Annals of Ibadan postgraduate medicine最新文献_第10页

BIOCHEMICAL PREDICTORS OF ENTEROCOLITIS IN CHILDREN WITH COLORECTAL ANOMALIES POST COLOSTOMY AT UNIVERSITY COLLEGE HOSPITAL, IBADAN. 伊巴丹大学附属医院结肠造口术后结肠异常患儿肠结肠炎的生化预测指标。

Annals of Ibadan postgraduate medicine Pub Date : 2022-12-01

O O Ogundoyin, D I Olulana, K I Egbuchulem

{"title":"BIOCHEMICAL PREDICTORS OF ENTEROCOLITIS IN CHILDREN WITH COLORECTAL ANOMALIES POST COLOSTOMY AT UNIVERSITY COLLEGE HOSPITAL, IBADAN.","authors":"O O Ogundoyin, D I Olulana, K I Egbuchulem","doi":"","DOIUrl":"","url":null,"abstract":"Background: A large proportion of patients with preoperative enterocolitis still have enterocolitis persisting even after surgery while others resolve thereafter. Some researchers have studied Calprotectin, C-reactive protein (CRP), Blood and Plasma viscosity as markers of inflammation, hence, the choice of their use. The aim of the study is to determine the sensitivity and reliability of Calprotectin, C-reactive protein (CRP), Blood and Plasma viscosity as biochemical predictors of enterocolitis in children with colorectal anomaly post-surgery at University College Hospital Ibadan.Patients and methods: This is an observational analytic study of 32 patients with either Hirschsprung's disease or Anorectal malformation carried out over a year period. The demographic data of the patients, clinical condition and the preoperative and postoperative readings of the biochemical analytes were recorded in a chart. Statistical analysis were carried out using SPSS version 23 and test for statistical association done.Results: The incidence of Hirschsprung associated enterocolitis is 12.5% and for Ano rectal malformation 6.3 %. Gender difference was not statistically significant even with the observed clinical difference. Plasma viscosity and blood viscosity correlate positively with each order. C-reactive Protein and Calprotectin did not predict enterocolitis in this study and the Sensitivity of blood viscosity at T1 and T2 is as low as 66% with a Positive Predictive Value of 25 %.Conclusion: The incidence of Enterocolitis associated with Hirschsprung's disease and Anorectal malformation is 19 %. Calprotectin and C-reactive protein did not predict enterocolitis in this patients. The outcome of care was satisfactory in over 90 % of the patients.","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"20 2","pages":"129-134"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/11/8d/AIPM-20-129.PMC10295100.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10096916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

HOW CONFIDENT IS THE CONFIDENCE INTERVAL. 置信区间的置信度。

Annals of Ibadan postgraduate medicine Pub Date : 2022-12-01

K I Egbuchulem

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THE EARLY PHYSICIANS OF IBADAN MEDICAL SCHOOL: PROFESSOR ALEXANDER BROWN. 伊巴丹医学院的早期医生:亚历山大·布朗教授。

Annals of Ibadan postgraduate medicine Pub Date : 2022-12-01

O S Ogah, S O Ajayi, M F Okeke, A Ogunniyi

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SKINFOLD MEASUREMENTS AS DETERMINANTS OF BLOOD PRESSURE LEVELS AMONG ADULT HYPERTENSIVES ATTENDING A SECONDARY HEALTHCARE CENTRE IN NIGERIA. 在尼日利亚二级保健中心接受治疗的成年高血压患者中，皮褶测量作为血压水平的决定因素。

