BORNO MEDICAL JOURNAL最新文献

{"title":"Career Aspirations of Medical Students and Medical Interns in Ghana. Is there a difference?","authors":"Yifieyeh Ac, B. Duduyemi, E Kumahor, E Kotoku, Moses Mo, P Fefemwole, Akwetey Fm","doi":"10.31173/bomj.bomj_87_15","DOIUrl":"https://doi.org/10.31173/bomj.bomj_87_15","url":null,"abstract":"Background: Understanding the reasons for the selection of medical specialties by medical graduates is necessary for policy formulation and targeted mentoring to prevent a skewing of the lean resources and maximize the improving doctor to patient ratio in Ghana. This is particularly so due to an increase in the desire for specialization among medical graduates since the establishment of the Ghana College of Physicians and Surgeons. Methodology: A cross-sectional study was designed. To consenting first and final year clinical students of the School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana and first and second year medical interns at Komfo Anokye Teaching Hospital and Sunyani Regional Hospital respectively were administered semi – structured questionnaires. Data were analysed with SPSS version 24 and result put in tables and graphs Result: Three hundred and forty and 100 questionnaires were administered to students and interns with 92% and 75% responders’ rate respectively. The M: F ratio for students and interns were 1.23:1 and 1.34:1 respectively. Postgraduate specialization and additional qualification were desired by all categories irrespective of sex, financial or family consideration. Surgery (43.9% students; 33.3% interns) and Internal Medicine (23.8% students; 24% interns) were the 2 most popular choices. Conclusion: While Surgery and Internal Medicine appeared to be the favoured choices by our students and interns, deliberate effort through mentoring is required to avert lop-sidedness in workforce in our","PeriodicalId":9110,"journal":{"name":"BORNO MEDICAL JOURNAL","volume":"232 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77828260","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":"Removal of Distally Migrated Cannulated Interlocking Tibial Nail Using Schanz Screw: A Case Report","authors":"Mamuda Aa, B. Bello","doi":"10.31173/BOMJ.BOMJ_91_15","DOIUrl":"https://doi.org/10.31173/BOMJ.BOMJ_91_15","url":null,"abstract":"Background: Distal migration of nails is one of the reasons for nails removal, though they are hardly reported in relation to cannulated interlocking nails. Objectives: To present a rare case of distally migrated cannulated interlocking nail of the tibia and a proposed technique for the removal of the nail using Schanz screw. Case: A 55year old woman had cannulated interlocking nailing for diaphyseal left tibial fracture 5 years prior to presentation. She later had septic loosening of the distal locking screw with subsequent symptomatic distal migration of the nail despite united osteosynthesis. Attempt at free hand removal using conventional instruments failed due to increased distance of the nail from the entry point, malrotation and lack of visibility of the nail following obliteration by fibrous and granulation tissues within the nail cavity. Thus, an improvisation with Schanz screw, due to its threading surface was used to capture and remove the nail successfully without any cortical damage of the bone. Conclusion: The use of Schanz screw is a safe, cheap and effective means of free hand removal of distally migrated cannulated interlocking nails.","PeriodicalId":9110,"journal":{"name":"BORNO MEDICAL JOURNAL","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83776235","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":"Heterotopic pregnancies following natural conception; a review of four cases","authors":"Muhammad B. Aminu, Lamaran M. Dattijo, Aliyu U. Elnafaty","doi":"10.31173/bomj.bomj_99_15","DOIUrl":"https://doi.org/10.31173/bomj.bomj_99_15","url":null,"abstract":"","PeriodicalId":9110,"journal":{"name":"BORNO MEDICAL JOURNAL","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88842806","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 Polyps in Kano: A Ten Year Histopathological Review","authors":"Y. Ibrahim, Aminu Dahiru MC Dahiru MC","doi":"10.31173/bomj.bomj_82_15","DOIUrl":"https://doi.org/10.31173/bomj.bomj_82_15","url":null,"abstract":"Background: Colorectal polyps are mucosal growths that occur in the large intestines. The adenomatous variants are precursors of colorectal cancer which is the third and fourth most common cancer among males and females respectively. Objectives: This study documents the frequency, distribution and histopathological characteristic of colorectal polyps in our centre. Method: This was