Anthony Waka Udezi

PUBLIC PERCEPTION TOWARDS ANTIBIOTIC USE

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Abstract
Antibiotics have played monumental role in the control and management ofinfectious disease since their discovery, saved lives of countless patients and improved patient care in general. However, antibiotic misuse and unnecessary use of antibiotics contributes to the process of antibiotic resistance, which is considered a global concern.The population playsan important role in abuse or irrational use of antibiotics and spread of bacterial resistance. Aim of Study: To assess the public perception towards the use of antibiotics. Methods: A cross sectional 20 - item questionnaire survey involving a convenience sampleof611 individuals was conducted in Benin City and Lagos State. The questionnaire consists of two sections; the first section comprises of socio-demographic data including age, gender, occupational status, educational level, marital status, monthly income. The second section consists of 20 items which collected data about perception towards antibiotics use. Data collected was analyzed using SPSS version 21 and inferential analysis was carried out using Graph PadInstant version 3.10. Results: From this study, a total of 611 respondents participated out of which 602 questionnaires were completed appropriately therefore giving a high response rate of 98.5%.Those whowerestudents had a higher perception of 69.88 ± 11.60 compared to those who were self-employed(63.52 ± 10.28) while respondents with a tertiary level of education had a better perception(70.37 ± 11.72) compared to those with a secondary level of education or lower. Older respondents had a high perception towards the use of antibiotics however in comparison to more than half of the respondents who were females; male respondents had a better perception towards the use of antibiotics. None of the items loaded had values < 0.4 which indicates their adequate contribution to the summary scores. Conclusion
This study revealed that occupational status and educational level of respondents was significantly associated with perception towards antibiotic use.
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THE EFFECT OF BODY AND ARM POSITIONS ON BLOOD PRESSURE READINGS

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Background: Blood pressure (BP) is the force exerted by circulating blood against the walls of the arteries as it is pumped by the heart. It is measured in millimetres of mercury (mmHg) and expressed as two numbers: Systolic BP (the pressure during heart contraction) over diastolic BP (the pressure during relaxation). Hypertension and hypotension are two common conditions associated with blood pressure dysregulation. Accurate measurement of BP is crucial in diagnosing and managing hypertension, which is a major risk factor for cardiovascular diseases, stroke, and kidney failure. Body and arm positioning significantly affect the accuracy of blood pressure readings. Purpose: This study is to investigate the effect of body and arm positions on blood pressure readings.
Methods: The study checks the blood pressure of 60 student participants using a digital and a mercury sphygmomanometer to compare the difference in readings obtained before the digital sphygmomanometer was then used to measure the blood pressure of 60 staff of the University of Benin.
Results: The difference between the digital sphygmomanometer readings against mercury sphygmomanometer was determined to not be statistically significant (P>0.05). The findings show that the difference between the blood pressure values derived from the standard blood pressure measurement posture compared to the other 9 different arm and body positions used in this study was determined to be statistically significant (P-value <0.0001).
Conclusion: Body and arm positioning have significant effects on blood pressure readings, regardless of sex, age, or body mass index. Improper positioning such as unsupported back, crossed legs, or arm below heart level results in elevated readings that may lead to overestimation of blood pressure and potential misdiagnosis of hypertension. Digital sphygmomanometers can provide reliable results if proper blood pressure measurement techniques are followed.
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co-supervisor