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West African Journal of Medicine

I Abdulkadir, M A Shittu, M M Sani
BACKGROUND: Acardiusacephalusfoetal anomaly is a rare abnormality occurring in multifoetal gestation particularly monozygous twin gestation. It is commonly characterized by varying gross structural malformations incompatible with extra uterine life. Reports on acardiusacephalusfoetal anomaly remain sparse. We report a case of acardiusacephalusin an undiagnosed twin with striking gross malformation delivered to a 28 year old un-booked multipara. Objective To report an acardiusacephalic anomaly in the second of an undiagnosed twin pregnancy delivered to a multipara and review relevant literature...
April 2015: West African Journal of Medicine
I P Okafor, K A Odeyemi, O T Aribaba, D C Dolapo, A O Ogunyemi
BACKGROUND: Road Traffic injuries remain a significant public health problem with serious health and economic implications. This study was conducted to determine visual acuity, safety practices and road traffic crash (RTC) experiences of commercial bus drivers in Lagos, Nigeria. METHODS: This cross-sectional study involved visual acuity screening and interviewer- administered questionnaire survey. Participating motor parks were selected by simple random sampling and all intercity, commercial minibus drivers were included...
April 2015: West African Journal of Medicine
S A Rotimi, K O Musa, O T Aribaba, A O Onakoya, K O Adenrele, F B Akinsola
OBJECTIVE: To determine the pattern of presentation of uveitis at the Guinness Eye Centre of the Lagos University Teaching Hospital, Lagos, Nigeria. MATERIALS AND METHODS: The case files of all patients with the diagnosis of uveitis who presented at the center from January 2006 to December 2010 were reviewed. Data on age, sex, ethnicity, symptoms, duration of symptoms before presentation, eye affected, anatomical type of uveitis and clinical type of uveitis were extracted onto a form for analysis...
April 2015: West African Journal of Medicine
A A Olusola, F Oluyemi, I F Olufunmilayo
AIM: The aim of this study was to review the cases of orbito-ocular tumors in a single tertiary health facility, and determine changes in pattern of presentation. MATERIALS AND METHODS: Medical records of all patients with histologically confirmed orbito-ocular tumors between January 1992 and December 2011 in a tertiary center were reviewed. Patients' demographics, types of orbito-ocular tumor and their presentation were recorded. RESULTS: Records of 205 patients were analyzed with a male to female ratio of 1...
April 2015: West African Journal of Medicine
E A Tobin, D A Asogun, R Esumeh, R Omuninu, G Ehidiamen, R Giwa
BACKGROUND: Seasonal outbreaks of Lassa fever in West Africa cause significant morbidity and mortality across all ages. In addition to present efforts to raise awareness, school children can be targeted to become peer and family health educators. The study was carried out to determine the knowledge of Lassa fever among secondary school children, and household practices that increase risk of the infection. STUDY DESIGN: In a cross sectional survey, 561 secondary school students randomly selected from schools in Edo State were interviewed by means of a self - administered questionnaire that sought information on knowledge of Lassa fever and practices within the home that favour rodent contact ...
April 2015: West African Journal of Medicine
U U Onakpoya, O O Adewole, A B Ogunrombi, J O Eyekpegha, F D Asudo
INTRODUCTION: There are no reports on haemodynamic changes on West African patients undergoing fibreoptic bronchoscopy (FOB). The aim of this study was to document these changes in West African patients undergoing awake FOB. MATERIALS AND METHODS: All consenting patients considered for awake FOB had their pulse rates, blood pressures and oxygen saturations documented at various phases of FOB, during procedures and up to 30 minutes after FOB to monitor any changes from pre-procedure levels...
April 2015: West African Journal of Medicine
E A Tobin, D A Asogun, G Ehidiamen, B Elugbe, B Osiemi
BACKGROUND: Markets provide a forum for reaching a large adult population with information on Lassa fever, and therefore understanding the food handling practices of traders may provide the foundation for an effective campaign against Lassa fever. This study was undertaken to provide baseline information on knowledge and food handling practices of traders in local markets in a Lassa fever endemic state of Nigeria. STUDY DESIGN: A structured questionnaire was used to obtain food handling habits that facilitate the transmission of Lassa virus from a cross sectional study involving 385 traders in three major markets in Edo state and data analyzed using SPSS version 15...
