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Prevalence of Proteinuria among Type 2 Diabetic Patients Attending Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria 尼日利亚索科托Usmanu Danfodiyo大学教学医院2型糖尿病患者蛋白尿患病率
Pub Date : 2022-12-31 DOI: 10.51658/abms.202232.3
AbdulRahman Muhammad B., K. Saidu
Background: Diabetes mellitus has been reported to be the primary cause of end-stage renal disease in some Asian and American countries. However, no such data were available among type 2 diabetic patients in North-Western Nigeria. This study was aimed to assess the prevalence and associated risk factors of proteinuria among type- 2 diabetic patients by measuring the total protein-to-creatinine ratio (TPCR) and to provide some possible recommendations to enhance the level of health care rendered to the patients. Methods: This was a cross-sectional study. Spot urine TPCR was performed on 182 diabetic patients who attended the diabetic clinic at Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria, from January 2018 to December 2018. Other relevant parameters were extracted from the Chemical Pathology Department register, and the patients' case folders. The data were statistically analysed using SPSS version 23.0 (Chicago IL). Results: Among the total of 182 diabetic patients recruited during the study period, 66(36.3%) were males and 116(63.7%) were females. Out of the patients, (82)45.1% had hypertension; and (105)57.7% of the study population were obese. The overall prevalence of pathological proteinuria (TPCR ≥ 150 mg/mmol creatinine) was found in 116 (63.7%) of the study population. Conclusions: The prevalence of proteinuria is high in the study subjects (63.7%). The high prevalence observed might be a result of kidney disease in a primary healthcare setting. However, this study is a hospital-based finding with a small sample size, therefore, a larger study population size is recommended for future studies. Keywords: prevalence, proteinuria, type 2 diab
背景:在一些亚洲和美洲国家,糖尿病已被报道为终末期肾脏疾病的主要原因。然而,在尼日利亚西北部的2型糖尿病患者中没有这样的数据。本研究旨在通过测定总蛋白与肌酐比值(TPCR)来评估2型糖尿病患者蛋白尿的患病率及其相关危险因素,并为提高患者的医疗保健水平提供一些可能的建议。方法:采用横断面研究。对2018年1月至2018年12月在尼日利亚索科托Usmanu Danfodiyo大学教学医院糖尿病门诊就诊的182名糖尿病患者进行现场尿液TPCR检测。其他相关参数提取自化学病理科的注册表和患者的病例文件夹。数据采用SPSS version 23.0 (Chicago IL)进行统计分析。结果:研究期间共纳入182例糖尿病患者,其中男性66例(36.3%),女性116例(63.7%)。其中(82)45.1%的患者有高血压;(105)57.7%的研究人群肥胖。病理性蛋白尿(TPCR≥150mg /mmol肌酐)的总体患病率为116例(63.7%)。结论:研究对象蛋白尿患病率较高(63.7%)。观察到的高患病率可能是初级卫生保健环境中肾脏疾病的结果。然而,这项研究是基于医院的小样本量的发现,因此,建议在未来的研究中扩大研究人群规模。关键词:患病率,蛋白尿,2型糖尿病
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引用次数: 0
Correlation between Serum Sialic Acid, Serum Lipids, Cardiac Troponin I and Myoglobin among Women on Combined Oral Contraceptives 复方口服避孕药妇女血清唾液酸、血脂、心肌肌钙蛋白I和肌红蛋白的相关性
Pub Date : 2022-12-31 DOI: 10.51658/abms.202232.13
Idris Mohammed, Usman Datti, H. Abdullahi, A. Busari
Background: Women using combined oral contraceptives have an increased risk of developing cardiovascular disease. While the utility of biomarkers such as serum lipids have been well evaluated, serum sialic acid, which has shown some promise as a marker of cardiovascular disease progression has been poorly studied. This study aimed to determine the correlation between sialic acid and lipid profile as risk factors of cardiovascular disease in women on combined oral contraceptives. Materials and Methods: This was a cross-sectional study involving 143 women on combined oral contraceptive pill as the study group and 100 age and sex matched healthy controls. Serum levels of Total Sialic Acid (TSA), lipids, and some cardiac biomarkers (Myoglobin, Creatine Kinase-MB and Troponin-I) were measured, summarized as mean (±SD) and compared. Correlation between serum level of sialic acid and each of the measured serum lipid component was subsequently determined using correlation analysis. Results: Sialic acid (1.070±0.117 vs 0.837±0.272), Total cholesterol (3.944±0.918 vs 3.106±0.635), Low density lipoprotein cholesterol (2.408±1.085 vs 1.088±0.392), High density lipoprotein cholesterol (1.049±0.421 vs 0.902±0.542) & Triglycerides (1.620±0.703 vs 1.052±0.514) were all significantly (P<0.05) higher in the combined oral contraceptive group than controls respectively. Sialic acid demonstrated a weak but positive correlation with Myoglobin (r= +0.403), Creatine kinase-MB (r= +0.441) and Troponin-I (r= +0.424). While TGs and sialic acid were shown to have a very weakly positive association (r= +0.089), TC, LDL-C, and HDL-C all had very weakly negative correlations (r= -0.136, -0.146, and -0.006, respectively). Conclusion: Combined oral contraceptives use confers an artherogenic lipid profile imparting a positive cardiovascular disease risk. Although sialic acid is significantly higher among combined oral contraceptive users and shows a positive relationship with cardiac biomarkers, it correlates poorly with serum lipids suggesting its limited utility as a CVD marker.
