ABSTRACT Background: Variable fetal biometric values are common in normal fetuses and it is natural to assume that ethnicity might influence this. There is the potential danger of misinterpretation of such observed normal variations. Aims: The study aim was to determine whether differences in ultrasound-measured fetal biometry exist among pregnant women of the Akan, Mole-Dagbon, Ewe and Ga-Adangbe ethnic groups in Accra. Methods: This was a prospective cross-sectional study involving 448 wome...
ABSTRACT A prospective cohort study of infants admitted to the special care baby unit University College hospital Ibadan has revealed a 24.5 percent prevalence of patency of the ductus arteriousus among 97 infants who where admitted over a six month period.
ABSTRACT A qualitative, community-based study was conducted in the rural community of Ago Are in southwestern Nigeria to learn about indigenous surgical practices and their potential for disease transmission. Community leaders as key informants assisted in identifying two types of indigenous practitioner whose work involved blood contact, whose work was observed. The ol6lil are surgeons who specialize in circumcision and making traditional facial-markings, while the generic term for healer, o...
ABSTRACT Objective: Hepatitis B virus infection is common in Nigerians and its diagnosis is necessary for effective treatment and eradication. This study is aimed at highlighting the serological factors jeopardizing the diagnosis and treatment of the infection among Nigerians adults.
ABSTRACT Hepatocellular carcinoma (HCC) is usually diagnosed at an advanced stage, when little remedy could be offered. There is a need for relatively affordable, available and noninvasive tests for diagnosis, staging and detection of metastasis among individuals at risk. A clinical, chest radiographic (CXR) and abdominal ultrasonographic examination was carried out to detect and evaluate the pattern of metastasis among 53 untreated patients. One patient had clinical paraparesis with no outwa...
ABSTRACT A prospective study aimed at determining the relationship between hepatitis C virus (HCV) infection and serum ferritin in Nigerian patients with primary liver cell carcinoma (PLCC) was carried out at the University College Hospital (UCH), Ibadan; Nigeria. The study involved 42 adult Nigerians made up of 14 healthy subjects as controls and 14 patients each with PLCC and liver cirrhosis (LC) who consented to participate in the study. The subjects were controlled for age and sex. The di...
ABSTRACT Ocular complications occurred in 2g°Ic, or children with head injury. Neuro-ophthalmological lesions made up one-third or these complications, mostly involved the optic nerve, and were associated with other focal neurological signs more Frequently than non-neural ocular complications. Lesions or the posterior visual pathways were rare but tended to be permanent.
ABSTRACT Traumatic disruption of the posterior urethra usually occurs in association with pelvic fractures and may result in significant morbidity. The management of this injury remains difficult and controversial. Recently, early restoration of urethral continuity in these patients using either both antegrade and retrograde cystoscopy (with or without fluoroscopy), or flexible retrograde urethroscopy alone under general aneasthesia, has been reported with good results.
ABSTRACT Peyronie's disease is characterized by the formation of fibrous plaques within the tunica albuginea of the corpora cavernosa. It is a frustrating disease to the patient resulting in penile deformity and painful erection and erectile dysfunction. There is mixed response to medical therapy and the numerous surgical options implies no standardized procedure yet. The incidence appears to be increasing but this disease is rarely reported in Nigeria. We present three cases of dorsal and ve...
ABSTRACT Background: The incidence of HIV infection and AIDS is rising in Nigeria. Surgeons are at risk of occupationally acquired infection as a result of intimate contact with the blood and body fluids of patients. This study set out to determine the knowledge, attitude and risk perception of Nigerian surgery residents to HIV infection and AIDS. Methods: A self-administered postal questionnaire was sent to all surgery trainees in Nigeria in 1997. Results: Parenteral exposure to patients' ...
Vitamin C and Coronavirus: Not a Vaccine; Just a Humble Cure Commentary by William F. Simmons and Robert G. Smith, PhD During the pneumonia epidemic in North Carolina in the 1940s, after American soldiers returned from the war in Europe, a small-town physician used an anti-infective protocol of intravenous vitamin C to cure 42 cases of viral pneumonia. [1] During the same period, the physician used a similar treatment to cure 60 cases of viral poliomyelitis. All patients were clinically well ...
ABSTRACT Acute hepatitis is common In Nigeria and Hepatitis B virus (HBV) infection has been a major aetiologicaI factor. However, the role of Hepa titis C Virus (HCV) infection b yet undetermined. Forty-five consecutive Nigerian patient with Acute Icteric hepatitis (AH) attending the Medical Clinic of the University College Hospital, Ibadan, Nigeria and 45 healthy adult Nigerians (controls) were studied for evidence of infection with both virus. Questionnaire on risk procedures which predisp...
ABSTRACT Helicobacter pylori (H. pylori) has been strongly associated with various gastroduodenal diseases worldwide with only a few studies emanating from developing countries. The objectives of this study were to determine the prevalence of serum lmmunoglobulin G (1gG) and underlying gastroduodenal pathology in Nigerian patients with dyspepsia and ascertain the usefulness of H. pyleri lgG screening in decreasing endoscopic workload in dyspeptics in Nigeria. Fifty-five patients with dyspepsi...
ABSTRACT AIM This study aimed to evaluate the physical, psychosocial and spiritual needs of untreated patients with hepatocellular carcinoma, in order to determine effective palliative care approach and therefore improve their quality of life when curative therapy is elusive. METHODS The modified Needs Evaluation Questionnaire (NEQ) on pain and psychological assessments, thoughts and feelings and spiritual concerns was administered to 205 consecutive patients with recently diagnosed hepatoc...
ABSTRACT This study was initiated with the aim of finding out the prevalence and causes of childhoos squints. Over a 5 year period, all children under the age of 16 years who presented with different forms of strabismus at the University College Hospital were collected for this study. 80% of the patients (16 patients) had esotropia, 50% of which was due to hypermetropia (8 patients) and 31 % (5 patients) was due to perinatal problems. 2 patients had ocular causes for their exotropia, a traum...