Pyramid Journal of Medicine最新文献_第4页

Knowledge of obstetric danger signs among pregnant women attending antenatal clinic in Murtala Muhammad Specialist Hospital, Kano, Nigeria 尼日利亚卡诺Murtala Muhammad专科医院产前门诊孕妇对产科危险体征的了解

Pyramid Journal of Medicine Pub Date : 2019-07-01 DOI: 10.4081/PJM.2019.19

A. Rabiu, H. Ladu

{"title":"Knowledge of obstetric danger signs among pregnant women attending antenatal clinic in Murtala Muhammad Specialist Hospital, Kano, Nigeria","authors":"A. Rabiu, H. Ladu","doi":"10.4081/PJM.2019.19","DOIUrl":"https://doi.org/10.4081/PJM.2019.19","url":null,"abstract":"Knowledge of obstetric danger sign promotes active preparation and decision making for delivery by pregnant women and their families. It assists in decision making for seeking health care in case of complications. This study was aimed at determining the knowledge of obstetric danger signs among pregnant women attending antenatal clinic in Murtala Muhammad specialist hospital Kano. It was a cross sectional survey among 394 pregnant women attending antenatal clinic. Information on knowledge of obstetric danger signs were recorded on a questionnaire. The data were analyzed using SPSS version 19 Computer Software (IBM SPSS Statistics Inc., IL, Chicago USA). Quantitative variables were summarized using measures of central tendency and measures of variability. Qualitative variables were summarized using frequencies and percentages. A P value of ≤0.05 was considered statistically significant. The mean age ±SD was 26.9±6.21 years. The mean gestational age at booking was 29.7±7.22 weeks. Two hundred and eightysix (77.1%) Pregnant women were aware that unforeseen problems related to pregnancy can occur during any pregnancy that can endanger the life of the woman. These problems include bleeding 176 (61.6%) and convulsion 96 (33.6%). Should any of those problems occur, a woman should preferably visit government hospital 366 (92.9%). Concerning danger signs of pregnancy, the respondents mentioned that a health worker advised them at least once, about danger signs of serious health problems during pregnancy, child birth or soon after 228 (63.3%). The study findings generally revealed that there was awareness of obstetrics danger signs. Vaginal bleeding was the commonest obstetric danger sign known. Knowledge of obstetric danger signs was statistically associated with parity and age group.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130289574","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

Idiopathic orbital inflammation: An unusual presentation of benign essential blepharospasm 特发性眼眶炎:一种罕见的良性原发性眼睑痉挛的表现

Pyramid Journal of Medicine Pub Date : 2019-07-01 DOI: 10.4081/PJM.2019.24

A. Ibrahim, Musbahu S Kurawa, Shuaib Abdulsalam, Y. Lawal

引用次数: 0

Cushing syndrome secondary to late onset adrenal hyperplasia: presentation and challenges of management 继发于晚发型肾上腺增生的库欣综合征:表现和管理的挑战

Pyramid Journal of Medicine Pub Date : 2018-12-12 DOI: 10.4081/PJM.2018.8

M. Abdullahi, M. Atiku, I. Ibrahim

引用次数: 0

Assessment of satisfaction and utilization of health-care services by National Health Insurance Scheme enrolees at Aminu Kano Teaching Hospital, Kano, Nigeria 评估尼日利亚卡诺Aminu Kano教学医院国家健康保险计划参与者对保健服务的满意度和利用情况

