COLLEGE OF MEDICAL SCIENCES

KNOWLEDGE, ATTITUDES AND PRACTICES OF PHYSIOTHERAPISTS ABOUT CLINICAL DOCUMENTATION IN UNIVERSITY OF BENIN TEACHING HOSPITAL

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Background: It seeks to identify the current level of understanding, perceptions, and actual documentation behaviors among these professionals. The research aims to highlight areas for improvement in documentation quality, which is crucial for effective patient care, legal compliance, and interdisciplinary communication about the Knowledge, Attitudes, and Practices of Physiotherapists concerning clinical documentation within the University of Benin Teaching Hospital (UBTH). Aim: The aim of this study is to evaluate the knowledge, attitudes and practices, that regards about clinical documentation in University of Benin Teaching Hospital, with a focus on understanding how these factors influence the quality of patient care, compliance with legal and professional standards, and overall effectiveness of treatment outcomes. Methods: A descriptive cross-sectional design. It will be aimed at assessing the knowledge, attitudes, and practice (KAP) of 45 physiotherapists regarding clinical documentation at the
University of Benin Teaching Hospital (UBTH). Data will be collected over a period of two
weeks. Questionnaires will be distributed physically to eligible participants in each Unit. Respondents will be given time to fill out the questionnaire at their convenience and return it within three day. Data will be analyzed using the Statistical Package for the Social Sciences (SPSS) version 25. Descriptive statistics such as frequencies, percentages, means, and standard
deviations will be used to summarize data. Inferential statistics such as chi-square tests will be used to explore relationships between knowledge, attitudes, and practice. Results: The study analyzed data from 45 fully completed questionnaires administered to full￾time registered Physiotherapists at the University of Benin Teaching Hospital (UBTH). The iv respondents were a largely youthful group, with most aged 28–33 years (33.3%) and having 1–5 years of work experience (37.8%). A majority (68.9%) held a BSc/BMR in Physiotherapy. Conclusion: Physiotherapists at the University of Benin Teaching Hospital possess a moderate level of knowledge, positive attitudes, and good practices regarding clinical documentation.[1] While general awareness is present, specific areas for improvement in documentation practices were identified, suggesting a need for targeted educational interventions to enhance the quality and completeness of clinical records.
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RADIOGRAPHIC EXAMINATIONS IN SELECTED HEALTH FACILITIES IN BENIN CITY: PATIENTS’ PERCEPTION OF RADIOGRAPHY STUDENTS’ PARTICIPATION

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Patient perception of radiography students’ participation during radiographic examinations plays a vital role in shaping the quality of clinical training and overall radiography education. This study assessed patients’ perception of radiography students’ involvement during radiographic procedures in selected health facilities in Benin City, Nigeria. A descriptive cross-sectional design was employed, and data were collected using a structured questionnaire administered to 174 patients, of which 170 were valid for analysis, yielding a 97.7% response rate. Stratified random sampling ensured representativeness, and data were x analyzed using the Statistical Package for the Social Sciences (SPSS) version 27. Descriptive statistics (frequencies, means) and chi-square tests were used to examine associations between socio-demographic factors and patient perceptions. Findings revealed that 54% of patients expressed a negative perception of radiography students’ participation, while 46% had positive views. The overall mean score of 2.4 (below the 2.5 cut-off) indicated a generally unfavorable perception. However, consistent with some previous studies, patients acknowledged the importance of student involvement for professional training and accepted their presence when adequate supervision was provided. Concerns were noted regarding students’ competence, communication, and maintenance of privacy, aligning with earlier research highlighting the need for reassurance and professionalism in student-patient
interactions. The study concludes that although patients demonstrated a cautious and moderately negative perception of radiography students’ participation, effective supervision and improved communication could enhance patient comfort and acceptance. It is recommended that radiography departments strengthen supervision, ensure informed patient consent, and emphasize empathy, respect, and professionalism in clinical training to promote positive patient experiences and support student learning.
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A STUDY OF PATIENT ANXIETY AND STRESS AMONG WOMEN UNDERGOING HYSTEROSALPINGOGRAPHY PROCEDURES IN BENIN CITY , EDO STATE

