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  1. Article: Multimorbidity and Functional Status of the Elderly in a Primary Care Setting of Northern Nigeria: A Cross-Sectional Study.

    Abdulazeez, Z U / Grema, B A / Michael, G C / Abdulkadir, Z

    West African journal of medicine

    2021  Volume 38, Issue 7, Page(s) 620–628

    Abstract: Background: Globally, multimorbidity has attracted considerable attention in recent years. In resource-poor settings, the elderly bears the highest burden of chronic illnesses. Poor outcomes associated with multimorbidity in the elderly are well ... ...

    Abstract Background: Globally, multimorbidity has attracted considerable attention in recent years. In resource-poor settings, the elderly bears the highest burden of chronic illnesses. Poor outcomes associated with multimorbidity in the elderly are well reported. However, the relationship between multimorbidity and functional status in elderly patients in developing countries is poorly understood.
    Objective: To examine the burden of multimorbidity and functional disability as well as the factors associated with multimorbidity among the elderly in a primary care setting in Kano.
    Methods: This was a cross-sectional study of 279 elderly patients randomly selected among the General Outpatient Clinic attendees of a Nigerian tertiary hospital. Data on participants' socio-demographics and diagnoses were collected. The Katz activity of daily living index was used to assess functional status. Data were analysed using SPSS and odds ratios were calculated.
    Results: Participants were predominantly females (66.7%). The prevalence of multimorbidity and functional disability were 72.0% and 16.9%, respectively. Functional disability was found to have a positive interplay with multimorbidity (OR=20.819, 95%CI=1.752-247.4 and p=0.016). Other predictors of multimorbidity were lack of formal education (OR=0.362, 95%CI=0.141-0.931, p=0.035), unemployment (OR=0.386, 95%CI=0.165-0.903, p=0.028), and increased Body Mass Index (OR=218.8, 95%CI=12.090-3961.8 p<0.001).
    Conclusion: The burden of multimorbidity and functional disability is high. The predictors in this study could be valuable in identifying the elderly with greater risk of becoming multimorbid in similar primary care settings.
    MeSH term(s) Aged ; Chronic Disease ; Cross-Sectional Studies ; Female ; Functional Status ; Humans ; Multimorbidity ; Nigeria/epidemiology ; Prevalence ; Primary Health Care
    Language English
    Publishing date 2021-07-30
    Publishing country Nigeria
    Document type Journal Article
    ZDB-ID 1132088-6
    ISSN 0189-160X
    ISSN 0189-160X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3527: Show issues Location:
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  2. Article: Effect of Antenatal Couple Counselling on Postpartum Uptake of Contraception among Antenatal Clients and their Spouses attending Antenatal Clinic of a Northern Nigeria Tertiary Hospital: A Randomized Controlled Trial.

    Abdulkadir, Z / Grema, B A / Michael, G C / Omeiza, S Y

    West African journal of medicine

    2020  Volume 37, Issue 6, Page(s) 695–702

    Abstract: Background: Contraceptive non-use has great influence on maternal health and mortality in Northern Nigeria. Contraception counselling improves utilization, compliance to and efficiency of contraceptive methods. This study aimed at determining the effect ...

