I. Otaigbe, C. Elikwu, T. Oluwole, A.E. Ogunlolu, O.E. Oseni, O.D. Bello, P.O. Olayiwola, V.C. Dike-Israel, G.J. Atuk
Objectives: Children infected with tuberculosis, including drug resistant tuberculosis serve as reservoirs for Tuberculosis (TB) and as indicators of recent or ongoing transmission in the community. The aim of this study was to evaluate the prevalence of rifampicin resistance in paediatric tuberculosis in Babcock University Teaching Hospital, Ilishan Remo, Ogun State, Nigeria Methodology: This was a retrospective study that involved a review of medical microbiology laboratory records to analyze GeneXpert results of sputum samples obtained from pediatric patients with tuberculosis between January 2017 and March 2022. Aconvenience sampling method was used to select cases who met the study's inclusion criteria until the sample size was attained. Results: The medical laboratory records of 1046 subjects were analyzed in this study of which 556 (53.2%) were males. The mean age of all the patients was 10.77±4.38 years and majority of the respondents 445 (42.5%) were in the age group 11-15 years. Fifty patients (4.8%) had positive GeneXpert results of which 3 (6.0%) were Rifampicin resistant. Conclusion: In order to lower the burden of TB globally more efforts should be made to reduce paediatric TB. French title: Une évaluation rétrospective de la résistance à la rifampicine dans la tuberculose pédiatrique dans un hôpital tertiaire du sud-ouest du NigériaObjectif de l'étude: Les enfants infectés par la tuberculose, y compris la tuberculose pharmaco résistante, servent de réservoirs de tuberculose (TB) et d'indicateurs de transmission récente ou en cours dans la communauté. Le but de cette étude était d'évaluer la prévalence de la résistance à la rifampicine dans la tuberculose pédiatrique à l'hôpital universitaire Babcock, Ilishan Remo, État d'Ogun, Nigéria. Méthode de l'étude : Il s'agissait d'une étude rétrospective qui impliquait un examen des dossiers de laboratoire de microbiologie médicale pour analyser les résultats GeneXpert d'échantillons d'expectorations obtenus auprès de patients pédiatriques atteints de tuberculose entre janvier 2017 et mars 2022. Une méthode d'échantillonnage de commodité a été utilisée pour sélectionner les cas répondant aux critères d'inclusion de l'étude. Critères jusqu'à ce que la taille de l'échantillon soit atteinte. Résultat de l'étude : Les dossiers de laboratoire médical de 1 046 sujets ont été analysés dans cette étude, dont 556 (53,2 %) étaient des hommes. L'âge moyen de tous les patients était de 10,77 ± 4,38 ans et la majorité des répondants, 445 (42,5 %), appartenaient à la tranche d'âge de 11 à 15 ans. Cinquante patients (4,8 %) ont eu des résultats GeneXpert positifs, dont 3 (6,0 %) étaient résistants à la rifampicine. Conclusion : Afin de réduire le fardeau de la tuberculose à l'échelle mondiale, des efforts supplémentaires doivent être déployés pour réduire la tuberculose pédiatrique.
{"title":"A retrospective assessment of rifampicin resistance in paediatric tuberculosis in a tertiary hospital in south west Nigeria","authors":"I. Otaigbe, C. Elikwu, T. Oluwole, A.E. Ogunlolu, O.E. Oseni, O.D. Bello, P.O. Olayiwola, V.C. Dike-Israel, G.J. Atuk","doi":"10.4314/rejhs.v12i1.6","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.6","url":null,"abstract":"Objectives: Children infected with tuberculosis, including drug resistant tuberculosis serve as reservoirs for Tuberculosis (TB) and as indicators of recent or ongoing transmission in the community. The aim of this study was to evaluate the prevalence of rifampicin resistance in paediatric tuberculosis in Babcock University Teaching Hospital, Ilishan Remo, Ogun State, Nigeria \u0000Methodology: This was a retrospective study that involved a review of medical microbiology laboratory records to analyze GeneXpert results of sputum samples obtained from pediatric patients with tuberculosis between January 2017 and March 2022. Aconvenience sampling method was used to select cases who met the study's inclusion criteria until the sample size was attained. \u0000Results: The medical laboratory records of 1046 subjects were analyzed in this study of which 556 (53.2%) were males. The mean age of all the patients was 10.77±4.38 years and majority of the respondents 445 (42.5%) were in the age group 11-15 years. Fifty patients (4.8%) had positive GeneXpert results of which 3 (6.0%) were Rifampicin resistant. \u0000Conclusion: In order to lower the burden of TB globally more efforts should be made to reduce paediatric TB. \u0000 \u0000French title: Une évaluation rétrospective de la résistance à la rifampicine dans la tuberculose pédiatrique dans un hôpital tertiaire du sud-ouest du NigériaObjectif de l'étude: Les enfants infectés par la tuberculose, y compris la tuberculose pharmaco résistante, servent de réservoirs de tuberculose (TB) et d'indicateurs de transmission récente ou en cours dans la communauté. Le but de cette étude était d'évaluer la prévalence de la résistance à la rifampicine dans la tuberculose pédiatrique à l'hôpital universitaire Babcock, Ilishan Remo, État d'Ogun, Nigéria. \u0000Méthode de l'étude : Il s'agissait d'une étude rétrospective qui impliquait un examen des dossiers de laboratoire de microbiologie médicale pour analyser les résultats GeneXpert d'échantillons d'expectorations obtenus auprès de patients pédiatriques atteints de tuberculose entre janvier 2017 et mars 2022. Une méthode d'échantillonnage de commodité a été utilisée pour sélectionner les cas répondant aux critères d'inclusion de l'étude. Critères jusqu'à ce que la taille de l'échantillon soit atteinte. \u0000Résultat de l'étude : Les dossiers de laboratoire médical de 1 046 sujets ont été analysés dans cette étude, dont 556 (53,2 %) étaient des hommes. L'âge moyen de tous les patients était de 10,77 ± 4,38 ans et la majorité des répondants, 445 (42,5 %), appartenaient à la tranche d'âge de 11 à 15 ans. Cinquante patients (4,8 %) ont eu des résultats GeneXpert positifs, dont 3 (6,0 %) étaient résistants à la rifampicine. \u0000Conclusion : Afin de réduire le fardeau de la tuberculose à l'échelle mondiale, des efforts supplémentaires doivent être déployés pour réduire la tuberculose pédiatrique.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139782459","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}