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Hysterosalpingography (HSG) plays an important role in the diagnostics and evaluation of infertility. Patients, however, face significant levels of anxiety and fear concerning the procedure which may be attributed to discomfort. This Study evaluated the levels of anxiety, understanding of HSG, clinician-patient communication, and the effect of music therapy as a distraction on
anxiety in women undergoing HSG in Benin City Nigeria. The study design was a prospective cross-sectional design within the University of Benin Teaching Hospital and Raytouch Diagnostic Center. A total of 113 women undergoing HSG procedure were administered a structured questionnaire that included a demographics questionnaire, HSG knowledge test, and hysterosalpingography related anxiety levels, communication and interaction with health care providers, along with music experiences integration. The data were analysed using a descriptive statistics and chisquare test. The mean age was 34.6 years, with 72.6% married and 85.8% having tertiary education. While 85.0% received preprocedural information and 80.5% understood HSG's objectives, moderate to high anxiety levels were reported by 68.2% of participants regarding tension and 73.5% regarding pain concerns. Patient-provider communication was rated positively by 84.1%, and 70.8% felt it reduced their fears. All participants (100%) received music intervention, with 85.8% reporting increased relaxation and 77.9% experiencing reduced anxiety. Pain was the primary concern (38.1%), and 82.3% would recommend music to others. Although there was sufficient knowledge with women undergoing HSG, there is significant anxiety. Music intervention is an effective way to reduce anxiety and increase patient comfort supporting its integration into standard HSG protocols.
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EFFECT OF X-RAY EQUIPMENT DOWNTIME ON PATIENTS SATISFACTION IN A TERTIARY INSTITUTION IN BENIN CITY

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X-ray imaging is crucial in diagnosis and treatment planning but the failure of equipment to deliver services efficiently is major challenge to service delivery in most of the developing healthcare systems. This paper evaluated the causes, incidence and outcome of X-ray equipment down times on patient satisfaction at a tertiary hospital in Benin City. This was a descriptive cross-sectional study, in which 200 patients were surveyed by use of a structured questionnaire. Descriptive statistics and Chi-square tests at 0.05 level of significance were used to analyze the data. The results showed that poor maintenance was rated as the significant reason to the downtime, and 74 percent of the participants indicated that the equipment failure was common. Frequently, over half of the patients (56%) had waited because of machine failure, and downtime was found to have a significant negative impact on the flow of patients, the waiting time, and the delay of treatment. The patient effect was high as most patients highlighted discontentment, anxiety, and having to revisit another day because of cancelled appointments. The chi-square findings indicated that there was a statistically significant correlation between equipment downtime and delayed care (kh2 = 92.45, df = 16, p < 0.0001), which confirmed the fact that equipment downtime adversely impacts on service quality and patient satisfaction. The researcher makes the conclusion that the direct impact of X-ray equipments downtime on patient care and satisfaction in UBTH is negative. It suggests that preventive maintenance schedules, quick-response technical support and better communication with patients during a service interruption be implemented. Improving equipment management practices will improve continuity of service delivery, decrease patient dissatisfaction, and boost the general efficiency of diagnostic services in tertiary health institutions.
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MALE INVOLVEMENT IN FAMILY PLANNING ACTIVITIES IN OVIA NORTH EAST LOCAL GOVERNMENT AREA, EDO STATE, NIGERIA

