Pub Date : 2017-07-01DOI: 10.4103/archms.archms_29_17
A. Silas
Aim: To describe the causes, visual potential and the proportion of aphakics that can be prevented from being blind in BDTH, Kaduna. Method: A retrospective review, the records of all aphakics that had refraction from January 2011 and December 2015 was retrieved from the refraction unit of our hospital. Patient's biodata, presenting visual acuity, corrected visual acuity, spherical correction and diagnosis were extracted and analyzed using SPSS version 20. Outcome Measures: Presenting visual acuity, corrected Visual acuity and spherical correction. Results: In 5 years, 56 eyes of 42 patients were refracted, with a mean age of 68.9years, 24 (54.8%) were males and 19 (42.2%) were females. Aphakia was caused by surgery in 29 (51.8%), couching in 23 (41.1%) and trauma in 4 (7.1%). Most eyes were corrected with +10D lens and aphakic spectacles could prevent 45 (83.4%) eyes from blindness. Visual outcome depended on the aetiologic cause of aphakia. Conclusion: There are still a few patients blind from aphakia mainly following cataract surgery. Adequate refraction and provision of spectacles can prevent blindness in a large proportion.
{"title":"Aphakia: A 5-Year review at Barau Dikko Teaching Hospital, Kaduna, North-west Nigeria","authors":"A. Silas","doi":"10.4103/archms.archms_29_17","DOIUrl":"https://doi.org/10.4103/archms.archms_29_17","url":null,"abstract":"Aim: To describe the causes, visual potential and the proportion of aphakics that can be prevented from being blind in BDTH, Kaduna. Method: A retrospective review, the records of all aphakics that had refraction from January 2011 and December 2015 was retrieved from the refraction unit of our hospital. Patient's biodata, presenting visual acuity, corrected visual acuity, spherical correction and diagnosis were extracted and analyzed using SPSS version 20. Outcome Measures: Presenting visual acuity, corrected Visual acuity and spherical correction. Results: In 5 years, 56 eyes of 42 patients were refracted, with a mean age of 68.9years, 24 (54.8%) were males and 19 (42.2%) were females. Aphakia was caused by surgery in 29 (51.8%), couching in 23 (41.1%) and trauma in 4 (7.1%). Most eyes were corrected with +10D lens and aphakic spectacles could prevent 45 (83.4%) eyes from blindness. Visual outcome depended on the aetiologic cause of aphakia. Conclusion: There are still a few patients blind from aphakia mainly following cataract surgery. Adequate refraction and provision of spectacles can prevent blindness in a large proportion.","PeriodicalId":93819,"journal":{"name":"The Archives of comparative medicine and surgery","volume":"21 1","pages":"84 - 88"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81621473","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}
Pub Date : 2017-07-01DOI: 10.4103/archms.archms_50_17
S. Asuke, Jesubunmi Mary Babatunde, M. Ibrahim
Introduction: Periodic health examination (PHE) serves as a medium through which the workpeople receive recommended interventions to help them remain in a state of fitness throughout their period of employment. This study comparatively analyzed the awareness and practice of PHE among workers in public and private establishments in Zaria, Kaduna State, Northwestern Nigeria. Materials and Methods: A cross-sectional, descriptive study was carried out among 115 workers in private and 140 in public establishments in Zaria town, selected through a multi-stage sampling technique. Data were collected using a structured, self-administered questionnaire containing close-ended questions. Data were analyzed using SPSS version 17.0. Results: The mean age of the workers was 34.04 ± 9.65 years in private and 40.94 ± 8.99 years in public establishments. Majority of the workers in public 106 (93.0%) and private 125 (89.3%) were aware of PHE, but only 42.0% in private and 44.3% in public establishments had a good practice. Conclusion: The awareness of PHE among workers in both public and private establishments in Zaria was high; however, the practice was generally poor. There is the need for an intervention study among the establishments that will help translate such high awareness into practice for their benefit.
