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West African Journal of Medicine

C M Chundusu
Wolf-Parkinson-white (WPW) syndrome is a common heart disorder, however diagnosis is not frequently made. Outcome appears more favourable than in other heart conditions, however could be fatal. In this case series, three young Nigerian females presented with non-specific symptoms and were diagnosed with the classical electrocardiogram. Definitive diagnosis and treatment is still unavailable in the country. One came with a complication that reverted after treatment.
September 2018: West African Journal of Medicine
A Akpalu, B N Calys-Tagoe, R N Kwei-Nsoro
BACKGROUND: The sequelae of stroke include both physical and cognitive impairment. However, the physical impairment usually takes center-stage during rehabilitation, while cognitive impairment is largely ignored. Cognitive deficit is very common following stroke and its assessment and identification is crucial as it impacts on the outcome and rehabilitation of stroke survivors. Very few studies have explored any relationship between cognitive impairment and quality of life after stroke and these studies have been inconclusive...
September 2018: West African Journal of Medicine
I Jalo, E W Isaac, Y S Alkali, A M Abubakar, U G Galadima
BACKGROUND: Congenital malformations remain a leading cause of death in the neonatal period. The incidences of Congenital Malformations have been reported in other parts of Nigeria but there is paucity of data on Congenital Malformations in North-Eastern Nigeria. This review aims to determine the prevalence and pattern of Congenital Malformations in Federal Teaching Hospital Gombe, Northeastern Nigeria. METHODS: A retrospective review of records of all patients admitted into the Special Care Baby Unit of Federal Teaching Hospital Gombe who had a diagnosis of Congenital Malformations over a period of ten years (May 29, 2000-May 29, 2010) was carried out...
September 2018: West African Journal of Medicine
D O Soyoye, S D Dawha, O O Ayoola, B O Ibitoye, R T Ikem, T A Adedeji
OBJECTIVES: Diabetic nephropathy is a common complication of diabetes mellitus due to microangiopathy leading to end stage renal disease. This study determined the relationship between renal resistivity index and pulsatility index with biochemical indices of renal function in patients with type 2 diabetes mellitus methods: This study involved 80 adults with type 2 diabetes mellitus. Urinary albumin excretion rate (UAER) and serum creatinine levels were measured, and the estimated glomerular filtration rate (eGFR) was calculated...
September 2018: West African Journal of Medicine
O O Okunola, C O Erohubie, F A Arogundade, A A Sanusi, E I Unuigbe, O O Oyebisi, M A Adelaja, A Akinsola
BACKGROUND: Malnutrition is a common problem in chronic kidney disease contributing to adverse outcomes in terms of morbidity and mortality and overall poor quality of life. In our environment and indeed most other developing countries, the prevalence of malnutrition in the general population is high. The high cost and dearth of renal replacement therapy in developing countries underscores the need for identification of factors that if adequately addressed will lead to slowing down of the progression to End Stage Renal Disease...
September 2018: West African Journal of Medicine
A O Adetiloye, G E Erhabor, D O Obaseki, O O Adewole, O F Awopeju
BACKGROUND: Impaired sleep is reportedly common in chronic obstructive pulmonary disease (COPD) and the impact of quality of sleep on health-related quality of life (HRQL) has been documented. Although factors affecting HRQL have been investigated in various studies, the impact of sleep quality on HRQL has not been previously investigated among patients with COPD in Nigeria. The purpose of this study was to determine the contribution of sleep quality as a factor affecting HRQL. We hypothesized that sleep quality is a determinant of HRQL...
September 2018: West African Journal of Medicine
O Biobaku, B M Afolabi, V Ajayi, I Oyetunji, A Ajayi
Endometriosis is a common progressive gynecological disorder which often poses a mystery to women affected and to health care provider alike. It is a condition in which tissue that normally grows inside the uterus (endometrium) grows outside it. It is estimated that about 6-10% of women in the reproductive age group worldwide have endometriosis. This report is likely to be an underestimated figure because many are misdiagnosed, misinterpreted or mislabeled. Many women with endometriosis experience few or no symptoms but those symptomatic typically present with pelvic pain, infertility, or an adnexal mass, and may require surgery...
