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   2007| September  | Volume 10 | Issue 3  
    Online since December 1, 2010

 
 
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ORIGINAL ARTICLES
Awareness of high blood pressure status, treatment and control in a rural community in Edo State
VO Omuemu, OH Okojie, CE Omuemu
September 2007, 10(3):208-212
PMID:18072446
A cross-sectional study was carried out in Udo, a rural community in Ovia South-west LGA of Edo State to assess the level of awareness of high blood pressure status, treatment and control. Cluster sampling method was used to select participants and data collection was by researcher administered questionnaire. Blood pressure measurement was by standardized method. A total of 590 respondents with mean age 30.7 +/- 14.6 years participated in the study. The prevalence of hypertension was 20.2% using the WHO/ISH criteria of SBP > or = 140 mmHg and/or DBP > or = 90 mmHg. Twenty two (18.5%) of the hypertensives were aware of their high blood pressure status. Awareness was higher in females, increased with age and decreased with higher educational status. Of those aware of their condition, 77.3% were on treatment and ofthese, 29.4% had adequate blood pressure control. This study has revealed a low level of awareness of high blood pressure status and control in this rural community. Therefore, there is urgent need for regular community-based hypertension screening programmes.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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Discharge of hospitalized under-fives against medical advice in Benin City, Nigeria
AN Onyiriuka
September 2007, 10(3):200-204
PMID:18072444
OBJECTIVE: To determine the incidence of discharge against medical advice (DAMA) among under-fives in Benin City, document reasons for these discharges and suggest ways of reducing its occurrence. METHODS: The admissions and discharges registers as well as the case-notes of all children aged between one and fifty-nine months admitted over a two-year period were retrospectively examined. The data obtained included sex, age, main diagnosis, signatories to the discharge documents and reasons/circumstances for DAMA. RESULTS: Of the 1017 under-fives admitted, 58 (5.7%) were DAMA with a higher prevalence in girls (7.4%) than in boys (4.2%) p>0.05. The incidence of DAMA (9.7%) was highest among children aged 24-35 months. About half (51.7%) of the parents of children DAMA either did not have formal education or failed to complete primary education. Thirty seven (63.8%) of parents of children DAMA belonged to social classes IV and V. The fathers were the signatories to the discharge documents in 65.5% and the mothers in only 5.2% of cases. Within 24-48 hours after DAMA, 20.7% of cases were re-admitted. Parental fear of accumulation of hospital bills was the commonest reason for DAMA. Mean duration of hospital stay was 3.1 days. CONCLUSION: Discharge of hospitalised under-fives against medical advice is a common social paediatric problem with gender differentials in its incidence. We believe that with improvement in the socio-economic status of our parents the incidence of DAMA will be greatly reduced.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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Contraceptive choices among women in Zaria, Nigeria
N Ameh, ST Sule
September 2007, 10(3):205-207
PMID:18072445
AIMS/OBJECTIVE: To study the choice of contraceptive usage and the factors responsible for such choices in northern Nigeria. DESIGN: A cross-sectional study. SETTING: Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. SUBJECTS: New clients attending the reproductive health centre. MAIN OUTCOME MEASURES: Choice of contraceptive, reason for choice, knowledge and source of knowledge about contraceptives. RESULTS: Four hundred and eighteen clients were interviewed. Three hundred and seventy two (89%) knew at least one method of contraception; 50.7% used injectable contraceptives, 22.5% intrauterine contraceptive devices, 13.9% Norplant and 10.3% oral contraceptive pills. One hundred and forty four (34.5%) were referred by midwives and 25.6% by other nurses. ConclusionS: The most commonly used contraceptive in our environment is the injectable method.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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LETTERS TO THE EDITOR
Telephone use for surgical follow up in a developing country
N Mbah
September 2007, 10(3):266-266
PMID:18072460
Full text not available    [CITATIONS]  [PubMed]
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ORIGINAL ARTICLES
Patients' perception of obstetric practice in Calabar, Nigeria
AE Oyo-Ita, SJ Etuk, BM Ikpeme, SS Ameh, EN Nsan
September 2007, 10(3):224-228
PMID:18072450
