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Nigerian Medical Journal: Journal of the Nigeria Medical Association

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https://www.readbyqxmd.com/read/29962654/purple-urine-bag-syndrome-in-an-80-year-old-female-cameroonian
#1
Valirie Ndip Agbor, Tsi Njim, Helen Bessem Oben, Leopold Ndemnge Aminde
Purple urine bag syndrome is a rare clinical entity commonly seen in elderly females with a long-term urinary catheterization. It presents as purple discoloration of the patient's plastic urine bag and tubing. We report the first case of this rare entity from Central Africa. We present the case of an 80-year-old female with purple urine associated with signs of urinary tract infection. Her symptoms resolved after 3 days of intravenous antibiotic treatment and diet modification. Purple urine bag syndrome remains rare, especially in African literature...
May 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29962653/determinants-of-crystalluria-among-type-2-diabetes-patients-a-case-control-study-of-the-agona-west-municipality-ghana
#2
Richard Kobina Dadzie Ephraim, Kwaku Addo Anoff, Ruth C Brenyah, Derick Nii Mensah Osakunor, Samuel Asamoah Sakyi, James Osei-Yeboah, Enoch Odame Anto
Background/Aim: Type 2 diabetes mellitus (T2DM) has been implicated as a risk factor for nephrolithiasis. The aim of this study was to determine the prevalence and types of crystalluria among individuals with T2DM. It further sought to identify associated risks, which could influence crystalluria. Methods: A case-control study with random sampling of 165 diabetes patients (cases) and 40 healthy non-diabetics (controls) was conducted from December 2012 to May 2013 at the Agona Swedru Municipal Hospital, Ghana...
May 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29962652/antihypertensive-medicines-prescriptions-before-and-after-the-nigeria-hypertension-society-guidelines-and-prescriber-s-awareness-of-the-guideline
#3
Abimbola Olowofela, Ambrose O Isah
Objectives: The Nigerian hypertension guideline (2005) was based on 1999 ISH/WHO and the 2003 Sub-Saharan Africa hypertension guidelines. The changes in the prescribing pattern of physicians before and following the introduction of these guidelines as well as physicians' awareness of the guidelines in Southern Nigeria are unknown. Subjects and Methods: A retrospective study of antihypertensive prescriptions and a cross-sectional descriptive study of the physicians' awareness of the guidelines...
May 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29962651/pattern-of-thyroid-disorders-in-children-and-adolescents-seen-at-the-lagos-university-teaching-hospital-nigeria-over-a-10-year-period
#4
Elizabeth Eberechi Oyenusi, Elizabeth Onazahi Ajayi, Festus Dele Akeredolu, Abiola Olufunmilayo Oduwole
Introduction: Thyroid disorders account for a large proportion of pediatric endocrine disorders. Untreated hypothyroidism in childhood has permanent adverse effects on physical, intellectual, and neurological development. However, few studies have reported the pattern of pediatric thyroid disorders in Nigeria. Objectives: The objective of this study was to document the pattern of thyroid disorders in children and adolescents seen at the Lagos University Teaching Hospital (LUTH) over a 10-year period...
May 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29962650/sexual-functioning-and-health-related-quality-of-life-in-men
#5
Patricia A Agaba, Amaka N Ocheke, Maxwell O Akanbi, Zumnan M Gimba, Jennifer Ukeagbu, Benjamin D Mallum, Emmanuel I Agaba
Background: Although erectile dysfunction (ED) is common, little is known about the impact of ED on the quality of life (QoL) among African men. Materials and Methods: We used the International Index of Erectile Function (IIEF) to evaluate ED and the WONCA charts to assess QoL among employees of a university. Results: A total of 508 men with a mean age of 43 ± 10 years were studied. IIEF5 scores of <22 were present in 406 participants (77...
May 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29962649/clinical-presentation-and-outcome-of-sinonasal-tumors-in-a-nigerian-tertiary-hospital-6-year-review
#6
B S Alabi, O A Afolabi, H K Omokanye, A D Dunmade, S O Ayodele
Background: Sinonasal tumor is an uncommon tumor in Nigeria, but the burden of the disease in terms of morbidity and mortality is on the increase. The aim of this study is to evaluate the pattern of presentation and outcome of sinonasal tumor in our center. Methodology: This was a retrospective review of all the patients with sinonasal cancer seen in Ear, Nose, and Throat Department of the hospital between January 2008 and December 2013. The patients' biodata, clinical presentation, stage of the disease at presentation, identifiable risk factors, histopathological findings, and outcome were presented...
May 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29962648/emergence-of-colorectal-cancer-in-west-africa-accepting-the-inevitable
#7
REVIEW
David O Irabor
It seems not too long ago that colon and rectal cancer is a "rare" disease in rural Africa; however, over the last 30 years in West Africa, published evidence has shown decade by decade increases in the incidence of colorectal cancer (CRC). Therefore, CRC should now be accepted as a recognized disease in native Africans; nevertheless, we must acknowledge that the incidence is a fraction of what obtains in the developed countries of Europe and America. This presentation will attempt to examine the emergence of CRC within the West African axis over the last four decades...