    Abstract Background: Contraceptive non-use has great influence on maternal health and mortality in Northern Nigeria. Contraception counselling improves utilization, compliance to and efficiency of contraceptive methods. This study aimed at determining the effect of antenatal couple counselling on postpartum uptake of contraception among antenatal clients and their spouses.
    Materials and methods: This was a randomized controlled trial of 150 antenatal clients with their spouses at a tertiary hospital in Northern Nigeria. Participants were randomly assigned to intervention and control groups. A well-designed questionnaire was used to assess participants' contraception awareness, contraceptive uptake pre- and post-intervention and husband participation. A validated counselling tool GATHER was used for the counselling.
    Results: Baseline knowledge of contraception was high (92%) among participants however, contraceptive uptake was low (28.3%); there was no significant difference between intervention and control groups (P= 0.94) at baseline. Post-intervention, there was significant difference in postpartum contraceptive uptake between intervention and control groups (48.5% versus 31.0%, respectively; McNemar's chi-square P=0.0001). The determinants of postpartum contraceptive uptake were participants' educational status [Odds ratio (OR)= 10.26, 95% CI =1.31-80.48,P= 0.03], occupation (OR= 10.25, 95% CI=1.06-87.38,P=0.03) and husbands' participation (OR = 0.03, 95% CI = 0.005-0.21,P=0.0001).
    Conclusion: Antenatal couple counselling impacted positively on postpartum contraceptive uptake. Inclusion of antenatal couple contraception counselling services should be promoted.
    MeSH term(s) Contraception ; Contraception Behavior ; Counseling ; Family Planning Services ; Female ; Humans ; Nigeria ; Postpartum Period ; Pregnancy ; Spouses ; Tertiary Care Centers
    Language English
    Publishing date 2020-12-06
    Publishing country Nigeria
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 1132088-6
    ISSN 0189-160X
    ISSN 0189-160X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3527: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article: Influence of prior internist encounter on glycaemic control among patients with type 2 diabetes mellitus at a family practice setting in Nigeria.

    Michael, Godpower Chinedu / Grema, Bukar Alhaji / Abdulkadir, Zainab / Ibrahim, Haliru / Haruna, Abdullah Ibrahim

    The Nigerian postgraduate medical journal

    2023  Volume 30, Issue 2, Page(s) 110–118

    Abstract: Background: The huge global diabetes burden and the paucity of diabetes specialists make primary care physicians important stakeholders in controlling diabetes. Hence, we examined the predictors of glycaemic control among primary care patients with type ...

    Abstract Background: The huge global diabetes burden and the paucity of diabetes specialists make primary care physicians important stakeholders in controlling diabetes. Hence, we examined the predictors of glycaemic control among primary care patients with type 2 diabetes mellitus (T2DM), highlighting the influence of prior internist encounters during the preceding year on glycaemic control.
    Methods: This questionnaire-based cross-sectional study involved 276 T2DM patients systematically recruited from attendees of a general outpatient clinic (GOPC) in Kano, Nigeria. Data regarding their sociodemographic, clinical and internist encounter and GOPC visit characteristics were collected. Data were subjected to descriptive and inferential statistical analysis.
    Results: Most participants (56.5%) were females; their mean age was 57.7 ± 9.6 years, mean glycated haemoglobin level was 7.3 ± 1.9%. Age, educational level, ethnicity, insurance status, current blood pressure (BP), treatment type, medication adherence, awareness of the importance of diet in DM control, specialist diabetic clinic visited, number of GOPC visits and prior encounter with an internist in the preceding year were associated with glycaemic control after bivariate analysis (P < 0.05). On multivariate regression, low education, retirees, being self-employed, uninsured, overweight, having optimal BP, using metformin alone, sulphonylurea-metformin and insulin-based treatments and prior encounter with the internist in the preceding year were predictors of optimal glycaemic control.
    Conclusion: There are multiple predictors of glycaemic control in this setting. These predictors should be considered in glycaemic control risk stratification towards quality individualised care, which includes establishing referral protocols to available specialists. Regular training of primary care physicians on diabetes care is also required.
    MeSH term(s) Female ; Humans ; Middle Aged ; Aged ; Male ; Diabetes Mellitus, Type 2 ; Hypoglycemic Agents/therapeutic use ; Blood Glucose ; Cross-Sectional Studies ; Nigeria ; Family Practice ; Glycemic Control ; Glycated Hemoglobin ; Metformin/therapeutic use
    Chemical Substances Hypoglycemic Agents ; Blood Glucose ; Glycated Hemoglobin ; Metformin (9100L32L2N)
    Language English
    Publishing date 2023-05-08
    Publishing country Nigeria
    Document type Journal Article
    ZDB-ID 2171096-X
    ISSN 1117-1936
    ISSN 1117-1936
    DOI 10.4103/npmj.npmj_22_23
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6015: Show issues Location:
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  4. Article: Socio-economic and Lifestyle Determinants of Functional Capacity of the Senior Attendees of an Outpatient Clinic in Northern Nigeria: A Cross-Sectional Study.