OBJECTIVE: To determine the influence of patients' perception of obstetric practice in Calabar on the low utilization of health facilities for delivery. METHODS: The University of Calabar Teaching Hospital, the general hospital and eight private clinics in Calabar were visited daily for a period of one month to interview postnatal mothers. This was to ascertain the mothers' perception of obstetric care in these facilities and their attitude towards some selected birth practices. RESULTS: All the interviewed mothers had some formal education, and 133 (92.4%) were aged 20 years and above. One hundred and forty (97.2%) of the mothers were satisfied with at least one aspect of care received. Areas of satisfaction mentioned by the mothers include attitude of health staff 114 (81.4%), clinical care received 85 (60.7%), sanitation of the facility 61 (43.6%), and basic amenities 47 (33.6%), poor sanitary condition of the health facility and lack of basic amenities were the major causes of dissatisfaction. Few mothers, 31 (22%) disagreed with dorsal position during second stage of labor. Most mothers, 92 (63.9%) would want pain relief in labor; 19 (13.2%) did not appreciate shaving of pubic hair and 50 (34.7%) felt episiotomy was not necessary for safe delivery. CONCLUSION: To improve the utilization of obstetric services in Calabar, basic amenities such as water and sanitation should be provided; and there should be restriction of routine birth practices that have no evidence of effectiveness.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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Misoprostol use for cervical ripening and induction of labour in a Nigerian teaching hospital
BA Ekele, DC Nnadi, MA Gana, CE Shehu, Y Ahmed, EI Nwobodo
September 2007, 10(3):234-237
PMID:18072452
CONTEXT: Induction of labor is always a challenge to many an obstetrician more so when the cervix is unfavorable. OBJECTIVES: To determine the efficacy and safety ofmisoprostol in cervical ripening and labour induction. MATERIALS AND METHOD: Aprospective study spanning 2 years and involving 151 patients admitted for cervical ripening and induction of labor at Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. 50 microgram (mcg) ofmisoprostol was inserted vaginally every 4 hours until cervix became favorable or onset of labor. RESULTS: Main indications for induction of labour were prolonged pregnancy and hypertensive diseases of pregnancy. An average of 2 insertions of 50 mcg tablet was used to achieve cervical ripening in 107 patients (71%) and 80% (120) had spontaneous labor within 10 hours of insertion. The mean insertion-labor interval was 7.86 hours (SD +/- 2.5). The average duration of labour was 9.36 hours (SD +/- 2.9). Vaginal delivery was achieved in 96% of the patients. Uterine hyperstimulation occurred in 9 patients but there was no case of uterine rupture. CONCLUSION: Misoprostol was effective and safe in cervical ripening and induction of labor with a vaginal delivery rate of 96%. It should be an essential drug in obstetric practice especially in low resource settings.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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CASE REPORTS
Full-term pregnancy in an incisional hernia--a case report
SB Agaja, BF Ehalaiye
September 2007, 10(3):252-254
PMID:18072456
We report a case of full-term pregnancy in a 40 year old woman who presented with her fifth pregnancy with the uterus in the incisional hernia sac hanging below the groin. She has had previous abdominal operation through a midline scar. Complication of the previous operation led to the incisional hernia into which she carried a full term pregnancy. Caesarian section and bilateral tubal ligation were done with repair of the incisional hernia with nonabsorbable suture with uneventful postoperative recovery. It is advised that surgeons carrying out abdominal operations for whatever reason, the operations should be done on fit patient as much as possible, proper incisions should be made and the fascia should be closed with non-absorbable sutures (mass closure) in order to avoid occurrence of incisional hernias. Emergency operations in the abdomen including caesarian section, surgical principles should always be observed.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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ORIGINAL ARTICLES
A review of preterm admissions into special care baby unit, in University of Maiduguri Teaching Hospital : a four year experience
JP Ambe, A Idrisa, JD Usman
September 2007, 10(3):229-233
PMID:18072451
