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   2008| March  | Volume 11 | Issue 1  
    Online since December 1, 2010

 
 
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ORIGINAL ARTICLES
Profile and outcome of cardiovascular admissions at the University of Uyo Teaching Hospital, Uyo--a five year review
VO Ansa, JU Ekott, EO Bassey
March 2008, 11(1):22-24
PMID:18689134
OBJECTIVE: The incidence of cardiovascular diseases (CVD) in developing countries has been on the increase in the last few decades. Demographic changes and adoption of negative life style associated with urbanization have been incriminated. This study is to ascertain the burden of cardiovascular disease in Uyo, a town which has been undergoing rapid urbanization in the last decade. SUBJECTS AND METHODS: A five-year retrospective analysis of cardiovascular admissions into the Medical Wards of the University of Uyo Teaching Hospital between September 1996 and September 2001 was carried out. Medical records of patients were used. The Epi Info 2002 software was used to analyse data. RESULTS: Five hundred and fifty eight (19.8%) of the 2875 medical admissions were patients with cardiovascular diseases. Their mean age was 52 +/- 12.7 years and mean duration of hospital stay was 9 +/- 7 days. Hypertension accounted for 311 (55.7%) of the cases, of these 107 (34.4%) presented with cerebrovascular accident (CVA). 44.3% presented in Heart failure and causes included Hypertension (14.9%), Cardiomyopathies particularly the dilated type (15.1%), Rheumatic heart disease (6.6%) and Anaemia (7.7%). 69 (12.4%) cardiovascular deaths were recorded, of these 34 (6.1%) were in patients with Cerebrovascular accident. Most deaths occurred within seven (7) days of admission. Duration of stay significantly influenced outcome (p = 0.000). CONCLUSION: Cardiovascular diseases constitute a significant health problem in our community. Intensive cardiovascular health education and promotion of healthy life style are advocated. Tertiary health care facilities should be equipped to cope with cardiovascular care in view of the looming epidemic of cardiovascular disease even in developing countries.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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Pattern of dyslipidaemia among Nigerians with type 2 diabetes mellitus
CI Okafor, OA Fasanmade, DA Oke
March 2008, 11(1):25-31
PMID:18689135
OBJECTIVE: To characterize the pattern of lipid profile abnormalities among Nigerians with type 2 diabetes mellitus attending the Diabetes clinic of a tertiary referral centre in Nigeria. METHOD: A cross sectional analysis of 192 diabetic patients consecutively recruited from patients attending the Diabetes clinic and 52 volunteering non-diabetic and non-hypertensive controls was undertaken. The main outcome measures were lipid profile and anthropometric indices. Data analysis was done with SPSS version 10. Results were expressed as mean +/- SD. Differences between groups were regarded as significant atp < 0.05. Comparisons of means, test of association were done using independent t-test, chi-square test and bivariate (Pearson's) correlation analysis. RESULTS: Eighty-nine percent of the patients had at least one abnormal lipid profile while 64.5% had combined dyslipidaemia. Reduced HDL-C and raised TG constituted the most (88.0%) and least (25.0%) prevalent abnormalities respectively. Significant difference in the mean values of HDL-C and LDL-C was observed between the patients and controls. CONCLUSION: Dyslipidaemia is common among patients with type 2 diabetes mellitus in Nigeria with majority of the patients having a combined dyslipidaemia. There is therefore the need to pay great attention to the lipid parameters in Nigerians with type 2 diabetes mellitus.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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Typhoid ileal perforation : analysis of morbidity and mortality in 89 children
SO Ekenze, PE Okoro, CC Amah, HA Ezike, AN Ikefuna
March 2008, 11(1):58-62
PMID:18689141
BACKGROUND: Typhoid ileal perforation is still prevalent in many developing countries. Despite the advances in the management, the outcome in children is still very poor. OBJECTIVE: To determine the morbidity and mortality of childhood typhoid ileal perforation in a tertiary referral centre in southeast Nigeria. METHODS: Retrospective evaluation of 89 children operated for typhoid ileal perforation over a 10-year period (January 1, 1995 through December 31, 2004) at the University of Nigeria Teaching Hospital, Enugu. RESULTS: There were 54 (60.7%) boys and 35 (39.3%) girls aged 1 15 years (mean 9.1 years). Thirty-nine (43.8%) were > 10 years. Fever and generalized abdominal pain were the predominant symptoms for 5 21 days (mean 13.4 days) and 2 13 days (mean 8.8 days) respectively before presentation; Seventeen (89.5%) of those < 5 years had vomiting. Pneumoperitoneum was demonstrated radiologically in 59 (66.3%) children. Surgical treatment involved simple closure in 46 (51.7%) children and segmental intestinal resection in 43 (48.3%). Surgical site infection 41 (46.1%), chest infection 21 (23.6%) and reperforation 19 (21.3%) were the commonest postoperative complications. The overall mortality was 17 (19.1%) from overwhelming infection. Age < 5 years and prolongation of perforation-operation interval worsened morbidity and mortality. CONCLUSION: Typhoid ileal perforation in childhood is associated with high morbidity and mortality. Outcome can be improved by early presentation and intervention.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  8 418 0
