanosomiasis in this patient highlights that when a patient is not obviously exposed to the causative factors of a disease, possible occurrences may present a diagnostic problem.
MeSH term(s)	Anemia/complications ; Diagnosis, Differential ; Eflornithine/therapeutic use ; Female ; Fever of Unknown Origin/etiology ; Humans ; Infant ; Trypanocidal Agents/therapeutic use ; Trypanosomiasis/complications ; Trypanosomiasis/drug therapy
Chemical Substances	Trypanocidal Agents ; Eflornithine (ZQN1G5V6SR)
Language	English
Publishing date	2010-01
Publishing country	Australia
Document type	Case Reports ; Journal Article
ZDB-ID	2105620-1
ISSN	1445-6354 ; 1445-6354
ISSN (online)	1445-6354
ISSN	1445-6354
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Article ; Online: Domestic violence against men in primary care in Nigeria.

Dienye, Paul O / Gbeneol, Precious K

American journal of men's health

2009 Volume 3, Issue 4, Page(s) 333–339

Abstract: Domestic violence against men is rare in Nigeria. This study was aimed at assessing the prevalence of domestic violence against men, the sociodemographic characteristics of victims, and the pattern of injury sustained in a primary care setting. This was ... ...

Abstract	Domestic violence against men is rare in Nigeria. This study was aimed at assessing the prevalence of domestic violence against men, the sociodemographic characteristics of victims, and the pattern of injury sustained in a primary care setting. This was a retrospective study over a period of 5 years in which all the medical records of patients were retrieved and information on domestic violence extracted from them and transferred to a data sheet. Those whose records were grossly deficient were excluded from the study. A total of 220,000 patients were seen of which 48 (22 per 100,000) were victims of domestic violence. There were only five married male victims with a prevalence of 0.0023%. The injuries observed were scratches, bruises, welts, and scalds. The primary care physician needs a high index of suspicion to be able to detect it.
MeSH term(s)	Adolescent ; Adult ; Aged ; Crime Victims ; Cross-Sectional Studies ; Domestic Violence/statistics & numerical data ; Humans ; Male ; Middle Aged ; Nigeria ; Primary Health Care ; Retrospective Studies ; Young Adult
Language	English
Publishing date	2009-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	2275106-3
ISSN	1557-9891 ; 1557-9883
ISSN (online)	1557-9891
ISSN	1557-9883
DOI	10.1177/1557988308325461
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Article: Inguinal mesh hernioplasties: a rural private clinic experience in South Eastern Nigeria.

Enyinnah, Michael / Dienye, Paul Owajionyi / Njoku, Patrick

Global journal of health science

2013 Volume 5, Issue 4, Page(s) 176–181

Abstract: Objective: The objective of this paper is to review hernioplasties done for inguinal hernias in a rural private hospital, bringing out the socio-demographic and clinical pattern and to sensitize surgeons and family physicians in our environment about ... ...

Abstract	Objective: The objective of this paper is to review hernioplasties done for inguinal hernias in a rural private hospital, bringing out the socio-demographic and clinical pattern and to sensitize surgeons and family physicians in our environment about the possibility of making hernioplasty a standard of care for inguinal hernias. Method: The records of seventy seven patients operated in a rural private hospital were reviewed. Socio-demographic data, operative techniques and post-operative outcomes were documented. The results were compared with relevant findings in the literature. Results: Eighty one Lichtenstein procedures were done, of which four were bilateral. Polypropylene mesh was used in all cases. A total of three patients (3.9%) had early post-operative complications. The complications were scrotal haematoma, haematoma complicated by wound sepsis and wound sepsis only. All the complications were successfully managed. There was no case of mesh removal or mortality. Conclusion: Early post-operative results suggest that mesh hernioplasty is in rural communities of West Africa, given the availability of mesh, basic medical infrastructure and relevant skilled manpower.
MeSH term(s)	Adult ; Aged ; Female ; Hernia, Inguinal/surgery ; Herniorrhaphy/methods ; Herniorrhaphy/statistics & numerical data ; Hospitals, Private/statistics & numerical data ; Humans ; Male ; Middle Aged ; Nigeria/epidemiology ; Postoperative Complications/epidemiology ; Rural Health Services/statistics & numerical data ; Socioeconomic Factors ; Young Adult
Language	English
Publishing date	2013-05-13
Publishing country	Canada
Document type	Journal Article
ZDB-ID	2491737-0
ISSN	1916-9744 ; 1916-9736
ISSN (online)	1916-9744
ISSN	1916-9736
DOI	10.5539/gjhs.v5n4p176
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Article: Frequency of symptoms and health seeking behaviours of menopausal women in an out-patient clinic in Port Harcourt, Nigeria.

