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   2007| June  | Volume 10 | Issue 2  
    Online since December 1, 2010

 
 
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ORIGINAL ARTICLES
Intensive care unit admissions in the Jos University Teaching Hospital
ES Isamade, SJ Yiltok, AF Uba, EI Isamade, PH Daru
June 2007, 10(2):156-161
PMID:17902510
OBJECTIVE: To determine the pattern of admissions to the intensive care unit (ICU) of the Jos University Teaching Hospital (JUTH), a tertiary level referral hospital. METHOD: This is a retrospective study of the record of patients admitted between January 1994 and December 2002 to the ICU of the Jos University Teaching Hospital. The information obtained from the admission/discharge record as well as the patients' case notes included demographic data, working diagnosis, type of treatment, length of stay (LOS) in the ICU and outcome. RESULT: A total of 738 patients were admitted over this period and comprised 403 males (54.6%) and 335 females (45.6%) giving a male: female ratio of 1.2:1. The age ranged from one day to 98 years with a mean of 28.3 +/- 19.8 years. Postoperative surgical patients accounted for 48.2% of all admissions, while 15.2% were medical cases. Other indications for admissions included polytrauma (9.5%), Obstetrics and Gynaecological complications (16.1%) and burns (11%). The length of stay (LOS) in the unit ranged from 1 to 56 days, with a mean of 4.5 +/- 5.1 days. A total of 241 patients died while on admission giving an overall mortality of 42.8%. Postoperative surgical admissions accounted for 38.6% of deaths followed by burn and polytraumatised patients with 23.2% and 11.6% respectively. The lowest mortality of 8.7% was in the obstetrics and gynaecology patients. CONCLUSION: The pattern of admission into the unit and the outcome of treatment has not significantly changed after 1-2 decade of an initial report. There is need to increase the number and quality of equipment to cope with the increasing need for ICU care, as well as draw up a policy on the type of cases to be managed in order to improve the out come of care.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  560 0 4
Pattern of hospital admissions of children with poisoning in the Sudano-Sahelian North eastern Nigeria
S Oguche, DN Bukbuk, IM Watila
June 2007, 10(2):111-115
PMID:17902501
OBJECTIVE: Poisoning is a major problem in the paediatric population. In view of the paucity of literature on the subject matter in the northeastern part of Nigeria, this retrospective study was undertaken to describe the epidemiological features of accidental poisoning in children less than 13 years old who were admitted to the Emergency Paediatrics Unit (EPU) of the University of Maiduguri Teaching Hospital (UMTH), Maiduguri. The specific objectives included the determination of the age range most vulnerable, the principal agents of poisoning, the annual pattern of occurrence, the commonly administered home remedy and the examination of the need for preventive strategies in this part of the country. PATIENTS AND METHODS: Data were extracted from the medical records of 113 patients with accidental poisoning during the period January 1984 to December 2003. RESULTS: One hundred and thirteen (0.74%) out of 15,196 children were admitted for accidental poisoning. Their ages ranged from 6 months to 12 years. Children aged 0 to 2 years accounted for 80 (70%) cases. There were 69 males and 44 females with a male: female ratio of 1.6:1. Fifty-nine (98.3%) out of 60 children were from low social background. Kerosene and food poisoning (Manihot esculenta) accounted for 89 (78.8%) and 19 (16.8%) of all cases of poisoning respectively. Respiratory symptoms dominated the clinical presentation in 71 (62.8%) cases. Seven patients had severely low bicarbonate levels. Home remedies were administered to 50 (44.3%) out of 113 patients. These remedies consisted of milk in 49 (92.5%) and palm oil (oil from Elais guineensis) in 17 (32.1%) cases. The mean duration of hospital stay was 0.66 (1.67) days. Severe neurological sequelae was recorded in one patient. There was no death. The highest frequency of admission was recorded during the hot and dry months of March to June. CONCLUSION: Kerosene is the commonest cause of childhood poisoning in Northeastern Nigeria and children aged 0 to 2 years are the most vulnerable age group. The highest frequency of admission coincides with the period of the hot and dry months of March to June. Education and improvement in the standards of living of the people are the key challenges for the regional governments of Northeastern Nigeria towards achieving poison control.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  528 0 7
Incidence and risk factors for low birth weight among term singletons at the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria
OJ Mbazor, OU Umeora
June 2007, 10(2):95-99