Pattern of non-communicable diseases among medical admissions in Port Harcourt, Nigeria
CN Unachukwu, DI Agomuoh, DD Alasia
March 2008, 11(1):14-17
PMID:18689132
OBJECTIVE: To determine the pattern of non-communicable diseases in the medical wards of the University of Port Harcourt Teaching Hospital (UPTH), over four consecutive years (June 2000 to June 2004). METHODS: The study was retrospective and data were obtained from the medical registers in the medical wards and the records department of the UPTH. Medical admissions due to non-communicable diseases were carefully selected and analyzed. RESULTS: There were 1853 cases of various non-communicable diseases out of a total medical admission of 3294 constituting 56.2% of total medical admissions. Diseases of the cardiovascular, endocrine and renal systems were the most prevalent constituting 35.7%, 18.5% and 16.8% respectively. Hypertension, diabetes mellitus, and chronic renal failure were the most common cardiovascular, endocrine and renal disorders respectively CONCLUSION: Non-communicable diseases are a major cause of morbidity in Port Harcourt. There is need for adequate health education and lifestyle modification to reduce the burden of non-communicable diseases in Nigeria.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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CASE REPORTS
Intracardiac tumor : a risk factor for stroke in the young--a case report
EO Sanya, PM Kolo, UG Adamu, OG Opadijo, KW Wahab, AF Mustapha, AB Omotoso
March 2008, 11(1):81-84
PMID:18689147
BACKGROUND: Stroke occurs commonly in individuals above 65 years, especially in the background of atherosclerosis and other risk factors. In young persons below 45 years it is a rare disorder with devastating sequelae on the affected individual. OBJECTIVE: Presently there are few reports on the aetiology/risk factors for stroke in young adults in Nigeria. This is due to limited facility for thorough investigation; therefore management of such cases poses a diagnostic challenge. In this report we present a case of embolic stroke in a male undergraduate that began with two brief episodes of transient left sided weakness before a completed stroke four hours later. 2-D echocardiography showed that the likely source of emboli to be a non-pedunculated left atria tumour attached to the root of posterior mitral valve leaflet. CONCLUSION: Intracardiac mass should be considered a possible risk factor for ischemic stroke in young adult, especially in the absence of other risk factors such as connective tissue disorders, HIV/AIDS, hemoglobinopathy or use of recreational drugs. High index of suspicion is required in order not to overlook such source of emboli. Early diagnosis offers the best panacea for a definitive therapy and prevention of stroke recurrence with its devastating sequelae.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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ORIGINAL ARTICLES
A comparative study of use of psychoactive substances amongst secondary school students in two local Government Areas of Akwa Ibom State, Nigeria
F Abasiubong, I Atting, E Bassey, J Ekott
March 2008, 11(1):45-51
PMID:18689139
BACKGROUND: The use and abuse of psychoactive substances is very rampant, even in our secondary schools. In recent times, there has been a growing concern about negative effects of these substances on youths. The high incidence of school dropouts and other nefarious activities are the resultant impacts on the students. OBJECTIVES: The objectives of the study were: (1) To determine the prevalence of substance use amongst secondary school students. (2) Compare the findings in two different local settings. (3) To determine the sociodemographic variables. MATERIALS AND METHODS: Four hundred secondary school students from two Local Government Areas were assessed for use of psychoactive substances, during the second term of 2004/2005 school session, using a Youth Survey Questionnaire. RESULTS: A total of 254 (63.5%) students, consisting of 119 from Uyo and 135 from Eket were analyzed. The mean age of the students in both schools was 17.1 + 2.0 and 16.6 + 1.7 years respectively. The difference in the mean was statistically significant (t = 1.14; df = 3, p > 0.05). More students from Uyo, 37 (31.1%) used kolanuts, 54 (45.4%) sedatives, while more students from Eket, 47 (34.8%) used tobacco/cigarettes, 76 (56.3%) alcohol, 21 (15.6%) Indian hemp, 5 (3.7%) cocaine and 1 (0.7%) heroin. Class level (P = 0.04), upbringing (P = 0.02) and parents' marital status (P = 0.01) was statistically significant in the use of tobacco/cigarettes. Also, class level (P = 0.02) parents' marital status (P = 0.00) was statistically significant in the use of alcohol, while family type (P = 0.00) and parents' marital status was significant in the use of sedatives. Similarly, parents' marital status (P = 0.05) was statistically significant in the use of Indian hemp, while family type (P = 0.00), upbringing (P = 0.03) was significant in cocaine. CONCLUSION: The findings of this study confirm the presence and use of psychoactive substances in varying proportions among students. Therefore, there is need to strengthen the monitoring and preventive programmes aimed at reducing their spread in schools.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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Adoption practices in Enugu, Nigeria
PN Aniebue, UU Aniebue
March 2008, 11(1):5-8
PMID:18689130
OBJECTIVE: The study of the pattern and outcome of adoptions in Enugu, Nigeria in order to determine the challenges in the emerging adoption practice in the state. MATERIALS AND METHODS: A retrospective analysis of adoption practices in Enugu Nigeria based on data from the National women's Commission. The National Women's Commission is the statutory body responsible for the documentation and follow-up of adoption in Enugu State. The characteristics of adopters and adoptees, types of adoption, prevalence and outcome of the adoptions between January 1991 and December 2001 were examined. Percentages were used for descriptive statistics and student's t-test for comparing means at 5% significance levels. RESULTS: There were sixty-one adoptions in the eleven-year period giving a prevalence of 5.5 adoptions per year. Eighteen (29.5%) kinship adoptions and 43 (70.5%) adoptions of abandoned babies and children were recorded. The mean age of the adoptees was 4.2 years and 33.3% of them were 5 years and above. All adopters were Nigerians but 32.0% of them resided overseas. The commonest age range at adoption was 4-49 years and the peak duration of marriage prior to adoption was 15-19 years. Most adopters (84.9%) had at least secondary school education. No adoption was annulled and there was no recorded death of adoptees. Post care monitoring was found to be incomprehensive. CONCLUSION: The growing practice of adoption in Enugu is laudable but post adoption care is poor. Emphasis on post adoption care is vital in developing countries where complex social and logistic factors militate against it. In infertility management early institution of counseling on adoption would allow couples ample time for decision making and preparation for adoption, as well as encourage adoption when couples are still young.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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Antibiotic misuse in children by the primary care physicians--an Indian experience
S Basu, M Chatterjee, P Kumar Chandra
March 2008, 11(1):52-57
PMID:18689140
OBJECTIVE: To determine the misuse of antibiotics in the Pediatric outpatients department' (OPD) of a busy teaching hospital and to ascertain the probable reasons behind it. METHODS: Over a 6 months period, new cases primarily treated with antibiotics by Medical Officers (first contact physicians in Peadiatric Medicine and Surgery OPD) were recruited in the study after obtaining written consent from the parents. Various errors of antibiotic usage were noted. All Medical Officers were asked to fill up a preformed questionnaire and the parents/guardians were interviewed on their ideas about antibiotics. Data were analyzed by the statistical software SPSS 10. RESULTS: Antibiotics were prescribed in 2427 (84.9%) new patients. Misuse of antibiotics was documented in 36.8% patients (no indication in 35.3%, improper selection in 17.9% and incorrect dosage in 7.7%). All medical officers were aware that they overuse antibiotics. The various reasons sited were demand of the parents, reluctance to counsel due to patient overload, free supply of medicines from OPD and sympathetic grounds as follow up visits were uncertain. Majority of the parents/attendants belonged to poor socioeconomic status and did not have any idea regarding antibiotics. All parents wanted quick relief without hospitalization and only 2.3% were willing to revisit the OPD for the same illness. Both medical officers and parents felt that base line investigations were unnecessary. CONCLUSION: Antibiotic misuse is quite common in this part of the world. Irrational use was mostly seen in over-prescribing and improper selection of antibiotic. Poor socio-economic status and overcrowding of patients in OPD were the main responsible factors.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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Thyroidectomy under local anaesthesia : how safe?