{"title":"A comparative analysis of the awareness and practice of periodic health examination among workers of public and private establishments in Zaria, Northwestern Nigeria","authors":"S. Asuke, Jesubunmi Mary Babatunde, M. Ibrahim","doi":"10.4103/archms.archms_50_17","DOIUrl":"https://doi.org/10.4103/archms.archms_50_17","url":null,"abstract":"Introduction: Periodic health examination (PHE) serves as a medium through which the workpeople receive recommended interventions to help them remain in a state of fitness throughout their period of employment. This study comparatively analyzed the awareness and practice of PHE among workers in public and private establishments in Zaria, Kaduna State, Northwestern Nigeria. Materials and Methods: A cross-sectional, descriptive study was carried out among 115 workers in private and 140 in public establishments in Zaria town, selected through a multi-stage sampling technique. Data were collected using a structured, self-administered questionnaire containing close-ended questions. Data were analyzed using SPSS version 17.0. Results: The mean age of the workers was 34.04 ± 9.65 years in private and 40.94 ± 8.99 years in public establishments. Majority of the workers in public 106 (93.0%) and private 125 (89.3%) were aware of PHE, but only 42.0% in private and 44.3% in public establishments had a good practice. Conclusion: The awareness of PHE among workers in both public and private establishments in Zaria was high; however, the practice was generally poor. There is the need for an intervention study among the establishments that will help translate such high awareness into practice for their benefit.","PeriodicalId":93819,"journal":{"name":"The Archives of comparative medicine and surgery","volume":"11 1","pages":"38 - 42"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75491672","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}
Pub Date : 2017-07-01DOI: 10.4103/archms.archms_27_17
B. Babu, I. Ali, S. R. Kumar, M. Shaik, Sagar A Naidu, A. Qureshi, Abhinav Kumar, A. Nayyar
Context: Numerous methods have been used for obtaining intermaxillary fixation (IMF) in the treatment of mandibular fractures. Conventional methods such as arch bars and eyelet wires have been the most common methods for achieving IMF, but they have their own disadvantages. During the last two decades, IMF using intraoral, self-tapping IMF screws have been introduced for the treatment of minimally displaced fractures of the mandible. The present case control study evaluated the efficacy and associated complications of self-tapping IMF screws in the treatment of minimally displaced mandibular fractures. Materials and Methods: A total of twenty patients of minimally displaced mandibular fractures were divided into two groups and were treated with open and closed reduction methods using self-tapping IMF screws to evaluate the efficacy of IMF screws and associated complications. Results: The most common complications encountered were pain and edema in almost all patients. In Group I treated with open reduction, damage to the roots of teeth occurred in two patients, which later became nonvital after 6 weeks, while in Group II treated with closed reduction, two patients were seen with tissue overgrowth and screw loosening. In one case, postoperative malocclusion was also observed in Group I. Conclusion: Use of self-tapping IMF screws for IMF is a valid alternative to conventional methods in the treatment of minimally displaced mandibular fractures. Iatrogenic injury to roots of the teeth is the most important complication of the IMF screws but that can be minimized and/or overcome by a careful evaluation and treatment planning of the cases.
{"title":"Intermaxillary fixation (IMF) Screws in minimally displaced mandibular fractures: A case control study","authors":"B. Babu, I. Ali, S. R. Kumar, M. Shaik, Sagar A Naidu, A. Qureshi, Abhinav Kumar, A. Nayyar","doi":"10.4103/archms.archms_27_17","DOIUrl":"https://doi.org/10.4103/archms.archms_27_17","url":null,"abstract":"Context: Numerous methods have been used for obtaining intermaxillary fixation (IMF) in the treatment of mandibular fractures. Conventional methods such as arch bars and eyelet wires have been the most common methods for achieving IMF, but they have their own disadvantages. During the last two decades, IMF using intraoral, self-tapping IMF screws have been introduced for the treatment of minimally displaced fractures of the mandible. The present case control study evaluated the efficacy and associated complications of self-tapping IMF screws in the treatment of minimally displaced mandibular fractures. Materials and Methods: A total of twenty patients of minimally displaced mandibular fractures were divided into two groups and were treated with open and closed reduction methods using self-tapping IMF screws to evaluate the efficacy of IMF screws and associated complications. Results: The most common complications encountered were pain and edema in almost all patients. In Group I treated with open reduction, damage to the roots of teeth occurred in two patients, which later became nonvital after 6 weeks, while in Group II treated with closed reduction, two patients were seen with tissue overgrowth and screw loosening. In one case, postoperative malocclusion was also observed in Group I. Conclusion: Use of self-tapping IMF screws for IMF is a valid alternative to conventional methods in the treatment of minimally displaced mandibular fractures. Iatrogenic injury to roots of the teeth is the most important complication of the IMF screws but that can be minimized and/or overcome by a careful evaluation and treatment planning of the cases.","PeriodicalId":93819,"journal":{"name":"The Archives of comparative medicine and surgery","volume":"17 1","pages":"43 - 47"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78920865","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}
