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Career Aspirations of Medical Students and Medical Interns in Ghana. Is there a difference? 加纳医科学生和实习生的职业抱负。有区别吗?
Pub Date : 2018-06-30 DOI: 10.31173/bomj.bomj_87_15
Yifieyeh Ac, B. Duduyemi, E Kumahor, E Kotoku, Moses Mo, P Fefemwole, Akwetey Fm
Background: Understanding the reasons for the selection of medical specialties by medical graduates is necessary for policy formulation and targeted mentoring to prevent a skewing of the lean resources and maximize the improving doctor to patient ratio in Ghana. This is particularly so due to an increase in the desire for specialization among medical graduates since the establishment of the Ghana College of Physicians and Surgeons. Methodology: A cross-sectional study was designed. To consenting first and final year clinical students of the School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana and first and second year medical interns at Komfo Anokye Teaching Hospital and Sunyani Regional Hospital respectively were administered semi – structured questionnaires. Data were analysed with SPSS version 24 and result put in tables and graphs Result: Three hundred and forty and 100 questionnaires were administered to students and interns with 92% and 75% responders’ rate respectively. The M: F ratio for students and interns were 1.23:1 and 1.34:1 respectively. Postgraduate specialization and additional qualification were desired by all categories irrespective of sex, financial or family consideration. Surgery (43.9% students; 33.3% interns) and Internal Medicine (23.8% students; 24% interns) were the 2 most popular choices. Conclusion: While Surgery and Internal Medicine appeared to be the favoured choices by our students and interns, deliberate effort through mentoring is required to avert lop-sidedness in workforce in our
背景:了解医学毕业生选择医学专业的原因是必要的政策制定和有针对性的指导,以防止精益资源的倾斜,最大限度地提高医患比在加纳。这是由于自加纳内科和外科医生学院成立以来,医学毕业生对专业化的渴望有所增加。方法:设计横断面研究。对加纳库马西夸梅·恩克鲁玛科技大学医学院一年级和最后一年级的临床学生以及Komfo Anokye教学医院和Sunyani地区医院一年级和二年级的医学实习生分别进行了半结构化问卷调查。结果:共发放学生问卷340份,实习生问卷100份,回复率分别为92%和75%。学生和实习生的M: F比值分别为1.23:1和1.34:1。不论性别、经济状况或家庭考虑,所有类别的人都希望获得研究生专业和额外资格。外科(43.9%)学生;实习生占33.3%)和内科(学生占23.8%;(24%实习生)是最受欢迎的两个选择。结论:虽然外科和内科似乎是我们的学生和实习生的首选,但需要通过指导的刻意努力来避免我们的劳动力不平衡
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引用次数: 0
Removal of Distally Migrated Cannulated Interlocking Tibial Nail Using Schanz Screw: A Case Report 用Schanz螺钉拔除远端移位的空心交锁胫骨钉1例
Pub Date : 2018-06-30 DOI: 10.31173/BOMJ.BOMJ_91_15
Mamuda Aa, B. Bello
Background: Distal migration of nails is one of the reasons for nails removal, though they are hardly reported in relation to cannulated interlocking nails. Objectives: To present a rare case of distally migrated cannulated interlocking nail of the tibia and a proposed technique for the removal of the nail using Schanz screw. Case: A 55year old woman had cannulated interlocking nailing for diaphyseal left tibial fracture 5 years prior to presentation. She later had septic loosening of the distal locking screw with subsequent symptomatic distal migration of the nail despite united osteosynthesis. Attempt at free hand removal using conventional instruments failed due to increased distance of the nail from the entry point, malrotation and lack of visibility of the nail following obliteration by fibrous and granulation tissues within the nail cavity. Thus, an improvisation with Schanz screw, due to its threading surface was used to capture and remove the nail successfully without any cortical damage of the bone. Conclusion: The use of Schanz screw is a safe, cheap and effective means of free hand removal of distally migrated cannulated interlocking nails.