Mpox (formerly referred to as monkey pox), a viral infection known for its characteristic manifestations, presents with atypical symptoms, leading to diagnostic and management challenges. Recent outbreaks of the disease have also revealed changes in the epidemiologic patterns of the disease with many cases going unnoticed. These scenarios if not properly identified and addressed can led to increased healthcare burden created by the virus. To conduct the narrative review of the concerned literature, a comprehensive and well through search from PUBMED, Google scholar, EMBASE and African Journal Online Evaluating Studies was conducted from published works between 2003 to 2023. This narrative review aims at exploring the atypical manifestations of Mpox, by reviewing various manifestations of the disease, examining the overlying mechanisms and factors influencing these manifestations; and more so, assessing various clinical implications and challenges facing its management, with the hope of suggesting future directions in tackling the clinical implications and challenges. Regarding the atypical manifestations of Mpox, the review focused on the neurological, dermatological, and respiratory presentations, highlighting the diverse symptoms observed in each case. In addition, accurate diagnosis of atypical cases is crucial and requires a high index of suspicion, comprehensive differential diagnosis, and appropriate diagnostic testing. Tailored strategies for treatment are essential to address the specific manifestations observed. For future research, a focus on elucidating the pathogenesis, identifying risk factors, improving diagnostic approaches, and evaluating treatment strategies for atypical French title: Mpox cases is required. Explorer les manifestations atypiques de Mpox: une revue narrative Titre fonctionnement proposé : Manifestations atypiques de Mpox La variole du singe (anciennement appelée variole du singe), une infection virale connue pour ses manifestations caractéristiques, présente des symptômes atypiques, entraînant des défis de diagnostic et de prise en charge. Les récentes épidémies de la maladie ont également révélé des changements dans les schémas épidémiologiques de la maladie, de nombreux cas passant inaperçus. S'ils ne sont pas correctement identifiés et traités, ces scénarios peuvent entraîner une augmentation du fardeau des soins de santé créé par le virus. Pour mener l'examen narratif de la littérature concernée, une recherche complète et approfondie de PUBMED, Google Scholar, EMBASE et African Journal Online Evaluating Studies a été menée à partir d'ouvrages publiés entre 2003 et 2023. Cette revue narrative vise à explorer les manifestations atypiques de la Mpox, en passant en revue diverses manifestations de la maladie, en examinant les mécanismes sous-jacents et les facteurs influençant ces manifestations ; et plus encore, évaluer diverses implications cliniques et défis auxquels est confrontée
{"title":"Exploring atypical manifestations of Mpox: Anarrative review","authors":"A.E. Sokunbi, O. Adeyemi","doi":"10.4314/rejhs.v12i1.9","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.9","url":null,"abstract":"Mpox (formerly referred to as monkey pox), a viral infection known for its characteristic manifestations, presents with atypical symptoms, leading to diagnostic and management challenges. Recent outbreaks of the disease have also revealed changes in the epidemiologic patterns of the disease with many cases going unnoticed. These scenarios if not properly identified and addressed can led to increased healthcare burden created by the virus. To conduct the narrative review of the concerned literature, a comprehensive and well through search from PUBMED, Google scholar, EMBASE and African Journal Online Evaluating Studies was conducted from published works between 2003 to 2023. This narrative review aims at exploring the atypical manifestations of Mpox, by reviewing various manifestations of the disease, examining the overlying mechanisms and factors influencing these manifestations; and more so, assessing various clinical implications and challenges facing its management, with the hope of suggesting future directions in tackling the clinical implications and challenges. Regarding the atypical manifestations of Mpox, the review focused on the neurological, dermatological, and respiratory presentations, highlighting the diverse symptoms observed in each case. In addition, accurate diagnosis of atypical cases is crucial and requires a high index of suspicion, comprehensive differential diagnosis, and appropriate diagnostic testing. Tailored strategies for treatment are essential to address the specific manifestations observed. For future research, a focus on elucidating the pathogenesis, identifying risk factors, improving diagnostic approaches, and evaluating treatment strategies for atypical \u0000 \u0000French title: Mpox cases is required. Explorer les manifestations atypiques de Mpox: une revue narrative Titre fonctionnement proposé : Manifestations atypiques de Mpox \u0000 \u0000La variole du singe (anciennement appelée variole du singe), une infection virale connue pour ses manifestations caractéristiques, présente des symptômes atypiques, entraînant des défis de diagnostic et de prise en charge. Les récentes épidémies de la maladie ont également révélé des changements dans les schémas épidémiologiques de la maladie, de nombreux cas passant inaperçus. S'ils ne sont pas correctement identifiés et traités, ces scénarios peuvent entraîner une augmentation du fardeau des soins de santé créé par le virus. Pour mener l'examen narratif de la littérature concernée, une recherche complète et approfondie de PUBMED, Google Scholar, EMBASE et African Journal Online Evaluating Studies a été menée à partir d'ouvrages publiés entre 2003 et 2023. Cette revue narrative vise à explorer les manifestations atypiques de la Mpox, en passant en revue diverses manifestations de la maladie, en examinant les mécanismes sous-jacents et les facteurs influençant ces manifestations ; et plus encore, évaluer diverses implications cliniques et défis auxquels est confrontée","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139843303","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}
M. Nkpozi, I.O. Mbah, G.E. Bozimo, K. Akhidue, C. Ezeude, S.U. Ogbonna, F.A. Owolabi
Background and Objective: Despite the obvious benefits of early insulin use in achieving good glycaemic control, insulin linked overweight/obesity and hypoglycaemia are sources of concern and worry. Burden of these side effects among type 2 diabetes mellitus (T2DM) outpatients on insulin therapy in Nigeria is unknown. Subjects and Methods: This was a prospective, cross sectional and observational study in which consenting T2DM outpatients that meet the inclusion criteria for the study in five tertiary health facilities were simultaneously recruited and relevant data obtained via investigator-administered questionnaire. Data obtained which included gender, arthropometric measures, hypoglycaemia and where it was treated were analyzed using Statistical Package for Social Sciences (SPSS) version 23.0 software. Results: A total of 245 T2DM outpatients were recruited into the study, made up of 107 (43.7%) male and 138 (56.3%) female. Of this, 121 (49.8%) patients were overweight while 70 (28.7%) were obese. Among the patients, 104 (42.4%) T2DM outpatients on insulin therapy reported hypoglycaemia which was mild in 83 (79.8%) of the patients Conclusion: A significant number of the type 2 DM outpatients on insulin therapy were overweight/obese with mild hypoglycaemia in a majority of them.
