Browsing by Author "Ayikobua, Emmanuel Tiyo"

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    Anxiety, Anger and Depression Amongst Low-Income Earners in Southwestern Uganda During the COVID-19 Total Lockdown
    (Kabale University, 2021) Archibong, Victor; Usman, Ibe Michael; Keneth Iceland, Kasozi; Osamudiamwen, Eric Aigbogun Jr.; Josiah, Ifie; Monima, Ann Lemuel; Ssebuufu, Robinson; Chekwech, Gaudencia; Terkimbi, Swase Dominic; Owoisinke, Okon; Mbiydzenyuy, Ngala Elvis; Adeoye, Azeez; Aruwa, oshua Ojodale; Afodun, Adam Moyosore; Odoma, Saidi; Ssempijja, Fred; Ayikobua, Emmanuel Tiyo; Ayuba, John Tabakwot; Nankya, Viola; Onongha, Comfort; Sussan, Henry; Matama, Kevin; Yusuf, Helen; Nalugo, Halima; MacLeod, Ewan; Welburn, Susan Christina
    Background: Low-income earners are particularly vulnerable to mental health, consequence of the coronavirus disease 2019 (COVID-19) lockdown restrictions, due to a temporary or permanent loss of income and livelihood, coupled with government-enforced measures of social distancing. This study evaluates the mental health status among low-income earners in southwestern Uganda during the first total COVID-19 lockdown in Uganda. Methods: A cross-sectional descriptive study was undertaken amongst earners whose income falls below the poverty threshold. Two hundred and fifty-three (n = 253) male and female low-income earners between the ages of 18 and 60 years of age were recruited to the study. Modified generalized anxiety disorder (GAD-7), Spielberger’s State-Trait Anger Expression Inventory-2 (STAXI-2), and Beck Depression Inventory (BDI) tools as appropriate were used to assess anxiety, anger, and depression respectively among our respondents. Results: Severe anxiety (68.8%) followed by moderate depression (60.5%) and moderate anger (56.9%) were the most common mental health challenges experienced by low-income earners in Bushenyi district. Awareness of mental healthcare increased with the age of respondents in both males and females. A linear relationship was observed with age and depression (r = 0.154, P = 0.014) while positive correlations were observed between anxiety and anger (r = 0.254, P < 0.001); anxiety and depression (r = 0.153, P = 0.015) and anger and depression (r = 0.153, P = 0.015). Conclusion: The study shows the importance of mental health awareness in low resource settings during the current COVID-19 pandemic. Females were identified as persons at risk to mental depression, while anger was highest amongst young males. Keywords: COVID-19 response, Africa, Socio-economic impacts, Psychosocial, Hunger, Women.
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    Carpolobia lutea methanol root extract reinstates androgenesis and testicular function in cadmium- challenged rats
    (Journal of Physiology and Pathophysiology, 2019) Ejike, Daniel Eze; Okpa, Precious Nwaka; Igbokwe, Ugochukwu Vincent; Moses, Dele Adams; Karimah, Mohammed Rabiu; Ayikobua, Emmanuel Tiyo
    Cadmium produces a wide range of biological dysfunctions in human and laboratory animals where it chiefly affects the testes, whereas, Carpolobia lutea has been known to have antioxidant benefits. This study was intended to investigate the effects of Carpolobia lutea root extracts on testicular hormone function in cadmium-challenged male rats. 48 male Wistar rats (170-190 g) were divided into six groups, each containing eight rats. Experimental animals in control (Group 1) were given 0.2ml/kg body weight (BW) of 10% tween 80; Group two were administered 1mg/kg BW of cadmium (i.p); Group 3 were given 1mg/kg BW of cadmium (i.p) + 100mg/kg BW extract; Group four took 1mg/kg BW of cadmium (i.p) + 200mg/kg BW extract while Group five and six got 100mg/kg and 200mg/kg BW extract respectively. The administration of vehicle and extract was conducted orally for six weeks. Testicular activity of 17 beta- hydrosteroid dehydrogenase (17β-HSD) and serum testosterone, luteinizing and follicle stimulating hormone (LH, FSH) levels were evaluated. Findings indicated that cadmium statistically (p<0.05) lowered testicular 17β-HSD activity and serum testosterone, LH and FSH levels when compared with those of the control group animals. However, Carpolobia lutea and its co-administration notably (p<0.05) elevated the activity of testicular 17β-HSD and levels of serum testosterone, LH and FSH. The study suggests that Carpolobia lutea extract plays a protective function in ameliorating testicular damage caused by cadmium in rats. This is probably due to the extract’s potential in the management of testicular dysfunction and fecundity in animals.
