A 6-year review of post-neonatal tetanus at Usmanu Danfodiyo University Teaching Hospital, Sokoto / A, Adamu 

Public ISBD Title : A 6-year review of post-neonatal tetanus at Usmanu Danfodiyo University Teaching Hospital, Sokoto Authors: A, Adamu, Author ; M. O. Ugege, Author ; B. O, Onankpa, Author ; T, Yusuf, Author ; K. O, Isezuo, Author ; F. B, Jiya, Author ; F. I. Abubakar, Author Publisher: Maiduguri [Nigeria - Borno State] : Medical and Dental Consultants Association of Nigeria - Nigerian Medical Association Publication Date: 2019 Series: Borno Medical Journal, ISSN 2437-1734 No. 16(1) Pagination: p.1-9, fig., tab. Layout: Journal Article ISSN (or other code): 2437-1734 Languages : English Keywords: Tetanus - complications  Tetanus - mortality  Infant, Newborn  Hospitals, Teaching  Retrospective Studies  Nigeria - Sokoto Abstract: Background: Tetanus is a vaccine-preventable disease but its incidence has remained unacceptably high in developing countries. Objective: To determine the prevalence, risk factors and outcome of post-neonatal tetanus at Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto. Methods: A retrospective descriptive study from 1st January 2010 to 31st December 2015. Children aged 1 month to 15 years diagnosed with post-neonatal tetanus were studied. Information from the admission files was extracted. Data was analysed using SPSS version 20. Results: Total admissions during the study period were 14,458; 61 had post-neonatal tetanus, giving a prevalence of 0.4%. The M: F ratio was 1.5:1. The mean age was 7.4±3.2 years. Fifty-nine (96.7%) were not immunised against tetanus. Portal of entry for the organism was trauma injuries to the foot in 33(54.1%). Thirty-one (50.8%) were discharged, 5(8.2%) DAMA, while 25(41.0%) died, and case fatality was 41.0%. Conclusion: Post-neonatal tetanus is a major cause of morbidity and mortality in Sokoto. There is need for improved health education, sustainability of immunisation programmes and coverage to eradicate this scourge. A 6-year review of post-neonatal tetanus at Usmanu Danfodiyo University Teaching Hospital, Sokoto [] / A, Adamu, Author ; M. O. Ugege, Author ; B. O, Onankpa, Author ; T, Yusuf, Author ; K. O, Isezuo, Author ; F. B, Jiya, Author ; F. I. Abubakar, Author . - Maiduguri (1414, Nigeria - Borno State) : Medical and Dental Consultants Association of Nigeria - Nigerian Medical Association, 2019 . - p.1-9, fig., tab. : Journal Article. - (Borno Medical Journal, ISSN 2437-1734; 16(1)) . ISSN : 2437-1734 Languages : English Keywords: Tetanus - complications  Tetanus - mortality  Infant, Newborn  Hospitals, Teaching  Retrospective Studies  Nigeria - Sokoto Abstract: Background: Tetanus is a vaccine-preventable disease but its incidence has remained unacceptably high in developing countries. Objective: To determine the prevalence, risk factors and outcome of post-neonatal tetanus at Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto. Methods: A retrospective descriptive study from 1st January 2010 to 31st December 2015. Children aged 1 month to 15 years diagnosed with post-neonatal tetanus were studied. Information from the admission files was extracted. Data was analysed using SPSS version 20. Results: Total admissions during the study period were 14,458; 61 had post-neonatal tetanus, giving a prevalence of 0.4%. The M: F ratio was 1.5:1. The mean age was 7.4±3.2 years. Fifty-nine (96.7%) were not immunised against tetanus. Portal of entry for the organism was trauma injuries to the foot in 33(54.1%). Thirty-one (50.8%) were discharged, 5(8.2%) DAMA, while 25(41.0%) died, and case fatality was 41.0%. Conclusion: Post-neonatal tetanus is a major cause of morbidity and mortality in Sokoto. There is need for improved health education, sustainability of immunisation programmes and coverage to eradicate this scourge.