Annals of Ibadan postgraduate medicine Pub Date : 2022-12-01

I A Azeez, B I Yusuf, A A Fasanmade

{"title":"SKINFOLD MEASUREMENTS AS DETERMINANTS OF BLOOD PRESSURE LEVELS AMONG ADULT HYPERTENSIVES ATTENDING A SECONDARY HEALTHCARE CENTRE IN NIGERIA.","authors":"I A Azeez, B I Yusuf, A A Fasanmade","doi":"","DOIUrl":"","url":null,"abstract":"Background: Background: The prevalence of obesity is increasing globally, making it a growing pandemic affecting adults and children. Obesity is associated with multiple morbidities and mortalities increasing the burden on the health care system.Objective: There is inadequacy of data in Nigeria on the prevalence of obesity among adult patients with hypertension and adequate data on these conditions would help in their comprehensive management.Methods: This was a cross-sectional study of 354 patients with hypertension, and the systematic sampling technique was used to recruit patients. The data were analysed using SPSS software version 23. Logistic regressions and linear regressions were done to determine the predictors of obesity and blood pressure levels.Results: The mean age of the respondents was 52.60(SD±8.26) years and the prevalence of obesity was 53.1%. After adjusting for other variables, the predictors of obesity were female sex. Females were about six times more likely to be obese than males (OR=6.23; 95%CI= 3.16 - 12.32). For every 1 unit increase in triceps skinfold, there was a statistically significant increase in diastolic blood pressure by about 2.77units (95% C.I equals 2.63 to 2.91, p-value= 0.0001). Also, for every 1 unit increase in biceps skinfold, there was a statistically significant increase in systolic blood pressure by about 5.78 units (95% C.I equals 5.46- 6.10, p-value= 0.0001).Conclusion: The prevalence of obesity was high, and the predictors of obesity were female sex. Triceps skinfold measurements were predictors of diastolic blood pressure while biceps skinfold measurements were predictors of systolic blood pressure.","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"20 2","pages":"169-176"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/7c/AIPM-20-169.PMC10295094.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9736419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EVALUATION OF PHENOTYPIC AND MOLECULAR TECHNIQUE IN THE DETECTION OF EXTENDED SPECTRUM BETA-LACTAMASE (ESBL)-PRODUCING GRAM NEGATIVE BACILLI IN OGUN STATE, NIGERIA. 尼日利亚奥贡州产广谱β -内酰胺酶(esbl)的革兰氏阴性杆菌检测的表型和分子技术评价。

Annals of Ibadan postgraduate medicine Pub Date : 2022-12-01

T A Ajani, C J Elikwu, C G Anaedobe, C N Onwuzo, B Tayo, C C Okangba, O B Makanjuola

{"title":"EVALUATION OF PHENOTYPIC AND MOLECULAR TECHNIQUE IN THE DETECTION OF EXTENDED SPECTRUM BETA-LACTAMASE (ESBL)-PRODUCING GRAM NEGATIVE BACILLI IN OGUN STATE, NIGERIA.","authors":"T A Ajani, C J Elikwu, C G Anaedobe, C N Onwuzo, B Tayo, C C Okangba, O B Makanjuola","doi":"","DOIUrl":"","url":null,"abstract":"Background: Molecular diagnosis though faster and more sensitive than phenotypic techniques, is more expensive. Resource limited settings are thus limited to using more of phenotypic rather than molecular methods in the routine detection of Extended Spectrum beta lactamases (ESBL).Aim: This study aimed to evaluate the performance of double disc synergy test (DSST) and Epsilometer (E) test with Polymerase Chain Reaction (PCR) and to detect the risk factors associated with ESBL producing organisms among in-patients at Babcock University Teaching Hospital, Ilishan-Remo, Nigeria.Methodology: Hospital-based cross-sectional study in which bacterial isolates of 165 in-patients were collected fromMarch 2018 to September 2019. The isolates were evaluated for ESBL production by the use of DDST, Etest and PCR. The performance evaluation was done. Questionnaire was used to assess the risk factors associated with ESBL, IBM SPSS Version 23 was used to analyze the data.Results: The participants' isolates yielded 50/165 (30.3%) that were ESBL positive by DDST, 47/165 (28.9%) by E-test and 48/165(29.1%) by PCR. Sensitivity and specificity of DSST was 100% and 98.3% while that of E-test was 98% and 100% respectively. Age, antibiotics intake without prescription, being on ventilator, urethral catheterization and nasogastric tubes were all significantly associated with presence of ESBL (p value <0.05).Conclusion: Phenotypic tests remain reliable for the routine detection of ESBL in the absence of molecular methods. Rational use of instrumentation and antibiotics is advocated based on the risk factors detected from this study.","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"20 2","pages":"160-168"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/33/8a/AIPM-20-160.PMC10295097.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10096908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

BURDEN OF ERECTILE DYSFUNCTION AMONG HEART FAILURE PATIENTS IN A CENTRE IN THE SOUTH-WESTERN NIGERIA: A PILOT STUDY. 尼日利亚西南部某中心心力衰竭患者勃起功能障碍的负担：试点研究。