There is little or no report of preterm (babies born less than 37 completed weeks of gestation) admission from this part of Sahel Savannah of Nigeria. This study of four-year period is presented to identify areas that require improvement, such as in the Labour ward and neonatal care. The case files of the 428 preterm newborns admitted into Special Care Baby Unit (SCBU) of the University of Maiduguri Teaching Hospital were reviewed. Preterms constituted 54.9% of the overall admissions, 53.4% being Low birth weight newborns (=2500 gm). Premature rupture of membrane, previous preterm deliveries, twin gestation and pregnancy induced hypertension were some of the common maternal factors that were associated with preterm deliveries. Birth asphyxia, Apnoea, Small for gestation age 9weight less than 10th centile), respiratatory distress were the main problem observed among the preterm newborns. Neonatal mortality rate was 349/1000 live birth; 62.1% of the death were preterm infants. Mortalities were common among babies weighing 1000 gm or less and also of babies of lower gestational age. We can improve on this, by implementing simple common measures such as educating our mothers on the need for good antenatal care and hospital deliveries, so that those with pregnancy induced hypertension, premature rupture of membrane, previous preterm delivery can be detected early and institute proper management.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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CASE REPORTS
Aneurysmal bone cyst : a primary or secondary lesion?
BD Saheeb, MA Ojo, ON Obuekwe
September 2007, 10(3):243-246
PMID:18072454
OBJECTIVES: To emphasize the origin of aneurysmal bone cyst as "primary" or "secondary" to other lesions of the jaws and 2. Report two cases of the cyst that illustrate its controversial origin in the hope that it will add to the literature on the subject in Africa. REPORT: Two cases of aneurysmal bone cyst occurring in the mandible and maxilla are reported. One of the cysts that occurred in a 13-year-old was a primary lesion while the other in a 5-year-old was associated with a cementifying fibroma. METHOD: The diagnoses of both lesions were confirmed by biopsy. The lesion that occurred in the 13-year-old was treated by curettage while the other in the 5-year-old was treated by excision under general anaesthesia respectively. RESULT: While the lesion in the 13-year-old was haemorrhagic with 'welling up' of blood, the second lesion though haemorrhagic was not associated with this phenomenon. Both patients were transfused with 2 pints and 1 pint of blood respectively. There has not been recurrence of the lesions after two years post operatively. CONCLUSION: Aneurysmal bone cyst can arise as a primary lesion or associated with a fibro-osseous lesion as demonstrated by these two cases. There is a need to serially section biopsy specimens of the cyst to detect coexisting lesions.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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Fibular hemimelia : a case report
KC Eze, AO Akhigbe, GO Awosanya
September 2007, 10(3):259-261
PMID:18072458
Fibular hemimelia is the congenital absence of the fibula and it is the most common congenital absence of long bone of the extremities. Shortening of the extremity is obvious at birth with leg-length discrepancy. On plain radiograph of the leg and foot, significant fibular deficiency (hypoplasia) or absence of the fibula can be seen. In this case report, a 6-month-old baby boy with fibular hemimelia is presented. The radiological diagnosis and differential diagnosis are discussed. The treatments which include repeated corrective osteotomies and leg-lengthening surgery are costly and associated with residual deformity.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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LETTERS TO THE EDITOR
Awareness, acceptability, and use of male condoms for contraception and prevention of sexually transmitted infection among female students in a tertiary institution in South Eastern Nigeria
B Chigbu, S Onwere, C Kamanu, C Aluka, PA Feyi-Waboso
September 2007, 10(3):267-268
PMID:18072461
Full text not available    [CITATIONS]  [PubMed]
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CASE REPORTS
Multiple intracranial tuberculomas in an HIV-negative 28 year old male--a case report
AO Ogunrin, AA Adeyekun
September 2007, 10(3):262-265
PMID:18072459
Intracranial tuberculomas are uncommon complications of tuberculosis, especially in immuno-competent individuals with no evidence of extra-cranial foci. We report a case of an HIV- negative young male who presented with presumed cerebral and cerebellar tuberculomas without identifiable extra-cranial focus. The CT scan revealed multiple intracranial ring-enhanced lesions. The remarkable response to antituberculous drugs and steroid (prednisolone) with near complete resolution of clinical and radiological signs was highly suggestive of diagnosis. In the differential diagnosis of intracranial mass lesions in sub-Saharan Africa, a high index of clinical suspicion is needed to avoid misdiagnosis of intracranial tuberculoma.