{"title":"Obesity and hypoglycaemia in type 2 diabetes mellitus outpatients on insulin therapy in Nigeria–data from the multicentre evaluation of type 2 diabetes mellitus outpatients patients on insulin therapy (METOIN) study","authors":"M. Nkpozi, I.O. Mbah, G.E. Bozimo, K. Akhidue, C. Ezeude, S.U. Ogbonna, F.A. Owolabi","doi":"10.4314/rejhs.v12i1.1","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.1","url":null,"abstract":"Background and Objective: Despite the obvious benefits of early insulin use in achieving good glycaemic control, insulin linked overweight/obesity and hypoglycaemia are sources of concern and worry. Burden of these side effects among type 2 diabetes mellitus (T2DM) outpatients on insulin therapy in Nigeria is unknown. \u0000Subjects and Methods: This was a prospective, cross sectional and observational study in which consenting T2DM outpatients that meet the inclusion criteria for the study in five tertiary health facilities were simultaneously recruited and relevant data obtained via investigator-administered questionnaire. Data obtained which included gender, arthropometric measures, hypoglycaemia and where it was treated were analyzed using Statistical Package for Social Sciences (SPSS) version 23.0 software. \u0000Results: A total of 245 T2DM outpatients were recruited into the study, made up of 107 (43.7%) male and 138 (56.3%) female. Of this, 121 (49.8%) patients were overweight while 70 (28.7%) were obese. Among the patients, 104 (42.4%) T2DM outpatients on insulin therapy reported hypoglycaemia which was mild in 83 (79.8%) of the patients \u0000Conclusion: A significant number of the type 2 DM outpatients on insulin therapy were overweight/obese with mild hypoglycaemia in a majority of them. ","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139782527","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":"Treatment of chronic hepatitis B infection in Nigeria: The need for a paradigm shift","authors":"A.R. Yusuf, A.D. Dauda","doi":"10.4314/rejhs.v12i1.8","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.8","url":null,"abstract":"No Abstract.","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139785133","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}
Background: There has been ongoing concern that prolonged use of headphones/earphones that amplify the sound intensity can lead to noise induced hearing loss. This study therefore aimed at determining the correlation between hearing thresholds and habitual usage of headphones/earphones among undergraduates of tertiary institutions in Northwestern Nigeria. Method: A cross-sectional study was conducted on young adults, who are undergraduate students of tertiary institutions, to assess the hearing thresholds of individuals who frequently use headphones or earphones. Ethical clearance was obtained, and participants who met specific criteria were selected. Amultistage sampling technique was used, and 272 participants (representing 544 ears) with equal number of controls were recruited. They completed questionnaires and underwent otoscopic examination and pure tone audiometry (PTA). Those having wax or foreign bodies in the ears had it removed before performing PTA. The data was recorded and analyzed using SPSS version 20. Frequency tables and variable relationships were examined to determine significance, which was set at a p-value of <0.05. Result: The study involved 272 users of headphones/earphones (representing 544 ears) and an equal number of age- and sex-matched controls. The participants' ages ranged between 18 and 33, with 50.4% being male. The pure tone average among the headphones/earphones users and the controls ranged from 11.0 – 43.8dB, with a mean of 20.2±6.0 and 10.6 – 43.2dB, with a mean of 19.6 ± 4.5, respectively. More than half, 280/544 ears (51.5%) of the participants used headphones/earphones for over 4 years, and of these, 222/280 ears (79.3%) used them for 1 – 4 hours daily. Moderate volume was the preferred listening mode for 63.2% of the users. A moderate positive correlation was observed between hearing thresholds and hours of headphone/earphone use, and a weak positive correlation between hearing thresholds and preferred level of loudness (r = 0.290, p < 0.0001) while no correlation was found between hearing threshold and long-term use (r = 0.003, p = 0.937). Conclusion: This study suggests that individuals who use headphones or earphones for prolonged periods of listening hours daily or at higher listening levels tend to have poorer hearing thresholds.