Annals of Ibadan postgraduate medicine Pub Date : 2022-12-01

O Adebayo, A Aje, O S Ogah, A Adebiyi, A M Adeoye, O Oladapo

{"title":"BURDEN OF ERECTILE DYSFUNCTION AMONG HEART FAILURE PATIENTS IN A CENTRE IN THE SOUTH-WESTERN NIGERIA: A PILOT STUDY.","authors":"O Adebayo, A Aje, O S Ogah, A Adebiyi, A M Adeoye, O Oladapo","doi":"","DOIUrl":"","url":null,"abstract":"Background: Erectile dysfunction (ED) is a common problem among heart failure (HF) patients but is usually ignored in busy clinics in developing countries like Nigeria. Evidence abound that it has a great impact on the quality of life, survival, and prognosis of HF patients.Objective: This study sought to evaluate the burden of ED among HF patients at the University College Hospital, Ibadan.Methods: This pilot cross-sectional study was conducted in the Cardiology clinic of the Medical Outpatient Unit of the Department of Medicine, University College Hospital, Ibadan. Consenting male patients with chronic HF were consecutively recruited into the study between June 2017 and March 2018. The International Index of Erectile Function-version five (IIFE-5) was used to access the presence and degree of ED. Statistical analysis was done with SPSS version 23.Results: A total of 98 patients were recruited with a mean± standard deviation (SD) age of 57.6 ±13.3 years, and age range of 20-88 years. The majority of the participants were married (78.6%), and the mean ± SD duration of HF diagnosis was 3.7 ±4.6years. The overall frequency of ED was 76.5%, and those with previous self-reported ED were 21.4%. Mild erectile dysfunction, mild to moderate erectile dysfunction, moderate erectile dysfunction, and severe erectile dysfunction were present in 24(24.5%), 28(28.6%), 14(14.3%), and 9(9.2%) respectively.Conclusion: Erectile dysfunction is common among chronic heart failure patients in Ibadan. Therefore, adequate attention is needed for this sexual health issue among males with heart failure to improve their quality of care.","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"20 2","pages":"103-107"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/72/AIPM-20-103.PMC10316222.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9801532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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PROFESSOR OLAOFE OLURIN AND PROFESSOR OLAJIDE AJAYI: TWO MEN WHO DARED TO DREAM. olaofe olurin教授和olajide ajayi教授:两个敢于梦想的人。

Annals of Ibadan postgraduate medicine Pub Date : 2022-12-01

O I Olaopa

引用次数: 0

VOLUMETRIC CLASSIFICATION OF INGUINOSCROTAL SWELLINGS. 腹股沟阴囊肿胀的体积分型。

Annals of Ibadan postgraduate medicine Pub Date : 2022-12-01

S S Dumbuya, O O Ayandipo, I O Smalle, J C Boima, M A Dawo, O A Ajagbe, T O Ogundiran

{"title":"VOLUMETRIC CLASSIFICATION OF INGUINOSCROTAL SWELLINGS.","authors":"S S Dumbuya, O O Ayandipo, I O Smalle, J C Boima, M A Dawo, O A Ajagbe, T O Ogundiran","doi":"","DOIUrl":"","url":null,"abstract":"Background: External hernias and scrotal swellings are diverse in presentation and are described in many subjective ways.Aim: To create an objective classification of inguinoscrotal swellings in the rural setting.Patients and methods: It was a prospective study on the measurement of inguinoscrotal swellings volume/contents in a cohort of surgical patients in a provincial general hospital in the north of Sierra Leone over a three-year period. For inguinal hernias and other scrotal swellings, the volume ranges of 0- 500ml were used in the classification; for femoral and other external hernias which generally do not reach 'huge' sizes, the volume ranges of 0-100 ml were used.Results: A total of 962 external hernias and hydroceles were classified over a 3- year period. Most, 610 (63.4%) were inguino-scrotal hernias, others were hydroceles, 303 (31.0%) and femoral hernias, 42 (4.3%). The remaining small number consisted of umbilical (4) and epigastric (3) hernias. For the common conditions of hydroceles, inguinal and femoral hernias, about 50% were 'small', more than 40% were 'large', the rest were giant. The same findings were true for epigastric and umbilical hernias.Conclusion: Using the scale that we adopted, majority of the groin hernias and hydroceles were in the small and large categories with a few giant varieties. Volumetric-based classification of hernias and hydroceles can help surgeons communicate more clearly based on standard rather than arbitrary ascription of descriptive terminologies to these very common surgical entities.","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"20 2","pages":"115-119"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/41/8e/AIPM-20-115.PMC10295090.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10113927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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RELATIONSHIP BETWEEN HEART RATE VARIABILITY AND HYPOTENSION WITH BRADYACARDIA FOLLOWING SPINAL ANAESTHESIA IN PATIENTS UNDERGOING ELECTIVE SURGERY. 择期手术患者脊柱麻醉后心率变异性与低血压伴心动过缓的关系。

