Effects of computerised tomography scan features on outcome of traumatic brain injuries

No Abstrac

Aetiology and treatment outcome of severe traumatic brain injuries in neurosurgical center with inadequate facilities

Background: Severe traumatic brain injury (TBI) is a major challenge to the patient, the relatives, the care givers, and the society in general. The primary and secondary injuries, and the high metabolism are formidable stages of the injury, each capable of taking the life of the patient. The objectives were to determine the etiology and outcome in severe traumatic brain injuries patients.Methods: This was a prospective study on patients with severe traumatic brain injury patients managed in our center from August 2010 to December 2014. Patients were resuscitated in accident and emergency unit using Advanced Trauma Life Support protocols. Those with Glasgow Coma scale scores ≤8 were included in the study.Data were collected with structured proforma which was component of our prospective data bank that was approved by our ethics committee, and were analyzed with Environmental Performance Index info 7 softwareResults: One hundred and ten patients were studied. Males were 86. The mean age Was 31.43 years. Ninety six were involved in road traffic accident. Seventy seven patients had favorable outcome.Conclusion: The commonest etiology was road traffic accident.Seventy seven patients had favorable outcome.Keywords: etiology, outcome, severe traumatic brain injur

prospective evaluation of the Bengezi and Al-Fallouji Modified Alvarado Score for Presumptive Accurate Diagnosis of Acute Appendicitis in University of Port Harcourt Teaching Hospital, Port Harcourt

No Abstract

Mortality spectrum among adult surgical in-patients at the Niger Delta University Teaching Hospital, Okolobiri, South-south Nigeria: a five-year review

Background: Knowledge of the common causes of death in a particular locality is important. This would help in planning interventions aimed at preventing and adequately managing such diseases to reduce mortality.Aims: To document the common disease conditions which cause mortality in adult surgical in-patients and to ascertain any differences between males and females.Methods: A retrospective study of all adult surgical in- patient deaths at the Niger Delta University Teaching hospital, Okolobiri between January, 2008 and December, 2012.  All deaths during the period were noted and their case notes were retrieved and necessary information obtained.Results: A total of 1,681 patients were admitted into both the male and female surgical wards during the period. There were 1,101 (65.5%) males and 580 (34.5%) females.There were a total of 76 deaths.  Of these, 51 (67%) were males and 25 (32.9%) were females. The mean age at death was 49.9± 20.1 years. In males, the mean age at death was 54.4±20.3 years and in the females it was 40.7± 16.7 years. The leading cause of death in males and females was malignancy.Conclusion: Malignancies were the commonest cause of death in both men and women. In men, death from prostate cancer and breast cancer in women were the single leading causes of death. The mean age at death in women was significantly lower as compared with men (P=0.002).Keywords: Adult, Mortality, In-patient, Surgical, Niger Delt

Three-year clinico-pathological observations of breast carcinoma in Okolobiri, Bayelsa State, Nigeria

Background: Breast cancer (BC) is the commonest malignancy of females worldwide and a major leading cause of death among females. Globally, the incidence is  increasing.Aim: To ascertain the clinico-pathological pattern of breast cancer at the Niger Delta University Teaching Hospital.Methods: This was a retrospective study of all BC patients treated from January 2007 to December 2009 in the Surgical Department of the Niger Delta University Teaching Hospital. Okolobiri, Bayelsa State, Nigeria. Relevant data including name, age, sex, history and examination findings and results of histopathology and other investigations were collected from case files of all the patients treated for BC during the period under review. The data was then analysed manually and by using stat-graphics version 2.3.Results: A total of 42 patients were included in the study and they were all females. Twelve patients (28.6%) were of the 31-40 years age group, followed by 21-30 years age group with 10 patients (23.8%). Thirty-one patients (73.8%) between the ages of 21-50 years were premenopausal.  The commonest histological type was infiltrating ductal carcinoma which was found in 23 (54.7%) patients. Late presentation was seen in 38 (90.5%) patients. The right breast was affected in 22 (52.4%) cases, the left in 19 (45.2%) and only one (2.4%) was bilateral. Mortality was 4.8%.Conclusion: Cancer of the breast is still a common problem presenting in the young to middle age groups.  Infiltrating ductal carcinoma is the commonest variant. Late stage presentation is often the norm in this locality. There is the need to increase the awareness of the disease.  Keywords: Breast carcinoma, Disease pattern, Late presentation  &nbsp

A three-year clinical review of thphoid intestinal perforation in Niger Delta University Teaching Hospital

No Abstract

Management of a Severe Thoracoabdominal Injury from Motorized Sawing Machine in a Temporary Semi-Urban University Teaching Hospital A Case Report

No Abstract