背景:使用联合口服避孕药的妇女患心血管疾病的风险增加。虽然生物标志物(如血脂)的效用已经得到了很好的评估,但血清唾液酸作为心血管疾病进展标志物的研究却很少。本研究旨在确定唾液酸和脂质谱作为联合口服避孕药妇女心血管疾病的危险因素之间的相关性。材料和方法:这是一项横断面研究,143名服用联合口服避孕药的妇女作为研究组,100名年龄和性别匹配的健康对照组。测定血清总唾液酸(TSA)、血脂和一些心脏生物标志物(肌红蛋白、肌酸激酶- mb和肌钙蛋白- i)水平,汇总为平均值(±SD)并进行比较。随后使用相关分析确定血清唾液酸水平与所测血清脂质成分之间的相关性。结果:口服联合避孕药组唾液酸(1.070±0.117 vs 0.837±0.272)、总胆固醇(3.944±0.918 vs 3.106±0.635)、低密度脂蛋白胆固醇(2.408±1.085 vs 1.088±0.392)、高密度脂蛋白胆固醇(1.049±0.421 vs 0.902±0.542)、甘油三酯(1.620±0.703 vs 1.052±0.514)均显著高于对照组(P<0.05)。唾液酸与肌红蛋白(r= +0.403)、肌酸激酶- mb (r= +0.441)和肌钙蛋白- i (r= +0.424)呈弱正相关。TGs和唾液酸呈极弱正相关(r= +0.089), TC、LDL-C和HDL-C呈极弱负相关(r分别= -0.136、-0.146和-0.006)。结论:联合使用口服避孕药会导致动脉粥样硬化脂质谱增加心血管疾病的风险。尽管唾液酸在联合口服避孕药使用者中明显较高,并与心脏生物标志物呈正相关,但它与血脂相关性较差,表明其作为心血管疾病标志物的效用有限。
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引用次数: 0
Assessment of Plasma Glucose and Lipid Profile Dysregulation among Patients on Antipsychotics in Sokoto 索科托地区服用抗精神病药物患者血糖和血脂异常的评估
Pub Date : 2022-12-31 DOI: 10.51658/abms.202232.2
A. Muhammad, Emeka E. Emordi, Mainasara Abdullahi, Bakare Abdulfatahi, Elbashir Jibril, B. Aminu, Fakku Abubakar, S. Kasimu, A. Aminu, D. Mohammed, M. Nasir, Ugege Modupe, B. Makun
Background: Antipsychotic drugs used in the treatment of psychotic disorders have been implicated in negative effects on the blood glucose and lipid profile levels of patients. Methods: We studied the anthropometric parameters and then the plasma glucose and lipid profile levels of one hundred and seventy-two (172) patients between the ages of 18 and 45 years; who are on various oral antipsychotics. Also, forty (40) treatment-naïve psychiatric patients and forty (40) healthy controls were included in the study. The results were analysed using standard methods. Results: The mean plasma glucose level was significantly higher (p<0.05) in psychiatric patients on oral antipsychotic drugs compared to controls. The mean plasma glucose level of treatment-naïve psychiatric patients was also significantly higher (p<0.05) compared to that of healthy controls. Furthermore, there was a significant increase in plasma glucose levels of patients on second-generation antipsychotic drugs compared to those on first-generation antipsychotic drugs. The lipid profile of patients on antipsychotic drugs showed a similar trend. There were significant increases in the plasma levels of Total Cholesterol (TC), Low-Density Lipoprotein (LDL), Triglycerides (TG) and a significant decrease in the plasma level of High-Density. However, the plasma TG levels were significantly higher in the typical antipsychotic drugs group. Lipoprotein (HDL) levels of individuals that were on antipsychotics were significantly decreased when compared to healthy controls Conclusion: The lipid profile and plasma glucose concentration were altered by oral antipsychotic drugs in Sokoto, Nigeria. Therefore, it may be clinically expedient to vigorously assess the plasma glucose and lipid profile levels of all patients that are on oral antipsychotic drugs and interventions planned as appropriate. Keywords: Antipsychotic drugs, lipid profile, glucose, Cholesterol, Lipoprotein