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An audit of chemical pathology laboratory investigation request forms received at a private tertiary hospital in Nigeria / Chinelo P. Onyenekwu 

Public ISBD Title : An audit of chemical pathology laboratory investigation request forms received at a private tertiary hospital in Nigeria Authors: Chinelo P. Onyenekwu, Author ; Adeyemi O. Dada, Author ; Abiola A. Gbadebo, Author ; Adebamike A. Oshunbade, Author Publisher: Maiduguri [Nigeria - Borno State] : Medical and Dental Consultants Association of Nigeria - Nigerian Medical Association Publication Date: 2017 Series: Borno Medical Journal, ISSN 2437-1734 No. 14(1) Pagination: p.85-90 Layout: Journal Article ISSN (or other code): 2437-1734 Languages : English Keywords: Laboratories  Clinical Audit  Decision Making  Tertiary Care Centers  Nigeria Abstract: Context: Laboratory testing constitutes an integral part of patient management and has an extensive influence on medical decision-making. The completion of laboratory investigation request forms is a vital aspect of the highly variable pre-analytical phase of laboratory testing.Aim: We aimed to assess the adequacy of completion of investigation request forms received at our laboratory.Methods: An audit of systematically selected laboratory investigation request forms received over a six-month period at our laboratory was performed to assess the degree of completion of these forms by requesting clinicians. Data was analysed using Microsoft Excel®.Results: Two hundred and fifty four request forms were reviewed. None of the reviewed forms was adequately completed. The clinician's contact number was missing in all the request forms. About two-thirds of the request forms did not have the patient's hospital number (66.1%) and the referring clinician's signature (66.9%) available on them. The clinical diagnosis of the patient was not stated in 18.9% of the request forms. The patient's name, gender and age were the most frequently completed parameters in 100.0%, 98.4% and 97.2% of the request forms respectively.Conclusion: Basic information required for the accurate interpretation of laboratory results are missing in several request forms. This may have deleterious impact on laboratory turn around time, healthcare costs and patient management as most medical decisions are influenced by laboratory results Link for e-copy: http://www.bornomedicaljournal.com/pdfs/AN AUDIT OF CHEMICAL PATHOLOGY LABORATOR [...] An audit of chemical pathology laboratory investigation request forms received at a private tertiary hospital in Nigeria [] / Chinelo P. Onyenekwu, Author ; Adeyemi O. Dada, Author ; Abiola A. Gbadebo, Author ; Adebamike A. Oshunbade, Author . - Maiduguri (1414, Nigeria - Borno State) : Medical and Dental Consultants Association of Nigeria - Nigerian Medical Association, 2017 . - p.85-90 : Journal Article. - (Borno Medical Journal, ISSN 2437-1734; 14(1)) . ISSN : 2437-1734 Languages : English Keywords: Laboratories  Clinical Audit  Decision Making  Tertiary Care Centers  Nigeria Abstract: Context: Laboratory testing constitutes an integral part of patient management and has an extensive influence on medical decision-making. The completion of laboratory investigation request forms is a vital aspect of the highly variable pre-analytical phase of laboratory testing.Aim: We aimed to assess the adequacy of completion of investigation request forms received at our laboratory.Methods: An audit of systematically selected laboratory investigation request forms received over a six-month period at our laboratory was performed to assess the degree of completion of these forms by requesting clinicians. Data was analysed using Microsoft Excel®.Results: Two hundred and fifty four request forms were reviewed. None of the reviewed forms was adequately completed. The clinician's contact number was missing in all the request forms. About two-thirds of the request forms did not have the patient's hospital number (66.1%) and the referring clinician's signature (66.9%) available on them. The clinical diagnosis of the patient was not stated in 18.9% of the request forms. The patient's name, gender and age were the most frequently completed parameters in 100.0%, 98.4% and 97.2% of the request forms respectively.Conclusion: Basic information required for the accurate interpretation of laboratory results are missing in several request forms. This may have deleterious impact on laboratory turn around time, healthcare costs and patient management as most medical decisions are influenced by laboratory results Link for e-copy: http://www.bornomedicaljournal.com/pdfs/AN AUDIT OF CHEMICAL PATHOLOGY LABORATOR [...]

