Acute mechanical bowel obstruction among adults see at the Lake Akintola

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Organic Residues Affect Soil P Availability, Cowpea Yield And Nutrient Uptake on a Near Neutral P-Deficient Alfisol in Southwestern Nigeria

In the moist savanna zone of West Africa, it has been suggested that application of organic residues may play central roles in increasing the availability of inherent soil phosphorus and the dissolution and utilization of phosphate rock (PR) by food crops. Laboratory incubation study was carried out with plant residues of different chemical compositions (leaves of Flemingia macrophylla, Leucaena leucocephala, and maize stover (Zea mays L.) in pots containing a P-deficient Alfisol from SW Nigeria with ground Togo PR for 3 months to determine the dynamics of Olsen extractable P in the absence of growing plants. Cowpea (Vigna unguiculata L. Walp) was planted in the incubated soils thereafter to evaluate treatment effects on cowpea yield and P uptake. A control treatment (no PR, no plant residues) was included for comparison. The pot trial was laid out as completely randomised design replicated four times. Generally, soil P availability increased with increasing length of incubation. Compared with the initial soil P value of 3.14 mg kg-1, after 12 weeks of incubation Leucaena +PR had the highest soil P (9. 9 mg kg soil-1), followed by Flemingia (7.9 mg kg soil-1) and Flemingia + PR (7.3 mg kg soil-1). Phosphorus availability following incubation of PR was 5.11 mg kg soil-1, 4.2 mg kg soil-1 for the control treatment, and 3.37 mg kg soil-1 for maize stover, which rather immobilized P throughout the incubation period. Cowpea plants grown on Flemingia and Leucaena incubated soils with and without PR produced higher number of pods, grain yield, and shoot dry matter than those grown on PR and maize+PR incubated soils. Total N uptake was not significantly different among the treatments but P and K uptake was significantly higher in plants grown on Leucaena+PR, Leucaena, Flemingia, and Flemingia+PR incubated soils than those grown on the control, PR, and maize+PR incubated soils. These results suggest that plant residues can be selected and incubated in near neutral P-deficient soils to enhance P availability and increase crop yield and P uptake.Key words: Alfisol, cowpea dry matter, length of incubation, Olsen extractable P, plant residues, Togo rock phosphate, West Afric

A review of the management of perforated duodenal ulcers at a tertiary hospital in south western Nigeria

Background: Gastro-duodenal perforations are common and may complicate peptic ulcer disease. Management is often by surgical closure.Objective: To determine the patterns of presentation and mode of management of duodenal ulcer perforations.Methods: Retrospective review of patients with duodenal ulcer perforations seen at the Obafemi Awolowo University Teaching Hospital between June 2001 and July 2011. Patients’ records were reviewed for demography, duration of disease, probable risk factors, type of surgery and complications. Data obtained was analyzed using SPSS 15.0.Result: Forty- five patients were reviewed. There were 37 males (82.2%). Mean age was 39.7years (range 15-78years). There were 10 (22.6%) students and 8(17.8%) farmers. NSAIDs abuse (11), previous peptic ulcer disease (2), and no prior dyspeptic symptoms (20) constituted 24.4%, 4.4% and 44.4% respectively of cases. Seven (16%) patients presented less than 24 hours of onset of illness. Forty one perforations (91.1%) involved the first part of duodenum. Twenty two (49%) patients had Graham’s omental patch. We had one (2.2%) failed repair and six (13.3%) mortalities. Conclusion: Late presentation of duodenal ulcer perforation is common with high mortality. Pragmatic surgical intervention with Graham’s omentopexy with broad spectrum antibiotics is still commonly practiced.Keywords: Duodenal ulcers, perforations, management, NigeriaAfrican Health Sciences Vol 13 Issue 4 December 201

Seroprevalence of Hepatitis C Virus Infection in Nigerians with Type 2 Diabetes Mellitus

Background: Several studies have suggested a strong epidemiologic association between Diabetes Mellitus (DM) and Hepatitis C Virus (HCV) infection in some populations. However, the reasons why chronic HCV infection is prevalent in DM remain unknown. Our aims were to determine the prevalence of HCV infection in a population of Nigerian diabetics compared with the general population as well as assess the influence of sex and age on HCV infection in the same diabetic population. Design and Methods: A total of 115 diabetic patients were compared with 2,301 blood donors matched by recognized risk factors to acquire HCV infection. Serologic testing for anti HCV was done using a commercial enzyme-linked immunosorbent assay (ELISA) kits. Results: Sixty (60) type 2 diabetic patients were males while fifty-five (55) were females. Their mean age was 55.4 ± 9 years and mean blood glucose level was 8.5mmol/l. One subject tested positive for HCV infection. The control group consisted of 2,031 adults recruited from the blood donor\'s clinic. Forty five of them (2.2%) tested positive for HCV. Conclusion: Our preliminary results suggest a low sero-prevalence of HCV infection among our patients with type 2 diabetes. Presently, routine screening for HCV infection in persons with diabetes may not be necessary. Keywords: HCV infection, type 2 diabetes mellitus Nigerian Journal of Clinical Practice Vol. 11 (3) 2008: pp. 199-20