背景:用于治疗精神障碍的抗精神病药物对患者的血糖和血脂水平有负面影响。方法:对172例年龄在18 ~ 45岁的糖尿病患者进行了人体测量参数测定和血糖、血脂水平测定;服用各种口服抗精神病药物。此外,40 (40)treatment-naïve精神病患者和40(40)健康对照者也被纳入研究。用标准方法对结果进行分析。结果:与对照组相比,口服抗精神病药物组平均血糖水平显著升高(p<0.05)。treatment-naïve精神病患者的平均血糖水平也显著高于健康对照组(p<0.05)。此外,与使用第一代抗精神病药物的患者相比,使用第二代抗精神病药物的患者血糖水平显著升高。服用抗精神病药物的患者的血脂也有类似的趋势。血浆总胆固醇(TC)、低密度脂蛋白(LDL)、甘油三酯(TG)水平显著升高,血浆高密度脂蛋白(hdl)水平显著降低。然而,在典型抗精神病药物组,血浆TG水平明显较高。结论:在尼日利亚索科托,口服抗精神病药物改变了血脂和血浆葡萄糖浓度。因此,积极评估所有口服抗精神病药物和适当干预计划的患者的血糖和血脂水平在临床上可能是有利的。关键词:抗精神病药物,血脂,葡萄糖,胆固醇,脂蛋白
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引用次数: 0
Spectrum of Behavioural Difficulties and Validation of the Hausa Version Strengths and Difficulties Questionnaire (SDQ) among Almajiris: A Comparative Study 阿尔马吉里斯族豪萨语优势与困难问卷的行为困难谱及验证:一项比较研究
Pub Date : 2022-06-30 DOI: 10.51658/abms.202231.1
Aishatu Abubakar-Abdullateef, A. Mohammed, Amina S. Kakangi, Hadiza D. Mohammed, M. D. Lasisi, M. Abdullahi
Background: 'Almajiris' are children who have been sent far away from their homes to study the Quran under the care of a Muslim scholar, also known as 'Mallam'. The Almajiri education system is a common route onto the streets in Northern Nigeria and other parts of West Africa. They face numerous situations which render them vulnerable to developing behavioural difficulties. The aim of this study was to compare behavioural difficulties among Almajiris and pupils of public primary schools in Zaria. The validity of a Hausa version of the self-rated Strengths and Difficulties Questionnaire (SDQ) in screening for psychiatric morbidity was also assessed in the course of the study. Methods: A comparative cross-sectional design was employed. 401 participants were selected for inclusion, comprising 200 Almajiris (49.9%) and 201 (50.1%) public primary school pupils. All participants were administered a socio-demographic questionnaire, the Strengths and Difficulties Questionnaire (SDQ) and the Schedule for Affective Disorders and Schizophrenia for School-aged Children Present and Lifetime Version (K-SADS-PL). Data were analysed using the Statistical Package for Social Sciences Version 21 (SPSS-21). Results: Almajiri participants were noted from other parts of West Africa such as Niger Republic. Parents of Almajiris had less formal education than those of public primary school pupils. About 6 in 10 participants, 64.5% and 63.7% of Almajiris and public primary school pupils respectively screened positive for behavioural difficulties. Almajiris reported problems more often than public primary school pupils on the emotional problem, peer problems, hyperactivity and conduct problem scales of the SDQ. The Hausa-translated version of the self-rated SDQ demonstrated a cut-off point of 13 to best be suited for screening psychiatric morbidity. Conclusion: Emotional, conduct, hyperactivity and peer problems were higher among Almajiris than in a public primary school population. It is recommended that the Almajiri system of education in Nigeria be modified earnestly. Keywords: Almajiris, Public School, Northern Nigeria, Behavioural Difficulties
背景:“Almajiris”是被送到远离家乡的孩子,在穆斯林学者(也被称为“Mallam”)的照顾下学习《古兰经》。在尼日利亚北部和西非其他地区,Almajiri教育系统是走上街头的常见途径。他们面临着许多使他们容易产生行为困难的情况。这项研究的目的是比较阿尔马基里斯和扎里亚公立小学学生的行为困难。本研究还评估了豪萨族自评优势与困难问卷(SDQ)在筛查精神疾病方面的效度。方法:采用比较横断面设计。401名参与者被选中纳入,包括200名Almajiris(49.9%)和201名(50.1%)公立小学学生。所有参与者均接受社会人口学问卷、优势与困难问卷(SDQ)和学龄儿童情感障碍与精神分裂症量表(k - ssad - pl)。使用社会科学统计软件包第21版(SPSS-21)分析数据。结果:Almajiri参与者来自西非其他地区,如尼日尔共和国。与公立小学的学生相比,阿尔马基里斯的父母所受的正规教育更少。大约60%的参与者,64.5%和63.7%的阿尔马基里斯小学和公立小学的学生分别被筛查为行为困难阳性。在SDQ的情绪问题、同伴问题、多动和行为问题量表上,Almajiris比公立小学的学生报告的问题更多。豪萨语翻译版本的自评SDQ证明了13分是最适合筛选精神疾病的分界点。结论:Almajiris小学生的情绪、行为、多动和同伴问题高于公立小学人群。建议认真修改尼日利亚的Almajiri教育制度。关键词:Almajiris,公立学校,尼日利亚北部,行为困难
