Traumatic Tympanic Membrane perforation: An aetiological profile

<p>Abstract</p> <p>Background</p> <p>Traumatic perforation of the tympanic membrane may be due to direct or indirect source. The aim of the study is to profile the various aetiologies of traumatic tympanic membrane perforation in Ilorin, north central Nigeria.</p> <p>A retrospective review of 64 patients seen at the University of Ilorin Teaching hospital, Ilorin, Nigeria over a ten year period (January 1998 to Dec 2007) with history of traumatic tympanic membrane perforation from various causes, these also included multiply injured patients with bleeding from middle ear as part of their presentations. The data retrieved included the biodata, the clinical presentations, source of injury, the clinical findings and the treatment outcome. The data were entered into an SPSS version 11 computer soft ware and analyzed descriptively.</p> <p>Findings</p> <p>Sixty four (64) ears were analysed, Age range 6 months to 50 yrs, mean age of 29.2 yrs 7.9% of them were ≤5 years, 29.7% between 21-34 years, and 37.7% were 35 years and above. The male to female ratio was 2.5:1.0. Commonest aetiology was from slaps, then road traffic injury (RTI) in 35.9% and 23.5%, Majority of the slap injury were from fights (30.5%), security agents, senior students and cultists at schools (17.4% each). Sudden hearing loss was a typical presentation (95.3%), majority of the patient defaulted from follow up once the symptoms of bleeding and pain subsided. Only 7.8% had neomembrane formation on follow up</p> <p>Conclusion</p> <p>Traumatic perforation of the tympanic membrane is an uncommon injury that is under-reported, there is the need to educate on alternative punitive measure among students and security agents, unskilled removal of foreign body, early identification, evaluation and referral of patients reduces the attendant morbidity.</p

Tuberculous otitis media: a case presentation and review of the literature

A 42-year-old farmer being treated for pulmonary tuberculosis was referred to our clinic after developing otorrhoea and hearing loss in his right ear. Examination revealed a large subtotal perforation in the right ear in addition to a purulent discharge with right facial nerve palsy. Audiometry indicated a 35 dB conductive hearing loss at 0.5, 1 and 2 kHz with air–bone gaps of 12, 15 and 10 dB, respectively. A middle ear biopsy was performed under direct visualisation, with a middle ear lavage which was positive for allergic fungal sinusitis (AFS). The final diagnosis was tuberculous otitis media (TOM). Clinical symptoms and signs should be reviewed in every case of chronic otitis media keeping the possibility of tuberculosis in mind. Otorrhoea in a patient with known or suspected active pulmonary tuberculosis should be assumed to be TOM until proven otherwise

Computational Fluid Dynamics (CFD) Analyses of Energy and Exergy in Thin Layer Drying of Okra (Abelmoschus esculentus) Slices using Centre Shaft Rotary Tray Cabinet (CSRTC) Dryer

This paper presents a simulation of the drying process of okra (Abelmoschus esculentus) in a Center Shaft (CS) Rotary Tray Cabinet Dryer using three drying temperatures (50, 60 and 70 °C). ANSYS 14.5 Workbench was used to simulate the dryer model in 2D (2 Dimensional). The detail of the CFD simulation was utilized to investigate the energy and exergy of the dryer. The ANSYS Design Modeler was used to model the 2D representation of the dryer and the meshing was done using ANSYS ICEM. ANSYS Fluent CFD solver was then used to calculate the alternative using the normal turbulence-realizable k-epsilon model in a steady-state system with improved wall temperature treatment. The simulation outcome was used in calculating the dryer's exergy and energy analysis based on the thermal efficiency. It was noted that the simulated temperature from the experiment is greater than that of the experiment. The results indicated that the experimental energy utilization (EU), energy utilization ratio (EUR) and energy efficiency increased from 14.1 to 57.93 J/s, 0.15 to 0.20 and 18.89 to 33.98 percent, while the simulated energy utilization ratio increased from 23.91 to 57.68 J/s, 0.19 to 0.20 and 26.21 to 33.40 percent, respectively, and as the drying air temperature increased from 50 °C to 70 °C. Experimental exergy inflow, outflow, exergy loss and exergy efficiency increased from 4.01 J/s to 6.98 J/s, 1.83 J/s to 1.9 J/s, 3.18 J/s to 5.07 J/s and 21 to 27%, while simulated air temperatures increased from 5.01 J/s to 7.49 J/s, 1.33 J/s to 2.20 J/s, 3.66 J/s to 5.29 J/s and 27 to 29% respectively with respect to the drying air temperature range (50–70 °C). Model equations were derived from the plotted graphs to express the energy and exergy parameters as a function of drying temperature

Compositional Evaluation of Pulp and Seed of Blood Plum (Haematostaphis barteri), a Wild Tree Found in Taraba State, Nigeria

