Serum iron status of pregnant women in Central Hospital Sapele, South-South Nigeria
March 2022
Low iron status and Iron deficiency anemia are major prenatal complications predisposing pregnant women to preventable causes of premature delivery, intrauterine growth retardation and neonatal and prenatal death in Nigeria. Therefore, this study aims to evaluate and compare serum iron status in pregnant and non-pregnant women in Sapele, South-South Nigeria. A total of three hundred and sixty subjects were enrolled for...
Maternity waiting homes and skilled delivery in Ethiopia: Review of strategy and implementation to drive sustainable development goals
April 2018
Improving maternal and child health is foundation for every nations, communities and families. Millennium Development Goals had applied various strategies to overcome the gaps resulted in maternal and child health morbidity and mortality from global to local levels. Among the strategies is maternity waiting home, an important tool-had been addressed those in need of access and hard/difficult to reach for skilled...
Predictors of institutional delivery service utilization, among women of reproductive age group in Dima District, Agnua zone, Gambella, Ethiopia
February 2018
Institutional delivery reduces the risk of complications and infections of the mother and newborn baby. There was inadequate information in the study area that this study intended to provide. The study assessed institutional delivery and predictors in Gambella, Ethiopia. A community-based cross-sectional study was conducted on 798 subjects from February 1 to June 15, 2017 among reproductive age group women who gave...
A three-year study on childhood intussusception in Jimma University Medical Center
January 2018
Intussusception is the leading cause of intestinal obstruction in the young child and refers to the condition whereby a segment of intestine becomes drawn into the lumen of the more proximal bowel. The process usually begins in the region of the terminal ileum, and extends distally into colon. Rarely, an intussusception may prolapse through the rectum. Although it is a common entity, no research was done in Jimma. The...
Prevention of mother to child transmission of HIV/AIDS: Service utilization and associated factors among selected public health facilities in Ethiopia
August 2017
Mother-to-child transmission (MTCT) of human immune virus/acquired immune deficiency syndrome (HIV/AIDS) is the largest mode of HIV transmission among children. This study assesses the prevention of mother to child transmission (PMTCT) of HIV/AIDS service utilization and associated factors among mothers attending antenatal care (ANC) in selected public health facilities of Horo Guduru Wollega Zone, Oromia Region,...
Prevalence of ovarian torsion in postmenopausal women in a Nigerian community
March 2016
This study aimed at determining the prevalence of ovarian torsion in postmenopausal women in Nigeria. For this purpose, a histopathology data pool was maintained for 30 years among the Igbos, a large ethnic group in Nigeria from where postmenopausal women diagnosed with ovarian torsion were extracted for classification. The data concerned 69 cases. All were presented with acute abdominal pain. None was malignant. The...
The challenges of qualitative research: Can it be used to strengthen decision making for health care in Uganda?
April 2015
The growing need to integrate qualitative research findings in health care is a result of its ability to provide more credence to empirical data from the Uganda Health Management Information System (HMIS) in Uganda. This paper based on literature review identifies some of the main challenges encountered in use of qualitative research findings to inform the policy decision making process. While opportunities abound to...
Retention challenges of human resources for health: What are the alternatives incentives for retention of skilled health workers in Uganda health sector?
March 2015
Available literature shows that retention of human resources for health is underpinned by a number of factors in Motivation-Hygiene Theory key which include human resource development, financial incentives, and personal and professional support mechanisms. These are all linked to motivation and productivity. There is convergence of opinion that staff retentions required packaging different bundle of incentives depending...
Computerized tomography scan and head injury: The experience in a tertiary hospital in Nigeria: A cross sectional study
February 2015
Trauma is the leading cause of death in all age groups, and head trauma is the cause of death in more than 50% of cases. Head injury reduces the level of physical and mental health of a community, ultimately increasing the socioeconomic burden. In our resource limited country, skull x ray was the main mode of investigating head trauma until recently when computerized tomography (CT) scans became the modality of choice...
Medical students’ reflections on first clinical experience
December 2014
Reflection is an important skill, as it supports both individual and lifelong learning. It can be used as a learning method in medical education for professional development at all stages. This study aims to evaluate reflective skills of third-year medical students in primary care experience. Physicians from affiliated primary health care centers supervised students during their clinical practice. Student...
Impact of computer technology on health: Computer Vision Syndrome (CVS)
November 2014
In today’s society, the use of computer as a tool at workplaces, academic institutions, recreation facilities and homes has become very common. It is estimated that globally, about 45 to 70 million people spend hours staring into a video display terminal, popularly known as computer screen. Several studies, mainly in developed countries, have shown an association between computer use and visual health related...