September 2018: West African Journal of Medicine
R O Faro, A Z Mohammed, A T Atanda
BACKGROUND: Patients are often referred for fine needle aspiration cytology (FNAC) on account of peripheral lymphadenopathy. Relative to the rate of referrals, very few works have been done to establish the reliability of FNAC as a first-line investigation in the evaluation of peripheral lymphadenopathy in this environment. This study aims to determine the diagnostic utility of FNAC in evaluating common causes of peripheral lymphadenopathy in a teaching hospital in North western Nigeria...
September 2018: West African Journal of Medicine
E R Abah, A F Mahmud-Ajeigbe, S Sharief, D Chinda, P Y Jiya, O Bob-Egbe
BACKGROUND: Glaucoma is the commonest cause of irreversible blindness globally and intraocular pressure is the only known risk factor that can be therapeutically manipulated to change the course of the disease.1 Central corneal thickness (CCT) is known to affect the accuracy of intraocular pressure (IOP) measurements by applanation tonometry.2 A thicker cornea requires greater force to flatten and, conversely, a thinner cornea is more easily flattened. Data on this important parameter is scanty in northern Nigeria...
September 2018: West African Journal of Medicine
O N Onya, C Otorkpa
BACKGROUND: Depression is a chronic debilitating illness that is a component of the menopausal syndrome that adversely affects the quality of life of the sufferers and tremendously burdens their family and care givers. With the increase in average life expectancy, more women go through the postmenopausal phase for much longer and are therefore prone to the morbidity and complications of depressive illness associated with it. Certain biological and environmental factors influence the prevalence of depression among this cohort...
September 2018: West African Journal of Medicine
A Oyefabi, N Ameh, A Aliyu
BACKGROUND: Nigeria with an estimated population of 193 million is Second to South Africa in the number of people living with Human Immune Deficiency Virus and Acquired Immune Deficiency Syndrome (HIV/AIDS) worldwide, representing 9% of the global burden of the disease. The objective of this study is to determine the awareness, knowledge and utilization of PMTCT services before first pregnancy in the study population, which is a critical prong 1 PMTCT strategy to prevent and control the vertical transmission of this pandemic infection...
September 2018: West African Journal of Medicine
M O Nkpozi, K Akhidue, C N Unachukwu, S Chinenye, A U Chappjumbo
BACKGROUND: Patterns of hyperglycaemic emergencies (HE) include diabetic ketoacidosis, (DKA), hyperglycaemic hypero-smolar state, (HHS), normo-osmolar non-ketotic hyper-glycaemic state, (NONKHS), or the mixed/indeterminate form. Certain factors are predictive of adverse HE outcome. There is a paucity of literature on the patterns and poor prognostic factors of HE in the South East (SE) region of Nigeria, hence, the need for this study. MATERIALS AND METHODS: This was a prospective observa-tional study done to assess the pattern of prognostic factors for HE managed at the Federal Medical Centre, (FMC), Umuahia, South East, Nigeria...
September 2018: West African Journal of Medicine
E B Henshaw
Elephantiasis Nostras Verrucosa (ENV) is a rare cutaneous complication of chronic lymphatic obstruction. It represents the late stage of chronic non-filarial lymphoedema, resulting in the recurrent and progressive swelling of the affected part, and is marked by both physical and psychological impairment in health-related quality of life. Morphologically it appears as clusters of verrucous (wart-like) papules and nodules arranged in a cobblestone-like pattern, often presenting a mossy appearance. I hereby describe the case of a young man with progressively worsening peno-scrotal ENV; highlighting the delay in diagnosis occasioned by the low level awareness of this harrowing affliction among medical practitioners, and mentioning the negative impact on the patient's health-related quality of life (HRQoL)...