April 2015: West African Journal of Medicine
J D Ojule, V C Ibe, J C Theophilus
BACKGROUND: Tubal occlusion remains one the commonest causes of infertility in our environment and previous pelvic infection have been implicated in the aetiology of the blockage Objective: To demonstrate prior chlamydia infection in women with tubal factor infertility and ascertain the relationship between chlamydia and tubal occlusion. METHODS: This was a case-control study consisting of 188 patients drawn from the University of Port Harcourt Teaching Hospital (UPTH) Port Harcourt, South-South Nigeria...
April 2015: West African Journal of Medicine
C O Agboghoroma, N Ngonadi
BACKGROUND: Pre-induction ripening of an unfavourable cervix reduces the incidence of failed induction and associated maternal and perinatal morbidity and mortality. OBJECTIVE: The aim of this study is to compare the effectiveness of prostaglandin E2(PGE2) vaginal suppository with intra-cervical Foley's catheter balloon for pre-induction cervical ripening. METHODS: It is a prospective randomized study. Clients with unfavourable cervix (Bishop score<5) were randomly allocated into two groups...
April 2015: West African Journal of Medicine
O Oniyangi, D Hahn, K Petersen
Nephrotic syndrome is associated with several complications among which are thrombo embolic phenomena. These are uncommon in children. This report describes an 8 year old male child with relapse of steroid resistant minimal change nephrotic syndrome who developed cerebral sagittal and transverse sinus thromboses. He presented with headaches, vomiting and photophobia; and developed VI cranial nerve palsy during the course of the illness. Diagnosis was made by Computed Tomographic Scan and Magnetic Resonance Angiography of the brain...
January 2015: West African Journal of Medicine
J G Makama, E A Ameh, E S Garba
BACKGROUND: Surgical drains prevent fluid accumulation such as peritoneal fluid, blood, pus or inflammatory exudates. However, complications may occur. The aim of this study is to review the incidence and prevalence of drain site hernia as a complication of surgical drains. MATERIAL AND METHODS: A search of the literature in the MEDLINE database, using PubMed and OvidSP, Scopus, Google Scholar and Cochrane Databases with the following MeSH terms: (Drain or surgical drain or drainage) AND (drain hernia, drain-site hernia, laparoscopic drain-site hernia)was done...
January 2015: West African Journal of Medicine
H Aske, S A Anong, B Roald, D Salpou, P M Jourdan
BACKGROUND: Malaria is one of the most common causes of mortality worldwide. The World Health Organization (WHO) has recently recommended that treatment should be guided by a laboratory diagnosis. The aim of this study is to explore patient and health care factors associated with intravenous antimalarial treatment of malaria test-negative patients at a district hospital in a malaria endemic area. STUDY DESIGN: A cross-sectional study of 91 patients admitted for intravenous antimalarial treatment was done at a district hospital in northern Cameroon in July and August 2010...
January 2015: West African Journal of Medicine
I Abdulkadir, L Hassan, F Abdullahi, A M Sobowale, F D Akeredolu, S Purdue, M Okpe, O A Adewumi, U Abdullahi, M A Onadiran, W N Ogala
BACKGROUND: Survival among extremely low birth weight (ELBW) babies (birth weight below 1000grams) in resource limited settings is still very low. The study aimed to determine the correlation between materno-foetal factors and outcome in this category of neonates. STUDY DESIGN: A retrospective study in which patients' records admitted into the Neonatal Unit of Ahmadu Bello University Teaching Hospital between January 2005 and December 2014 were retrieved. Information on neonates weighing < 1000 g were extracted and analyzed...