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Awareness, acceptability and barriers to the utilization of modern methods of family planning among women attending antenatal clinic in Bayero University, Kano / Auwal Umar Gajida 

Public ISBD Title : Awareness, acceptability and barriers to the utilization of modern methods of family planning among women attending antenatal clinic in Bayero University, Kano Authors: Auwal Umar Gajida, Author ; Idris Usman Takai, Author ; Emmanuel Ajuluchukwu Ugwa, Author ; Murtala Yusuf, Author Publisher: Maiduguri [Nigeria - Borno State] : Medical and Dental Consultants Association of Nigeria - Nigerian Medical Association Publication Date: 2019 Series: Borno Medical Journal, ISSN 2437-1734 No. 16(1) Pagination: p1-9 Layout: Journal Article ISSN (or other code): 2437-1734 Languages : English Keywords: Family Planning Services - Family Planning Services - methods  Contraceptive Agents  Patient Acceptance of Health Care  Awareness  Cross-Sectional Studies  Nigeria Abstract: Background: Contraceptive prevalence rate (CPR) is generally very low in Nigeria, but particularly lowest in northern Nigeria. Barriers to access and utilization have been variously studied, but there is need to consider specific contexts. Objective: The aim of this study is to determine the level of awareness, acceptability, and barriers to the utilization of modern methods of family planning in Bayero University, Kano, North-west, Nigeria. Methodology: This was a cross-sectional study conducted at the antenatal section of BUK staff clinic, among 152 pregnant women between May and October 2013. Ethical approval and informed consent were obtained. Descriptive statistics was used to report categorical variables. Results: Awareness of modern methods of contraception was high (86.18%) and the majority (86.19%) knew at least one method of family planning. The commonest methods known by the respondents were: Oral contraceptive pills (39.47%), injectables (22.37%) and condom (14.47%). Out of the152 respondents, 77(50.66%) accepted the use of modern methods of family planning and 39(25.65%) out of these number had ever used at least one method, while 38(25.00%) did not. Fear of side effects (42.11%), desire for more children (15.79%), and lack of awareness (13.82%), religious prohibition (10.53%) and opposition by male partners (7.89%) constituted the major barriers to the utilization of modern methods of family planning. Conclusion: The level of awareness was found to be high but acceptability and utilization were low, this is due to the existing barriers to utilization of modern methods of family planning. Effort should be made to allay the fear of side effects and to educate women on the implication of frequent childbirth. Awareness, acceptability and barriers to the utilization of modern methods of family planning among women attending antenatal clinic in Bayero University, Kano [] / Auwal Umar Gajida, Author ; Idris Usman Takai, Author ; Emmanuel Ajuluchukwu Ugwa, Author ; Murtala Yusuf, Author . - Maiduguri (1414, Nigeria - Borno State) : Medical and Dental Consultants Association of Nigeria - Nigerian Medical Association, 2019 . - p1-9 : Journal Article. - (Borno Medical Journal, ISSN 2437-1734; 16(1)) . ISSN : 2437-1734 Languages : English Keywords: Family Planning Services - Family Planning Services - methods  Contraceptive Agents  Patient Acceptance of Health Care  Awareness  Cross-Sectional Studies  Nigeria Abstract: Background: Contraceptive prevalence rate (CPR) is generally very low in Nigeria, but particularly lowest in northern Nigeria. Barriers to access and utilization have been variously studied, but there is need to consider specific contexts. Objective: The aim of this study is to determine the level of awareness, acceptability, and barriers to the utilization of modern methods of family planning in Bayero University, Kano, North-west, Nigeria. Methodology: This was a cross-sectional study conducted at the antenatal section of BUK staff clinic, among 152 pregnant women between May and October 2013. Ethical approval and informed consent were obtained. Descriptive statistics was used to report categorical variables. Results: Awareness of modern methods of contraception was high (86.18%) and the majority (86.19%) knew at least one method of family planning. The commonest methods known by the respondents were: Oral contraceptive pills (39.47%), injectables (22.37%) and condom (14.47%). Out of the152 respondents, 77(50.66%) accepted the use of modern methods of family planning and 39(25.65%) out of these number had ever used at least one method, while 38(25.00%) did not. Fear of side effects (42.11%), desire for more children (15.79%), and lack of awareness (13.82%), religious prohibition (10.53%) and opposition by male partners (7.89%) constituted the major barriers to the utilization of modern methods of family planning. Conclusion: The level of awareness was found to be high but acceptability and utilization were low, this is due to the existing barriers to utilization of modern methods of family planning. Effort should be made to allay the fear of side effects and to educate women on the implication of frequent childbirth.