    Olawumi, A L / Grema, B A / Suleiman, A K / Michael, G C / Umar, Z A / Damagum, F M / Haruna, A I / Abdulkadir, Z / Kwaku, A

    West African journal of medicine

    2023  Volume 40, Issue 6, Page(s) 581–589

    Abstract: Background: Typical ageing changes and the associated health concerns frequently manifest themselves as reduction in their efficiency and functional capacity.: Objective: To identify the socioeconomic and lifestyle determinants of the functional ... ...

    Abstract Background: Typical ageing changes and the associated health concerns frequently manifest themselves as reduction in their efficiency and functional capacity.
    Objective: To identify the socioeconomic and lifestyle determinants of the functional capacity of elderly patients.
    Methods: A cross-sectional study involving 329 patients aged ≥ 60 years who presented to the General Outpatient Clinic. Data on socioeconomic, lifestyle, and functional capacity were collected. The functional capacity was assessed by the self-reported questionnaires: the Lawton and Katz indexes for the activity of daily living (ADL) and instrumental activity of daily living (IADL) respectively. The chi-square test and logistic regression analysis were used to determine associations between the variables. The level of significance was set at a p-value ≤ 0.05.
    Results: A total of 312 respondents completed the study, with 59.6% females and a mean age of 67.67 ± 7.69 years. The majority of the respondents (76.3%) belong to the low socioeconomic status (classes V and VI). The prevalence of functional dependence was 21.5% and 44.2% for ADL and IADL respectively. The disability in continence and food preparation had the highest prevalence among the components of ADL and IADL respectively. Advancing age, Hausa/Fulani tribe, polygamy, poor social support, and chronic pain were the determinants of functional dependence in ADL while age, female gender, marital status, and Fulani tribe were the determinants of functional dependence in IADL among the respondents.
    CONCLUSION: The identified determinants of functional capacity among the older persons should be considered when assessing their functional capacity in the primary care or similar settings.
    MeSH term(s) Aged ; Humans ; Female ; Aged, 80 and over ; Middle Aged ; Male ; Cross-Sectional Studies ; Nigeria/epidemiology ; Ambulatory Care Facilities ; Life Style ; Low Socioeconomic Status
    Language English
    Publishing date 2023-06-29
    Publishing country Nigeria
    Document type Journal Article
    ZDB-ID 1132088-6
    ISSN 0189-160X
    ISSN 0189-160X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3527: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    ab Jg. 2022: Lesesaal (EG)

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  5. Article: Prevalence and sociodemographic predictors of perceived family functionality, marital satisfaction and intimate partner violence during the COVID-19 lockdown among married primary healthcare users.

    Michael, Godpower Chinedu / Suleiman, Abdullahi Kabir / Abdulkadir, Zainab / Umar, Zainab Abdulazeez / Olawumi, Abdulgafar Lekan

    Journal of family medicine and primary care

    2022  Volume 11, Issue 11, Page(s) 7280–7288

    Abstract: Background: The impact of COVID-19 lockdown on family experiences has not been thoroughly evaluated, given the consequent stressful home environment it reportedly caused that can adversely affect family dynamics. This study examined the prevalence and ... ...

