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Prevalence of Iron Deficiency Anaemia (IDA) among Pregnant Women Attending a Tertiary Health Care Facility in North-eastern Nigeria 在尼日利亚东北部三级保健机构就诊的孕妇中缺铁性贫血(IDA)的患病率
Pub Date : 2022-12-31 DOI: 10.51658/abms.202232.15
Idi Hadiza, S. Awwalu, A. Mamman, Babadoko Aliyu, A. Hassan, I. Halifa
Background: Iron Deficiency Anaemia (IDA) is the most frequent nutritional deficiency in the world and it is most prevalent in African countries including Nigeria. In pregnant women, IDA is associated with high morbidity and mortality. Aim: This study was to determine the prevalence and some associated risk factors for IDA in the third trimester. Materials and methods: This was a cross-sectional descriptive study involving 88 women in the third trimester of pregnancy attending Antenatal Clinic (ANC) of Federal Medical Centre in Nguru, Yobe State, North-East, Nigeria. Complete Blood Count (CBC) and serum ferritin were analysed and relation of serum ferritin with some variables were determined. Results: The mean age, parity, last child birth, haematocrit and ferritin of the study participants were 26.72±6.12years, 3.58±3.43, 1.89`±1.85 years, 32.51±7.41% and 68.87±151.88ng/ml respectively. Overall prevalence of anaemia was 22/88(25%) with the prevalence of iron deficiency (ID) being 53/88(60.2%); 10/88(11.4%) had IDA while ID without anaemia was present in 43/88(48.9%). There were no statistically significant correlations between maternal ferritin levels and age, surprisingly to note that ferritin levels were not significantly associated with parity, LCB and GA. Conclusion: We concluded that there was a high burden of third trimester ID among the study population. Maternal age and other assessed risk factors do not have any relationships with third trimester ferritin levels.
背景:缺铁性贫血是世界上最常见的营养缺乏症,在包括尼日利亚在内的非洲国家最为普遍。在孕妇中,IDA与高发病率和高死亡率有关。目的:本研究旨在确定妊娠晚期IDA的患病率及相关危险因素。材料和方法:这是一项横断面描述性研究,涉及88名在尼日利亚东北部约贝州恩古鲁联邦医疗中心产前诊所(ANC)就诊的妊娠晚期妇女。分析全血细胞计数(CBC)和血清铁蛋白,并测定血清铁蛋白与一些变量的关系。结果:研究对象的平均年龄、胎次、末胎、红细胞压积、铁蛋白分别为26.72±6.12岁、3.58±3.43岁、1.89±1.85岁、32.51±7.41%、68.87±151.88ng/ml。总体贫血患病率为22/88(25%),缺铁(ID)患病率为53/88(60.2%);10/88例(11.4%)存在IDA, 43/88例(48.9%)存在ID而不存在贫血。产妇铁蛋白水平与年龄之间没有统计学上的显著相关性,令人惊讶的是,铁蛋白水平与胎次、LCB和GA没有显著相关性。结论:我们的结论是,在研究人群中存在较高的妊娠晚期ID负担。产妇年龄和其他评估的危险因素与妊娠晚期铁蛋白水平没有任何关系。
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引用次数: 0
The Prevalence of Visual Acuity Impairment among Children in Nigeria – A Systematic Review 尼日利亚儿童中视力障碍的患病率-一项系统综述
Pub Date : 2022-12-31 DOI: 10.51658/abms.202231.7
Kangiwa Nasiru, Shuaibu Basiru, A. Buhari, Gwarzo Isiyaku, Ladan Kabiru, Ahmad Shahzad, Sanusi Kamaldeen, I. Kasimu, Abubakar Murtala
Background: Blindness is a major health problem, and there is an increasing trend of visual acuity impairment among children in developing countries. Vision loss in childhood has serious implications in all stages of a child's growth and development. It poses social, educational and occupational challenges, with affected children being at greater risk of developing behavioural, psychological and emotional problems, lower self-esteem and poorer social integration. The study aimed to assess the prevalence of visual impairment among children in Nigeria. Method: A systematic review of papers published on the prevalence of visual acuity impairment among children in the country was carried out. We covered works published in Google Scholar, PubMed, ResearchGate, ScienceDirect, and African Journals Online. Primary search terms included the combination of the following keywords; “prevalence”, “visual acuity”, “visual impairment”, “children”, “Nigeria”. The database search for published articles was done without date restriction till 1st December 2021. The review was restricted to primary research published in English and peer-reviewed journals. Results: Fourteen studies met the inclusion criteria out of the 56 studies reviewed. In Nigeria, the prevalence of visual acuity impairments ranged from 1.7% to 26.1%. Conclusion: The prevalence of visual acuity impairment among children in Nigeria is in epidemic proportions. There is a need to pay attention to proper health education; early detection and appropriate management of impaired vision to fight against this health disorder.
