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   2006| June  | Volume 9 | Issue 1  
    Online since January 11, 2011

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Knowledge, attitude and practice of cervical cancer screening (pap smear) among female nurses in Nnewi, South Eastern Nigeria
GO Udigwe
June 2006, 9(1):40-43
OBJECTIVE: To determine the knowledge and practice of cervical cancer screening among practicing female nurses with a view to sensitizing them as a first step towards increasing screening uptake in the community. METHOD: A self administered questionnaire survey of all the female nurses working in Nnamdi Azikiwe university Teaching Hospital Nnewi center. RESULTS: 144 out of 166 questionnaires were correctly completed and returned. 122 (87%) were aware of the existence of screening services. Although 9.3% had lost relations to cancer of the cervix, only 5.7% had ever undergone a pap smear. While 52 (37.1%) had no reason for not screening, 21 (15%) were afraid of the possible outcome and 35 (25%) felt they were not likely candidates for cancer of the cervix. CONCLUSION: knowledge of cervical cancer screening services among female nurses in Nnewi is high while uptake rate is abysmally poor. There is need to further educate the nurses who will play a major role in enlightening the public on the availability and need for cervical screening services.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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The relevance of VDRL as routine test in pregnant women : a critcal study
AC Ikeme, TC Okeke
June 2006, 9(1):65-67
AIM: To critically determine the relevance of Venereal Diseases Research Laboratories (VDRL) investigation as a routine serological screening for syphilis among pregnant women who receive antenatal care at the University of Nigeria Teaching Hospital (UNTH). METHODS: A retrospective chart review of result of serological test for syphilis among pregnant women during a five year period (1st January, 1997 to 31st December 2001) was undertaken. RESULTS: A total of 7469 women booked. 7175 had routine serological test. 294 of the booked women failed to submit themselves for screening. The prevalence rate of syphilis in this study was 0.125%. VDRL seroreactivity had in previous studies in this center declined from 3.06% to 1.30%. It further declined to 0.98% in this study. CONCLUSION: The results strongly show a continuing very low prevalence rate of syphilis in Enugu. Nevertheless, we support continued screening of pregnant women inspite of this low prevalence rate, since this will eradicated the effects of undiagnosed and untreated syphilis.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  566 0 3
Acute appendicitis in Olabisi Onabanjo University Teaching Hospital Sagamu, a three year review
BA Ayoade, OA Olawoye, BA Salami, AA Banjo
June 2006, 9(1):52-56
BACKGROUND: Olabisi Onabanjo University Teaching Hospital is located in Sagamu, a suburban town with a population of 50,000 (1992 census). The hospital is a tertiary care facility in competition with a large number of private hospitals with different levels of competence. OBJECTIVE: The objective of the study is to review the outcome of the surgical management of acute appendicitis in our hospital. METHOD: A retrospective study of subjects who had appendectomy for the clinical diagnosis of acute appendicitis between January 2002 and December 2004 was done. RESULT: 113 subjects consisting of 52 females (46%), and 61 males (54%) were studied. The mean age was 24.1 years, 71 subjects (62.9%) were in the 10-30 years range. 57.5% of the subjects were students and 71 subjects (62.8) resided in urban area. All the subjects, had generalized in 23.9%). The mean duration of symptoms was 3.53 days with standard deviation of 3.69 days. Only 3 subjects presented on the day of onset of symptoms. Only 15 subjects (13.3%) had surgery on the day of admission. 69subjects (61.1%) had uncomplicated inflamed appendix at surgery and 2 subjects (1.8%) had clinically normal appendix. The mean duration of hospital stay was 10.6 days with standard deviation of 7.4. The commonest postoperative complication was pyrexia in 16 subjects (14.2%), followed by wound infection in 12 subjects (10.6%). One subject died (0.9%). CONCLUSION: The outcome reflects the late presentation and delay in surgical treatment.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  565 0 4
An assessment of high risk sexual behaviour and HIV transmission among migrant oil workers in the Niger Delta area of Nigeria
CA Nwauche, CI Akani
June 2006, 9(1):48-51