PMID:17902498
OBJECTIVE: Low birth weight (less than 2500g) is a cause of increased neonatal morbidity and mortality. This study aims to determine the incidence of and risk factors associated with delivery of low birth weight singletons at term at UBTH, Benin City. STUDY DESIGN: This was a review of retrospective data extracted from the case records of all booked parturients who had low birth weight singletons at term at the Teaching Hospital over a four-year period. Booked parturients just before and after each case who had normal birth weight infants at term served as controls. RESULTS: Term low birth weight singletons constituted 3.4% of the 4735 term deliveries at the UBTH Benin City. Six parameters were found to have significant association with term low birth weight delivery. Birth interval of less than 2 years lost this association after controlling for confounding variables. Hypertensive disorder of pregnancy was the most significant risk factors isolated. Others were nulliparity, social classes IV and V, and maternal anaemia. CONCLUSION: Low birth weight in term infants is a major determinant of neonatal and infant morbidity and mortality. All isolated risk factors but nulliparity are amenable to antenatal management.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  527 0 3
CASE REPORTS
Outcome and benefits of small incision cataract surgery in Jos, Nigeria
C Mpyet, L Langnap, S Akpan
June 2007, 10(2):162-165
PMID:17902511
BACKGROUND: Cataract is the most common cause of blindness and cataract surgery is a common procedure. There is a need for a low cost, safe and effective form of cataract surgery for the developing world. This study reports the outcome of small incision cataract surgery in a developing country. METHODS: Eyes without coexisting ocular disease but with mature cataracts were operated upon. Small incision cataract surgery technique was used and patients were prospectively followed up. The procedure involved whole nucleus delivery through a sclerocorneal tunnel wound and insertion of a posterior chamber lens. Eyes examined at five days and six weeks after surgery are reported on for uncorrected visual acuity, complications of surgery and causes of poor outcome where applicable. RESULTS: Seventy-one eyes were included in this study. Uncorrected visual acuity at five days postop was good in 31 (43.7%) eyes and 49 (69.0%) eyes after six weeks of surgery. Six weeks postop, four (5.6%) eyes had poor outcome. The most common intraoperative complication was rupture of the posterior capsule while retinal lesions were the most common cause of poor visual outcome. CONCLUSION: Small incision cataract surgery offers faster visual recovery, is cost effective and has the prospects for increasing the uptake of cataract surgery in a developing country.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  486 0 1
ORIGINAL ARTICLES
Socio-clinical characteristics of modern contraceptives users at the University of Maiduguri Teaching Hospital
AG Mairiga, O Kyari, B Audu, BM Lawuwa
June 2007, 10(2):152-155
PMID:17902509
OBJECTIVES: To determine the incidence and socio-clinical characteristics of modern contraceptive users. And the common methods clients received their first information on family planning. DESIGN: A retrospective observational review of clients between 1st of January 1996 and 31st of December 2001. SETTING: University of Maiduguri Teaching Hospital (UMTH) Maiduguri, Nigeria. METHODS AND METHODS: Records of new family planning clients were reviewed to determine among other things, age of the patients, educational background, religion, number of living children and the methods chosen by the clients. The data extracted were analyzed by absolute values and percentages. Where necessary mean values and student t-test were calculated. RESULTS: There was a family planning consultation prevalence of 10% of total gynaecological consultations. All the clients were females, 79.7% were for child spacing and 17% for birth control. About 90% of those women who decided not to have any more children opted for temporary methods of contraception. Contraceptive use in teenagers was only 3.6% with peak age prevalence at 25 to 29 years. Almost half of the clients had 4 or more living children. Only 11.6% of clients first heard of family planning through the Radio or Television. CONCLUSION: For a family planning program to be effective in our community, strategic planning should target the males, teenagers and multiparous women. The electronic and print media should be involved more in the propagation of family planning programs. And women who have completed their family size should be encouraged to go for sterilization.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  467 0 1
CASE REPORTS
Genital mycoplasmas in semen samples of males attending a tertiary care hospital in Nigeria : any role in sperm count reduction?