背景:失明是一个主要的健康问题,在发展中国家,儿童视力障碍呈上升趋势。儿童视力丧失对儿童生长发育的各个阶段都有严重的影响。它带来了社会、教育和职业方面的挑战,受影响的儿童更有可能出现行为、心理和情感问题,自尊心更低,社会融入能力更差。这项研究旨在评估尼日利亚儿童中视力障碍的流行程度。方法:对全国儿童视力障碍患病率相关文献进行系统综述。我们涵盖了发表在Google Scholar、PubMed、ResearchGate、ScienceDirect和African Journals Online上的作品。主要搜索词包括以下关键字的组合;“患病率”,“视力”,“视力障碍”,“儿童”,“尼日利亚”。数据库对已发表文章的搜索没有日期限制,直到2021年12月1日。该综述仅限于发表在英文和同行评议期刊上的初级研究。结果:56项研究中有14项符合纳入标准。在尼日利亚,视力障碍的患病率从1.7%到26.1%不等。结论:尼日利亚儿童视力障碍患病率呈流行趋势。有必要注意适当的健康教育;早期发现和适当管理视力受损,以对抗这种健康障碍。
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引用次数: 0
Concurrent Administration of the Methanol Leaf Extract of Leptadenia Hastata (Pers) Decne (Apocynaceae) With Metformin or Glibenclamide Influences Blood Glucose Handling in Normal Rats 二甲双胍或格列苯脲同时给药对正常大鼠血糖处理的影响
Pub Date : 2022-12-31 DOI: 10.51658/abms.202232.4
O. Aluefua, A. Chika, Aminu Ishaka, K. Abubakar
Background: Leptadenia hastata (Pers) Decne (Apocynaceae) is a familiar medicinal plant utilized in northern Nigeria either singly or together with conventional drugs to treat diabetes mellitus. Objective: This study investigated the influence of concurrent administration of the methanol leaf extract of L. hastata with Metformin or Glibenclamide on blood glucose handling in normal male Wister rats. Methods: One hundred and twenty-eight normal rats were randomized into 16 groups of 8 rats each. The first group served as a vehicle administered control. Three groups were treated with three increasing doses of the extract using a semilogarithmic scale (50mg/kg, 150mg/kg and 500mg/kg respectively). Another three groups were treated with Glibenclamide at doses of 0.3mg/kg, 1mg/kg and 3mg/kg respectively. Another three groups were treated with metformin at doses of 30mg/kg, 100mg/kg, and 300mg/kg respectively. Another three groups were treated with metformin (100mg/kg) co-administered with the extract at 50mg/kg, metformin 100mg/kg and the extract at 150mg/kg, metformin 100mg/kg and the extract at 500mg/kg respectively. The last three groups received Glibenclamide at 1mg/kg co-administered with the methanol extract at 50mg/kg, Glibenclamide at 1mg/kg with the extract at 150mg/kg, and Glibenclamide 1mg/kg with the extract at 500mg/kg respectively. Oral glucose tolerance test (OGTT) was conducted following 8 hours of fasting. Results: The result revealed a significant reduction in the total area under the glucose tolerance curve when metformin was co-administered with the extract in normal rats. Conclusion: The findings suggest that the methanol leaf extract of L. hastata when co-administered with metformin caused an enhancement of the effect of metformin following OGTT in normal rats. Keywords: Blood glucose, extract, metformin, glibenclamide, glucose tolerance.
