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Comparative Analysis of Cytological and Histopathological Diagnoses of Breast Lesions in Ilorin, Nigeria 尼日利亚伊洛林地区乳腺病变细胞学和组织病理学诊断的比较分析
Pub Date : 2011-09-15 DOI: 10.4314/TJHC.V18I2.69596
Adeniji Ka, O. Ibrahim
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引用次数: 0
Knowledge, Attitude and Practice of Hospital Waste Management Among Nurses in the Specialist Hospital, Sokoto, Nigeria 尼日利亚索科托专科医院护士医院废物管理的知识、态度和实践
Pub Date : 2011-09-15 DOI: 10.4314/TJHC.V18I2.69615
A. Abiola, Pm Amlogu, C. Nwashili, E. Yunusa, M. Ibrahim
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引用次数: 0
Some of the Effects of Aqueous Leaf Extract of Cnidoscolous aconitifolius (Euphorbiaceae) on the Morphology and Histology of the Kidney and Liver of Sprague Dawley Rat. 大戟科乌头叶水提物对大鼠肾、肝形态及组织学的影响。
Pub Date : 2011-03-15 DOI: 10.4314/TJHC.V18I1.64478
D. Adekomi, A. Tijani, T. Adeniy, J. Olajide
Cnidoscolus aconitifolius belongs to a group of arbrescent shrubs. It has continued to be used as food, medicine and ornamental plant till date.Awide variety of claims have been made for its medicinal efficacy as a treatment for numerous ailments ranging from its ability to strengthen fingernails and darken gray hair to curing alcoholism, insomnia, gout, and scorpion stings. This study was to elucidate the effect of aqueous leaf extract of Cnidoscolus aconitifolius commonly used as food supplement on the kidney and liver of Sprague Dawley rats. Thirty-two Sprague Dawley rats of both sexes (with an average weight of 235g) were randomly assigned into one control group (n=8) designated as A, while the extract treated groups consists of 3 subgroups and were designated as B, C, and D. the animals in the extract treated groups B, C and D were administered 600mg/kg, 400mg/kg and 200mg/kg bwt of the extract respectively, while the control group received equal volume of phosphate buffered saline (PBS). The administration was done orally using an orogastric tube for seven days (7d). Twenty-four hours after the last administration, all the animals were sacrificed by cervical dislocation. Laparatomy was performed and the liver and kidney excised, trimmed free of fat, rinsed in cold phosphate buffered saline solution. The liver was quickly fixed in 10% formolsaline, while the kidney was fixed in Bouin's fluid for histological processing. The histological findings after Hematoxylin and Eosin (H&E) staining showed that the extract treated sections the Kidney and Liver has no compromising effect on the cellular integrity of the studied organs. There were no degenerative changes and no intercellular vacuolations in the renal cortex and liver parenchyma. These findings indicate that the administration of aqueous leaf extract of Cnidoscolus aconitifolius has no adverse effects on hepatic and renal morphology of the treated Sprague Dawley rats. It is therefore recommended that further studies at corroborating these observations be carried out.
毛刺属一群乔木灌木。至今仍被用作食品、药物和观赏植物。各种各样的说法都声称它的药用功效可以治疗许多疾病,从坚固指甲和深白头发到治疗酗酒、失眠、痛风和蝎子蜇伤。本研究旨在探讨乌头刺叶水提物对大鼠肾脏和肝脏的影响。选取32只平均体重为235g的雌雄大鼠,随机分为1个对照组(n=8),编号为A,提取物处理组分为3个亚组,编号为B、C、D。提取物处理B、C、D组分别给予提取物600mg/kg、400mg/kg、200mg/kg bwt,对照组给予等体积的磷酸缓冲盐水(PBS)。经口胃管口服给药7天(7d)。末次给药24小时后,全部动物颈椎脱臼处死。进行腹腔镜手术,切除肝脏和肾脏,去除脂肪,在冷磷酸盐缓冲盐水溶液中冲洗。肝脏用10%甲酸盐快速固定,肾脏用布氏液固定,进行组织学处理。苏木精和伊红(H&E)染色后的组织学结果表明,提取物处理过的肾脏和肝脏切片对所研究器官的细胞完整性没有影响。肾皮质及肝实质未见退行性改变及细胞间空泡形成。这些结果表明,给药乌刺毛叶水提液对Sprague Dawley大鼠的肝脏和肾脏形态没有不良影响。因此,建议进行进一步的研究以证实这些观察结果。
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引用次数: 7
Outcomes of Management of Hypospadias at a Teaching Hospital in Nigeria 尼日利亚一家教学医院尿道下裂治疗的结果
Pub Date : 2011-03-15 DOI: 10.4314/TJHC.V18I1.64486
L. Abdur-rahman, Aa Nasiru, A. Adeyeye, J. Adeniran
