Orient Journal of Medicine最新文献

Editorial: Deep venous thrombosis: a preventable scourge in surgical practice 社论:深静脉血栓:外科实践中可预防的祸害

Orient Journal of Medicine Pub Date : 2019-05-30 DOI: 10.4314/OJM.V31I1-2

E. Kesieme

引用次数: 1

Intra-vesical explosion during transurethral resection of the prostate for benign prostatic hyperplasia 经尿道前列腺切除术治疗良性前列腺增生时膀胱内爆裂

Orient Journal of Medicine Pub Date : 2018-04-11 DOI: 10.4314/OJM.V30I1-2

I. Akpayak, Raymond U. Swem, T. Mbaeri, S. Shuaibu

引用次数: 2

Asymptomatic proteinuria and elevated blood pressure among adolescents in urban secondary schools of South-East Nigeria 尼日利亚东南部城市中学青少年无症状蛋白尿和血压升高

Orient Journal of Medicine Pub Date : 2017-09-04 DOI: 10.4314/OJM.V29I3-4

C. Ezeudu, J. Chukwuka, J. Ebenebe, W. Igwe, I. Egbuonu, Nwaizu C. Azuka

{"title":"Asymptomatic proteinuria and elevated blood pressure among adolescents in urban secondary schools of South-East Nigeria","authors":"C. Ezeudu, J. Chukwuka, J. Ebenebe, W. Igwe, I. Egbuonu, Nwaizu C. Azuka","doi":"10.4314/OJM.V29I3-4","DOIUrl":"https://doi.org/10.4314/OJM.V29I3-4","url":null,"abstract":"Background: Hypertension and proteinuria are known risk factors for cardiovascular disease and renal impairment. Early detection and treatment will reduce morbidity and mortality associated with them.Objective: To determine the prevalence of asymptomatic proteinuria with or without elevated blood pressure among secondary school adolescents in urban area of south-east Nigeria.Methodology: This was a cross sectional study of 995 adolescents aged 10-19 years attending public and private secondary schools in Awka-South Local Government Area of Anambra state, south-east Nigeria. A multi-staged sampling method was used to select the subjects. All the participants had their urine examined for protein using the combo- 9 (Midi test) according to manufacturer’s specification. Their blood pressure was measured after at least five minutes of rest in seated position using mercury sphygmomanometer, (Accoson® DEKAMET, MK.3 England). Data was analysed using SPSS version 16, (Chicago Illinois, USA).Result: A total of 995 adolescents were recruited and studied. They comprised of 475 (47.7%) males and 520 (52.3%) females, giving a male to female ratio of 1:1.1. Their ages ranged from 10-19 years with a mean of 14.6±2.0 years. Prevalence of hypertension was 6.2%. Thirty-eight females (7.3%) compared to twenty-four males (5.0%) had hypertension, but this was not statistically significant. (P-value =0.14) Ninety-six (9.6%) of all the subjects had protein in urine. Eighty-five had one plus (+), while 11 had two pluses (++) of protein.Conclusion: Asymptomatic proteinuria and hypertension exist among secondary school adolescents. There is need for periodic screening and intervention programme.Keywords: Hypertension, Urine, Protein, Renal Impairment","PeriodicalId":104404,"journal":{"name":"Orient Journal of Medicine","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130246655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Experience with the use of negative pressure bolster dressing for stabilization of skin grafts 应用负压垫敷料稳定植皮的经验