BACKGROUND: A cross--sectional behavioural survey undertaken amongst migrant oil-workers of an oil exploration outfit operating in the Niger-Delta of Nigeria with the aim of assessing the interplay of migrancy, high-risk sexual behaviour and HIV transmission. METHOD: A total of 300 randomly selected migrant oil workers were assessed using structured questionnaires to evaluate key high - risk sexual behavioral parameters such as multiplicity of sexual partners, bisexuality (closet homosexuality), high grade sexual behaviour and lesbianism. Sampling period was two months with a control cohort of 200. RESULT: The prevalence of high risk sexual behaviour (HRSB) amongst the migrant oil workers was found to be 7.7% while low-risk sexual behaviour (LRSB) was 92.3%. There was no record of HRSB in the control group. We did not also encounter any lesbian sexual orientation in this study. The distribution of HRSB amongst the migrant oil workers showed that the commonest variety was bisexuality (closet homosexuality) with 10(43.5%) followed by high-risk sexual behaviour 7(30.4%), while the least common was multiplicity of sexual partners with 6 (26.1%). Furthermore, majority of these individuals 19 (82.6%) were above the age of 35 years. The index of condom-use and acceptance was high. Here 14 (60.9%) found condom-use convenient while 13 (56.5%) regularly used the condom. CONCLUSION: This study confirms the existence of HRSB among migrant oil workers in the Niger delta. It is therefore advisable to focus interventionist and prevention programmes on this group which appear to be pivotal in the transmission and spread of HIV/AIDS in this environment.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  556 0 2
Barriers to timely initiation of breastfeeding among mothers of healthy full-term babies who deliver at the University of Port Harcourt Teaching Hospital
DD Awi, EA Alikor
June 2006, 9(1):57-64
OBJECTIVES: (I) To determine the barriers to timely initiation of breastfeeding in mothers who Hospital. (2). To determine if there is any statistical association between the time of initiation of breastfeeding and certain socio-demographic, obstetric, psychosocial and environmental factors in the mother-baby pairs. METHODOLOGICAL: A prospective, hospital-based study of 500 consecutive health mother-infant pairs delivered at UPTH (both vaginally and by Caesarian section). Information was obtained using a structured questionnaire, medical record review and direct observation. Early initiation, i.e. mothers who initiated breastfeeding within 30 minutes of delivery (in the case of the vaginally delivered (VD) mothers) or within 30 minutes of recovery of post-operative consciousness (in the case of those delivered by Caesarian section) were compared with those who initiated breastfeeding after 30 minutes (Late initiator) in the VD and C/S groups. The association between time of breastfeeding initiation and factors under consideration were determine using the chi-squared test. RESULTS: Approximately 34% of the VD mother initiated breastfeeding early while no mother with Caesarean section had early initiation of breastfeeding. The mean time of breastfeeding initiation was 3.35 -/+ 2.6 hours in mother who had vaginal delivery, 6.50 +/- 3.4 hours and 5.9 +/- 1.9 hours in those who had Caesarean section with general or spinal anaesthesia respectively. Among those with vaginal delivery, mothers younger than 25 years and of high socioeconomic class were found to practice early breastfeeding initiation. Delay in the time of repair of episiotomy and labour duration less than 12 hours were associated with early breastfeeding initiation. Early contact between baby and mother, help received on the delivery table and the presence of more than one delivery assistant also positively influenced breastfeeding initiation. Similarly, the presence of a breastfeeding-trained delivery assistant enhanced the mother' practice of early initiation of breastfeeding. Observation of routine labour ward practices such as cleaning of the newborn and weight/length measurement had negative impact on the practice of early initiation of breastfeeding. Early contact between the mother and her newborn on the delivery table with assistance to initate breastfeeding was the most important predictor of early breastfeeding initiation. Parity, attendance at the antenatal clinic, receipt of breastfeeding information and use of analgesics during labour did not show any statistical association with time of initiation of breastfeeding. CONCLUSION/RECOMMENDATION: There was a low prevalence of early initiation of breastfeeding in mothers delivered at the University of Port Harcourt Teaching Hospital. This low prevalence was due to delay in helping the newly delivered mother, especially those with Caesarean delivery. Routine labour ward practices interfere with the time of breastfeeding initiation. Routine labour ward and delivery table, specific assignment to the staff in the delivery/labour rooms help newly delivered mothers initiate breastfeeding early, and empowering the to request for babies are recommended.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  544 0 9