Hypospadias is a congenital malformation of the urethra that requires surgical correction in children. This poses some challenges to the surgeon especially where facilities are lacking. There is scanty report of encounters in the management of this condition from our subregion. Hence, we retrospectively reviewed the presentation and outcome of management of hypospadias at a tertiary health facility in Nigeria between Jan 2002 and Oct. 2009.There were 61 children with hypospadias during the period of which 47 (77.1%) had urethroplasty and this comprised 11 proximal, 4 midshaft and 32 distal types. Their ages ranged between 2 months and 14 years, median= 18 months. Ten patients declined surgery and 4 are awaiting intervention because of age and size of penis. Co-morbidities were ambiguous genitalia 3, Down's syndrome 1, undescended testis 3 and 2 haemoglobin SS patients. Five patients presented with circumcised hypospadias. Various techniques of urethroplasty were done with improvised equipments due to resource limitation. There was no mortality but complication rate was 36.7% which included 9 post- urethroplasty fistulas and 2 with complete dehiscence that needed a secondary repair. There were 3 post operative morbidity out of 5 circumcised hypospadias (p=0.127). Length of hospital stay was between 1 and 18 days (median 7.8 days). In conclusion, there is need for public education about hypospadias presentations to prevent delay referral and undue circumcision. Provision of appropriate equipments will facilitate better outcome of paediatric urethroplasty.
尿道下裂是一种需要手术矫正的先天性尿道畸形。这给外科医生带来了一些挑战,特别是在缺乏设备的地方。几乎没有关于我们分区域在处理这一情况方面遭遇的报告。因此,我们回顾性地回顾了2002年1月至2009年10月期间在尼日利亚一家三级医疗机构治疗尿道下裂的表现和结果。本组共有61例尿道下裂患儿,其中47例(77.1%)行尿道成形术,其中近端11例,中轴4例,远端32例。年龄在2个月至14岁之间,中位数为18个月。由于年龄和阴茎的大小,10名患者拒绝手术,4名患者正在等待干预。合并症为生殖器模糊3例,唐氏综合征1例,睾丸隐睾3例和血红蛋白SS 2例。5例患者行尿道下裂包皮环切术。由于资源的限制,各种方法的尿道成形术都是用临时设备完成的。无死亡,并发症发生率为36.7%,其中9例为尿道成形术后瘘管,2例为完全性裂口,需要二次修复。5例尿道下裂行包皮环切术后有3例术后并发症(p=0.127)。住院时间为1至18天(中位7.8天)。总之,有必要对尿道下裂的表现进行公众教育,以防止延迟转诊和不适当的包皮环切。提供适当的设备将有助于提高儿科尿道成形术的效果。
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引用次数: 2
Arcobacter Adherence, Invasion And Cytotoxic Effect On Human Carcinoma Cell 弧菌对人癌细胞的粘附、侵袭及细胞毒性作用
Pub Date : 2011-03-15 DOI: 10.4314/TJHC.V18I1.64488
Adesiji Yo, J. Oloke, K. Amisu, Coker Ao
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引用次数: 1
The Phytochemistry And Safety Of a-Zam, Herbal Remedy Used For Treatment Of HIV Infection In Nigeria 尼日利亚用于治疗艾滋病毒感染的草药a-Zam的植物化学和安全性
Pub Date : 2011-03-15 DOI: 10.4314/TJHC.V18I1.64485
A. Onifade, A. Jewel, A. B. Okesin, M. Ojezele, J. Nwanze, G. Sak., K. Yon, B. Adejumo, A. Igbe, A. Egunjobi
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引用次数: 5
Attitude To Caesarean Section Amongst Antenatal Clients In Ibadan, Nigeria 尼日利亚伊巴丹产前客户对剖腹产的态度
Pub Date : 2011-03-15 DOI: 10.4314/TJHC.V18I1.64483
F. Bello, O. Olayemi, O. Ogunbode, A. Adekunle
This was a cross-sectional study carried out on 372 clients receiving antenatal care at a rural, suburban and urban centres, in order to assess the acceptance of caesarean delivery amongst them and the factors influencing their attitude. Caesarean section was acceptable to 65.7%. Many respondents will refuse the surgery, because they do not think abdominal delivery is natural or necessary. However, if indicated by their health caregiver to be necessary to save life, 78.3% would comply. Others would leave for a religious healing home, another hospital, a traditional birth attendant or be delivered at home. The cultural reasons why some women decline include feeling that caesarean delivery is due to “spiritual attacks”, retribution for maternal infidelity and failure of a woman to fulfil her reproductive function. Respondents were more likely to accept the surgery if they had heard of it before or had a previous caesarean delivery. They were less likely to accept it if they were Christians or attended the rural health centre. Age, parity and educational level had no influence. Only 4% of the respondents would request a caesarean section for non-medical reasons. Health education needs to be carried out in the community, as well as during antenatal classes, to address the cultural beliefs. Means of involving religious bodies in enlightenment campaigns to improve women's attitude should be explored.