Orient Journal of Medicine Pub Date : 2017-04-10 DOI: 10.4314/OJM.V29I1-2

K. Opara, I. Nwagbara

{"title":"Experience with the use of negative pressure bolster dressing for stabilization of skin grafts","authors":"K. Opara, I. Nwagbara","doi":"10.4314/OJM.V29I1-2","DOIUrl":"https://doi.org/10.4314/OJM.V29I1-2","url":null,"abstract":"Background: The ability to apply a skin graft snugly to the bed, and limit shearing forces, goes a long way in determining outcome. It is often a challenge achieving this over highly contoured wounds and wounds located on highly mobile regions of the body, where the use of external splints pose some difficulty.Objective: To assess the outcome of negative pressure wound dressing as an alternative means of skin graft stabilization over contoured wounds and wounds located in complex anatomic regions of the body.Methodology: This was a prospective study of consecutive patients from January 2009 to December 2010, with wounds over uneven and highly mobile anatomic regions that had their skin grafts stabilized using negative pressure wound dressing. Data on patients’ age, sex, region of the body that was skin grafted, size of skin graft and graft-take were analysed using descriptive statistics.Results: There were 12 patients with 15 wounds. Regions of the body involved were the dorsum of the hand(6), the anterior chest wall (3), the anterior neck region(1), the axilla(2), the elbow region(1), the dorsum of the foot(1) and a below knee amputation stump(1). Wound sizes ranged from 80cm2 to 192cm2. Nine wounds were covered with partial thickness skin grafts, while 6 had full thickness skin grafts. Graft survival was 98 to 100% in all wounds with no case of graft infection.Conclusion: Negative pressure dressing is an effective means of graft stabilization over anatomically complex wounds.Keywords: Anatomic region, Complex, Outcome, Wounds","PeriodicalId":104404,"journal":{"name":"Orient Journal of Medicine","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122928838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Thoracic endometriosis syndrome: Current concept in pathophysiology and management 胸段子宫内膜异位症综合征:病理生理学和治疗的最新概念

Orient Journal of Medicine Pub Date : 2016-07-05 DOI: 10.4314/OJM.V28I1-2

K. Okunade, Adeyemi A Okunowo, S. Omisakin, Gbenga Ajepe

{"title":"Thoracic endometriosis syndrome: Current concept in pathophysiology and management","authors":"K. Okunade, Adeyemi A Okunowo, S. Omisakin, Gbenga Ajepe","doi":"10.4314/OJM.V28I1-2","DOIUrl":"https://doi.org/10.4314/OJM.V28I1-2","url":null,"abstract":"Background : Thoracic endometriosis is a rare pathology. The diagnosis is often delayed or missed, however recently, there has been significant advances in the knowledge of this condition and hence, an improvement in the diagnosis and treatment. Objective : To review the current concepts in the pathophysiology and management of thoracic endometriosis syndrome. Methodology : The main source of information included manual library search and journal publications on PubMed/Medline, Google Scholar, and EMBASE. Results : Many theories have been proposed to explain thoracic endometriosis syndrome, but none of them can fully explain the different manifestations of thoracic endometriosis syndrome (TES) which include catamenial pneumothorax, catamenial haemothorax, catamenial haemoptysis, pulmonary nodule, catamenial pneumomediastinum and isolated chest pain. Radiologic and endoscopic modalities are necessary for making a diagnosis, in addition to a high index of suspicion. Medical treatment traditionally involves the use of oral contraceptive pills, progestational agents, danazol and gonadotrophin releasing hormone analogues. Surgical treatment involves the use of video-assisted thoracoscopy (VAT) or thoracotomy. Conclusion : A multidisciplinary approach is recommended for the optimal management of TES. Keywords: Catamenial pneumothorax, catamenial haemoptysis, catamenial haemothorax, pulmonary nodule","PeriodicalId":104404,"journal":{"name":"Orient Journal of Medicine","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127437726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Haematological and clinical profile in Nigerian sickle cell disease patients with and without chronic kidney disease 尼日利亚镰状细胞病伴和不伴慢性肾病患者的血液学和临床概况

Orient Journal of Medicine Pub Date : 2014-10-07 DOI: 10.4314/OJM.V26I3-4

A. Bello, A. Jimoh, Sirajo B Shittu, S. Hudu

引用次数: 11

The prevalence of alcohol consumption among undergraduates of Imo State University Owerri, Nigeria 尼日利亚奥韦里伊莫州立大学本科生饮酒的流行情况

