Orient Journal of Medicine最新文献_第8页

Tetanus Complicating Typhoid Ileal Perforation: A Case Report 破伤风并发伤寒回肠穿孔1例

Orient Journal of Medicine Pub Date : 2004-05-21 DOI: 10.4314/OJM.V16I1.29064

Eze Jc

引用次数: 0

Urethral Stone Associated With Posterior Urethral Valve -A Rare Finding 尿道结石合并后尿道瓣膜-罕见的发现

Orient Journal of Medicine Pub Date : 2004-05-21 DOI: 10.4314/OJM.V15I2.29061

A. Osuigwe, J. Ebenebe, C. Okafor

引用次数: 0

Diagnosis Of The Severely Anaemic Patients Using The Bone Marrow Aspiration Biopsy Technique 骨髓穿刺活检技术在重度贫血患者诊断中的应用

Orient Journal of Medicine Pub Date : 2004-05-21 DOI: 10.4314/OJM.V15I2.29054

N. Halim

{"title":"Diagnosis Of The Severely Anaemic Patients Using The Bone Marrow Aspiration Biopsy Technique","authors":"N. Halim","doi":"10.4314/OJM.V15I2.29054","DOIUrl":"https://doi.org/10.4314/OJM.V15I2.29054","url":null,"abstract":"Objective:To highlight the usefulness of bone marrow aspiration in the diagnosis of severely anaemic patients. \u0000Methods:Fifty two patients, 26 males and 26 females aged 16 to 40 years were drawn from the wards and clinics of University of Benin Teaching Hospital, Benin. The criteria for inclusion in the study were unexplained anaemia; suspicion of leukaemia and aplastic anaemia. Patients with easily diagnosable haemoglobinopathies such as HbSS were excluded from the study. \u0000Bone marrow aspirated from either the patients' anterior or posterior superior iliac spine were stained and examined. Smears were fixed in alcohol, stained with Leishman stain and examined under the microscope. Pearl's stain for haemosiderin was used to confirm presence of iron in the marrow. \u0000Results:The smears were suggestive of acute myeloblastic leukaemia in 21 out of 52 patients or 40.4%; acute lymphoblastic leukaemia in 10 out of 52 patients or 19.2%; and megaloblastic anaemia in 5 patients or 9.6%. Hypocellularity was confirmed in 15 (28.9%) patients. \u0000Conclusion:It is concluded that bone marrow aspiration with the Klime-Salah needle is a practical and cheap technique for the diagnosis of the severely anaemic patient. Key Words: Severe Anaemia, Bone Marrow Aspiration, Diagnostic Biopsy Orient Journal of Medicine Vol.15(3&4) 2003: 19-22","PeriodicalId":104404,"journal":{"name":"Orient Journal of Medicine","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114876378","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

Cataract Extraction With Intraocular Lens Implant: Early Experience In University Of Nigeria Teaching Hospital (U.N.T.H.), Enugu, South-Eastern Nigeria 人工晶状体植入白内障摘除:尼日利亚东南部埃努古尼日利亚大学教学医院(U.N.T.H.)早期经验

Orient Journal of Medicine Pub Date : 2004-05-21 DOI: 10.4314/OJM.V15I2.29057

C. Chuka-okosa, B. Eze, U. Ezepue

{"title":"Cataract Extraction With Intraocular Lens Implant: Early Experience In University Of Nigeria Teaching Hospital (U.N.T.H.), Enugu, South-Eastern Nigeria","authors":"C. Chuka-okosa, B. Eze, U. Ezepue","doi":"10.4314/OJM.V15I2.29057","DOIUrl":"https://doi.org/10.4314/OJM.V15I2.29057","url":null,"abstract":"Objectives: To audit our early experience of cataract surgery with intraocular lens implant, in the University of Nigeria Teaching Hospital (U.N.T.H.), Enugu. \u0000Methods: In a retrospective, non-comparative case-series study, the records of all patients who had cataract extraction with intraocular lens implant between January 2001 and October 2002 and were followed up for at least eight weeks were analyzed. \u0000Information on age, sex, type of cataract, co-existing ocular and systemic disease, pre- and postoperative visual acuity and postoperative complications was collected. \u0000Results: Forty four eyes of 40 patients were studied; mean age of the patients was 52.2 years (range: 8-87 years). \u0000Thirty seven eyes had age-related (senile) cataract; 2 post-uveitis cataract and 5 traumatic cataract. Associated systemic diseases were diabetes mellitus (4); hypertension (4); asthma (1); rheumatism (1) and diabetes and hypertension (1). \u0000Preoperative visual acuity was \u0000Eight weeks post-surgery 14 eyes had no data on presenting (uncorrected) visual acuity while 9 had presenting visual acuity of >/=6/18. With refraction those with visual acuity of >/= 6/18 increased to 14 out of the 18 who had refraction (77.8%). \u0000Cause of persistent poor visual acuity was ascertained in only 1 eye and was endophthalmitis. Postoperative complications included corneal oedema/striae (91%); astigmatism (18.2%); poor wound apposition (18.2%) and endophthalmitis (2.3%). \u0000Conclusion: The final visual outcome in 77.8% of patients who had refraction post-surgery was good (>/= 6/18.) confirming that Cataract surgery with IOL implant is safe and effective in restoring vision to the cataract blind in this part of the world. \u0000Most of the cases of postoperative astigmatism were corrected with refraction. Key Words: cataract extraction; intraocular lens implant Orient Journal of Medicine Vol.15(3&4) 2003: 31-38","PeriodicalId":104404,"journal":{"name":"Orient Journal of Medicine","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121833416","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