这是一项对372名在农村、郊区和城市中心接受产前护理的客户进行的横断面研究,目的是评估他们对剖腹产的接受程度以及影响他们态度的因素。剖宫产可接受率为65.7%。许多受访者会拒绝手术,因为他们认为腹部分娩是不自然的或不必要的。然而,如果他们的保健护理人员指出这是挽救生命所必需的,78.3%的人会遵守。其他人则会去宗教康复之家、另一家医院、传统助产士那里或在家中分娩。一些女性拒绝剖腹产的文化原因包括认为剖腹产是由于“精神攻击”,是对母亲不忠的报复,以及女性未能履行其生殖功能。受访者更有可能接受手术,如果他们之前听说过或有过剖腹产的经历。如果他们是基督徒或在农村保健中心就诊,他们就不太可能接受。年龄、性别和受教育程度没有影响。只有4%的受访者会出于非医疗原因要求剖腹产。需要在社区以及产前课程中开展卫生教育,以解决文化信仰问题。探索宗教团体参与妇女启蒙运动的方式,改善妇女的态度。
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引用次数: 3
An Appraisal Of Undesecended Testis In A Developing Country 一个发展中国家的隐睾鉴定
Pub Date : 2011-03-15 DOI: 10.4314/TJHC.V18I1.64487
A. Nasir, L. Abdur-rahman, J. Adeniran, S. Yakub, J. Taiwo, T. Odi
The aim of this study is to evaluate the presentation , management and outcome of UDT in Ilorin, Nigeria. Medical records of all the children who underwent surgery for undescended testis at University of Ilorin teaching Hospital from January 1998 to December 2007 were retrospectively reviewed for demographic information; level of descent; age at surgery; intra operative findings; type of procedure; associated anomalies and postoperative complications. Forty six children had forty-nine undescended testes. Median age at surgery was 44 months, range, 1 month to 15years. A total of 47 orchidopexies and 2 orchidectomies were done. Right testis was involved in 24 (52.2%), left 19 (41.3%) and bilateral 3 (6.5%). Eleven (23.9%) patients had surgery before 2years, 25 (54.3%) before 5years and 21 (45.7%) had surgery at 5 years and above. Thirty-four (69.4%) testes were palpable. Of thirty- seven patients with records of level of descent, seventeen (45.9%) testes were in external ring and 16 (43.2%) inguinal canal. Twenty two (44.9%) testes were macroscopically atrophic , 19(86.4%) of the 22 were in patients older than 2 years(P=0.035). Post operatively, the testes retracted in two patients and there were scrotal hematoma in two that resolved with non operative management. This study showed that there is delayed presentation and therefore surgery in this setting. There is a need for public enlightment and screening programme in this sub region, directed at early detection and referral.