MA Misauno, MG Yilkudi, AL Akwaras, HY Embu, EO Ojo, NK Dakum, AZ Sule, BT Ugwu
March 2008, 11(1):37-40
PMID:18689137
BACKGROUND: In order to compliment the inadequate health facilities in the rural areas in Nigeria, nongovernmental organisations provide adhoc outreach health camps that offer treatment in various medical specialties including surgery. SETTING: Rural outreach health camps. OBJECTIVE: To evaluate the safety of thyroidectomy under local anaesthesia at rural outreach setting with inadequate facilities for general anaesthesia. PATIENTS AND METHODS: This was a prospective descriptive study of 33 consecutive cases of thyroidectomy performed using field block with 1% lignocaine and adrenaline 1: 200,000 dilution during two free medical outreaches that held at Jos, Nigeria in March and October 2005 respectively, lasting two weeks each. RESULTS: A total of 33 primary thyroid operations were performed consisting of 30 subtotal thyroidectomies (91%), 2 lobectomies (6%) and one total thyroidectomy (3%), The patients were aged between 23 and 62 years with a mean age of 45.8 years. There were 3 males and 30 females with a male: female ratio of 1:10. There was no mortality but morbidity was 2/33 (6%) Two complications were recorded in 2 patients and were superficial surgical site infection (3%) and reactionary haemorrhage (3%). CONCLUSION: We conclude that thyroidectomy under local anaesthesia is a safe procedure in experienced hands at rural settings with inadequate facilities for general anaesthesia.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  2 421 0
Risk scoring for domestic violence in pregnancy
N Ameh, SO Shittu, MA Abdul
March 2008, 11(1):18-21
PMID:18689133
BACKGROUND: Most studies and work on domestic violence against women are aimed at helping victims, Studies aimed at detecting those at risk of domestic violence are few. Risk identification has important implications for early detection and prevention. METHODS: A risk scoring tool was developed and tested on 466 antenatal clinic attendees at 3 levels of health care in Zaria, Nigeria. RESULTS: The prevalence of domestic violence was 11.8%. The sensitivity of the tool was 96.6% and specificity 11.8%. The positive predictive value and accuracy were 13.7% and 22.5% respectively. CONCLUSIONS: The tool has a high sensitivity and could be a good screening tool for identifying those at risk for domestic violence in pregnancy.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  2 424 0
Essential drugs in primary health centres of north central Nigeria; where is Bamako initiative?
MN Sambo, I Lewis, K Sabitu
March 2008, 11(1):9-13
PMID:18689131
OBJECTIVE: To assess the availability of essential drugs and the perceptions of clients on drugs situation in the primary health centres of Tafa Local Government Area, north central Nigeria. METHODS: Checklist consisting of minimum drugs expected in a generic primary health centre developed by the National Primary Health Care Development Agency (NPHCDA) was adopted and used to assess drugs availability, while Focus Group Discussions were conducted to determine the perceptions of clients on drugs situation in the health centres. RESULTS: Results show that, all the 3 primary health centres in Tafa LGA do not implement Bamako initiative (BI) and none was operating Drug Revolving Fund (DRF) system. Out of the minimum recommended score of 54 points for the availability and adequacy of drugs and consumables, New Wuse primary health centre in the LGAheadquarters scored highest points of 19, while New Bwari and Iku primary health centres scored 13 points each. All these are far below the minimum requirement. Similarly, the results of the FGDs confirmed poor availability of drugs and clients dissatisfactions with the drugs situation in the primary health centres. CONCLUSION: This study has revealed that despite Bamako Initiatives put in place in late 80s essentials drugs are still mirages in many of the primary health care facilities in the study area. It is therefore recommended that, any effort aimed at reforming or repositioning primary health care must take into account resuscitating Bamako Initiative by ensuring functional DRF system in all the primary care facilities.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  2 469 0
CASE REPORTS
Heterotropic pregnancy : a report of two cases
JO Eigbefoh, PS Mabayoje, JA Aliyu
March 2008, 11(1):85-87
PMID:18689148
Heterotropic pregnancy is reported infrequently in Nigeria. Two cases were managed within the span of five years with the successful delivery of a live term baby in one of the patients. A high clinical index of suspicion is required because an intra uterine gestation does not rule out a co-existing ectopic gestation especially in this region with high twinning rate and tubal disease
