Journal of Medicine in the Tropics最新文献_第9页

A comparative analysis of mothers’ preference for specific type of phone-derived reminders for routine immunization appointments in Ilorin, Nigeria 在尼日利亚伊洛林，母亲对特定类型的电话提示进行常规免疫预约的偏好比较分析

Journal of Medicine in the Tropics Pub Date : 2018-01-01 DOI: 10.4103/JOMT.JOMT_7_18

R. Ibraheem, M. Akintola, M. Abdulkadir, Muhammed Adeboye, M. Mohammad

{"title":"A comparative analysis of mothers’ preference for specific type of phone-derived reminders for routine immunization appointments in Ilorin, Nigeria","authors":"R. Ibraheem, M. Akintola, M. Abdulkadir, Muhammed Adeboye, M. Mohammad","doi":"10.4103/JOMT.JOMT_7_18","DOIUrl":"https://doi.org/10.4103/JOMT.JOMT_7_18","url":null,"abstract":"Background: Forgotten immunization appointment is a factor associated with low immunization uptake in Nigeria which could be addressed by a reminder-based intervention. Thus, there is a need to identify the type of reminder which would be preferred by the recipients which was the aim of this study conducted in Ilorin, Nigeria. Materials and Methods: A descriptive, cross-sectional study involving 363 mothers was conducted at two public-based immunization centers. Responses on willingness to receive text message or call reminders, preferred timing of appointment, and language of communication, willingness to pay, antenatal, and delivery characteristics were obtained via questionnaires. Data were analyzed with the Statistical Package for the Social Sciences version 20.0 software (IBM Corporation, Virginia, USA). Results: Text messages were preferred by 189 (52.1%) mothers and call by 174 (47.9%) mothers. A day prior to the scheduled appointment was the preferred timing by 322 (88.7%) mothers. The local language was preferred by 133 (76.4%) mothers who wanted calls, and 154 (81.5%) mothers who preferred text messages wanted English language. Logistic regression identified the odds of mothers preference for text message compared with calls was eightfold to fivefold among those aged 21–25 and 31–35 years, respectively compared with those aged <21 years, with each P < 0.005. Willingness to pay at most 50 naira for the reminders increased by eightfold among those who preferred text messages compared with calls (odds ratio 8.4; 95% confidence interval 2.8–25.1). Conclusion: Phone-derived reminders are a possible deployable tool for increasing immunization coverage in Nigeria. The optimal timing for sending reminders is the day preceding the appointment. Call reminders are preferred delivered in the local language, whereas English is preferred for text messages.","PeriodicalId":16477,"journal":{"name":"Journal of Medicine in the Tropics","volume":"21 1","pages":"42 - 48"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72979333","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: 7

Hematological profile of predialysis chronic kidney disease patients in a tertiary hospital in Southern Nigeria 尼日利亚南部一家三级医院透析前慢性肾病患者的血液学分析

Journal of Medicine in the Tropics Pub Date : 2018-01-01 DOI: 10.4103/JOMT.JOMT_1_18

I. Iyawe, O. Adejumo

{"title":"Hematological profile of predialysis chronic kidney disease patients in a tertiary hospital in Southern Nigeria","authors":"I. Iyawe, O. Adejumo","doi":"10.4103/JOMT.JOMT_1_18","DOIUrl":"https://doi.org/10.4103/JOMT.JOMT_1_18","url":null,"abstract":"Background: Chronic kidney disease (CKD) is associated with variable changes in the hematological parameters. Anemia is the most common abnormality, however, both number and function of white cells and platelets may be affected. These abnormalities are associated with poor overall clinical outcome. This study assessed the hematologic profile of pre-dialysis CKD subjects and associated factors. Materials and Methods: This was a cross-sectional study that assessed and compared the hematologic profile in 100 pre-dialysis CKD subjects and 90 healthy controls. P value of <0.05 was taken as significant. Results: Mean age of the CKD and control subjects were 49 ± 14 years and 52 ± 13 years respectively. Ninety (90%) of CKD subjects had anaemia, significantly higher than 26(28.8%) in the control group (P = 0.000). The proportion of CKD subjects with leukocytosis was significantly higher than the control subjects (P = 0.007). There was no significant difference in the proportion of CKD and control subjects with thrombocytopenia (P = 0.64). The mean cell volume was significantly lower in the CKD group compared to the control subjects (P = 0.000) . Severity of anaemia was significantly associated with CKD stage (P = 0.000) but not with etiology (P = 0.27). Conclusion: Anaemia was highly prevalent in our pre-dialysis CKD patients and was significantly associated with CKD stage. White cell count was also significantly higher in the CKD subjects and this may reflect increased risk of cardiovascular morbidity and mortality.","PeriodicalId":16477,"journal":{"name":"Journal of Medicine in the Tropics","volume":"30 1","pages":"36 - 41"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85379927","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: 6

