Browsing by Author "Chinawa, Awoere Tamunosiki"
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Item Correlation between Anthropometric Variables, Social Class, Age and Hematological Profile among Children with Sickle Cell Anemia in ENUGU South-East Nigeria.(2016) Chinawa, Josephat Maduabuchi; Odetunde, Odutola Isreal; Achigbu, Kingsely Ihedioha; Achigbu, Eberechukwu; Aniwada, Elias; Chinawa, Awoere TamunosikiBackground: Sickle cell anaemia (SCA), a common haematological genetic disorder, could affect both the growth and haematological profile of the sufferer. Objectives: This study aims at determining any correlation between anthropometric variables and haematological parameters among children with sickle cell anaemia (SCA). It also determines the association between social class and haematological parameters of children with SCA. Methods: A total of 80 subjects were recruited into the study, comprising 40 HbSS patients. This is cross sectional study of haematological indices and anthropometric measurement of children with sickle cell anaemia aged 6-20 years. All data were coded, entered, and then analyzed using the Statistical Package for Social Sciences program (SPSS), version 20. Results: There was statistical significant correlation between BSA and total white blood cell count (TWBC) (p=0.028) but not with Haemoglobin concentration (Hb) and Erythrocyte sedimentation rate (ESR). Hb: r=0.073, p=0.654 ESR: r=0.224, p=0.164 TWBC: r=0.348, p=0.028. The Haemoglobin concentration, TWBC and ESR values are 7.77 g/dl, 11.96×109, and 15.4 mm/hr There is also no statistical significant correlation between BMI and haematological variables: TWBC r= 0.100 p=0.51, Hb: r=0.118, p= 0.469 ESR: r= 0.033, p=0.841. There is also no statistical significant correlation between chest circumference and haematological indices. TWBC r= 0.216 p=0.181, Hb: r=0.043, p= 0.793 ESR: r= 0.143, p=0.378. There were no statistical differences in mean for all the variables studied among the social classes. Hb; p=0.373 ESR p=0.633. TWBC p= 0.451. Conclusion: Infection is not the only cause of elevation in TWBCs. it is important to also consider the impact of surface area on white blood cell count of children with SCD before using antimicrobials for such infections.Item The White Coat and the Physician; a Snapshot of the Physicians’ Perspective.(2015) Obu, Herbert A; Chinawa, Josephat M; Manyike, Pius; Obi, Ikechukwu; Ndu, Ikenna K; Nkwo, P O; Chinawa, Awoere TamunosikiBackground: The white coat is synonymous with medical profession and helps for easy identification by patients and colleagues. Objectives: The objective of this study is to determine doctors’ perception on mode of dressing of their colleagues, especially wearing of white coats and its influence on the well being of their patients. Methods: A structured self administered questionnaire was used to collect information from the doctors of all carder in the hospital during the study period. Three photographs, a man with corporate attire and tie without ward coat and the same man with corporate attire and tie with a white coat and same man with casual dressing, were shown to the doctors, and were asked which of the three pictures they would like a doctor to dress. Results: Majority 200 (72.5%) of the respondents had a white coat on as at the time they were filling the questionnaire while only 76 (27.5%) were not putting on lab coat. Also 202 (75.9%) of the respondents are of the opinion that a doctor should always put on shirt, tie and trouser with a white covering lab coat. Most 76 (35.68%) of those who supported the opinion suggested that the white coat protects the doctors/or their families as their reason. Conclusion: White coats were seen as the most appropriate dress code for doctors, regardless of gender. Low ranked doctors however wear the white coat more than high ranked ones. Furthermore the type of clothing and accessories used by physicians (physician dressed on shirt, tie and trousers with a white covering lab coat) has a positive influence on physician-patient relationship.