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The PDF file you selected should load here if your Web browser has a PDF reader plug-in installed (for example, a recent version of Adobe Acrobat Reader). Microbial Ecology in Health & Disease eISSN 1651-2235 (ISSN 0891-060X [printed volumes 1-21]).
Materials and Methods: Forty-nine patients who never used gluco-meters were studied as intervention (23) and control (26) groups.
Conclusion: Provision of facilities for self-monitoring of blood glucose in Afro-Caribbean women with type 2 diabetes improves both their glycemic control and CHD risk profile.
Design and Setting: A 5-year prospective observational study of cases between January 1, 2002, and December 31, 2006, was conducted in Aminu Kano Teaching Hospital, a tertiary institution, in Kano, Nigeria. Materials and Methods: The antenatal complications and pregnancy outcomes among booked grand mulitparous women (pregnancy after fifth delivery), who delivered in our labor ward, were compared with those of the booked mulitparae (parae 1-4) who delivered immediately after a grand multipara.
Outcome Measures: These were obstetric factors of maternal age and parity, antepartum hemorrhage, fetal malpresentations, and multiple pregnancy. Conclusion: This study confirms a high seroprevalence of Hepatitis B virus infect ion amongst pregnant women. Materials and Methods: This was a prospective observational study of all stillbirths over a 16-month period (from January 2006 to April 2007) at the maternity Unit of Jos University Teaching Hospital.
Conclusion: The stillbirth rate in our centre is high, major causes being abruptio placenta and maternal medical conditions. Aims and Objective: This research studied the impact of free distribution of ITNs on malaria parasitemia in a rural community in Nigeria.
Materials and Methods: This is a longitudinal survey involving 990 pregnant and nursing mothers who received free ITNs between February 2007 and September 2008. Result: There was a sustained but insignificant rise in asymptomatic malaria parasitemia post-distribution of ITNs. Conclusion: We conclude that ITN intervention remains important in malaria prophylaxis but must be complemented with awareness campaigns and other vector control strategies. Materials and Methods: A 4-months descriptive cross-sectional survey was carried out among 602 children aged 5-16 years in Oke-Oyi community, in Kwara state. Conclusion: This study demonstrates that the prevalence of dermatophytoses in the school studied was significant.
Conclusion: Duotrav was well-tolerated and produced significant additional IOP reduction when switched from other anti-glaucoma drugs in patients with uncontrolled glaucoma.
Materials and Methods: Self-administered semi-structured pre-tested questionnaires were administered to 230 consenting trainee surgeons. Objective: To determine the incidence, pattern and associated factors of postpartum maternal morbidity in the Jos University Teaching Hospital (JUTH) and offer suggestions on various interventions to reduce this postpartum morbidity.
Materials and Methods: This was a 3-year prospective observational study at the JUTH between April 2005 and March 2008. Conclusion: The incidence of postpartum morbidity was high, with hemorrhage, hypertensive disorders and genital tract sepsis being common problems. Objective: To determine the incidence, etiology and outcome of non-traumatic coma in children seen at the EBSUTH, Abakaliki. Materials and Methods: This is a retrospective analysis of records of all children admitted to the children emergency ward of EBSUTH in coma of a non-traumatic origin between 1 st of January and 31 st of December, 2007.
Materials and Methods: Case notes of patients who presented with alleged rape at Jos University Teaching Hospital between January 2001 and December 2003 were retrieved and analyzed. Results : During the study period, 2,135 patients were seen in the Gynaecological Emergency Unit.
Conclusion: Women under 16 years of age were at an increased risk of being raped, possibly because they are defenseless and vulnerable. Materials and Methods: A cross sectional survey was conduced between April and October 2010 on MOH Primary Health Care physicians working in Al Hasa district of Saudi Arabia by filling up of pre-tested specially designed questionnaires focused on Knowledge, Attitude and practice towards Type 2 DM patients.
Conclusion : This study explored several aspects of diabetes related KAP of Ministry of Health appointed GPs and identified the need for improvement in their knowledge, attitude and practices for treating Type 2 DM patients. Conclusion: The highest pain scores were found in the propofol lipuro without lidocaine use while propofol lipuro plus lidocaine had the lowest pain scores. Conclusion: The mean percentage of income spent on care was significant and amounted to catastrophic health expenditure for a third of the families. Materials and Methods: An ophthalmologist was trained in extracapsular cataract extraction (ECCE)-IOL implant in Aravind Eye Hospital (AEH), Madurai, for a period of 8 weeks.