Pub Date : 2017-07-01DOI: 10.4103/archms.archms_8_17
F. Adiri, C. Ejembi
Introduction: This study assessed two strategies for distribution of misoprostol using identified and trained community persons (village heads) and distribution in a Primary Health Care (PHC) facility during antenatal visits and its uptake for the prevention of postpartum hemorrhage (PPH) in two semi-urban communities in Sabon-Gari Local Government Area of Kaduna State, Northwest Nigeria. Materials and Methods: Using a quasi-experimental study design, two semi-urban communities, Hayin Dogo and Basawa, in Sabon-Gari LGA of Kaduna State were selected, and each was assigned either of the two misoprostol distribution methods using balloting. At baseline, 300 women who had delivered within 6 months of onset of the study were sampled in the two communities using multistage sampling technique. Using structured, interviewer-administered questionnaires, information was collected on their knowledge of PPH, misoprostol and its uptake after delivery. This was followed by communication interventions, mainly through community dialogues to raise awareness and create demand for misoprostol, identification, and training of traditional birth attendants (TBAs) and drug keepers in the two communities and positioning of the drug in the PHC center in Hayin Dogo and at community level in Basawa community. Subsequently, all the 320 deliveries in the two communities that occurred during the 6 months following intervention were identified at endline and the same questionnaire administered to the women. A monitoring phase was carried out for 6 months in between the pre- and postintervention where 284 deliveries in Hayin Dogo and Basawa communities were monitored whether they used or did not use misoprostol during home births. Results: Respondents knowledge significantly improved from 2.0% at baseline to 7.1% postintervention in Hayin Dogo (χ2 = 4.7; df = 1; P < 0.05) and from 2.7% to 7.3% in Basawa, (χ2 = 3.4; df = 1; P < 0.05). The uptake of misoprostol rose from 0% to 48.5% in Hayin Dogo and 37.7% in Basawa. There was no statistically significant difference in uptake of misoprostol in the two communities (z = −1.9; df = 318; P > 0.05). The educational level of the women had a greater influence on their use of misoprostol. Conclusion: There was an increase in knowledge of prevention and treatment of PPH. The intervention led to significant increase in the use of misoprostol, but the method of distribution did not significantly affect the uptake of the drug. Both strategies are feasible for distributing misoprostol for increasing its use at home deliveries.
{"title":"Assessing strategies for distribution of misoprostol at community level and its uptake for prevention of postpartum hemorrhage in two semi-urban communities in Kaduna State, Northwestern Nigeria","authors":"F. Adiri, C. Ejembi","doi":"10.4103/archms.archms_8_17","DOIUrl":"https://doi.org/10.4103/archms.archms_8_17","url":null,"abstract":"Introduction: This study assessed two strategies for distribution of misoprostol using identified and trained community persons (village heads) and distribution in a Primary Health Care (PHC) facility during antenatal visits and its uptake for the prevention of postpartum hemorrhage (PPH) in two semi-urban communities in Sabon-Gari Local Government Area of Kaduna State, Northwest Nigeria. Materials and Methods: Using a quasi-experimental study design, two semi-urban communities, Hayin Dogo and Basawa, in Sabon-Gari LGA of Kaduna State were selected, and each was assigned either of the two misoprostol distribution methods using balloting. At baseline, 300 women who had delivered within 6 months of onset of the study were sampled in the two communities using multistage sampling technique. Using structured, interviewer-administered questionnaires, information was collected on their knowledge of PPH, misoprostol and its uptake after delivery. This was followed by communication interventions, mainly through community dialogues to raise awareness and create demand for misoprostol, identification, and training of traditional birth attendants (TBAs) and drug keepers in the two communities and positioning of the drug in the PHC center in Hayin Dogo and at community level in Basawa community. Subsequently, all the 320 deliveries in the two communities that occurred during the 6 months following intervention were identified at endline and the same questionnaire administered to the women. A monitoring phase was carried out for 6 months in between the pre- and postintervention where 284 deliveries in Hayin Dogo and Basawa communities were monitored whether they used or did not use misoprostol during home births. Results: Respondents knowledge significantly improved from 2.0% at baseline to 7.1% postintervention in Hayin Dogo (χ2 = 4.7; df = 1; P < 0.05) and from 2.7% to 7.3% in Basawa, (χ2 = 3.4; df = 1; P < 0.05). The uptake of misoprostol rose from 0% to 48.5% in Hayin Dogo and 37.7% in Basawa. There was no statistically significant difference in uptake of misoprostol in the two communities (z = −1.9; df = 318; P > 0.05). The educational level of the women had a greater influence on their use of misoprostol. Conclusion: There was an increase in knowledge of prevention and treatment of PPH. The intervention led to significant increase in the use of misoprostol, but the method of distribution did not significantly affect the uptake of the drug. Both strategies are feasible for distributing misoprostol for increasing its use at home deliveries.","PeriodicalId":93819,"journal":{"name":"The Archives of comparative medicine and surgery","volume":"12 1","pages":"67 - 77"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73194108","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}
