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West African Journal of Medicine

O I Alatise, M A Komolafe, E A Agbakwuru, A O Adisa, Y B Amusa
BACKGROUND: Protein-energy malnutrition is a common problem in critically ill patient and it is a major cause of accelerated morbidity and mortality in this group of patients. Recent dramatic advances in both enteral and parenteral nutritional support have ensured that most of these critically ill patients are adequately nutritionally supported. Unfortunately, most of these advancements in nutritional supports are far from the reach of most patients in developing countries. In this report, we highlighted the indications, success, challenges of the use of percutaneous endoscopic gastrostomy (PEG) in Nigeria patients...
January 2018: West African Journal of Medicine
B N Okeahialam
BACKGROUND: Though valve disease resulting from rheumatic heart disease is common, triple valve involvement is uncommon; with a bleak survival outlook Objective: To report a 38-year-old patient with both stenosis and incompetence of 3 valves, who lived till adulthood and went into heart failure after child-birth. No such report has come from Nigeria Methods: Case report of a Nigerian woman who lived with multiple valve disease up to adulthood when after delivery she developed hypertension and went into heart failure...
January 2018: West African Journal of Medicine
O M Uhumwangho, V B Osaguona
The authors report a case of Terson syndrome in an adult with immune thrombocytopenia. Terson syndrome refers to an intraocular hemorrhage secondary to an intracranial hemorrhage or an acute rise in intracranial pressure. It is a rare but life-threatening complication and may be complicated with blindness in those who survive.
January 2018: West African Journal of Medicine
I K Nuamah, G Parkins, E V Badoe, P K Blankson, M Owusu-Boamah, V Etwire, S Osei-Nkeitia, E Brown
A case of a 2.7kg term baby with a large epignathus, a rare congenital teratoma arising from the palate is presented. Birth was by spontaneous vaginal delivery (SVD). The baby survived following a timely multidisciplinary approach to her management. This is the first reported case in Ghana.
January 2018: West African Journal of Medicine
J Ediale, C O Onyema, K U Tobi
Cerebrospinal fluid (CSF) rhinorrhoea is often seen among head injured patients from road traffic crashes or physical assault, and sometimes it is a complication of nasal surgical procedures. Intracranial tumours may also result in CSF leakage. Blood stained rhinorrhoea often occur at the time of initial insult or injury, while CSF rhinorrhea may be a delayed manifestation. However, idiopathic CSF rhinorrhoea is uncommon, and it is regarded as a diagnosis of exclusion. In this communication, we report a 54-year old woman who developed CSF rhinorrhoea with no prior history of head trauma, physical assault, neurosurgical or nasal surgery...
January 2018: West African Journal of Medicine
A O Ogunyemi, K A Odeyemi, O J Kanma-Okafor, T W Ladi-Akinyemi
BACKGROUND: The world population is rapidly ageing and people aged 60 years and above are growing faster than any other age group. In Africa, the most rapid growth of older persons is expected in Western and Northern Africa. STUDY DESIGN: This was a comparative cross-sectional study of a total of 360 respondents. A multi-stage sampling method was used in selecting 240 respondents in the non-institutional group while all the respondents (120) in the institutional group were included in the study...
January 2018: West African Journal of Medicine
B I Abhulimhen-Iyoha, Y T Israel-Aina
BACKGROUND: Blood transfusion is a life-saving procedure in paediatric practice. It is important in replacing blood volume in cases of haemorrhage or providing specific blood components as required. However, the procedure carries some risks and complications. The decision to transfuse, frequency of transfusion and the availability of safe blood and blood products are essential determinants of the success of the procedure. Hence, knowledge of the indications and rate of transfusion is important to ensure that blood for transfusion is safe and made available as at when due...
January 2018: West African Journal of Medicine
M E Ugbeye, S E Itakpe, O J Ayodabo
BACKGROUND: Total knee replacements are increasingly being carried out for the arthritic knee. This procedure is constantly being improved upon in order to improve outcome. There is currently no consensus of the best surgical approach for primary total knee arthroplasty. This study aims to test the hypothesis that the subvastus approach has significantly better early functional outcomes compared to the medial parapatellar approach. STUDY DESIGN: Patients with bilateral knee arthritis who met the inclusion criteria were randomised into either the subvastus or medial parapatellar approach over a twelve month period...
January 2018: West African Journal of Medicine
V A Essuman, I Z Braimah, T A Ndanu, C T Ntim-Amponsah
BACKGROUND: Retinoblastoma, the commonest childhood malignant intraocular tumour, is diagnosed late, with less than 50% survival in developing countries, including Ghana. OBJECTIVES: To determine, from caretakers' perspective, contributing factors to late presentation of children with retinoblastoma. METHODS: A cross-sectional study involving questionnaire administration to consenting caretakers of consecutive children diagnosed with advanced retinoblastoma at the Eye Unit, Korle-Bu Teaching Hospital, Accra, Ghana, from September 2008-June 2011...
January 2018: West African Journal of Medicine
E M Umuerri, A O Obasohan
BACKGROUND: Peripheral artery disease (PAD), an important component of the cardiovascular triad, has been linked with obesity as one of the risk factors for its development. The risk posed by obesity however varies depending on the indices measured. METHODS: We compared the relationship of measures of central and visceral obesity (waist circumference (WC) and waist-hip ratio (WHR) versus that of general obesity (body mass index (BMI) in the development of PAD among Nigerians with hypertension and/or diabetes mellitus...
January 2018: West African Journal of Medicine
A I Makanjuola, T H Farombi, J O Yaria, L O Ogunjimi, A Ogunniyi
BACKGROUND: Cerebral venous sinus thrombosis (CVT) is an uncommon cause of stroke that is more prevalent among young adults and more so among women. Being an unusual site for venous thrombosis, its occurrence usually implies the presence of a thrombophilic disorder, inherited or acquired. Occasionally, multiple inherited or acquired risk factors for hypercoagulability may co-exist. In this report we present a case manifesting the triad of protein S deficiency, pregnancy and imaging-confirmed extensive CVT...
