scholarly journals A Ten-Year Review of Primary Postpartum Haemrrhage at a University Teaching Hospital, Sagamu, Nigeria: A Case-Control Study

2015 ◽  
Vol 05 (03) ◽  
pp. 142-150
Author(s):  
Mustafa Adelaja Lamina ◽  
Monday Ikhile
2018 ◽  
Vol 4 (2) ◽  
pp. 227-232 ◽  
Author(s):  
Muayad A Merza ◽  
Abdul Aziz Sulaiman Savo ◽  
Muhammad Jaafer

Diabetes can be linked with impaired host immunity that subsequently increases the rate of various infections including tuberculosis (TB), particularly in developing countries where TB is endemic. The objectives of this case control study were to determine the prevalence and the risk of LTBI among diabetic patients. It is a prospective case control study conducted in Azadi Teaching Hospital from September 2017 until May 2018. The diabetic patients included in this study were randomly selected. The diagnosis of diabetes mellitus (DM) was made according to the American Diabetes Association (ADA). Diabetes mellitus patients and the control participants were offered a voluntary tuberculin skin test (TST). The TST ≥10 mm was considered positive. The results were analyzed by entering the data in SPSS (statistical package for the social sciences, version 16; SPSS Inc., Chicago, Illinois, USA). Two hundred DM patients and 208 control individuals participated in this study. Collectively, 28 patients had positive TST results. Based on the sputum smear microscopy and CXR, none of these patients showed active TB disease. The differences between the DM patients and the control group had no statistical significance apart from previous hospitalization. The prevalence of LTBI was 23.53% in the diabetic group, whereas, it was 9.62% in the control group. The frequency of LTBI in diabetic patients was significantly higher than the control group. When the diabetic group was compared with the control group in terms of diabetic control and the duration of diabetes disease, there was a statistically significant association of diabetes duration ≥ 10 years and TST positivity. In conclusion, the previous hospitalization was a significant risk factor for diabetic patients to acquire TB bacilli. Latent TB infection was more common in diabetics than non diabetics and there was an increased likelihood of having LTBI with the duration of diabetes ≥ 10 years. To avoid the threatening of TB control program, prophylactic treatment of LTBI in diabetic patients is paramount.Asian J. Med. Biol. Res. June 2018, 4(2): 227-232


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Amos Gyamfi ◽  
Charles Brown ◽  
Samuel Antwi-Baffour

Abstract Objectives The aim of the study was to investigate the relationship between single nucleotide polymorphisms (SNPs) of selected genes (β3-adrenergic receptors-ADRB3, Leptin receptor-LEPR, Peroxisome proliferator activator receptor γ-PPARG) and obesity among Ghanaian adults. Methods This was a case-control study comprising 24 cases of newly diagnosed obese; BMI ≥30 kg/m2, at the Dietherapy Unit of the Korle-Bu Teaching Hospital (KBTH), and 32 controls of non-obese staff and clinical students at KBTH. A validated questionnaire was used for demographic, dietary and anthropometric data. Dietary intake was assessed using a food frequency questionnaire, and DNA extracted from mouth rinse water samples. SNPs in the ADRB3, LEPR and PPARG genes were determined by polymerase chain reaction restriction fragment length polymorphism (PCR –RFLP). Results There were statistically significant differences in BMI, WHR and MUAC measurements between cases and controls (all p s˂ 0.0001). There was no statistically significant difference (P = 0.3032) between the mean energy intakes of both cases and controls. DNA fragments for the PPARG gene was amplified in 55 respondents. No relationship was observed between PPARG (Pro12Pro) SNP and BMI, MUAC and WHR among participants. Amplification was successful in 19 cases and 24 controls for ADRB3 (Trp64Trp & Trp64Arg). No significant difference (all ps > 0.05) emerged for the ADRB3 SNPs frequencies between the cases and the controls for BMI, MUAC and WHR. LEPR amplification was successful in 15 cases and 14 controls. Amplicons of six cases, all in the OBClass 1 to OBClass 3 range, indicated the presence of the Gln223Arg SNP after RFLP. A significant difference (all ps < 0.05) emerged for LEPR (Gln223Arg) SNP frequencies between the cases and the controls for BMI, MUAC and WHR. Conclusions There were no observed relationships among ADRB3, PPARG SNPs and BMI, MUAC and WHR. LEPR (Gln223Arg) SNP was statistically associated with BMI, MUAC and WHR. Funding Sources 1. College of Health Sciences, University of Ghana Research Grant for MSc/MPhil Thesis/Dissertation. 2. Self funding.


Author(s):  
Chuka N. Obi ◽  
Vitus O. Obi ◽  
Johnbosco I. Nwafor ◽  
Blessing I. Onwe ◽  
Victor U. Onuchukwu ◽  
...  

Background: Preeclampsia is a pregnancy specific multisystem disease and it is associated with increased maternal and perinatal morbidity and mortality. Any factor(s) which could reliably predict the likelihood of serious complications would be very valuable in predicting the associated adverse outcome. Objective of this study compare maternal and fetal outcomes of preeclamptic patients with normotensive control in Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.Method: This was a 4-year retrospective case-control study of the pregnancy outcomes among preeclamptic and normotensive women managed in our facility between 1st January 2012 and 31st December 2015. Data analysis was done using Epi Info software 7.2.1.Results: During the study period there were 6,585 deliveries among which 92 of the patients were managed for preeclampsia. This gives a prevalence of 1.4% or 14 per 1000 deliveries. There was no difference in the age and parity of the control. Most of the preeclamptic patients managed over the study period were unbooked for antenatal care in the facility (p value <0.0001). Preeclamptic patients were more likely to be delivered preterm (p value was <0.0001), and by caesarean section compared to the control. They were also more likely to have babies with low birth weights and poorer fetal outcomes. There was no difference in maternal mortality between both groups.Conclusion: Preeclampsia is associated with the unbooked status and poorer perinatal outcome compared with normotensive women. There is need to encourage women to book for antenatal care for prompt identification and management of these women.


2021 ◽  
Vol 11 (03) ◽  
pp. 107-118
Author(s):  
Oumar Raphiou Diallo ◽  
Alpha Oumar Diallo ◽  
Karamoko Alpha Diallo ◽  
Alhassane Conde

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