Pub Date : 2017-07-01DOI: 10.4103/archms.archms_38_17
C. Mohammed, J. Adze, S. Bature, Mohammed-Durosinlorun Amina, Taingson C Matthew, A. Amina, J. Musa, P. Yakubu
Stroke is a major contributor to morbidity and mortality during pregnancy and puerperium. The most important risk factor of stroke in pregnancy is preeclampsia and eclampsia. The occurrence of cerebrovascular event in preeclampsia is often associated with a higher likelihood of mortality if not managed appropriately and in a timely fashion. A 32-year-old multiparous patient at 34 weeks 5 days of gestation presented to our hospital with 9 h history of headache, inability to speak, and inability to move the right side of her body. On examination, she was aphasic, had elevated blood pressure, right-sided hemiplegia, and significant proteinuria. A diagnosis of severe preeclampsia with cerebrovascular accident was made. She was jointly managed with the cardiologist and physiotherapist. She was commenced on antihypertensive and magnesium sulphate and was delivered of a live baby boy weighing 2.0kg through an emergency lower segment cesarean section. Pregnancy-related stroke is rare. There should be a high index of suspicion among caregivers, and multidisciplinary management is the key.
{"title":"Cerebrovascular accident complicating severe preeclampsia: A rare case report","authors":"C. Mohammed, J. Adze, S. Bature, Mohammed-Durosinlorun Amina, Taingson C Matthew, A. Amina, J. Musa, P. Yakubu","doi":"10.4103/archms.archms_38_17","DOIUrl":"https://doi.org/10.4103/archms.archms_38_17","url":null,"abstract":"Stroke is a major contributor to morbidity and mortality during pregnancy and puerperium. The most important risk factor of stroke in pregnancy is preeclampsia and eclampsia. The occurrence of cerebrovascular event in preeclampsia is often associated with a higher likelihood of mortality if not managed appropriately and in a timely fashion. A 32-year-old multiparous patient at 34 weeks 5 days of gestation presented to our hospital with 9 h history of headache, inability to speak, and inability to move the right side of her body. On examination, she was aphasic, had elevated blood pressure, right-sided hemiplegia, and significant proteinuria. A diagnosis of severe preeclampsia with cerebrovascular accident was made. She was jointly managed with the cardiologist and physiotherapist. She was commenced on antihypertensive and magnesium sulphate and was delivered of a live baby boy weighing 2.0kg through an emergency lower segment cesarean section. Pregnancy-related stroke is rare. There should be a high index of suspicion among caregivers, and multidisciplinary management is the key.","PeriodicalId":93819,"journal":{"name":"The Archives of comparative medicine and surgery","volume":"31 1","pages":"91 - 93"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81324554","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}
Pub Date : 2017-07-01DOI: 10.4103/archms.archms_39_17
I. Joshua, I. Abubakar, A. Gobir, A. Nmadu, Chinedu John Igboanusi, M. Onoja-Alexander, F. Adiri, TimothyChoji Bot, Wazi I-Joshua, A. Shehu
Background: Workers in bakeries face many hazards in their work environment, and these hazards have the potential to cause injury or illness. The study assessed the knowledge of occupational hazards and the use of preventive measures among bakery workers in Kaduna North Local Government Area of Kaduna State. Materials and Method: The cross-sectional descriptive study was carried out in January 2017. The data collection tools were 258 pretested semi-structured interviewer-administered questionnaires and observational checklist. The collected data were manually cleaned, checked for completeness; entered into SPSS software version 20.0 and analyzed. The results were presented as tables and charts. Results: Majority (77%) were within the age bracket of 15–30 years with a mean age of 23 ± 2.1 years, 63% of males and 37% had secondary education with different job descriptions. The mean working experience was 5 years with only 14% and 2% of the workers having had training on prevention of workplace hazards and the use of fire extinguisher, respectively. The workers had poor awareness of occupational hazards such as tightness on the chest (30%), skin reactions/allergy (16%) and falls (17%) but with better awareness of burns (46%), cuts (37%) and hearing problems from excess noise (40.0%) among others. The most encountered symptoms/problems by workers were a muscular problem (72%), recurrent catarrh (65%), tightness on the chest (54%), recurrent cough (54%) and sneezing (52%) and symptoms of asthma among others. Apron, hand gloves and face masks were the commonly used protective devices by the workers and only 19% of the bakeries had functional first aid boxes. Burning was the most common method of solid waste disposal (52%). Conclusion: The workers had poor to average awareness of some occupational hazards with some encountering some problems as a result of their work. The use of personal protective devices such as apron, hand gloves and face masks were encouraging. However, the availability of functional first aid box and training on the use of fire extinguishers were major problems. There is a need for continuous training of the workers on prevention of workplace hazards, use of fire extinguisher and provision of basic functional first aid box among others in the workplace.