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  1 384 0
Axillary fibroadenoma mimicking lymphadenopathy
MA Odike, JC Orakwe, OC Oguejiofor, UC Odenigbo, IV Onyiaorah
March 2008, 11(1):72-73
PMID:18689144
Ectopic breast tissues are subject to the similar physiological and pathological alterations seen in breast tissues situated in their normal anatomical positions. We report a 34-year old multiparous woman who presented with a right axillary lump of about 1 year duration, for which clinical impression of axillary lymphadenopathy was made and lumpectomy carried out. Histology of excised lump revealed fibroadenoma. We discussed possible pathogeneses and consequences of this lesion.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  1 384 0
Combined central retinal artery and vein occlusion complicating orbital cellulitis
OO Komolafe, AO Ashaye
March 2008, 11(1):74-76
PMID:18689145
Orbital Cellulitis is a dreaded ophthalmologic disease. It may destroy vision and the eye and may even become life threatening. Often visual loss is the result of exposure and subsequent destruction of ocular tissue commonly the cornea and the uvea. We report a case of combined central retinal artery and vein occlusion complicating orbital cellulitis in a 35 year old patient who was 37 weeks pregnant resulting in loss of vision in the affected eye. There have been few case reports of this type of complication of orbital cellulitis.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  1 375 0
Congenital bilateral fusion of the maxillomandibular alveolar processes with craniosynostosis : report of a rare case
SO Ajike, OO Adeosun, ET Adebayo, JO Anyiam, I Jalo, ND Chom
March 2008, 11(1):77-80
PMID:18689146
A rare congenital anomaly of maxillomandibular fusion with pectus excavatum and craniosynostosis in a neonate is presented. The child was kept alive by nasogastric tube feeding. A modification of classification of syngnathia is proposed. The aetiopathogenesis and difficulty in management in our environment are discussed.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  1 351 0
ORIGINAL ARTICLES
Health care workers and risk of hospital-related tuberculosis
AK Salami, PO Oluboyo
March 2008, 11(1):32-36
PMID:18689136
OBJECTIVE: To determine the incidence and risk of hospital-related TB amongst the health care workers and trainee students of this institution. DESIGN: Retrospective study. METHOD: Chart review of PTB and EPTB diagnosed by AAFB in sputum, suggestive chest X-ray features of TB and aspiration cytology or tissue histology. RESULTS: Thirty-two (1.5%) of the 2,173 total staff strength developed occupation-related TB in a 15 year period, 15 (47.0%) of which presented as HIV/TB co-infection. Junior HCWs were mostly affected and the male:female ratio was about 1:2. PTB occurred in 25 staffs (78.1%), EPTB occurred in 5 (15.6%) and 2 (6.3%) had disseminated TB. HCWs directly caring for patients; 24 (75.0%) were mostly affected. They were HCWs from nursing, 15 (47.0%) and clinical services, 9 (28.0%). Duration of employment of the affected HCWs varied from half a year to 11.5 years and the rate of diagnosis of cases varied from nil to 3 per year. Identified risks for acquiring and developing active TB in the hospital were; HIV infection 47.%, diabetes mellitus 9.4%, "alcoholic" liver cirrhosis; 6.3% and chronic obstructive pulmonary disease 3.1%. CONCLUSION: Incidence of hospital-related TB is low amongst the staffs of UITH; however, all the HCWs of the hospital were at risk of exposure. Staffs at the clinical sections had the highest frequency of developing occupation-related TB, and HIV infection was the commonest risk factor.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  1 433 0
REVIEW ARTICLE
Role of a diagnostic laboratory in the management of diabetes mellitus
AA Gadzama, Y Nyandaiti, DS Mshelia
March 2008, 11(1):67-71
PMID:18689143
OBJECTIVE: To elucidate the role of a modern diagnostic laboratory in the management of diabetes mellitus. SOURCES OF DATA: Available literature on local and international studies on the role of the laboratory in the management of diabetes mellitus. RESULTS: Preclinical diagnosis of diabetes mellitus, good monitoring of short, medium and long-term glycaemic control necessary to avoid diabetic complications in poor resource settings are now possible with modern diagnostic laboratories. CONCLUSION: Creating the required awareness on the roles of a diagnostic laboratory in the management of diabetes mellitus is needed now more than ever before in resource poor nations otherwise the success achieved by the developed world where diabetic patients become insulin independent after islet cell transplant with glucocorticoid free immunosuppression cannot be attained in the near future.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  1 394 0