背景:Leptadenia hastata (Pers) Decne(夹竹桃科)是尼日利亚北部常见的药用植物,可单独或与常规药物联合用于治疗糖尿病。目的:研究海地兰甲醇叶提取物与二甲双胍或格列本脲同时给药对正常雄性Wister大鼠血糖处理的影响。方法:128只正常大鼠随机分为16组,每组8只。第一组作为车辆管理的控制。三组分别按半对数标度(50mg/kg、150mg/kg、500mg/kg)给药3次。另外3组分别给予格列本脲0.3mg/kg、1mg/kg和3mg/kg剂量。另外三组分别给予二甲双胍30mg/kg、100mg/kg、300mg/kg的剂量。另外3组分别用二甲双胍(100mg/kg)与提取物(50mg/kg)、二甲双胍(100mg/kg)与提取物(150mg/kg)、二甲双胍(100mg/kg)和提取物(500mg/kg)共给药。后3组分别给予格列本脲1mg/kg与甲醇提取物50mg/kg、格列本脲1mg/kg与提取物150mg/kg、格列本脲1mg/kg与提取物500mg/kg共给药。空腹8小时后进行口服葡萄糖耐量试验(OGTT)。结果:在正常大鼠中,二甲双胍与提取物共给药可显著降低糖耐量曲线下总面积。结论:山楂叶甲醇提取物与二甲双胍联用可增强正常大鼠OGTT后二甲双胍的作用。关键词:血糖,提取物,二甲双胍,格列本脲,葡萄糖耐量
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引用次数: 0
Prevalence And Predictors of Unplanned Pregnancies among Married Women in Sokoto Metropolis, Northwest, Nigeria 尼日利亚西北部索科托大都市已婚妇女意外怀孕的患病率和预测因素
Pub Date : 2022-12-31 DOI: 10.51658/abms.202232.7
H. Adamu, A. Adamu, Jabir Iliyasu, A. Muhammad, Dayyabu Dantanin
Background: Unplanned pregnancy is a major public health issue of global concern that is often associated with negative socio-medical problems for both mother and child; estimates have shown that up to 80 million unplanned pregnancies occur worldwide each year. This study determined the prevalence and predictors of unplanned pregnancies among married women in Sokoto metropolis, Sokoto, Nigeria. Methods: A descriptive cross-sectional study was carried out among 324 married women who were selected via multistage sampling technique. Data was collected using structured questionnaire and analysis was done using IBM SPSS version 26. Results: The age of respondents in this study ranged from 15 to 45 years, with mean age of 30.9± 7.2 years. Most of the respondents were of the Hausa tribe [233(73.7%)] and majority were Muslims [306(96.8%)]. Prevalence of unplanned pregnancy among the respondents was 32.5% (n=103), out of which 34(32.7%) had experienced it between 2-4 times. Among those that had unplanned pregnancy, 79(76.4%) said they carried the pregnancy to term, 17(16.7%) had miscarriage while 7(6.9%) said they aborted it. Significant predictors of unplanned pregnancy were duration of marriage between 5-10 years (p=0.026; OR=0.403; 95% CI= 0.181-0.895), parity (p<0.001; OR=2.981; 95% CI=1.829-4.860) and being in a monogamous relationship (p=0.019; OR=1.911; 95% CI=1.113-3.280). Conclusion: Prevalence of unplanned pregnancy was quite high among married women in Sokoto metropolis. Significant predictors of having unplanned pregnancy include duration of marriage, parity and type of marriage. There is need for women to be educated on the various ways they can prevent having pregnancies that they do not intend to have. Keywords: Prevalence, predictors, unplanned pregnancy, married women, Sokoto metropolis
背景:意外怀孕是全球关注的一个重大公共卫生问题,往往与母亲和儿童的负面社会医学问题有关;据估计,全世界每年发生多达8000万例计划外怀孕。本研究确定了在索科托大都市,索科托,尼日利亚已婚妇女意外怀孕的患病率和预测因素。方法:采用多阶段抽样方法对324名已婚妇女进行描述性横断面研究。采用结构化问卷法收集数据,采用IBM SPSS version 26进行分析。结果:调查对象年龄15 ~ 45岁,平均年龄30.9±7.2岁。其中豪萨族(233人,占73.7%)居多,穆斯林(306人,占96.8%)居多。调查对象中意外怀孕发生率为32.5% (n=103),其中34人(32.7%)经历过2-4次意外怀孕。在意外怀孕的女性中,79人(76.4%)表示怀孕至足月,17人(16.7%)表示流产,7人(6.9%)表示流产。意外怀孕的显著预测因子为婚姻持续时间5-10年(p=0.026;或= 0.403;95% CI= 0.181-0.895),奇偶性(p<0.001;或= 2.981;95% CI=1.829-4.860)和一夫一妻制(p=0.019;或= 1.911;95% CI = 1.113 - -3.280)。结论:索科托城区已婚妇女意外妊娠发生率较高。意外怀孕的重要预测因素包括婚姻持续时间、胎次和婚姻类型。有必要对妇女进行教育,使她们了解各种预防不打算怀孕的方法。关键词:患病率,预测因素,意外怀孕,已婚妇女,索科托大都市
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引用次数: 0
Seasonal Photon Output Trend from Linear Accelerator in Sokoto, North-Western Nigeria 尼日利亚西北部索科托直线加速器的季节性光子输出趋势
Pub Date : 2022-12-31 DOI: 10.51658/abms.202232.6
H. Ibrahim, U. Bello