Hepatitis B vaccination status among health workers in Enugu, Nigeria
RC Ibekwe, N Ibeziako
June 2006, 9(1):7-10
BACKGROUND: Health workers in Nigeria are particularly at increased risk of contracting hepatitis B virus in their work place because Nigeria is a holoendemic area. Hepatitis B vaccination virtually eliminates this risk. There are few studies on the perception and uptake of hepatitis B vaccination among health workers in Nigeria and none to our knowledge in the University of Nigeria Teaching Hospital (UNTH), Enugu. OBJECTIVE: To determine the Hepatitis B vaccination level among all categories of health workers in UNTH, Enugu, and the factors that influence its uptake. METHOD: The study was cross-sectional in design. Subjects were health workers likely to be exposed to patients and or their body fluids. The tool was a self administered pre-tested questionnaire and analysis was done using SPSS version 11.5 software. RESULTS: Fifty point four percent of the health workers felt that their jobs exposed them to an increased risk of contracting hepatitis B virus infection. There is a significant occupational difference in perception with only 5.5% of the ward attendants as against 67.9% of other workers feeling that their jobs exposed them to increased risk (P = 0.00). Twenty two point four percent had received Hepatitis B vaccination, 3.7% had received 3 or more doses. Only years of occupational practice had a significant influence on vaccination uptake (P = 0.00). The most common reason for non-vaccination was lack of opportunity (43.08%). Among the 53.7% of the respondents who had had needle stick injury, none received post exposure prophylaxis. CONCLUSION: There is a low level of hepatitis B vaccination and no post exposure prophylaxis among health workers in UNTH, Enugu. This is due to poor perception of the risk of contracting this infection and non-availability of the vaccines.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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Sexual behaviour, contraception and fertility among in-school adolescents in Ikenne Local Government, south-western Nigeria
AA Salako, CA Iyaniwura, OA Jeminusi, R Sofowora
June 2006, 9(1):26-36
A cross- sectional study was conducted among in-school adolescents in six secondary schools in the health districts of Ikenne Local Government to assess the sexual behaviour, contraception and fertility experiences of the adolescents between the months of May and November 2002.Relevant information was collected from 1140 in-school adolescents with the aid of pre-tested, structured, self-administered questionnaires, selected by using multistage and stratified random sampling techniques Information sought from the questionnaires included socio-demographic characteristics of the respondents, parental background, their sexual behaviour, knowledge and use of contraception, human development, pregnancy and fertility experiences, information on sexually transmitted infections (STIs) and HIV/AIDS. During the same period, twelve (12) Focus Group Discussions (FGDs) sessions were conducted using an FGD Guide in the selected schools to highlight differences in opinions of students and also to highlight identification of the group consensus. The mean ages at first intercourse were 13.9 +/- 2.8 years and 14.8 +/- 2.4years for males and females respectively. Boys initiated sex earlier than girls. This difference was found to be statistically significant (p<0.05). Sexual intercourse had been experienced by 28.5% of the adolescent students, significantly more (37.6%) males than females (20.4%) The school adolescents that responded as being married were.4.5% (26males, 23 females) of the respondents. Knowledge on contraception was 36.9% and 22.1% for male and female students respectively, more males than females had knowledge of contraception in a significant proportion, apparently due to increase awareness of the male condom among males. Current use of contraception was equally low, and was found to be 10.9% and 6.0% for males and females respectively. The reasons for non-use were mainly that of non-availability (22.3%), cost (11.8%) negative attitude towards contraception due to societal disapproval (33.2%) and lack of knowledge of how to use them (21.3%). The proportion of adolescents that had ever experienced symptoms associated with Sexually Transmitted Infections (STIs) was 26.8%. Multiple factors were found to be responsible for the deplorable reproductive health situation of the adolescents in this community. The need for provision of sexuality and life planning education in schools including the provision of Youth friendly health services in the community were highlighted.