{"title":"Correlation between Hearing Thresholds and Habitual use of Headphones/Earphones among Students of Tertiary Institutions in Northwestern Nigeria","authors":"K. Haruna, A.D. Salisu, S. Labaran, M.B. Fufore","doi":"10.4314/rejhs.v12i1.4","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.4","url":null,"abstract":"Background: There has been ongoing concern that prolonged use of headphones/earphones that amplify the sound intensity can lead to noise induced hearing loss. This study therefore aimed at determining the correlation between hearing thresholds and habitual usage of headphones/earphones among undergraduates of tertiary institutions in Northwestern Nigeria. \u0000Method: A cross-sectional study was conducted on young adults, who are undergraduate students of tertiary institutions, to assess the hearing thresholds of individuals who frequently use headphones or earphones. Ethical clearance was obtained, and participants who met specific criteria were selected. Amultistage sampling technique was used, and 272 participants (representing 544 ears) with equal number of controls were recruited. They completed questionnaires and underwent otoscopic examination and pure tone audiometry (PTA). Those having wax or foreign bodies in the ears had it removed before performing PTA. The data was recorded and analyzed using SPSS version 20. Frequency tables and variable relationships were examined to determine significance, which was set at a p-value of <0.05. \u0000Result: The study involved 272 users of headphones/earphones (representing 544 ears) and an equal number of age- and sex-matched controls. The participants' ages ranged between 18 and 33, with 50.4% being male. The pure tone average among the headphones/earphones users and the controls ranged from 11.0 – 43.8dB, with a mean of 20.2±6.0 and 10.6 – 43.2dB, with a mean of 19.6 ± 4.5, respectively. More than half, 280/544 ears (51.5%) of the participants used headphones/earphones for over 4 years, and of these, 222/280 ears (79.3%) used them for 1 – 4 hours daily. Moderate volume was the preferred listening mode for 63.2% of the users. A moderate positive correlation was observed between hearing thresholds and hours of headphone/earphone use, and a weak positive correlation between hearing thresholds and preferred level of loudness (r = 0.290, p < 0.0001) while no correlation was found between hearing threshold and long-term use (r = 0.003, p = 0.937). \u0000Conclusion: This study suggests that individuals who use headphones or earphones for prolonged periods of listening hours daily or at higher listening levels tend to have poorer hearing thresholds. ","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139843627","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}
A.K Akiseku, O.E. Jagun, H.O.A Kuku, A.B. Akinpelu, A. O. Olatunji, A.O. Sule-Odu
Background: Postoperative wound infections have an enormous impact on the quality of life and contribute substantially to the financial cost of patient care. The study aims to compare the clinical efficacy of two perioperative/postoperative antibiotic regimens, the wound outcome and difference in cost on healthcare between these regimens. Methods: This is an observational prospective cohort study of 290 women. Women scheduled for elective surgeries in the department were grouped to have either a combination of ampicillin/cloxacillin (Ampiclox), Gentamicin, and Metronidazole (triple regimen) or a combination of ceftriaxone and metronidazole (double regimen). Data was analysed using Statistical Package for Social Science (SPSS) Windows version 21. The wound outcome and the cost implication of the antibiotic regimen were compared by chi-square test and t-test as appropriate. A p-value less than 0.05 was considered significant. Results: The postoperative wound infection rate in this study was 7.24%. There was no statistical significant difference in postoperative infection in the triple regimen group compared to the double regimen group. However, there was a significantly longer duration of stay in the hospital in the triple regimen group (P <0.05). There was also a statistical significant difference in the cost of hospital stay and the cost of antibiotics in the triple regimen group (P<0.05). There was no statistically significant difference in the pattern of organisms cultured in both groups. Conclusions: Ceftriaxone/Metronidazole regime of antibiotics showed superiority over ampicillin/cloxacillin, Metronidazole, and Gentamicin in the prevention of postoperative wound infection, hospital stay, and reduced cost of healthcare. French title: Prophylaxie antibiotique dans les procédures obstétricales et gynécologiques : une étude comparative entre deux schémas thérapeutiques antibiotiques Contexte de l'étude: Les infections postopératoires des plaies ont un impact énorme sur la qualité de vie et contribuent considérablement au coût financier des soins aux patients. L'étude vise à comparer l'efficacité clinique de deux régimes antibiotiques péri opératoires/postopératoires, l'issue de la plaie et la différence de coût des soins de santé entre ces régimes. Paramètres et conception : Il s'agit d'une étude de cohorte prospective observationnelle portant sur 290 femmes. Les femmes devant subir des interventions chirurgicales électives dans le département ont été regroupées pour recevoir soit une combinaison d'ampicilline/ cloxacilline (Ampiclox), de gentamicine et de métronidazole (triple régime), soit une combinaison de ceftriaxone et de métronidazole (double régime). Analyse statistique : les données ont été analysées à l'aide du progiciel statistique pour les sciences sociales (PSSS) Windows version 21. L'issue de la plaie et les implications financières du régime antibiotique ont été comparées par le test du chi carré et le te
背景：术后伤口感染对患者的生活质量有很大影响，并大大增加了患者护理的经济成本。本研究旨在比较两种围手术期/术后抗生素治疗方案的临床疗效、伤口疗效以及这两种治疗方案在医疗成本上的差异。方法：这是一项对 290 名妇女进行的前瞻性队列观察研究。计划在该科室进行择期手术的妇女被分组为氨苄西林/氯唑西林（氨苄西林）、庆大霉素和甲硝唑（三联疗法）或头孢曲松和甲硝唑（双联疗法）。数据使用社会科学统计软件包（SPSS）Windows 21 版本进行分析。通过卡方检验（chi-square test）和 t 检验（t-test）对伤口疗效和抗生素方案的成本影响进行比较。P 值小于 0.05 为显著。结果：本研究的术后伤口感染率为 7.24%。与双方案组相比，三方案组的术后感染率无明显统计学差异。然而，三联疗法组的住院时间明显更长（P <0.05）。三联疗法组的住院费用和抗生素费用也有明显差异（P<0.05）。两组培养出的病原菌模式差异无统计学意义。结论：在预防术后伤口感染、缩短住院时间和降低医疗成本方面，头孢曲松/甲硝唑抗生素方案优于氨苄西林/氯唑西林、甲硝唑和庆大霉素。 法文标题： Prophylaxie antibiotique dans les procédures obstétricales et gynécologiques : une étude comparative entre deux schémas thérapeutiques antibiotiques Contexte de l'étude: Les infections postopératoires des plaies ont un impact énorme sur la qualité de vie et contribuent considérablement au coût financier des soins aux patients.本研究旨在比较两种围手术期/术后抗生素治疗方案的临床效果、伤口预后以及不同治疗方案的医疗成本差异。研究背景和设计：这是一项前瞻性观察性队列研究，共有 290 名妇女参加。计划在该科室接受择期手术的妇女被分组，分别接受氨苄西林/环丙西林（Ampiclox）、庆大霉素和甲硝唑（三联疗法）或头孢曲松和甲硝唑（双联疗法）的组合疗法。统计分析：使用社会科学统计软件包（SPSS）Windows 21 版本对数据进行分析。伤口疗效和抗生素方案的财务影响通过卡方检验（chi-square test）和t检验（t-test）进行比较。P 值小于 0.05 即为显著。研究结果：本研究的术后伤口感染率为 7.24%。三联疗法组与双联疗法组的术后感染率在统计学上没有明显差异。 不过，三联疗法组的住院时间明显更长（P<0.05）。三联疗法组的住院费用和抗生素费用也有显著差异（P<0.05）。两组培养出的微生物模式差异无统计学意义。 结论：头孢曲松/甲硝唑抗生素方案在预防术后伤口感染、缩短住院时间和降低医疗费用方面优于氨苄西林/氯唑西林、甲硝唑和庆大霉素。