Background: Linear accelerators are so sensitive to variability of temperature, pressure, humidity and dust; thus, weather factors can cause common errors in photon output which in turn can compromise constancy and consistency in precise delivery of tumor dose. Dose checker is such a dose-measuring devices that has an inbuilt correction factor for bunker temperature and pressure changes which ensures the photon output is within the accepted values to the patient. The aim of the study is to find the effect of seasonal changes on Linac and its influence on the patient. Methods: This is a retrospective study and daily records of 6 and 15 MV photon output with their corresponding temperature and pressure from January 2019 and December 2021 were extracted and reviewed. Precision mercury-in-glass thermometer and Barometer (OPUS 10 THI) were used to keep daily records of bunker temperature and pressure while their seasonal behaviours were recorded. Mean values of each month of the year was calculated and arranged according to three seasons of the year; results were represented in graphs, tables and bar charts. Results: The overall mean photon outputs were 0.997 and 0.828 cGy/MU for 6 and 15 MV respectively. The deviation of photon outputs from their reference values were ±2% for 6MV and ±3% for the 15MV energy. The mean bunker temperature was 27.07oC. The overall mean bunker pressure was 977.23 hpa. During harmattan season the temperature and pressure ranged between 26.8-25.4oC and 978-976.1 hpa respectively. In hot season bunker temperature was between 25.7-29.5oC and pressure was between 976.1-975.0 hpa. For the wet season, the temperature was between 29.5-25.7oC, and the corresponding bunker pressure ranged between 980.0-976.3 hpa. Conclusion: The seasons of year influenced variation in bunker temperature and pressure with corresponding seasonal photon output variation despite the use of dose checker. Low photon outputs were recorded during harmattan and hot seasons while higher outputs were recorded during wet season. Keywords: Season; Trend; Photon output, Linear Accelerator
背景:线性加速器对温度、压力、湿度和粉尘的变化非常敏感;因此,天气因素会导致光子输出中的常见误差,从而影响肿瘤剂量精确传递的稳定性和一致性。剂量检查器就是这样一种剂量测量装置,它有一个内置的校正因子,用于掩体温度和压力的变化,以确保光子输出在患者接受的值范围内。研究的目的是发现季节变化对Linac的影响及其对患者的影响。方法:回顾性分析2019年1月和2021年12月6 MV和15 MV光子输出及其对应温度和压力的日记录。使用精密玻璃汞温度计和气压计(opus10 THI)记录碉堡温度和压力的每日记录,同时记录其季节性行为。按一年中的三个季节计算并排列各月份的平均值;结果用图形、表格和条形图表示。结果:在6 MV和15 MV下,总平均光子输出分别为0.997和0.828 cGy/MU。当能量为6MV时,光子输出与参考值的偏差为±2%,当能量为15MV时,光子输出与参考值的偏差为±3%。平均地堡温度为27.07℃。总体平均舱压为977.23 hpa。在哈马丹季节,温度和压力分别在26.8-25.4℃和978-976.1 hpa之间。热季地堡温度在25.7 ~ 29.5℃之间,气压在976.1 ~ 975.0 hpa之间。雨季气温在29.5 ~ 25.7 oc之间,相应的掩体压力在980 ~ 976.3 hpa之间。结论:尽管使用了剂量检测器,但季节对掩体温度和压力的变化有影响,相应的光子输出也有季节变化。在旱季和炎热季节记录到低光子输出,而在雨季记录到高光子输出。关键词:季节;趋势;光子输出,直线加速器
{"title":"Seasonal Photon Output Trend from Linear Accelerator in Sokoto, North-Western Nigeria","authors":"H. Ibrahim, U. Bello","doi":"10.51658/abms.202232.6","DOIUrl":"https://doi.org/10.51658/abms.202232.6","url":null,"abstract":"Background: Linear accelerators are so sensitive to variability of temperature, pressure, humidity and dust; thus, weather factors can cause common errors in photon output which in turn can compromise constancy and consistency in precise delivery of tumor dose. Dose checker is such a dose-measuring devices that has an inbuilt correction factor for bunker temperature and pressure changes which ensures the photon output is within the accepted values to the patient. The aim of the study is to find the effect of seasonal changes on Linac and its influence on the patient. Methods: This is a retrospective study and daily records of 6 and 15 MV photon output with their corresponding temperature and pressure from January 2019 and December 2021 were extracted and reviewed. Precision mercury-in-glass thermometer and Barometer (OPUS 10 THI) were used to keep daily records of bunker temperature and pressure while their seasonal behaviours were recorded. Mean values of each month of the year was calculated and arranged according to three seasons of the year; results were represented in graphs, tables and bar charts. Results: The overall mean photon outputs were 0.997 and 0.828 cGy/MU for 6 and 15 MV respectively. The deviation of photon outputs from their reference values were ±2% for 6MV and ±3% for the 15MV energy. The mean bunker temperature was 27.07oC. The overall mean bunker pressure was 977.23 hpa. During harmattan season the temperature and pressure ranged between 26.8-25.4oC and 978-976.1 hpa respectively. In hot season bunker temperature was between 25.7-29.5oC and pressure was between 976.1-975.0 hpa. For the wet season, the