背景:远端指甲迁移是指甲移除的原因之一,尽管很少有关于空心互锁指甲的报道。目的:报告一例罕见的胫骨远端移位的空腔联锁钉,并提出一种使用Schanz螺钉去除该钉的方法。病例:一名55岁女性在就诊前5年因左胫骨骨干骨折行空心交锁钉治疗。她后来发生脓毒性远端锁定螺钉松动,尽管骨愈合,但随后出现了症状性远端钉子移动。由于指甲与入钉点的距离增加,旋转不良以及指甲腔内纤维组织和肉芽组织阻塞后指甲缺乏可视性,使用传统器械徒手移除的尝试失败。因此,临时使用Schanz螺钉,由于其螺纹表面被用来成功捕获和移除钉子,而没有任何骨皮质损伤。结论:Schanz螺钉是一种安全、廉价、有效的徒手去除远端游离中空交锁钉的方法。
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引用次数: 0
Heterotopic pregnancies following natural conception; a review of four cases 自然受孕后异位妊娠;回顾四个案例
Pub Date : 2018-06-30 DOI: 10.31173/bomj.bomj_99_15
Muhammad B. Aminu, Lamaran M. Dattijo, Aliyu U. Elnafaty
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引用次数: 0
Colorectal Polyps in Kano: A Ten Year Histopathological Review 卡诺结直肠息肉:十年组织病理学回顾
Pub Date : 2018-06-30 DOI: 10.31173/bomj.bomj_82_15
Y. Ibrahim, Aminu Dahiru MC Dahiru MC
Background: Colorectal polyps are mucosal growths that occur in the large intestines. The adenomatous variants are precursors of colorectal cancer which is the third and fourth most common cancer among males and females respectively. Objectives: This study documents the frequency, distribution and histopathological characteristic of colorectal polyps in our centre. Method: This was a 10-year retrospective study of colorectal polyps diagnosed in the Pathology laboratory of a tertiary hospital from 2007 to 2016. Archived histopathology slides were reviewed to confirm the diagnosis. Relevant clinical information was obtained from patients' request forms. Data were presented as mean, standard deviation, frequencies and percentages. Relationships between neoplastic polyps and age, gender and anatomic site were measured using Fishers exact test. Result: There were 124 cases of colorectal polyps recorded. Of these, were 82 (66.0%) males and 42 (34.0%) females (M:F=1.9:1). The average age at presentation was 29.0 ±23.6 years. Highest frequency of 45(36.2%) cases was in the 1st decade of life. There were 87(70.0%) cases in distal colon/rectum while 37(30.0%) were in the proximal colon. Juvenile polyps had the highest frequency overall, (60 cases, 48.0%), followed by tubular adenoma (31 cases, 25.0%), hyperplasic polyp (11 cases, 8.9%), villous adenoma (9 cases,7.3%), inflammatory polyp (6 cases,4.8%), tubulo-villous adenoma (3 cases, 2.4%), retention polyp (2 cases, 1.6%) and sessile serrated polyp (2 cases, 1.6%). There were 43 (34.7%) cases of neoplastic polyps. The average age of patients with neoplastic polyps was 47.3 years and they are located mostly in proximal colon (23/37 cases) (P<0.05). Conclusion: Colorectal polyps are common in our environment especially juvenile polyp encountered mostly in children. We recorded significantly lower prevalence, lower mean age at presentation of neoplastic polyps compared to Western populations. This highlights the need for earlier age screening colonoscopy to detect and treat premalignant polyps.