Orient Journal of Medicine Pub Date : 2014-06-06 DOI: 10.4314/OJM.V26I1-2

H. Chineke, K. Diwe, C. Emerole, Be Ezemenah

{"title":"The prevalence of alcohol consumption among undergraduates of Imo State University Owerri, Nigeria","authors":"H. Chineke, K. Diwe, C. Emerole, Be Ezemenah","doi":"10.4314/OJM.V26I1-2","DOIUrl":"https://doi.org/10.4314/OJM.V26I1-2","url":null,"abstract":"Background : Alcohol consumption implies the ingestion of any alcoholic drink or beverage. When digested, alcohol is metabolized by the liver to release its active ingredient, ethanol. Alcohol misuse is a very important global health problem with a pattern of abuse varying in different parts of the world. According to the World Health Organization (WHO), more than one-third of the world’s population has tasted alcohol. The health and social effects are so enormous as it predisposes to, and causes or ggravates a wide range of diseases which can lead to death in some cases. Objective : To determine the prevalence of alcohol consumption among undergraduates of Imo State University, Owerri, Nigeria. Methodology : This was a descriptive cross-sectional study. Data were collected using a semi-structured, self-administered questionnaire, collated, analyzed and presented using tables, bar charts and pie charts. Results : Of the 350 respondents, 63% consumed alcohol. Out of this, 42% were males, and 21% females. The average number of bottles of beer consumed per day was two, and 63% of those who drank alcohol were introduced to the act by friends and course mates, 21% by relatives, 12% assumed the habit based on personal decision and 3% were enticed by radio and television adverts. Amongst the respondents, 86% drank alcohol for personal enjoyment and satisfaction, 26% drank for relaxation with friends and 15% to cool off tension in times of anxiety or depression. Conclusion : The prevalence of alcohol consumption among undergraduates of Imo State University Owerri was high, with more males involved than females. Keywords : Beer, consequences, friends, intake, misuse, students","PeriodicalId":104404,"journal":{"name":"Orient Journal of Medicine","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115802147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Factors affecting the utilization of safety devices by commercial motorcyclists in South- East Nigeria 影响尼日利亚东南部商业摩托车手使用安全装置的因素

Orient Journal of Medicine Pub Date : 2013-09-20 DOI: 10.4314/OJM.V25I3-4

E. Achigbu, U. Ezepue

{"title":"Factors affecting the utilization of safety devices by commercial motorcyclists in South- East Nigeria","authors":"E. Achigbu, U. Ezepue","doi":"10.4314/OJM.V25I3-4","DOIUrl":"https://doi.org/10.4314/OJM.V25I3-4","url":null,"abstract":"Background : Motorcycle crashes are common causes of morbidity and mortality for both riders and passengers. To prevent and reduce the severity of injuries sustained through road traffic accidents (RTA) many countries enforce the use of safety devices while riding. Certain factors including non-enforcement of the existing road safety laws have been implicated as causing the poor utilization of safety devices by motorcycle riders in the developing countries. This study seeks to determine the prevalence of use of safety devices, and the reasons for non-utilization of these devices among the commercial motorcyclists in south eastern Nigeria. Methodology: This was a cross sectional survey conducted among commercial motorcycle riders in the three local government areas in Enugu metropolis, the capital of Enugu State. Results: The prevalence of safety device use (goggles/helmets) in this study was 82.1% (505 motorcyclists). Four hundred and fifty three (73.7%) use goggles while 131 motorcyclists (21.3%) use helmets alone. The major determinants of non-utilization of helmets noted were cost among 52.1% of the riders and discomfort as 25.7% found the use of helmets uncomfortable. Age (>40 years) and marital status were significantly associated with use of safety devices while formal school education did not positively influence their use. Conclusion: The prevalence for use of safety helmets is low and the reasons for the poor utilization of this safety device are trivial when compared with the overall safety of the motorcyclists. Keywords: Determinants, prevalence, protective wears, riders","PeriodicalId":104404,"journal":{"name":"Orient Journal of Medicine","volume":"52 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123403219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Ocular features seen in children with hydrocephalus at University of Nigeria Teaching Hospital Enugu: a case series 尼日利亚大学埃努古教学医院脑积水患儿的眼部特征:一个病例系列