{"title":"Antibiotic prophylaxis in obstetric and gynaecological procedures: Acomparative study between two regimens of antibiotics","authors":"A.K Akiseku, O.E. Jagun, H.O.A Kuku, A.B. Akinpelu, A. O. Olatunji, A.O. Sule-Odu","doi":"10.4314/rejhs.v12i1.5","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.5","url":null,"abstract":"Background: Postoperative wound infections have an enormous impact on the quality of life and contribute substantially to the financial cost of patient care. The study aims to compare the clinical efficacy of two perioperative/postoperative antibiotic regimens, the wound outcome and difference in cost on healthcare between these regimens. \u0000Methods: This is an observational prospective cohort study of 290 women. Women scheduled for elective surgeries in the department were grouped to have either a combination of ampicillin/cloxacillin (Ampiclox), Gentamicin, and Metronidazole (triple regimen) or a combination of ceftriaxone and metronidazole (double regimen). Data was analysed using Statistical Package for Social Science (SPSS) Windows version 21. The wound outcome and the cost implication of the antibiotic regimen were compared by chi-square test and t-test as appropriate. A p-value less than 0.05 was considered significant. \u0000Results: The postoperative wound infection rate in this study was 7.24%. There was no statistical significant difference in postoperative infection in the triple regimen group compared to the double regimen group. However, there was a significantly longer duration of stay in the hospital in the triple regimen group (P <0.05). There was also a statistical significant difference in the cost of hospital stay and the cost of antibiotics in the triple regimen group (P<0.05). There was no statistically significant difference in the pattern of organisms cultured in both groups. \u0000Conclusions: Ceftriaxone/Metronidazole regime of antibiotics showed superiority over ampicillin/cloxacillin, Metronidazole, and Gentamicin in the prevention of postoperative wound infection, hospital stay, and reduced cost of healthcare. \u0000 \u0000French title: Prophylaxie antibiotique dans les procédures obstétricales et gynécologiques : une étude comparative entre deux schémas thérapeutiques antibiotiques \u0000Contexte de l'étude: Les infections postopératoires des plaies ont un impact énorme sur la qualité de vie et contribuent considérablement au coût financier des soins aux patients. L'étude vise à comparer l'efficacité clinique de deux régimes antibiotiques péri opératoires/postopératoires, l'issue de la plaie et la différence de coût des soins de santé entre ces régimes. \u0000Paramètres et conception : Il s'agit d'une étude de cohorte prospective observationnelle portant sur 290 femmes. Les femmes devant subir des interventions chirurgicales électives dans le département ont été regroupées pour recevoir soit une combinaison d'ampicilline/ cloxacilline (Ampiclox), de gentamicine et de métronidazole (triple régime), soit une combinaison de ceftriaxone et de métronidazole (double régime). \u0000Analyse statistique : les données ont été analysées à l'aide du progiciel statistique pour les sciences sociales (PSSS) Windows version 21. L'issue de la plaie et les implications financières du régime antibiotique ont été comparées par le test du chi carré et le te","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842138","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}
Mpox (formerly referred to as monkey pox), a viral infection known for its characteristic manifestations, presents with atypical symptoms, leading to diagnostic and management challenges. Recent outbreaks of the disease have also revealed changes in the epidemiologic patterns of the disease with many cases going unnoticed. These scenarios if not properly identified and addressed can led to increased healthcare burden created by the virus. To conduct the narrative review of the concerned literature, a comprehensive and well through search from PUBMED, Google scholar, EMBASE and African Journal Online Evaluating Studies was conducted from published works between 2003 to 2023. This narrative review aims at exploring the atypical manifestations of Mpox, by reviewing various manifestations of the disease, examining the overlying mechanisms and factors influencing these manifestations; and more so, assessing various clinical implications and challenges facing its management, with the hope of suggesting future directions in tackling the clinical implications and challenges. Regarding the atypical manifestations of Mpox, the review focused on the neurological, dermatological, and respiratory presentations, highlighting the diverse symptoms observed in each case. In addition, accurate diagnosis of atypical cases is crucial and requires a high index of suspicion, comprehensive differential diagnosis, and appropriate diagnostic testing. Tailored strategies for treatment are essential to address the specific manifestations observed. For future research, a focus on elucidating the pathogenesis, identifying risk factors, improving diagnostic approaches, and evaluating treatment strategies for atypical French title: Mpox cases is required. Explorer les manifestations atypiques de Mpox: une revue narrative Titre fonctionnement proposé : Manifestations atypiques de Mpox La variole du singe (anciennement appelée variole du singe), une infection virale connue pour ses manifestations caractéristiques, présente des symptômes atypiques, entraînant des défis de diagnostic et de prise en charge. Les récentes épidémies de la maladie ont également révélé des changements dans les schémas épidémiologiques de la maladie, de nombreux cas passant inaperçus. S'ils ne sont pas correctement identifiés et traités, ces scénarios peuvent entraîner une augmentation du fardeau des soins de santé créé par le virus. Pour mener l'examen narratif de la littérature concernée, une recherche complète et approfondie de PUBMED, Google Scholar, EMBASE et African Journal Online Evaluating Studies a été menée à partir d'ouvrages publiés entre 2003 et 2023. Cette revue narrative vise à explorer les manifestations atypiques de la Mpox, en passant en revue diverses manifestations de la maladie, en examinant les mécanismes sous-jacents et les facteurs influençant ces manifestations ; et plus encore, évaluer diverses implications cliniques et défis auxquels est confrontée
