Browsing by Author "Osowole, O. S."

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Attitude of health care workers to the involvement of alternative healthcare providers in the home management of childhood malaria
(Baywood Publishing Co., inc, 2005) Falade, C. O.; Osowole, O. S.; Adeniyi, J. D.; Oladepo, O.; Oduola, A. M. J.
The attitudes of 193 healthcare workers (Nurses (35.7%), auxiliary nurses' (35.7%), followed by community health officers (26.4%) in 55 primary and secondary healthcare facilities to home management of malaria were evaluated in four local government areas in Southwestern Nigeria. Results showed that mothers and patent medicine sellers were perceived as offering useful services in home management of malaria by giving first aid and selling antimalaria drugs, respectively. Although 79% of respondents expressed the opinion that mothers are the most appropriate to give first line management to children suffering from malaria, 56% were also of the view that such children should receive definitive treatment in a formal health care facility. Furthermore, 45% of the respondents felt that only formal healthcare workers should treat children who have malaria irrespective of the location of the treatment because mothers, patent medicine sellers, and traditional healers have not been formally trained. Healthcare workers were willing to train mothers and patent medicine sellers on effective management of childhood malaria, but were not favorably disposed toward collaboration with traditional healers in the home management of malaria. There is an urgent need for formal healthcare workers to seek better understanding of traditional healers' practices as well as their cooperation for improved home management of childhood malaria among indigenous groups.
Audiometric assessment in patients with carcinoma of the larynx
(2000-12) Osowole, O. S.; Nwaorgu, O. G. B.
Audiometric assessment was carried out on twelve patients with advanced carcinoma of the larynx who were on admission on the Ear, Nose and Throat Ward of the University College Hospital, Ibadan, Nigeria between October 1995 and June 1996. The sharp dropping curve was the most common type of audiograph observed. Fifty percent of the patients had very sharp dropping curve at 200Hz, 33.3% had mild dropping curve at 4000Hz and 8000Hz while 16.7% had a flat curve within the social adequacy range. Implications of this in the treatment and rehabilitation of such patients is discussed.
Contribution of the indigenous health care givers to the herbal management of febrile illnesses in Rivers state, South-south, Nigeria
(2005-12) Ebong, O. O.; Ajaiyeoba, E. O.; Ononiwu, I. M.; Eteng, M. J.; Akinbiye, D. O.; Gbotosho, G. O.; Falade, C. O.; Bolaji, O. M.; Oladepo, O.; Osowole, O. S.; Happi, T. C.; Fawole, O. F.; Ogundahunsi, O. A. T.; Agbagwa, I. M.; Oduola, O.; Oduola, A. M. J.
This study was carried out in two rural communities; kaani and Boue, in Khana Local Government Area (LGA) and in one urban community, Elomo, in Elomo LGA, all in Rivers state, South-south, Nigeria. The investigations involved in-depth interview conducted with 104 health care givers comprising indigenous healers: herberlists, sellers of herbal remedies and community elders. Information was obtained on types of fevers (febrile illnesses) treated, symptoms and methods of establishing illnesses, and traditional herbs used in the prevention and treatment of febrile illnesses. On types of febrile illnesses treated, respondents presented the following: malaria (78.8%), typhoid (23.1%), yellow fever (21.2%), high fever (19.2%), convulsion (15.4%), and pregnancy fever (2.9%). Other illnesses treated were yellow eyes (4.8%), headache (11.5%), waist pain (14.4%), and joint pains (8.7%). Respondents determined whether a person had fever by the following: physical examination (85.4%), listening to patients' complaints (9.4%), through divination and inspiration (9.4%), while others (0.2%) were not quite explicit on their methods of diagnosis. On the treatment of febrile illnesees, respondents used herb teas (88.5%), herb powders (42.3%), incantation (3.3%), and performance of sacrifice (4.8%) or use of special fluids (27.9%). Majority of the respondents in describing the best herbal medicines for the treatment of febrile illnesses, 62.5% said that dogonyaro (Azadiracta indica) was the best medicine. Other responses were: lemon grass (Cymbepegon papaya) leaf/fruit (20.2%): guava (Psidium guajava) leaf (18.3%), akpagbogoro (Salacia nitida), 7.7%, plantain (Musa sapientum) sucker (6.7%), lipton tea (3.8%) and scent leaf (Ocimum gratissimum), 1.9%
Cultural categorization of febrile illnesses in correlation with herbal remedies used for treatment in Southwestern Nigeria
(Elsevier Science Ireland Ltd, 2003) Ajaiyeoba, E. O.; Oladepo, O.; Fawole, O. l.; Bolaji, A. M.; Akinboye, D. O.; Ogundahunsi, O. A. T.; Falade, C. O.; Gbotosho, G. O.; Itiola, O. A.; Happi, T. C.; Ebong, O. O.; Ononiwu, I. M.; Osowole, O. S.; Oduola, O. O.; Ashidi, J. S.; Oduola, A. M. J.