Maternal Mortality At St. Charles Borromeo Hospital, Onitsha: A Six Year Review 奥尼沙圣查尔斯博罗梅奥医院的孕产妇死亡率:六年回顾

Orient Journal of Medicine Pub Date : 2004-05-21 DOI: 10.4314/OJM.V15I2.29056

N. Obiechina, C. Udegbe

{"title":"Maternal Mortality At St. Charles Borromeo Hospital, Onitsha: A Six Year Review","authors":"N. Obiechina, C. Udegbe","doi":"10.4314/OJM.V15I2.29056","DOIUrl":"https://doi.org/10.4314/OJM.V15I2.29056","url":null,"abstract":"Objective: To determine the causes and rate of maternal mortality at St. Charles Borromeo Hospital Onitsha and compare these with other parts of the country. \u0000Methods: A retrospective analysis of maternal deaths over a six year period at St. Charles Borromeo Hospital, Onitsha was done. \u0000Results: Between period January 1995 and December 2000, 6179 births were recorded, the maternal deaths were 49, giving a maternal mortality rate of 793/100,000 births. The ages of the dead mothers ranged from 16 - 46 years, with a mean of 28.43 years, standard deviation of 8.68. Causes of maternal deaths include haemorrhage (37%), septic abortion (17.4%), anaemia (13%), pre-eclampsia/eclampsia (8.7%), genital sepsis (6.5%), while the least were anaesthetic death (2.2%) and cerebral malaria (2.2%). Booked patients constituted (41.3%) while unbooked patients accounted for (58.7%) of the maternal death. \u0000Conclusion: Major causes of maternal death identified in this study are preventable. Measures to reduce maternal deaths include education of the women to use obstetric facilities, early referral of patients to specialist centres, and provision of blood transfusion services. Key Words: Maternal death, Prevention of maternal death, Causes of mortality Orient Journal of Medicine Vol.15(3&4) 2003: 26-30","PeriodicalId":104404,"journal":{"name":"Orient Journal of Medicine","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114340055","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

The Pharmacokinetics of Ivermectin in Rabbit 伊维菌素在家兔体内的药动学

Orient Journal of Medicine Pub Date : 2004-05-21 DOI: 10.4314/OJM.V15I2.29059

E. Shu, P. Okonkwo

引用次数: 0

Acute Appendicitis in Port Harcourt, Nigeria 尼日利亚哈科特港的急性阑尾炎

Orient Journal of Medicine Pub Date : 2004-05-21 DOI: 10.4314/OJM.V16I1.29062

E. Mangete, B. Kombo

{"title":"Acute Appendicitis in Port Harcourt, Nigeria","authors":"E. Mangete, B. Kombo","doi":"10.4314/OJM.V16I1.29062","DOIUrl":"https://doi.org/10.4314/OJM.V16I1.29062","url":null,"abstract":"Objective: To determine the pattern of occurrence of acute appendicitis in the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria. \u0000Methods: A prospective study of patients who were admitted for acute appendicitis at the University of Port Harcourt Teaching Hospital in the 6 year period from 1984 to 1989 was undertaken. \u0000Results: Appendix pathology was confirmed in 76.6% of the patients admitted for acute appendicitis during the study period. A false diagnosis of acute appendicitis led to Appendicectomy in 23.4% of the patients, mostly females with pelvic pathology. Acute appendicitis was found to be commoner in females than males and the commonest age range was in the 11 to 30 years old group. Acute Appendicitis was also found to be commoner in the better educated social classes. The duration of hospitalization and postoperative complications were affected by late presentation to surgery but not by the status of the operating surgeon. \u0000Conclusion: Acute appendicitis was diagnosed more often in females than in males in the ratio of 2:1. Over the period of study, the incidence of acute appendicitis showed a rising trend. Key Words: Acute Appendicitis, Appendicectomy, Acute Surgical Abdomen Orient Journal of Medicine Vol.16(1) 2004: 1-3","PeriodicalId":104404,"journal":{"name":"Orient Journal of Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123783926","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: 10

