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West African Journal of Medicine

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https://read.qxmd.com/read/30924123/adenomyosis-a-clinico-pathological-study
#1
I Emmanuel, A Ochigbo, A Philip, E Y Nyam
BACKGROUND: Adenomyosis is defined by the presence within the myometrium of benign endometrial glands and stroma. Several theories have evolved to explain the pathogenesis of adenomyosis. A third of adenomyosis cases are asymptomatic. Symptoms are however non-specific and are generally related to abnormal vaginal bleeding, pain, infertility, and feeling of pelvic mass. Adenomyosis do coexist with other pathological entities. Diagnosis is achieved through imaging and histology. Treatment could be medical, surgical or a combination of both...
January 2019: West African Journal of Medicine
https://read.qxmd.com/read/30924122/open-laminectomy-for-lumbar-spinal-canal-stenosis-due-to-prolapsed-lumbar-intervertebral-discs
#2
Y Z Lawal, M I Maitama, F S Ejagwulu, A Lawal
BACKGROUND: Back pain due to prolapsed intervertebral disc accounts for two thirds of all visits to the orthopaedic clinic. The incidence of this disease is increasing with the increased sports activities in the young and due to degeneration in the elderly. Open lumbar microdiscectomy remains the gold standard amongst surgical procedures for herniated discs with or without instrumentation. However, percutaneous/ endoscopic microdiscectomy is gaining popularity. In our environment, high cost and paucity of instrumentation and skills militate against the use of such technique...
January 2019: West African Journal of Medicine
https://read.qxmd.com/read/30924121/laparoscopic-transgastric-sutured-cystogastrostomy-for-post-traumatic-pancreatic-pseudocyst-in-a-low-resource-setting-case-report-and-literature-review
#3
O S Balogun, A O Osinowo, M O Afolayan, A O Lawal
Pancreatic pseudocyst (PPC) complicating blunt and penetrating abdominal injury is well documented in paediatric age groups. In adults, PPC is often one of the sequelae of acute pancreatitis rather than trauma. Blunt abdominal trauma accounts for most documented cases of post-traumatic PPC. To the best of our knowledge, PPC following penetrating abdominal gunshot injury is a rare event. Laparoscopic drainage of PPC is fast gaining acceptance as the procedure of choice amongst experts as it offers many advantages and benefits of minimal access surgery to the patient...
January 2019: West African Journal of Medicine
https://read.qxmd.com/read/30924120/seat-belt-syndrome-as-managed-in-babcock-university-teaching-hospital-a-case-report-and-literature-review
#4
C E Onuoha, K M Onuoha, O Odufola
BACKGROUND: This paper is a case report of a 54 year old woman that presented in our casualty with just "seat belt sign" following a road traffic injury. At laparotomy, she was found to have sustained disastrous internal/visceral injuries with torrential intraperitoneal haemorrhage from the surface of the liver caused by the seat belt. Frantic attempts at haemostasis were proving difficult and time wasting. The lacerated liver surface was then generously packed with absorbent abdominal mops which were left in-situ for 48hrs...
January 2019: West African Journal of Medicine
https://read.qxmd.com/read/30924119/scholarly-activities-participation-among-surgical-resident-doctors-in-nigeria
#5
O I Akinmokun, A T Akinsulire, E O Alabi, J O Seyi-Olajide
BACKGROUND: Scholarly activity in various forms are academic deeds such as researches and research outputs in articles, oral presentations, publications and theses which are disseminated and peer- reviewed. OBJECTIVES: This study aims to assess the level of participation of residents in scholarly activities including their attendance of national and international conferences during residency training. METHODS: This was a descriptive cross-sectional study of 81 resident doctors in General and Orthopaedic surgery, who attended the revision courses organized by their Faculties...
