Chronic Kidney Disease Screening and Renoprotection in Type 2 Diabetes

Background: Type 2 diabetes (T2D) is a major cause of chronic kidney disease. Control of hypertension and the use of angiotensin converting enzyme inhibitors (ACEI) and/or angiotensin II receptor blockers especially in those with proteinuria have been shown to protect against chronic kidney disease and delay its progression to kidney failure. Methods: We reviewed the medical records of 169 patients at 12 months with a view of auditing the screening for chronic kidney disease and the use of renoprotective measures. Results: Urinalysis was done in 49.1% and serum creatinine in 50.3%. No patient had glomerular filtration rate estimated. Seventy nine (67.6%) of the hypertensive patients were on anti-hypertensives. ACEI was used in 49 (45.8%) of these patients BP control was optimal in 29.1%. Conclusion: There is poor adherence to guidelines on chronic kidney disease screening and renoprotection in T2D.Fond: Le type 2 le diab\ue8te (T2D) est une cause importante de la maladie chronique de rein. La commande de l'hypertension et l'utilisation des inhibiteurs d'enzyme convertissants d'angiotensine (ACEI) et/ou des dresseurs de r\ue9cepteur de l'angiotensine II particuli\ue8rement dans ceux avec le proteinuria ont \ue9t\ue9 montr\ue9es pour se prot\ue9ger contre la maladie chronique de rein et pour retarder sa progression \ue0 l'\ue9chec de rein. M\ue9thodes: Nous avons pass\ue9 en revue les disques m\ue9dicaux de 169 patients \ue0 12 mois avec une vue d'auditer le criblage pour la maladie chronique de rein et l'utilisation des mesures renoprotective. R\ue9sultats: L'analyse d'urine a \ue9t\ue9 faite en 49.1% et cr\ue9atinine de s\ue9rum dans 50.3%. Aucun patient n'a fait estimer le taux de filtrage glom\ue9rulaire. Soixante-dix-neuf (67.6%) des patients hypertendus \ue9taient sur des antihypertensifs. ACEI a \ue9t\ue9 employ\ue9 dans 49 (45.8%) de ces patients que la commande de BP \ue9tait optimale dans 29.1%. Conclusion: Il y a d'adh\ue9rence pauvre aux directives sur le criblage et le renoprotection chroniques de la maladie de rein dans T2D

Sexual behavior of medical students: A single institutional survey

Objective: We investigated the sexual practices of medical students as they are positioned to serve as peer educators in the fight against HIV/AIDS. Methods: This was a cross sectional study, where self- administered questionnaires were distributed to consenting 4th to 6th year medical students in Jos, Nigeria with a view of elucidating information regarding sexual practices and condom utilization. Safe sex practice was defined as the use of condoms and being in a monogamous relationship. Results: Of a total of 400 questionnaires distributed, 365 respondents (249 males and 116 females) had adequate data for analysis. A large proportion (62%) of our students have never had sex before and less than 30% of them are sexually active. Only 6.1% had multiple sexual partners and homosexuality was uncommon (1.9%). Condom utilization amongst the sexually active was high (65%) and similar among male and female students (71.3% vs. 51.9% respectively, p = 0.08). Conclusion: There exists safe sexual practice among medical students in our setting. This group could be recruited as peer educators in the war against HIV/AIDS.Key Words: HIV/AIDS, Students, Sexual behaviour, Condom us