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West African Journal of Medicine

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https://www.readbyqxmd.com/read/28276047/cerebral-venous-thrombosis-protein-s-deficiency-and-pregnancy-triad-a-case-report
#1
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
https://www.readbyqxmd.com/read/28276046/posterior-reversible-encephalopathy-syndrome-and-eclampsia-in-a-primigravid-woman-the-first-reported-case-from-sierra-leone
#2
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
https://www.readbyqxmd.com/read/28276045/sociodemographic-status-of-patients-seeking-routine-scaling-and-polishing-in-a-resource-challenged-environment
#3
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
https://www.readbyqxmd.com/read/28276044/blood-pressure-levels-and-associated-lifestyles-practices-among-spouses-of-patients-with-hypertension-attending-the-general-outpatient-clinic-of-a-teaching-hospital-in-lagos-nigeria
#4
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
https://www.readbyqxmd.com/read/28276043/profile-of-hiv-aids-neurocognitive-impairment-among-hiv-positive-patients-in-north-central-nigeria
#5
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
https://www.readbyqxmd.com/read/28276042/visual-acuity-safe-unsafe-practices-and-self-reported-road-traffic-crash-experiences-among-commuter-bus-drivers-from-two-motor-parks-in-lagos-nigeria
#6
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
https://www.readbyqxmd.com/read/28276041/characterization-of-clostridium-species-from-food-commodities-and-faecal-specimens-in-lagos-state-nigeria
#7
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
https://www.readbyqxmd.com/read/28276040/normative-ocular-biometric-dimensions-and-its-variation-in-a-nigerian-population
#8
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
https://www.readbyqxmd.com/read/28276039/knowledge-of-secondary-school-children-in-edo-state-on-lassa-fever-and-its-implications-for-prevention-and-control
#9
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
https://www.readbyqxmd.com/read/28276038/her-2-over-expression-in-gastric-carcinoma-a-5-year-retrospective-study-in-a-lagos-cohort-population
#10
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
https://www.readbyqxmd.com/read/28276037/drug-prescription-patterns-in-old-age-a-prospective-study-of-prescribed-drugs-at-hospital-discharge
#11
P O Nwani, A O Isah
BACKGROUND: Irrational prescription of medicine is a common problem in medical practice. This is more so in the immediate post admission period. The aim of this study was to characterize drug prescriptions patterns for elderly patients at hospital discharge and to detect areas of irrational and inappropriate prescription. STUDY DESIGN: This was a longitudinal prospective study of drugs prescribed at hospital discharge for patients aged 65years and above. The World Health Organization (WHO) drug use indicators were used to characterize the drug prescription...
July 2015: West African Journal of Medicine
https://www.readbyqxmd.com/read/28276036/surgical-proficiency-of-obstetrics-and-gynaecologic-residents-in-nigeria
#12
A N Ocheke, K O Onoja, G C Nkwocha, V K Oriji, E C Ezugwu
BACKGROUND/OBJECTIVE: The aim of residency training is to produce competent and professional experts in their areas of specialty. Surgical proficiency is required to be able to offer patients a genuine choice of treatment options and safety of procedures performed. We assessed self-reported level of proficiency for common major gynaecological surgeries among trainee gynaecologists. METHODS: Pretested self- administered questionnaires were distributed to senior residents at the West African College of Surgeon's revision course in Obstetrics and Gynaecology...
July 2015: West African Journal of Medicine
https://www.readbyqxmd.com/read/28276035/relationship-between-six-minute-walk-test-and-left-ventricular-systolic-function-in-nigerian-patients-with-heart-failure
#13
A S Muoneme, G C Isiguzo, M O Iroezindu, B N Okeahialam
BACKGROUND: Heart failure (HF) is a major public health problem. The six-minute walk test (6MWT) is a submaximal exercise test performed even by HF patients not tolerating maximal exercise testing. The left ventricular ejection fraction is one of the strongest indicators of mortality in HF. Literature reports that relationship between 6MWT and (Left Ventricular Systolic Function (LVSF) were not homogenous, hence the need for this study. METHODS: One hundred and forty consenting HF patients in NYHA II and III were consecutively recruited after obtaining ethical clearance...
July 2015: West African Journal of Medicine
https://www.readbyqxmd.com/read/27492551/acardius-acephalus-in-an-undiagnosed-twin-gestation-case-report-and-review-of-literature-from-federal-medical-centre-gusau-zamfara-state-northwestern-nigeria
#14
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
https://www.readbyqxmd.com/read/27492550/visual-acuity-safe-unsafe-practices-and-self-reported-road-traffic-crash-experiences-among-commuter-bus-drivers-from-two-motor-parks-in-lagos-nigeria
#15
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
https://www.readbyqxmd.com/read/27492549/the-pattern-of-uveitis-in-an-african-tertiary-eye-care-centre
#16
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
https://www.readbyqxmd.com/read/27492548/orbito-ocular-tumors-in-ibadan-south-west-nigeria
#17
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
https://www.readbyqxmd.com/read/27492547/knowledge-of-secondary-school-children-in-edo-state-on-lassa-fever-and-its-implications-for-prevention-and-control
#18
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
https://www.readbyqxmd.com/read/27492546/haemodynamic-changes-during-awake-fibreoptic-bronchoscopy-in-nigeria
#19
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
https://www.readbyqxmd.com/read/27492545/engaging-market-traders-in-lassa-fever-campaign-assessment-of-knowledge-and-risk-behaviour
#20
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
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