[ABSTRACT]   Full text not available     [PubMed]
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Current views on ultrasonography in the management of pyogenic liver abscess-challenge to practitioners in sub-Saharan Africa
SA Erinle, AK Inikori
September 2007, 10(3):247-251
PMID:18072455
The aim of this review of the recent literature on the current practice in the management of pyogenic liver abscess (PLA) is to highlight the important roles radiological procedures, particularly ultrasonography (US) now play in it. US equipment is now widely available in many African nations, yet not much is being done to embrace this current line of management. This is evidenced by the dearth of published work in this area from especially sub-Saharan Africa. It is being suggested that general surgeons and radiologists in this region collaborate more to reduce the cost of treating all cases by operations.
[ABSTRACT]   Full text not available     [PubMed]
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Complex Ebstein's anomaly in a 80 year old Nigerian woman
VA Ukoh, AA Adesanya
September 2007, 10(3):255-258
PMID:18072457
There is a gradually growing interest in the subject of congenital heart diseases as many children born with them are now growing into adulthood. The reasons are twofold: increasing awareness among clinicians as well as major advances in the diagnosis and treatment of congenital heart diseases in children. A case of Ebstein's anomaly (EA), one of the most important congenital diseases of the tricuspid valve, in an 80 year old woman referred to the cardiology clinic of the University of Benin Teaching Hospital in Benin City, Nigeria, is hereby reported. It is a rare condition. The features demonstrated in this case report tend to suggest that there may be several adult survivors of congenital heart diseases. These may coexist with other systemic illnesses such as systemic hypertension.
[ABSTRACT]   Full text not available     [PubMed]
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LETTERS TO THE EDITOR
Neurological and neuropsychiatry presentation of system lupus erythematosus in Black Nigerians
YW Nyandaiti, SA Bwala
September 2007, 10(3):269-270
PMID:18072462
Full text not available     [PubMed]
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ORIGINAL ARTICLES
A correlation of symptomatology with nasal smear eosinophilia in non-infectious chronic rhinitis preliminary report
AD Olusesi, MA Said, EJ Amodu
September 2007, 10(3):238-242
PMID:18072453
OBJECTIVE: To correlate subjective and objective clinical features with nasal smear cytology findings in noninfectious chronic rhinitis. DESIGN: An analysis of prospectively collected data of consecutive patients with non-infectious seasonal and perennial rhinosinusitis seen at a tertiary health institution. METHODOLOGY: Clinical assessments including Visual Analog Scale (VAS) scoring of presenting symptoms of 45 patients suffering from non-infectious chronic rhinosinusitis are measured. Subjects had a medical questionnaire regarding presence and duration of symptoms, family history of atopy or allergy, occupational exposure to allergens, provocative agents, and medication usages. Subjects had detail Ear, Nose, and Throat assessment, and nasal secretions were analyzed for eosinophils counts and statistically correlated with clinical parameter. RESULT: A total of 45 patients were recruited. Age range was 13 to 71 years (SD 11.516). 73% (n=33) were females while 27% (n=12) were males. The modal occupation was homemaking (24%, n=11). 38% (n=17) had family history of atopy, while 13% (n=6) had family history of allergy. Symptoms were perennial in 62% (n=28) and seasonal in 38% (n=17). 