{"title":"Exploring atypical manifestations of Mpox: Anarrative review","authors":"A.E. Sokunbi, O. Adeyemi","doi":"10.4314/rejhs.v12i1.9","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.9","url":null,"abstract":"Mpox (formerly referred to as monkey pox), a viral infection known for its characteristic manifestations, presents with atypical symptoms, leading to diagnostic and management challenges. Recent outbreaks of the disease have also revealed changes in the epidemiologic patterns of the disease with many cases going unnoticed. These scenarios if not properly identified and addressed can led to increased healthcare burden created by the virus. To conduct the narrative review of the concerned literature, a comprehensive and well through search from PUBMED, Google scholar, EMBASE and African Journal Online Evaluating Studies was conducted from published works between 2003 to 2023. This narrative review aims at exploring the atypical manifestations of Mpox, by reviewing various manifestations of the disease, examining the overlying mechanisms and factors influencing these manifestations; and more so, assessing various clinical implications and challenges facing its management, with the hope of suggesting future directions in tackling the clinical implications and challenges. Regarding the atypical manifestations of Mpox, the review focused on the neurological, dermatological, and respiratory presentations, highlighting the diverse symptoms observed in each case. In addition, accurate diagnosis of atypical cases is crucial and requires a high index of suspicion, comprehensive differential diagnosis, and appropriate diagnostic testing. Tailored strategies for treatment are essential to address the specific manifestations observed. For future research, a focus on elucidating the pathogenesis, identifying risk factors, improving diagnostic approaches, and evaluating treatment strategies for atypical \u0000 \u0000French title: Mpox cases is required. Explorer les manifestations atypiques de Mpox: une revue narrative Titre fonctionnement proposé : Manifestations atypiques de Mpox \u0000 \u0000La variole du singe (anciennement appelée variole du singe), une infection virale connue pour ses manifestations caractéristiques, présente des symptômes atypiques, entraînant des défis de diagnostic et de prise en charge. Les récentes épidémies de la maladie ont également révélé des changements dans les schémas épidémiologiques de la maladie, de nombreux cas passant inaperçus. S'ils ne sont pas correctement identifiés et traités, ces scénarios peuvent entraîner une augmentation du fardeau des soins de santé créé par le virus. Pour mener l'examen narratif de la littérature concernée, une recherche complète et approfondie de PUBMED, Google Scholar, EMBASE et African Journal Online Evaluating Studies a été menée à partir d'ouvrages publiés entre 2003 et 2023. Cette revue narrative vise à explorer les manifestations atypiques de la Mpox, en passant en revue diverses manifestations de la maladie, en examinant les mécanismes sous-jacents et les facteurs influençant ces manifestations ; et plus encore, évaluer diverses implications cliniques et défis auxquels est confrontée","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139783196","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}
M. Nkpozi, I.O. Mbah, G.E. Bozimo, K. Akhidue, C. Ezeude, S.U. Ogbonna, F.A. Owolabi
Background and Objective: Despite the obvious benefits of early insulin use in achieving good glycaemic control, insulin linked overweight/obesity and hypoglycaemia are sources of concern and worry. Burden of these side effects among type 2 diabetes mellitus (T2DM) outpatients on insulin therapy in Nigeria is unknown. Subjects and Methods: This was a prospective, cross sectional and observational study in which consenting T2DM outpatients that meet the inclusion criteria for the study in five tertiary health facilities were simultaneously recruited and relevant data obtained via investigator-administered questionnaire. Data obtained which included gender, arthropometric measures, hypoglycaemia and where it was treated were analyzed using Statistical Package for Social Sciences (SPSS) version 23.0 software. Results: A total of 245 T2DM outpatients were recruited into the study, made up of 107 (43.7%) male and 138 (56.3%) female. Of this, 121 (49.8%) patients were overweight while 70 (28.7%) were obese. Among the patients, 104 (42.4%) T2DM outpatients on insulin therapy reported hypoglycaemia which was mild in 83 (79.8%) of the patients Conclusion: A significant number of the type 2 DM outpatients on insulin therapy were overweight/obese with mild hypoglycaemia in a majority of them.
{"title":"Obesity and hypoglycaemia in type 2 diabetes mellitus outpatients on insulin therapy in Nigeria–data from the multicentre evaluation of type 2 diabetes mellitus outpatients patients on insulin therapy (METOIN) study","authors":"M. Nkpozi, I.O. Mbah, G.E. Bozimo, K. Akhidue, C. Ezeude, S.U. Ogbonna, F.A. Owolabi","doi":"10.4314/rejhs.v12i1.1","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.1","url":null,"abstract":"Background and Objective: Despite the obvious benefits of early insulin use in achieving good glycaemic control, insulin linked overweight/obesity and hypoglycaemia are sources of concern and worry. Burden of these side effects among type 2 diabetes mellitus (T2DM) outpatients on insulin therapy in Nigeria is unknown. \u0000Subjects and Methods: This was a prospective, cross sectional and observational study in which consenting T2DM outpatients that meet the inclusion criteria for the study in five tertiary health facilities were simultaneously recruited and relevant data obtained via investigator-administered questionnaire. Data obtained which included gender, arthropometric measures, hypoglycaemia and where it was treated were analyzed using Statistical Package for Social Sciences (SPSS) version 23.0 software. \u0000Results: A total of 245 T2DM outpatients were recruited into the study, made up of 107 (43.7%) male and 138 (56.3%) female. Of this, 121 (49.8%) patients were overweight while 70 (28.7%) were obese. Among the patients, 104 (42.4%) T2DM outpatients on insulin therapy reported hypoglycaemia which was mild in 83 (79.8%) of the patients \u0000Conclusion: A significant number of the type 2 DM outpatients on insulin therapy were overweight/obese with mild hypoglycaemia in a majority of them. ","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139842523","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}