Pyramid Journal of Medicine Pub Date : 2018-12-12 DOI: 10.4081/PJM.2018.20

A. Yusuf, A. Jibo, S. Abubakar, B. Grema, A. Gajida, G. Michael

{"title":"Assessment of satisfaction and utilization of health-care services by National Health Insurance Scheme enrolees at Aminu Kano Teaching Hospital, Kano, Nigeria","authors":"A. Yusuf, A. Jibo, S. Abubakar, B. Grema, A. Gajida, G. Michael","doi":"10.4081/PJM.2018.20","DOIUrl":"https://doi.org/10.4081/PJM.2018.20","url":null,"abstract":"The National Health Insurance Scheme (NHIS) aims at universal health coverage through access to high-quality health-care to all enrolees. To achieve this goal, it is necessary to incorporate feedbacks from periodic patient-surveys into service improvement plans. This study therefore, assessed satisfaction and utilization of health-care services by enrolees of a Nigerian tertiary hospital. This was a crosssectional study of 399 respondents randomly selected from enrolees attending the NHIS-clinic of Aminu Kano Teaching Hospital, Kano. Using an intervieweradministered questionnaire, it assessed their sociodemographics, medical history, number of and reason for clinic visits, satisfaction with- access to care, patient-provider relationships and hospital facilities/environment. Respondents’ mean age was 38.3 ± 9.2 years and females accounted for 55.9% of respondents. Most respondents (60.4%, 69.8%, 96.0%) were satisfied with the ease of accessing care, waiting-time and hospital facilities/environment respectively. Most respondents (94.8%, 81.1%, 73.3%, 74.5%, 83.1%, 91.1%) were satisfied with their relationship with physicians, nurses, laboratory staff, pharmacists, record officers and other hospital-staff respectively. Overall, 80.5% of respondents were satisfied with the hospital’s services. All respondents had visited the clinic at least once in the preceding 12-weeks. Although 49.1% visited for non-communicable diseases, more respondents who were for antenatal-care (followed by non-communicable and communicable diseases) had had ≥ 2 clinic visits (c2 =15.5%, df=2, P=0.0001). This study observed a high utilization of and overallsatisfaction with the hospital’s services; however, there is a need for service improvement plans to address the challenges of patient access to care and waitingtime.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129009077","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

Asymptomatic thoracic aortic aneurysm in a resource limited hospital in a 70-year-old man 资源有限医院无症状胸主动脉瘤1例70岁男性

Pyramid Journal of Medicine Pub Date : 2018-12-12 DOI: 10.4081/PJM.2018.13

M. Suwaid

引用次数: 0

Pattern and outcome of admissions at the Emergency Pediatric Unit of Federal Medical Centre Nguru, Yobe State, Nigeria 尼日利亚约贝州恩古鲁联邦医疗中心儿科急诊部的入院模式和结果

Pyramid Journal of Medicine Pub Date : 2018-12-12 DOI: 10.4081/PJM.2018.1

U. Umar, I. Muhammed, G. Gwarzo

{"title":"Pattern and outcome of admissions at the Emergency Pediatric Unit of Federal Medical Centre Nguru, Yobe State, Nigeria","authors":"U. Umar, I. Muhammed, G. Gwarzo","doi":"10.4081/PJM.2018.1","DOIUrl":"https://doi.org/10.4081/PJM.2018.1","url":null,"abstract":"Emergency care involves the care of patients with acute illnesses or injuries that require immediate medical attention. Periodic evaluation of emergency unit generally provides an excellent means of auditing hospital performance and assessing the quality of services in the hospital. The aim was to determine the pattern and outcome of Pediatrics admissions at the emergency Pediatrics unit of Federal Medical Centre Nguru, Yobe State, Nigeria. This is a retrospective review of case notes of all children admitted into emergency unit at the Pediatrics Department of Federal Medical Centre Nguru between November 2015 and October 2017. The data was entered into SPSS version 20 soft-ware and a descriptive analysis was used for analysis of the data. A total of 3289 patients aged from 1 month to 192 months (16 years) were seen. The mean age was 52.1± 46.3 months. There were 57.8% males and 42.2% females. Underfive children admitted were 62.2%, children 5 years and above were 37.8%. The common indications for admission were malaria (24.8%), diarrhea (11.1%), sickle disease (9.8%) and sepsis (7.4%). Most (50.0%) of the patients were transferred to the ward, while 35.0% discharged home from the EPU. Mortality was 11.6%, while 0.8% of the patients were discharged against medical advice and 1.2% absconded from admission. Infections especially malaria, pneumonia and diarrhea diseases are the most prevalent causes of childhood morbidity and mortality in emergency pediatric unit of the hospital, and children less than 5 years of age are commonly affected. \u0000 ","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"109 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121120177","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

Outcome of breech deliveries in Aminu Kano Teaching Hospital, Kano State, Nigeria: A 2-year study 尼日利亚卡诺州Aminu Kano教学医院臀位分娩的结果:一项为期2年的研究