a 10-year retrospective study of colorectal polyps diagnosed in the Pathology laboratory of a tertiary hospital from 2007 to 2016. Archived histopathology slides were reviewed to confirm the diagnosis. Relevant clinical information was obtained from patients' request forms. Data were presented as mean, standard deviation, frequencies and percentages. Relationships between neoplastic polyps and age, gender and anatomic site were measured using Fishers exact test. Result: There were 124 cases of colorectal polyps recorded. Of these, were 82 (66.0%) males and 42 (34.0%) females (M:F=1.9:1). The average age at presentation was 29.0 ±23.6 years. Highest frequency of 45(36.2%) cases was in the 1st decade of life. There were 87(70.0%) cases in distal colon/rectum while 37(30.0%) were in the proximal colon. Juvenile polyps had the highest frequency overall, (60 cases, 48.0%), followed by tubular adenoma (31 cases, 25.0%), hyperplasic polyp (11 cases, 8.9%), villous adenoma (9 cases,7.3%), inflammatory polyp (6 cases,4.8%), tubulo-villous adenoma (3 cases, 2.4%), retention polyp (2 cases, 1.6%) and sessile serrated polyp (2 cases, 1.6%). There were 43 (34.7%) cases of neoplastic polyps. The average age of patients with neoplastic polyps was 47.3 years and they are located mostly in proximal colon (23/37 cases) (P<0.05). Conclusion: Colorectal polyps are common in our environment especially juvenile polyp encountered mostly in children. We recorded significantly lower prevalence, lower mean age at presentation of neoplastic polyps compared to Western populations. This highlights the need for earlier age screening colonoscopy to detect and treat premalignant polyps.","PeriodicalId":9110,"journal":{"name":"BORNO MEDICAL JOURNAL","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88909433","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 Cancers at a Rural Referral Centre in North-Eastern Nigeria","authors":"H. Usman, B. Audu, I. Sanusi, M. Bukar, Pindiga U. Hamidu","doi":"10.31173/bomj.bomj_103_15","DOIUrl":"https://doi.org/10.31173/bomj.bomj_103_15","url":null,"abstract":"Background: Cancers have wide regional, urban/rural variations in reported prevalence. Objectives: To determine the baseline pattern of cancers in the first 5 years from Hospital-based records of cancer cases at Federal medical centre Nguru, Northeast Nigeria. Methods: A retrospective review of all histologically confirmed cancer cases managed at a rural referral tertiary health facility in Northeast Nigeria for the period 1st January, 2009 to 31st December, 2013 was undertaken. Results: Of the 237 histological specimens during the period under review, 165 (69.6%) were cancers. Female cancers (n=101; 61%) were more than male cancers (n=64; 39%) and the mean age (±SD) for all cancers was 48.1(±18.7) years. The mean age for cancer was lower in females (Student t-test 5.103, P < 0.001). The mean ages for the 3 commonest cancers in this centre were; 45.1 ± 15.2 years for breast; 49±10.9 years for cancer of the cervix and 67.4±7.6 years for prostate cancer. The commonest cancer sites were in the female and male genital tracts. However, review of individual cancers showed that breast cancer was the commonest (n=31; 18.8%) followed by prostate cancer (n=29; 17.6%). The 3rd commonest cancer was that of the cervix which constituted 11.5% (n=19). Skin (excluding melanoma), gastrointestinal, head and neck and melanoma constituted 8.0%, 6.6%, 6.0% and 4.2% respectively. Only 1 case of childhood cancer (endodermal sinus tumour) was seen in an 18 months old child while cancers in teenage age group (1319 years) constituted 3% (n=5); there were 2 squamous cell carcinoma of the skin, 1 each for Hodgkin’s lymphoma, osteosarcoma and a retinoblastoma. Conclusion: The pattern of cancers in this rural population is similar to findings in other parts of the country. Women have the highest burden but a lower mean age of cancers in this study. Breast, prostate and cervical cancers were the 3 commonest cancers constituting 48% of the cancer burden. There is the need for strategic preventive measures, including the establishment of an oncology unit, to reduce the burden of cancers in this community.","PeriodicalId":9110,"journal":{"name":"BORNO MEDICAL JOURNAL","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90454994","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":"Pterygium Excision with Primary Closure in Sokoto, North West Nigeria","authors":"Mohammed Dantani Adamu","doi":"10.31173/bomj.bomj_86_15","DOIUrl":"https://doi.org/10.31173/bomj.bomj_86_15","url":null,"abstract":"","PeriodicalId":9110,"journal":{"name":"BORNO MEDICAL