Secondary Amenorrhoea and Haematometria Following Emergency Caesarean Section 紧急剖宫产术后继发性闭经及血尿

Orient Journal of Medicine Pub Date : 2004-05-21 DOI: 10.4314/OJM.V16I1.29067

T. Oguanuo, H. Ezegwui

引用次数: 0

Prevalence Of Onchocerciasis In Umuowaibu Community Of Imo State, South East Nigeria 尼日利亚东南部伊莫州Umuowaibu社区盘尾丝虫病流行情况

Orient Journal of Medicine Pub Date : 2004-05-21 DOI: 10.4314/OJM.V15I2.29058

G. Ndukwe

{"title":"Prevalence Of Onchocerciasis In Umuowaibu Community Of Imo State, South East Nigeria","authors":"G. Ndukwe","doi":"10.4314/OJM.V15I2.29058","DOIUrl":"https://doi.org/10.4314/OJM.V15I2.29058","url":null,"abstract":"Objectives:To determine the prevalence of onchocerciasis in individuals residing in the Umuowaibu community of Imo state in South East Nigeria and that of mixed filarial infections among persons with clinical signs of onchocerciasis. \u0000Method:An onchocerciasis endemic community in Imo State, South East Nigeria was screened and persons showing overt clinical signs were selected for further study. Blood samples of selected persons were examined for microfilaria. \u0000Results:Out of a total population of 750, 264 (35.2%) individuals had signs of clinical filariasis. The exhibited signs include pruritus in 46 persons (16.7%), skin nodules in 71 (27%), leopard skin in 30 (11.23%), skin tumour in 16 (6%), loss of vision in 72 (27.1%) and worms in the eye in 13 (4.5%). No individual exhibited microfilaria in the peripheral blood. \u0000Conclusion:The occurrence of clinical signs and the presence of known insect vectors in the area were considered indicators of continuing active disease transmission despite community control measures. Absence of microfilaraemia in patients with overt onchocerciasis suggests the absence of mixed infections probably as a result of immunological, genetic, pathological, nutritional and other mechanisms. Key Words: Onchocerciasis, Endemicity, Microfilaraemia Orient Journal of Medicine Vol.15(3&4) 2003: 39-41","PeriodicalId":104404,"journal":{"name":"Orient Journal of Medicine","volume":"244 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117135662","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

Clinic Attendance Compliance Pattern of Adult Hypertensive Nigerians Seen at UNTH, Enugu 埃努古UNTH尼日利亚成年高血压患者的就诊依从性模式

Orient Journal of Medicine Pub Date : 2004-05-21 DOI: 10.4314/OJM.V15I2.29051

S. Ike, B. Anisiuba, B. Onwubere, V. Ikeh

{"title":"Clinic Attendance Compliance Pattern of Adult Hypertensive Nigerians Seen at UNTH, Enugu","authors":"S. Ike, B. Anisiuba, B. Onwubere, V. Ikeh","doi":"10.4314/OJM.V15I2.29051","DOIUrl":"https://doi.org/10.4314/OJM.V15I2.29051","url":null,"abstract":"Objective: A number of factors affect the clinic attendance compliance of the average adult Nigerian. The consequent default from treatment could affect the management outcome of such patients. This study was therefore, undertaken to evaluate the clinic attendance compliance pattern of adult hypertensive patients being seen at the UNTH Enugu, and the factors affecting this. \u0000Method: Records of consecutive adult hypertensive patients attending the Cardiac Clinics of the University of Nigeria Teaching Hospital, Enugu, in a total study period from 1989 to 1999 were retrospectively studied. Data were collected from patients' case records using a proforma that had been specifically designed for the study. \u0000Results: Four hundred and ten patients were reviewed. Forty percent of the patients had already defaulted by the 3rd visit. The default rate was significantly affected by the number of antihypertensive drugs the patients were taking ( P \u0000Conclusion: This study shows a high default rate at clinic attendance. Age, severity of hypertension at first visit and the number of antihypertensive drugs appear to affect the clinic compliance pattern. Efforts should be geared at addressing these factors in the bid to ensure a better management outcome for hypertensive patients. Key Words: Clinic Compliance, Adult Hypertensive Nigerians Orient Journal of Medicine Vol.15(3&4) 2003: 1-7","PeriodicalId":104404,"journal":{"name":"Orient Journal of Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2004-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130547594","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