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Afrimedic Journal
Number of Followers: 3

This is an Open Access Journal

Open Access journal
ISSN (Print) 2141-162X
Published by African Journals Online

[261 journals]

Research collaboration - a panacea for the advancement of global
health.pdf
- Authors: Y.B Dabota
  Pages: 1 - 4
  Abstract: Background: Research involves the
  investigation of either pre-existing or
  new concepts to provide answers to
  questions or modify existing concepts.
  Results of researches lead to innovation.
  There is constant research in global
  health as medicine is not static.
  Research collaboration is necessary for
  global health as it helps to eradicate
  bias.
  Method: This is a review article on
  research collaboration as a tool for the
  advancement of global health. A
  literature search was done using Google
  Scholar, Medline and PubMed.
  Conclusion: Research collaboration
  should be encouraged especially as it
  promotes the acquisition of funding and
  obtaining of research grants. It enables
  the tackling of Research questions in
  global health that are enigmatic and it
  also facilitates the building of capacity.
  Key Words: Global Health, Research
  Collaboration, Research Grant, Research
  Questions
  PubDate: 2021-01-15
  Issue No: Vol. 7, No. 1 (2021)
Ectopic pregnancy in a teaching hospital in south eastern nigeria.pdf
- Authors: N.P Obiegbu, A.C Obiegbu
  Pages: 5 - 17
  Abstract: Background: Ectopic Pregnancy still remains a deadly gynaecological emergency. It has been linked with increased maternal morbidity and mortality in early pregnancy especially in Sub-Saharan Africa. Objectives: To determine the incidence, common risk factors, clinical presentations, treatment modalities and maternal outcome of ectopic pregnancies that presented in Nnamdi Azikiwe University Teaching Hospital over a five year period (January 2014 to December 2018)
  PubDate: 2021-11-23
  Issue No: Vol. 7, No. 1 (2021)
Efficacy of single dose ciprofloxacin versus ceftriaxone in the prevention
of prostate biopsy related infection.pdf
- Authors: C. Odo, E.N Afogu, E.S.I Ugwuidu, T.U Mbaeri, E.A Obiesie, U.U Ogbobe, U.U Nnadozie, O.V Onyebum
  Pages: 18 - 27
  Abstract: Background: Prostate cancer is a major health concern world over, being the second most common neoplasm in men and the sixth commonest cause of cancer related death in the entire world. Trans-rectal ultrasound guided prostate biopsy is the gold standard technique for prostate cancer diagnosis. Prostate biopsy is associated with risk of urinary tract infection. Objective: This study aims to compare efficacy of ciprofloxacin with that of ceftriaxone in reducing post-prostate biopsy infection.
  PubDate: 2021-11-23
  Issue No: Vol. 7, No. 1 (2021)
Prevalence and patterns of post menopausal bleeding at the nnamdi azikiwe
university teaching hospital nnewi nigeria - a 5 .pdf
- Authors: G.C Ikpeze, I.K Nwaeju, N.D Adinma, K.E Obi, O.Z Ikpeze
  Pages: 28 - 34
  Abstract: BACKGROUND
  OBJECTIVES
  To determine the prevalence and
  patterns of postmenopausal bleeding.
  Materials and methods:
  This was a retrospective study
  conducted on all the cases of
  postmenopausal bleeding managed at
  Nnamdi Azikiwe University Teaching
  Hospital Nnewi between 1st January
  2014 and 31st December 2018. Data
  was obtained from the case notes
  retrieved from the medical records
  department and from gynecological
  ward and clinic registers. The
  information obtained included age,
  parity, year since menopause, history of
  hypertension and diabetes mellitus,
  time of onset of postmenopausal
  bleeding, duration of bleeding, bleeding
  frequency, and subjective measurement
  of bleeding and histological diagnosis.
  Data analysis was done using SPSS
  version 21.
  Results:
  Out of the 1640 gynaecological
  admissions, 53 were for
  postmenopausal bleeding, giving a
  prevalence of 3.2% for postmenopausal
  bleeding. A total of 46 out of the 53
  case files were retrieved from medical,
  and were used for further analysis.
  Twenty-two (47.8%) were found in
  women between the ages of 55 to
  65years. The majority of the cases
  58.7% were found amongst the
  grandmultipara. Majority (82.6%) of the
  documented cases, were found in
  women who have been menopausal for
  at least 12 months and only one case
  was reported in women menopausal for
  less than 12 months. History of
  hypertension and diabetes mellitus were
  found in 11 (23.9%) and 7 (15.2%) of the
  women respectively. PMB was first
  noticed at least 6 months
  postmenopausal in 24 (52.3%).
  Recurrent PMB was experienced by 38
  (82.6 %) of the women in the study
  while 3 (6.5%) presented with a single
  episode. Subjective estimation of
  bleeding revealed that 20 (43.5%) of the
  patients used in the study had either
  slight or heavy bleeding. Histological
  diagnosis showed that squamous cell
  carcinoma of the cervix and other
  histological types of cervical
  malignancies accounted for 12 (26.1%)
  and 7 (15.2%) of all histological
  diagnoses, respectively.
  Conclusion:
  In conclusion, PMB is a common
  gynecological presentation in our
  environment. It is closely associated
  with diabetes mellitus and hypertension
  with the leading cause in our climes
  being cervical malignancy which is
  largely preventable. Therefore, health
  policies should be targeted towards
  medical education, lifestyle
  PubDate: 2021-11-23
  Issue No: Vol. 7, No. 1 (2021)
Intractable haematuria secondary to pedunculated median lobe of the