temperature was between 29.5-25.7oC, and the corresponding bunker pressure ranged between 980.0-976.3 hpa. Conclusion: The seasons of year influenced variation in bunker temperature and pressure with corresponding seasonal photon output variation despite the use of dose checker. Low photon outputs were recorded during harmattan and hot seasons while higher outputs were recorded during wet season. Keywords: Season; Trend; Photon output, Linear Accelerator","PeriodicalId":330738,"journal":{"name":"Annals of Basic and Medical Sciences","volume":"252 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134046661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complementary feeding practices of mothers and caregivers of under-fives in Sokoto, North-Western Nigeria 尼日利亚西北部索科托五岁以下儿童母亲和照料者的补充喂养做法
Pub Date : 2022-12-31 DOI: 10.51658/abms.202232.10
F. Jiya, A. Mohammad, I. Adamu, U. Tukur, U. Auwal, B. Muhammad, A. Adamu, K. Isezuo
Background: Adequate complementary feeding entails feeding children aged between 6 and 23 months with foods from four or more food groups at least thrice a day. In introducing complementary feeds, mothers or caregivers adopt various feeding practices which may not comply with standards for optimal infant feeding. Objective: To assess the complementary feeding practices of mothers and caregivers in Sokoto, North-western Nigeria. Methods: A cross-sectional survey of consenting mothers/caregivers selected through multistage random sampling. Data was obtained using an interviewer-administered questionnaire adapted from a WHO document on indicators for assessing infant and young child feeding practices, and was analyzed using SPSS version 25. Results: A total of 353 respondents with a mean (±SD) age of 28.8 ±6.1 years were interviewed. Most 330(93.5%) of the respondents were married and had ≥3 (77.9%) numbers of children. Most (50.7%) of the respondents had no formal education and majority (80.5%) were petty traders. They were mainly 180(51.0%) of low socio-economic status. Most 185(52.4%) of the respondents introduced complementary feeds (CF) before six months and mainly 182(53.1%) in the form of guinea corn gruel. Carbohydrate based feeds were the most 335(94.9%) consumed form of family diet. The minimum nutrient diversity and frequency were met in only 96(27.2%) and 217(61%) of the children, respectively. The minimum acceptable diet was unmet in the majority 285(80.7). Socio-economic class (p=0.002) and community setting (p=0.003) were associated with respondents feeding practices. Middle socio-economic class (p=0.009) and urban community setting (p=0.002) were independent predictors of timely initiation of CF. Conclusion: Majority of the respondents practiced early initiation of complementary feeds. The minimum acceptable diet was unmet in the majority of the children. Socio-economic class and community setting were associated with complementary feeding practices.
背景:充足的辅食需要每天至少三次为6至23个月大的儿童提供四种或更多食物组的食物。在引入补充饲料时,母亲或照顾者采用的各种喂养方法可能不符合最佳婴儿喂养标准。目的:评估尼日利亚西北部索科托的母亲和照顾者的补充喂养做法。方法:采用多阶段随机抽样的方法对同意的母亲/照顾者进行横断面调查。数据采用访谈者填写的调查问卷获得,调查问卷改编自世卫组织关于婴幼儿喂养做法评估指标的文件,并使用SPSS 25版进行分析。结果:共访谈353人,平均(±SD)年龄28.8±6.1岁。其中330人(93.5%)已婚,子女数≥3人(77.9%)。大多数(50.7%)受访者没有受过正规教育,大多数(80.5%)是小商贩。其中社会经济地位较低的主要有180人(51.0%)。185家(52.4%)在6个月前引入了补充饲料,182家(53.1%)主要采用玉米粥的形式。以碳水化合物为基础的饲料是家庭饮食中消耗最多的335种(94.9%)。分别只有96名(27.2%)和217名(61%)儿童达到营养多样性和频率的最低要求。285例(80.7例)未达到最低可接受饮食标准。社会经济阶层(p=0.002)和社区环境(p=0.003)与受访者的喂养方式有关。中等社会经济阶层(p=0.009)和城市社区环境(p=0.002)是及时开始补充饲料的独立预测因素。结论:大多数受访者实行早期开始补充饲料。大多数儿童没有达到最低可接受的饮食标准。社会经济阶层和社区环境与辅食做法有关。
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引用次数: 0
Computed Tomography Angiographic Evaluation of Anatomical Variations of Renal Arteries at Aminu Kano Teaching Hospital, Kano-Nigeria 计算机断层血管造影评估肾动脉解剖变异在阿米努卡诺教学医院,卡诺-尼日利亚
Pub Date : 2022-12-31 DOI: 10.51658/abms.202232.11
A. Abba, Kazaure Idris, Musa A. Tabari, Abba Suwaid, Anas Ismail