Dienye, Paul Owajionyi / Judah, Funsho / Ndukwu, Geraldine

Global journal of health science

2013 Volume 5, Issue 4, Page(s) 39–47

Abstract: Objectives: This study was carried out to determine the frequency and severity of menopausal symptoms and health seeking behaviour of women with menopausal symptoms attending the General Outpatient Department of the University of Port Harcourt Teaching ... ...

Abstract	Objectives: This study was carried out to determine the frequency and severity of menopausal symptoms and health seeking behaviour of women with menopausal symptoms attending the General Outpatient Department of the University of Port Harcourt Teaching Hospital. Methods: This is a cross-sectional, descriptive study in which data was collected from menopausal women using a three-part, pre-tested questionnaire for a period of three months (July-September 2010). Part 1 consisted of information regarding socio-demographic and general medical information. Part 2 consisted of the modified version of the menopause rating scale (MRS). Part 3 sought for information on their health seeking behaviour. Data was analysed using EPI INFO version 6.04d software package. Results: A total of 385 women were recruited with ages ranging from 35 to 95 years, and a mean of 58.4 ± 10.39 years. The most prevalent menopausal symptoms were loss of libido (92.47%), muscle pain (87.53%), joint pain (85.45%) and tiredness (80.26%). Urinary symptoms had the least prevalence (7.79%). Results on the severity of menopausal symptoms showed that 28.25%, 49.84% and 21.9% were experiencing severe, moderate and mild menopausal symptoms, respectively. Loss of libido (79.21 %) was the most severe symptom followed by urinary symptoms (40%). The patent drug dealers were the most consulted (51.4%) followed by health workers (44.7%). The traditional healers were consulted by a small percentage (3.8%). Conclusion: The most common menopausal symptom among the patients in this study was loss of libido and the least common was urinary symptoms. The symptoms are similar to findings in other parts of the world but their prevalence and severity differ. In spite of the available health facilities in these communities, the utilization of the services of patent drug dealers is still very high but the traditional healers were poorly utilized.
MeSH term(s)	Adult ; Aged ; Aged, 80 and over ; Ambulatory Care Facilities/statistics & numerical data ; Cross-Sectional Studies ; Female ; Health Knowledge, Attitudes, Practice ; Health Personnel ; Humans ; Medicine, African Traditional ; Menopause/physiology ; Middle Aged ; Nigeria/epidemiology ; Patient Acceptance of Health Care/statistics & numerical data ; Prevalence ; Socioeconomic Factors ; Urban Population/statistics & numerical data
Language	English
Publishing date	2013-03-18
Publishing country	Canada
Document type	Journal Article
ZDB-ID	2491737-0
ISSN	1916-9744 ; 1916-9736
ISSN (online)	1916-9744
ISSN	1916-9736
DOI	10.5539/gjhs.v5n4p39
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Article ; Online: Intersection between alcohol abuse and intimate partner's violence in a rural Ijaw community in Bayelsa State, South-South Nigeria.

Brisibe, Seiyefa / Ordinioha, Best / Dienye, Paul O

Journal of interpersonal violence

2012 Volume 27, Issue 3, Page(s) 513–522

Abstract: According to the 2008 National Demographic and Health Survey, the south-south zone of Nigeria had the highest prevalence of domestic violence. This study is to find out if this is related to the widespread consumption of alcohol in the region. The study ... ...