背景:结直肠息肉是发生在大肠的粘膜生长。腺瘤变异体是结直肠癌的前兆,结直肠癌分别是男性和女性中第三和第四大最常见的癌症。目的:本研究记录了本中心结直肠息肉的频率、分布和组织病理学特征。方法:对某三级医院病理实验室2007 - 2016年诊断为结直肠息肉的患者进行10年回顾性研究。复习存档的组织病理学切片以确认诊断。从患者的申请表中获取相关临床信息。数据以平均值、标准差、频率和百分比表示。采用fisher精确检验法测定肿瘤息肉与年龄、性别、解剖部位的关系。结果:本组共记录结肠直肠息肉124例。其中男性82例(66.0%),女性42例(34.0%)(M:F=1.9:1)。平均发病年龄29.0±23.6岁。最高发生率为45例(36.2%),发生在生命前10年。结直肠远端87例(70.0%),近端37例(30.0%)。青少年型息肉发病率最高,为60例(48.0%),其次为管状腺瘤(31例,25.0%)、增生性息肉(11例,8.9%)、绒毛状腺瘤(9例,7.3%)、炎性息肉(6例,4.8%)、管状-绒毛状腺瘤(3例,2.4%)、滞留性息肉(2例,1.6%)和无根锯齿状息肉(2例,1.6%)。肿瘤性息肉43例(34.7%)。肿瘤性息肉患者的平均年龄为47.3岁,以结肠近端多见(23/37)(P<0.05)。结论:结直肠息肉在我们的环境中是常见的,尤其是青少年息肉多见于儿童。与西方人群相比,我们记录了明显较低的患病率,较低的肿瘤息肉出现的平均年龄。这突出了早期结肠镜检查发现和治疗癌前息肉的必要性。
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引用次数: 0
Pattern of Cancers at a Rural Referral Centre in North-Eastern Nigeria 尼日利亚东北部农村转诊中心的癌症模式
Pub Date : 2018-06-30 DOI: 10.31173/bomj.bomj_103_15
H. Usman, B. Audu, I. Sanusi, M. Bukar, Pindiga U. Hamidu
Background: Cancers have wide regional, urban/rural variations in reported prevalence. Objectives: To determine the baseline pattern of cancers in the first 5 years from Hospital-based records of cancer cases at Federal medical centre Nguru, Northeast Nigeria. Methods: A retrospective review of all histologically confirmed cancer cases managed at a rural referral tertiary health facility in Northeast Nigeria for the period 1st January, 2009 to 31st December, 2013 was undertaken. Results: Of the 237 histological specimens during the period under review, 165 (69.6%) were cancers. Female cancers (n=101; 61%) were more than male cancers (n=64; 39%) and the mean age (±SD) for all cancers was 48.1(±18.7) years. The mean age for cancer was lower in females (Student t-test 5.103, P < 0.001). The mean ages for the 3 commonest cancers in this centre were; 45.1 ± 15.2 years for breast; 49±10.9 years for cancer of the cervix and 67.4±7.6 years for prostate cancer. The commonest cancer sites were in the female and male genital tracts. However, review of individual cancers showed that breast cancer was the commonest (n=31; 18.8%) followed by prostate cancer (n=29; 17.6%). The 3rd commonest cancer was that of the cervix which constituted 11.5% (n=19). Skin (excluding melanoma), gastrointestinal, head and neck and melanoma constituted 8.0%, 6.6%, 6.0% and 4.2% respectively. Only 1 case of childhood cancer (endodermal sinus tumour) was seen in an 18 months old child while cancers in teenage age group (1319 years) constituted 3% (n=5); there were 2 squamous cell carcinoma of the skin, 1 each for Hodgkin’s lymphoma, osteosarcoma and a retinoblastoma. Conclusion: The pattern of cancers in this rural population is similar to findings in other parts of the country. Women have the highest burden but a lower mean age of cancers in this study. Breast, prostate and cervical cancers were the 3 commonest cancers constituting 48% of the cancer burden. There is the need for strategic preventive measures, including the establishment of an oncology unit, to reduce the burden of cancers in this community.