本研究的目的是评估尼日利亚伊洛林UDT的表现、管理和结果。回顾性审查了1998年1月至2007年12月在伊洛林大学教学医院接受睾丸隐睾手术的所有儿童的医疗记录,以获取人口统计信息;下降水平;手术年龄;术中发现;程序类型;相关异常和术后并发症。46个孩子有49个隐睾。手术年龄中位数为44个月,范围为1个月至15岁。共进行了47例兰花切除术和2例兰花切除术。右侧睾丸受累24例(52.2%),左侧19例(41.3%),双侧3例(6.5%)。2年前手术11例(23.9%),5年前手术25例(54.3%),5年及以上手术21例(45.7%)。可触及睾丸34例(69.4%)。在37例有下降水平记录的患者中,17例(45.9%)睾丸位于外环,16例(43.2%)位于腹股沟管。宏观睾丸萎缩22例(44.9%),年龄大于2岁者19例(86.4%)(P=0.035)。术后2例患者出现睾丸缩回,2例出现阴囊血肿,经非手术处理后消退。这项研究表明,在这种情况下,有延迟的表现,因此手术。有必要在这一分区域开展公众启蒙和筛查方案,以便及早发现和转诊。
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引用次数: 0
Copper to Ceruloplasmin Ratio During Normal Pregnancy In Osogbo, Nigeria. 在尼日利亚奥索博正常怀孕期间铜与铜蓝蛋白的比例。
Pub Date : 2011-03-15 DOI: 10.4314/TJHC.V18I1.64482
D. Oparinde, C. Ezeogu, A. Okesina, A. Adeniji, A. Iyanda, A. Atiba
Disordered copper and ceruloplasmin levels have been associated in pathologic pregnancies, however, investigation of copper status especially the determination of free copper which is the physiologically active fraction has been met with some difficulties. In this regard, the determination of copper/ceruloplasmin ratio has been proposed as one of the better indicators of copper status in pregnancy. Since copper/ceruloplasmin ratio varies from region to region, it has been advocated that each region determines its own cut-off. We therefore determined copper/ceruloplasmin ratio during normal pregnancy in Osogbo, SouthWestern Nigeria. 150 consenting pregnant women attending the antenatal Clinic of Ladoke Akintola University of Technology Teaching Hospital in different stages of gestation were recruited. Another 35 non pregnant age matched mothers were recruited as controls. 5 mls of venous blood was obtained from subjects and controls for the determination of serum copper with the aid of atomic absorption spectrophotometer and serum ceruloplasmin determined with a method based on its p- Phenylene Diamine Oxidase Activity according to the colourimetric method of Sunderman and Nomoto Copper in the first, second and third trimesters of pregnancy increases steadily and significantly compared with non pregnant subjects (36.72±3.75,46.88±0.02 and 58.13±2.50vs14.43±4.50imol/l, p significantly elevated above non pregnant controls, 47.21±8.88imol/l vs. 14.43±4.50imol/l p third trimesters increased significantly from each trimester and were significantly elevated above that of c o n t r o l s ( 4 9 . 5 6 ± 5 . 1 4 , 7 1 . 7 7 ± 7 . 0 7 a n d 90.70±2.77mg/100ml vs. 35.62±2.55mg/100ml, p trimester is significantly higher than in second and third trimesters while copper/ceruloplasmin ratios during second and third trimesters were similar. However, copper/ceruloplasmin ratio during first, second and third trimesters are significantly higher than in controls, 0.074 imol/g, 0.065 imol/g and 0.064 imol/g vs. 0.041 imol/g. Average copper/ceruloplasmin ratio in the total pregnant population was significantly higher than in controls 0.067 imol/g vs. 0.041 imol/g. Copper/ceruloplasmin ratio is highest during the first trimester and gradually decreases as pregnancy advances, this decrease may imply a decrease in available free copper to the fetus. Therefore a molecule of ceruloplasmin containing less than 0.064 imol/g of copper may suggest excess product ion of ceruloplasmin in relation to available copper which has been associated with pathologic pregnancies especially pre-eclampsia and eclampsia.