Pyramid Journal of Medicine Pub Date : 2018-12-12 DOI: 10.4081/PJM.2018.7

Z. Ahmed, H. Usman, N. Adamou, H. Galadanci

{"title":"Outcome of breech deliveries in Aminu Kano Teaching Hospital, Kano State, Nigeria: A 2-year study","authors":"Z. Ahmed, H. Usman, N. Adamou, H. Galadanci","doi":"10.4081/PJM.2018.7","DOIUrl":"https://doi.org/10.4081/PJM.2018.7","url":null,"abstract":"Breech presentation is defined as polar alignment of fetus in which the fetal buttocks or feet present at the maternal pelvic inlet. Breech is the most common malpresentation in pregnancy, incidence is high before term but occur in 3-4% of term pregnancies. There is increased perinatal morbidity and mortality with breech presentation which has been linked to the prematurity, birth asphyxia due to cord accidents, congenital abnormalities, birth trauma and mode of delivery. This study was aimed at determining the incidence and outcome of breech deliveries at Aminu Kano Teaching Hospital, Nigeria. It was a retrospective analysis of breech deliveries at Aminu Kano Teaching Hospital over a 2-year period. Information was obtained from the labor ward register, theatre register and the case notes of the mothers. There were 6658 deliveries during the period of the study, out of which 154 had breech deliveries. The incidence of breech deliveries during the period under study was 2.31%. The age of the patients ranged from 17-45 years. Parity ranged between 0-11. There were more breech deliveries in the multipara (59.5%) than in primigravidae (14.9%) and primipara (25.6%).However, there was no significant difference in the perinatal outcome between the groups (P=0.054). Deliveries were mostly through caesarean section (62%), while 38% were through assisted vaginal breech. There were 113 live births and 8 still births. This study has shown that the incidence of breech is slightly lower than in many studies, and breech deliveries were mostly unplanned and more among multiparae. The neonatal outcomes in the planned breech deliveries were excellent. Birth asphyxia and stillborn were found more in the unplanned and unbooked cases with breech.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134629328","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

Malignant histiocytosis of lungs and chest wall: A case report of diagnostic conundrum and treatment challenges in a resource-poor setting 恶性组织细胞增生肺和胸壁:一个病例报告诊断难题和治疗挑战在资源贫乏的设置

Pyramid Journal of Medicine Pub Date : 2018-12-12 DOI: 10.4081/PJM.2018.9

J. Ahmad, I. Inuwa, D. Haliru, I. Ibrahim

{"title":"Malignant histiocytosis of lungs and chest wall: A case report of diagnostic conundrum and treatment challenges in a resource-poor setting","authors":"J. Ahmad, I. Inuwa, D. Haliru, I. Ibrahim","doi":"10.4081/PJM.2018.9","DOIUrl":"https://doi.org/10.4081/PJM.2018.9","url":null,"abstract":"Malignant histiocytosis is a rare condition with variable clinical presentation and prognosis. Its diagnosis requires high index of suspicion and further evaluation. Thus, it poses a diagnostic as well as management challenges especially in resource poor setting. The objective is to highlight the diagnosis and treatment challenges in the management of malignant histiocytosis so that physicians can diagnose it early and initiate appropriate treatment. Our patient is a 35-year-old man who presented with chest wall mass, dyspnoea and right cervical lymphadenopathy He was initially being evaluated for lymphoma. Biopsy of the lymph nodes was done twice in different hospitals and that of the chest wall mass done once. Histological diagnosis was arrived at with the aid of immunohistochemistry three months after his first presentation to the hospital. The patient was then commenced on chemotherapy and showed remarkable improvement on the short-term basis. Malignant histiocytosis is a rare disease laden with management challenges. Despite that, its diagnosis and treatment can be achieved even in resource poor setting with high index of suspicion, team work and good laboratory support.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133498055","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 malaria on the outcomes of sickle cell phenotypes in a semi-nomadic population 疟疾对半游牧人群镰状细胞表型结果的影响

Pyramid Journal of Medicine Pub Date : 2018-12-12 DOI: 10.4081/PJM.2018.22

Baffa A Gwaram, M. Dalhat, M. Hamza, Z. Habib, M. Bello, A. Yakasai, A. Sadauki, H. Aliyu, Z. G. Vandi, F. Sarkin-Fada, K. Karaye, A. Habib