背景:报告的癌症患病率存在广泛的区域差异、城市/农村差异。目的:从尼日利亚东北部Nguru联邦医疗中心的医院癌症病例记录中确定前5年癌症的基线模式。方法:对2009年1月1日至2013年12月31日期间在尼日利亚东北部农村转诊三级卫生机构管理的所有组织学确诊癌症病例进行回顾性分析。结果:237例组织学标本中,165例(69.6%)为肿瘤。女性癌症(n=101;61%)多于男性癌症(n=64;39%),所有癌症的平均年龄(±SD)为48.1(±18.7)岁。女性患癌的平均年龄较低(学生t检验5.103,P < 0.001)。该中心三种最常见癌症的平均年龄是;乳房45.1±15.2岁;宫颈癌为49±10.9年,前列腺癌为67.4±7.6年。最常见的癌症部位是女性和男性生殖道。然而,对个体癌症的回顾显示,乳腺癌是最常见的(n=31;18.8%),其次是前列腺癌(n=29;17.6%)。第三常见的癌症是子宫颈癌,占11.5% (n=19)。皮肤(不含黑色素瘤)、胃肠道、头颈部和黑色素瘤分别占8.0%、6.6%、6.0%和4.2%。只有1例儿童癌症(内胚层窦瘤)发生在18个月大的儿童中,而青少年年龄组(1319岁)癌症占3% (n=5);皮肤鳞状细胞癌2例,霍奇金淋巴瘤、骨肉瘤和视网膜母细胞瘤各1例。结论:该农村人口的癌症模式与该国其他地区的发现相似。在这项研究中,女性患癌症的负担最重,但平均年龄较低。乳腺癌、前列腺癌和子宫颈癌是最常见的三种癌症,占癌症负担的48%。有必要采取战略性预防措施,包括建立一个肿瘤科,以减轻这个社区的癌症负担。
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引用次数: 1
Pterygium Excision with Primary Closure in Sokoto, North West Nigeria 在尼日利亚西北部索科托进行翼状胬肉切除并初步闭合
Pub Date : 2018-06-30 DOI: 10.31173/bomj.bomj_86_15
Mohammed Dantani Adamu
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引用次数: 0
Physical activity and quality of life among adults in Maiduguri, Nigeria 尼日利亚迈杜古里成年人的身体活动和生活质量
Pub Date : 2018-06-30 DOI: 10.31173/bomj.bomj_76_15
Rufa’i Aa, Oyeyemi Al, Salamatu Ua, Saidu Ia, Aishatu Us, Oyeyemi Ay
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引用次数: 0
Lund-Mackay Scoring of Incidental Paranasal Sinus Collection on Computed Tomography Scan of Head and Neck in the University of Benin Teaching Hospital, Nigeria 尼日利亚贝宁大学教学医院头颈部计算机断层扫描偶然鼻窦收集的Lund-Mackay评分
Pub Date : 2018-06-30 DOI: 10.31173/bomj.bomj_97_15
Ighodaro O. Emmanuel, Ehigiamusoe O. Festus
Background: Many a times during computed tomography scan of the head and neck, incidental density is noted in the paranasal sinuses in patients who are asymptomatic and there is need to document the degree of such opacification. Objectives: To document the opacification and generate a numerical scoring system described as Lund Mackay Score which eases communication between the Radiologist and the referring Ear, Nose and Throat Surgeon in describing sinusitis. Methods: This is a prospective study done in the Radiology Department of University of Benin Teaching Hospital, Benin, Edo, Nigeria. A total of 150 patients were enrolled for this study with 62% being male and 38% being females. They were patients who had cranial and neck computed tomography scans for pathologies other than that related to the sinuses. Results: The mean age of the study population was 52.70±18.71years. Cerebro-vascular accident was the commonest indication for computed tomography scan in this study (49.3%). The total Lund Mackay Score was 0.803±2.90 for all sinuses being 0.417±1.47 for the right sinuses and 0.386±1.43 for the left sinuses. For the right, the maxillary sinus had the highest Lund Mackay Score with a value of 0.210±0.46 while the posterior ethmoidal sinus had the least Lund Mackay Score with a value of 0.027±0.16. For the left sinuses, the maxillary sinus also had the highest Lund Mackay Score value of 0.173±0.40.The posterior ethmoidal sinus also had least Lund Mackay Score value of 0.033±0.18. The Lund Mackay Score of the osteomeatal complex was 0.013±0.12 and 0.007±0.08 for the right and left respectively. Conclusion: This study has documented the Lund Mackay score for incidental paranasal sinus opacification as seen on computed tomography scan in our environment.