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引用次数: 0
Clinical Presentation of Prostatic Disease Patients in a Hospital Setting 前列腺疾病患者在医院的临床表现
Pub Date : 2022-06-30 DOI: 10.51658/abms.202231.8
K. Abdullahi, Mungadi I. Arzika, Agwu N. Peter, Abdulwahab-Ahmed Abdullah, Muhammad A. Sadiq, K. Abdullahi, A. Habibullah
Background: Prostatic diseases are common urological conditions confronted by the urologist regularly. The clinical presentations may oftentimes be straightforward but at times challenging due to delayed patients' presentation in our setting, occasional overlap of symptoms and signs or when complications associated with the disease supervene. This study determines the difference in clinical presentations of patients histologically diagnosed with prostatic diseases among urology patients in our clinical setting. Materials and Methods: A prospective cross-sectional study conducted among 50 urology patients with indication for Transrectal ultrasound (TRUS) guided prostate biopsy at Usmanu Danfodiyo University Teaching Hospital, Sokoto, North-western, Nigeria. Data collected into a semistructured questionnaire and studied included: sociodemographic parameters, clinical symptoms and signs at presentation, International prostate symptoms score (IPSS), co-morbidities, Digital rectal examination (DRE), and histological findings. Results were analyzed using the computer software, IBM statistical package for the social sciences (SPSS) version 25 (SPSS Inc; Chicago, IL, USA). Relationships between variables were determined using Pearson's chi-square test, and Fisher's exact tests as appropriate. Results: A total of 50 patients were enrolled over the study period with a mean age of 67.32 ± 9.11 years and a range of 50-96 years. Thirty (60.0%) patients had benign prostatic hyperplasia (BPH) while 20 (40.0%) patients had prostatic adenocarcinoma (PCa). One (3.3%) patient with BPH had associated features of chronic prostatitis. The clinical presentations found to be statistically significant in favour of prostatic adenocarcinoma were weight loss, body weakness, cachexia, pallor, and abnormal digital rectal examination. Conclusion: The presence of weight loss, body weakness, cachexia, clinical pallor, and suspicious digital rectal examination at presentation are significant findings to raise a high index of suspicion of the prostate carcinoma. Hence, physicians and urologists coming in contact with prostatic disease patients should be well guided by this in our environment. Keywords: Clinical presentations, prostatic diseases, prostatitis, benign prostatic hyperplasia, prostatic adenocarcinoma
背景:前列腺疾病是泌尿科医生经常遇到的泌尿科常见病。临床表现通常是直接的,但有时由于患者在我们的环境中延迟的表现,偶尔的症状和体征重叠或当与疾病相关的并发症发生时,具有挑战性。本研究确定在我们的临床设置泌尿科患者中,组织学诊断为前列腺疾病的患者临床表现的差异。材料和方法:在尼日利亚西北部Sokoto的Usmanu Danfodiyo大学教学医院进行了一项前瞻性横断面研究,对50例经直肠超声引导前列腺活检指征的泌尿科患者进行了研究。收集到半结构化问卷的数据包括:社会人口学参数、首发时的临床症状和体征、国际前列腺症状评分(IPSS)、合并症、直肠指检(DRE)和组织学结果。采用IBM社会科学统计软件包(SPSS)第25版(SPSS Inc;芝加哥,伊利诺伊州,美国)。变量之间的关系使用皮尔逊卡方检验确定,适当时使用Fisher精确检验。结果:研究期间共纳入50例患者,平均年龄67.32±9.11岁,年龄范围50-96岁。良性前列腺增生(BPH) 30例(60.0%),前列腺腺癌(PCa) 20例(40.0%)。1例(3.3%)BPH患者伴有慢性前列腺炎的相关特征。有统计学意义的前列腺腺癌临床表现为体重减轻、身体虚弱、恶病质、脸色苍白和直肠指检异常。结论:出现体重减轻、身体虚弱、恶病质、临床面色苍白以及可疑的直肠指检是提高前列腺癌的高度怀疑的重要表现。因此,在我们的环境中,与前列腺疾病患者接触的医生和泌尿科医生应该很好地接受这一指导。关键词:临床表现,前列腺疾病,前列腺炎,良性前列腺增生,前列腺腺癌