Syphilis presenting as optic neuritis in an immunocompetent patient: Case report
August 2014
The purpose of this report was to present a case of optic neuropathy as a manifestation of secondary syphilis in an human immunodeficiency virus (HIV)-negative patient. A case of gradual loss of visual acuity in the left eye (LE) in a 53-year-old healthy woman was described. The patient present with visual acuity of 20/20 in the right eye and hand movements in the LE. Fundoscopy revealed swollen optic disc in the LE....
Resolving the qualitative-quantitative debate in healthcare research
February 2014
This article was set out to examine the allegations labeled against qualitative research by quantitative researchers. The allegations were that: it is subjective, difficult to replicate in healthcare, and this amounts to little more than anecdote, personal impression or conjecture. In attempting to resolve the allegations, this article relied on extensive literature review and examined evidence that has been put forth...
Anal melanomas: The sun does not shine on this mucosa
February 2014
Cutaneous melanomas are rare in the Indian population and mucosal and anorectal lesions are seen but very occasionally. They often masquerade as hemorrhoids leading to delay in diagnosis. This was a retrospective study done in Sri Ramachandra University, where hospital records were perused to record all cases of anal melanomas. Abdomino-perineal resection and wide local excision offer equal survival rates. Novel...
Experience with the use of sugar paste dressing followed by reconstruction of sacral pressure sore with V-Y flap: A reliable solution for a major problem
April 2013
Pressure sore is a complication in paraplegic/quadriplegic patients. Despite advances in reconstruction techniques, sacral pressure sores are still a challenge to the orthopaedic surgeon, because of long hospital stay resulting into the situation where pressure sores are in evitable for ambulatory patients too. Development of pressure sores makes treatment/rehabilitation difficult and delays treatment options....
Prevalence of low back pain among pregnant women in Ilorin, Nigeria
April 2013
This study aimed at determining the prevalence of low back pain (LBP) and to ascertain its impact on physical dysfunction and work performance among pregnant women. A total of 200 pregnant women attending antenatal care clinics at three health facilities in Ilorin had a 29-item semi-structured questionnaire administered on them. Variables relating to the LBP obtained included frequency, duration and severity of the...
Lymphoma presenting as non-responding cellulitis
March 2013
We report a case of primary lymphoma in a 66-year-old woman who presented with unresponsive cellulitis. Histopathological sections carried out on the woman revealed a non-Hodgkin's lymphoma. Atypical physical findings of cellulitis such as fibrotic and woody induration may be suggestive of a non-infectious disease. Key words: Lymphoma, cellulitis, refractory infection
The great masquerader: Papillary muscle rupture, a diagnosis forgotten?
March 2013
Acute papillary muscle rupture (PMR) often results in acute, torrential mitral regurgitation and florid pulmonary edema. This catastrophic consequence of a subacute presentation of myocardial infarction is associated with a high mortality rate if not identified quickly. The incidence of PMR has decreased in the era of early percutaneous interventions for acute coronary syndromes. However, the importance of prompt...
A thrombus in the left anterior descending artery after the use of multiple alternative medicines
February 2013
In the United States many patients turn to alternative medications. These substances are neither tested nor approved by U.S. Food and Drug Administration. Knowledge of their side effect profile is lacking. Several of these substances are biologically active at very low concentrations and can therefore exert powerful physiologic effects. Lachesis mutus and Crotalus horridus are snake venoms that can...
Acute myelomonocytic leukemia presenting as CD4+/CD56+ blastic plasmacytoid dendritic cell neoplasm
February 2013
Blastic dendritic plasmacytoid cell neoplasm is a rare aggressive tumor of plasmacytoid dendritic cells. We report a 38-year-old female with nodular skin lesions on both legs at presentation which on immunohistochemical staining were CD4+ and CD56+ responding to blastic plasmacytoid dendritic cell neoplasm. Five months later the bone marrow analysis showed infiltration with 80% blasts which on flowcytometry had the...
Normocalcemic primary hyperparathyroidism in type 2 diabetes with associated comorbidities: A diagnostic approach
January 2013
We report the case of a 57 year old lady, known to be diabetic for last 4 years getting treated with oral hypoglycemic agents. She reported to the medical outpatient department (OPD) of a tertiary medical care hospital with the history of pain abdomen, nausea, and loss of appetite since 3 months. On examination, she was conscious and well oriented, afebrile, with pulse rate of 86 min-1, blood pressure of 130/84 mmHg,...
An under-utilized opportunity: The wearable cardioverter-defibrillator (WCD)
January 2013
Sudden cardiac death is often precipitated by unstable ventricular arrhythmias. These arrhythmias are particularly amendable to defibrillation. The risk of these arrhythmias is highest immediately following an acute myocardial infarction, especially if there is impaired left ventricular function. Many patients with depressed left ventricular function receive an implantable cardioverter-defibrillator for prophylaxis...