9% (n=4) of the subjects keep pets at home, while 40% (n=18) grow flowers or trees around the house. All subjects gave a history of identifiable provocative agents. There is positive correlation of itchy nose with total symptom score. There was negative history of occupational exposure to allergens in all subjects. The average subjective symptom score are Sneezing (6.3), Itchy nose (6.1), Nasal obstruction (6.2) and Runny nose (6.7). There is a high positive correlation of sneezing with runny nose (r = 0.51), but poor correlation with nasal obstruction (r = 0.15). There is negative correlation of total individual symptom score with keeping of pets (r = -0.24) or growing of flowers or trees around house (r = -0.039). There is also low correlation of total symptom score with family history of atopy (r = 0.06). There is positive correlation of total symptom score with number of provocative agents identified (r = 0.34). There is low positive correlation of nasal smear eosinophilia with total symptom score (r = 0.030) and itchy nose score (r = 0.038). Nasal smear eosinophilia show negative correlation with sneezing score (r= -0.076). CONCLUSION: The best predictors of nasal smear eosinophilia in non-infectious chronic rhinosinusitis are itchy nose score and Individual Total Symptom (ITS) score.
[ABSTRACT]   Full text not available     [PubMed]
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Management of adult incisional hernias at the University of Maiduguri Teaching Hospital
BM Gali, AG Madziga, HU Na'aya, T Yawe
September 2007, 10(3):184-187
PMID:18072441
BACKGROUND: Incisional hernias (IH) represent a breakdown or loss of continuity of a fascial closure. They are thus unique as the only external wall hernias that are iatrogenic in aetiology. Incisional hernias are not uncommon complications of laparotomy closure with reported incidence of 2 to 11%. OBJECTIVES: To review our experience,with incisional hernaia identify possible risk factors and proffer preventable strategies. PATIENTS AND METHODS: All case records of adult patients managed with IH at the University of Maiduguri Teaching Hospital between January 1995 and December 2004 were retrieved from the Medical Records Department. Relevant data on age, sex, type and institution of index surgery (General Hospital or Private Hospital), premorbid factors, type of repair, post-operative complications were extracted. Case records with inadequate information were excluded. RESULTS: Between January 1995 and December 2004 a total of 440 patients with external abdominal hernias were treated at UMTH. Out of these: 38 (11.6%) were Incisional hernias and form the basis of this study. Their ages ranged between 18 and 80 years, with peak age range of 40-49 years. There were 6 males and 32 females giving a male to female ratio of 1:5.3. The commonest index surgeries were caesarean section in 12 patients (31.6%) and appendicectomy 10 patients (26.3%). Of the index surgeries 26 (68.4) and 10 (26.3) were performed in general and private hospitals respectively. Only 2(5.3%) were done at UMTH. Wound sepsis, in 18 patients (47.4%), postoperative cough, 8 (21.1%) and obesity 6 (15.8%) were the commonest risk factors. Poor surgical technique was found in 36 patients (94.7%) Most of the patients presented late; 8(21.1%) with recurrence and 6(15.8%) were giant in size. All but one were successfully repaired. Only one (2.3%) had recurrence. There was no mortality. CONCLUSIONS: Incisional hernias are not uncommon constituting 11.6% of all adult external abdominal wall hernias repaired at UMTH. Most of the causes are preventable with 94.7% of the index surgery done at peripheral hospitals where poor surgical technique was common to all. There is urgent need to re-train our general duty doctors on proper surgical techniques of abdominal wound closure.