O.O. Omoola, A.A. Tijani, A.A. Okesina, E.G. Anyanwu, U.M. Ibe
Background: Diabetes is a group of metabolic disorders characterized and identified by the presence of hyperglycaemia in the absence of treatment. Despite the increasing awareness of T2DM in the world and strict association of its increasing prevalence with overweight and obesity relating to skinfold and body circumferences, incidence of T2DM and its various devastating complications continues to be on the increase because of lack of self-explored techniques for its early prediction. The purpose of this study was to determine variation in the anthropometric parameters using the mean value of the body circumferences, skinfolds, epicondylar breadth of the femur and epicondylar breadth of the humerus amongst T2DM patients at two selected tertiary hospitals and non-diabetic persons in Western Uganda. Methods: The study was composed of 202 adults. 101 Type 2 diabetic adult (T2DM) and 101 non-diabetic adults. Body (chest, neck, waist, hip, upper arm, thigh and calf) circumferences, skinfolds (abdominal, supraspinale, midaxillary, pectoralis, subscapularis, mid-thigh, medial calf and triceps) and bony epicondylar breadth was measured following the standard procedure for The International Society for the Advancement of Kinanthropometry (ISAK). Results: Significantly higher (<0.001) mean (triceps (21.581-12.331mm), subscapularis (21.547-12.093), supraspinale (20.573-8.240mm), pectoralis (14.792-6.726mm), mid-axillary (17.118-8.026mm), abdominal (24.648- 13.643mm), calf (23.217-13.171), mid-thigh (28.288-16.414) skinfold and upper arm (33.231-27.482cm), neck (36.045-33.045cm), calf (40.100-34.417cm), chest (99.009-85.199cm), hip (113.176-94.265cm), waist (94.738-74.607cm), thigh (60.939-50.543cm) circumference as well as humeral (65.203-62.059) and femoral (98.556-92.292) epicondylar breadth was observed amongst the T2DM participant as compared to the non-T2DM subjects. Conclusion: Our findings indicate a strong association between T2DM and anthropometric parameters (skinfolds and body circumferences), thus, a risk factor in T2DM onset and its early prediction. French title: Importance des paramètres anthropométriques dans la prévalence du diabète de type 2-une étude de cas d'hôpitaux sélectionnés dans l'ouest de l'Ouganda Le diabète est un groupe de troubles métaboliques caractérisés et identifiés par la présence d'une hyperglycémie en l'absence detraitement. Malgré la prise de conscience croissante du DT2 dans le monde et l'association stricte de sa prévalence croissante avec le surpoids et l'obésité liés aux plis cutanés et à la circonférence du corps, l'incidence du DT2 et de ses diverses complications dévastatrices continue d'augmenter en raison du manque de techniques auto-explorées pour le traiter, sa première prédiction. Le but de cette étude était de déterminer la variation des paramètres anthropométriques en utilisant la valeur moyenne des circonférences corporelles, des plis cutanés, de la largeur épicondylienne du
{"title":"Significance of anthropometric parameters in the prevalence of type 2 diabetes- a case study of selected hospitals in western Uganda","authors":"O.O. Omoola, A.A. Tijani, A.A. Okesina, E.G. Anyanwu, U.M. Ibe","doi":"10.4314/rejhs.v12i1.7","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.7","url":null,"abstract":"Background: Diabetes is a group of metabolic disorders characterized and identified by the presence of hyperglycaemia in the absence of treatment. Despite the increasing awareness of T2DM in the world and strict association of its increasing prevalence with overweight and obesity relating to skinfold and body circumferences, incidence of T2DM and its various devastating complications continues to be on the increase because of lack of self-explored techniques for its early prediction. The purpose of this study was to determine variation in the anthropometric parameters using the mean value of the body circumferences, skinfolds, epicondylar breadth of the femur and epicondylar breadth of the humerus amongst T2DM patients at two selected tertiary hospitals and non-diabetic persons in Western Uganda. \u0000Methods: The study was composed of 202 adults. 101 Type 2 diabetic adult (T2DM) and 101 non-diabetic adults. Body (chest, neck, waist, hip, upper arm, thigh and calf) circumferences, skinfolds (abdominal, supraspinale, midaxillary, pectoralis, subscapularis, mid-thigh, medial calf and triceps) and bony epicondylar breadth was measured following the standard procedure for The International Society for the Advancement of Kinanthropometry (ISAK). \u0000Results: Significantly higher (<0.001) mean (triceps (21.581-12.331mm), subscapularis (21.547-12.093), supraspinale (20.573-8.240mm), pectoralis (14.792-6.726mm), mid-axillary (17.118-8.026mm), abdominal (24.648- 13.643mm), calf (23.217-13.171), mid-thigh (28.288-16.414) skinfold and upper arm (33.231-27.482cm), neck (36.045-33.045cm), calf (40.100-34.417cm), chest (99.009-85.199cm), hip (113.176-94.265cm), waist (94.738-74.607cm), thigh (60.939-50.543cm) circumference as well as humeral (65.203-62.059) and femoral (98.556-92.292) epicondylar breadth was observed amongst the T2DM participant as compared to the non-T2DM subjects. \u0000Conclusion: Our findings indicate a strong association between T2DM and anthropometric parameters (skinfolds and body circumferences), thus, a risk factor in T2DM onset and its early prediction. \u0000 \u0000 \u0000French title: Importance des paramètres anthropométriques dans la prévalence du diabète de type 2-une étude de cas d'hôpitaux sélectionnés dans l'ouest de l'Ouganda \u0000Le diabète est un groupe de troubles métaboliques caractérisés et identifiés par la présence d'une hyperglycémie en l'absence detraitement. Malgré la prise de conscience croissante du DT2 dans le monde et l'association stricte de sa prévalence croissante avec le surpoids et l'obésité liés aux plis cutanés et à la circonférence du corps, l'incidence du DT2 et de ses diverses complications dévastatrices continue d'augmenter en raison du manque de techniques auto-explorées pour le traiter, sa première prédiction. Le but de cette étude était de déterminer la variation des paramètres anthropométriques en utilisant la valeur moyenne des circonférences corporelles, des plis cutanés, de la largeur épicondylienne du","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139844050","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}