Abdominal surgical management of partial cervical agenesis in a virgin
February 2012
We present a 14-years old virgin with partial congenital cervical canal agenesis and hematometra. On examination, she was virgin with intact hymen and a 7 cm long vagina. A pelvic ultrasonography revealed hematometra and hematocervix. Surgical therapy included creation of a patent cervix by making a midline vertical cervical and upper vaginal incision with a subsequent excision of the distal ï¬brous tissue at the...
Prevalence of anemia in school children
February 2012
The aim of this Cross sectional study was to assess the prevalence of anemia in school children. Two hundred school children within the ages of 5 to 16 years from Government School of Rishikesh, Uttrakhand, India were subjected to relevant history, complete physical examination, hemoglobin estimation and general blood picture gastric bypass procedures (GBP). Anemia was seen in 56.5% cases. More...
A model of bidirectional regulation induced by a combination of one stimulatory and one inhibitory agent on gastric smooth muscle contraction
December 2011
In this paper, we proposed a model of counterbalance resulting from bidirectional regulation on gastric smooth muscle contraction in the absence of nervous and endocrine system control. To verify the propose, we suggested that a combination of one stimulatory and one inhibitory drug should produce bidirectional regulation on the contractility of gastric smooth muscle and myosin activity, depending on the contractile...
Histological effect of aqueous extract of Anacardium occidentale (Cashew) stem bark on adult Wistar rat testis
December 2011
In medical practice, Anacardium occidentale stem bark is used for various ailment treatments. Possible histological effects of aqueous extract of A. occidentale stem bark administration was studied on adult Wistar rat testes. The rats (n=24), weighing 164 to 210 g were randomly assigned into three treatments (n=18) and control (n=6) groups. The rats in the treated groups II, III, IV received 20, 40...
Antibiogram and multidrug resistance patterns of Staphylococcus aureus (MDRSA) associated with post operative wound infections in Basrah – Iraq
November 2011
Fifty two clinical samples collected from patients with postoperative wound infections in various age groups were examined for presence of multidrugs resistant bacteria pathogens in especially Staphylococcus aureus. The majority of samples were for age between 31 to 40 year (32.69%) followed by other age groups, while the lowest samples were taken from age group 1 to 10 year (5.76%) P<0.05. One hundred and...
Extensive multifocal tuberculosis verrucosa cutis in a young child
November 2011
Although there has been increasing number of tuberculosis cases throughout the world, but multifocal cutaneous tuberculosis accounts to be a very rare manifestation. An interesting study report inform us of one such case of multifocal tuberculosis verrucosa cutis in a 12-year old male child encountered with a typical presentation alike in the absence of any primary tuberculous focus and extensive...
Cubital tunnel syndrome resulted from delayed intraneural hematoma of ulnar nerve
September 2011
Cubital tunnel syndrome is the second most common peripheral compression neuropathy in adults. Close correlation between elbow trauma and cubital tunnel syndrome has been reported before. Factors causing cubital tunnel syndrome as a result of trauma may involve regional hemorrhages, edema, fibrosis, bone fracture, or displacement of bone fracture fragments into the cubital tunnel, causing narrowing of the tunnel. The...
Adult Nigerian with untreated tetralogy of fallot: A case report
September 2011
Tetralogy of fallot (TOF) is the most common form of cyanotic congenital heart disease. Unlike in the western world where adult TOF is a rarity, in the developing countries without cardiac surgical centers and inadequate medical treatment, patients die early, so adult untreated TOF is worth reporting. A 23 year old man presented with chest pains of 18 months, exertional dyspnea, palpitations and a history of squatting...
Public health implications of using water from wells located near municipal waste dump sites in parts of Zaria
June 2011
This study aimed at determining the contamination level and seasonal distribution of pathogens in well water located near municipal solid and liquid wastes. A total of 186 samples of well water, soil from dumpsites and liquid waste close to sampling wells were obtained from parts of Zaria. The samples were examined using standard procedures. Total plate count, coliform count determinations were done for two...
Three physical markers of insulin resistance (body mass index, waist circumference and acanthosis nigricans): A cross-sectional study among children in south India
June 2011
To study the sensitivity of body mass index (BMI), waist circumference (WC) and Acanthosis Nigricans (AN) to recognize insulin resistance in children, A cross-sectional school-based study was conducted in a semi-rural environment in the Kerala state of India. A total of 283 children between the ages of 10 to 17 were evaluated. The selected children underwent clinical evaluation which included measurement of height,...
Non articular synovial sarcoma of the back, a hairy nevus: An uncommon association!
May 2011
Giant hairy nevus is an uncommon malformation often associated with cutaneous malignancies. Synovial sarcomas are soft tissue sarcomas that occur in the lower limb. We present our case of synovial sarcoma of the posterior trunk, its association with a hairy nevus and review literature. Key words: Synovial sarcoma, back, chromosomal translocation, hairy nevus.