Determinants of health-related quality of life in stroke survivors in Kano, Northwest Nigeria 尼日利亚西北部卡诺市中风幸存者健康相关生活质量的决定因素

Journal of Medicine in the Tropics Pub Date : 2018-01-01 DOI: 10.4103/JOMT.JOMT_26_17

Salisu Aliyu, A. Ibrahim, H. Saidu, L. Owolabi

{"title":"Determinants of health-related quality of life in stroke survivors in Kano, Northwest Nigeria","authors":"Salisu Aliyu, A. Ibrahim, H. Saidu, L. Owolabi","doi":"10.4103/JOMT.JOMT_26_17","DOIUrl":"https://doi.org/10.4103/JOMT.JOMT_26_17","url":null,"abstract":"Background: The long-term consequences of stroke, particularly among the young and middle-aged population in sub-Saharan Africa, constitute a major challenge to the labor work force in resource-limited settings. Previous studies have focused mainly on mortality, recurrence, and functional recovery but less on the quality of life of these patients. We sought to assess the determinants of the health-related quality of life (HRQoL) of stroke survivors in Kano, Northwestern Nigeria. Material and Methods: A prospective case–control study conducted at Aminu Kano Teaching Hospital, Nigeria over a period of 18 months where 310 (155 patients with stroke and 155 sex- and age-matched healthy controls) participants were assessed using the health-related quality of life in stroke patient-40 (HRQoLISP-40) questionnaire. Multiple logistic regression was used to identify the independent predictors of global HRQoL after controlling for other covariates. Results: The overall mean global HRQoL scores among the patients with stroke and the controls were 66.1 vs. 86.1, respectively, with a mean difference of −20.0. There mean difference in the physical and spiritual spheres were −28.1 vs. −9.1, respectively. Determinants of the poor quality of life in the stroke survivors were aphasia, lesion location, and poststroke depression. Conclusion: The HRQoL among the stroke survivors was poor, which demonstrates that the determinants if effectively subjected to evidenced-based therapeutic interventions may lead to improvement in their overall functional recovery and societal reintegration.","PeriodicalId":16477,"journal":{"name":"Journal of Medicine in the Tropics","volume":"14 1","pages":"11 - 16"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84009532","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

Patella gigantism following traditional bonesetter treatment 传统接骨师治疗后的髌骨巨人症

Journal of Medicine in the Tropics Pub Date : 2018-01-01 DOI: 10.4103/JOMT.JOMT_3_18

S. Harcourt, R. Echem

{"title":"Patella gigantism following traditional bonesetter treatment","authors":"S. Harcourt, R. Echem","doi":"10.4103/JOMT.JOMT_3_18","DOIUrl":"https://doi.org/10.4103/JOMT.JOMT_3_18","url":null,"abstract":"The patella is the largest human sesamoid bone, lies within, and is an important component of the knee extensor mechanism. Tumors and tumor-like lesions of the patella are rare. Fractures of the patella are relatively uncommon and account for 1% of all musculoskeletal system fractures. These fractures can be managed by traditional bonesetters with attendant complications. To report a case of patella gigantism following a patella fracture which was treated by a traditional bonesetter. An 18-year-old male Nigerian presented with a 2-year history of anterior left knee swelling following a motorcycle accident. A diagnosis of closed patella fracture was made, but he declined orthodox treatment. Treatment had been from traditional bonesetters who were massaging the knee regularly for about 2 years. Clinical and radiographic examinations revealed an enlarged patella. He had patellectomy and reconstruction of the extensor mechanism of the left knee. The patella measured 22 cm × 18 cm and weighed 0.5 kg, which was regarded as a giant patella. Histopathological report of the excised patella revealed patella sclerosis. He made an uneventful recovery and presently walks about unaided. Patella gigantism can occur following treatment of patella fracture by traditional bonesetters. We recommend patellectomy and reconstruction of the extensor mechanism, whenever a giant patella is encountered.","PeriodicalId":16477,"journal":{"name":"Journal of Medicine in the Tropics","volume":"7 1","pages":"74 - 77"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90846276","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

Completeness of manual anaesthesia records in a tertiary facility in Nigeria 尼日利亚某三级医院手工麻醉记录的完整性

Journal of Medicine in the Tropics Pub Date : 2017-07-01 DOI: 10.4103/JOMT.JOMT_1_17

