International Journal of Medicine and Health Development最新文献

Assessment of nutritional status and body image perception among people living with human immunodeficiency virus in a tertiary center, Southwest Nigeria 尼日利亚西南部一家三级医疗中心对人类免疫缺陷病毒感染者营养状况和身体形象认知的评估

International Journal of Medicine and Health Development Pub Date : 2023-10-01 DOI: 10.4103/ijmh.IJMH_16_23

Ayotunde Azees, AbdulMuminK Ahmed, M. Fasiku, MakindeA Adeniyi, Abiola Temitayo-Oboh, Abdullahi Ahmed, Olumide Isarinde

{"title":"Assessment of nutritional status and body image perception among people living with human immunodeficiency virus in a tertiary center, Southwest Nigeria","authors":"Ayotunde Azees, AbdulMuminK Ahmed, M. Fasiku, MakindeA Adeniyi, Abiola Temitayo-Oboh, Abdullahi Ahmed, Olumide Isarinde","doi":"10.4103/ijmh.IJMH_16_23","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_16_23","url":null,"abstract":"Background: Malnutrition is a global problem affecting all, irrespective of age and race. However, countries in Africa are disproportionately affected due to endemic poverty and war. The problem of malnutrition is worsened by the high burden of the human immunodeficiency virus in the region, which also significantly alters the body image of people affected. Objectives: This study aimed to assess the nutritional status and body image perception among people living with human immunodeficiency virus in a tertiary center in Southwest Nigeria. Materials and Methods: A total of 258 participants were recruited for this descriptive cross-sectional study conducted between March and July 2022 using a simple random sampling technique. Data were collected using an interviewer-administered questionnaire and analyzed using IBM® SPSS version 23. Chi-square test was used to assess for associations between sociodemographic characteristics and the outcome variables, while kappa statistic was used to measure agreement between participants’ actual and perceived nutritional status. Results: The mean age of respondents was 44.6 ± 11 years. A Close to half (48.1%) of the respondents had normal body mass index, while 17.1% and 6.6% were obese and underweight, respectively. Most respondents (72.9%) perceived their body image as “just right,” with another 14.3% perceiving theirs as “too thin.” Of most respondents, 78.3% were satisfied with their perceived body image. Conclusion: Most of the respondents in this study had positive body image perception; however, a sizable proportion suffers from overweight and obesity, which may increase their risk of cardiovascular events. Consequently, clinic managers should encourage routine nutritional assessment and education for early detection and prevention of overnutrition in all antiretroviral therapy clinics.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":"23 1","pages":"298 - 306"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139328121","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

Analysis of the incidence of polypharmacy in cases of adverse drug reactions at a Tertiary Care Centre in India 印度一家三级医疗中心药物不良反应病例中多药并用情况分析

International Journal of Medicine and Health Development Pub Date : 2023-10-01 DOI: 10.4103/ijmh.IJMH_77_22

Arnav Tongaonkar, Kavita Joshi, Alhad Mulkalwar, Setu Dagli

{"title":"Analysis of the incidence of polypharmacy in cases of adverse drug reactions at a Tertiary Care Centre in India","authors":"Arnav Tongaonkar, Kavita Joshi, Alhad Mulkalwar, Setu Dagli","doi":"10.4103/ijmh.IJMH_77_22","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_77_22","url":null,"abstract":"Background: Polypharmacy or the use of multiple medications is one of the most common and significant causes of adverse drug reactions (ADRs). While there are potential risks associated with polypharmacy, there are numerous benefits when drugs are combined to cure and alleviate symptoms, or prevent complications. Balancing the risks and benefits is becoming increasingly difficult, especially with the advent of over-the-counter drugs and alternative medicine. Objectives: To determine the incidence and impact of polypharmacy on ADRs in an inpatient medicine ward of a tertiary care hospital in India. Materials and Methods: This was a hospital-based, prospective, observational, study. The Patients’ data was recorded using a structured ADR reporting form. The baseline parameters, medical history, clinical data, characteristics of ADRs, and details of the medication responsible for ADRs and those used to treat ADRs were recorded. The data was analyzed using descriptive statistics with the Statistical Packages for the Social Sciences version 26.0 software. Results: A total of 164 patients fulfilling the inclusion criteria were admitted during the study period. Of this number with ADR, 95 (57.9%) had polypharmacy while 69 (42.1%) did not have polypharmacy. The observed difference was statistically significant (OR: 1.90; 95% CI: 1.2-2.9; P = 0.004). Conclusion: Polypharmacy is a significant contributor to ADR-related admissions and inpatient ADRs in India. Therefore, there should be careful and adequate consideration before initiating multiple drugs as well as regular follow-up to identify and treat any case of ADR.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":"272 1","pages":"326 - 329"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139325040","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