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Background: Family planning is a critical component of reproductive health, yet male involvement in family planning activities remains limited in many low- and middle-income settings. In Nigeria, the contraceptive prevalence rate among married women is only 20%, and men continue to be underrepresented in reproductive health programmes despite their significant influence as household decision-makers. Ovia North East Local Government Area of Edo State reflects these broader national challenges, with inadequate knowledge, socio- cultural barriers, and low male participation identified as key drivers of poor family planning outcomes. Few studies have specifically assessed male involvement using a composite multi￾indicator approach in this setting. Objectives: To assess male involvement in family planning activities in Ovia North East LGA, Edo State. Methodology: A descriptive cross-sectional study design was used. Four hundred and eight (408) adult men in stable sexual relationships or marriages were selected from communities across Ovia North East LGA using a multi-stage sampling technique. Data were collected using a structured, self-administered questionnaire and analysed with IBM SPSS version 27. Descriptive statistics, chi-square tests, and binary logistic regression were performed. A composite ten-indicator score was used to classify male involvement as high (score ≥ 7 out of 10) or low. The level of significance was set at p < 0.05. Results: A total of 408 men participated with a response rate of 100%. The mean age (SD) was 42.7 ± 11.4 years. Most respondents were married 308 (75.5%), predominantly Christian 384 (94.1%), with tertiary education accounting for 203 (49.7%) and the majority belonging to the middle socioeconomic class 312 (76.5%). Of the 408 respondents, 363 (89.0%) had heard of family planning; health workers 195 (53.7%), radio or television 193 (53.2%), and friends or relatives 191 (52.6%) were the most common sources. Overall, 262 (72.2%) of those who had heard of family planning had good knowledge, while 101 (27.8%) had poor knowledge. Being married was the only independent predictor of poor knowledge (OR = 0.466, 95% CI: 0.232–0.934, p = 0.031). Nearly all respondents 391 (95.8%) had a positive attitude towards family planning. Christianity was the strongest independent predictor of positive attitude (OR = 9.086, 95% CI: 2.066–39.953, p = 0.003), followed by nuclear family type (OR = 6.530, 95% CI: 1.400–30.467, p = 0.017). Slightly more than half 226 (55.4%) xiv had discussed family planning with their partner, and most 325 (79.7%) approved of their partner using a method, but only 112 (27.5%) had accompanied their partner to a health facility. Less than half 176 (43.1%) were currently using any family planning method, with condoms 111 (63.1%) and withdrawal 83 (47.2%) being the most common methods; vasectomy remained virtually unused 1 (0.6%). Nuclear family type was the only independent predictor of current family planning use (OR = 1.878, 95% CI: 1.007–3.500, p = 0.047). Knowledge of service location (χ² = 30.702, p < 0.001) and perceived affordability (χ² = 28.824, p < 0.001) were the most strongly associated factors with current use, while cultural or religious beliefs were a significant barrier (χ² = 6.111, p = 0.013). Regarding male involvement, 160 (39.2%) were classified as having high involvement and 248 (60.8%) low involvement. The most commonly met indicator was considering family planning a joint responsibility 376 (92.2%), while community participation in health talks was the least met 107 (26.2%). Education (χ² = 42.035, p < 0.001), occupation (χ² = 32.673, p < 0.001), socioeconomic status (χ² = 38.636, p < 0.001), marriage type (p = 0.014), and family type (p = 0.020) were significantly associated with male involvement. Health worker discussion of family planning was the strongest independent predictor of high involvement (OR = 5.768, 95% CI: 3.366–9.885, p < 0.001), followed by good knowledge (OR = 2.028, 95% CI: 1.137– 3.619, p = 0.017) and upper class socioeconomic status (OR = 27.794, 95% CI: 2.358– 327.618, p = 0.008). Conclusion: Nearly three-quarters of men in Ovia North East LGA had good knowledge of family planning and almost all demonstrated a positive attitude. However, slightly less than two-fifths had high overall involvement, and less than half were currently using any family planning method. Health worker engagement emerged as the most powerful modifiable predictor of high involvement. Health authorities should institutionalise routine male family planning counselling at all primary health centres, expand male-targeted community outreach, and engage religious and traditional leaders to create an enabling environment for active male participation in family planning.
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ANXIOLYTIC ACTIVITY OF Gongronema latifolium IN WISTAR RATS EXPOSED TO MANGANESE CHLORIDE: A NEUROBEHAVIOURAL STUDY