{"title":"Knowledge of occupational hazards and use of preventive measures among bakery workers in Kaduna North Local Government Area, Kaduna State, Nigeria","authors":"I. Joshua, I. Abubakar, A. Gobir, A. Nmadu, Chinedu John Igboanusi, M. Onoja-Alexander, F. Adiri, TimothyChoji Bot, Wazi I-Joshua, A. Shehu","doi":"10.4103/archms.archms_39_17","DOIUrl":"https://doi.org/10.4103/archms.archms_39_17","url":null,"abstract":"Background: Workers in bakeries face many hazards in their work environment, and these hazards have the potential to cause injury or illness. The study assessed the knowledge of occupational hazards and the use of preventive measures among bakery workers in Kaduna North Local Government Area of Kaduna State. Materials and Method: The cross-sectional descriptive study was carried out in January 2017. The data collection tools were 258 pretested semi-structured interviewer-administered questionnaires and observational checklist. The collected data were manually cleaned, checked for completeness; entered into SPSS software version 20.0 and analyzed. The results were presented as tables and charts. Results: Majority (77%) were within the age bracket of 15–30 years with a mean age of 23 ± 2.1 years, 63% of males and 37% had secondary education with different job descriptions. The mean working experience was 5 years with only 14% and 2% of the workers having had training on prevention of workplace hazards and the use of fire extinguisher, respectively. The workers had poor awareness of occupational hazards such as tightness on the chest (30%), skin reactions/allergy (16%) and falls (17%) but with better awareness of burns (46%), cuts (37%) and hearing problems from excess noise (40.0%) among others. The most encountered symptoms/problems by workers were a muscular problem (72%), recurrent catarrh (65%), tightness on the chest (54%), recurrent cough (54%) and sneezing (52%) and symptoms of asthma among others. Apron, hand gloves and face masks were the commonly used protective devices by the workers and only 19% of the bakeries had functional first aid boxes. Burning was the most common method of solid waste disposal (52%). Conclusion: The workers had poor to average awareness of some occupational hazards with some encountering some problems as a result of their work. The use of personal protective devices such as apron, hand gloves and face masks were encouraging. However, the availability of functional first aid box and training on the use of fire extinguishers were major problems. There is a need for continuous training of the workers on prevention of workplace hazards, use of fire extinguisher and provision of basic functional first aid box among others in the workplace.","PeriodicalId":93819,"journal":{"name":"The Archives of comparative medicine and surgery","volume":"29 5","pages":"78 - 83"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91401578","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}
Pub Date : 2017-07-01DOI: 10.4103/ARCHMS.ARCHMS_48_17
M. Isawumi
{"title":"Commentary on aphakic correction in Barau Dikko Teaching Hospital, Kaduna, Nigeria","authors":"M. Isawumi","doi":"10.4103/ARCHMS.ARCHMS_48_17","DOIUrl":"https://doi.org/10.4103/ARCHMS.ARCHMS_48_17","url":null,"abstract":"","PeriodicalId":93819,"journal":{"name":"The Archives of comparative medicine and surgery","volume":"25 1","pages":"89 - 90"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74484540","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}
Pub Date : 2017-07-01DOI: 10.4103/ARCHMS.ARCHMS_12_18
I. Joshua, J. Makama
{"title":"Is illegal migration on the rise among Nigerians? A wake-up call!","authors":"I. Joshua, J. Makama","doi":"10.4103/ARCHMS.ARCHMS_12_18","DOIUrl":"https://doi.org/10.4103/ARCHMS.ARCHMS_12_18","url":null,"abstract":"","PeriodicalId":93819,"journal":{"name":"The Archives of comparative medicine and surgery","volume":"101 1","pages":"35 - 37"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89014088","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}
Pub Date : 2017-01-01DOI: 10.4103/archms.archms_19_17
H. Shukla, C. Agrawal, C. Sarat, D. Ram