Results: Training was available in conventional ECCE with posterior chamber IOL (ECCE-PCIOL), small incision sutureless cataract surgery, and phacoemulsification. The trainee gained experience and confidence to perform high-quality, low-cost cataract surgery. Conclusion: Hands-on experience and competence in quality ECCE-IOL implant microsurgery can be acquired in a short period of time in a high-volume cataract center. Design and Setting: This was a 10-year retrospective study carried out at a teaching hospital. Materials and Methods: Records of patients managed for laryngeal carcinoma from January 1994 to December 2004 were reviewed. Results: The results showed that the blood glucose response to these three fruits was similar in terms of their incremental areas under the glucose curve, maximum increase in plasma glucose, and glycemic indices (GIs). Conclusion: Banana, pawpaw, and pineapple produced a similar postprandial glucose response. Materials and Methods: A questionnaire-based study was conducted among Oral and Maxillofacial and Ear, Nose, and Throat Surgeons in Nigeria, on their experience with antegrade and retrograde facial nerve dissection techniques in parotid surgery. Conclusions: The antegrade approach for facial nerve dissection is the most common technique used in parotid surgery by Nigerian OMF and ENT surgeons. Objective: The aim was to prospectively audit the perinatal mortality and associated risk factors in a tertiary health facility in a developing country.

Materials and Methods: Data for all consecutive deliveries in the labor ward complex of Lagos University Teaching Hospital (LUTH) between June 2002 and November 2002 were obtained from the patients' record and by interviewing the mothers using a questionnaire. Conclusion: The study shows a high perinatal mortality rate with majority of perinatal deaths occurring before the delivery. If the above diagnoses are inconclusive or if a treatment regimen has already been started, a biopsy of the affected skin (i.e. Spray tub and bathroom floor with disinfectant after each use to help prevent reinfection and infection of other household members. Wash feet, particularly between the toes, with soap and dry thoroughly after bathing or showering. If you have experienced an infection previously, you may want to treat your feet and shoes with over-the-counter drugs. Dry feet well after showering, paying particular attention to the web space between the toes. Try to limit the amount that your feet sweat by wearing open-toed shoes or well-ventilated shoes, such as lightweight mesh running shoes. After any physical activity shower with a soap that has both an antibacterial and anti-fungal agent in it.
Batamote (Baccharis glutinosa Pers.), a plant native to the south-western desert of the United States has been recommended in local folklore for the therapy of athlete's foot (tinea pedis). References1.Arizona Ranch, Farm and Garden Weeds, Circular 265, Agricultural Extension Service, University of Arizona, Tucson, Arizona, June, 1958.
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If you would like more information about how to print, save, and work with PDFs, Highwire Press provides a helpful Frequently Asked Questions about PDFs. Even though studies have been carried out on Hepatitis B virus infection in different parts of Nigeria, and in different sub-groups of individuals, information regarding the prevalence of Hepatitis B virus infection in pregnant women is scanty especially from the North-eastern region of Nigeria.
It is recommended that pregnant women should be routinely screened for Hepatitis B virus infection as part of antenatal care services. Identifying the etiological and risk factors of stillbirths will help in the prevention or reduction of its occurrence. Information on maternal socio-demographic details, history of antenatal complications of the index pregnancy, and maternal medical history were obtained by personal interview of all mothers who had a stillbirth. A major component of current intervention in roll back malaria (RBM) initiative is vector control and insecticide-treated nets (ITNs). Blood samples were collected at contact, then every 2 months to check for malaria parasites using standard methods. This study was undertaken to determine the prevalence, clinical types as well as the etiologic organisms of dermatophyte infection among primary school children aged 5-16 years in Oke-Oyi community in Kwara state. The practice of UP and PEP in PI and AEPB are life saving and should be emphasized in residency training.
Major acute and long-term obstetric morbidities affect the life and reproductive career of women.
All patients who delivered or were treated in the hospital for postpartum morbidity were recruited for the study.
It is hoped that supervision of deliveries by skilled medical personnel and active management of the third stage of labor will reduce the incidence of postpartum hemorrhage. This communication reviews the etiology and outcome of non-traumatic childhood coma in Ebonyi State University Teaching Hospital (EBSUTH), Abakaliki.
In view of the high mortality among this group of patients, efforts at the control of malaria and other infections would significantly reduce the incidence of non-traumatic coma in this study site. There is a need to document the clinical findings of this crime and its outcome in order to improve the quality of care the victims receive. The aim of this study was to compare the effects of generic propofol and propofol lipuro with and without lidocaine on injection pain in children.
A total of 120 children, who planned to undergo elective surgery under general anesthesia, were included in four groups of 30 in a prospectively, randomized and double-blind study. Because adding lidocaine to propofol lipuro decreased injection pain scores to minimum levels, this practice seems to be the most appropriate alternative in order to diminish propofol injection pain during anesthesia in children.
The families of children with congenital heart disease who were being managed for chronic heart failure in the clinic were recruited for the study. Government input in strengthening the existing cardiac centres, establish new ones and subsidising the cost of surgery to meet the needs for open heart surgery for children with CHDs is recommended.
Details of patients operated on, procedures observed, and conferences attended were prospectively recorded in a log book.
During the period, this trainee observed a total of 1527 cataract extractions, administered 528 retrobulbar and 1047 facial blocks, and also operated on 75 patients.
Blood samples were collected in the fasting state and half-hourly over a 2-h period post-ingestion of the fruits or glucose. Measured portions of these fruits may be used as fruit exchanges with pineapple having the most favorable glycemic response. The respondents were asked to indicate their choice of dissection techniques in revision parotidectomy, limited superficial parotidectomy, and in obese patients with large tumors.