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引用次数: 0
Basaloid Squamous Cell Carcinoma of the Uterine Cervix in a Northern Nigerian Hospital: A Case Report and Review of Literature 尼日利亚北部一家医院的子宫颈基底样鳞状细胞癌1例报告及文献复习
Pub Date : 2022-06-30 DOI: 10.51658/abms.202231.14
G. Waziri, Sani K. Owolabi, Yusuf K. Gazali, Zainab Ali
Basaloid squamous cell carcinoma occurs very rarely in the uterine cervix. Basaloid squamous cell carcinoma is a form of squamous cell carcinoma with a poor prognosis that primarily affects persons in their late sixties and early seventies. This paper describes a case of Basaloid squamous cell carcinoma in the fifth decade that had spread to the myometrium, ovaries, and fallopian tubes. The macroscopic findings of a total abdominal hysterectomy and bilateral salphingo-oophorectomy revealed an ulcerative fungating tumor distorting the whole cervix and macroscopic invasion of the posterior uterine wall. Histologic features revealed a Basaloid tumour disposed in nest exhibiting peripheral palisading and stromal retraction with most of the nest having comedo pattern of necrosis. The tumour cells are fairly small uniform round cells, with scanty cytoplasm having increased nuclei cytoplasmic ratio with vesicular to open nuclei. Immunohistochemical stains; Cytokeratins, EMA, p63 and Ki-67 showed cytokeratin positivity and EMA strong and diffuse positivity. Keywords: Basaloid Squamous cell Carcinoma, uterine cervix, p63, EMA, Ber-EP4
基底样鳞状细胞癌很少发生在子宫颈。基底样鳞状细胞癌是一种预后不良的鳞状细胞癌,主要影响60多岁和70多岁的人。本文报告一例基底样鳞状细胞癌在第五个十年已经扩散到子宫肌层,卵巢和输卵管。腹部全子宫切除术及双侧卵巢切除术的宏观表现显示溃疡性真菌瘤扭曲整个子宫颈和宏观侵犯子宫后壁。组织学表现为巢内基底细胞样肿瘤,表现为周围栅栏和间质退缩,大部分巢呈粉刺样坏死。肿瘤细胞是相当小而均匀的圆形细胞,胞质稀少,核质比增大,核呈囊状与开放状。免疫组织化学染色;细胞角蛋白、EMA、p63和Ki-67呈细胞角蛋白阳性,EMA呈强阳性和弥漫性阳性。关键词:基底样鳞状细胞癌,宫颈,p63, EMA, Ber-EP4
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引用次数: 0
Conjunctival Bacterial Antibiotic Sensitivity Pattern in Patients Undergoing Cataract Surgery at the National Eye Centre, Kaduna, Nigeria 尼日利亚卡杜纳国家眼科中心白内障手术患者结膜细菌抗生素敏感性模式
Pub Date : 2022-06-30 DOI: 10.51658/abms.202231.3
Zakiyya Mahmoud, M. Umar, Y. Mohammed, M. Alhassan, O. Babalola, Pamela Sarki, S. S. Bulus
Background: Bacterial contamination from conjunctiva of surgical eye patients may lead to infective endophthalmitis and identification of conjunctival isolates and their antibiotic sensitivity would help in planning appropriate prophylactic interventions. The objective was to determine the predominant conjunctiva bacterial flora in patients scheduled for cataract surgery and their antibiotic sensitivity pattern. Materials and methods: The study comprised of 275 consecutive adult patients who underwent cataract surgery from January to April 2017 and met the inclusion criteria. The participants' socio-demographic characteristics, social, and medical history were obtained through interviewer-administered Questionnaire. Conjunctival swabs were collected from patients prior to cataract surgery and used to inoculate blood agar and chocolate agar plates and then