Background: Knowledge of renal arteries anatomical variations is important for different laparoscopic surgeries, kidney transplantation, oncologic resections and radiological interventional procedures in the abdomen. Aim and Objectives: To evaluate the prevalence of anatomical variations of renal arteries using C.T. angiograms at Aminu Kano Teaching Hospital (AKTH), Kano, to associate the variations with gender and ethnicity and to compare the results with the available findings in the literature. Materials and Method: The computed tomographic renal angiograms of 378 subjects comprising 204 males (54%) and 174 females (46%) with a M: F ratio of 1.2:1 were prospectively obtained from November, 2018 to August, 2019 at the Radiology Department of AKTH. They were then analyzed using SPSS software version 22.0 for the presence of potential anatomical variations. Results: Among the 378 subjects studied, 246 (65.1%) had normal renal artery supply while there were anatomical variations of the renal arteries in 132 (34.9%) subjects but no side preponderance was observed. Early branching of the renal artery was observed in 47 (12.4%) subjects while the presence of at least one accessory renal artery was observed in 85 (22.5%) subjects. The most frequently observed renal anomaly in this study was accessory hilar artery found in 40 kidneys (5.3%). Bilateral renal vasculature variation was detected in 8 (2.1%) subjects. The variations were more frequently seen in males (p > 0.05). Conclusion: The study showed significant prevalence of anatomical variations of renal arteries (34.9%).
背景:了解肾动脉解剖变异对不同的腹腔镜手术、肾移植、肿瘤切除和腹部放射介入手术都很重要。目的和目的:在卡诺Aminu Kano教学医院(AKTH)使用ct血管造影评估肾动脉解剖变异的流行程度,将这种变异与性别和种族联系起来,并将结果与文献中的现有发现进行比较。材料与方法:前瞻性获取2018年11月至2019年8月在AKTH放射科肾ct血管造影378例,其中男性204例(54%),女性174例(46%),M: F比为1.2:1。然后使用SPSS软件版本22.0分析潜在解剖变异的存在。结果:378例患者中,肾动脉供应正常者246例(65.1%),肾动脉解剖变异者132例(34.9%),未见侧方优势。47例(12.4%)患者出现肾动脉早期分支,85例(22.5%)患者出现至少一条副肾动脉。本研究中最常见的肾脏异常是40个肾脏的副门动脉(5.3%)。8例(2.1%)患者出现双侧肾血管变异。差异以男性多见(p > 0.05)。结论:本研究显示肾动脉解剖变异发生率显著(34.9%)。
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引用次数: 0
Nutritional Status of Under-five Children in Sokoto, Nigeria 尼日利亚索科托五岁以下儿童的营养状况
Pub Date : 2022-12-31 DOI: 10.51658/abms.202232.14
F. Jiya, A. Mohammad, I. Adamu, U. Tukur, U. Auwal, B. Muhammad, A. Adamu, K. Isezuo
Background: Malnutrition is the largest risk factor in the world for disability and premature mortality among young children, especially in developing countries. A myriad of socio-economic, cultural, and environmental factors have been identified to either improve or negatively affect a child's nutritional status. Objectives: To assess the nutritional status of children under-five years of age in Sokoto, Nigeria, and determine the associated factors. Methods: A cross-sectional survey of children aged 6-59 months selected through multistage random sampling. Data was obtained using pretested semi-structured questionnaire and the nutritional indices were determined using WHO anthro v3.2.2. Data was analyzed using SPSS version 25. Results: Subjects comprised a total of 353 children with a mean (±S.D) age of 26.8 ±14.9 months. Majority 214(60.6%) were females. Most 330(93.5%) of the caregivers were married majority 180(51.0%) were of low socio-economic status. Two hundred and two (57.2%) of the under-fives had normal weight for age, 144(40.8%) of them were severely stunted, most 290 (82.2%) of them had normal weight for height, and 199(56.7%) had normal mid upper arm circumference. Mother/caregiver's age (p=0.012), marital status (p= 0.007), and child's immunization status (p=0.015) were associated with weight for age, marital status (p=0.028) was associated with the weight for height/length, Child's age group category (p<0.001), social class (p=0.036), and community setting (p=0.031) were associated with the height for age, Marital status (p=0.025), child's age group category (p<0.001), history of recent illness (p=0.046), and community setting (p<0.001) were associated with the mid-upper arm circumference. Conclusion: Under nutrition was the main form of malnutrition among the under-fives, with severe stunting predominating. The nutritional status were influenced by some maternal or caregivers' socio-demographic factors, as well as inadequate child immunization and treatment of acute illnesses.