The ethnographic study was conducted in two communities in Oyo state in Southwestern Nigeria. The study sites consisted of a rural and an urban local government area located in the tropical rain forest zone of Nigeria. The study was designed to obtain information on febrile illnesses and herbal remedies for treatment with the aim of identifying potential antimalarial drugs. The study revealed that fever is a general term for describing illnesses associated with elevated body temperature. The indigenous Yoruba ethnic population has categorized fever based on symptoms and causes. The present communication is the result of focus group discussion and semi-structured questionnaire administered to traditional healers, herb sellers, elders and mothers. This was on types of fevers, symptoms and causes of febrile illnesses. The investigation also included use of traditional herbs in the prevention and treatment of the illnesses in the two communities. A total 514 respondents were interviewed. This was made up of 266 (51.8%) from Atiba local government area (LGA), an urban centre while 248 (48.2%) respondents were interviewed from Itesiwaju LGA, a rural community. The LGAs are located in Oyo State of Nigeria. The respondents proffered 12 types of febrile illnesses in a multiple response answering system in Yoruba language. The most common ones (direct translation into English) were: yellow fever (39.1%), typhoid (34.8%), ordinary (28.8%), rainy season (20.8%) and headache (10.5%) fevers respectively. Perceived causes each of the febrile illnesses included stress, mosquito bites, unclean water, rains and over exposure to the sun. Methods of fever prevention were mainly with the use of herbal decoctions, powdered herbs, orthodox medications and maintenance of proper hygiene. Of a total or 112 different herbal remedies used in the treatment or the febrile illnesses compiled from the study, 25 recipes are presented. Recipes consisted of 2-7 ingredients. Oral decoctions (84%), oral powders (63%). use as soaps and creams (40%) in a multiple response system, were the most prevalent routes of administration of prepared herbs used in the treatment of the fevers. Boiling in water or alcohol was the most common method used in the preparation of the remedies. The four most frequently mentioned (multiple response system) plants in the Southwest ethnobotany for fevers were Azadirachta indica (87.5%). Mangifera indica (75.0%), Morinda lucida (68.8%) and Citrus medica (68.8%).
Effect of peer education on deaf secondary school students' HIV/AIDS knowledge, attitudes and sexual behaviour
(2000) Osowole, O. S.; Oladepo, O.
This study evaluated the effect of an AIDS education program on deaf secondary school students' knowledge, attitude and perceived susceptibility to AIDS using peer education. Two secondary schools matched for ownership (government), composition (mixture of hearing and deaf and teaching arrangement (separate teaching of deaf students using sign language) were used, and each school was randomly allocated the intervention or control status. All students completed a questionnaire on AIDS at baseline and post-intervention following baseline, volunteers from the intervention group received four weeks training as peer educators, after which they provided HIV/AIDS information to their peers on one-to-one basis and in group, using a variety of approaches for a period of eight months, while the control subjects did not Pre-post group differential scores for knowledge of the causes, modes of transmission and methods of prevention of AIDS among intervention group compared with the control group were significant (p<0,0000001) but not to perceived personal susceptibility (p=0.64217). This study suggests the influence of peer education on health knowledge of youth but a limitation in changing perception of susceptibility.
Efficacy of herbal remedies used by herbalists in Oyo State Nigeria for treatment of Plasmodium falciparum infections a survey and an observation
(2004) Ajaiyeoba, E. O.; Falade, C. O.; Fawole, O. I.; Akinboye, D. O.; Gbotosho, G. O.; Bolaji, O. M.; Ashidi, J. S.; Abiodun, O. O.; Osowole, O. S.; Itiola, O. A.|; Oladepo, O.; Sowunmi, A.; Oduola, A. M. J.