Psychometric adaptation of the hospital anxiety and depression scale as a self-rated suicide risk assessment instrument among Nigerian surgical patients 将医院焦虑和抑郁量表作为尼日利亚外科手术患者自评自杀风险评估工具进行心理计量学调整

International Journal of Medicine and Health Development Pub Date : 2023-10-01 DOI: 10.4103/ijmh.IJMH_34_23

T. Opakunle, O. Aloba, C. Nwozo, David-Daniel Adesanya, O. A. Adebimpe

{"title":"Psychometric adaptation of the hospital anxiety and depression scale as a self-rated suicide risk assessment instrument among Nigerian surgical patients","authors":"T. Opakunle, O. Aloba, C. Nwozo, David-Daniel Adesanya, O. A. Adebimpe","doi":"10.4103/ijmh.IJMH_34_23","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_34_23","url":null,"abstract":"Background: A key step in the detection of suicide risk in a primarily nonpsychiatric population will be the use of a simple brief self-reported psychometrically valid and reliable instrument that does not require prior training to administer. Objective: This study aimed to explore the possibility of adapting the 14‑item hospital anxiety and depression scale (HADS) as a self-rated suicide risk screening tool in a sample of Nigerian surgical patients. Materials and Methods: This is a cross-sectional study involving 462 Nigerian patients attending a surgical outpatient clinic. They completed the Sociodemographic questionnaire, the 14-item HADS, the suicidality module of the Mini‑International Neuropsychiatric Interview, and the brief version of the World Health Organization Quality of Life Questionnaire. The reliabilities of the HADS-anxiety and depression subscales were evaluated by calculating the omega (ω) coefficients. Receiver operating characteristics curve analysis was performed to determine the suicide risk screening characteristics of the HADS-anxiety and depression subscales. Results: The omega (ω) reliability coefficients of the HADS subscales were satisfactory. At a cutoff score of 10 HADS-anxiety subscale exhibited satisfactory sensitivity (0.750) and specificity (0.938) while the HADS-Depression subscale at a cutoff score of 7 had the best combination of sensitivity (0.750) and specificity (0.905). The prevalence rate of lifetime suicide attempts in our sample was 1.5%, whereas 1.8% of our respondents had high suicide risk. Conclusion: The 14-item HADS has shown to be a suitable self-rated suicide risk assessment tool among Nigerian surgical patients.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":"10 1","pages":"330 - 336"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139328802","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

Factors influencing routine vaccination uptake and completion among children aged 12–23 months in Ilorin, North-Central Nigeria: A cross-sectional survey 影响尼日利亚中北部伊洛林地区 12-23 个月大儿童常规疫苗接种率和完成率的因素：横断面调查

International Journal of Medicine and Health Development Pub Date : 2023-10-01 DOI: 10.4103/ijmh.IJMH_20_23

Solomon Ariyibi, Ayodele Ojuawo, R. Ibraheem, F. Afolayan, Roseline Ariyibi, Peace Akanbi

{"title":"Factors influencing routine vaccination uptake and completion among children aged 12–23 months in Ilorin, North-Central Nigeria: A cross-sectional survey","authors":"Solomon Ariyibi, Ayodele Ojuawo, R. Ibraheem, F. Afolayan, Roseline Ariyibi, Peace Akanbi","doi":"10.4103/ijmh.IJMH_20_23","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_20_23","url":null,"abstract":"Background: In spite of the enormous benefits of immunization, uptake of the expanded programme on immunization vaccines has remained low, especially in Northern Nigeria. Pentavalent-3 uptake in Nigeria was 33% in 2017, and up to 40% of children 12 months old were not vaccinated. Objectives: This study aimed at determining the factors influencing routine vaccination uptake and completion among children 12–23 months in North-central Nigeria. Materials and Methods: This was a cross-sectional survey conducted in Ilorin between December 2019 and January 2020 among 456 mothers/caregivers-children pairs. Participants were recruited using multistage cluster sampling technique. Results: Eighty percent (80%) of the children studied were fully vaccinated, with a vaccine uptake of 100% for Bacille Calmette-Guerin, OPV0, HBV0, OPV1, and Penta1; 83.8% for measles; and 83.1% for yellow fever. Significant factors associated with complete vaccination are: mothers/caregivers having formal education, P = 0.001; antenatal care (ANC) attendance, P = 0.001; being employed, P = 0.007, delivery in hospital, P = 0.001 and low birth order, P = 0.003. Predictors of complete vaccination are mothers with tertiary education (odd ratio [OR]: 11.51, confidence interval [CI]: 2.43–54.64, P = 0.002), ANC attendance (OR: 7.76, CI: 2.58–23.33, P < 0.001), and hospital delivery (OR: 2.86, CI: 1.6–5.0, P < 0.001). Psychosocial factors such as religious belief, cultural acceptance, and husbands’ support are also associated with vaccination uptake and completion among the children. Conclusion: Vaccination uptake for the various antigens and full vaccination status are generally high in this study, but still below the global target. Access to ANC services, hospital delivery, and female empowerment will enhance and improve vaccine uptake and completion.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":"2 1","pages":"314 - 320"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139327246","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