July 2015: West African Journal of Medicine
J B Russell, A Gibril, H Dahniya, D R Lisk
Posterior Reversible Encephalopathy Syndrome (PRES) is a clinico-neuroradiological entity with neurological symptoms and characteristic radiologic findings. It may complicate eclampsia either during pregnancy or in the puerperal period and it is a very serious neurological condition manifesting as acute headache,impairment of consciousness, seizures, cortical blindness and occasionally, focal neurological signs accompanied by a typical CT or MR imaging pattern.A 30 years old right handed primigravida housewife was managed for PRES and this is the first reported case in Sierra Leone...
July 2015: West African Journal of Medicine
B Folake, F B Lawal, Modupe O Arowojolu
OBJECTIVES: To assess the sociodemographic profile of patients seeking routine scaling and polishing in a resource challenged setting in Ibadan, Nigeria Study design: A retrospective review of dental records of patients presenting for scaling and polishing at the Periodontology Clinic of a tertiary hospital in Ibadan, Nigeria over a period of one year was done. Two groups were identified; those seeking routine scaling and polishing and those referred as a result of periodontal disease or from other clinics...
July 2015: West African Journal of Medicine
H C Akujobi, V Inem, A Oyedokun, T E Attoye
BACKGROUND: Hypertension is the commonest cardiovascular risk factor in the world. In Nigeria there have been rapid changes to a more western lifestyle and this is strongly associated with hypertension. Many spouses share similar lifestyle practices. The aim was to examine the association between elevated blood pressure and lifestyle practices among spouses of hypertensive patients. METHODS: In a hospital based cross-sectional descriptive study at the General Outpatient Clinic of Lagos University Teaching Hospital, two hundred and thirty spouses of hypertensive patients were recruited by systematic sampling...
July 2015: West African Journal of Medicine
O G Osaigbovo, S Ugoya, A Ogunniyi
BACKGROUND: Human Immunodeficiency Virus (HIV) dementia is an important complication in persons with HIV/AIDS, manifesting as neurocognitive and functional impairments which are detectable on neuropsychological testing. OBJECTIVE: To determine the profile of HIV/AIDS neurocognitive impairment and associated risk factors among adults with HIV infection in our center and determine its associative factors. METHODS: A total of 87 HIV-seropositive patients, aged between 18- 59 years were studied...
July 2015: West African Journal of Medicine
I N Ize-Iyamu
BACKGROUND: The sella turcica is an important anatomical landmark and reference point in orthodontics with many studies identifying shape and morphology for different populations. The aim of this study was to evaluate sella turcica shapes in skeletal classes I, II and III orthodontic patients in Benin City, Nigeria. STUDY DESIGN: This study was carried out at the Orthodontic Unit of the University of Benin Teaching Hospital, Benin City, Nigeria. Standardized digital pre-treatment lateral cephalometric radiographs of 139 patients (65 male and 74 female; aged 7-30 years) were analyzed according to the skeletal class each of them belonged to...
July 2015: West African Journal of Medicine
E E Chukwu, F T Ogunsola, F O Nwaokorie, A O Coker
BACKGROUND: Food-borne pathogens are a major public health challenge worldwide. These organisms' cause illnesses leading to time loss in the work place and reduced productivity.Clostridium species cause infections through the production of powerful toxins which are responsible for diarrhoea and cramping. Diarrhoeal diseases due to Clostridia are one of the commonest worldwide but have hardly been reported in Nigeria. OBJECTIVE: This study characterized Clostridium species from food commodities and human faeces in Lagos State MATERIALS AND METHODS: Four hundred and twenty samples comprising food (220) and faecal (200) specimens in Lagos state were included in this study...
July 2015: West African Journal of Medicine
O A Jagun, O O Onabolu, H A Ajibode
BACKGROUND: The increasing need for high precision in different aspects of clinical and diagnostic ophthalmology calls for a knowledge of the normative ocular biometric parameters. Since this may be affected by race, it is thus important to obtain more information in an effort to determine the African values.The main objective of this study is to determine the normal ocular biometric dimensions and their variation with age in a south western Nigerian population. STUDY DESIGN: A population-based descriptive cross-sectional study carried out in Sagamu Local Area of Ogun State, Nigeria...
July 2015: West African Journal of Medicine
C C Anunobi, A A Phillips, N Z Ikeri
INTRODUCTION: Removal of testicular tissue is often performed for the evaluation or treatment of testicular lesions. Orchiectomy is a proven treatment modality for prostatic cancer. Testicular biopsy is also of vital importance in the management of infertility especially relating to artificial reproductive technology. Histopathologic assessment of such specimens is therefore useful in the review of current urological practice. AIM AND OBJECTIVES: This study aims to characterize the histologic spectrum of testicular lesions relating them to the various surgical procedures by which they were taken with a view to reviewing the current clinical practice in our environment...
July 2015: West African Journal of Medicine
V I Onyekwelu, K B Badmos, N A Awolola, F B Abdulkareem
BACKGROUND: Gastric cancer is the fifth most common cancer and the prognosis has remained poor over the decades due to a high percentage of advanced stage presentation. OBJECTIVE: To determine the frequency of HER-2 over-expression in gastric carcinoma in a Lagos cohort population, comparing it with known clinico-pathologic and prognostic factors. MATERIALS AND METHODS: Data on 54 patients with gastric carcinoma were retrieved from the Histopathology Department of Lagos University Teaching Hospital...
July 2015: West African Journal of Medicine
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