[ABSTRACT]   Full text not available     [PubMed]
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An audit of perioperative cardiac arrest at Lagos University Teaching Hospital
I Desalu, OT Kushimo
September 2007, 10(3):188-193
PMID:18072442
OBJECTIVE: Intraoperative cardiac arrests are not uncommon and are related to both surgical and anaesthetic factors. This study aimed to examine the factors which predispose to a periopeartive cardiac arrest, to assess the appropriateness of therapy and the outcome. MATERIALS AND METHODS: All perioperative cardiac arrests in adults that occurred in a one year period(January 2003 to December 2003) at the Lagos University Teaching Hospital were prospectively studied. All patients less than 16 years and cardiac arrests occurring outside the direct supervision of the anaesthetists were excluded. Study variables included demographic data, ASA score, urgency of surgery, surgical procedure, aetiology, time and duration of arrest, cardiac arrest rhythm, management as well as immediate outcome and survival to hospital discharge. RESULTS: Thirteen cardiac arrests occurred in 2147 cases (incidence of 6 per 1000). The mean age of patients was 30.23 +/- 11.06 years. Ten patients had anASA score greater than 3. Hypovolaemia was responsible for arrests in 9 patients. Two arrests occurred at induction, 7 intraoperatively and 4 postoperatively. Seven patients had non-VF/VT rhythms. Cardiopulmonary resuscitation was instituted immediately. The mean duration of arrest was 25.66 +/- 13.34 minutes. Drug and defibrillator therapy were inadequate. Immediate survival occurred in 5 patients (38.46%). Factors associated with significant difference in recovery from a cardiac arrest were type of surgery (p=0.043) and duration of resuscitation (p=0.022) CONCLUSION: Majority of cardiac arrests were due to hypovolaemia from massive blood loss. There is a need for the provision of adequate banked blood as well as improvement in training in the management of in-hospital cardiac arrest to ensure a better outcome.
[ABSTRACT]   Full text not available     [PubMed]
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Infant feeding practices among mothers delivered at the Jos University Teaching Hospital intending to breastfeed exclusively for six months
AA Okechukwu
September 2007, 10(3):194-199
PMID:18072443
OBJECTIVE: The practicability of excusive breastfeeding (EBFing) for 6 months by mothers, especially the employed ones, in this country has been a big question to answer considering the short duration of their maternity leave of 3 months around their delivery. Using WHO recommendation as a point of reference, the present study assessed the infant feeding practices of mothers delivered at Jos University Teaching Hospital, (JUTH). Emphasis was moved on the employed ones. METHOD: Infant feeding practices was studied prospectively among 461 mothers who delivered in JUTH and who initially intended to breastfeed exclusively for 6 months. RESULT: Four hundred and twenty two (91.5%) of the recruited mothers continued EBFing practice for 6 months, while 25 (5.4%) dropped out from the practice before 6 months. Formular feed was introduced by 5 (1.1%), water by 13(2.8%), while 7 (1.5%) babies were started on solid and semi-solid feeds before 6 months. Seventy six of the eight-two (92.7%) employed mothers continued EBFing practice for up to 6 months. Government employed counterpart (96.6%vs 64.0%), so also was primigravidae more than the grand-multigravidae (97.4% vs 80.0%). EBFing was also practiced most by house wives (98.1%) and petty traders (93.9%), and least practiced by business women and students mothers (67.9%) and (51.9%). No significant difference was observed in EBFing practice among mothers from different socio-economic background (92.9%,95.4% and 94.4%) for upper, middle and lower socio-economic class (SEC), and between male and female infants (50.4% Vs 49.6%), P > 0.05.