May 2018: West African Journal of Medicine
F S Ejagwulu, Y Z Lawal, M I Maitama, K E Amefule, I L Dahiru, Y A Gafar
BACKGROUND: Childhood injuries are often associated with fractures, and it is said to account for about 25% of all paediatrics trauma. There is a male preponderance and the peak incidence occurs among primary and secondary school age groups. The occurrence and management of these fractures are influenced by season, geographical location, educational and socio-economic status of the populace as well as time of presentation and availability of suitable facilities for treatment. OBJECTIVES: To analyse the demographic characteristics of the subjects, aetiological factors, fracture distribution, educational and occupational status of their parents, mode of treatment and their outcomes...
May 2018: West African Journal of Medicine
B F Adeyemi, A O Akinyamoju, B Kolude
BACKGROUND: Squamous cell carcinoma of the oral tongue (SCCOT) has been linked to modifiable risk factors; such as tobacco use and excessive alcohol consumption. OBJECTIVE: To describe the clinical presentation of SCCOT as well as its association with history of tobacco and alcohol use. METHODS: A retrospective review of SCCOT at Oral Pathology Department from 1990 to 2012. Information retrieved from patients' medical records includes: age, gender, occupation, history of alcohol and tobacco use...
May 2018: West African Journal of Medicine
O O Oyebisi, O O Okunola, A E Jaiyesimi, F A Arogundade, M A Adelaja, C E Erohibe, A A Sanusi, A Akinsola
BACKGROUND: Chronic kidney disease (CKD) has now become a disease of public health importance. The increased prevalence in the population of patients with end stage renal disease (ESRD) is partly related to the failure of early detection of the pre-clinical stages of the disease and its associated risk factors. This study aimed to determine the prevalence of chronic kidney disease and its associated risk factors in Aiyepe community in Ogun state, south western Nigeria as well as determining the awareness level of the population about CKD...
May 2018: West African Journal of Medicine
C L Nzomiwu, E O Sote, F A Oredugba
OBJECTIVES: The Early Childhood Oral Health Impact Scale (ECOHIS) has been used in different countries and in different versions to assess the impact of oral health conditions on preschoolers. This study aimed to develop the Nigeria Pidgin English version of ECOHIS and investigate its psychometric properties. METHODS: The Nigerian Pidgin English version (NAIJA ECOHIS) was developed from the English version using the forward-backward translation technique. One hundred and four children aged 2-5 years attending a clinic were recruited for the study and the new version was administered to their parents/caregivers...
May 2018: West African Journal of Medicine
E Innocent, A N Manasseh, E V Badoe, Y Daniel, K B Vandi, A Olanrewaju, E U Graham
BACKGROUND: The designation Rabdomyosarcoma (RMS) is used to describe the malignant mesenchymal neoplasm that exhibits varying degree of skeletal muscle differentiation. RMS is the commonest malignancy of soft tissues afflicting children and adolescent up until age 20. It constitutes 5-10% of pediatric malignancies, and 7-9.5% of pediatric soft tissue sarcomas. The site of origin of RMS can be one of three possibilities: myogenous; extramyogenous; and ectopic (heterotopia). This was a retrospective study of consecutive cases of RMS seen at the Histopathology Department of the Jos University Teaching Hospital, Jos, between January 2007 and December 2016...
May 2018: West African Journal of Medicine
A J Fasunla
BACKGROUND: The long-term effect of maternal HIV and antiretroviral medication on the hearing of HIV-exposed infants has not been well studied. We determined and compared the hearing thresholds of HIV-exposed infants with that of HIV-unexposed infants within the first month of life and at three, six and nine months of life. MATERIALS AND METHODS: This was a Case control study of 126 HIV-exposed newborns and 121 HIV-unexposed newborns. Data collected included Socio-demographic, clinical characteristics and risk factors for hearing loss...
May 2018: West African Journal of Medicine
B I Abhulimhen-Iyoha, Y T Israel-Aina
BACKGROUND: Accidental childhood poisoning contributes significantly to childhood morbidity and mortality worldwide. A review of the agents which cause poisoning in our locality from time to time is important in planning prevention strategies and treatment modalities. OBJECTIVE: To document the pattern of accidental childhood poisoning at the Children Emergency Room (CHER) of the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. METHODS: A retrospective study in which records of admissions as well as case notes of patients admitted because of ingestion of poisons from October 2011 to June 2014 were obtained...
May 2018: West African Journal of Medicine
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