Prevalence and risk factors of cervical cancer among women in an urban community of Kwara State, North Central Nigeria

Background. Cervical cancer is the second most common malig- nancy in women worldwide with a high incidence in under-devel- oped countries and Nigeria is one of these countries. This study aimed at screening for cervical cancer using Papanicolaou smear and to identify risk factors for cervical cancer among women in Olufadi community, Kwara state, North-central Nigeria. Methods. This was a cross-sectional study involving the screening of women aged 25-64 years for cervical cancer using Papanicolaou smear. Respondents were selected through systematic random sam- pling of households. Interviewer- administered questionnaire and clinical report form were also used to collect data. In addition, Pap smear samples were taken. Data was analyzed using SPSS version 15. Results. Only 10 (5.0%) respondents had positive cytology result, while the rest were normal. Of the 10 positive cytology results, 1(10.0%) was high grade squamous intraepithelial lesion (HGSIL) while the remaining 9(90.0%) were low grade squamous intraepithelial lesion (LGSIL) which corresponds to 0.5% and 4.5% of the total respondents respectively. Risk fac- tors for cervical cancer identified included coitarche, tobacco smoking, number of sexual partners and family history of cervi- cal cancer. Conclusion. The findings from this study attest to the increasing burden of cervical cancer. The high number of positive results obtained from the study coupled with the presence of risk factors was an indication of how useful regular screening will be in the early detection of cervical cancer

Traumatic physical health consequences of intimate partner violence against women: what is the role of community-level factors?

<p>Abstract</p> <p>Background</p> <p>Intimate partner violence (IPV) against women is a serious public health issue with recognizable direct health consequences. This study assessed the association between IPV and traumatic physical health consequences on women in Nigeria, given that communities exert significant influence on the individuals that are embedded within them, with the nature of influence varying between communities.</p> <p>Methods</p> <p>Cross-sectional nationally-representative data of women aged 15 - 49 years in the 2008 Nigeria Demographic and Health Survey was used in this study. Multilevel logistic regression analysis was used to assess the association between IPV and several forms of physical health consequences.</p> <p>Results</p> <p>Bruises were the most common form of traumatic physical health consequences. In the adjusted models, the likelihood of sustaining bruises (OR = 1.91, 95% CI = 1.05 - 3.46), wounds (OR = 2.54, 95% CI = 1.31 - 4.95), and severe burns (OR = 3.20, 95% CI = 1.63 - 6.28) was significantly higher for women exposed to IPV compared to those not exposed to IPV. However, after adjusting for individual- and community-level factors, women with husbands/partners with controlling behavior, those with primary or no education, and those resident in communities with high tolerance for wife beating had a higher likelihood of experiencing IPV, whilst mean community-level education and women 24 years or younger were at lower likelihood of experiencing IPV.</p> <p>Conclusions</p> <p>Evidence from this study shows that exposure to IPV is associated with increased likelihood of traumatic physical consequences for women in Nigeria. Education and justification of wife beating were significant community-level factors associated with traumatic physical consequences, suggesting the importance of increasing women's levels of education and changing community norms that justify controlling behavior and IPV.</p

Role of Routine Preoperative Laboratory Testing in Patients Undergoing Elective, Low-Risk Day Case Surgery

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Addressing food waste and loss in the Nigerian food supply chain: Use of Lean Six Sigma and Double-Loop Learning

Food waste and loss (FWL), although a growing problem in the world, there is limited research especially from the developing country context. In this research, we investigate FWL in the processing and distribution stage of the Nigerian Food Supply Chain (FSC). We propose the use of Lean Six Sigma (LSS) tools coupled with Double Loop Learning (DLL) to reduce FWL. Using case study strategy we explored the perception, understanding and experience of the FSC stakeholders on the effectiveness of LSS tools and DLL to reduce FWL in two case companies. We found awareness, identification of root causes of FWL and taking responsibility as the major steps adopted by the case companies to reduce FWL. We provide insights regarding how DMAIC could support Organisational Learning Theory (OLT) while solving FWL issues