背景:营养不良是世界上导致幼儿残疾和过早死亡的最大危险因素,尤其是在发展中国家。无数的社会经济、文化和环境因素已经被确定为改善或负面影响儿童的营养状况。目的:评估尼日利亚索科托五岁以下儿童的营养状况,并确定相关因素。方法:采用多阶段随机抽样的方法对6 ~ 59月龄儿童进行横断面调查。数据采用预测半结构化问卷,营养指标采用WHO anthro v3.2.2进行测定。数据分析采用SPSS 25。结果:共纳入353名儿童,平均(±S.D)年龄为26.8±14.9个月。214例(60.6%)为女性。其中330人(93.5%)已婚,180人(51.0%)社会经济地位较低。5岁以下儿童年龄体重正常202例(57.2%),重度发育迟缓144例(40.8%),身高体重正常290例(82.2%),中上臂围正常199例(56.7%)。母亲/照顾者的年龄(p=0.012)、婚姻状况(p= 0.007)和儿童免疫状况(p=0.015)与年龄体重相关,婚姻状况(p=0.028)与身高/身高体重相关,儿童年龄组类别(p<0.001)、社会阶层(p=0.036)和社区环境(p=0.031)与年龄身高、婚姻状况(p=0.025)、儿童年龄组类别(p<0.001)、近期疾病史(p=0.046)相关。社区环境与中上臂围度相关(p<0.001)。结论:营养不良是5岁以下儿童营养不良的主要形式,以重度发育迟缓为主。营养状况受到一些产妇或照顾者的社会人口因素以及儿童免疫接种和急性疾病治疗不足的影响。
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引用次数: 0
Surgical Management of Huge Uterine Fibroids in a Northern Nigerian Teaching Hospital 尼日利亚北部一家教学医院巨大子宫肌瘤的外科治疗
Pub Date : 2022-12-31 DOI: 10.51658/abms.202232.8
U. Bawa, U. Zubairu, Zulaihatu Sarkin-Pawa, N. Madugu, M. Abdul
Background: Uterine fibroids are the most common tumor of the uterus worldwide, especially in blacks. While surgery remains the goal standard for definitive treatment, huge uterine fibroids pose a peculiar surgical challenge, with a possibly higher risk of complications such as hemorrhage and deep surgical site infection. Methods: A 5-year retrospective review of patients' folders who had surgical treatment for huge uterine fibroids from January 2015 to December 2019 was done. Huge uterine fibroids were defined as uterine size of ≥16 weeks. The patients' sociodemographic profiles, surgical procedure performed, early and delayed post-operative complications were all documented on a structured proforma. Data was analyzed using SPSS version 21. Results: A total of 245 patients had surgical treatments for uterine fibroids. However, 152 case notes were retrieved, of which 135 had huge uterine fibroids. The mean age of the patients was 37.85 ± 7.05 years. Abdominal myomectomy was performed in 108 (80%) of patients, while others had abdominal hysterectomy. Early post-operative complications included 10 (7.2%) with surgical site infection (SSI), 4 (3%) with febrile morbidity, and 3 (2.2%) requiring blood transfusion. Late complications included 6 (4.4%) with delayed SSI, 5 (3.7%) with uterine synechiae, and 2 (1.5%) with endometritis. There was no peri-operative mortality. Uterine sizes, and type of surgery performed showed no differences in complication rates. Nulliparity, and age <40 years showed higher odds of having myomectomy. Conclusion: The most common surgical treatment for huge uterine fibroids is abdominal myomectomy. Surgical treatment is generally safe with low morbidity.