In the course of evaluating the contribution of phytomedicine to possible drug discovery of antimalarial drugs, an ethnomedical survey of specialized children traditional clinics was done. In the observational multi center study, efficacy of eight different herbal remedies, each consisting of 3-8 ingredients and administered by herbalists were investigated in clients enrolled in the six traditional clinics in Oyo (urban center) and Otu (rural center) of Oyo State, Nigeria. The clients, aged between six months and fifteen years with clinical symptoms of malaria were enrolled in the clinics of the herbalists, as their usual practice. Oral informed consents were obtained from their parents or guardians. Microscopic diagnosis of malaria infection was used, to evaluate parasitaemia and validate efficacy of herbal remedies. Results of the analyzed shows that, of the 163 clients of the herbalists, only 62 (30 Oyo, 32 from Otu) had microscopically confirmed P. falciparum infection. Only results from 54 clients (29/30 (Oyo) and 25/32 (Otu) with P. falciparurn infection could be evaluated. Plasmodium falciparum infection in 88% (23/29) of clients from Oyo responded to treatment with the herbal remedies while cure rate in clients from Otu was 42% (13/25). Parasite densities ranged from 171 to 53,613 parasites/ul blood and 87 to 36,209 parasites/ul blood in patients from Oyo and Otu respectively. The herbalists administered the remedies and Gossypium arboreum, Anarcudium occidentalis, Citrus medica, Phyllanthus amarus and Lippia multiflora were the main ingredients in the efficacious remedies. The herbalists gave detailed descriptions of each of the 8 herbal remedies proffered. The results confirm the efficacy of two of the eight herbal remedies, thereby validating the role of ethnomedicine as a possible source for the discovery of new cherno-therapeutic agents in the treatment of P. falciparum malaria.
Enhancing treatment compliance in the home management of childhood malaria: The use of a participatory approach in ensuring intervention appropriateness
(Baywood Publishing Co., inc, 2004) Asa, A.wole, O. S.||Oladepo, O.; Adegbenro, C. A.; Dare, F. O.; Adeniyi, J. D.; Osowole, O. S.; Oladepo, O.
The study employs a participatory approach in ensuring intervention appropriateness and compliance with prescribed chloroquine regimen for children perceived to be suffering from malaria. The study showed that tailoring education intervention to the special needs of mothers, health workers, and patent medicine sellers and involving them in the design of interventions are some of the best ways of achieving intervetion effectiveness. It also reveals that treatments with tablets predispose to higher compliance rates than syrups. Public participation in the diagnosis of management problems and proffering of interventions has shifted the role of researchers from interventionists to a supportive role of these populations. This strategy can save cost and ensure the permanence of interventions beyond the lifespan of research
Factors associated with malaria treatment failures in Ibadan
(2005) Yusuf, O. B.; Oladepo, O.; Odunbaku, S. O.; Alaba, O.; Osowole, O. S.
This study aims to find out factors associated with anti-malaria drug resistance in some selected areas in Ibadan. One thousand one hundred and two subjects were interviewed viewed using a semi structured questionnaire. Respondents were put into two different groups (high and low resistant areas). The result revealed a high level of drug use for treating malaria particularly chloroquine and sulfadoxinepyrimethamine (“Fansidar”). The Results also showed that the two groups were not significantly different with respect to clearance of infection, but there was a significant difference between clearance of infection and whether or not the respondent completed the course of treatment in each group (P<0.05). When both groups were combined, the Mantel-Haenszel test showed that the response difference between the two groups was significant. (OR= 3.44 (Cl= 1.8 to 6.51) i.e those that completed the treatment were 3 times more likely to have their infection cleared than those that did not complete the treatment. A significant finding was that non-compliance with treatment was a major factor associated with treatment failure. The prevalence of drug resistance was a little higher in the high resistant group compared to the low resistant group but this difference was not statistically significant. These results underscore the need for adequate health education about the treatment of malaria and the importance of compliance in this community.
Games and sports as indicators of physical and mental development of the visually impaired individuals
(2001-06) Adedotun, M. A.; Eniola, M. S.; Osowole, O. S.
This study examines games and sports as indicators to physical and mental development of the visually impaired individuals using the survey design. Subjects for the study were randomly selected from two schools in Oyo and Lagos States. A set of questionnaire was used to collect data from the 50 subjects surveyed. Findings from the study show significant difference between (i) the visually impaired who participated in sports activities and those who did not; (ii) in independent travelling between visually impaired sportsmen and women and those who were not. But the third finding which was not significant show (iii) different in the technique used in teaching the blind that participated in sports and their sighted counterparts. The results also highlight some adaptation procedure and strategies for teaching physical education, games and sports to the visually impaired. Suggestions on improving visually impaired persons participation in games and sports were proffered.
HIV-AIDS, universal precaution and the otorhinolaryngologist in nigeria.
(2003-11) Labaran, S. A.; Nwaorgu, O.G.B.; Onakoya, P. A.; Osowole, O. S.