JOURNAL","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83705734","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":"Physical activity and quality of life among adults in Maiduguri, Nigeria","authors":"Rufa’i Aa, Oyeyemi Al, Salamatu Ua, Saidu Ia, Aishatu Us, Oyeyemi Ay","doi":"10.31173/bomj.bomj_76_15","DOIUrl":"https://doi.org/10.31173/bomj.bomj_76_15","url":null,"abstract":"","PeriodicalId":9110,"journal":{"name":"BORNO MEDICAL JOURNAL","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84314300","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":"Lund-Mackay Scoring of Incidental Paranasal Sinus Collection on Computed Tomography Scan of Head and Neck in the University of Benin Teaching Hospital, Nigeria","authors":"Ighodaro O. Emmanuel, Ehigiamusoe O. Festus","doi":"10.31173/bomj.bomj_97_15","DOIUrl":"https://doi.org/10.31173/bomj.bomj_97_15","url":null,"abstract":"Background: Many a times during computed tomography scan of the head and neck, incidental density is noted in the paranasal sinuses in patients who are asymptomatic and there is need to document the degree of such opacification. Objectives: To document the opacification and generate a numerical scoring system described as Lund Mackay Score which eases communication between the Radiologist and the referring Ear, Nose and Throat Surgeon in describing sinusitis. Methods: This is a prospective study done in the Radiology Department of University of Benin Teaching Hospital, Benin, Edo, Nigeria. A total of 150 patients were enrolled for this study with 62% being male and 38% being females. They were patients who had cranial and neck computed tomography scans for pathologies other than that related to the sinuses. Results: The mean age of the study population was 52.70±18.71years. Cerebro-vascular accident was the commonest indication for computed tomography scan in this study (49.3%). The total Lund Mackay Score was 0.803±2.90 for all sinuses being 0.417±1.47 for the right sinuses and 0.386±1.43 for the left sinuses. For the right, the maxillary sinus had the highest Lund Mackay Score with a value of 0.210±0.46 while the posterior ethmoidal sinus had the least Lund Mackay Score with a value of 0.027±0.16. For the left sinuses, the maxillary sinus also had the highest Lund Mackay Score value of 0.173±0.40.The posterior ethmoidal sinus also had least Lund Mackay Score value of 0.033±0.18. The Lund Mackay Score of the osteomeatal complex was 0.013±0.12 and 0.007±0.08 for the right and left respectively. Conclusion: This study has documented the Lund Mackay score for incidental paranasal sinus opacification as seen on computed tomography scan in our environment.","PeriodicalId":9110,"journal":{"name":"BORNO MEDICAL JOURNAL","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81547550","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":"A Ten-Year Review of Childhood Pattern of Endocrine Disorders seen in Federal Teaching Hospital Gombe","authors":"al-Tawil Ys, S. Adamu, Ab Ningi, A. Girbo","doi":"10.31173/bomj.bomj_70_15","DOIUrl":"https://doi.org/10.31173/bomj.bomj_70_15","url":null,"abstract":"Background: The endocrine system is a network of glands which produce hormones that regulate metabolic functions of other cells and organs. Disruption of this system results in abnormalities of growth, development and reproduction. These conditions are not rare in childhood but due to lack of diagnostic facilities, they are not looked for and are therefore under-reported. However, they should be detected early and managed promptly to avert the morbidity and possible mortality that may be associated. Objectives: To describe the pattern of childhood endocrine diseases in Federal Teaching Hospital Gombe. Methodology: A retrospective hospital-based study in which data were extracted from case notes of children with endocrine disorders. These case notes were traced from the registers of all paediatrics units and general out-patient departments. These case notes were subsequently reviewed and relevant data extracted and entered unto a proforma. Outcome measures as well as complications of those admitted were also noted. Results: Ninety-four out of 14,943 paediatric cases seen were endocrine disorders giving a prevalence of 6.3/1000 with a male/female ratio of 1.5/1. Most of the cases (75%) presented before the age of ten years and Type 1 Diabetes Mellitus was the commonest disorder recorded. Conclusion: Type 1 Diabetes Mellitus is the commonest paediatric endocrine disorder seen in Federal Teaching Hospital Gombe.","PeriodicalId":9110,"journal":{"name":"BORNO MEDICAL JOURNAL","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78786113","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}