A newborn infant with congenital epulis (CE) can be a striking miserable sight for both parents and health care professionals involved in neonatal care. These tumours of the infant mouth can be remarkably large, occupying much of the oral cavity and posing a risk of airway obstruction or interfering with feeding with marked facial deformity. Neumann first described congenital epulis of newborn in 1871. It is most frequently located on the anterior maxillary alveolar ridge with slight female predilection. It clinically appears as a pedunculated protuberant mass. In cases with large lesions, mechanical oral and nasal obstruction can impair fetal deglutition and neonatal respiratory efforts resulting in polyhydramnios prenatally or respiratory impairment postnatally. Histologically Congenital epulis shows characteristic large cells with granular cytoplasm and spindle cells resembling fibroblasts. The exact histogenesis is still uncertain, various theories of origin are epithelial, undifferentiated mesenchymal cells, pericytes, fibroblast, smooth muscle cells and nerve related cells. Herein we report a newborn female child with Multiple Congenital epulis arising from maxilla and mandible with investigation, management and follow-up.
{"title":"Epulis presenting as congenital multiple polypoidal oral mass lesion: A surprising case report","authors":"H. Shukla, C. Agrawal, C. Sarat, D. Ram","doi":"10.4103/archms.archms_19_17","DOIUrl":"https://doi.org/10.4103/archms.archms_19_17","url":null,"abstract":"A newborn infant with congenital epulis (CE) can be a striking miserable sight for both parents and health care professionals involved in neonatal care. These tumours of the infant mouth can be remarkably large, occupying much of the oral cavity and posing a risk of airway obstruction or interfering with feeding with marked facial deformity. Neumann first described congenital epulis of newborn in 1871. It is most frequently located on the anterior maxillary alveolar ridge with slight female predilection. It clinically appears as a pedunculated protuberant mass. In cases with large lesions, mechanical oral and nasal obstruction can impair fetal deglutition and neonatal respiratory efforts resulting in polyhydramnios prenatally or respiratory impairment postnatally. Histologically Congenital epulis shows characteristic large cells with granular cytoplasm and spindle cells resembling fibroblasts. The exact histogenesis is still uncertain, various theories of origin are epithelial, undifferentiated mesenchymal cells, pericytes, fibroblast, smooth muscle cells and nerve related cells. Herein we report a newborn female child with Multiple Congenital epulis arising from maxilla and mandible with investigation, management and follow-up.","PeriodicalId":93819,"journal":{"name":"The Archives of comparative medicine and surgery","volume":"18 1","pages":"32 - 34"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81496612","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}
Pub Date : 2017-01-01DOI: 10.4103/archms.archms_16_17
A. Hassan, S. Awwalu, L. Okpetu, A. Waziri
Background: Sickle-cell disease (SCD) is a common disorder worldwide, affecting 2% of the Nigerian population. Patients with SCD require emergency care, especially during crises. However, specialists are scarce in hospitals in most towns and cities of Nigeria. Effective primary care may be life-saving where there are no specialists. Objectives: To determine the knowledge, perception, and attitude of patients with SCD toward primary care in Zaria. Materials and Methods: It was a researcher-administered questionnaire-based cross-sectional study of patients attending the adult SCD clinic of Ahmadu Bello University Teaching Hospital, Zaria. Results: There were 78 respondents including 55 (70.5%) females and 23 (29.5%) males. The median and interquartile range age of respondents was 22 (7) years. Most respondents have attained secondary (58.1%) and tertiary (35.5%) levels of education. Fifty-six (71.8%) respondents have visited a primary care facility in the past. While 24/76 (31.6%) respondents felt that the nonspecialist doctor was the major primary care provider, 8/76 (10.5%) each felt that the community health officer and the chemists were the primary care providers. Bone pain (26, 66.7%) was the main reason for seeking primary care. However, 8 (14.3%) respondents felt that services were poor and 4 (7.1%) felt that services were excellent at primary care centers. Conclusion: SCD patients have a fair understanding of primary care; however, there is low patronage and poor perception about the quality of care provided by the primary care providers.
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