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This study investigates whether the plant Gongronema latifolium can reduce anxiety (anxiolytic effect) and protect the brain from damage caused by exposure to manganese chloride in laboratory rats.Manganese, although essential in small amounts, becomes toxic when taken in excess. It can accumulate in the brain, leading to oxidative stress, neuronal injury, and behavioral changes such as anxiety and restlessness. Excessive exposure to manganese (Mn) has been associated with neurotoxicity, leading to anxiety-like behaviors due to oxidative stress and neuronal damage. Gongronema latifolium is a medicinal plant commonly used in African traditional medicine for its antioxidant, anti-inflammatory, and protective properties. The research evaluates how effective extracts of this plant are in preventing or reducing anxiety behaviors and brain damage caused by manganese.Wistar rats were exposed to manganese chloride and then treated with different doses of Gongronema latifolium. Their behavior was tested using standard models of anxiety such as the Elevated Plus Maze, Open Field Test, tail suspension test and string test. Brain tissues were later examined for structural and biochemical changes.The study found that Gongronema latifolium reduced anxiety-like behavior, improved antioxidant enzyme levels, and preserved brain structure — showing that it has both anxiolytic and neuroprotective effects. Forty-eight (48) adult Wistar rats of both sexes (n = 8 per group) with an initial mean weight of 100 ± 10 g were randomly divided into six groups. Group A served as the normal control and received distilled water; Group B received manganese chloride (10 mg/kg) to induce anxiety; Groups C and D were treated with manganese chloride plus Gongronema latifolium extract (100 mg/kg and 200 mg/kg, respectively); Group E received Gongronema latifolium (100 mg/kg) as a standard anxiolytic; and Group VI received Gongronema latifolium extract alone (200 mg/kg). Treatments were administered orally for the Gongronema latifolium and intraperitoneally for Manganese chloride for 28 comsecutives days. Neurobehavioral parameters were assessed using the Tail suspension test (TST) ,String Test, Elevated Plus Maze (EPM) and Open Field Test (OFT). Brain tissues were harvested for histological and biochemical analysis.Manganese exposure significantly (p < 0.05) increased anxiety-like behaviors, evidenced by reduced open-arm entries and time in the EPM and decreased central zone exploration in the OFT. Pre-treatment with Gongronema latifolium significantly ameliorated these effects in a dose-dependent manner, comparable to diazepam. In conclusion, Gongronema latifolium demonstrated potent anxiolytic and neuroprotective activities against manganese-induced neurotoxicity through antioxidant and neurorestorative mechanisms. These findings suggest its potential as a natural therapeutic agent for managing anxiety disorders associated with heavy metal neurotoxicity.
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EFFECTS OF CAFFEINE ON GASTRIC DAMAGE IN ADULT WISTAR RAT

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Caffeine is a commonly ingested psychoactive substance classified under the methylxanthine group and acts primarily as a central nervous system stimulant. It occurs naturally in beverages and foods such as coffee, tea, cocoa-based products, and numerous energy formulations. Although moderate consumption promotes wakefulness and diminishes tiredness, excessive exposure has been implicated in adverse gastrointestinal outcomes, particularly affecting gastric integrity. This investigation evaluated the impact of graded caffeine administration on the gastric structure and functional indices of adult Wistar rats. A total of twenty adult Wistar rats were randomly assigned to four experimental groups. The control group (Group A) received distilled water, whereas Groups B, C, and D were administered caffeine at doses of 50 mg/kg, 100 mg/kg, and 200 mg/kg body weight respectively for a duration of 21 days. Following the treatment period, the animals were humanely sacrificed, and gastric tissues were harvested for histopathological assessment using Hematoxylin and Eosin (H&E) staining techniques. Morphometric parameters including body weight, gastric weight, and gastrosomatic index were recorded and subjected to statistical analysis. Findings demonstrated a statistically significant (p < 0.05) increase in body weight in all groups relative to baseline values, though weight gain was comparatively reduced in the higher-dose cohorts. Elevated stomach weights and gastrosomatic index values were observed in Groups C and D, suggesting inflammatory changes. Microscopic evaluation revealed preserved gastric histoarchitecture in the control and low-dose groups, whereas the highest dose group (200 mg/kg) exhibited superficial mucosal erosion, vascular congestion within the gastric wall, and submucosal vasodilatation, indicating dose-related gastric injury. Overall, the study establishes that caffeine induces dose-dependent morphological alterations in the gastric tissue of adult Wistar rats. Excessive intake was associated with inflammatory and erosive changes, underscoring the potential gastric risks of high caffeine consumption and supporting moderation in dietary intake.
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EFFECTIVENESS OF CONSTRAINT-INDUCED MOVEMENT THERAPY ON UPPER-LIMB FUNCTION AMONG HEMIPLEGIC STROKE SURVIVORS IN UNIVERSITY OF BENIN TEACHING HOSPITAL, BENIN CITY

