Tropical Journal of Medical Research最新文献_第3页

Epidemiological and etiological study of acute encephalitis syndrome cases: A study from Lakhimpur district of Assam 急性脑炎综合征病例的流行病学和病因学研究:来自阿萨姆邦拉金普尔地区的研究

Tropical Journal of Medical Research Pub Date : 2017-01-01 DOI: 10.4103/1119-0388.198143

J. Sharma, Dhrubajyoti Gogoi, M. Soni, P. Dutta, S. Khan

引用次数: 2

Asthma triggers in primary school pupils aged 6-11 years in a Nigerian population 尼日利亚6-11岁小学生哮喘诱因

Tropical Journal of Medical Research Pub Date : 2017-01-01 DOI: 10.4103/1119-0388.198130

H. Akhiwu, Asani O Mustafa, Abdul-Wahab B. R. Johnson, M. Ibrahim

{"title":"Asthma triggers in primary school pupils aged 6-11 years in a Nigerian population","authors":"H. Akhiwu, Asani O Mustafa, Abdul-Wahab B. R. Johnson, M. Ibrahim","doi":"10.4103/1119-0388.198130","DOIUrl":"https://doi.org/10.4103/1119-0388.198130","url":null,"abstract":"Introduction: Asthma is a chronic respiratory disease with rising incidence the world over even in the pediatric population. This study aims to identify the common triggers of asthma in the environment. Methods: The study was descriptive cross-sectional, with a study population of 836-registered Nigerian primary school pupils from 39 randomly selected schools in Kano metropolis. Information was obtained from the pupils and their parents/caregivers using questionnaires. The data obtained were analyzed using Statistical Package for Social Science (SPSS) version 16 developed by IBM cooperation. Qualitative data (sex, social class, and suspected trigger factors) were represented as percentages, Chi-square (χ2 ) test was used to determine associations between the categorical variables and a P ≤ 0.05 was presumed statistically significant. Results: Asthma was diagnosed in 101 pupils. There were 56 (55.4%) males and 45 (44.6%) females, and a corresponding male: female ratio of 1.24:1. It was observed that common cold, household dust exposure, physical exercise as well as exposure to wood smoke and insecticides were the most common trigger factors but patients can have more than one trigger factor for their acute exacerbations. Conclusion: Against the background of the common disease provocateurs, it is suggested that the relevant control strategies along with the required avoidance recommendations of the common risk agents be pursued by the appropriate health policy-making bodies and managing physicians, respectively. For maximum relevance to the vulnerable population, these control strategies may be usefully included as part of a comprehensive package of the school health program.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126914036","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

Massive polycystic liver disease in autosomal-dominant polycystic kidney disease 常染色体显性多囊肾病伴大量多囊肝

Tropical Journal of Medical Research Pub Date : 2017-01-01 DOI: 10.4103/1119-0388.198137

A. Jemilohun, A. Enitan

引用次数: 1

Seroprevalence of hepatitis B surface antigen in urban Bo, Sierra Leone 塞拉利昂博市乙型肝炎表面抗原的血清患病率

Tropical Journal of Medical Research Pub Date : 2017-01-01 DOI: 10.4103/1119-0388.198116

E. Zoker, A. Sundufu, K. Jacobsen

引用次数: 5

Signing against medical advice in a special care baby unit in a tertiary center in Northwestern Nigeria 在尼日利亚西北部一家三级医疗中心的特殊护理婴儿病房里，签字反对医疗建议

Tropical Journal of Medical Research Pub Date : 2017-01-01 DOI: 10.4103/1119-0388.198099