[ABSTRACT]   Full text not available     [PubMed]
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Serum antiphospholipid antibodies among healthy adults in northeastern Nigeria
YW Nyandaiti, AA Gadzama, D Bukbuk
September 2007, 10(3):213-215
PMID:18072447
BACKGROUND: Antiphospholipid antibodies have been associated with variety of conditions. There is no standard health associated reference values required for the interpretation of antiphospholipid antibodies result available among adults in North- eastern Nigeria and Nigeria in general. The aim of this study is to determine the normal serum level (cutoffpoint) in healthy adult Nigerians. The need or otherwise for stratification of the reference values by sex would also be determined. METHODS: Seventy-six healthy adults' medical students and health workers were enrolled in the study over the period of twelve consecutive months. Blood samples were taken for quantification of antiphopholipid antibodies using Enzyme Linked Immunosorbent Assay (ELISA) technique. Apparently healthy adults age between 16-50 years who are neither human immunodeficiency virus positive nor VDRL positive were included in the study. Reference values were calculated by parametric method. RESULTS: The mean serum concentration of IgG Anti‚2GP1 for the sample population was 21.43 +/- 9.43 U/ml. The mean serum concentration of IgG Anti‚2GP1 for males was 18.6 +/- 7.6 U/ml while for the female sample population was 22.7+/-10.2 U/ml. There is no gender variation (P > 0.05). CONCLUSION: The reference value for serum antiphospholipid antibodies in healthy adults in Northeastern Nigeria was 21.43 +/- 9.43 U/ml. The reference values should be used in this environment for both sexes. Extension of the scope of the study to cover the entire homogenous society of Northern Nigeria is recommended.
[ABSTRACT]   Full text not available     [PubMed]
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Some characteristics of paediatric admissions at the University of Nigeria Teaching Hospital Enugu-Nigeria
AN Ikefuna, IJ Emodi
September 2007, 10(3):216-219
PMID:18072448
BACKGROUND: In spite of its limitations, documentation of health facility utilization is an aspect of planning for patient care. Information obtained from such studies is usually useful in evaluating existing facilities, documenting trends in patients needs and improving facilities for patients care. OBJECTIVES: To assess the characteristics of children who utilize the services of the University Teaching Hospital(UNTH) Enugu for admission and treatment. DESIGN: A prospective study of the characteristics of children admitted consecutively over an eight month period into the Paediatric medical wards of UNTH was determined with the use of a structured questionnaire. RESULTS: Of the three hundred and thirty seven children admitted into the wards, aged 5 weeks to 18 years, two hundred and five(61%), 78(23%) and 54(16%) belonged to the lower, middle and upper social classes respectively. There was a male preponderance (1.3:1) and 60.5% of the children were less than 5 years of age. The children emergency room (CHER) was the route of admission of 214(63.5%) of the children and was statistically significant for all social classes (p=0.006). The difference in duration of symptoms before presentation in hospital between upper (landII)and lower social (IV and V)classes was statistically significant (p=0.005). CONCLUSION: The services of this hospital are used mainly by the lower socio economic class of the society. There is a delay in presentation of patients even to emergency room. The delay in presentation of children to hospital for treatment could be due to lack of education or knowledge, economic hardships, and absence of health insurance.
[ABSTRACT]   Full text not available     [PubMed]
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Hypertension among dental patients attending tertiary health institution in Edo State, Nigeria
PI Ojehanon, O Akhionbare
September 2007, 10(3):220-223
PMID:18072449
INTRODUCTION: Hypertension is one of the cardiovascular diseases which has been reported as one of the common causes of death worldwide. Some medical conditions including hypertension could alter the course of oral disease; modify dental treatment and response to such treatment. OBJECTIVE: This was to determine the prevalence of hypertension among dental patients and their common presenting oral complaint. METHOD: Measurement of the blood pressure of all the patients aged 18 77years who were attending the dental clinic was carried out using sphygmomanometer and stethoscope. RESULTS: The overall prevalence of hypertension among dental patients was 19.7% while that for unknown hypertension (hypertension detected at the dental clinic) was 10.3%. Acute periapical periodontitis and chronic marginal gingivitis were common clinical presentations. CONCLUSION: Some dental patients were unaware of their blood pressure levels. It is important for all dental patients to be screened for hypertension to avoid the complications that may arise therefrom.
[ABSTRACT]   Full text not available     [PubMed]
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