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Imatinib theraphy in chronic myeloid leukaemia : review of mechanisms of resistance and therapheutic options in imatinib failure / A. I. Ladu 

Public ISBD Title : Imatinib theraphy in chronic myeloid leukaemia : review of mechanisms of resistance and therapheutic options in imatinib failure Authors: A. I. Ladu, Author ; M. A. Aisha, Author Publisher: Maiduguri [Nigeria - Borno State] : Medical and Dental Consultants Association of Nigeria - Nigerian Medical Association Publication Date: 2017 Series: Borno Medical Journal, ISSN 2437-1734 No. 14(1) Layout: Journal Article ISSN (or other code): 2437-1734 Languages : English Keywords: Leukemia  Myelogenous  Chronic  BCR-ABL Positive  Imatinib Mesylate  Drug Resistance  Neoplasm  Myeloproliferative Disorders Abstract: Chronic myeloid leukaemia is triphasic, clonal malignancy, arising from the haemopoeitic stem cell. It is characterized by the presence of philadelphia chromosome, which result from reciprocal translocation between chromosome 9 and 22. The resulting oncogen- brc-abl has proliferative activity and survival advantage against normal cell and this account for the clinical and laboratory manifestation of this myeloproliferative disorder. Imatinib, a tyrosine kinase inhibitor (TKIs) is currently the first line of treatment, however, one third of patient develope resistance to it, thus necessitating alternative TKIs. Many factors are associated with the development of resistance to imatinib, such as mutation in the brc-abl gene, increase production of the mutant protein and activation of alternatve pathways amongst other causes. The aim of this reveiw is to explore these factors, and also to avaluate current TKIs that are use as alternative in Imatinib resistant cases. Imatinib theraphy in chronic myeloid leukaemia : review of mechanisms of resistance and therapheutic options in imatinib failure [] / A. I. Ladu, Author ; M. A. Aisha, Author . - Maiduguri (1414, Nigeria - Borno State) : Medical and Dental Consultants Association of Nigeria - Nigerian Medical Association, 2017 . -  : Journal Article. - (Borno Medical Journal, ISSN 2437-1734; 14(1)) . ISSN : 2437-1734 Languages : English Keywords: Leukemia  Myelogenous  Chronic  BCR-ABL Positive  Imatinib Mesylate  Drug Resistance  Neoplasm  Myeloproliferative Disorders Abstract: Chronic myeloid leukaemia is triphasic, clonal malignancy, arising from the haemopoeitic stem cell. It is characterized by the presence of philadelphia chromosome, which result from reciprocal translocation between chromosome 9 and 22. The resulting oncogen- brc-abl has proliferative activity and survival advantage against normal cell and this account for the clinical and laboratory manifestation of this myeloproliferative disorder. Imatinib, a tyrosine kinase inhibitor (TKIs) is currently the first line of treatment, however, one third of patient develope resistance to it, thus necessitating alternative TKIs. Many factors are associated with the development of resistance to imatinib, such as mutation in the brc-abl gene, increase production of the mutant protein and activation of alternatve pathways amongst other causes. The aim of this reveiw is to explore these factors, and also to avaluate current TKIs that are use as alternative in Imatinib resistant cases.

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Morbidity and mortality associated with conservative management of spinal cord injury in Makurdi, north central Nigeria / Yongu T. Williams 