背景:在头部和颈部的计算机断层扫描中,多次在无症状的患者鼻窦中发现偶然的密度,需要记录这种混浊的程度。目的:记录混浊并生成一个称为Lund Mackay评分的数字评分系统,该评分系统简化了放射科医生和耳鼻喉外科医生在描述鼻窦炎时的沟通。方法:这是一项前瞻性研究,在贝宁大学教学医院放射科,贝宁,埃多,尼日利亚。共有150名患者参加了这项研究,其中62%为男性,38%为女性。他们都是接受过颅颈部计算机断层扫描的患者,检查与鼻窦无关的病变。结果:研究人群平均年龄为52.70±18.71岁。脑血管意外是本研究中最常见的计算机断层扫描指征(49.3%)。所有鼻窦的Lund Mackay总分为0.803±2.90,其中右鼻窦0.417±1.47,左鼻窦0.386±1.43。右侧上颌窦Lund Mackay评分最高,为0.210±0.46,后筛窦Lund Mackay评分最低,为0.027±0.16。左窦中上颌窦的Lund Mackay Score值也最高,为0.173±0.40。后筛窦的Lund Mackay评分最低,为0.033±0.18。右侧和左侧骨臼复合体Lund Mackay评分分别为0.013±0.12和0.007±0.08。结论:本研究记录了在我们的环境中,在计算机断层扫描上看到的偶发性鼻窦混浊的Lund Mackay评分。
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引用次数: 0
A Ten-Year Review of Childhood Pattern of Endocrine Disorders seen in Federal Teaching Hospital Gombe 冈贝联邦教学医院儿童内分泌失调十年回顾
Pub Date : 2018-06-27 DOI: 10.31173/bomj.bomj_70_15
al-Tawil Ys, S. Adamu, Ab Ningi, A. Girbo
Background: The endocrine system is a network of glands which produce hormones that regulate metabolic functions of other cells and organs. Disruption of this system results in abnormalities of growth, development and reproduction. These conditions are not rare in childhood but due to lack of diagnostic facilities, they are not looked for and are therefore under-reported. However, they should be detected early and managed promptly to avert the morbidity and possible mortality that may be associated. Objectives: To describe the pattern of childhood endocrine diseases in Federal Teaching Hospital Gombe. Methodology: A retrospective hospital-based study in which data were extracted from case notes of children with endocrine disorders. These case notes were traced from the registers of all paediatrics units and general out-patient departments. These case notes were subsequently reviewed and relevant data extracted and entered unto a proforma. Outcome measures as well as complications of those admitted were also noted. Results: Ninety-four out of 14,943 paediatric cases seen were endocrine disorders giving a prevalence of 6.3/1000 with a male/female ratio of 1.5/1. Most of the cases (75%) presented before the age of ten years and Type 1 Diabetes Mellitus was the commonest disorder recorded. Conclusion: Type 1 Diabetes Mellitus is the commonest paediatric endocrine disorder seen in Federal Teaching Hospital Gombe.
背景:内分泌系统是一个由腺体组成的网络,它产生调节其他细胞和器官代谢功能的激素。这个系统的破坏会导致生长、发育和繁殖的异常。这些情况在儿童时期并不罕见,但由于缺乏诊断设施,没有进行查找,因此报告不足。但是,应及早发现并及时处理,以避免可能相关的发病和可能的死亡。目的:了解贡贝联邦教学医院儿童内分泌疾病的特点。方法:一项基于医院的回顾性研究,数据来自内分泌失调儿童的病例记录。这些病例记录是从所有儿科单位和普通门诊部的登记册中追查到的。随后对这些案件记录进行了审查,并提取了相关数据并录入了形式表。结果测量以及入院患者的并发症也被记录下来。结果:14943例儿科病例中有94例为内分泌紊乱,患病率为6.3/1000,男女比例为1.5/1。大多数病例(75%)出现在10岁之前,1型糖尿病是最常见的疾病。结论:1型糖尿病是冈贝联邦教学医院最常见的儿科内分泌疾病。
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引用次数: 0
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