NR Agbakoba, AI Adetosoye, JI Ikechebelu
June 2007, 10(2):169-173
PMID:17902513
Semen samples from 54 married men attending the outpatient clinics for problems of infertility and routine semen analysis were examined for the presence of genital mycoplasmas. The mean age of the men was 36.1 years with a range of 25 55 years. Majority of the men 57.4% (31 of 54) were in their fourth decade of life (30 39 years). This age group also had the highest percentage 57.2% (8 of 14) of positive isolates of genital mycoplasmas on semen culture. A total of 21 organisms obtained from 14 (26.0%) positive samples were isolated. Mycoplasma and Ureaplasma spp. separately isolated from the samples yielded frequencies of 1 (1.9%) and 6 (11.1%) respectively and the remaining 7 (13.0%) samples were infected with both organisms. A breakdown of the mycoplasma species include 5 (23.8%) M. hominis, 2 (9.5%) M. fermentans and 1 (4.8%) M. penetrans. Apart from one isolate of M. hominis other Mycoplasma species were found in association with Ureaplasma species. Fifteen (71.4%) of the 21 isolates [8 (53.3%) ureaplasmas and 7 (46.7%) mycoplasmas] were isolated from samples with sperm counts less than 20 million/ml while the remaining 6 (21.6%) isolates [5 (83.3%) ureaplasmas and 1 (16.7) mycoplasma] were from samples with counts greater than 20 million/ml. This finding could indicate a possible influence of genital mycoplasmas especially mycoplasmas species on sperm count.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  455 0 2
ORIGINAL ARTICLES
The prevalence pattern of external male genital defects among secondary school students in Enugu State of Nigeria
OF Ozoemena, AU Mbah
June 2007, 10(2):120-125
PMID:17902503
BACKGROUND: Enugu State typifies a Third World environment where most deliveries occur outside the hospital setting. In such circumstances, hospital-based data about congenital defects are unreliable and call for special methods of approach. OBJECTIVE: To determine the prevalence and pattern of male external genital defects in Igbo male secondary school students in Nigeria. METHOD: Samples of male students aged 10 years and above seen in randomly selected secondary schools in Enugu State, of South-East Nigeria were guided through a protocol involving, self administered questionnaires, personal interviews and physical examinations for evidence and types of anomalies present in their external genitalia. The participating schools were selected by stratified random sampling; first by local government Areas (LGA) and then by schools. Consents for the study were obtained from Local Government Authorities, Heads of the schools and Parents' Teachers Associations, (PTA) Executives. RESULTS: Altogether, four urban and thirteen rural schools were studied, and a total of 6225 male students participated. Overall, 416 (6.8%) were identified with various types of external genital anomalies, with the prevalence observed being within, the ranges of population prevalence reported in the literature. The commonest types of anomalies encountered were crypto- orchidism with / or without scrotal hypoplasia 268 (4.30%), inguino- scrotal 56 (0.90%), and hydrocoeles 52 (0.83%). As many as 183 (44%) of those with congenital genital defects were not aware that they had them. CONCLUSION: External male genital defects among Igbos appear to be within the prevalence rate reported in the literature. However the ignorance rate of such defects is high within the Igbo society.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  449 0 2
Pattern of neuro-ophthalmic disorders in a tertiary eye centre in Nigeria
AE Omoti, MJ Waziri-Erameh
June 2007, 10(2):147-151
PMID:17902508