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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The risk of transfusion-acquired hepatitis-C virus infection among blood donors in Port Harcourt : the question of blood safety in Nigeria
O Erhabor, OA Ejele, CA Nwauche
June 2006, 9(1):18-21
OBJECTIVE: This study was undertaken to establish the sero-epidemology of Hepatitis C Virus (HCV) antibodies among blood donors in Port Harcourt, Nigeria. METHODS: One Thousand Five Hundred consecutive blood donors presenting to the blood transfusion unit of the University of Port Harcourt Teaching Hospital between January and April, 2003 comprising of 1481 males and 19 females were screened for hepatitis C antibodies using the commercially available Clinotech anti-HCV test strips. All initially positive samples were subsequently tested using a second-generation Trinity Biotec enzyme linked immunosorbent assay. RESULTS: HCV antibodies were detected in 7 (0.5%) of donors. Although statistically not significant, the overall sero prevalence of HCV antibodies was higher in males 7 (0.5%) compared to zero prevalence among females. (chi-squared = 1.94, p = 1.000). Commercial remunerated donors had a higher prevalence of anti-HCV anti-bodies 5 (0.8%) compared to family replacement donors (0.2%) (chi-squared = 1.25, p = 0.26). The highest infection rate occurred in the 18 - 27 years age group 7 (0.7%). CONCLUSION: This study shows a 0.5% prevalence of HCV antibodies among blood donors and describes their demographic characteristics. This calls for urgent implementation of a universal donor screening for HCV antibodies and setting up of a national blood transfusion service run on the basis of voluntary, non-remunerated low risk donors.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
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Outcome of tubal surgeries at the University of Nigeria Teaching Hospital, Enugu, Nigeria
HE Onah, SO Mgbor, UA Umeh
June 2006, 9(1):44-47
OBJECTIVE: To determine the outcome of tubal surgeries at the University of Nigeria Teaching Hospital. Enugu, Nigeria over a 15 year period (1990 - 2004). METHOD: A retrospective case series review. RESULTS: Sixty-four women underwent tubal surgery in the hospital within the 15 year period. Hydrosalpinx was the most frequent tubal pathology occurring in 35 (54.7%) of the women followed by peritubal adhesions in 13 (20.3%) women and cornual block in 11 (17.2%) women. The surgical access was through laparotomy in 59 (92.2%) women and laparoscopy in 5 (7.8%) women. Fifty-seven (89.1%) of the cases had macrotubal surgery while 7 (10.9%) women had microtubal surgery. Twenty-four (37.5%) women had cuff salpingostomy, 16 (25%) had peritubal adhesiolysis, 12 (18.8%) had linear salpingostomy while 10 (15.6%) had tubo-cornual anastomosis. The most frequently used suture for tuboplasty was chromicised catgut No 2/0 which was used in 46 (71.9%) of the women. Twenty-five (39.1%) women were followed up for more than 6 months while the rest were lost to follow-up after 6 months. Three of the 25 women followed-up for more than 6 months became pregnant giving a pregnancy rate of 12.0% for this sub-group and an overall pregnancy rate of 3/64 or 4.7%. CONCLUSIONS: Tubal surgery as seen at the University of Nigeria Teaching Hospital Enugu has a low pregnancy rate similar to ones reported from other Nigerian centres. If attention is paid to the currently recommended microsurgical techniques, the pregnancy rates following tubal surgery are likely to be better than has been documented in this study.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  494 0 1
Relationship between knowledge of HIV/AIDS and sexual behaviour among in-school adolescents in Delta State, Nigeria
PI Okonta, MI Oseji
June 2006, 9(1):37-39
