Assessment of DRE and PSA as Diagnostic and Screening Tool for Carcinoma of the Prostate in Rural Nigeria

No Abstract

The burden of erectile dysfunction in hypertensive men attending a general out patient unit in a rural Nigerian hospital

Background: Hypertension is often cited as a cause of erectile dysfuntion (ED) which is currently known to be a risk factor for coronary artery disease (CAD). Both ED and CAD lower the quality of life of affected men.Objectives: To study the characteristics of men with hypertension-associated ED and to determine the ED burden in hypertension in this rural community.Design: Questionnaire based cohort study.Setting: The General Out Patient unit of Irrua Teaching Hospital, Nigeria.Subjects: Men attending the General Out Patient Unit during the study period for diagnosis and treatment of hypertension and who consented to the study.Outcome Measure: The burden of ED in hypertensive men and the characteristics of such men.Result: Two hundred and forty two respondents correctly filled and submitted the questionnaire. Fifty four (22.41%) were newly diagnosed, un treated while 188(77.59%) had been on treatment. In the untreated group, 40(74.07%) and in the treated group, 166(86.20%) had some degree of ED compared to 57.4% in the general population. Age(p=0.000), BMI(P=0.010)in the newly diagnosed group and age(p=0.001), duration of treatment(p=0.009) and co-morbidities(p=0.010) in the treated group were risk factors for ED. Majority of the men(80.30%) were on combination therapy.Conclusion: ED is common among hypertensive men, treated or untreated. Considering the socio-economic and clinical effects of CAD for which ED is a fore runner, physicians should endeavour to obtain a sexual history when evaluating these men as a preventive measure against feature cardiovascular event

Comparison of Proximate Composition of Some Cultivars of Chickpea (Cicer arietinum L.) Cultivated in Owerri, Imo State, Nigeria

The proximate composition of some cultivars of chickpea grown in Department of Crop Science and Technology, Postgraduate Teaching and Research farm Federal University of Technology, Owerri (FUTO was investigated and compared. Two chickpea types namely Kabuli (ICCK 7323 and ICCK 9895) and Desi (cultivars ICCD 867, ICCD 12866, ICCD 8522, and ICCD 9586) were used in the work. The chickpea seeds were respectively crushed into meal and analyzed for Moisture, Protein, Fat, Fibre, Ash, Carbohydrate and Energy value using standard methods. Statistical analysis of the data was carried out using the Duncan New Multiple Test at (p<0.05). The proximate composition of all the chickpea cultivars were significantly (p<0.05) different from each other. The ranges were protein (12.72% to 19.46%); Ash ((3.05% to 10.85%), Energy value (345.6kcal/g to 450.67kcal/g) and Carbohydrate (8.81% to 39.80%). Cultivar ICCK7323 (Kabuli-type) had the highest protein content (19.46%), and cultivar ICCD867 (Desi-type) had the highest crude fibre (11.18%) and ash (10.85%) content respectively. Similarly, cultivar ICCK9895 (Kabuli-type) had the highest carbohydrate content (39.80%) while cultivar ICCD12866 (Desi-type) had the highest energy value (450.67kcal/g). Results show that chickpea cultivars (Kabuli-type) had higher values in protein, crude fibre, and carbohydrate, while cultivars (Desi-type) had higher values in fat, ash and energy. Keywords: Chickpea, cultivars, proximate composition, sensory compariso

A five-year review of burn injuries in Irrua

<p>Abstract</p> <p>Background</p> <p>The management of burns remains a challenge in developing countries. Few data exist to document the extent of the problem. This study provides data from a suburban setting by documenting the epidemiology of burn injury and ascertaining outcome of management. This will help in planning strategies for prevention of burns and reducing severity of complications.</p> <p>Methods</p> <p>A total of 72 patients admitted for burns between January 1st, 2002 and December 31st, 2006 at the Irrua specialist teaching hospital were studied retrospectively. Sources of information were the case notes and operation registers. Data extracted included demographics as well as treatment methods and outcome</p> <p>Results</p> <p>The results revealed male to female ratio of 2.1:1. Over 50% of the injuries occurred at home. There was a seasonal variation with over 40% of injuries occurring between November and January. The commonest etiologic agent was flame burn from kerosene explosion. There were 7 deaths in the series.</p> <p>Conclusion</p> <p>Burns are preventable. We recommend adequate supply of unadulterated petroleum products and establishment of burn centers.</p