ORIGINAL ARTICLES
Post-orchiectomy anaemia in patients with advanced carcinoma of the prostate
JC Orakwe, NO Chukwujama, BE Egbunam
March 2008, 11(1):1-4
PMID:18689129
OBJECTIVE: To study postorchiectomy anaemia in black Nigerian patients who had bilateral orchiectomy for advanced carcinoma of the prostate. Anaemia has been observed in similar studies done on Caucasians and non-black patients in non-tropical environments MATERIALS AND METHODS: Consecutive patients with advanced carcinoma of the prostate who were managed by the authors over a four-year period, and who were treated with bilateral orchiectomy were prospectively studied. They also satisfied the set criteria for inclusion in the study. RESULT: Thirty-six patients were studied. The mean age was 71 years (SD = 7.6). Preoperative white blood cell count with blood film examination, and serum urea and creatinine were within normal limits and remained so for the duration of the study. The mean value of the haemoglobin concentration dropped significantly from 11.9 g/dl to 10.1 g/dl at six months (p < 0.005). The prostate specific antigen decreased from a mean preoperative value of 62.2 ng/ml (SD = 58.6) to a mean postoperative nadir of 2.9 ng/ml (SD = 1.3) after three months. CONCLUSION: In Nigerians, there is a statistically significant decrease in the heamoglobin concentration after bilateral orchiectomy. This should be closely monitored, and treated when indicated.
[ABSTRACT]   Full text not available     [PubMed]
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Liver enzymes in Nigerians with lichen planus
OO Daramola, FA Abbiyesuku, JA Otegbayo
March 2008, 11(1):63-66
PMID:18689142
INTRODUCTION: Lichen planus has been reported in association with liver diseases. Clinical signs such as jaundice may not be reliable indicator of ongoing inflammation or the presence of an ongoing liver disease. Liver function test in spite of its variability may serve as a more reliable indicator of liver disease. The objective of this study is to assess the discriminant power of liver enzymes with lichen planus and control. METHODS: Sixty Nigerians with lichen planus (LP group) and 30 patients with other dermatoses control group A) and 30 apparently normal individual (control group B) had their liver enzymes assayed using the automated Hitachi 70 auto-analyzer. RESULT: There was no a statistically significant difference in the level of liver enzymes between the LP group and controls. CONCLUSION: Liver enzymes in Nigerian with lichenplanus are generally within normal limits and are comparable to individuals without lichen planus.
[ABSTRACT]   Full text not available     [PubMed]
  - 385 0
Treatment of relatives by doctors : experience from Calabar, Nigeria
MU Anah, VO Ansa, NE Udonwa
March 2008, 11(1):41-44
PMID:18689138
OBJECTIVE: To determine the involvement of medical practitioners working in a tropical setting in the treatment of their relatives. DESIGN: Cross-sectional. SUBJECTS: Medical practitioners of all cadres working in the University of Calabar Teaching Hospital, Calabar, Nigeria. SETTING: A large teaching hospital in Calabar, Nigeria. A referral centre for two states. MAIN OUTCOME MEASURES: Extent, type and effect of involvement in the practice. RESULTS: Majority (90.9%) of medical practitioners in our centre were found to have been involved in the treatment of their relatives. Services rendered included consultation, in which all respondents (100%) have partaken. Cardiopulmonary resuscitation (16.9%) and emergency surgery were performed by only a few (3.1%). Though fees were not charged for services provided by most; a few (13.1%) did so. Outcome of involvement was unfavourable in some instances: 9.4% lost relatives they were involved in treating. Majority of the respondents 51.7% believed it is unethical to treat relatives and advocated for only limited involvement. This is because the pressure from relatives for care cannot be entirely ignored. CONCLUSION: It is difficult in our environment not to accede to request to treat family members. We recommend that practitioners may offer only consultation, and in some cases treat minor ailments while referring more serious ones to appropriate colleagues.
[ABSTRACT]   Full text not available     [PubMed]
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