11 research outputs found
Foreign Bodies in the Upper Aerodigestive Tract of Nigerian Children
Aim/Background
This is an audit of number, nature, sites of impaction and methods of removals
and treatment outcome of upper aero-digestive foreign bodies among children in
an urban University hospital in Nigeria.
Patients and Methods
This is an 8year retrospective review of foreign body in upper aero-dgestive tract
of children (January 2001 to December 2007) was conducted at the ENT
department of the University of Ilorin Teaching Hospital, Ilorin, Nigeria . Case
notes of the patients were retrieved and the following were data extracted:
demographic, clinical, operative and outpatient visits outcome.
Results
81 children aged 9months to 16years were seen (mean 4.28, SD 2.95) with 49
males and 32 females and a male: female ratio of 1.5: 1.0.The commonest age
group was 9months to 4years (76.5%). Most common of impaction sites were
nasal cavity in 31 cases (38.3%), oesophagus in 23 cases (28.4%), oropharynx in
16 (19.8%) and larynx in 6 (7.4%)).The commonest FBs was coins in 33 (40.7 %)
in the oesophagus and 37.5% of pharyngeal FBs .Inanimate FBs in the nose
constituted 31(38.3%) [Non vegetative 27(87.1%), vegetative 4(12.9 %)]. Fish
bones were seen in 11 cases (13.6%) [6 in the larynx and 5 around the tonsillar
fauces] and miscellaneous objects in 6 cases.
Conclusion
Upper aero-digestive foreign bodies are common especially among the under
fours', commonest sites being the nose and pharyngooesophageal region with
coins and inanimate FBs constituting about four-fifth. There is the need for
parental health education on object placements, and a high index of suspicion
among practitioners to facilitate early referral and avoid preventable
complications
Ectopic pregnancy secondary to in vitro fertilisation-embryo transfer: pathogenic mechanisms and management strategies
Clinico-mycological profile of otomycosis in two tertiary health institutions in Nigeria – a prospective study
No Abstract
Hypertension in Pregnancy. Round-table discussion: Part 1
GesondheidswetenskappeVerloskunde En GinekologiePlease help us populate SUNScholar with the post print version of this article. It can be e-mailed to: [email protected]
Hypertension in Pregnancy. Round-table discussion: Part 2
GesondheidswetenskappeVerloskunde En GinekologiePlease help us populate SUNScholar with the post print version of this article. It can be e-mailed to: [email protected]
Triglyceride and glucose (TyG) index as a predictor of incident hypertension: a 9-year longitudinal population-based study
Antimicrobial use by WHO methodology at primary health care centers: a cross sectional study in Punjab, Pakistan
Organic geochemistry of the Lower Permian Tak Fa Formation in Phetchabun Province, Thailand: implications for its paleoenvironment and hydrocarbon generation potential
A Global Survey of Reproductive Specialists to Determine the Clinical Utility of Oxidative Stress Testing and Antioxidant Use in Male Infertility
Purpose: The use of antioxidants is common practice in the management of infertile patients. However, there are no established guidelines by professional societies on antioxidant use for male infertility.
Materials and methods: Using an online survey, this study aimed to evaluate the practice pattern of reproductive specialists to determine the clinical utility of oxidative stress (OS) testing and antioxidant prescriptions to treat male infertility.
Results: Responses from 1,327 participants representing 6 continents, showed the largest participant representation being from Asia (46.8%). The majority of participants were attending physicians (59.6%), with 61.3% having more than 10 years of experience in the field of male infertility. Approximately two-thirds of clinicians (65.7%) participated in this survey did not order any diagnostic tests for OS. Sperm DNA fragmentation was the most common infertility test beyond a semen analysis that was prescribed to study oxidative stress-related dysfunctions (53.4%). OS was mainly tested in the presence of lifestyle risk factors (24.6%) or sperm abnormalities (16.3%). Interestingly, antioxidants were prescribed by 85.6% of clinicians, for a duration of 3 (43.7%) or 3-6 months (38.6%). A large variety of antioxidants and dietary supplements were prescribed, and scientific evidence were mostly considered to be modest to support their clinical use. Results were not influenced by the physician's age, geographic origin, experience or training in male infertility.
Conclusions: This study is the largest online survey performed to date on this topic and demonstrates 1) a worldwide understanding of the importance of this therapeutic option, and 2) a widely prevalent use of antioxidants to treat male infertility. Finally, the necessity of evidence-based clinical practice guidelines from professional societies is highlighted