{"title":"Effect of malaria on the outcomes of sickle cell phenotypes in a semi-nomadic population","authors":"Baffa A Gwaram, M. Dalhat, M. Hamza, Z. Habib, M. Bello, A. Yakasai, A. Sadauki, H. Aliyu, Z. G. Vandi, F. Sarkin-Fada, K. Karaye, A. Habib","doi":"10.4081/PJM.2018.22","DOIUrl":"https://doi.org/10.4081/PJM.2018.22","url":null,"abstract":"Studies have shown that malaria contribute significantly to mortality among infants and children with Sickle Cell Anemia (SCA). The nomadic lifestyle of the Fulanis make access to health care difficult and exposure to malaria high. We conducted a cross sectional study among consenting members of a semi-nomadic Fulani population in Nigeria to determine the impact of malaria on the outcome of SCA. On-the-spot malaria rapid diagnostic test (RDT) and hemoglobin electrophoresis were done. A total of 229 subjects participated, 100 (43.7%) females. Median age was 35 years (yrs) with range of 15-80 yrs. Hemoglobin AS phenotype was found among 53 (23.1%) subjects; none had hemoglobin SS. A positive malaria RDT was found among 24 (10.5%) individuals. The FGD revealed that majority of the respondents considered malaria as an important cause of ill-health but were not aware of SCA as an important disease. The high prevalences of malaria, hemoglobin AS phenotype, and absent of hemoglobin SS in the community implies the potentially fatal effect of malaria on individuals with hemoglobin SS. A comprehensive intervention to reach this vulnerable population is thus recommended.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131518119","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

Diabetes mellitus in patients with mental disorders: Prevalence and associated factors 糖尿病患者的精神障碍:患病率和相关因素

Pyramid Journal of Medicine Pub Date : 2018-12-12 DOI: 10.4081/PJM.2018.5

Desola Shakira Owolabi, B. Gwaram, F. L. Owolabi, M. Umar, Muhammad Murtala Umar, Abdullahi Musbahu, Abdullah Shehu, S. Isah

{"title":"Diabetes mellitus in patients with mental disorders: Prevalence and associated factors","authors":"Desola Shakira Owolabi, B. Gwaram, F. L. Owolabi, M. Umar, Muhammad Murtala Umar, Abdullahi Musbahu, Abdullah Shehu, S. Isah","doi":"10.4081/PJM.2018.5","DOIUrl":"https://doi.org/10.4081/PJM.2018.5","url":null,"abstract":"People with mental disorders have comorbid physical illnesses, particularly an increased risk of diabetes mellitus (DM), found in many psychiatric disorders; schizophrenia, major depression and bipolar disorder. This elevated risk is associated with increased mortality, more so, as treatment of such medical conditions is not easily accessible by people with mental disorders. The aim of the paper is to determine the prevalence and associated factors for DM in patients with mental disorders in Kano, northwest Nigeria. In this cross-sectional study, one hundred and fifty-seven consecutive patients, aged 18 years and above, attending the outpatient psychiatry clinic of Aminu Kano Teaching Hospital were recruited. Sociodemographic and clinical characteristics questionnaires were completed. Height, weight and blood pressure were measured. Subsequently 3 mL of blood was taken using aseptic venepuncture technique and glycated hemoglobin (HbA1c) levels were detected, with a cutoff point of 6.5% used for diagnosis of DM. The age of the patients ranged between 18-79 years with a mean (SD) of 35.5 (±10.6) years. Majority of the patients 91 (58%) were female. Schizophrenia was the most common diagnosis (37.6%) The prevalence of DM was 24.2%. A statistically significant association was found between DM and age (P=0.021), duration of illness (P=0.016) and diagnosis of schizophrenia (P=0.027). DM is common in patients with mental disorders. Associated factors for DM in people with mental disorders include increasing age, prolonged duration of illness and a diagnosis of schizophrenia, the latter being an independent predictor of DM in people with mental disorders.","PeriodicalId":430358,"journal":{"name":"Pyramid Journal of Medicine","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132391142","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