Pattern of serum immunoglobulins and free light chain levels among patients diagnosed with multiple myeloma in Southeast Nigeria 尼日利亚东南部确诊为多发性骨髓瘤患者的血清免疫球蛋白和游离轻链水平模式

International Journal of Medicine and Health Development Pub Date : 2023-10-01 DOI: 10.4103/ijmh.IJMH_22_23

I. Nnakenyi, A. Madu, I. Ajuba, Sunday Ocheni, Gladys Ilechukwu, Nnenna Ogbodo, O. Nnachi

{"title":"Pattern of serum immunoglobulins and free light chain levels among patients diagnosed with multiple myeloma in Southeast Nigeria","authors":"I. Nnakenyi, A. Madu, I. Ajuba, Sunday Ocheni, Gladys Ilechukwu, Nnenna Ogbodo, O. Nnachi","doi":"10.4103/ijmh.IJMH_22_23","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_22_23","url":null,"abstract":"Background: Abnormal plasma cells in multiple myeloma produce excessive amounts of immunoglobulins and free light chains, of which certain patterns predict patient survival. Objective: To determine the pattern of elevated and suppressed serum immunoglobulins and free light chain levels among patients diagnosed with multiple myeloma in southeast Nigeria. Materials and Methods: This was a 5-year retrospective study of laboratory results of newly diagnosed symptomatic multiple myeloma patients at three tertiary hospitals in southeast Nigeria. Serum immunoglobulin gamma (IgG), immunoglobulin alpha (IgA), and immunoglobulin mu (IgM) results that were obtained at the time of diagnosis of multiple myeloma were included. Medical records obtained were as follows: age, sex, serum protein, and free light chain concentrations. Data analysis was performed with IBM SPSS 20.0, and P value < 0.05 was considered to be statistically significant. Results: Serum immunoglobulin results of 147 patients comprising 79 (54%) males and 68 (46%) females were included, with mean ± standard deviation age of 60 ± 11.1 years. The most frequently elevated immunoglobulin was IgG (114 [77.6%]) followed by IgA (17 [12%]), then IgM (13 [9%]). Serum IgA was the most frequently suppressed immunoglobulin (71 [48.3%]). Suppression of uninvolved immunoglobulins was commonest with IgG myeloma as 72 (49%) patients had either suppressed IgA < 70 mg/dL, IgM < 40 mg/dL, or both. With values more than 100 mg/L, kappa was the more frequently involved light chain. Conclusion: Elevated IgG was the commonest immunoglobulin, with kappa being the commonly involved free light chain, whereas IgA was the most suppressed immunoglobulin. It is important to determine the patterns of monoclonal proteins in patients with multiple myeloma to predict treatment response and patient survival.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":"4 1","pages":"292 - 297"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139327643","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

A prospective study of the incidence of traumatic brain injury associated with craniofacial fractures 与颅面骨折相关的脑外伤发生率的前瞻性研究

International Journal of Medicine and Health Development Pub Date : 2023-10-01 DOI: 10.4103/ijmh.IJMH_17_23