Transient myeloproliferative disorder and hepatic failure in a newborn with Down syndrome
May 2011
Approximately 10% of Down syndrome (DS) newborn develops transient leukemia (TL) also known as transient myeloproliferative disorder (TMD). Rarely, hepatic fibrosis (HF) and severe hepatic dysfunction have been reported in a patient with TL/TMD. Platelet-derived growth factor (PDGF) in combination with TGF-β1 is responsible for HF in such patients. Not only fibrosis of liver, diffuse fibrosis of other organ such as...
Studies on effects of aqueous Garcinia kola extract on the lateral geniculate body and rostral colliculus of adult Wistar rats
April 2011
Study investigated the effects of Garcinia kola on the micro architecture of the rostral colliculus and lateral geniculate body of rats, and its effects on some enzymes were as well investigated. Sixteen F1 adult Wistar rats with an average weight of 195.5 g were randomly assigned into a control and an experimental group. Both groups consisted of eight animals each (4 males and females each). Aqueous extract...
Vagiprost in management of second and third trimester intrauterine fetal death
April 2011
The objective of this study is to assess the effectiveness and side effects of vaginal misoprostol (Vagiprost® tablet) in the termination of second and third trimester pregnancy complicated with intrauterine fetal death. Design is a prospective observational cohort study in Tanta University Hospital. The study was carried out on 324 women with fetal demise in the second and third trimesters, from January 2008 to...
Association of serumvitamin D level with diabetic polyneuropathy
February 2011
There is an association between serum vitamin D level and diabetic polyneuropathy. Topical vitamin D has been proposed for treatment of neuropathic pain in diabetics. The relationship between the serum 25-hydroxyvitamin D level and diabetic neuropathy has never been evaluated. The objective of the study was to evaluate a quantitative and qualitative relationship between the serum 25-hydroxyvitamin D level and diabetic...
An attempt to develop a novel systemic technique for the evaluation of cardiovascular system
February 2011
A limited number of non-invasive techniques are available for the study of the state of the circulatory system. In this paper, we introduce, for the first time, a systemic method that can be used to assess the function of the cardiovascular system as a whole by building templates (patterns) that characterize its different states. This novel method makes use of the information embedded in both, the ECG,...
Epidemiological and immunological findings on human hydatidosis
November 2010
Thirty patients infected with hydatidosis from different hospitals in Baghdad were included in this study. All these patients were diagnosed by imaging techniques and surgically proven. Immunological study was performed on blood samples. The study showed that the incidence of hydatidosis in females was higher than that of the males. The highest age distribution of hydatidosis patients was between 12 and 40 years. The...
Molecular characterization of antigens extracted from hydatid cysts of human and other intermediate hosts
November 2010
This research is a study on the molecular level of Echinococcus granulosus (larval stage) on, where 7 samples of hydatid cysts were collected from parasite intermediate hosts: Human (liver, spleen, lung) and liver of sheep, goat, cattle and buffaloes. DNA was extracted from germinal layer cells of hydatid cysts which were isolated shortly or preserved for various periods in 70% ethanol. Genetic analysis of...
Anti-depressant drug prescription pattern for depression at a tertiary health care center of Northern India
June 2010
This study was carried out to observe prescription pattern of anti depressants as well as other psychotropic medications for the treatment of depression. A sample of 100 adult patients was selected to participate in the study. First five patients of depression (with or without psychotic symptoms) from twenty out patient departments (OPDs) of various consultant psychiatrists of Department of Psychiatry, C. S. M. Medical...
Bacterial wound infections in diabetic patients and their therapeutic implications
June 2010
In order to identify the bacterial pathogens associated with diabetic wounds and testing the antibiotic susceptibility of main antibiotics against predominant anaerobic bacterial types in comparison with some plant extracts, a total of 27 diabetic patients in each types; Insulin dependent (IDDM) and non-insulin dependent NIDDM and 30 non-diabetic patients with wound infection were introduced in the present study that...
Comparison of community and hospital-acquired bacteremia in a Greek university hospital: One year experience
April 2010
All bacteraemic cases, from August 2006 to September 2007 were identified by reviewing all positive blood culture results from the microbiology department of our hospital. One thousand three hundred and sixty six cases were detected in 1336 patients. The rate of true bacteremia which was 13.1 and 10.7% of cultures were contaminated. Of the 1366 episodes of bloodstream infection, 55.3% were...
Healthcare problems in developing countries
April 2010
Developmental and reproductive health indicators in developing countries are still deplorable, and adverse health consequences have been linked to poor socio - economic growth and development. Healthcare problems in developing countries are multifaceted and result from a combination of factors, socio-cultural, economic, political as well as poor planning and/or poor implementation of health policies and programmes....
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