A large number of them (40%), however, used a combination of antegrade and retrograde routinely. Nigerian surgeons need to consider the retrograde approach in selected cases of parotid surgery especially for localized tumors that are amenable to limited superficial parotidectomy. The causes of most of the perinatal deaths are preventable, thus making it important to identify the risk factors in each health environment.
Maternal factors that significantly affected perinatal deaths were maternal age, parity, antenatal care booking and the hospital where the mother was booked for antenatal care, number of previous child deaths, and complications of pregnancy.

Significant risk factors are a low Apgar score at 5 min, low birth weight, and high parity. We report two cases wherein it was used for rescue airway management and as a ventilatory device during anesthesia. An aqueous extract of the dried powdered leaves of this plant has been shown to inhibit dermatophytesin vitro. Alternatively, you can download the PDF file directly to your computer, from where it can be opened using a PDF reader.
At baseline, BP, anthropometric indices, and fasting blood glucose of all patients were measured. Pregnancy outcomes measured were gestational age at delivery, birth weight, mode of delivery, postpartum hemorrhage, and maternal and perinatal mortality. We therefore determined the seroprevalence of Hepatitis B surface antigen (HBsAg) amongst pregnant women in North Eastern Nigeria.
For each stillbirth, information was obtained on the type of stillbirth, estimated gestational age at delivery, sex of baby, and the mode of delivery. Tinea capitis is the commonest clinical type, followed by Tinea coporis and then Tinea pedis.
Generic propofol was given to first and second groups and propofol lipuro was given to third and fourth groups.
With the aid of a structured questionnaire, data were collected on a monthly basis for three consecutive months, on the family's monthly income, cost of anti-failure medicines, transportation and the number of man-hours spent on clinic visitation. Ophthalmology training centers with diminishing surgical training opportunities can also benefit from this structured training in a high-volume cataract center like Aravind Eye Hospital. The age, sex, occupation, presentation, use of cigarette and alcohol, investigations, histology, outcome of management, and duration of follow-up were extracted and analyzed.
They were also asked to indicate if they routinely used perioperative facial nerve monitoring devices in parotid surgery for benign tumors. A report of two cases in which this technique was used in orofacial reconstruction is presented here.
Subsequently, the intervention patients were provided with gluco-meters, testing strips, and advised to self-monitor fasting and postprandial blood glucose every other day for 6 months. Two hundred and thirty-one consecutively recruited pregnant women were screened for Hepatitis B surface antigen. 86.8% (n=86) of the physicians did not agree that Diabetic Self Management Education (DSME) is an essential part of diabetic care. The percentage of the mean monthly income spent on medicines, transportation and the total cost of care were also computed. Scarce radiotherapy centers, ignorance, local taboo, poverty, and poor recognition by primary healthcare providers have a negative impact on its management. Plasma glucose responses were assessed by the peak plasma glucose concentration, maximum increase in plasma glucose, 2-h postprandial plasma glucose level, and incremental area under the glucose curve and glycemic index (Gl).
The antegrade technique was the technique of choice by most respondents for revision parotidectomy (60%) and limited superficial parotidectomy (62%).
Fetal factors that influenced perinatal deaths were fetal presentation, birth weight, and Apgar scores at 1 and 5 min. CHD risk was determined with the United Kingdom Prospective Diabetes Study risk engine calculator. Etiological causes were assessed using the clinico-pathological approach advocated by Baird−Pattinson. Three species of dermatophytes belonging to only two of the three genera of dermatophytes were responsible for human infection in the area studied, of which Trichophyton mentagrophyte is the commonest, followed by Microsporum audouinii and Trichophyton verucossum. All the patients presented with stage IV disease and in respiratory distress necessitating emergency tracheostomy. Laryngeal carcinoma should be excluded when managing elderly patients for bronchial asthma. However, the retrograde approach was the technique of choice by most of them (47%) in case of parotidectomy in obese patients with large tumors.
When multiple logistic regression (multivariable analysis) of perinatal mortality on possible risk factors was done, only the Apgar score at 5 min, birth weight, and parity were significant risk factors.
No complication was seen in the two cases, and healing of the submental wound was uneventful. Their biodata were obtained using a questionnaire to establish the presence of possible risk factors such as blood transfusion, surgery, etc. The routine use of perioperative facial nerve monitoring devices is an uncommon practice among OMF and ENT surgeons in Nigeria. Submental intubation is a reliable technique of alternative airway management in oral and maxillofacial surgery.
There was a statistically significant relationship between accoucher and postpartum maternal morbidity. Surgical complications included pharyngocutaneous fistula in 2 (15.4%) patients, pharyngeal stenosis, stomal stenosis, and hypocalcemia with hypothyroidism in 1 patient each. The main risk factors identified were lack of antenatal care, poor antenatal clinic attendance, home delivery, and late presentation of complicated labor to the facility.
Thirty six percent of the cases did not have a human immunodeficiency virus screening test done. Checking patients' ability to manage their diabetes, checking blood pressure, eye exam, lipids , serum creatinine, baseline ECG, chest X ray and serum electrolyte were the best followed tests while foot exam and urinary protein were performed more often than recommended in the guideline.

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