OBJECTIVE: To determine if there is any correlation between the knowledge of HIV/AIDS among in-school adolescents in Delta state of Nigeria and their sexual behaviour. METHOD: A questionnaire based descriptive study of randomly selected secondary school students in Asaba. Delta state. RESULTS: A total of 437 students were recruited for the study. About 47% of respondents had good knowledge of HIV/AIDS. The electronic media were their main sources of information. Fifty-eight percent had been sexually initiated but only 10% were currently sexually active. About 73% of the males and 58% of the females reported condom use in their last sexual act. Seventy-three percent of the students that had poor knowledge of HIV/AIDS had ever had sex compared with 69.5% of students with good knowledge. Similarly 45.6% of students with poor knowledge used condom compared with 58.8% who had good knowledge. However these observed differences were not statistically significant. CONCLUSION: Knowledge of HIV/AIDS by in-school adolescents in Asaba has not significantly influenced their sexual behavior. Program planners should explore and integrate other factors that could impact positively on adolescent sexual behavior.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  489 0 7
Tuberculosis and the eye
CM Chuka-Okosa
June 2006, 9(1):68-76
OBJECTIVES: 1. To refresh knowledge on the epidemiology, pathogenesis, clinical features, investigations and treatment of ocular tuberculosis; 2. To highlight the ocular complication of tuberculosis. METHOD: Through an internet search and review of current literature on tuberculosis and its ocular complications, the information relevant to the objectives was obtained. CONCLUSIONS: TB can affect any structure in the eye and adnexae. Ocular TB is not easy to diagnose because most times there is no concurrent active systemic tuberculosis. However, once TB is confirmed, treatment is generally the same as for systemic TB. Topical steroids are given in addition, in cases like phlyctenulosis. Early diagnosis and treatment of ocular TB can prevent blindness or severe ocular morbidity. With the growing epidemic of HIV and the consequent increased risk of developing TB, ophthalmologist and eye care workers are, therefore, advised to heighten their suspicion of ocular TB.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  479 0 1
Caesarean section in the management of singleton breech delivery in Calabar, Nigeria
AM Abasiattai, EA Bassey, SJ Etuk, EJ Udoma, AD Ekanem
June 2006, 9(1):22-25
OBJECTIVE: To establish the role of Caesarean section in reducing perinatal mortality following singleton breech delivery in the University of Calabar Teaching Hospital, Calabar. METHOD: The case notes of all patients who had singleton breech delivery between 1st January 1991 and 31st December 2000 were studied. RESULTS: The incidence of singleton breech delivery was 1.4% and 37.1% of the breech deliveries were by Caesarean section. Feto-pelvic disproportion and footling breech presentation were the most common indications for Caesarean section (50.0%). Most of the breeches delivered by emergency Caesarean section (55.0%) were in unbooked patients while the booked ones were mostly delivered by elective Caesarean section (80.0%). There was a statistically significant decrease in perinatal mortality in primigravid breeches ((p = 0.018) and in fetuses estimated to weigh above 3.5 kilograms (p = 0.0005) following Caesarean section. CONCLUSION: This study shows that Caesarean section plays a very important role in the management of breech presentation in our environment. We advocate elective Caesarean section of all primigravid breeches and those whose fetuses are estimated to weigh above 3.5 kilograms.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  466 0 2
Prevalence of gestrointestinal symptoms in pregnancy
BM Audu, SK Mustapha
June 2006, 9(1):1-6
OBJECTIVES: This study is aimed at determining the prevalence of gastrointestinal symptoms among healthy pregnant women attending antenatal clinic at the University of Maiduguri Teaching Hospital. METHODS: Questionnaires were randomly administered to consecutive antenatal clinic attendees until the sample size was reached. RESULTS: Three hundred and seventy pregnant women were interviewed. Heart burns, easy fullness and nausea were the commonest gastrointestinal symptoms in 45%, 40.2% and 39.9% of cases respectively. Primigravidae had significantly more symptoms than multiparae. There were also significantly more gastrointestinal symptoms in the first trimester of pregnancy. CONCLUSION: Gastrointestinal symptoms are common among healthy pregnant women. And even though these represent well-known physiological changes, they must be carefully assessed to exclude any pathological disorder that may require intervention.