AIM: To determine the incidence and types of neuro-ophthalmic disorders at the eye clinic of University of Benin Teaching Hospital, Benin City, Nigeria. METHODS: All the new patients presenting to the eye clinic of the University of Benin Teaching Hospital between May 2001 and April 2003 with neuro-ophthalmic disorders were interviewed, examined and investigated when possible. They were analysed in the context of age, gender, diagnosis, major clinical features and visual acuity. RESULTS: A total of 76 patients with neuro-ophthalmic disorders were seen among a total of 1,698 new patients giving an incidence of 4.47%. The most common disorders were motor nerve palsies (27.6%), optic neuropathies (22.4%) and migraine (14.5%). The most presenting features were poor vision (39.5%), double vision (18.4%) and headache (17.1%). Twenty-nine patients (38.2%) were blind in the affected eye. CONCLUSION: The incidence of neuro-ophthalmic disorders is relatively low but constitute a significant cause of ocular morbidity and blindness. Improvement in diagnostic facilities and awareness are required.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  442 0 1
Total antioxidant status in type 2 diabetic patients : experience at University College Hospital (UCH) Ibadan, Nigeria
OM Akinosun, EB Bolajoko
June 2007, 10(2):126-129
PMID:17902504
Total antioxidant status (TAS) was measured in 20 Type 2 diabetic patients aged 40-60 years (mean 50 years). Patients were on diet and oral hypoglycemic drug therapy, with fasting plasma glucose (FPG) levels > 7.0 mmol/L. Similar measurements were carried out in 20 apparently healthy individuals within the same age range (mean 46 years) and with FPG levels < 6.1 mmol/L. FPG was measured by glucose oxidase method and TAS by a colourimetric method. Comparing the two groups, TAS was significantly reduced in the Type 2 diabetic patients (0.96 +/- 0.37 Vs 1.61 +/- 0.16 mmol/L) (P < 0.05). An inverse correlation between FPG and TAS suggested the existence of a lower antioxidant defense in poorly controlled Type 2 diabetics. Good control of FPG, could possibly help reduce free radical activity and probably minimize the chronic complications in diabetic patients.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  439 0 1
Pattern of pathogens in ear discharge of HIV-infected children in Nnewi, Southeast Nigeria
EF Ugochukwu, CC Ezechukwu, N Undie, C Akujobi
June 2007, 10(2):130-136
PMID:17902505
OBJECTIVE: This is a descriptive, prospective, hospital-based study designed to determine the prevalent organisms in ear infections and their antimicrobial susceptibility patterns in HIV-infected children compared to age-and sex-matched HIV sero-negative patients. METHOD: Two hundred and fifty eight HIV-infected children being followed up at the Paediatric HIV clinic had their ears examined for middle ear infection. All those with discharging ears had swabs taken. Culture and antimicrobial sensitivities were ascertained. The same was done for another cohort of 57 age-and sex-matched HIV-negative patients with discharging ears. RESULTS: Twenty eight (10.9%) of 258 HIV-infected children had discharging ears and were made up of 13 females and 15 males aged between 7 and 132 months. Out of this number 85.7% had chronically discharging ears, 96.4% of the 28 children acquired the HIV infection vertically. 78.6% had been on antiretroviral drugs from one to twenty-one months. 67.9% of the patients had associated opportunistic infections. Acute ear infections were predominant among the control group. Klebsiella, Proteus, Staphylococcus and Pseudomonas were major pathogens isolated among the HIV-infected group and Streptococcus, Klebsiella and Pseudomonas for the HIV-negative group. A hundred percent sensitivity was recorded among the quinolones for all bacterial organisms isolated. CONCLUSION: HIV-infected children tend to have more of chronic than acute ear infections and this is reflected in the causative organisms. Similar antimicrobial sensitivity patterns apply to HIV-infected and HIV-negative children. There is a need to revisit the use of quinolones in children.