incubated at 37°C for 18-24 hours. Bacterial identification was then carried out using standard. methods. Susceptibility testing was done on Mueller Hinton agar based on modified Kirby Bauer methods using the following drugs; Chloramphenicol, Ciprofloxacin, Ofloxacin, Levofloxacin, Imipenem, Cefuroxime, Ceftriaxone, Ceftazidime, Amikacin, Gentamicin, Tetracycline and Penicillin. Epi Info 7 software was used for univariate and bivariate data analysis as appropriate. Results: Bacterial growth was seen in 118 (42.9%) of the patients. The bacteria identified were: Staphylococcus epidermidis (48.3%); Staphylococcus aureus (44%); Gram positive bacilli (6%) and Streptococcus species (1.7%). The isolates were susceptible to Imipenem, Cefuroxime, Gentamicin, Chloramphenicol, Amikacin and Levofloxacin. Resistance to Tetracycline and Penicillin was also recorded. A statistically significant relationship was found between age and culture status (p = 0.0192). Conclusion: The predominant bacteria on the conjunctival sac were Staphylococcus epidermidis and Staphylococcus aureus, which were sensitive to some commonly perioperative antibiotics like chloramphenicol and gentamicin. Keywords: Cataract surgery; Conjunctival flora; Antibiotic sensitivity
背景:眼科手术患者结膜细菌污染可导致感染性眼内炎,鉴定结膜分离菌及其抗生素敏感性有助于制定适当的预防干预措施。目的是确定白内障手术患者的主要结膜菌群及其抗生素敏感性模式。材料与方法:本研究纳入2017年1月至4月连续接受白内障手术的275例成人患者,符合纳入标准。通过访谈者填写的问卷获得参与者的社会人口特征、社会史和病史。白内障手术前收集患者结膜拭子,接种血琼脂和巧克力琼脂平板,37℃孵育18-24小时。然后用标准品进行细菌鉴定。方法。采用改良Kirby Bauer法对Mueller Hinton琼脂进行药敏试验,试验药物为:氯霉素、环丙沙星、氧氟沙星、左氧氟沙星、亚胺培南、头孢呋辛、头孢曲松、头孢他啶、阿米卡星、庆大霉素、四环素和青霉素。适当时使用Epi Info 7软件进行单因素和双因素数据分析。结果:118例(42.9%)患者有细菌生长。检出的细菌有:表皮葡萄球菌(48.3%);金黄色葡萄球菌(44%);革兰氏阳性杆菌(6%)和链球菌(1.7%)。对亚胺培南、头孢呋辛、庆大霉素、氯霉素、阿米卡星、左氧氟沙星敏感。对四环素和青霉素的耐药性也有记录。年龄与文化状况有统计学意义(p = 0.0192)。结论:结膜囊上的优势细菌为表皮葡萄球菌和金黄色葡萄球菌,对氯霉素、庆大霉素等围手术期常用抗生素敏感。关键词:白内障手术;结膜植物;抗生素敏感性
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引用次数: 0
Preliminary Toxicity Studies of Methanol Stem Bark Extract of Lannea acida A. Rich (Anacardiaceae) in Wistar Rats 枸杞子甲醇茎皮提取物对Wistar大鼠毒性的初步研究
Pub Date : 2022-06-30 DOI: 10.51658/abms.202231.16
J. Ovosi, B. Bello-Ovosi, A. Zezi, I. Abdu-Aguye
Background: Despite the use of Lannea acida A. Rich for the treatment of many ailments, its safety profile has not been well-elucidated. We aim to determine the acute and subacute oral toxicity of methanol extract of stem bark of L. acida on Wistar rats. Materials and methods: For acute toxicity test, adult female Wistar rats (n = 5) received a single oral dose of 3000 mg/kg of methanol extract of stem back of L. acida by gavage at interval of 48 hours, and were observed for general behavior, adverse effects and mortality for 14 days. For subacute toxicity, 24 adult Wistar rats were divided into four groups (n = 6/group; male = female, 1:1). Group one received distilled water at th 10 ml/kg body weight while groups two, three and four received 250, 500 and 1000 mg/kg body weight of extract orally for 28 days. On the 29 day, rats were euthanized and morphological, biochemical, and hematological parameters determined. Results: Acute oral dose of 3000 mg/kg body weight did not produce any sign of toxicity or mortality in Wistar rats. Subacute treatment showed a decrease in the relative organ weight percent of the kidney at a dose