O.O. Omoola, A.A. Tijani, A.A. Okesina, E.G. Anyanwu, U.M. Ibe
Background: Diabetes is a group of metabolic disorders characterized and identified by the presence of hyperglycaemia in the absence of treatment. Despite the increasing awareness of T2DM in the world and strict association of its increasing prevalence with overweight and obesity relating to skinfold and body circumferences, incidence of T2DM and its various devastating complications continues to be on the increase because of lack of self-explored techniques for its early prediction. The purpose of this study was to determine variation in the anthropometric parameters using the mean value of the body circumferences, skinfolds, epicondylar breadth of the femur and epicondylar breadth of the humerus amongst T2DM patients at two selected tertiary hospitals and non-diabetic persons in Western Uganda. Methods: The study was composed of 202 adults. 101 Type 2 diabetic adult (T2DM) and 101 non-diabetic adults. Body (chest, neck, waist, hip, upper arm, thigh and calf) circumferences, skinfolds (abdominal, supraspinale, midaxillary, pectoralis, subscapularis, mid-thigh, medial calf and triceps) and bony epicondylar breadth was measured following the standard procedure for The International Society for the Advancement of Kinanthropometry (ISAK). Results: Significantly higher (<0.001) mean (triceps (21.581-12.331mm), subscapularis (21.547-12.093), supraspinale (20.573-8.240mm), pectoralis (14.792-6.726mm), mid-axillary (17.118-8.026mm), abdominal (24.648- 13.643mm), calf (23.217-13.171), mid-thigh (28.288-16.414) skinfold and upper arm (33.231-27.482cm), neck (36.045-33.045cm), calf (40.100-34.417cm), chest (99.009-85.199cm), hip (113.176-94.265cm), waist (94.738-74.607cm), thigh (60.939-50.543cm) circumference as well as humeral (65.203-62.059) and femoral (98.556-92.292) epicondylar breadth was observed amongst the T2DM participant as compared to the non-T2DM subjects. Conclusion: Our findings indicate a strong association between T2DM and anthropometric parameters (skinfolds and body circumferences), thus, a risk factor in T2DM onset and its early prediction. French title: Importance des paramètres anthropométriques dans la prévalence du diabète de type 2-une étude de cas d'hôpitaux sélectionnés dans l'ouest de l'Ouganda Le diabète est un groupe de troubles métaboliques caractérisés et identifiés par la présence d'une hyperglycémie en l'absence detraitement. Malgré la prise de conscience croissante du DT2 dans le monde et l'association stricte de sa prévalence croissante avec le surpoids et l'obésité liés aux plis cutanés et à la circonférence du corps, l'incidence du DT2 et de ses diverses complications dévastatrices continue d'augmenter en raison du manque de techniques auto-explorées pour le traiter, sa première prédiction. Le but de cette étude était de déterminer la variation des paramètres anthropométriques en utilisant la valeur moyenne des circonférences corporelles, des plis cutanés, de la largeur épicondylienne du
{"title":"Significance of anthropometric parameters in the prevalence of type 2 diabetes- a case study of selected hospitals in western Uganda","authors":"O.O. Omoola, A.A. Tijani, A.A. Okesina, E.G. Anyanwu, U.M. Ibe","doi":"10.4314/rejhs.v12i1.7","DOIUrl":"https://doi.org/10.4314/rejhs.v12i1.7","url":null,"abstract":"Background: Diabetes is a group of metabolic disorders characterized and identified by the presence of hyperglycaemia in the absence of treatment. Despite the increasing awareness of T2DM in the world and strict association of its increasing prevalence with overweight and obesity relating to skinfold and body circumferences, incidence of T2DM and its various devastating complications continues to be on the increase because of lack of self-explored techniques for its early prediction. The purpose of this study was to determine variation in the anthropometric parameters using the mean value of the body circumferences, skinfolds, epicondylar breadth of the femur and epicondylar breadth of the humerus amongst T2DM patients at two selected tertiary hospitals and non-diabetic persons in Western Uganda. \u0000Methods: The study was composed of 202 adults. 101 Type 2 diabetic adult (T2DM) and 101 non-diabetic adults. Body (chest, neck, waist, hip, upper arm, thigh and calf) circumferences, skinfolds (abdominal, supraspinale, midaxillary, pectoralis, subscapularis, mid-thigh, medial calf and triceps) and bony epicondylar breadth was measured following the standard procedure for The International Society for the Advancement of Kinanthropometry (ISAK). \u0000Results: Significantly higher (<0.001) mean (triceps (21.581-12.331mm), subscapularis (21.547-12.093), supraspinale (20.573-8.240mm), pectoralis (14.792-6.726mm), mid-axillary (17.118-8.026mm), abdominal (24.648- 13.643mm), calf (23.217-13.171), mid-thigh (28.288-16.414) skinfold and upper arm (33.231-27.482cm), neck (36.045-33.045cm), calf (40.100-34.417cm), chest (99.009-85.199cm), hip (113.176-94.265cm), waist (94.738-74.607cm), thigh (60.939-50.543cm) circumference as well as humeral (65.203-62.059) and femoral (98.556-92.292) epicondylar breadth was observed amongst the T2DM participant as compared to the non-T2DM subjects. \u0000Conclusion: Our findings indicate a strong association between T2DM and anthropometric parameters (skinfolds and body circumferences), thus, a risk factor in T2DM onset and its early prediction. \u0000 \u0000 \u0000French title: Importance des paramètres anthropométriques dans la prévalence du diabète de type 2-une étude de cas d'hôpitaux sélectionnés dans l'ouest de l'Ouganda \u0000Le diabète est un groupe de troubles métaboliques caractérisés et identifiés par la présence d'une hyperglycémie en l'absence detraitement. Malgré la prise de conscience croissante du DT2 dans le monde et l'association stricte de sa prévalence croissante avec le surpoids et l'obésité liés aux plis cutanés et à la circonférence du corps, l'incidence du DT2 et de ses diverses complications dévastatrices continue d'augmenter en raison du manque de techniques auto-explorées pour le traiter, sa première prédiction. Le but de cette étude était de déterminer la variation des paramètres anthropométriques en utilisant la valeur moyenne des circonférences corporelles, des plis cutanés, de la largeur épicondylienne du","PeriodicalId":29646,"journal":{"name":"Research Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139784052","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}
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