I. Aliyu, T. Lawal

{"title":"Signing against medical advice in a special care baby unit in a tertiary center in Northwestern Nigeria","authors":"I. Aliyu, T. Lawal","doi":"10.4103/1119-0388.198099","DOIUrl":"https://doi.org/10.4103/1119-0388.198099","url":null,"abstract":"Introduction: Children are at the mercy of their caregivers in most developing countries where inadequate health policies and funding make accessing health-care difficult and expensive. Therefore, it may not be surprising for caregivers declining medical care for their children. This study therefore seeks to determine the prevalence of signing against medical advice (SAMA) and common reasons for SAMA in our health center. Materials and Methods: This was a retrospective review of all cases of SAMA seen over a 3-year period from January 2010 to December 2012. Results: There were 59 cases of SAMA comprising 32 (54.2%) males and 27 (45.8%) females, male to female ratio of 1.2:1. Low birth weight (26%), birth asphyxia (12%), and neonatal sepsis (11%) were the most common diagnoses associated with cases of SAMA. The cost of medical care was the most common reason of asking for SAMA (66.0%), followed by preference for alternative care (17%). The year 2011 recorded the highest case of SAMA with 33 cases reported while 2010 and 2012 had 13 cases each. January 2012 had the highest cases of SAMA. Conclusion: SAMA is of great concern; this was observed more among newborns with diagnoses of low birth weight and birth asphyxia. Furthermore, the cost of care was a major reason for asking for SAMA, hence a drawback in delivering effective healthcare.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124155772","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

An assessment of micronutrient deficiency: A comparative study of children with protein-energy malnutrition and apparently healthy controls in Kano, Northern Nigeria 微量营养素缺乏症的评估:尼日利亚北部卡诺的蛋白质能量营养不良儿童与明显健康对照的比较研究

Tropical Journal of Medical Research Pub Date : 2017-01-01 DOI: 10.4103/1119-0388.198124

N. Abubakar, M. Atiku, A. Alhassan, I. Mohammed, R. Garba, G. Gwarzo

{"title":"An assessment of micronutrient deficiency: A comparative study of children with protein-energy malnutrition and apparently healthy controls in Kano, Northern Nigeria","authors":"N. Abubakar, M. Atiku, A. Alhassan, I. Mohammed, R. Garba, G. Gwarzo","doi":"10.4103/1119-0388.198124","DOIUrl":"https://doi.org/10.4103/1119-0388.198124","url":null,"abstract":"Background: Protein-energy malnutrition (PEM) and micronutrient deficiency remain the common problems affecting children in the developing world. This study is aimed at determining the prevalence of micronutrient deficiency among children with PEM. Materials and Methods: The study was comparative and cross-sectional in design, which assessed 45 children with PEM attending the pediatric outpatient clinic of Hasiya Bayero Paediatric Hospital and 45 \"apparently healthy\" children presenting for routine vaccination. Patients were classified as having either marasmus or kwashiorkor using the Wellcome classification. Five milliliters of blood was collected for the analysis of serum calcium, iron, and zinc using spectrophotometry, as well as for Vitamin A using Bassey et al.′s procedure. Results: Mean age, height, and weight were higher in malnourished than the control group (P < 0.05). Similarly, levels of zinc, calcium, and Vitamin A were statistically higher (P < 0.05) in malnourished than the control group. The prevalence of micronutrient deficiency (PEM vs. control) was found to be: calcium (80% vs. 55%), iron (46% vs. 24%), Vitamin A (80% vs. 55%), and zinc (48% vs. 24%). The prevalence of micronutrient deficiency (kwashiorkor vs. marasmus) was found to be: calcium (100% vs. 71%), iron (50% vs. 45%), Vitamin A (90% vs. 77%), and zinc (70% vs. 42%). Conclusion: Micronutrient deficiency is more common in PEM children than healthy controls.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125120046","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: 16

Terminal ileum intubation during colonoscopy: Should it be routinely performed on all patients? 结肠镜检查时回肠末端插管:是否应在所有患者中常规进行?