Annals of Ibadan postgraduate medicine Pub Date : 2022-12-01

T F Okanlawon, O R Eyelade, A A Adebiyi

{"title":"RELATIONSHIP BETWEEN HEART RATE VARIABILITY AND HYPOTENSION WITH BRADYACARDIA FOLLOWING SPINAL ANAESTHESIA IN PATIENTS UNDERGOING ELECTIVE SURGERY.","authors":"T F Okanlawon, O R Eyelade, A A Adebiyi","doi":"","DOIUrl":"","url":null,"abstract":"Background: Background: Hypotension is a common complication of spinal anaesthesia and occurs due to the sympatholytic effect of local anaesthesia on the cardiovascular system and consequence effects on the autonomic nervous system. Heart rate variability (HRV) is currently a well-known predictive tool for hypotension and the commonly associated bradycardia.Objective: To evaluate the relationship between preoperative measured HRV and hypotension with bradycardia among patients undergoing elective surgeries under spinal anaesthesia.Methods: Eighty-four patients aged between 18 and 65 years were recruited. HRV measurements were taken immediately after electrocardiographic (ECG) tracing according to the North American Society for Pacing and Electrophysiology (NASPE). Pre and intraoperative heart rate (HR), systolic and diastolic blood pressure and mean arterial blood pressure were monitored and recorded every 5 minutes from induction of spinal anaesthesia till the end of surgery. Multivariate analysis was used to determine the association between development of hypotension, bradycardia and age, systolic and diastolic blood pressure and Heart Rate Variability in the low frequency (LF) and high Frequency (HF) domains.Results: Hypotension occurred in 55 patients (65.5%). Age (p= 0.015), base line systolic blood pressure (p=0.003) and base line diastolic pressure (p=0.027) were significantly associated with the development of hypotension. Low frequency (LF) was significantly associated with the development of hypotension, while high frequency (HF) was significantly associated with bradycardia.Conclusion: Heart rate variability was useful in predicting development of hypotension and bradycardia in patient undergoing elective surgery under spinal anaesthesia.","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"20 2","pages":"120-128"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0a/cb/AIPM-20-120.PMC10295095.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10113928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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PREFERENCES OF CHOICE OF FUTURE SPECIALTY: INSIGHTS FROM FINAL YEAR MEDICAL STUDENTS IN IBADAN, NIGERIA. 未来专业选择的偏好:来自尼日利亚伊巴丹最后一年医科学生的见解。

Annals of Ibadan postgraduate medicine Pub Date : 2022-12-01

C O Ezegwui, C E Nwaze, V O Magboh, E B Olusoji, T A Lawal

{"title":"PREFERENCES OF CHOICE OF FUTURE SPECIALTY: INSIGHTS FROM FINAL YEAR MEDICAL STUDENTS IN IBADAN, NIGERIA.","authors":"C O Ezegwui, C E Nwaze, V O Magboh, E B Olusoji, T A Lawal","doi":"","DOIUrl":"","url":null,"abstract":"Background: The choice of specialty by medical students and early career doctors affects health workforce distribution in any country. In addressing healthcare needs of the populace, appropriate distribution of manpower across board is essential. Several factors come into play in making these choices. This study assessed factors affecting the career choices of final year medical students and how curricular changes may have influenced these.Methods: This was a cross-sectional study conducted among 236 final year medical students of the University of Ibadan by convenience sampling using self-administered semi-structured questionnaires. Questions were on sociodemographic characteristics, career counselling, preferred future career, and factors affecting these choices. Data were analyzed using SPSS version 21 software.Results: A total of 236 medical students participated in the study. The mean age of participants was 23.6(±1.9) years. Only 112(47.5%) respondents had received any form of career counseling/guidance in the course of their medical training. The commonest first choice specialties were obstetrics and gynecology 54(22.9%), surgery 44(18.6%), and psychiatry 18(7.6%). Personal interest most often (185, 78.4%) influenced career choice overall, showing significance in obstetrics and gynecology (p=0.02), family medicine (p=0.02), and public health (p<0.001).Conclusion: The predominant choices of future specialty among final year medical students were obstetrics and gynecology, surgery and psychiatry. The change in curriculum for medical students may have affected the pattern of their choices with more interest shown in previously neglected areas.","PeriodicalId":72221,"journal":{"name":"Annals of Ibadan postgraduate medicine","volume":"20 2","pages":"108-114"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/52/c8/AIPM-20-108.PMC10295091.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9736418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0