Pre and post craniotomy psychosis and seizure disorder in a Nigerian medical doctor treated for meningioma. A case report.

This report highlights psychosis and seizures presenting at two distinct periods of time in the course of Meningioma, in a 43 year old Nigerian medical doctor and buttresses the fact that the risk for post operative seizures and other symptoms include a history of pre-operative seizures and the site of the tumor. The subject had a radiological Brain CT –Scan and Cranial MRI diagnosis of Temporo-parietal mass of Meningioma and based on clinical presentation of right sided weakness, 3 year history of deterioration of vision and brief awareness with altered behavior in the pre surgical period. He  had a Simpson 11 Excision craniotomy, at the University College Hospital, Ibadan, Nigeria, in November 2015 but  represented at the Mental Health Department, Federal Medical Center, Yenagoa, in January, 2016, in the post surgical  period, with histories of abnormal behaviour, altered awareness of the environments with automatisms, visual  hallucinations and depressive features. He had been managed with Resperidone and Carbamazepine with good response  and without reoccurrence of pre-surgical features. Post operatively, his visual acuity has been restored and he has since resumed his duties as a medical practitioner, in the state medical service; suggesting an effective control with good outcome using medications.Keywords: Seizure, Complex Partial Seizure, Craniotomy, Automatisms, Meningiom

The effect of tobacco snuff on blood coagulation parameters in adult Wistar rats

This study evaluates the effect of tobacco snuff on platelet count, prothrombin time (PT), and partial thromboplastin time (aPTT) in adult Wistar rats weighing between 150-300g and divided into four group (A - D; n=12 each). Group A served as control, while B, C and D served as test groups. The test groups were further divided into four subgroups (B1 - D1; B2 - D2; B3 - D3; and B4 - D4); representing experimental durations of 2, 4, 6 and 8 weeks respectively. Groups B1-D1; B2-D2; B3-D3; and B4-D4, received varying doses of tobacco snuff and at the end of 2, 4, 6 and 8 weeks respectively, 3 rats from the sub groups were prepared for blood sample collection into EDTA and plain containers via cardiac puncture. Platelet-poor-plasma for PT and aPTT determination was obtained by spinning the blood at 2000rpm for 15 minutes, while sample analysis was performed using Diammonium ethanedioate and the prothrombin time/activated partial thromboplastin test kits. The results obtained showed that tobacco snuff has capacity to induce platelet count reduction, prolong aPTT and delay PT. Thus, as more public enlightenment in this regard is required, specific molecular studies are necessary to fully explain the mechanisms.Keywords: Blood, coagulation, coagulation factors, Tobacco, Yaj

Awareness of Contraceptive Methods amongst Married Male Population of Ekpoma, Nigeria

The impact of contraception on the population growth rate of Nigeria has been described as “little”, thereby prompting several questions on what the problems might be. This study therefore, reassesses the level of awareness of contraceptive methods amongst married male population of Ekpoma, Edo State, Nigeria. The study population comprised of 640 married men and data was collected using a well-structured questionnaire. The results showed that awareness of contraceptive methods is high. Although comparatively, pills (for females), male condom (for male) and withdrawal (for couple co-operation) method, were the better known contraceptives. It is our opinion therefore, that the relevant authorities take advantage of such level of awareness amongst married men to initiate programs that would educate them about the significance of responsible parenthood, particularly on how it applies to Nigeria

Contraceptive Choice amongst Married Men in Ekpoma, Nigeria

Previous study has shown men to be aware of family planning and male contraceptive methods. Knowing that high maternal mortality is a factor of childbearing and complications of pregnancy, contraceptive use to an extent protect women’s life. A worrisome scenario is; which contraception method or type will men choose since they are known to take greater part of issues concerning family formation. Thus, this study investigates the prevalence contraceptive choice of married men in Ekpoma, Edo state, Nigeria. A total of 640 randomly selected married men responded to a structured questionnaire designed to obtain individual information and most preferred contraception. Result shows female method of contraception (29.1%) to be the most preferred contraception among married men. However, Condom (85.9%) was the most prevalent male contraceptives choose. Conclusively, condom is the most acceptable male contraceptive. Men need to be provided with correct information on the use of condom since they play a big role in protecting women’s health, controlling population and sexual transmitted diseases