[ABSTRACT]   Full text not available     [PubMed]
  433 0 -
Epidemiology and management of occupational exposure to blood borne viral infections in a resource poor setting : the case for availability of post exposure prophylaxis
O Erhabor, OA Ejele, CA Nwauche
June 2007, 10(2):100-104
PMID:17902499
OBJECTIVES: The aim of this study was to demonstrate the epidemiology and risk of occupational exposure to HIV, HBV and HCV among health care workers (HCWs) and highlight areas where greater training is required. METHODS: The study population included 13 health care workers; 5 males (38.5%) and 8 females (61.5%), mean age 34.15 +/- 6.8 years including 3 doctors (23.1%), 2 laboratory scientist (15.4%), 1 laboratory technician (7.7%), 6 medical students (46.2%) and 1 trainee laboratory assistant (7.7%). The care and follow-up provided to the health care workers in the 500 -bed tertiary health hospital that had percutaneous exposure to patient's blood between June 2002 and June 2005 were analyzed. All exposed health care workers were evaluated and offered follow up counseling. Five milliliters of blood from each of the HCWs and the source patients were screened by immmuno-enzymatic testing for HIV, HBV, and HCV. RESULTS: Exposures were concentrated in few areas of the hospital; pediatrics (46.2%); surgery (15.4%); obstetrics and gynecology (7.7%) and laboratory unit (30.8%) (divided by 2 = 7.72, p = 0.05). Risk of exposure was significantly higher among females (61.5%) compared to males (38.5%) (divided by 2 = 29.96, p = 0.001). All exposed HCWs were seen and offered post exposure prophylaxis within 24 hours of exposure. All the exposed health care workers were sero-negative to HIV, HBsAg and anti-HCV at exposure. The source patients were known in all cases. Evidence of HIV was present in 5 (38.5%); 1 (7.7%) had HBV while none had HCV infection. Of all the HCWs who completed the follow-up, only 1(7.7%) confirmed case of HBV seroconversion occurred in a HCW who was not previously vaccinated against HBV but who received post exposure HBV vaccination. Exposure rate was significantly higher among house officers 7 (53.9%) followed by registrars 3 (23.1%) and laboratory scientist 3 (23.1) (divided by 2 = 74.79, p = 0.0001). CONCLUSIONS: There is need to address the issue of occupational exposure in Africa by providing training on universal precaution, phlebotomy, modifying procedures that have high risk, developing institutional policy for handling of sharps and post-exposure management of health care workers, provision of protective HBV vaccine for all HCWs coupled with the provision of post exposure prophylaxis for exposed HCWs.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  430 0 4
HIV/AIDS perception and sexual behaviour among Nigerian University students
SO Ike, PN Aniebue
June 2007, 10(2):105-110
PMID:17902500
OBJECTIVE: To evaluate the knowledge and perception of undergraduate students of the University of Nigeria with regards to HIV/AIDS and determine their sexual behaviour. MATERIALS AND METHODS: This was a cross sectional descriptive study. Pre-tested structured questionnaires were administered to the students to collect relevant information on their sociodemographic characteristics, HIV/AIDS awareness, sexual behaviour, willingness to screen and disposition to people living with HIV/AIDS RESULTS: Five hundred and seventy nine students between 16 to 40 years of age responded, out of 600. Majority (55%) heard about HIV/AIDS through the media. Seventy two percent believed viruses cause HIV/AIDS but 27% thought it was God's anger or witches. Forty four percent were (genitally) sexually active or engaging in pre/extramarital sexual intercourse and only two-thirds of these used condoms for these purposes. Ninety one percent of those not using condoms simply did not like it or admitted it was unavailable. More than 70% had never had a HIV screening test, mostly due to reluctance or fear. Ninety two percent would lovingly care for a HIV/AIDS patient. CONCLUSION: Information on HIV/AIDS and sexual behaviour to this vulnerable and most economically important group is still inadequate, as reflective of the society. Appropriate information, education and communication strategies must be packaged towards these students, with efforts made to reinforce their positive trends.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  428 0 3
Analysis of weight, packed cell volume changes and menstrual pattern in Norplant implant acceptors in Ilorin, Nigeria