prostate - a diagnostic dilemma.pdf
- Authors: E.A Obiesie, AME Nwofor, SO Obiesie, C. Odo, AO Odili, CK Oranusi, TU Mbaeri, ME Chiemaka, C Otene, D Orakwe, C Azie, C Eze, UV Nwadi, FE Menkiti, OO Mbonu
  Pages: 35 - 42
  Abstract: Benign prostatic hyperplasia is a common disease in the ageing male. Obstructive solitary and pedunculated
  intra-vesical enlargement arising from the median lobe of the prostate is rare. The enlarged median lobe, juts into the bladder base, and occasionally occludes the internal urethral opening during voiding (ball valve effect). The clinical diagnosis can be difficult, as digital rectal examination and ultrasonography can be inconclusive. Intractable haematuria associated with benign prostatic obstruction (BPO) is a urological emergency necessitating emergency surgical intervention. We report a 54 year old man, who presented with a 3 year history of worsening severe lower urinary tract symptoms (LUTS) that culminated in
  intractable haematuria of 7 days duration and acute urinary retention. Digital rectal examination revealed a flat prostatic fossa with no nodules. PSA was 11.7ng/ml. Ultrasonography revealed a huge prostate with a prominent median lobe (grade-3 IPP) and a post void residual of 176mls. He underwent emergency open transvesical prostatectomy with good surgical outcome.
  PubDate: 2021-11-23
  Issue No: Vol. 7, No. 1 (2021)
Right posterior diaphragmatic hernia with omphalocele management
challenges and benefit of multidisciplinary and multi-inst.pdf
- Authors: J.O Ugwu, K.C Etukokwu, M P Ufoegbunam, C.A Ugwunne, N.O Ugwu
  Pages: 43 - 49
  Abstract: Right posterior congenital
  diaphragmatic hernias (CDH) with
  liver herniations pose a huge
  management challenge to the
  paediatric surgeons world over. Its
  association with anterior abdominal
  wall defects portends a poorer
  prognosis.
  We report a case of a day- old male
  referred to our centre with
  breathlessness, anterior abdominal
  wall defect and persistent poor
  oxygen saturation. Clinical and
  imaging evaluations aided the
  diagnosis of a right posterior
  congenital diaphragmatic hernia with
  omphalocele and divarication of recti.
  Due to dearth of resources, a
  multidisciplinary team of paediatric
  surgeons, cardiothoracic surgeon,
  paediatricians and an intensivist were
  assembled and care was undertaken
  in two centres to complement in
  manpower and facility deficiencies.
  This in so many ways mitigated
  against likely management
  difficulties, morbidities and even
  mortality. CONCLUSION; Right congenital
  diaphragmatic hernias (CDH) in a
  resource constrained environment
  can be successfully managed with
  good clinical and multicentre
  collaborations.
  PubDate: 2021-11-23
  Issue No: Vol. 7, No. 1 (2021)
Turn down distal femoral autograft in proximal tibia defect reconstruction
- a case report.pdf
- Authors: H.O Obiegbu
  Pages: 50 - 58
  Abstract: Giant cell tumor, a benign growth with
  aggressive attributes with potential for
  both local invasion and recurrence often
  affects the proximal tibia with
  attendant bone expansion, destruction
  and invasion of the articular margin. I
  present a 42 year old woman who came
  in with a history of a two year old mass
  involving the right proximal tibia, and a
  week history of bleeding from an
  incision scar on the proximal tibia. X-ray
  / histopathological findings revealed an
  aggressive giant cell tumor with a
  breach of the posterior cortex of the
  proximal tibia. The patient was
  counselled for surgery, and
  subsequently had a resection of the
  entire proximal tibia in the first surgery;
  and a turn down autograft of the distal
  femur with arthrodesis of the knee joint
  done in the second surgery. On follow
  up for one year, there were no signs of
  tumor recurrence and patient could
  ambulate comfortably with a walking
  stick.
  PubDate: 2021-11-23
  Issue No: Vol. 7, No. 1 (2021)
Burnt out benign splenic cyst mimicking intra-abdominal malignancy - case
report and review of literature.pdf
- Authors: E.A Obiesie, A.O Okoye, C Odo, I.O Duruewuru, M.C Agbanu, S.O Obiesie, S.C Abone, F.E Menkiti, K.E Obi, O.I Anokwulu
  Pages: 59 - 64
  Abstract: The spleen performs important immunological function. Benign cysts, neoplasms and abscesses are identifiable cystic lesions of the spleen. Splenic cysts are very rare, and consist of Type 1 (parasitic) and Type 11 (non-parasitic) cysts. Very few cases of huge splenic cysts have been reported in literature. The most common symptoms are due to pressure effects on contiguous organs, causing pain, abdominal swelling and change in bowel habit. Management of these splenic cysts is
  controversial. Indications for surgical intervention, include symptomatic or large diameter cysts (>5cm). We report a 57 year old lady with an 18 year history of recurrent left abdominal pain, progressive weight loss, easy satiety, and recurrent low grade fever. She neither had change in bowel habit, nor haematuria. There
  was no history of abdominal trauma. On physical examination, there was a left hypochondriac swelling, extending to the midline of the abdomen. She has been transfusedseverally in the past on account of recurrent anaemia. Ultrasound revealed multiple well circumscribed oval and rounded cysts of the spleen. Her haemoglobin level at presentation was 6g/dl. She had neutrophilia. She subsequently underwent total splenectomy with good surgical outcome.
  PubDate: 2021-11-23
  Issue No: Vol. 7, No. 1 (2021)