Bilateral scrotoschisis with crossed ectopy of the right testis

Vincent C Onuora,1 Eshiobo Irekpita,1 Ugochukwu Alili,1 Agbomherele Ajekweneh,2 Ihuoma N Amaechi11Urology Unit, Department of Surgery, 2Department of Obstetrics and Gynaecology, Irrua Specialist Teaching Hospital, Irrua, Edo State, NigeriaAbstract: Scrotoschisis is an uncommon congenital anomaly in which the testis descends to an extracorporeal position through a defect in the scrotum. Bilateral scrotoschisis is extremely rare. We present a case of a 16-hour old neonate who was referred to our centre with both testes protruding through a defect in the left hemiscrotum.Keywords: bilateral scrotoschisis, crossed testicular ectop

Clinical, cultural and psychosocial impediments to self reporting of erectile dysfunction by men in Edo state, Nigeria

Introduction: Organic ED is presently considered as vasculogenic in the majority of affected middle age and elderly men and a sentinel event for cardiovascular disease. When men present with ED, it is advised that the opportunity should be used to assess their cardiovascular health.Objective: To determine the impediments to self reporting of ED and to assess the help seeking habits of men in Edo state with regards to ED. The secondary objective is to evaluate how acceptable sexual assessment is to these men when they present.Subjects and methods: This is a cross sectional study using a multi-facet, questionnaire with a section consisting of the international index of erectile function (IIEF). All men above 30 years who consented were included.Results: The response rate was 71.1%. The mean IIEF score was 20.33 with standard deviation of 4.656. The overall prevalence of ED was 51.2. Three hundred and eight of the respondents (33.3%) did not know where ED is treated, 273 (29.5%) thought that it is treated by complementary and alternative medicine practitioners while 237 (25.6) opted for the hospital as a point of care. This had a statistically significant correlation with location of the respondent (P = 0.000), level of education (P = 0.000) and senatorial zone (P = 0.000). Sexual evaluation was acceptable to 384 (41.5%) respondents when men present without ED and 757 (81.8%) when ED has occurred. This had a statistically significant correlation with level of education (P = 0.000), alcohol consumption (P = 0.000) and senatorial zone (P = 0.000).Conclusions: ED is highly prevalent in this community. Alcohol consumption, low educational level, ignorance of who and where ED is treated, location of respondent (rural) indifference, presence of co-morbidities and tribal beliefs appear to be associated with low self reporting. Affected men are more likely to patronize complementary and alternative medicine (CAM) practitioners than medical practitioners or may be out rightly indifferent. Acceptability of sexual evaluation of men is low when ED is absent and high when it has occurred.Keywords: Erectile dysfunction; Self reporting; Assessment; Acceptabilit

Remote non-endoscopic hairline approach for excision of forehead lipoma

Background: Facial mutilation may cause socio-psychological effect on an individual. Surgery on the face can cause some level of anxiety as regards the resulting scar. We hereby present our study on the level of satisfaction among patients who had their forehead lipectomy via a remote hairline access.Patients and Methods: This is a prospective study of patients who had forehead lipectomy via a remote hairline access in Irrua Specialist Teaching Hospital, Edo State, Nigeria, between January 2010 and December 2012. They subsequently indicated their level of satisfaction using a numerical scale.Result: A total of 19 patients had forehead lipectomy via the hairline approach with female to male ratio of 2.2: 1. The mean score of satisfaction on the numerical scale was 9.2 in a scale of 10.Conclusion: Patients who had forehead lipectomy with access scar hidden were very satisfied.Keywords: Forehead, lipectomy, remote hairline acces

Fournier\'s Gangrene: Irrua Teaching Hospital, Nigeria, Experience.

Fournier\'s gangrene can no longer be considered idiopathic or a disease of young adult males in apparent good health. This work aims to highlight the changes in the knowledge of the epidemiology vis-à-vis current management recommendations. This study is retrospective. Case files of seventeen patients seen within the ten-year period of 1997-2006 were retrieved, relevant information extracted. All were males who had easily identifiable aetiological factors. Perianal sepsis was the most common (23.53%) followed by diabetes mellitus (17.64%). The disease was fulminating in 2 (11.76%) with over all mortality of 2 (11.76%), one a diabetic and the other an HIV positive patient. Epidemiology of Fournier\'s gangrene is better understood now. There is an a etiology in most of the cases. All our patients were males, a finding similar to other authors from the region and casting doubt on the existence of female genital gangrene. The prognosis is worse when it is associated with immune suppression from diabetes mellitus and HIV infection. Keywords: Fournier\'s gangrene. Changing epidemiology. Female genital gangrene. eponym. AfricansSudanese Journal of Dermatology Vol. 6 (1) 2008: pp. 34-4