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    Cerebral Cortical Activity During Academic Stress Amongst Undergraduate Medical Students at Kampala International University (Uganda)
    (Kabale University, 2022) Mujinya, Regan; Kalange, Muhamudu; Ochieng, Juma John; Ninsiima, Herbert Izo; Eze, Ejike Daniel; Afodun, Adam Moyosore; Nabirumbi, Ritah; Sulaiman, Sheu Oluwadare; Kairania, Emmanuel; Echoru, Isaac; Okpanachi, Alfred Omachonu; Matama, Kevin; Asiimwe, Oscar Hilary; Nambuya, Grace; Usman, Ibe Michael; Obado, Osuwat Lawrence; Zirintunda, Gerald; Ssempijja, Fred; Nansunga, Miriam; Matovu, Henry; Ayikobua, Emmanuel Tiyo; Nganda, Ponsiano Ernest; Onanyang, David; Ekou, Justine; Musinguzi, Simon Peter; Ssimbwa, Godfrey; Keneth Iceland, Kasozi
    Background: Stress among medical students is related to their academic lifespan; however, information on brain health among medical students from developing countries continues to be scarce. The objective of this study was to establish perceived academic stress levels, assess the ability to cope with stress, and investigate its effects on the visual reaction time (VRT), audio reaction time (ART), and tactile reaction time (TRT) in the somatosensory cortex among medical students of Uganda. Methods: This was a cross-sectional study conducted among preclinical (n = 88) and clinical (n = 96) undergraduate medical students at Kampala International University Western Campus. A standard Perceived Stress Scale (PSS) was used to categorize stress into low, moderate, and severe while the ability to cope with stress was categorized into below average, average, above average, and superior stresscoper (SS). Data on reaction time were acquired through VRT, ART, and TRT using the catch-a-ruler experiment, and this was analyzed using SPSS version 20. Results: This study shows that preclinical students are more stressed than clinical students (PSS prevalence for low stress = preclinical; clinical: 40, 60%). Moderate stress was 48.4 and 51.6% while high perceived stress was 75 and 25% among preclinical and clinical students. Among male and female students in preclinical years, higher TRT and VRT were found in clinical students showing that stress affects the tactile and visual cortical areas in the brain, although the VRT scores were only significantly (P = 0.0123) poor in male students than female students in biomedical sciences. Also, highly stressed individuals had higher TRT and ART and low VRT. SS had high VRT and ART and low TRT in preclinical students, demonstrating the importance of the visual cortex in stress plasticity. Multiple regression showed a close relationship between PSS, ability to cope with stress, age, and educational level (P < 0.05), demonstrating the importance of social and psychological support, especially in the biomedical sciences. Conclusion: Preclinical students suffer more from stress and are poorer SS than clinical students. This strongly impairs their cortical regions in the brain, thus affecting their academic productivity. Keywords:Brain Stress, Medical Education, Cerebral Cortex, Brains, Africans, Reaction Time (RT), Academic Stress
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    Community Drivers Affecting Adherence to WHO Guidelines Against COVID-19 Amongst Rural Ugandan Market Vendors.
    (Kabale University, 2020) Usman, Ibe Michael; Ssempijja, Fred; Ssebuufu, Robinson; Lemuel, Ann Monima; Archibong, Victor Bassey; Ayikobua, Emmanuel Tiyo; Aruwa, Joshua Ojodale; Kembabazi, Stellamaris; Kegoye, Eric Simidi; Ayuba, John Tabakwot; Okeniran, Olatayo Segun; Echoru, Isaac; Adeoye, Azeez; Mujinya, Regan; Nankya, Viola; Keneth Iceland, Kasozi,
    Background: Market vendors occupy a strategic position in the fight against the spread of SARS CoV-2 in rural Uganda. To successfully contain the spread of the virus, special attention needs to be given to this set of people by assessing the type of information, source of information, and practices they inculcate as regards adherence to WHO guidelines in the fight against COVID-19 in Uganda. The study aimed to assess the role of information sources, education level, and phone internet connectivity in influencing COVID-19 knowledge among the rural market vendors; and the relationship existing between knowledge, attitude, and practices among them. Methods: The study was a descriptive cross-sectional study among rural market vendors (n = 248) in southwestern Uganda. Information was collected using a questionnaire and descriptively presented as frequency and percentages. Results: The study showed that the majority of the rural market vendors had sufficient information regarding COVID-19 with the majority being female individuals and have attained a secondary level of education, The general percentage score for knowledge, attitude, and practices were (75.57, 82.6, and 76.50% respectively). There was a positive correlation between attitude and practices (r = 0.17, p = 0.007), as well as their knowledge with practices (r = 0.29, p < 0.001). The majority of the people in the population did not have their phones connected to the internet (OR = 1.96, 95%CI: 1.16–3.31, P = 0.01). The majority of people received their information regarding COVID-19 from one source (radio) (OR = 1.55). Conclusion: Where and how the rural market vendors get their information and education level are vital in breaking COVID 19 infection circle in line with WHO guidelines. Therefore, sources of information and education level played a key role in molding their knowledge and practices. However, the level of knowledge on COVID 19 among our respondents was not linked with phone internet connectivity. Keywords: COVID-19, SARS CoV-2, market-vendors, Information, Rural Community, Africa Response, Uganda