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Background / Purpose: The upper limb function of a stroke survivor following stroke recovery is essential for their functional independence and quality of life. Several studies have been done on the effectiveness of CIMT on upper limb function among hemiplegic stroke patients, however published articles on the effectiveness of CIMT on upper-limb function among hemiplegic stroke survivors in Nigeria are scanty or not available.The study aimed to evaluate the effectiveness of Constraint-Induced Movement Therapy (CIMT) on upper limb function among hemiplegic stroke survivors in a tertiary institution in Benin City. Methods: Simple random sampling technique was used based on the inclusion and exclusion criteria to recruit the 52 participants and they were randomly assigned into a control group and an experimental group. Descriptive and Inferential statistics using One-Way ANOVA Tukey’s post-hoc test to pinpoint specific differences. Alpha level was 0.05. Results: The results showed that CIMT demonstrated significant improvements in upper limb function compared to those who received conventional therapy. The CIMT group showed higher gains in all measured parameters after the eight- week intervention. Statistical analysis revealed a significant difference at p < 0.05 between the groups. Conclusion: The experimental group demonstrated significant increase in muscle strength, muscle endurance, joint flexibility and hand function. Participants also reported higher engagement and motivation throughout the intervention period. These results suggest that CIMT enhances motor recovery and functional performance among stroke survivors, promoting a more effective rehabilitation experience.
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CHANGES IN OXIDATIVE STRESS MARKER LEVELS IN YOUNG ADULT MALES OF DIFFERENT GENOTYPE POST FUNCTIONAL EXERCISE

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The six-minute walk test (6MWT) is a widely-used submaximal field walking test used to evaluate functional exercise capacity. It assesses the distance an individual can walk on a flat, hard surface in six minutes and the final distance is recorded in meters. This study was aimed to investigate changes in oxidative stress marker levels in young adult males of different genotypes post functional exercise at the University of Benin. Forty-four (44) healthy young adult males aged 18-29 years were recruited for this study. Oxidative stress arises from an imbalance between elevated reactive oxygen species (ROS) and insufficient antioxidant defenses Oxidative stress marker levels were measured pre and post-test. The analysis was done at the chemical pathology laboratory of the University of Benin Teaching Hospital, Benin City. The statistical analysis was done using Graph Pad Prism statistical package Version 8.1. The standard error of mean (SEM) was used in tables and graphs to display the results. The dependent and independent variable means were compared using the student t-test. P<0.05 was accepted as significant. The results showed that there was no significant change in the oxidative stress marker levels relative to genotype.
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PREVALENCE AND RISK FACTORS OF LOW BACK PAIN AMONG BRICKLAYERS IN EGOR LOCAL GOVERNMENT AREA, EDO STATE

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Background: Low back pain (LBP) is a leading cause of occupational disability worldwide, particularly among manual laborers such as bricklayers who are frequently exposed to physical stressors like lifting, bending, and awkward postures. Despite its impact on productivity and health, there is limited local data on LBP among bricklayers in Egor Local Government Area (LGA) of Edo State, Nigeria. Methods: A descriptive cross-sectional survey was conducted among 222 active bricklayers in Egor LGA using a structured, validated questionnaire adapted from the Standardized Nordic Questionnaire. Data were analyzed using the Statistical Package for Social Sciences (SPSS) version 26. Descriptive statistics summarized prevalence data, while Chi-square tests and logistic regression were applied to determine associations between LBP and occupational/personal factors at a significance level of p < 0.05. Results: Findings revealed that the 12-month prevalence of LBP among bricklayers was high. Significant occupational factors associated with LBP included prolonged bending, lifting heavy materials, poor posture, and long working hours. Personal factors such as age, smoking, and elevated body mass index (BMI) also contributed significantly. The majority of affected workers reported recurrent pain episodes that interfered with daily work performance and overall well-being. Conclusion: The prevalence of LBP among bricklayers in Egor LGA is substantial and largely attributable to preventable ergonomic and behavioral factors. Strengthening ergonomic education, enforcing rest breaks, and promoting the use of mechanical aids can reduce the burden of LBP and enhance worker productivity.
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