[ABSTRACT]   Full text not available     [PubMed]
  459 0 -
Duodeno-pleural fistula : a rare complication of peptic ulcer perforation
PE Nwose, AM Nwofor, UC Ogbuokiri
June 2006, 9(1):84-86
Duodenopleural fistula is a very uncommon complication of peptic ulcer perforation and usually follows empyema after a subdiaphragmatic abscess rupture. We present a rare case of duodenopleural fistula following subdiaphragmatic abscess, which resulted in thoracic empyema after gastric perforation.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  448 0 1
Knowledge and attitude of youth (ages 15-25 years) to HIV/AIDS and to routine HIV screening
AI Omoigberale, PO Abiodun, AA Famodu
June 2006, 9(1):11-13
BACKGROUND: AIDS is still an incurable disease and is very costly to control. Since the first case of Acquired Immune Deficiency Syndrome (AIDS) in Nigeria was reported in 1986, the human immune deficiency virus (HIV) infection has attained epidemic proportion. In an effort to control this rapid spread, certain preventive measures have been developed. In spite of these and the campaigns to control it, the knowledge and attitudes of youths towards HIV/AIDS leaves much to be desired. OBJECTIVE: To determine knowledge and attitude of youths (15 - 25 years) of HIV/AIDS and to Routine HIV Screening. STUDY DESIGN: The study was cross-sectional. SETTING: The study was carried out at the University of Benin Teaching Hospital, Benin City, Nigeria, between January and December 2003. RESULTS: Five thousand three hundred and twenty STUDY POPULATION: The knowledge and attitude of youths (15 - 25 years) of HIV/AIDS and to routine HIV screening was assessed, using anonymous questionnaires, among 9500 respondents, 4950 males and 4550 females. 5750 respondents were from the University of Benin with a population of 20,000 students while 3750 were from some of the Secondary Schools (post primary Schools) randomly selected in Benin City, Nigeria. The University of Benin Teaching Hospital where the work was done is adjacent to the University of Benin. The Secondary Schools selected where the work was done were within a radius of 20 kilometers of the Teaching Hospital and were 5 in numbers with average of 750 students selected per school. Subjects (56%) indicated that they have heard about HIV/AIDS, 4180 (44%) had no knowledge of HIV/AIDS at all. 2240 of 5320 (42.1%) had some knowledge; 1593 (29.9%) had adequate knowledge and only 1487 (28.0%) had sufficient knowledge. 6365 (67%) did not believe it exists and as a result they are not bothered by it. 825 of the 3750 secondary school students had multiple sexual partners. Majority had single partners for those who had at all. While among the University students 2990 (52%) had multiple sexual partners, while others had between one and two sexual partners. Only 36210 (38%) believe it is real and a killer disease frightened about it and are already changing their sexual behaviours; 1900 (20%) believe it is a western propaganda to enslave the developing world. Three thousand nine hundred and ninety respondents (42%) would agree to routine HIV screening and 5510 (58%) would not agree to routine screening. The reasons adduced for rejecting routine HIV screening included psychological trauma, not necessarily high cost of and lack of anti-retroviral drugs, infringement on fundamental human rights, fear of living with positive screening, stigmatization and victimization at place of work if positive. Conclusion: Intensive massive awareness campaign through Radio, Televisions jingles and education about HIV/AIDS of the population is recommended to alter their current negative attitude to routine HIV testing and increase their knowledge about HIV/AIDS and perhaps help to change their sexual behaviours.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  444 0 3
Appendico-vesicostomy in tile management of complex vesico-vaginal fistulae
VC Onuora, TC Oguike, A Adekanye, K Onawola, E Obarisiagbon
June 2006, 9(1):89-90
Complex vesico-vaginal fistulae (VVFs) continue to complicated prolonged obstructed labour in this country. Recently a young lady presented to us with a huge VVF, associated with loss of the urethra and bladder neck, severe gynaetresia and recto-vaginal fistula. Her VVF was successfully managed by an appendico-vesiscostomy.
