F. Babandi, Z. G. Habib, Musa Usman Umar, A. Taura, M. Gudaji, A. Salihu, D. S. Owolabi, Chidiore Aghukwa, A. Baguda, Muhammad Murtala Umar
{"title":"Intimate partner violence, social support and depression in pregnant women in Nigeria","authors":"F. Babandi, Z. G. Habib, Musa Usman Umar, A. Taura, M. Gudaji, A. Salihu, D. S. Owolabi, Chidiore Aghukwa, A. Baguda, Muhammad Murtala Umar","doi":"10.4081/pjm.2024.334","DOIUrl":"https://doi.org/10.4081/pjm.2024.334","url":null,"abstract":"Intimate Partner Violence (IPV) is a risk factor for depression both during and after pregnancy in many communities. The prevalence of domestic violence is common in Kano, Nigeria. Poor social support has been associated with depression. The specific aim of this section was to assess IPV, social support, and association with depression in a group of rural and urban pregnant women. The study was part of a larger study that assessed antenatal women at urban and rural sites using a sociodemographic questionnaire, a Hits Domestic Violence Screening Instrument, a Multidimensional Scale of Perceived Social Support, a MINI International Neuropsychiatric Interview -7, and other instruments. The prevalence of antenatal depression was 23.7%. Fifty percent of the depressed women, as compared to only 7% of nondepressed, had been victims of IPV. IPV was a predictor of antenatal depression in the whole sample and the urban women. Regardless of how long ago IPV occurred, it still served as a significant factor in causing antenatal depression. IPV is a significant predictor of antenatal depression.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"5 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140982405","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}
{"title":"Pattern of dental services utilization among adolescents and adults in Kano, Northern Nigeria","authors":"Adetayo Aborisade, C. Okolo, Rabiu Aminu, Hailey Moghalu, Nafisat Aminu, Babatunde Bamgbose","doi":"10.4081/pjm.2024.379","DOIUrl":"https://doi.org/10.4081/pjm.2024.379","url":null,"abstract":"Nigeria is often conveniently described along geographical lines as North and South, each with its peculiar culture, predominant religion, and distinctive determinants of health. Available oral health information for Nigeria is derived from studies that have mainly been conducted in southern Nigeria. This study describes oral care-seeking behavior in northern Nigeria by analyzing the attendance pattern at a tertiary hospital over a period. Clinic records of patients who visited the Oral Diagnostic Sciences (ODS) clinic in Aminu Kano Teaching Hospital, Kano, were retrieved and retrospectively reviewed. Data on age, sex, ethnicity, and chief dental complaints were extracted and analyzed using SPSS version 20 (IBM Corp.; Armonk, NY, USA). The clinic records of 1,620 patients were reviewed, and the results showed that more males than females visited the clinic (55.4%), and dental pain was the most common reason for visiting the clinic (57.1%). Young adults and youths comprised the majority of patients, while the elderly population was the least represented. The study reveals dental healthcare utilization patterns in Kano, Nigeria, with sex differences reflecting sociocultural factors influencing health behaviors. The high proportion of dental pain cases highlights the need for preventive oral health efforts. The association between young/middle-aged individuals and dental trauma highlights occupational hazards and lifestyle as key determinants of dental health outcomes.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"65 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141018058","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}
{"title":"Spectrum of Pediatric Endocrine Disorders at the Aminu Kano Teaching Hospital, Kano, Northwestern Nigeria: a five-year review","authors":"U. Umar","doi":"10.4081/pjm.2023.315","DOIUrl":"https://doi.org/10.4081/pjm.2023.315","url":null,"abstract":"In many developing countries, including Nigeria, non-communicable diseases, such as endocrine disorders, are not given much attention because of the enormous burden posed by infectious diseases like malaria, tuberculosis, and other childhood killer diseases. In addition, endocrine disorders are thought to be uncommon due to a lack of specialized screening facilities and trained healthcare professionals to diagnose and manage these endocrine diseases. This study aims at defining the burden of pediatric endocrine disorders (PEDs )in Kano. A review of records of children who presented at the