O. Ige, K. Adesina, Muyiwa Fatoba

{"title":"Completeness of manual anaesthesia records in a tertiary facility in Nigeria","authors":"O. Ige, K. Adesina, Muyiwa Fatoba","doi":"10.4103/JOMT.JOMT_1_17","DOIUrl":"https://doi.org/10.4103/JOMT.JOMT_1_17","url":null,"abstract":"Introduction: The human brain, as efficient as it is, cannot remember everything. It is legally required by law that healthcare providers maintain a record for each of their patients. In anaesthesia, every aspect of the anaesthetic care from preoperative to postoperative care needs to be documented. It is, therefore, essential to review the efficiency of manual record keeping and explore possible ways of improving it. Materials and Methods: This was a retrospective study of all patients of obstetrics undergoing caesarean section between 1st July, 2013 and 30th June, 2014. Study participants were identified from Institutional Anaesthesia record books and clinical record (case notes). With the aid of a questionnaire, relevant information concerning patients’ biodata, names of health personnel involved in the surgery and clinical information about vital signs and drug administration were documented from the records. Results: The chart completion rate was 63.88%. Emergency procedures had an average chart completion rate of 51.68% while the charts in elective procedures had a completion rate of 73.4%. The patients’ name was the most frequently recorded item. The Apgar score was not recorded in any of the charts reviewed. Critical incidents were poorly charted with a chart completion rate of 36.59%. Conclusion: Manual recording of anaesthesia information is unreliable and results in incomplete anaesthesia records. It is poorer in emergency surgeries as compared to elective ones. A comprehensive approach that would include structured teaching on the importance of chart completion and the use of automated information systems in recording may correct this anomaly.","PeriodicalId":16477,"journal":{"name":"Journal of Medicine in the Tropics","volume":"27 1","pages":"86 - 89"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81183288","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

Giant scrotal lymphatic filariasis 巨大阴囊淋巴丝虫病

Journal of Medicine in the Tropics Pub Date : 2017-07-01 DOI: 10.4103/JOMT.JOMT_20_17

Henry Atawurah, V. Orish

引用次数: 1

Massive splenomegaly, acute kidney injury, and the challenges of diagnosing hyperractive malarial syndrome in a resource-limited setting 在资源有限的情况下，大量脾肿大，急性肾损伤，以及诊断多发性疟疾综合征的挑战

Journal of Medicine in the Tropics Pub Date : 2017-07-01 DOI: 10.4103/JOMT.JOMT_8_17

I. Aliyu

引用次数: 0

Obstructive Nephropathy in a Kidney Care Hospital in Southwest Nigeria: The need for early screening and prevention 尼日利亚西南部一家肾脏护理医院的阻塞性肾病:早期筛查和预防的必要性

Journal of Medicine in the Tropics Pub Date : 2017-07-01 DOI: 10.4103/JOMT.JOMT_15_17

O. Adejumo, A. Akinbodewa, E. Okaka, O. Alli, O. Abolarin

{"title":"Obstructive Nephropathy in a Kidney Care Hospital in Southwest Nigeria: The need for early screening and prevention","authors":"O. Adejumo, A. Akinbodewa, E. Okaka, O. Alli, O. Abolarin","doi":"10.4103/JOMT.JOMT_15_17","DOIUrl":"https://doi.org/10.4103/JOMT.JOMT_15_17","url":null,"abstract":"Background: Most of the preventive efforts in Nephrology are focused on hypertension and diabetes mellitus. Obstructive Nephropathy (ON) which is a relatively common cause of CKD in Nigeria has not received adequate attention. This study reviewed the clinical profile of patients with ON at a Kidney hospital with the aim of identifying areas where preventive strategy should be targeted. Materials and Methods: This was a 3 year retrospective study that reviewed records of patients managed for ON in a Kidney hospital in Southwest Nigeria. Results: Thirty patients managed during the review period had ON with a prevalence of 7.0%. The mean age of the patients was 63.4 ± 12.08 years. Twenty-three (76.7%) were males and 7(23.3%) were females. The mean packed cell volume, creatinine and estimated glomerular filtration rate at presentation were 25.17 ± 7.84%, 920.41 ± 642.79 micromol/l and 14.27 ± 15.45mls/min/1.72 m2 respectively. Common aetiologies of ON were prostate cancer 13(43.3%), urolithiasis 6(20.0%), and cervical cancer 5(16.7%). Identified renal co-morbidities were hypertension 21(70.0%), diabetes mellitus 4(13.3%) and urinary tract infection in 11(36.7%). Anemia was present in 27(90.0%), hyperkalemia in 16(53.3%) and metabolic acidosis in 23(76.7%). Twenty-one (70.0%) had stage 5 CKD. A higher proportion of patients with malignancies had stage 4 and 5 CKD. Twenty-one (70.0%) had haemodialysis. Conclusion: Majority of patients with ON presented late and required hemodialysis. The common causes of ON were prostate cancer, stones, and cervical cancers which are largely preventable or treatable. Screening for prostate and cervical cancer and human papilloma virus vaccination of at risk population is highly recommended.","PeriodicalId":16477,"journal":{"name":"Journal of Medicine in the Tropics","volume":"25 1","pages":"98 - 103"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88183003","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