Nigerian antimalarial ethnomedicine 2: Ethnobotanica surveys of herbal remedies used in the treatment of febrile illnesses in the middle belt of Nigeria
(2002) Ajaiyeoba, E. O.; Osowole, O. S.; Oduola, O .O.; Ashidi, J. S.; Akinboye, D. O.; Gbotosho, G. O.; Falade, C. O.; Ogundahunsi, O. A. T.; Fawole, O. I.; Bolaji, O. M.; Falade, M. O.; Oladepo, O. O.; Itiola, O. A.; Oduola, A. M. J.
An ethnobotanical survey was conducted among residents of Gboko (urban) and Katsina Ala ( rural) local government areas in Benue state located in the middle belt of Nigeria. The Katsina-Ala and Gboko communities belong to the Tiv ethnic group. Documentation of the use of herbs as alternative in the treatment of fevers and identification of potential phytomedicines against malaria was done. Semi-structured questionnaires and focus group discussion guides were used to obtain information on description of febrile illness and utilization of herbal remedies for prevention and treatment. A total of 499 respondents comprising of mothers, fathers, community leaders/elders, herbs sellers and traditional healers were interviewed in the study. In the study, 9 types of febrile illnesses were proffered. The five most common type of febrile illnesses described were malaria (37.3%), yellow (28.8%), typhoid (27.3%), high fever (3.4%) and ordinary fever (0.5%). Perceived causes of febrile illness included mosquito bites, contamination of water and food, among others. Headache, general weakness, yellow coloration of eyes/uririe, elevated body temperature and diarrhoea, were the most common symptoms associated with febrile illnesses outlined by the respondents. Furthermore, malaria (81.5%) and high fever (57%) were reported to be common during the rainy season while typhoid (52%) is common during the dry season. Yellow fever was said to be non-dependent on season. Respondents believed children were more at risk of malaria compared with the other types of febrile illnesses mentioned. The respondents indicated that herbal recipes were effective treatment for Febrile illness. From the 105 recipes compiled, Azadirachto indica, Ficus thonningii, Annona senegalensis and Cymbopogon citratus were the most frequent herbs mentioned. Leaf (60.4%), was the most common part of plants used while boiling (92.5%), was frequently mentioned as method of herbal remedy preparation. The main route of administration of remedies mentioned was oral administration (97.9%). The study confirms the potential contribution of Phytomedicine to management of febrile illnesses, including malaria in the Tiv ethnomedicine.
Perceived susceptibility to noise induced hearing loss and attitude towards preventive care among metal workers at Gate, Ibadan: a pilot study
(2003) Osowole, O. S.; Nwaorgu, O. G. B.; Osisanya, P. A.
Audiometric assessment was carried out on 26 metal workers at the spare parts market, Gate, Ibadan to corroborate their perceived susceptibility to noise induced hearing loss. Of the 26 studied, 13 (50.0%) indicated non-susceptibility. 11 (42.3%) indicated susceptibility while 2 (7.7%) did not know. Otology symptoms mentioned by those who indicate susceptibility were tinnitus (63.6%), hearing loss (36.4%), otalgia (18.2%), headache (9.1 %), and post-aural pain (9.1 %). Audiometric results showed 10 (76.9%) of non-susceptible subjects, 5 (45.5%) of susceptible subjects and 1 (50.0%) of undecided group had normal hearing bilaterally. Unilateral high frequency hearing loss was observed in 4 (36.4%) of the susceptible subjects. Implications of the findings for taking preventive action are discussed.
Self-employment in crafts-an option for the disabled hearing impaired
(2001-12) Osowole, O. S.; Onwuchekwa, J. N.
This study examined self-employment as an option for the disabled hearing impaired using the exploratory design. Of the 80 respondents who took part in the survey 19(23.8%) were teachers of the hearing impaired, 19(23.8%) were hearing impaired employees, 37 (46.2%) were hearing impaired apprentices and 5 (6.2%) were self employed hearing impaired persons. Four sets of self-administered questionnaire were used for data collection from the different groups of respondents. Findings showed that the hearing impaired could be self-employed, cope with new demands and developments involved in self employment. Good educational background and period of apprenticeship were found to be prerequisites for self employment. Communication was reported by 61.3% of respondents to be a barrier to self-employment. The implications of these education and rehabilitation of the healing impaired are discussed.
Sexuality education for the adolescents
(Royal People Nigera Limited, Ibadan, Nigeria, 2002) Moronkola, O. A.; Osowole, O. S.