OR Balogun
June 2007, 10(2):116-119
PMID:17902502
CONTEXT: Norplant is the registered trade mark of the population council for contraceptive subdermal implants. Norplant implant contraceptive consists of six capsules containing progestin levonorgestrel. Each capsule is 3.4cm long and 2.4mm in diameter and contains 36mg of levonorgestrel crystals packed into a silastic capsule. OBJECTIVE: The aim of this study was to evaluate the effect of Norplant implant use on weight, packed cell volume and describe the menstrual pattern observed during the period of use. SUBJECTS AND METHODS: This was a prospective study that involved 59 clients who had complete records at one year out of 71 informed volunteers recruited from the family planning unit of the University of Ilorin Teaching Hospital Ilorin from 1st March, 2002 to 31st December, 2003. Data on their weights packed cell volume and menstrual events were analysed at 3, 6, and 12 months of study. RESULTS: The mean age(years) and parity of new Norplant implant acceptors during the period of study were 36. 15.6 and 3.9 1.5 respectively. The mean weight (kg) at pre-insertions was 66.5 [10.7] and 67.8 [10.7] and 68.9 [10.5] at 3, 6 and 12 months of Norplant implant use. The analysis of variance did not show statistical significant difference (P < 0.551) in the mean weight measured at pre-insertion 66.5 compared to the weight at 3, 6 and 12 months of Norplant use. The mean packed cell volume estimation (%) at pre insertion was 36.6 3.7 and had a statistical significant (p 0.003) rise to mean values of 37.3 3.4, 38.2 3.4 and 38.8 2.4 at 3, 6 and 12 months of Norplant use. The mean packed cell volume estimation (%) at pre insertion was 36.6 3.7 and had a statistical significant (P 0.003) rise to mean values of 37.3 [3.4], 38.2 [3.4] and 38.8[ 2.4] at 3,6 and 12 months of Norplant use respectively. Amenorrhea was the commonest observed menstrual change during the period of study. All acceptors were recruited with normal menstrual flow and at the end of the twelve months study period only 3 (5.1%) were still experiencing normal menstrual flow and 40 (67.8%) were amenorrheic. CONCLUSION: Norplant Implant use was beneficial in maintaining weight and improving the packed cell volume ofusers. The menstrual change observed was tolerable.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  426 0 1
Serum uric acid level as an independent component of the metabolic syndrome in type 2 diabetic blacks
AA Akande, AK Jimoh, OA Akinyinka, GO Olarinoye
June 2007, 10(2):137-142
PMID:17902506
CONTEXT: No consensus has been achieved on the components included in the definition of Metabolic Syndrome (MS). Uric acid and Gamma glutamyl transpeptidase are however newer markers not included in previous studies. OBJECTIVES: This study was carried out to determine the prevalence of MS in Diabetes Mellitus, the correlation between hyperuricaemia and MS as well as make a case for the inclusion of serum Uric acid level as a new marker for MS. METHODOLOGY: Fasting venous sample from the cubital vein of 77 females and 44 males diagnosed NIDDM patients for enzymatic determination of serum lipids, glucose and uric acid using QCA kits. The demographic records were obtained from the folders. Metabolic syndrome was diagnosed using the WHO criteria. RESULT: The prevalence of the new component hyperuricaemia among the study subjects was 10.7%. Thirty-eight (31.6%) of the subjects who had high blood pressure, hypertriglyceridemia, low HDL-C and BMI > 30 kg/m2 diagnostic of MS also had hyperuricaemia as against the 29 (23.9%) subjects who hadMS only. About 23.7% of the 38 subjects who had MS and hyperuricaemia had serum uric acid values above 0.38 mmol/l recommended as the cut off value. There was a significant correlation (r = 0.301, p < 0.01) between serum uric acid level, BMI, total cholesterol, LDL-C and HDL-C/TC, among the female subjects while the male subjects showed significant correlation (p < 0.05) between their BMI and serum HDL-C level only. There was a significant difference (p < 0.001) in the CHD risk ratio between the male and the female MS subjects. CONCLUSION: The correlation between hyperuricaemia and other components of MS as demonstrated in this study may suggest a common etiological factor between the MS components as suggested in other studies. Insulin resistance has been implicated as a common denominator. Thus a further investigation in this direction would be needed.