Characterisation of Streptococcus pyogenes on the basis of pyrotoxin exotoxin genes in north India 北印度产化脓性链球菌的热毒素外毒素基因鉴定

Journal of Medicine in the Tropics Pub Date : 2017-07-01 DOI: 10.4103/JOMT.JOMT_16_17

A. Baidya, Bimal Das, A. Kapil, A.R. Ghosh, P. Mathur, S. Kabra, D. Chandra, R. Juneja

{"title":"Characterisation of Streptococcus pyogenes on the basis of pyrotoxin exotoxin genes in north India","authors":"A. Baidya, Bimal Das, A. Kapil, A.R. Ghosh, P. Mathur, S. Kabra, D. Chandra, R. Juneja","doi":"10.4103/JOMT.JOMT_16_17","DOIUrl":"https://doi.org/10.4103/JOMT.JOMT_16_17","url":null,"abstract":"Introduction: Scarlet fever and toxic shock syndrome are two major clinical entities caused due to the action of pyrogenic exotoxin. We screened the clinical isolates of Streptococcus pyogenes for the presence of major exotoxin encoding genes SpeA, SpeB and SpeC. Materials and Methods: Isolates of S. pyogenes obtained from clinical samples were characterised on the basis of pyrogenic exotoxin encoding genes SpeA, SpeB, and SpeC. The sample was cultured and identified by conventional biochemical test and further confirmed by latex agglutination test kit (Remel, USA). On confirmed group A streptococci isolates, deoxyribonucleic acid extraction and polymerase chain reaction were performed. Antimicrobial susceptibility testing and detection of inducible clindamycin resistance for all clinical isolates were performed using Clinical and Laboratory Standard Institute guidelines by Kirby–Bauer disk diffusion method. Results: Thirty-one confirmed isolates of S. pyogenes were tested; out of which, the respective prevalence values of SpeB and SpeC genes were 80.6 and 35.5%. SpeA gene was detected in only single isolate. All the isolates were susceptible to penicillin, but resistance was seen with erythromycin, tetracycline and levofloxacin. Inducible clindamycin resistance was seen in two isolates. Conclusion: The present study found that the genes encoding pyrogenic exotoxin is circulating in the S. pyogenes isolates present in north India and have the potential of causing scarlet fever that is not reported so far from the country. A significant percentage of drug resistance was noted for the alternative drugs required for the treatment of penicillin allergic patients. The recent upsurge in the cases of scarlet fever in south-east Asia warns us to keep a check on gene profile of these isolates in the community.","PeriodicalId":16477,"journal":{"name":"Journal of Medicine in the Tropics","volume":"12 1","pages":"104 - 109"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74280317","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

Multidetector computed tomography scan for renal cell carcinoma: A review 肾细胞癌的多探测器计算机断层扫描:综述

Journal of Medicine in the Tropics Pub Date : 2017-07-01 DOI: 10.4103/JOMT.JOMT_7_17

I. Akpayak, Emmanuel Igho, A. Salaam, S. Shuaibu

{"title":"Multidetector computed tomography scan for renal cell carcinoma: A review","authors":"I. Akpayak, Emmanuel Igho, A. Salaam, S. Shuaibu","doi":"10.4103/JOMT.JOMT_7_17","DOIUrl":"https://doi.org/10.4103/JOMT.JOMT_7_17","url":null,"abstract":"Renal cell carcinoma (RCC) is the most common renal malignant tumour. Owing to its retroperitoneal location, RCC remains asymptomatic and non-palpable until advanced disease develops. Most cases are identified during radiological examination for other reasons. The management of RCC depends substantially on the effective use of imaging. This is true in all the stages of the RCC, from initial diagnosis to follow-up. This article sets to review the current knowledge about multidetector computed tomography (MDCT) scan and how it characterises the RCC. A search of PubMed database was made to locate the original and review articles in English that address the MDCT scan or RCC, without limit to publication date. Relevant articles and textbook chapters were reviewed, analysed and summarised. MDCT reveals the renal tumour, its extent, venous involvement, status of loco-regional lymph nodes as well as adrenal and liver extension. It is available and relatively affordable presently in some centres across the subregion. MDCT is an essential tool that has aided not only the early diagnosis of RCC, but also the staging and characterisation of the RCC.","PeriodicalId":16477,"journal":{"name":"Journal of Medicine in the Tropics","volume":"1 1","pages":"81 - 85"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90693948","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