pediatric endocrine unit of Aminu Kano Teaching Hospital with pediatric endocrine disorders from 2018 to 2022 was carried out. A total of 6,314 new pediatric cases were seen during the study period, and 178 of these were pediatric endocrine disorders accounting for 2.8% of the total. The mean age of all the cases at presentation was 6.35±4.95 years, and male to female ratio was 1:1.3. Disorders of endocrine pancreas/lipids metabolism (68/178, 38%) were the commonest, followed by thyroid disorders (23/178, 12.9%) and pubertal disorders (16/178, 9%) respectively. Other disorders seen were calcium, phosphate metabolism, and bone disorders (15/178, 8.4%), syndromes (genetic syndromes/ multiple congenital abnormalities) with endocrine system involvement (13/178, 7.3%), adrenal disorders (10/178, 5.1%) and disorders of energy balance (6/178, 3.4%). More females presented with disorders of the pancreas/lipids, thyroid, precocious puberty, and congenital adrenal hyperplasia. The highest number of cases was seen in the last year of review, while the lowest was in the third year of review. Type 1 diabetes mellitus and disorders involving the thyroid gland, pubertal development, adrenal gland, and bone were the five leading groups of childhood endocrine disorders encountered in our clinical practice at Aminu Kano Teaching Hospital.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130326897","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}
{"title":"Systemic-onset Juvenile Idiopathic Arthritis in a young child","authors":"A. Hamidu, Musa Bello Kofar Na'isa, D. Ibrahim","doi":"10.4081/pjm.2023.314","DOIUrl":"https://doi.org/10.4081/pjm.2023.314","url":null,"abstract":"We present a 31-month-old female child who was referred by the pediatricians with 1-year history of recurrent high-grade fever associated with polyarthritis and recurrent skin rash, which disappears within 24 hours of resolution of fever. She had lost the ability to walk unsupported because of persistent arthritis. Her Full Blood Count (FBC) was remarkable for marked leucocytosis, thrombocytosis, and a mild normocytic normochromic anemia; Erythrocyte Sedimentation Rate (ESR) and C-reactive Protein (CRP) were both elevated at 110mm/hour and 200mg/L (<7) respectively while serial blood cultures were negative for septicemia and blood films were negative for acute leukemia; HIV, hepatitis B and C virus, tuberculosis, rheumatic fever, rheumatoid arthritis, and connective tissue disease screenings were all negative. Her hemoglobin genotype is AA. She had repeatedly received treatments for malaria and ‘sepsis’ with parenteral and oral antimalarials and antibiotics with no permanent relief, hence the reason for referral to the rheumatologist. An assessment of Systemic-onset Juvenile Idiopathic Arthritis (SoJIA) was made when her serum ferritin came back elevated at 670ng/mL (4.63 – 204) and she was commenced on oral ibuprofen with remarkable improvement evidenced by resolution of fever, joint pain and rash and normalization of ESR, CRP and serum ferritin within 8 weeks of treatment. Although SoJIA is rare, it would be worthwhile to include this disease in the differential diagnoses and subsequent evaluation in any child presenting with unexplained recurrent fever associated with body rash and polyarthritis.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128837162","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}
{"title":"Metastatic choriocarcinoma of the breast: report of a rare case and review of literature","authors":"M. Imam","doi":"10.4081/pjm.2023.246","DOIUrl":"https://doi.org/10.4081/pjm.2023.246","url":null,"abstract":"Choriocarcinoma (CC) is a malignant tumor of trophoblastic tissue composed of cytotrophoblastic, intermediate and syncytiotrophoblast cells. Choriocarcinoma predominantly has a gestational origin. The non-gestational type is said to arise from the gonads and pluripotent germ cells. It is a rapidly invasive tumor and metastasizes widely, but it has a good response to chemotherapy once identified. Metastatic choriocarcinoma are extremely rare in the breast. Choriocarcinomatous differentiation has also been described in neoplasm arising from many organs including colon, stomach, rectum, urinary bladder and lung. In this case report, the history, physical examination, laboratory findings and pathological findings of metastatic choriocarcinoma of the breast in a 24-year-old female are described and previous literature about metastatic choriocarcinoma is reviewed.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130452666","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}