May 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269988/ileoileal-intussusception-caused-by-the-metastasis-of-cutaneous-malignant-melanoma-to-the-small-bowel-6-years-after-its-excision-presenting-with-small-bowel-obstruction
#8
Gachabayov Mahir
No abstract text is available yet for this article.
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269987/secundum-atrial-septal-defect-with-eisenmenger-syndrome-a-scarcely-reported-disease-in-nigeria
#9
Nnamdi I Nwosu, Emeka Omejua, Nneka Udora, Ezinne Nwosu
Atrial septal defect (ASD) may be rarely associated with Eisenmenger syndrome (ES), the most advanced form of pulmonary vascular disease to complicate a congenital heart disease. In spite of availability of pediatric cardiologists and two-dimensional-echochardiography in many tertiary health care centers in Nigeria, late referral and late diagnosis of ASD still occur leading to the development of ES. We describe a case of a 19-year-old male with ASD who presented late with ES.
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269986/etiology-clinical-characteristics-and-management-of-pleural-effusion-in-ilorin-nigeria
#10
Peter Oladapo Adeoye, Wahab Rotimi Johnson, Olufemi Olumuyiwa Desalu, Chima Pascal Ofoegbu, Ademola Emmanuel Fawibe, Alakija Kazeem Salami, Abayomi Fadeyi, Akingbade Adebayo Akin-Dosumu, Ibraheem M Rasheedat
Background: Pleural effusion (PE) is a primary manifestation or secondary complication of many disorders. This study reviews the pattern and management of PE in a Nigerian hospital. Materials and Methods: The medical records of 213 patients with clinical diagnosis of PE over a period of 3 years were reviewed. Results: PE accounted for 0.5% of the total hospital admissions. The most common cause of PE was tuberculosis (TB) (32.9%), followed by malignancy (29...
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269985/are-semen-parameters-worsening-comparing-semen-parameters-10-years-apart
#11
Abayomi Bolaji Ajayi, Victor Dayo Ajayi, Ifeoluwa Oyetunji, Oluwafunmilola Biobaku, Happiness Aikhuele, Atiba Adedamilola, I Ibukun Ayelehin, Bamgboye M Afolabi
Background: Semen parameters, especially sperm count and motility have been said to be diminishing over time with implications for fertility and infertility treatment. Objective: The objective of this study was to study semen parameters 10 years apart and describe any observed change. Design: A retrospective study carried out at Nordica Fertility Centre, Lagos, Nigeria. Semen parameters of 100 consecutive men who sought fertility treatment on account of infertility in 2003 and semen parameters of 100 consecutive men who also sought fertility treatment at the center in 2013 on account of infertility were analyzed and compared...
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269984/clinical-feature-and-management-of-immune-thrombocytopenic-purpura-in-a-tertiary-hospital-in-northwest-nigeria
#12
Abdulaziz Hassan, Adeshola Adebayo, Abubakar Umar Musa, Aishatu Maude Suleiman, Ismaila Nda Ibrahim, Ibrahim Usman Kusfa, Mohammed Sirajo Aminu
Background: Immune thrombocytopenic purpura (ITP) is a rare bleeding disorder that may remit spontaneously. Life-threatening bleeding may require transfusion support, steroids, and other immunosuppressive therapy or splenectomy. Objective: To review the clinical presentation and laboratory features of ITP at Ahmadu Bello University Teaching Hospital (ABUTH), Zaria, Nigeria. Subjects and Methods: A retrospective analytic study of case notes and bone marrow (BM) records of patients diagnosed with ITP at Haematology Department, ABUTH, Zaria, from January 1, 2004, to December 31, 2012...
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269983/effects-of-atorvastatin-on-proteinuria-of-type-2-diabetic-nephropathy-in-patients-with-history-of-gestational-diabetes-mellitus-a-clinical-study
#13
Fatemeh Abbasalizadeh, Parviz Saleh, Rana Dousti, Reza Piri, Mohammad Naghavi-Behzad, Shamsi Abbasalizadeh
Background: Gestational diabetes is known as one of the diseases through pregnancy. In the present study, changes in proteinuria after atorvastatin administration among patients with history of gestational diabetes were studied. Materials and Methods: In this randomized clinical trial, 42 patients were included in the study. Atorvastatin was administered for 21 patients, and 21 patients were designated as control group. Lipid profile, protein, and 24 h urine creatinine (uCr) levels were determined in the beginning and 3 months after intervention...
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269982/diagnostic-accuracy-of-spot-albumin-creatinine-ratio-and-its-association-with-fetomaternal-outcome-in-preeclampsia-and-eclampsia
#14
Rekha Sachan, Munna Lal Patel, Pushpalata Sachan, Radhey Shyam, Pratima Verma, Soniya Dheeman
Introduction: Hypertensive disorders in pregnancy are one of the leading causes of maternal and perinatal mortality. Proteinuria is one of the common and important features of preeclampsia. To evaluate the diagnostic accuracy of albumin-creatinine ratio (ACR) in woman with preeclampsia and eclampsia and examine the association between ACR and fetomaternal outcome. Materials and Methods: Prospective study carried out over a period of 1 year in the Department of Obstetrics and Gynaecology, after informed consent and ethical clearance total ninety pregnant women from gestational age 20 to 40 weeks were enrolled, including, thirty preeclampsia, thirty antepartum eclampsia, considered as cases and thirty normotensive pregnant women as controls...
