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Pattern of Neurological Disorders among Children Presenting at the Neurology Unit of Tertiary Hospital in Awka

Open Journal of Endocrine and Metabolic Diseases 2023年第4期13卷 53-62页

作者： christian chukwuemeka ifezulike Kenneth Nchekwube Okeke Chinyere Ukamaka Onubogu Sylvia Tochukwu Echendu Amalachukwu Okwukweka Odita Nkiru Veronica Agu Ezeogu Joseph Stanley Kenechukwu Onah Department of Paediatrics Faculty of Clinical Medicine Chukwuemeka Odumegwu Ojukwu University (COOUTH) Amaku Awka Nigeria Department of Paediatrics Faculty of Medicine Nnamdi Azikiwe University Awka Nigeria Department of Paediatrics Nnamdi Azikiwe University Teaching Hospital Nnewi Nigeria Department of Paediatrics Imo State Teaching Hospital Orlu Nigeria

Background: Many children in Nigeria suffer from detrimental, debilitating and lifelong neurologic disorders, many of which are highly preventable using simple, cost-effective interventions. Objective: To examine the pattern of neurological disorders among children presenting at the neurology unit of chukwuemeka Odumegwu Ojukwu University Teaching Hospital Amaku, Awka, Nigeria. Methods: A retrospective review of the hospital records of children who presented at the Paediatric Neurology Unit between 1st March 2020 and 31st March 2022 was carried out. Data were abstracted using a proforma and analyzed using SPSS Version 21. Results: A total of 138 children aged 0 to 15 years were seen in the unit during the period under review. 115 (83.35%) of these children were diagnosed with chronic neurological disorders. Those with chronic neurological disorders had a male:female ratio of 1.9:1, and the majority (65%) of them were below 5 years of age. The most common presenting complaints were delayed milestones (43.4%), seizures (23.8%), and speech disorders (17.2%). The most typical diagnosis was cerebral palsy (CP) (34.7%), seizure disorder (29.8%) and attention deficit hyperactivity disorder (8.9%). Perinatal asphyxia (47.7%), neonatal jaundice (17.0%) and central nervous system infections (CNS) infections (12.5%) were identified as the major risk factors responsible for these neurologic disorders. Conclusion: Cerebral palsy and seizure disorders constitute the major neurological disorders among children seen in our institution. Efforts should be intensified at reducing the incidence and impact of perinatal asphyxia, neonatal jaundice and CNS infections, identified as the major culprits, to curb the menace of these debilitating lifelong neurologic sequelae.

关键词： Pattern Neurological Disorders Children

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Socio-Demographic Factors Associated with Obesity among Adolescents in Secondary School in Onitsha, South East Nigeria

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Open Journal of Endocrine and Metabolic Diseases 2023年第7期13卷 85-106页

作者： Nkiru Veronica Agu Kenneth Nchekwube Okeke Sylvia Tochukwu Echendu Chinyere Ukamaka Onubogu Joy Chinelo Ebenebe Thomas Obiajulu Ulasi Njideka Constance Uchefuna christian chukwuemeka ifezulike Amalachukwu Okwukweka Odita Joseph Ezeogu Department of Paediatrics Nnamdi Azikiwe University Teaching Hospital Nnewi Nigeria Department of Paediatrics Faculty of Clinical Medicine Nnamdi Azikiwe University Awka Nigeria Department of Paediatrics Faculty of Clinical Sciences Chukwuemeka Odumegwu Ojukwu University Teaching Hospital Awka Nigeria Department of Paediatrics Imo state Teaching Hospital Orlu Nigeria

Background: The prevalence of obesity among adolescent has been on the increase worldwide. This is probably a result of increase in the sedentary life style and the increasing shift to western diet. Obesity in children and adolescents has adverse consequences. These include increase in the rate of Diabetes Mellitus, hypertension, dyslipidemia, cardiovascular diseases, etc with resultant increase in premature deaths. Objectives: To determine the socio-demographic and behavioral factors associated with overweight and obesity in apparently healthy secondary school adolescents. Methods: This was a cross-sectional study of secondary school adolescents aged 10 - 19 years randomly selected from two public schools and three private schools. The weight and heights of study subjects were measured using standard equipment. Body mass index (BMI) was appropriately calculated and the WHO growth reference standard for age and gender, specific percentile for BMI was used to define overweight 85th to 97th and obese (97th percentile and above). Results: Data were initially collected from 1250 participants, but 52 were excluded due to improperly completed questionnaires. Thus, a total of 1198 students were ultimately included in the study, giving a response rate of 95.8%. These included 621 females (51.8%) and 577 males (48.2%) aged 10 - 19 years giving a F:M ratio of 1:0.9. The mean age of the students was 15.07 ± 1.96 years overall, 15.13 ± 2.08 years for males and 15.03 ± 1.83 years for females. There was no statistically significant difference between male and female in the distribution of age groups (p = 0.12). The mean BMI was 21.51 ± 3.57 kg/m2 for females and 20.22 ± 3.16 kg/m2 for males. The BMI was significantly higher in females in all age groups (p < 0.001) except those aged 10 - p = 0.13). The prevalence rates of overweight and obesity were higher in females than males (17.7% vs 10.7%, 5.6% vs 4.5% respectively;p ≤ 12

关键词： Adolescent Obesity Socio-Demographic Behavioral Factors

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Pattern of Neurological Disorders among Children Presenting at the Neurology Unit of Tertiary Hospital in Awka

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Open Journal of Endocrine and Metabolic Diseases（内分泌与新陈代谢疾病期刊） 2023年第4期

作者： christian chukwuemeka ifezulike Kenneth Nchekwube Okeke Chinyere Ukamaka Onubogu Sylvia Tochukwu Echendu Amalachukwu Okwukweka Odita Nkiru Veronica Agu Ezeogu Joseph Stanley Kenechukwu Onah

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Socio-Demographic Factors Associated with Obesity among Adolescents in Secondary School in Onitsha, South East Nigeria

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Open Journal of Endocrine and Metabolic Diseases（内分泌与新陈代谢疾病期刊） 2023年第7期

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