January 2019: West African Journal of Medicine
https://read.qxmd.com/read/30924118/self-reported-sleep-disorder-and-ambulatory-blood-pressure-phenotypes-in-patients-with-or-without-chronic-kidney-disease-findings-from-ibadan-creckid-study
#6
S O Ajayi, A M Adeoye, Y R Raji, B Tayo, B L Salako, A Ogunniyi, A Ojo, R Cooper
BACKGROUND: Sleep disordered breathing has been closely linked to pathogenesis, poor control of hypertension, and progression of chronic kidney disease (CKD). Though hypertension and CKD are highly prevalent in Nigeria, the effects of sleep disorders on CKD and hypertension phenotypes have not been widely studied. This study investigated the relationship between self-reported sleep disorders, and ambulatory blood pressure phenotypes in patients with hypertension and those with or without CKD...
January 2019: West African Journal of Medicine
https://read.qxmd.com/read/30924117/clients-perception-of-and-satisfaction-with-quality-of-directly-observed-treatment-short-course-a-comparative-study-of-private-and-public-health-facilities-in-southwestern-nigeria
#7
W O Adebimpe, S Babatunde, M C Asuzu
BACKGROUND AND OBJECTIVES: One third of the world population are at risk of developing active tuberculosis (TB), resulting in significant mortality and morbidity. The reported low patronage in many TB clinics may not be unrelated to the quality of services received by clients. The objective of this study was to determine clients' perception of and satisfaction with quality of DOTs treatments in private and public health facilities in Oyo State. MATERIALS AND METHODS: A descriptive cross sectional study among 410 eligible clients selected using the multistage sampling method was conducted in Oyo State...
January 2019: West African Journal of Medicine
https://read.qxmd.com/read/30924116/diagnosing-premalignant-lesions-of-uterine-cervix-in-a-resourceconstraint-setting-a-narrative-review
#8
B A Grema, I Aliyu, G C Michael, M B Mafala
Cervical cancer is an important public health problem whose prevention should be integrated in all existing primary health care and women's health programmes in Nigeria and other developing countries. Cervical cancer is the second most common female malignancy in the world and it is the leading cause of cancer related deaths among women in developing countries. Furthermore, developing countries account for 80% of global deaths from cervical cancer. Early cancer detection remains a vital strategy for disease treatment and prevention; therefore the need for routine cervical screening cannot be overemphasized...
January 2019: West African Journal of Medicine
https://read.qxmd.com/read/30924115/exploring-ways-of-expanding-access-to-minimal-access-surgeries-in-nigeria-a-review
#9
A O Adisa
The practice of laparoscopy and other forms of minimal access surgery is currently limited in Nigeria, with only a few tertiary public and some private hospitals offering the services. There are several benefits of laparoscopy some of which are extremely important for patients in our setting and equally beneficial to our healthcare system. The different barriers to the practice are reviewed in this article and solutions proffered to enhance increased adoption of laparoscopy in surgical practice across the country...
January 2019: West African Journal of Medicine
https://read.qxmd.com/read/30924114/comparing-asthma-control-test-with-global-initiative-for-asthma-defined-control-in-nigerian-adult-asthmatics-a-prospective-cross-sectional-study
#10
O F Awopeju, O T Salami, O M Oni, A Adetiloye, T Kolawole, A Oyewo, G E Erhabor
BACKGROUND: Assessment of control is central to asthma management. The Asthma Control Test (ACT) and Global Initiative for Asthma (GINA) defined control are commonly used measures of asthma control. This study examined the agreement between the ACT and GINA defined control and determined the best cut-off point of ACT to predict GINA level of control. METHODS: It was a cross-sectional study of 82 consecutive [72% females, age 44 (IQR) 29-60 years] asthmatic patients in a tertiary teaching hospital...