Kanayo Obieje, Chinekwu Nwosu, Michael Aronu, kenneth Eze, Catherine Obasikene

{"title":"A prospective study of the incidence of traumatic brain injury associated with craniofacial fractures","authors":"Kanayo Obieje, Chinekwu Nwosu, Michael Aronu, kenneth Eze, Catherine Obasikene","doi":"10.4103/ijmh.IJMH_17_23","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_17_23","url":null,"abstract":"Background: In developing countries such as Nigeria, traumatic brain injury (TBI) is on the rise due to increasing traffic load, the poor state of the roads, and other confounding factors such as industrialization. This has led to the urgent need to study the incidence of head injuries associated with craniofacial fractures. In the past, the imaging of patients with a head injury was mainly through plain skull radiography but this has largely been overtaken by the use of computed tomography due to its higher sensitivity, reliability, and increasing availability. Objectives: To determine the incidence of head injuries associated with craniofacial fractures, the most common mechanism of injury, and the most common bone involved in the fracture. Materials and Methods: This is a cross-sectional study of 170 patients with head injuries in presenting at Nnamdi Azikiwe University Teaching Hospital (NAUTH) Nnewi, Nigeria using a consecutive sampling technique. The data collected were analyzed with SPSS version 20. Pearson’s chi-square was used to assess relationships and statistical significance between categorical variables. Results: The incidence of craniofacial fractures associated with TBI was 44 per 100,000. Motorcycle road traffic accident 72 (42.3%) was the most common mechanism of injury and the facial bones (22.5%) were the most common site for the fracture. Conclusion: There is a high incidence of head injury associated with craniofacial fractures NAUTH, Nnewi, Nigeria. There is a need to put in place measures for reducing TBI and craniofacial fractures in the study population.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":"24 2 1","pages":"307 - 313"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139328556","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

Accuracy of gravimetric method of blood loss estimation during open myomectomy 切开子宫肌瘤切除术中血量估计的重量法准确性

International Journal of Medicine and Health Development Pub Date : 2023-07-01 DOI: 10.4103/ijmh.IJMH_18_23

C. Osakwe, I. Mbachu, Oluchi Osakwe, O. Ikpeze

{"title":"Accuracy of gravimetric method of blood loss estimation during open myomectomy","authors":"C. Osakwe, I. Mbachu, Oluchi Osakwe, O. Ikpeze","doi":"10.4103/ijmh.IJMH_18_23","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_18_23","url":null,"abstract":"Background: Estimation of blood loss during surgery is a critical component that may affect patients’ management. Objective: The study evaluated the accuracy of the gravimetric method of blood loss estimation in women with an open myomectomy. Materials and Methods: This was a cross-sectional analytical study that evaluated the accuracy of the gravimetric method of measuring blood loss during open myomectomy for patients with symptomatic fibroid at a Teaching Hospital in Nigeria. The diagnosis of uterine fibroids was based on clinical examination and ultrasound scan. A proforma was used to record information from those who gave written consent. The gravimetric method and visual estimation were compared with the actual blood loss (ABL) as the gold standard. Statistical analysis was done using Stata version 16. Student’s t-test was used to compare the mean blood loss estimation of the different methods. The significant level was set at P-value <0.05. Results: A total of 78 women who had open myomectomy participated in the study. The mean ABL was 787.11 ± 63.17 mL. The mean blood loss by the gravimetric method was 755.95 ± 492.72 mL, while the mean estimation error by the gravimetric method was 31.16 ± 263.23 mL. The mean difference between the estimated ABL and the loss estimated by the gravimetric method was 31.18 mL. This was not statistically significant (P-value = 0.30). However, there was a statistically significant difference between the ABL and blood loss by visual method (mean difference = 161.64, P-value = 0.02). Conclusion: The gravimetric estimation of blood loss during surgery correlated with actual estimated blood loss. It should be considered in the routine estimation of blood loss during surgery.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":"9 5","pages":"245 - 250"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72582973","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

Effect of diet-mediated immune optimization on antihypertensive drug treatment requirement 饮食介导的免疫优化对降压药物治疗需求的影响

International Journal of Medicine and Health Development Pub Date : 2023-07-01 DOI: 10.4103/ijmh.IJMH_2_23

C. Chijioke, Michael Okafor, Uzoamaka A Okoli, Clinton Ide, A. Obiefuna, Ruphina Effiong-Essien, Samuel Nite, N. Nubila, O. Nwoke, George Ali, R. Anakwue