病理性妊娠中铜和铜蓝蛋白水平紊乱,但对铜状态的研究,特别是对生理活性部分游离铜的测定,遇到了一些困难。在这方面,铜/铜蓝蛋白比的测定被认为是妊娠期铜状态较好的指标之一。由于铜/铜蓝蛋白的比例因地区而异,因此一直主张每个地区确定自己的截止值。因此,我们在尼日利亚西南部的Osogbo测定了正常妊娠期间铜/铜蓝蛋白的比例。我们招募了150名在不同妊娠阶段在Ladoke Akintola科技大学教学医院产前门诊就诊的孕妇。另外35名未怀孕的年龄相匹配的母亲被招募作为对照。分别取被试和对照组静脉血5 ml,用原子吸收分光光度计测定血清铜,用对苯二胺氧化酶活性法测定血清铜蓝蛋白,方法参照第一篇中Sunderman和Nomoto copper的比色法。妊娠中期和晚期与未妊娠组比较,p值稳定且显著升高(36.72±3.75、46.88±0.02和58.13±2.50vs14.43±4.50imol/l, p值显著高于未妊娠组,p值分别为47.21±8.88imol/l和14.43±4.50imol/l), p值在妊娠中期和晚期均显著升高,且显著高于未妊娠组。5±5。1 4 7 1。7±7。妊娠中期和晚期铜/铜蓝蛋白比值均显著高于妊娠中期和晚期,而妊娠中期和晚期铜/铜蓝蛋白比值相似。然而,铜/铜蓝蛋白比值在妊娠早期、中期和晚期显著高于对照组,分别为0.074 imol/g、0.065 imol/g和0.064 imol/g,对照组为0.041 imol/g。妊娠人群铜/铜蓝蛋白平均比值显著高于对照组0.067 imol/g和0.041 imol/g。铜/铜蓝蛋白比率在妊娠早期最高,随着妊娠的进展逐渐降低,这种降低可能意味着胎儿可利用的游离铜的减少。因此,铜蓝蛋白分子中铜含量低于0.064 imol/g可能表明铜蓝蛋白的过量生成与病理性妊娠特别是子痫前期和子痫有关。
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引用次数: 3
Effectiveness of Vitamin C Consumption In Pregnancy On Dexamethasone Induced Low Birth Weight. 妊娠期维生素C摄入对地塞米松所致低出生体重的影响。
Pub Date : 2011-03-15 DOI: 10.4314/TJHC.V18I1.64480
Ls Ojular, A. Olatinwo, O. Adegoke
Synthet ic glucocor t icoids, including Dexamethasone have been shown to induce Intra Uterine Growth Retardat ion (IUGR) when administered in the last trimester of pregnancy. This study was designed to investigate the effect of Vitamin C on Dexamethasone induced low birth weight an experimental model using theAlbino rats. Pregnant Sprague Dawley rats were divided into four groups of six rats each; group A- vehicle only, group B- Vitamin C treated (100mg/kg maternal body weight), group C-Dexamethasone treated (bolus dose of 100 micro grams of Dexamethasone/kg maternal body weight on day 13 followed by a daily dose of 200 micro grams/kg maternal body weight from day 14 till delivery) and group D -Dexamethasone and Vitamin C treated (100mg/kg maternal body weight of Vitamin C from day 7 of pregnancy to term; and on day 13 of pregnancy, were injected with a bolus dose of 100 micro grams/kg maternal body weight of Dexamethasone and subsequently a daily dose of 200 micro grams/kg maternal body weight until term). The weight and size of the litters along with the gestation period and weight gain during the period of study were recorded. T h e r e s u l t s s h owe d t h a t t h o u g h Dexamethasone caused low birth weight, Vitamin C had no significant (p>0.05) effect on dexamethasone induced low birth weight, litter size or gestation period. It was hereby concluded that this was probably due to the inability of Vitamin C to influence the mechanisms by which dexamethasone induces low birth weight.
合成糖皮质激素,包括地塞米松,已被证明可诱导子宫内生长迟缓(IUGR),当使用在妊娠的最后三个月。本研究旨在探讨维生素C对地塞米松诱导的白化病大鼠低出生体重的影响。将怀孕的Sprague Dawley大鼠分为四组,每组6只;A组-纯车辆组,B组-维生素C组(100mg/kg产妇体重),C组-地塞米松组(第13天给药100微克地塞米松/kg产妇体重,从第14天到分娩,每天给药200微克/kg产妇体重),D组-地塞米松和维生素C组(从妊娠第7天至足月,100mg/kg产妇体重的维生素C);在妊娠第13天,注射100微克/千克母体体重的地塞米松,随后每日注射200微克/千克母体体重的地塞米松,直至足月。记录研究期间窝鼠的体重、大小、妊娠期及增重情况。而维生素C对地塞米松所致低出生体重、产仔数和妊娠期的影响均不显著(p>0.05)。由此得出结论,这可能是由于维生素C无法影响地塞米松诱导低出生体重的机制。
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引用次数: 0
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Tropical Journal of Health Sciences
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