Abstract	According to the 2008 National Demographic and Health Survey, the south-south zone of Nigeria had the highest prevalence of domestic violence. This study is to find out if this is related to the widespread consumption of alcohol in the region. The study was carried out in Okoloba, a rural Ijaw community in Bayelsa State, where alcohol is produced and consumed in large quantities; using a cross-sectional study design. The data was collected from married or cohabitating adults aged between 16 and 65 years, with a structured interviewer-administered questionnaire. A total of 346 subjects, comprising 187 males, and 159 females were studied. They had an average age of 41.4 ± 2.5 years, were mostly Christians (91.9%), farmers/fisher folk (52.3%), and had at most primary school education (64.2%). More than 90% of the subjects took alcohol in the preceding year, while 36% can be classified as alcohol abusers according to their AUDIT score. More than half (55.8%) were perpetrators of intimate partner violence during the preceding 12 months, with a male-to-female prevalence of 83.4%, and female-to-male prevalence of 23.3%. Out of these, 77.2% were under the influence of alcohol during the act. The violence was more likely to be perpetrated by male alcohol abusers (p-value < 0.001), but there were no significant differences in the educational levels and religion of the perpetrators (p-value > 0.05). The study therefore concludes that there is a link between intimate partner abuse and alcohol abuse in the study community.
MeSH term(s)	Adolescent ; Adult ; Aged ; Alcoholism/diagnosis ; Alcoholism/epidemiology ; Alcoholism/psychology ; Cross-Sectional Studies ; Female ; Humans ; Interpersonal Relations ; Interviews as Topic ; Male ; Middle Aged ; Nigeria/epidemiology ; Risk Factors ; Rural Population ; Socioeconomic Factors ; Spouse Abuse/psychology ; Spouse Abuse/statistics & numerical data ; Young Adult
Language	English
Publishing date	2012-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	2028900-5
ISSN	1552-6518 ; 0886-2605
ISSN (online)	1552-6518
ISSN	0886-2605
DOI	10.1177/0886260511421676
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Article: Community participation and childhood immunization coverage: A comparative study of rural and urban communities of Bayelsa State, south-south Nigeria.

Itimi, Kalamawei / Dienye, Paul O / Ordinioha, Best

Nigerian medical journal : journal of the Nigeria Medical Association

2012 Volume 53, Issue 1, Page(s) 21–25

Abstract: Background: Immunization coverage rates in Nigeria have remained very poor, in spite of numerous programs and strategies, specifically designed to improve coverage. This study was to assess the possible effects of greater community participation on ... ...

Abstract	Background: Immunization coverage rates in Nigeria have remained very poor, in spite of numerous programs and strategies, specifically designed to improve coverage. This study was to assess the possible effects of greater community participation on immunization coverage, by comparing the immunization coverage in a rural community with a functional community health committee, with an urban community, with no distinct community structure. Materials and methods: The study was carried out in Ondewari, a rural, riverine community, in Bayelsa State; and Yenagoa, the capital of Bayelsa State, south-south Nigeria; using a cross-sectional, comparative study design. The data were collected using a structured interviewer-administered questionnaire, administered on female head of households in both communities, with under-five children; and used to collect information on the socio-demographic characteristics of the respondents, the immunization status of children in the household below the age of 2 years, and reasons for none and incomplete immunization. Results: A total of 288 respondents were studied in the rural community, while 270 respondents were studied in the urban center. The respondents in the urban center were significantly younger (P<0.01), better educated (P<0.001), and had fewer number of children (P<0.01). The immunization status of children in the rural community was significantly better than those in the urban community (P<0.000). Only 11.46% of the children in the rural community were not immunized, compared to 47.04% in the urban community. However, the dropout rate in the rural community was much higher; with a DPT dropout rate of 77.34%, compared to 12.39% in the urban community. Most of the reasons given in the urban community for the incomplete immunization were linked lack of motivation, and include relocation (11.34%) and the adverse rumor about childhood immunization (17.23%), while the reasons in the rural community were mostly health facility related, and included the absence of the vaccinator (20.46%) and nonavailability of vaccines (26.64%). Conclusion: The immunization coverage in the rural community was surprisingly better than that of the urban community, which can be attributed to better mobilization and participation in the delivery of immunization services.
Language	English
Publishing date	2012-12-26
Publishing country	Nigeria
Document type	Journal Article
ZDB-ID	424429-1
ISSN	0300-1652
ISSN	0300-1652
DOI	10.4103/0300-1652.99826
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