{"title":"Colorectal carcinoma in a tertiary hospital in North-western Nigeria: a histopathologic retrospective review","authors":"M. Imam, I. Adogu","doi":"10.4081/pjm.2023.245","DOIUrl":"https://doi.org/10.4081/pjm.2023.245","url":null,"abstract":"Colorectal Carcinoma (CRC) accounts for about 3.9% of all malignant lesions in human beings with several studies identifying it as the most common gastrointestinal malignancy. It was previously considered to be more common in developed nations of the world but recent studies have reported increasing trends in developing nations. The study was done on all cases of colorectal carcinomas diagnosed between 1st January 2001 and 31st December 2010 in the Department of Histopathology of a tertiary institution. The laboratory request forms and the duplicate copies of histology reports were retrieved for extraction of relevant clinical information like age, sex, anatomical sites of the lesions and clinical presentations. Histological diagnoses and grading were also extracted. Corresponding haematoxylin and eosin-stained slides were retrieved and evaluated. Special stains were carried out where necessary. The lesions were classified according to the World Health Organization (WHO) histological variants and tables and figures were used to illustrate the results. A total of 186 cases of colorectal carcinoma were diagnosed during the period, representing 3.9% of the total malignant tumors and 50.4% of the gastro-intestinal malignancies. One hundred and ten cases (59.1%) and 76 cases (40.9%) were in males and females respectively with a male:female ratio of 1.46:1. The age range was from 17-87 years with a mean of 42.8 years and peaked at 61-70 years. Site distribution showed rectosigmoid lesions accounted for 64.5%, caecum, ascending colon, transverse and descending colons accounted for 9.1%, 3.8% and 2.2% each respectively. Most of the cases were adenocarcinoma (71.0%), followed by mucinous carcinoma (23.7%) and signetring cell carcinoma (3.8%). Colorectal carcinoma is prevalent in our environment and is the commonest malignant gastro-intestinal tumors. There is a slight male preponderance with adenocarcinoma the commonest lesion and rectosigmoid as the most common site.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132893973","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}
Shuaibu Sumaila Adavuruku, U. Haruna, A. Avidime, Suleiman Mohammad Daneji, A. Rabiu, Idris Usman Takai
{"title":"Awareness and utilization of emergency contraceptives among female undergraduates in Kano: North west Nigeria","authors":"Shuaibu Sumaila Adavuruku, U. Haruna, A. Avidime, Suleiman Mohammad Daneji, A. Rabiu, Idris Usman Takai","doi":"10.4081/pjm.2022.187","DOIUrl":"https://doi.org/10.4081/pjm.2022.187","url":null,"abstract":"Unintended pregnancy remains a major challenge to the reproductive health of women, especially female undergraduates. It is a cause of unsafe abortions and their attendant complications and contributes significantly to maternal mortality, which can be prevented by the use of emergency contraceptive. This is a descriptive cross-sectional study which was carried out among 374 non-medical, non-allied medical sciences, non-basic medical sciences and nonpharmaceutical sciences female undergraduates of Bayero University Kano, Northwestern Nigeria. Self-administered questionnaires were used for data collection and analyzed using SPSS Version 23.0 Software. The Chi square test was used to test for association at p<0.05The age range of the respondents was 15-45 years, with mean age of 24.98±4.96 years. Most of the respondents were between the ages of 20-29 years. More than half of the respondents (260, 69.5%) were single. The majority of the respondents (334, 89.3%) were aware of emergency contraception. There was statistically significant association between sources of information and year of study with awareness of emergency contraception (p<0.05). Respondents in this study demonstrated good awareness and knowledge of emergency contraception. Despite the conservative nature of the community where this study was conducted, there was good level of utilization of emergency contraceptives in the study population.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131933515","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}