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269981/the-incidence-risk-factors-and-determinants-of-perinatal-outcome-of-umbilical-cord-prolapses-in-lagos-nigeria
#15
Omololu Adegbola, Olufemi Ayanbode
Background: Umbilical cord prolapse is an obstetric emergency which is associated with significant perinatal mortality and morbidity as well as long-term handicap. Objectives: The objective of this study was to determine the incidence of cord prolapse, elucidate the risk factors as well as the fetal outcome at the Lagos University Teaching Hospital (LUTH). Design and Setting: A retrospective study at a tertiary care center in Lagos, Nigeria...
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238129/persistent-hypocalcemia-and-hungry-bone-syndrome-after-parathyroidectomy-and-renal-transplantation-in-a-patient-with-end-stage-renal-disease
#16
Hamid Tayyebi-Khosroshahi, Farahnoush Farnood, Maryam Ghorbanian, Farid Karkon-Shayan, Mohammad Naghavi-Behzad
Hungry bone syndrome (HBS) defines as persistent and severe hypocalcemia after parathyroidectomy surgery. It is treated by oral or venous discrimination of calcium carbonate. The present treatment is mostly effective. Hereby, we describe a 60-year-old man who had developed hyperparathyroidism secondary to end-stage renal disease and then parathyroidectomy was performed for him twice before renal transplantation. Up to 500 vials of calcium gluconate (100 mg/ml calcium gluconate 10%) were administered for him to control serum calcium level after parathyroidectomy and renal transplantation...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238128/evaluation-of-outcomes-of-tuberculosis-management-in-private-for-profit-and-private-not-for-profit-directly-observed-treatment-short-course-facilities-in-lagos-state-nigeria
#17
Olusola Adedeji Adejumo, Olusoji James Daniel, Andrew Folarin Otesanya, Shukrat Olajumoke Salisu-Olatunj, Husseine A Abdur-Razzaq
Background: The engagement of private practitioners in the public-private mix of tuberculosis (TB) management started in 2007 in Lagos State Nigeria. This study compared the treatment outcomes of patients managed at private for profit (PFP) and private not for profit (PNFP) directly observed treatment short course (DOTS) facilities. Methods: A retrospective review of treatment cards of TB patients managed between January 1, 2012, and June 30, 2012, in seven PFP and four PNFP DOTS facilities that served as treatment and microscopy center under the Lagos State TB and Leprosy Control Programme (LSTBLCP) at least 2 years before data collection was conducted...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238127/comparison-between-brain-natriuretic-peptide-and-calcitonin-gene-related-peptide-in-children-with-dilated-cardiomyopathy-and-controls
#18
Noor Mohammad Noori, Alireza Teimouri, Iraj Shahramian
Background: Dilated cardiomyopathy (DCM) is revealed with the left ventricular dilatation and systolic dysfunction. Objective: This study was performed to determine the level of calcitonin gene-related peptide (CGRP) and brain natriuretic peptide (BNP) in children with DCM and controls and comparison of these two biomarkers in patients. Materials and Methods: This study was performed from April 2014 to March 2015 on patients with DCM. The levels of BNP and CGRP were measured by ELISA, and final amounts of biomarkers were compared with the echocardiographic finding...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238126/should-venous-doppler-ultrasonography-be-routinely-applied-before-lower-extremity-major-orthopedic-surgery
#19
Hasan Göçer, Ali Kemal Yazici, Ahmet Veysel Polat
Background: Hip-knee arthroplasty and knee arthroscopy (KA) is frequently applied in the orthopaedic surgery. The approach does not exist related with the preoperative asymptomatic deep venous thrombosis (DVT). In this study, the patients who would undergo surgery lower extremity were screened for asymptomatic DVT, using the venous Doppler ultrasonography (USG). Patients and Methods: DVT was screened by venous Doppler USG in the patients who would undergo hip-knee arthroplasty and KA between the dates of November 2013 and September 2015...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238125/determinants-of-contraceptive-use-by-women-in-the-central-senatorial-zone-of-bayelsa-state-nigeria-a-cross-sectional-survey
#20
Numonyo Duabo Dambo, Israel Jeremiah, Akhtar Wallymahmed
Background: Contraceptives are known to contribute to maternal health and well-being as well as improve child survival. Due to the multiethnic nature of Nigeria, it is known that the factors that influence contraceptive use may vary from one location to another and as such a blanket policy by the federal government on improving contraceptive use may not take into account the subtle differences in sociocultural practices that may influence contraceptive use. The aim of the study was to determine the contraceptive prevalence and explore factors that determine the use of contraceptives among women of Bayelsa Central Senatorial Zone...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
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