Public ISBD Title : Morbidity and mortality associated with conservative management of spinal cord injury in Makurdi, north central Nigeria Authors: Yongu T. Williams, Author ; Elachi C. Itodo, Author ; D. Daniel Mue, Author ; N. Joseph Kortor, Author ; Stephen Atokolo, Author Publisher: Maiduguri [Nigeria - Borno State] : Medical and Dental Consultants Association of Nigeria - Nigerian Medical Association Publication Date: 2017 Series: Borno Medical Journal, ISSN 2437-1734 No. 14(1) Pagination: p.73-77, tab. Layout: Journal Article ISSN (or other code): 2437-1734 Languages : English Keywords: Spinal Cord Injuries - complications  Morbidity  Hospitals, Teaching  Nigeria Abstract: Background Spinal cord injury is commonly associated with morbidity and mortality. This is further worsened by inadequate rehabilitation because of dearth of infrastructure, equipment and personnel Objectives:To identify the complications and causes of death in traumatic spinal cord injury patients.Methodology: A 4-year retrospective review of all traumatic spinal cord injured patients treated at Benue State University Teaching Hospital Makurdi was conducted. The information on age, sex, occupation, cause, associated injuries, level of injury, neurological deficit, American spinal cord injury association (ASIA) score at presentation, complications and outcome were obtained from medical records department. Data were analyzed using Statistical Package for Social Sciences (SPSS) 17.0 (SPSS Inc. Chicago, IL, USA).Results: There were 62 patients with a mean age of 36.02±1.67 years (range 8-77 years) consisting of 54 males and 8 females giving a male to female ratio of 6.8:1. They included students 13(21%) and farmers 10(16.1%). Road traffic crash accounted for 35(56.5%). Majority had cervical spine injury 22(62.8%) and accounted for complications in 20(36.4%). Bed sores occurred in 22(35.5%). ASIA A had the highest frequency of complications 22(35.5%). Eleven patients died giving a case fatality of 31.4%. The patients died from respiratory failure 4(36.4%) and sepsis 2(18.2%). Conclusion: Many complications including bed sores and orthostatic pneumonia result from spinal cord injury leading to high morbidity and death from sepsis and respiratory failure Link for e-copy: http://www.bornomedicaljournal.com/pdfs/MORBIDITY AND MORTALITY ASSOCIATED WITH  [...] Morbidity and mortality associated with conservative management of spinal cord injury in Makurdi, north central Nigeria [] / Yongu T. Williams, Author ; Elachi C. Itodo, Author ; D. Daniel Mue, Author ; N. Joseph Kortor, Author ; Stephen Atokolo, Author . - Maiduguri (1414, Nigeria - Borno State) : Medical and Dental Consultants Association of Nigeria - Nigerian Medical Association, 2017 . - p.73-77, tab. : Journal Article. - (Borno Medical Journal, ISSN 2437-1734; 14(1)) . ISSN : 2437-1734 Languages : English Keywords: Spinal Cord Injuries - complications  Morbidity  Hospitals, Teaching  Nigeria Abstract: Background Spinal cord injury is commonly associated with morbidity and mortality. This is further worsened by inadequate rehabilitation because of dearth of infrastructure, equipment and personnel Objectives:To identify the complications and causes of death in traumatic spinal cord injury patients.Methodology: A 4-year retrospective review of all traumatic spinal cord injured patients treated at Benue State University Teaching Hospital Makurdi was conducted. The information on age, sex, occupation, cause, associated injuries, level of injury, neurological deficit, American spinal cord injury association (ASIA) score at presentation, complications and outcome were obtained from medical records department. Data were analyzed using Statistical Package for Social Sciences (SPSS) 17.0 (SPSS Inc. Chicago, IL, USA).Results: There were 62 patients with a mean age of 36.02±1.67 years (range 8-77 years) consisting of 54 males and 8 females giving a male to female ratio of 6.8:1. They included students 13(21%) and farmers 10(16.1%). Road traffic crash accounted for 35(56.5%). Majority had cervical spine injury 22(62.8%) and accounted for complications in 20(36.4%). Bed sores occurred in 22(35.5%). ASIA A had the highest frequency of complications 22(35.5%). Eleven patients died giving a case fatality of 31.4%. The patients died from respiratory failure 4(36.4%) and sepsis 2(18.2%). Conclusion: Many complications including bed sores and orthostatic pneumonia result from spinal cord injury leading to high morbidity and death from sepsis and respiratory failure Link for e-copy: http://www.bornomedicaljournal.com/pdfs/MORBIDITY AND MORTALITY ASSOCIATED WITH  [...]

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Musculoskeletal Pain after Stroke: Prevalence, patterns and distribution among survivors in Maiduguri, North Eastern Nigeria / A. A, Rufa’i

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Oxidative stress and lipid profile among hypertensive patients at a tertiary centre in Kano, Northwest, Nigeria / A. Babandi 

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Pattern of presentation and management of urolithiasis at federal medical centre, Nguru, Nigeria / B. M. Abubakar 

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Prevalence and outcome of pregnancy among elderly primigravida in Aminu Kano teaching hospital, Kano: a 5 year review / S. A. Ibrahim 

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Prevalence, risk factors and short-term outcome of babies with Neonatal Jaundice in a secondary facility with free-health services in South-West, Nigeria / Rosena Olubanke Oluwafemi 

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Reasons and experiences of home and hospital deliveries among women in Kano, North Western Nigeria / A. M. Jibo 

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Role of national blood transfusion service (NBTS) in promoting emergency obstetrics care (EMOC) / A. A. Kullima 

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Self-reported hearing-related complaints among dental professionals: a questionnaire-based survey / Ahmed Abdulazeez 

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Seroprevalence of toxoplasma gondii among HIV patients in the University of Benin Teaching Hospital (UBTH), Benin City, Edo State, Nigeria / Edirin O. Yusuf 

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