{"title":"Gastric outlet obstruction secondary to malignant melanoma: A case report","authors":"U. Bello, Soladoye A. Abdulmajeed","doi":"10.4081/pjm.2022.214","DOIUrl":"https://doi.org/10.4081/pjm.2022.214","url":null,"abstract":"Gastric Outlet Obstruction (GOO) is a common clinical condition. The commonest causes are benign gastric ulcer and gastric cancer involving the antrum. Malignant melanoma of the duodenum causing GOO is extremely rare. We herein present a rare case of malignant melanoma involving the first part of duodenum and proximal jejunum who presented with features of gastric outlet obstruction.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122775052","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}
Z. Farouk, M. Gambo, F. Usman, H. Abdullahi, Abdulazeez Imam, Mohammed Abdussalam, L. Aliyu
{"title":"Prevalence, case fatality rate and risk factors for mortality among neonates admitted with perinatal asphyxia at a tertiary hospital in northern Nigeria","authors":"Z. Farouk, M. Gambo, F. Usman, H. Abdullahi, Abdulazeez Imam, Mohammed Abdussalam, L. Aliyu","doi":"10.4081/pjm.2022.202","DOIUrl":"https://doi.org/10.4081/pjm.2022.202","url":null,"abstract":"Documenting the burden and the risk factors for perinatal asphyxia-related mortality is key to its prevention. The goal was to document the factors associated with mortality in perinatal asphyxia in a tertiary health facility in Nigeria. Records of consecutive neonatal admissions (between January 2016 and January 2017) underwent a retrospective analysis. Data were analyzed using Stata statistical software version 16 (Statacorp® Texas, USA). 102 (12.1%) of 841 admitted neonates had perinatal asphyxia; the median age (inter quartile range [IQR]) was 6 (0-168) hours. The mean admission weight ±(SD) was 2.96kg±(0.66) kg. Among inborn neonates, the incidence was 9.7 per 1000 live births. In 49% (50/102) pregnancies the amniotic fluid was clear; in 42% (43/102) it was meconium-stained; and 9 staining was unreported. Case fatality rate was 20.6% (21 of 102). 77(75%) neonates had no HIE, while 24 (24.5%) did. When compared to neonates without HIE, those with HIE II had about 7000 times higher odds of mortality (aOR = 68132.19, P0.01, 95% CI 3 to 1.4X 109). The adjusted odds of mortality for neonate with meconium-stained liquor were about 1900 times higher compared to clear meconium (aOR =1895, P = 0.02, 95%CI = 2.7 to 13072). Neonates with higher mean admission lengths (49.4cm [range = 48.8 to 50]) had 88 times lower odds of death compared to shorter neonates (aOR of 0.12 (95% CI: 0.17 to 0.85; p = 0.03).","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127891020","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}
{"title":"Rhinosinusitis among children and adolescents in Southwestern Nigeria","authors":"W. Adegbiji, A. Aluko, T. Olajide","doi":"10.4081/pjm.2022.203","DOIUrl":"https://doi.org/10.4081/pjm.2022.203","url":null,"abstract":"Worldwide, rhinosinusitis is a common sinus and nasal condition. The purpose of this study was to determine the prevalence and clinical characteristics of rhinosinusitis among children and adolescents in Ekiti, in the southwest of Nigeria. This two-year retrospective hospital study included 161 children and adolescents who had rhinosinusitis at the Ekiti State University Teaching Hospital in Ado Ekiti, southwest Nigeria. SPSS version 18 was used to analyze the data. There were 161 participants, ages 2 to 17, mean ± SD = 6.8 ± 4.5. 101 (62.7%) of them were males, making the male to female ratio 1.5:1. 9.2% of the participants in this study had rhinosinusitis. Recurrent rhinosinusitis (41) and chronic rhinosinusitis (61) were the two most prevalent types of rhinosinusitis. According to the etiology, 81 (50.3%) cases of infective rhinosinusitis were the main clinical pattern, followed by 67 (41.6%) cases of allergic rhinosinusitis and 13 (8.1%) cases of vasomotor rhinitis. There were 127 cases of nasal stuffiness (78.9%), 108 cases of rhinorrhea (67.1%), 92 cases of snoring (57.1%), and 86 cases of coughing (53.4%). Adeno-tonsillar hypertrophy, nasal foreign body impaction, and asthma were the three main comorbid conditions with rhinosinusitis in children, with 96 (59.6%), 46 (28.6%), and 12 (7.5%) cases each. In this study, the most common complications of rhinosinusitis were tonsillitis (26.7%), otitis media (33.5%), orbital complications (36.6%), and pneumonia (8.1%). In Ado Ekiti, southwest Nigeria, rhinosinusitis was a common sino-nasal condition affecting children and adolescents. Due to the delayed presentation, chronic rhinosinusitis was the most frequent type.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115002741","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}