[ABSTRACT]   Full text not available     [PubMed]
  420 0 -
Epidemiological characteristics of carcinoma of the cervix in the Federal capital Territory of Nigeria
AC Umezulike, SN Tabansi, HA Ewunonu, EJ Nwana
June 2007, 10(2):143-146
PMID:17902507
OBJECTIVES: To study the epidemiological characteristics of cancer of the cervix in the Nigerian Federal Capital Territory (FCT), and also to serve as baseline information for future monitoring of on-going screening for pre-malignant cervical lesions. METHODOLOGY: Retrospective study of all confirmed cases of cancer of cervix managed at the National Hospital, Abuja (NHA) from its inception in 1999 to 2003. The case records of the patients were retrieved from diagnosis, treatment and follow up. RESULTS: Over the 5 year study period, 117 cases of cancer in women were managed in the hospital. Thirty-six (30.8%) were Cancer of the cervix. The mean age of the patients was 52.4 years, STD 1.18. Twenty-five (69.4 %) were grandmultiparous. The age at first confinement ranged from 12 to 19 (mean 15) years. Six (15%) admitted to multiple sexual partners. A common presenting complain was bleeding through the vagina 28(51.9%), 27(50%) were anaemic and 21 (38.9%) were cachetic. Late stage cancers were 31(86%), and 34 (88.9%) were squamous cell carcinoma. Radiotherapy was offered to 21(58.3%). Five (13.9%) were confirmed dead but 16 (44.4%) were lost to follow up. CONCLUSION: Cancer of the cervix present late in the FCT and the burden is heavy. The mortality is such that ongoing screening for pre-malignant lesions of the service in the FCT should be encouraged and widened.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  414 0 4
CASE REPORTS
The use of infant feeding tube as a combined nephrostomy and stent in Anderson-Hynes pyeloplasty
TC Oguike
June 2007, 10(2):166-168
PMID:17902512
OBJECTIVE: To demonstrate the usefulness of a small size nasogastric tube as a combined nephrostomy tube and stent in Anderson-Hyne Pyeloplasty. METHOD: Size 6 FG nasogastric tube with two holes made at the midportion, was used in each of 10 consecutive patients who had Anderson-Hypes dismembered pyeloplasty. The distal portion served as stent while the middle perforated portion was situated in the renal pelvis. Through a separate stab wound at the lateral abdominal wall the rest of the tube was brought out. The single tube then served as both a nephrostomy and a splint to the repair. RESULT: In 9 (90%) out of 10 patients, the tube drained significant urine post operatively. When removed six to twelve days later there was no urinary fistula in any of the patients.
[ABSTRACT]   Full text not available     [PubMed]
  411 0 -
Penetrating orbito-cranial and ocular cow-horn injuries
LO Onyekwe, SC Ohaegbulam
June 2007, 10(2):177-179
PMID:17902515
Cow horn eye injuries are not common but are devastating causes of uniocular blindness amongst young active population. Early and appropriate intervention can save the life of the patient depending on the severity of the injury. This uncommon cause of unilateral visual loss can be prevented if slaughtering of cows are done by trained and appropriately equipped personnel.
[ABSTRACT]   Full text not available    [CITATIONS]  [PubMed]
  388 0 1
RESEARCH LETTERS
Hyperactivity and inattention - A successful response to table coffee
RD Wammanda
June 2007, 10(2):182-183
PMID:17902517
Full text not available    [CITATIONS]  [PubMed]
  270 0 2
Morbid obesity in a twenty one year old beggar : a case report
CH Njoku, AM Makusidi
June 2007, 10(2):180-181
PMID:17902516
Full text not available     [PubMed]
  230 0 -
CASE REPORTS
Case reports : Four (4) clients using Norplant contraceptive implants beyond 8 years in Jos, Nigeria
JT Mutihir
June 2007, 10(2):174-176
PMID:17902514
Full text not available     [PubMed]
  199 0 -
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