背景:子宫肌瘤是世界范围内最常见的子宫肿瘤,尤其是在黑人中。虽然手术仍然是最终治疗的目标标准,但巨大的子宫肌瘤带来了特殊的手术挑战,可能有更高的并发症风险,如出血和深部手术部位感染。方法:回顾性分析2015年1月至2019年12月手术治疗巨大子宫肌瘤患者的5年资料。巨大子宫肌瘤定义为子宫大小≥16周。患者的社会人口统计资料、手术过程、早期和延迟的术后并发症均记录在结构化形式表中。数据分析采用SPSS version 21。结果:手术治疗子宫肌瘤245例。然而,152例记录被检索,其中135例有巨大的子宫肌瘤。患者平均年龄37.85±7.05岁。108例(80%)患者行腹部子宫肌瘤切除术,其余患者行腹部子宫切除术。术后早期并发症包括手术部位感染10例(7.2%),发热发病4例(3%),需要输血3例(2.2%)。晚期并发症包括迟发性SSI 6例(4.4%),子宫粘连5例(3.7%),子宫内膜炎2例(1.5%)。无围手术期死亡。子宫大小和手术类型在并发症发生率上没有差异。未生育、年龄<40岁的患者有较高的子宫肌瘤切除术的几率。结论:腹肌瘤切除术是治疗巨大子宫肌瘤最常用的方法。手术治疗通常是安全的,发病率低。
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引用次数: 0
Epidemiological and morphological pattern of complete hydatidiform mole in Aminu Kano Teaching Hospital, Kano Northwestern Nigeria 尼日利亚西北部卡诺Aminu Kano教学医院完全包虫状痣的流行病学和形态学特征
Pub Date : 2022-12-31 DOI: 10.51658/abms.202232.5
A. Salihu, U. Bello
Background: Complete hydatidiform mole (CHM) is the most common form of non-neoplastic gestational trophoblastic diseases (GTD) that is associated with progression to choriocarcinoma without prompt intervention. The objectives of this study is to morphologically analyze all cases of complete hydatidiform mole in Aminu Kano Teaching Hospital using set down criteria, look at the epidemiological pattern and compare with similar studies in order to stimulate proper identification from other forms of moles, hence reduce morbidity and mortality associated with the known complication of progressing to deadly Choriocarcinoma. Material and Methods: This was a retrospective study of all molar specimens submitted to Histopathology Pathology Department of Aminu Kano Teaching Hospital, Kano between 1st January 2015 and 31st December 2016. Formalin-fixed paraffin-embedded tissue blocks and corresponding Haematoxylin and Eosin (H&E) stained slides were retrieved. Cases with final diagnosis of complete mole were selected for further detailed microscopic evaluations. The collected data were presented using simple frequency tables and figures including photomicrographs of representative lesions. Results: There were sixty-seven cases of complete hydatidiform mole during the study period out of the 61,780 deliveries, giving an approximate incidence of 1:1000 deliveries in Kano metropolis and its environs. The peak incidence was observed in women between 20- 24 years of age with majority presenting between 11-14weeks of pregnancy. The ratio of complete to partial mole was approximately 3:1. Constant morphologic features associated with CHM includes; villous enlargement, trophoblastic hyperplasia, round shape chorionic villi and fibromyxoid stroma. Least prominent feature of CHM is myxoid stromal type. Conclusion: Complete hydatidiform occurs commonly in the gestational ages of between eleven to fourteen weeks; need histopathologic evaluations and prompt intervention to avoid consequences of both immediate complication such as invasive mole and long-term complication of choriocarcinoma. Keywords: Hydatidiform Mole, Complete Mole, Choriocarcinoma
背景:完全葡萄胎(CHM)是最常见的非肿瘤性妊娠滋养细胞疾病(GTD),如果不及时干预,可发展为绒毛膜癌。本研究的目的是使用既定的标准对Aminu Kano教学医院的所有完全包膜样痣病例进行形态学分析,观察流行病学模式并与类似研究进行比较,以促进对其他形式痣的正确识别,从而降低与已知进展为致命绒毛膜癌的并发症相关的发病率和死亡率。材料和方法:本研究是对2015年1月1日至2016年12月31日期间提交给卡诺Aminu Kano教学医院组织病理学部的所有臼齿标本进行回顾性研究。取福尔马林固定石蜡包埋组织块和相应的红木精和伊红(H&E)染色玻片。选择最终诊断为完全痣的病例进行进一步详细的显微镜检查。收集的数据采用简单的频率表和图表,包括代表性病变的显微照片。结果:在61780例分娩中,研究期间有67例完全葡萄胎,卡诺市及其周边地区的分娩发生率约为1:1000。发病率高峰见于20- 24岁的妇女,多数出现在怀孕11-14周之间。完全摩尔与部分摩尔的比例约为3:1。与CHM相关的恒定形态学特征包括;绒毛肿大,滋养层增生,圆形绒毛膜绒毛,纤维黏液样间质。黏液样基质型是CHM最不突出的特征。结论:完全包虫病常见于胎龄11 ~ 14周;需要组织病理学评估和及时干预,以避免即时并发症如侵袭性痣和绒毛膜癌的长期并发症的后果。关键词:葡萄胎,完全葡萄胎,绒毛膜癌
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引用次数: 0
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Annals of Basic and Medical Sciences
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