Traditional leafy vegetables represent inexpensive but high quality nutritional sources for the poor segment of the population especially in developing world like Nigeria, where malnutrition is wide spread. Blood plum (Haematostaphis barteri) is an under–utilized leafy vegetable belonging to the Anacardiacea family. A comparative study was carried out on proximate composition and amino acid profile of pulp and seed of H. barteri. The proximate composition values (%) for pulp and seed samples were found to be as follows: Moisture (3.56 and 2.75), ash (2.97 and 3.92), crude fat (17.76 and 29.68), crude protein (21.81 and 29.38), crude fibre (8.44 and 2.40), and carbohydrate (45.48 and 31.88). The calculated fatty acids and metabolizable energy were 14.21 and 23.74%; 1801.05 and 2139.58 kJ/100g, respectively. The high metabolizable energy values showed that the samples have an energy concentration more favourable than cereals, and which compare favourably well with those of legumes. The amino acid profiles revealed that pulp and seed samples of H. barteri contained nutritionally useful quantities of most of the essential amino acids. The total amino acids (TAA), total essential amino acids (TEAA) (with His), total sulphur amino acids (TSAA), and essential aromatic amino acids (EArAA) for the pulp and seed samples were 53.39 and 67.07; 26.49 and 34.28; 1.21 and 2.59; 2.70 and 3.37, respectively. However, supplementation of essential amino acid is required in a dietary formula based on H. barteri (pulp and seed), when comparing the EAAs in this report with the recommended FAO/WHO provisional pattern. The limiting EAAs in the pulp and seed of H. barteri were Leu and Lys, respectively. Keyword: Proximate, amino acids, pulp, seed, Haematostaphis barter

Audit of pediatric ENT injuries

Background: Ear, Nose and throat (ENT) injuries are relatively common in children. Sometimes they may result in disfigurement or dysfunction of the affected parts. This study was aimed at the pattern and mechanisms of ENT injuries encountered by children in Ilorin located in north central Nigeria. It is therefore our hope that the information will go a long way to assist other African countries as well in health care plans for children. Objectives: The study was aimed at determining the pattern and causes of ENT injuries in children in Ilorin. Methodology: This was a descriptive cross sectional, prospective study of all pediatrics patients aged 15 years and below who were managed between January 2005 and December 2009 (a period of 5 years) for ENT trauma in the accident & emergency unit, wards and clinics of University of Ilorin Teaching Hospital. Most of them were treated as out-patients; a few of them needed admission for some procedures. Patients with injuries to other areas than ENT were not included in this study. The data that were analyzed included the age, sex, presenting complaints, duration of symptoms prior to presentation, diagnoses, treatments and complications. Results: Two hundred and seventy-one children were studied, of which 168 (62.0%) were males and 103 (38.0%) were females. Most of the children, 97 (35.8%), were between age group of 6-10 years, 81 (29.9%) aged 5 years and below, while the rest were 11-15 years of age. Injuries due to foreign bodies in Ear, Nose and Throat accounted for 80 (29.5%) of the causes. Falls accounted for 60 (24.4%) of cases while Road Traffic Injuries (RTI), 42 (15.5%) of cases. Bleeding was the commonest presenting symptom. Most of the children, 97 (35.8%) presented within 1 hour of injury while the least, 45 (16.6%), presented more than 8 hours after the injury. 132 (48.7%) had injuries in the Ear, 117 (43.2%) in the Nose and 22 (8.1%) in the Throat. Conclusion: ENT injuries in pediatrics are relatively common in our environment with injuries from FB insertion/ingestion being the commonest. This is closely followed by falls. Several disabilities and morbidity may result from the trauma like anosmia, facial palsy and permanently depressed nose. These have impact on psychology of the child. For these reason close monitoring of children by parents and care-givers cannot be overemphasized. Also these injuries are avoidable causes of death and disability in children. (Int J Biomed Sci 2011; 7 (3): 218-221

COMPARATIVE TRIAL OF COMBINED METOCLOPRAMIDE AND DEXAMETHASONE VERSUS DEXAMETHASONE IN POSTOPERATIVE NAUSEA AND VOMITING IN GYNAECOLOGICAL SURGERY

Metoclopramide is a drug that has been used in the dose of 10 mg iv for postoperative nausea and vomiting (PONV) prophylaxis for many years and has been reported to be ineffective at this dose. That a higher dose of this drug, when used in combination with 8 mg dexamethasone, is more effective when compared with 8 mg dexamethasone only is worth validating and this study was designed to do. The aim is to compare the effectiveness of adding 50 mg metoclopramide (in two divided doses) to 8 mg intravenous dose of dexamethasone versus 8 mg dexamethasone only as a prophylactic anti-emetic in gynaecological surgery under spinal anaesthesia at University of Ilorin Teaching Hospital, Ilorin

Climate Change Issues in Nigeria: A Call For A Sustainable Policy in Agricultural Sector

Climate change has been reported to have been caused by human activities and its impacts on global economy and the citizen is devastating in nature. This paper aims to identify various ways through which farmers in the rural community contribute to climate change. This study intends to contribute to environmental sustainability and farmers’ adoption of cleaner agricultural production practices. This research adopted descriptive survey design type. The methodology includes the use of four stage sampling procedure to select 120 farmers from the study area. Interviewed schedule was used to collect data from the respondents, while the data collected were analyzed using descriptive statistics. The findings revealed that majority (92.4%) engaged in bush burning, 96.7% were involved in deforestation,59 % engaged in soil nutrient depletion activitieswhile 92.4% engaged in drainage construction. All these activities contribute to global warming. Therefore, it is recommended that awareness campaign about the cause of climate change should be organized for the farmers in the zone,while policy should be formulated to encourage farmers to use climate smart agriculture in their production process in order to establish environmental sustainability. Key words: Climate change. Bush burning, Deforestation, Sustainability, Farmers activities Global warmin