Orient Journal of Medicine Pub Date : 2011-02-14 DOI: 10.4314/OJM.V22I1-4.63579

F. Maduka-okafor, U. Ezepue

{"title":"Ocular features seen in children with hydrocephalus at University of Nigeria Teaching Hospital Enugu: a case series","authors":"F. Maduka-okafor, U. Ezepue","doi":"10.4314/OJM.V22I1-4.63579","DOIUrl":"https://doi.org/10.4314/OJM.V22I1-4.63579","url":null,"abstract":"Background: Hydrocephalus has been known since antiquity. It has been defined as an increase in size of the ventricular system of the brain, resulting from raised cerebrospinal fluid volume. Objective: The purpose of this study is to determine the various ocular disorders that may be associated with hydrocephalus in children seen in the University of Nigeria Teaching Hospital (UNTH) Enugu. Patients and Methods: This study was carried out on 15 patients attending the neurosurgical outpatient clinic of the University of Nigeria Teaching Hospital Enugu. All patients who met the criteria for inclusion in the study of hydrocephalus, aged less than two years and attended the neurosurgical outpatient clinic between January and December 1998 were included. The diagnosis of hydrocephalus was made based on the history, clinical examination and brain ultrasonography. The data was analysed with a scientific calculator Casio FX-82 Lb and Epi info version 6 software. Results: Fifteen children with un-operated hydrocephalus confirmed by transfontanelle ultrasonography were examined at presentation for ocular complications of hydrocephalus. The mean age at presentation was 29.8 weeks. The peak age group of presentation was 11-20 weeks. The male/female ratio was 1:1. Ocular complications of hydrocephalus included setting sun appearance, nystagmus, optic disc palor and hyperaemia. Conclusion: The Ophthalmologist has a well established role to play in assisting the paediatric neurosurgeon in the long term management of children with hydrocephalus if the risk of blindness is not to be added to their other physical disabilities. Keywords: Children, features, hydrocephalus, ocular","PeriodicalId":104404,"journal":{"name":"Orient Journal of Medicine","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116629941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical utility of the erythrocyte sedimentation rate test and haemoglobin electrophoretic patterns among premarital couples in Port Harcourt, Nigeria 临床应用的红细胞沉降率试验和血红蛋白电泳模式在婚前夫妇在哈科特港，尼日利亚

Orient Journal of Medicine Pub Date : 2011-02-14 DOI: 10.4314/OJM.V22I1-4.63577

Z. Jeremiah, F. Emelike

{"title":"Clinical utility of the erythrocyte sedimentation rate test and haemoglobin electrophoretic patterns among premarital couples in Port Harcourt, Nigeria","authors":"Z. Jeremiah, F. Emelike","doi":"10.4314/OJM.V22I1-4.63577","DOIUrl":"https://doi.org/10.4314/OJM.V22I1-4.63577","url":null,"abstract":"Background: The erythrocyte sedimentation rate (ESR) is a relatively non-specific test that is often ignored during the diagnosis and monitoring of disease. However, in recent times, the test is often requested alongside haemoglobin electrophoretic pattern as pre marital test. This study was aimed at determining the ESR values among these apparently healthy populations, correlate this parameter with Hb electrophoretic pattern and evaluate its usefulness in modern medicine. Materials and Methods: Standard haemoglobin electrophoresis run with cellulose acetate paper at pH 8.9 and Westergren method for ESR were used in the determinations. Results: The mean ESR value for the males was 12.48±10.0mm/hr while 20.77 ± 18.8 was obtained for the females. There was significant difference between the male and female values (t = 3.94; p 100mm/hr) was observed in the study population. ESR was found to correlate negatively with gender (r = -0.248; p Conclusion: There are no sufficient scientific reasons to support the inclusion of ESR as a premarital test so, this practice should be discouraged. Keywords: Erythrocyte sedimentation rate, haemoglobin electrophoretic pattern, premarital couples","PeriodicalId":104404,"journal":{"name":"Orient Journal of Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116033357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2