{"title":"Effect of diet-mediated immune optimization on antihypertensive drug treatment requirement","authors":"C. Chijioke, Michael Okafor, Uzoamaka A Okoli, Clinton Ide, A. Obiefuna, Ruphina Effiong-Essien, Samuel Nite, N. Nubila, O. Nwoke, George Ali, R. Anakwue","doi":"10.4103/ijmh.IJMH_2_23","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_2_23","url":null,"abstract":"Background: Claiming over 92 million adjusted life years per annum globally, systemic arterial hypertension is at the forefront of noncommunicable diseases and mandates urgent attention to the etiopathogenic mechanism rather than depending on suppressive drug therapies. Good diet, adequate sleep, and moderate-intensity exercise are immune optimizers as well as life-style modifiers and may have substantial impact on antihypertensive drug treatment requirements for blood pressure control in essential hypertension (EH). Objective: We appraised the impact of diet-mediated immune optimization on antihypertensive drug treatment requirement. Materials and Methods: This was a longitudinal study and part of an open clinical trial of a personalized food avoidance dietary to stop hypertension approved by the University of Nigeria Teaching Hospital Ethics Committee. Drug treatment parameters assessed were antihypertensive drug prescription, adherence, actual treatment (AdhRx), and antihypertensive drug treatment requirement (ADTR) scores. ADTR score was determined by adding or subtracting 0.1 to AdhRx score for every mmHg that average systolic automated office blood pressure or average systolic home blood pressure get higher or lower than 120 and 100 mmHg, respectively. Results: There was no significant reduction of AdhRx and ADTR scores of study participants with good dietary compliance to a personalized food avoidance dietary approach to stop hypertension, although mean of the scores were lower than that of those with bad dietary compliance (P > 0.05). Conclusion: We conclude that AdhRx and ADTR scores may serve as valid tools to assess the impact of diet-mediated immune optimization which addresses etiopathogenic dysfunction in EH.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":"3 1","pages":"233 - 239"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82191675","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

Reduction mammoplasty for bilateral gigantomastia and multiple breast fibroadenomas in an 18-year-old girl 缩小乳房成形术治疗双侧巨乳瘤及多发乳腺纤维腺瘤1例

International Journal of Medicine and Health Development Pub Date : 2023-07-01 DOI: 10.4103/ijmh.IJMH_68_22

Obinna Remigius Okwesili, A. Chukwulebe, Celestine E. Nnamani, V. Enemuo, Iheanyi Orji

引用次数: 0

Trends in emergency room visits of oral and maxillofacial surgery patients in a tertiary hospital in South-East Nigeria 尼日利亚东南部一家三级医院口腔颌面外科病人急诊室就诊趋势

International Journal of Medicine and Health Development Pub Date : 2023-07-01 DOI: 10.4103/ijmh.IJMH_9_23

U. Okechi, D. Obi, Chukwudi Aniagor

{"title":"Trends in emergency room visits of oral and maxillofacial surgery patients in a tertiary hospital in South-East Nigeria","authors":"U. Okechi, D. Obi, Chukwudi Aniagor","doi":"10.4103/ijmh.IJMH_9_23","DOIUrl":"https://doi.org/10.4103/ijmh.IJMH_9_23","url":null,"abstract":"Background: The accident and emergency unit is usually the first port of call for patients involved in road traffic and domestic accidents, emergency dental conditions, and advanced-stage malignancies during call hours and weekends. Objective: This study aimed to evaluate the pattern of emergency maxillofacial injuries in the University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu. Materials and Methods: This is a 3-year retrospective study of patients that presented to the accident and emergency unit of the University of Nigeria Teaching Hospital Enugu on account of pathologies involving the oral and maxillofacial region. Results: One hundred and eighty-three cases were recruited into the study. There were 131 males and 52 females. The mean age of the patients was 38.0 ± 18.6 years. The majority 121 (66.1%) occurred due to road traffic accidents followed by 18 (9.8%) due to complications of untreated carious teeth, then 12 (6.6%) from complications of advanced-stage tumors. Facial bone fractures 76 (41.5%) followed by lacerations 42 (23.0%) were the commonest conditions seen. Eighty-four (45.9%) had reduction and immobilization of their fractures, whereas 51 (27.8%) had suturing of various lacerations. Conclusions: Pathologies resulting from road traffic accidents, orofacial space infections, and late-stage malignancies were the commonest indications for accident and emergency unit visits by oral and maxillofacial surgery patients in the study center. The need for regular training of first-line staff in the emergency units of hospitals in this part of the world is necessary.","PeriodicalId":14106,"journal":{"name":"International Journal of Medicine and Health Development","volume":"21 1","pages":"251 - 255"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84947710","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