of 1000 mg/kg body weight (P < 0.05); a decrease in the serum potassium across all the doses (P < 0.05), and a rise in serum alanine transaminase at 500 mg/kg (P < 0.05). Histology showed varying degrees of hepatic sinusoidal vascular congestion, peri-portal inflammation; as well as tubulointerstitial inflammation and glomerular necrosis at doses of 250, 500 and 1000 mg/kg. Conclusion: The acute oral median lethal dose (LD ) of methanol extract of the stem bark of L. acida is greater than 3000 mg/kg body weight. 50 Twenty-eight day daily oral doses of more than 250 mg/kg may have nephrotoxic and hepatotoxic effects in Wistar rats. Keywords: Lannea acida, Wistar, toxicity, acute, sub-acute
背景:尽管Lannea acida . Rich用于治疗许多疾病,但其安全性尚未得到很好的阐明。本实验旨在测定枸杞茎皮甲醇提取物对Wistar大鼠的急性和亚急性口服毒性。材料与方法:急性毒性试验,取成年雌性Wistar大鼠(n = 5),每隔48 h灌胃单次给药3000 mg/kg枸杞茎背甲醇提取物,观察14 d的一般行为、不良反应及死亡率。亚急性毒性实验,24只成年Wistar大鼠分为4组(n = 6/组;男性=女性,1:1)。第1组灌胃10 ml/kg体重的蒸馏水,第2、3、4组灌胃250、500、1000 mg/kg体重的提取物,连续28 d。第29天对大鼠实施安乐死,测定形态学、生化和血液学参数。结果:急性口服剂量3000mg /kg体重对Wistar大鼠无任何毒性和死亡迹象。亚急性治疗时,1000mg /kg体重剂量使肾脏相对脏器重量百分比降低(P < 0.05);各剂量组血清钾均降低(P < 0.05), 500 mg/kg组血清丙氨酸转氨酶升高(P < 0.05)。组织学表现为不同程度的肝窦血管充血,门静脉周围炎症;剂量分别为250、500和1000 mg/kg时,可引起小管间质炎症和肾小球坏死。结论:枸杞茎皮甲醇提取物急性口服中位致死量(LD)大于3000 mg/kg体重。50在Wistar大鼠中,每日口服剂量超过250mg /kg的28天可能具有肾毒性和肝毒性作用。关键词:枸杞酸,Wistar,毒性,急性,亚急性
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引用次数: 0
Cephalometric Analysis of Sphenoid Sinus Dimensions for Sex Identification: A Radiologic Study 蝶窦尺寸的头颅测量分析用于性别鉴定:一项放射学研究
Pub Date : 2022-06-30 DOI: 10.51658/abms.202231.10
A. Abdulhameed, A. D. Zagga
Background: Post-mortem identification of human remains with severe crushing and mutilating skeletal injuries from mass burials and natural disasters, is a challenging forensic procedure. Gender determination from skeletal remains requires a comparison between established ante-mortem data and post-mortem findings from mostly intact, easily recoverable parts of the skeleton, like the skull base sphenoid bone. Computed tomography, being the gold standard for radiological assessment of the paranasal sinuses, offers accurate and precise information about skeletal tissues. The aim of the study was to determine the sex of subjects from measurements of the sphenoid sinus using computerized tomography. Materials and Methods: Computerised tomography images of 323 adult sphenoid sinuses, obtained over a six-year period, from individuals whose ages ranged from 18 to 80 years were recruited, and the study was conducted at the Radiology Department of the Usmanu Danfodiyo University Teaching Hospital, Sokoto, following ethical approval. Images were taken with a GE Brightspeed Multidetector Helical CT Scanner, the anteroposterior, craniocaudal and transverse dimensions were measured on sagittal reformatted, axial and coronal reconstructed CT images respectively, and the volumes were determined. Measurements were taken in millimetres, between the widest points at the middle of the sinus walls from three-dimensional reconstructed images using the RadiAnt Version 4.2 (Medixant, 2017), powered by the Digital Imaging and Communication in Medicine (DICOM) viewer software. These images were viewed on bone windows. Results: Sinus volume and the transverse diameter, each correctly classified the sexes of subjects, in 60.4% of cases. However, when all the measured parameters of the sinus were analysed together as a single factor for sex determination, an overall value of 57.6% was obtained. Conclusion: Computerized Tomography measurements of sphenoid sinus dimensions could be useful in support of gender identification in unknown severely damaged human remains with speared sphenoid bone. Keywords: Sex, Sphenoid, CT, Forensic Anthropology