January 2015: West African Journal of Medicine
J I Ahmad, R K Mishra
BACKGROUND: The establishment of minimal access surgery (MAS) in the last three decades brought new dimensions to surgical training. The sole role of traditional apprenticeship training model was challenged and adjunctive surgical simulation models were introduced. Knowledge of the trainees' educational needs is important in designing MAS training curriculum. OBJECTIVES: To study the MAS educational needs of trainees from Africa, review MAS training models and offer recommendations for MAS training...
January 2015: West African Journal of Medicine
O R Obiako, T L Sheikh, J A Kehinde, E U Iwuozo, N Ekele, C E Okungbowa, A O Kalu, A Muhammed, F Adebayo, C I Aniweta
BACKGROUND: Epilepsy is a common neurological illness in Nigeria with a prevalence of 5-37 per 1000 in a rural population. Several studies suggest that the prevalence of epilepsy is higher in developing than developed countries due to the preponderance of more risk factors in the former. This study investigated the aetiological factors and precipitants of epileptic seizures among patients attending outpatient clinics of two tertiary hospitals in Kaduna State, Northern Nigeria from October 2008 to April 2013...
January 2015: West African Journal of Medicine
D O Obaseki, O B Ozoh, A H Oyewo, G E Erhabor
BACKGROUND: The knowledge ofPulmonologists in Nigeria regarding the management of chronic obstructive pulmonary disease (COPD) is modest and needs to be improved. Continuing Medical education programs have the potential to improve the knowledge of doctors. OBJECTIVES: To determine the impact of attendance at a COPDtraining on the level of knowledge of pulmonologists in Nigeria. METHODS: A Cross-sectional study conducted during the Nigerian Thoracic Society (NTS) annual conference held at Ile-Ife, Nigeria in November 2013...
January 2015: West African Journal of Medicine
O I Odeh, M A Kuti, A J Fasunla, O G Nwaorgu
BACKGROUND: The incidence of dyslipidemia is increasing worldwide due to changes in diet and lifestyle. The aetiological role of dyslipidemia in sensorineural hearing loss (SNHL) is unclear. OBJECTIVE: To determine the association between SNHL and dyslipidemia in adult Nigerian population. DESIGN OF THE STUDY: This prospective case control study was carried out at ENT Department of University College Hospital Ibadan from August 2013 to May 2014...
January 2015: West African Journal of Medicine
M Congdon, A Gjelsvik, M N Lurie, A Enimil, S Antwi, A Kwara
BACKGROUND: Malnutrition and HIV infection in children interact adversely and may have a combined effect on clinical outcomes, including response to antiretroviral treatment (ART). Evidence of the role of malnutrition at the point of registration at HIV clinics is limited. This study sought to determine the role of nutritional status and other clinical factors on loss to follow-up (LTFU) among children at Komfo Anokye Teaching Hospital Pediatric HIV clinic in Kumasi, Ghana. STUDY DESIGN: A total of 324 HIV-positive children aged 1...
January 2015: West African Journal of Medicine
K J Okoro, R C Ibekwe, M U Ibekwe, B C Ibe
OBJECTIVE: To determined the extent and sociodemographic factors associated with missed opportunities to NPI-scheduled childhood immunizations Methods: The exit interview method of the World Health Organization was used. RESULTS: Only 41.6% of the children were fully immunized. Missed opportunities for immunization occurred in 277 (55.4%) children and were responsible for 94.9% of the non-fully immunized children. The most common reason for missed opportunities in this study was the unavailability of vaccines (78...
January 2015: West African Journal of Medicine
M E Ugbeye, O O Odunubi, O J Ayodabo, W O Lawal, E M Dim
BACKGROUND: Hip pain that severely limits functional activity, and unresponsive to other measures of treatment is the major indication for Total Hip Arthroplasty. Hip scores are used to access functional outcome, by comparing pre-operative and post-operative scores. STUDY DESIGN: The aim of this study was to investigate the overall functional outcome after Total hip Arthroplasty, and compare results between two approaches to the hip (Direct lateral and Posterior approach)...
January 2015: West African Journal of Medicine
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