January 2019: West African Journal of Medicine
https://read.qxmd.com/read/30924113/fetal-congenital-anomaly-in-tertiary-hospital-in-lagos-south-west-nigeria-a-review-of-presentation-and-its-outcome
#11
G E Osanyin, A K Odeseye, O O Okojie, O R Akinajo, B O Okusanya
BACKGROUND: Congenital Anomalies are a major contributor to perinatal deaths worldwide. The World Health Organization (WHO) estimates that 303,000 newborns die within the first 4 weeks of life worldwide as a result of it. The exact cause is often difficult to determine and as such efforts are geared towards prevention AIM AND OBJECTIVE: This study was done to determine the common presentations as well as epidemiological features of pregnant women with anomalous fetus and at the Lagos University Teaching Hospital...
January 2019: West African Journal of Medicine
https://read.qxmd.com/read/30924112/autopsy-study-of-the-liver-in-adult-nigerians-at-lagos-university-teaching-hospital
#12
F J Obiajulu, K B Badmos, N A Awolola, O O Dawodu, L A Adebayo, S O Elesha, F B Abdulkareem
BACKGROUND: Liver diseases are one of the major causes of morbidity and mortality in Nigeria. Detection of liver involvement in many disease conditions is often delayed till after death when autopsy is conducted, hence the importance of this study. STUDY DESIGN AND METHOD: This was a prospective study to assess the pathologic findings in the liver of one hundred (100) consecutive adults (without pre-mortem diagnosis of liver disease) at autopsy, at the Lagos University Teaching Hospital (LUTH), Lagos, Nigeria...
January 2019: West African Journal of Medicine
https://read.qxmd.com/read/30924111/phd-as-a-pre-requisite-for-clinical-lectureship-perceptions-of-medical-and-dental-consultants-of-a-tertiary-university-teaching-hospital
#13
O N Onya, K E Okonta
BACKGROUND: The new policy introduced by the National Universities Commission (NUC) on PhD being the minimum qualification for clinical lectureship and academic career progression has generated a debate among medical and dental consultants (MDCAN). However, MDCAN could influence the decisions of these key stakeholders with a view to modifying the policy. METHOD: MDCAN respondents in the study numbered 110. Using a purposive sampling technique, a self-administered semistructured questionnaire was distributed and a cross-sectional analytical study carried out...
January 2019: West African Journal of Medicine
https://read.qxmd.com/read/30924110/prevalence-and-risk-factors-for-metabolic-syndrome-among-hypertensive-patients-attending-the-general-outpatient-clinic-of-a-tertiary-hospital-in-north-central-nigeria
#14
A C Ezeala, S Yohanna, R E Obilom
BACKGROUND: Metabolic syndrome is an important cause of morbidity and mortality. It is important to identify those at risk and initiate early interventions to prevent or delay its onset and complications. METHODS: It was a hospital-based descriptive cross-sectional study conducted from 1 September to 31 October, 2014. One hundred and ninety one adult hypertensive patients were recruited from the General Outpatients Clinic using a convenience sampling technique in which participants randomly picked folded papers numbered 1-10 daily...
January 2019: West African Journal of Medicine
https://read.qxmd.com/read/30387095/wolf-parkinson-white-syndrome-so-close-yet-so-far
#15
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
https://read.qxmd.com/read/30387094/the-effect-of-cognitive-impairment-on-the-health-related-quality-of-life-among-stroke-survivors-at-a-major-referral-hospital-in-ghana
#16
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
https://read.qxmd.com/read/30387093/spectrum-of-congenital-malformations-in-federal-teaching-hospital-gombe-a-ten-year-review
#17
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
https://read.qxmd.com/read/30387092/relationship-between-renal-doppler-indices-and-biochemical-indices-of-renal-function-in-type-2-diabetes-mellitus
#18
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
https://read.qxmd.com/read/30387091/the-prevalence-and-pattern-of-malnutrition-in-pre-dialytic-chronic-kidney-disease-patients-at-a-tertiary-care-facility-in-nigeria
#19
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
https://read.qxmd.com/read/30387090/impact-of-sleep-quality-on-the-health-related-quality-of-life-of-patients-with-chronic-obstructive-pulmonary-disease
#20
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
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