背景:大规模埋葬和自然灾害造成的骨骼严重破碎和致残的人类遗骸的死后鉴定是一项具有挑战性的法医程序。从骨骼遗骸中确定性别需要将已确定的死前数据与死后的发现进行比较,这些发现来自于大部分完整的、容易恢复的骨骼部分,如颅底蝶骨。计算机断层扫描,作为鼻窦放射学评估的金标准,提供了关于骨骼组织的准确和精确的信息。该研究的目的是通过使用计算机断层扫描测量蝶窦来确定受试者的性别。材料和方法:收集了323张成人蝶窦的计算机断层扫描图像,这些图像来自年龄在18岁至80岁之间的个体,研究在索科托Usmanu Danfodiyo大学教学医院放射科进行,经伦理批准。采用GE Brightspeed多探测器螺旋CT扫描,分别在矢状面重构、轴向重构、冠状面重构的CT图像上测量正位、颅侧和横向尺寸,并确定体积。使用辐射4.2版(Medixant, 2017),由医学数字成像和通信(DICOM)查看器软件提供支持,从三维重建图像中测量鼻窦壁中间最宽点之间的毫米。这些图像是在骨窗上观看的。结果:鼻窦容积和横径对受试者性别的正确分类率为60.4%。然而,当将所有测量到的窦性参数作为单一因素进行分析时,得出的结果为57.6%。结论:计算机断层扫描测量的蝶骨窦尺寸可用于支持性别鉴定的未知严重损伤的蝶骨骨矛。关键词:性别,蝶骨,CT,法医人类学
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引用次数: 0
Seroprevalence of Herpes Simplex Virus Type Two in Patients Attending General Outpatient Clinic in Sokoto 索科托普通门诊患者单纯疱疹病毒2型血清阳性率
Pub Date : 2022-06-30 DOI: 10.51658/abms.202231.6
S. Hudu, N. Hamal
Introduction: The herpes simplex virus type 2 (HSV-2) infection is a common sexually transmitted illness with a large disease burden, with the largest disease burden in Sub-Saharan Africa. Researchers and policymakers can benefit from a source of detailed data on the prevalence of herpes simplex virus types 1 and 2 (HSV-1 and HSV-2). Objective: This study determined the seroprevalence of HSV-2 infection among patients presenting with fever at the specialist hospital Sokoto. Methodology: Commercial HSV type-1&-2 specific IgG Enzyme-Linked Immunosorbent Assay (ELISA) kits were used to analyse serum samples from 92 randomly selected patients. The association between infection and socio-demographic characteristics was determined using the Chi-square test using SPSS version 22 (IBM, Inc., Chicago, IL, USA). Results: The seroprevalence of HSV-2 was found to be 54.3% (n=50); antibodies to the virus were found in all of the patients. Male patients 21(67.7%) and single patients 23(63.9%) had a higher HSV-2 prevalence than married individuals who constituted 48% of the patients having seropositive HSV (P= 0.141). Those who did not practice protective sex had a higher seroprevalence of HSV-2 (52.8 %: 28/53). Conclusion: HSV-2 infection was found in more than half of the patients. It is therefore recommended that comprehensive, large nationally surveys should be carried out to guide policy and planning. Keywords: Sero-prevalence, HSV-2, Sokoto
2型单纯疱疹病毒(HSV-2)感染是一种常见的性传播疾病,疾病负担很大,撒哈拉以南非洲地区的疾病负担最大。研究人员和决策者可以从关于1型和2型单纯疱疹病毒(HSV-1和HSV-2)流行情况的详细数据来源中受益。目的:本研究确定索科托专科医院发热患者中2型单纯疱疹病毒感染的血清阳性率。方法:使用商业HSV 1型和2型特异性IgG酶联免疫吸附试验(ELISA)试剂盒对随机选择的92例患者的血清样本进行分析。使用SPSS 22 (IBM, Inc., Chicago, IL, USA)使用卡方检验确定感染与社会人口统计学特征之间的关系。结果:血清HSV-2阳性率为54.3% (n=50);所有病人体内都发现了这种病毒的抗体。男性患者21例(67.7%)和单身患者23例(63.9%)的HSV-2患病率高于已婚患者(占HSV血清阳性患者的48%)(P= 0.141)。未采取保护性行为者HSV-2血清阳性率较高(52.8%:28/53)。结论:半数以上患者存在单纯疱疹病毒2型感染。因此,建议进行全面、大规模的全国调查,以指导政策和规划。关键词:血清患病率;HSV-2; Sokoto
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