    Abstract Background: The impact of COVID-19 lockdown on family experiences has not been thoroughly evaluated, given the consequent stressful home environment it reportedly caused that can adversely affect family dynamics. This study examined the prevalence and sociodemographic predictors of perceived family functionality, marital satisfaction and intimate partner violence (IPV) during the lockdown among married healthcare users in a Nigerian primary care setting.
    Materials and methods: The study was cross sectional. Data were collected randomly from 432 eligible attendees of a primary care clinic in Kano, Nigeria. Information regarding participants' sociodemographic characteristics, family functioning, marital satisfaction and IPV were measured using a sociodemographic questionnaire, APGAR-, Kansas marital satisfaction- and verbal HITS-scales.
    Results: Respondents' mean (range) age was 30 (15-70) years; 293 (67.8%) were females. Family dysfunction, marital dissatisfaction and probable IPV were found in 44.2, 56.5 and 50.5% of respondents, respectively. The odds of a functional family were higher among caregiver and female respondents but lower among those aged ≥50 years, students, non-Hausa/Fulani, those with low education and residing outside the Kano metropolis during the lockdown. Marital satisfaction was higher among caregivers and respondents from polygamous families and lower among respondents aged ≥50 years. No studied sociodemographic variable predicted probable IPV.
    Conclusion: There was a high prevalence of family dysfunction, marital dissatisfaction and probable IPV among the respondents during the lockdown. These findings suggest screening married patients for family dysfunction, marital dissatisfaction and IPV during similar lockdowns for appropriate interventions. The predictor variables could form essential considerations for the screening.
    Language English
    Publishing date 2022-12-16
    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/jfmpc.jfmpc_954_22
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A systematic review of trends and patterns of congenital heart disease in children in Nigeria from 1964-2015.

    Abdulkadir, Mohammed / Abdulkadir, Zainab

    African health sciences

    2016  Volume 16, Issue 2, Page(s) 367–377

    Abstract: Background: Congenital heart diseases cause significant childhood morbidity and mortality. Several restricted studies have been conducted on the epidemiology in Nigeria. No truly nationwide data on patterns of congenital heart disease exists.: ... ...

    Abstract Background: Congenital heart diseases cause significant childhood morbidity and mortality. Several restricted studies have been conducted on the epidemiology in Nigeria. No truly nationwide data on patterns of congenital heart disease exists.
    Objectives: To determine the patterns of congenital heart disease in children in Nigeria and examine trends in the occurrence of individual defects across 5 decades.
    Method: We searched PubMed database, Google scholar, TRIP database, World Health Organisation libraries and reference lists of selected articles for studies on patterns of congenital heart disease among children in Nigeria between 1964 and 2015. Two researchers reviewed the papers independently and extracted the data. Seventeen studies were selected that included 2,953 children with congenital heart disease.
    Results: The commonest congenital heart diseases in Nigeria are ventricular septal defect (40.6%), patent ductus arteriosus (18.4%), atrial septal defect (11.3%) and tetralogy of Fallot (11.8%). There has been a 6% increase in the burden of VSD in every decade for the 5 decades studied and a decline in the occurrence of pulmonary stenosis. Studies conducted in Northern Nigeria demonstrated higher proportions of atrial septal defects than patent ductus arteriosus.
    Conclusions: Ventricular septal defects are the commonest congenital heart diseases in Nigeria with a rising burden.
    MeSH term(s) Child, Preschool ; Developing Countries ; Ductus Arteriosus, Patent/diagnosis ; Ductus Arteriosus, Patent/epidemiology ; Ductus Arteriosus, Patent/surgery ; Female ; Heart Defects, Congenital/diagnosis ; Heart Defects, Congenital/epidemiology ; Heart Defects, Congenital/surgery ; Heart Septal Defects, Atrial/diagnosis ; Heart Septal Defects, Atrial/epidemiology ; Heart Septal Defects, Atrial/surgery ; Heart Septal Defects, Ventricular/diagnosis ; Heart Septal Defects, Ventricular/epidemiology ; Heart Septal Defects, Ventricular/surgery ; Humans ; Incidence ; Infant ; Infant, Newborn ; Male ; Nigeria/epidemiology ; Survival Rate ; Tetralogy of Fallot/diagnosis ; Tetralogy of Fallot/epidemiology ; Tetralogy of Fallot/surgery
    Language English
    Publishing date 2016-06
    Publishing country Uganda
    Document type Journal Article ; Review
    ZDB-ID 2240308-5
    ISSN 1729-0503 ; 1680-6905
    ISSN (online) 1729-0503
    ISSN 1680-6905
    DOI 10.4314/ahs.v16i2.5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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