A completely patent omphalomesenteric duct causing recurrent intestinal obstruction in a Nigerian adult: a case report.

Mechanical small bowel obstruction is perhaps the most important pathology of the small bowel encountered in surgical practice. The most common etiologies are postoperative adhesions and external hernias. Congenital anomalies like patent omphalomesenteric duct (OMD) hardly make the list among adult patients.

Leptin Concentrations in Non-Obese and Obese Non-Diabetes Nigerian-Africans.

Background: Controversial findings exist on the role of leptin in obesity and its correlation with metabolic variables, with few data emanating from Nigerian-Africans. Plasma leptin was therefore determined in obese and non-obese. Its relationship with obesity indices and metabolic variables were further envisaged.

Leptin concentrations in type 2 diabetes and non-diabetes Nigerian-Africans.

Most studies on leptin in diabetes mellitus (DM) compared to healthy controls were done in Caucasians, with conflicting findings. Paucity of data on this exists in Nigerian-Africans. Therefore, the study determined plasma leptin concentrations in newly diagnosed type-2 diabetes versus controls and its relation to obesity/demographic-metabolic indices.

Low-dose hydroxycarbamide therapy may offer similar benefit as maximum tolerated dose for children and young adults with sickle cell disease in low-middle-income settings.

The multiple clinical benefits of hydroxycarbamide in sickle cell disease are supported by a large body of evidence. The maximum tolerated dose (MTD) is the regimen recommended by guidelines from a panel of National Heart, Lung, and Blood Institute (NHLBI) experts, but other dosage regimens have been used in babies (BABY-HUG) 9 to 18 months old (20 mg/kg per day) and developing countries such as India (10 mg/kg per day); however, there has been no direct comparison of the efficacy, effectiveness, or cost-effectiveness of these different regimens. The purpose of this review was to investigate the current situation with various hydroxycarbamide regimens with particular relevance to low-middle-income countries.

Evaluation of the cognitive effect of newborn resuscitation training on health-care workers in selected states in Northern Nigeria.

Background: Neonatal deaths contribute significantly to slower progress in under-5 mortality reduction. Lack of sufficiently trained birth assistants partly contributes to early neonatal deaths. Resuscitation training equips frontline health-care workers (HCWs) with requisite knowledge and skills to prevent birth asphyxia.

Human immunodeficiency virus seroprevalence in patients with invasive cervical cancer in Zaria, North-Western Nigeria.

Background: Cervical cancer is the commonest gynecological malignancy in our environment and is an Acquired Immuno-Deficiency Syndrome (AIDS)-associated malignancy. Documented data on the Human Immune-deficiency Virus (HIV) seroprevalence among patients with cervical cancer in our environment are scarce.

Objective: The aim of this study is to determine the prevalence of HIV infection in women with cancer of the cervix.

Caregiver satisfaction with paediatric HIV treatment and care in Nigeria and equity implications for children living with HIV.

Caregiver satisfaction has the potential to promote equity for children living with HIV, by influencing health-seeking behaviour. We measured dimensions of caregiver satisfaction with paediatric HIV treatment in Nigeria, and discuss its implications for equity by conducting facility-based exit interviews for caregivers of children receiving antiretroviral therapy in 20 purposively selected facilities within 5 geopolitical zones. Descriptive analysis and factor analysis were performed.

Zaria universal oxygenator holder phase I.

Introduction: The conduct of cardiopulmonary bypass surgery requires the use of equipment and devices like the oxygenator. The oxygenator comes in different makes and each manufacturer customizes the carrier or 'holder' of this device specific to their design.

Aim: This paper presents an innovation designed to overcome the need to purchase a different holder for every oxygenator thereby cutting the cost.

Bothersome lower urinary symptoms during pregnancy: a preliminary study using the International Consultation on Incontinence Questionnaire.

Background: During pregnancy, many women suffer from lower urinary tract symptoms which they hardly report to their care providers. Measuring the prevalence of these symptoms has been difficult because of lack of uniform nomenclature and standardized tool. The updated nomenclature and the new ICIQ-FLUTS questionnaire offer an opportunity for assessment of these symptoms especially in developing countries.

Surgical drains: what the resident needs to know.

Background: Drains continue to be an important aspect of the management of surgical patients. Its use has been contentious. However, when indicated, it is important that drainage should be practiced with prudence.

Hazards of surgical diathermy.

Background: Surgical diathermy is an invaluable facility widely used in the operating theatre. Its application in surgical practice is rapidly expanding. However, its use may be accompanied with hazards, which this review is intended to highlight.

Injuries from cow gore in adults among Fulani.

A retrospective study of 32 patients managed for cow gore injuries. The abdomen was involved in 16 (50%) patients, scrotum in six (18.9%), neck in three (9.

Malignant melanoma: a review.

The incidence of malignant melanoma the most malignant of all skin neoplasms, has doubled within the last 10 years. Exposure to high intensity sunlight, racial susceptibility, hormonal status, age, environmental factors as well as injury have all been shown to play a role individually or synergistically in the activation of the melanocytic oncogen. Controversies still exist in which factors actually determine prognosis, in patients with advanced malignant melanoma.

Isolated rupture of an accessory liver from blunt abdominal trauma in childhood.

An accessory liver is uncommonly encountered in surgical practice. It can rarely cause acute abdominal pain. An isolated injury to an accessory liver from blunt trauma in a 10-year-old boy caused major intraperitoneal haemorrhage.

Cavernosal spongiosium shunt in the management of priapism in Zaria, Nigeria.

Between 1982 and 1994 13 patients have needed surgery for priapism persisting after conservative measures using the technique described by Quackel.

Thyrotoxicosis in Zaria, Nigeria: an update.

The total number of operations performed for thyroid diseases at the ABU Teaching Hospital, Zaria from January 1986 to December 1995 has reduced. Those performed for thyrotoxicosis have tripled (18.5% of all thyroid operations compared to 5.

Congenital goitre and juvenile hypothyroidism in a Nigerian child.

A 7-year-old girl from an area where endemic goitre is not known presented with a collar-like goitre which on palpation was diffusely nodular. Investigations showed high TSH and 'low' thyroxine serum levels. She was neither mentally retarded nor spastic.