[ABSTRACT]   Full text not available     [PubMed]
  442 0 -
Epidemiology of malaria in infancy at Enugu, Nigeria
HU Okafor, T Oguonu
June 2006, 9(1):14-17
This was a retrospective study to ascertain the prevalence and clinical features of malaria in infants in Enugu between January 1998 and January 2000. Case notes of two thousand children were reviewed, one hundred and fifty-five (7.75%) had a diagnosis of malaria, with a male/female ratio of 1.2:1. The age range was two days to twelve months with a mean of 5.06 +/- 3.24 months. Nine infants (5.8 %) were less than seven days old. Ninety-nine of the patients (63.9%) had temperature > or = 37.5 degrees C. Diarrhea was a symptom in 52 (33.5%) patients, while vomiting alone or in combination with diarrhea was a presenting feature in 37 (23.87%) of the children. Twenty-eight children (18.1%) had respiratory symptoms of which, two had bronchopneumonia. Other associated illnesses included. septicaemia: 6(3.8%). infective diarrhea; 5(3.2%), and urinary tract infection; 4 (2.6%). Malaria is common in infants less than 6 months of age and associated with symptoms common with other childhood illnesses.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  438 0 1
Splenectomy in a rural surgical practice
E Alufohai, OO Odusanya
June 2006, 9(1):81-83
We reviewed the clinical presentation and indications for splenectomy in a rural community in Southern Nigeria from January 1988 - December, 2000, a period of 12 years. A total of 17 cases were seen. Twelve (70.6%) were for big spleens due to sickle-cell anaemia, tropical splenomegaly syndrome, malignancy and 5 (29.4%) were due to trauma from road traffic injuries. Anaemia was a common feature in all the cases. Patients were followed up for 18 months but all those suspected to have malignancies died within eight months of surgery. Diseased spleen is commonly seen in rural community, its management in the face of limited facilities could be tasking, but some modicum of treatment has to be offered those who may not be able to honour a referral. It is the surgical treatment thus offered that is being shared in this review.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  422 0 1
Tube thoracostomy in the management of pleural fluid collections
AM Nwofor, CN Ekwunife
June 2006, 9(1):77-80
OBJECTIVE: To determine the demographic pattern, indications and complications associated with tube thoracostomy in Nnamdi Azikiwe University Teaching Hospital (NAUTH) Nnewi. PATIENTS AND METHODS: A 5-year review of case records of patients who underwent tube thoracostomy at NAUTH Nnewi between January 1999 and December 2003. Demographic data, clinical features, duration of drainage, complications and outcomes were analyzed. RESULTS: A total of 65 cases were studied, male: female ratio was 2.4:1. Eighteen patients (27.7%) were below 10 years of age. Infective cases accounted for 63.1% (41) of the cases that had tube thoracostomy. Forty-one patients (63.1%) had tube drainage for 10 days or less. Complication rate was 41.5% (27), mostly mild, with dislodgement of the tube accounting for about half. Failure rate of 13.7% (9) was recorded for the procedure. A mortality of 6.2% (4) was recorded but there was no procedure related death. Seven patients (10.8%) required further surgery. CONCLUSION: Tube thoracostomy is a simple and efficacious procedure for the treatment of pleural space collections. The safety of the procedure can be improved upon by adequate training in the insertion procedure, while proper selection of cases will reduce failure rate and unnecessary morbidity. Early resort to thoracoscopic or open surgery when tube thoracostomy is considered inappropriate or has failed will improve the success rate in the overall management of pleural fluid collections.
[ABSTRACT]   Full text not available     [PubMed]
  421 0 -
A smoldering/indolent myeloma with extensive abdominal presentation--case report
CE Omoti, ME Enosolease
June 2006, 9(1):91-93
A case of indolent/smoldering myeloma in a 70-year-old man is reported. He presented with an unusual multiple symptomatic myeloma with extramedulary impairment and absence of bone pain. He was treated with pulses of high-dose dexamethasone with commendable clinical improvement.
[ABSTRACT]   Full text not available     [PubMed]
  418 0 -
Chemo-radiation in advanced nasopharyngeal carcinoma, disease free after 6 years--a case report
TN Elumelu, A Adenipekun, OG Nwaorgu
June 2006, 9(1):87-88
This is a case report of a patient with advanced nasopharyngeal Carcinoma, (T4 N2 MO) who had chemo-radiation with Cisplatin based chemotherapy and total midplane dose of 60 Gray external beam radiation. Six years after treatment patient has remained disease free and the primary site histologically confirmed disease free with no clinical evidence of regional or distance metastases
[ABSTRACT]   Full text not available     [PubMed]
  410 0 -