Tropical Journal of Medical Research Pub Date : 2017-01-01 DOI: 10.4103/1119-0388.198125

A. Akere, J. Otegbayo, E. Tejan

{"title":"Terminal ileum intubation during colonoscopy: Should it be routinely performed on all patients?","authors":"A. Akere, J. Otegbayo, E. Tejan","doi":"10.4103/1119-0388.198125","DOIUrl":"https://doi.org/10.4103/1119-0388.198125","url":null,"abstract":"Aim: The aim of this study was to evaluate the diagnostic yield and the usefulness of ileoscopy in a tropical setting. Patients and Methods: Colonoscopy was performed on consenting patients using Olympus Exera III Videocolonoscope (CF HQ190 L, Olympus UK). Terminal ileum intubation was attempted in all the patients who had cecal intubation. A pro forma was used to record information such as biodata of the patients, indications for the procedure, and the findings, including that of the intubated terminal ileum. Results: The colonoscopy results of 305 patients comprising 168 (55.1%) males and 137 (44.9%) females were analyzed. Cecum was reached in 272 (89.2%) patients and successful terminal ileum intubation was achieved in 84/272 (30.9%) patients. Macroscopically, 82 (97.6%) patients had normal ileum, while abnormal findings were recorded in two patients, giving a diagnostic yield of 2.4% (2/84). The various abnormalities were ulcers, polypoid lesions, and cobblestone appearance. Of the 16 (19%) patients who had a biopsy of the terminal ileum, microscopic abnormalities were seen in 15 (93.7%) patients while 1 (6.3%) patient had normal ileal histology. Conclusion: The diagnostic yield of ileoscopy in this study was very low, and hence, it may not be routinely necessary in all patients in our practice.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124387778","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

Effect of birth weight on immunogenicity of hepatitis B vaccine among Neonatal Intensive Care Unit graduates 新生儿重症监护病房毕业生出生体重对乙肝疫苗免疫原性的影响

Tropical Journal of Medical Research Pub Date : 2017-01-01 DOI: 10.4103/1119-0388.198110

B. Kashyap, P. Dewan, T. Kaur, A. Kashyap, M. Faridi, I. Kaur

{"title":"Effect of birth weight on immunogenicity of hepatitis B vaccine among Neonatal Intensive Care Unit graduates","authors":"B. Kashyap, P. Dewan, T. Kaur, A. Kashyap, M. Faridi, I. Kaur","doi":"10.4103/1119-0388.198110","DOIUrl":"https://doi.org/10.4103/1119-0388.198110","url":null,"abstract":"Objective: The objective of this study was to compare the immunogenicity of hepatitis B vaccine between infants aged 9 and 12 months who were delivered with a birth weight <1800 g and those delivered with birth weight ≥1800 g. Patients and Methods: A case-control study was done on apparently healthy children aged 9-12 months attending the neonatology high-risk clinic of a tertiary hospital in Delhi, India. All study subjects had an institutional delivery, needed neonatal intensive care after birth, and had received vaccination as per defined schedule comprising at least 3 doses of hepatitis B vaccine. Case group included children whose birth weight was <1800 g whereas the controls constituted infants with birth weight ≥1800 g. Anti-hepatitis B (anti-HB) antibody estimation was done on the sera from all children by ELISA technique. Results: Out of 25 cases (15 males), 13 were born with very low birth weight (birth weight <1500 g). The gestational age was ≤32 weeks in 16 cases and the rest (n = 9) had a gestational age between 32 and 36 weeks of age. All controls (n = 25, 16 males) were delivered at term gestation. The mean birth weight of control group was 2800 g (±350) against 1500 g (±312) in the case group. A total of 9 children (5 cases and 4 controls) lacked protective titers (>10 IU/mL) of anti-HB antibodies. Conclusions: There was no effect of birth weight on the development of protective anti-HB antibody titers (>10 IU/mL) in infancy.","PeriodicalId":307187,"journal":{"name":"Tropical Journal of Medical Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126668414","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

Adenoid cystic carcinoma of the mandible: A rare clinical entity 下颌骨腺样囊性癌:罕见的临床病例

Tropical Journal of Medical Research Pub Date : 2017-01-01 DOI: 10.4103/1119-0388.198142

D. Seetharaman, M. Daniel, S. Srinivasan, V. Jimsha

引用次数: 0

Zika virus: Docile or deadly? 寨卡病毒:温顺还是致命?

Tropical Journal of Medical Research Pub Date : 2017-01-01 DOI: 10.4103/1119-0388.198098

Haider Ghazanfar, Awais Irfan, Salman Assad

引用次数: 0