Department of Medicine & Surgery
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Item Value of the Brain and Spinal Injury Center Score in Assessment and Prognosis of Acute Traumatic Spinal Cord Injury(Neurotrauma Reports, 2024-02-02) Temitope, I.B.; Salman, A.Y.; Mahmud, R.J.; Jimoh, O.K.; Duro, C.D.The objective was to assess the severity of neurological injury in acute traumatic spinal cord injury (ATSCI) using the BASIC (Brain and Spinal Injury Center) score, to correlate with the American Spinal Injury Association (ASIA) Impairment Scale (AIS) grade at admission and at 3 months postinjury in patients managed for ATSCI at National Hospital, Abuja, and thereby validate the novel BASIC score. This was a prospective longitudinal hospital-based study involving consecutive patients diagnosed with ATSCI and managed at the National Hospital, Abuja. Sixty-five participants met the inclusion criteria. Each patient was resuscitated along the Advanced Trauma Life Support protocol, followed by history, neurological examination according to the International Standards for the Neurological Classification of Spinal Cord Injury (ISNCSCI), and AIS grades that were recorded. Magnetic resonance imaging scan of the injured spinal cord was done, and BASIC scores were assigned. Further management was as per the standard. Three months after injury, neurological examination was again carried out based on ISNCSCI and AIS grades assigned. Data were collected, analyzed, and correlated using Excel and SPSS version 23. Means, medians, correlation coefficients, and Fisher’s exact t-tests were determined. p-Value from grade B to C (6.2%), which was statistically significant (p = 0.04). BASIC score correlated moderately with admission AIS grade (p = 0.532). BASIC score also correlated moderately with AIS grade at 3 months postinjury (p = 0.546). BASIC score 4 was best at predicting poor outcome in ATSCI. In conclusion, BASIC score has a moderate correlation with AIS grade in ATSCI and can predict poor outcomes in ATSCI. BASIC score of 4 has the best discriminant value in prognosticating and represents severe SCI.Item Correlates of Socio-Demographic Variables and Attitude to Condom Use in HIV/AIDS Prevention among Students in Some Selected Nigerian Universities(Nigerian Medical Journal | Published by Wolters Kluwer - Medknow, 2020-02-02) Duru, F.I.; Yama, O.E.; Duro, C.D.; Odetola, A.A.; Danboyi, O.T.; Avidime, O.M.; Mohammed, K.A.Background: Unprotected heterosexual sexual act has been correlated with unwanted pregnancy and sexually transmitted diseases (STDs) especially HIV/AIDS, which still has a high endemicity in Africa. This study aimed to determine the association between socio demographic variables(SDVs),sexual experience, and the use of condom. Setting and Design:This was a cross sectionalstudy comprising 542 undergraduate students, randomly selected from three Nigerian universities. Methodology: Well structured open ended questionnaires were administered to respondents. Bivariate analysis was used to determine the association between SDVs and attitude to condom use and between the SDVs, sexual experience and the use of condom. Data were analyzed using Epi6 6.04 and SPSS 10.0 software packages. Pearson’s Chi square (χ2 ) and Fisher’s exact tests were used as applicable. The level of significance was set at P < 0.05. Results: Approximately 46% of the respondents were sexually active (consisting of about 71% of those 25–29 years old and 58% of the males [P < 0.001]). About 50.4% had a single sexual partner and 86.7% had “ever used” condom. The most common reasons given for use of condom were prevention of pregnancy (91.7%) and STDs (89.1%). All the SDV except religion significantly (P < 0.05) accounted for the disparity in sexual attitudes of the students. Those aged 25 years and above, males and Tiv tribe were more likely to indulge in sexual activities (P < 0.001). More females (98%) compared to males (83%) had ever used condom in their sexual experience (P = 0.010), while there was no significant association between any of the SDVs and use of condom in the last sexual exposure (P > 0.05). Conclusion: SDVs play a role in determining the attitude of students towards condom use and sexual experiences. Programs regarding sexual and reproductive health including safe sex education especially among young Nigerian students should be developed or strengthened.