scholarly journals A Preliminary Report of Predisposing Factors and Predominant Microbiological Diagnosis of Corneal Ulcers Seen at the Federal Teaching Hospital Abakaliki, Nigeria

2019 ◽  
Vol 09 (02) ◽  
pp. 94-104
Author(s):  
Chimdia E. Ogbonnaya ◽  
Favoured Walter-Ugwuocha ◽  
Edak Ezeanosike ◽  
Chinyelu N. Ezisi ◽  
Boniface N. Ukwah ◽  
...  
2021 ◽  
Vol 8 (06) ◽  
pp. 337-341
Author(s):  
Rajesh Khanna Pulmamidi ◽  
Ramya Madhuri Yendamuri

BACKGROUND Neonatal thrombocytopenia is one of the most common haematological abnormalities in neonates occurring in 1 to 2 % of healthy term neonates. Various risk factors like sepsis, prematurity, and birth asphyxia are known to be associated with this condition. Maternal factors also predispose to this condition. Early detection and appropriate management is of utmost importance to prevent complications. The aim of the study is to evaluate the predisposing factors for neonatal thrombocytopenia in a teaching hospital. METHODS This was a cross sectional observational study done in the Department of Peadiatrics, MediCiti Institute of Medical Sciences, Medchal, Telangana, for a duration of one year i.e., from January 2019 to December 2019. A total of 60 neonates with thrombocytopenia were studied for onset of thrombocytopenia, severity based on platelet counts, aetiology and for contributing maternal factors. RESULTS Early onset thrombocytopenia (< 3 days of age) was seen in 46.6 % (28 / 60) and late onset thrombocytopenia (3 - 28 days) in 53.3 % (32 / 60). The most common cause for neonatal thrombocytopenia was neonatal sepsis 30 % (10 / 60), followed by birth asphyxia. Common maternal predisposing factors were pregnancyinduced hypertension and pregnancy-induced diabetes mellitus. CONCLUSIONS Neonatal thrombocytopenia is one of the most common clinical problems in neonates. It can be of early or late onset type and has fetal and maternal predisposing factors. Neonatal sepsis is one of the most common cause for neonatal thrombocytopenia followed by birth asphyxia which is a preventable cause. Early diagnosis and thorough evaluation are needed to prevent complications. KEYWORDS Neonatal Thrombocytopenia, Neonatal Sepsis


Author(s):  
Samantha V Palmer ◽  
Filipe Espinheira Gomes ◽  
Jessica A. A. McArt

Abstract OBJECTIVE To evaluate the frequency of ophthalmic disorders in 7 brachycephalic dog breeds referred to an academic veterinary ophthalmology service. ANIMALS 970 client-owned dogs of 7 brachycephalic breeds that were evaluated by the ophthalmology service in a veterinary teaching hospital from January 2008 through December 2017. PROCEDURES Medical records of 7 brachycephalic breeds (ie, Boston Terriers, English Bulldogs, French Bulldogs, Lhasa Apsos, Pekingese, Pugs, and Shih Tzus) were reviewed to collect data regarding patient signalment, ophthalmic diagnoses, affected eyes, and number and dates of visits. RESULTS Median age at the first examination was 7 years (range, 23 days to 22 years). The number of dogs seen for a first examination increased with age. Corneal ulcers, keratoconjunctivitis sicca, corneal pigmentation, immature cataracts, and uveitis were each diagnosed in ≥ 100 dogs and represented 40.4% (1,161/2,873) of all diagnoses. On the basis of anatomic location, 66.3% (1,905/2,873) of all disorders were located in either the cornea (1,014/2,873 [35.2%]) or adnexa (891/2,873 [31%]). There was a significant difference in breed proportion in the study population; of the 7 breeds studied, Shih Tzus (34.3% [333/970]), Pugs (20.8% [202/970]), and Boston Terriers (16.6% [161/970]) were the most prevalent breeds. The frequency of some diseases within the referral population was associated with breed. CONCLUSIONS AND CLINICAL RELEVANCE Findings suggested that the most prevalent disorders for the brachycephalic breeds in this ophthalmic referral population were corneal ulcers, keratoconjunctivitis sicca, corneal pigmentation, immature cataracts, and uveitis. Although all dogs shared brachycephalic features, the frequency of specific ophthalmic diseases varied between breeds.


Author(s):  
Michael Ifeanyi Onwubuariri ◽  
Terhemen Kasso

Background: Any pregnancy occurring in a young woman who has not reached her 20th birthday is considered as a teenage pregnancy. Globally, approximately a tenth of all births are to women younger than 20 years old and more than 90% of such births occur in developing countries. Socioeconomic deprivation, low contraceptive usage and early marriage are common contributing factors. Objective: This study aimed to determine the prevalence, pattern and predisposing factors to teenage pregnancy at University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Nigeria. Methodology: This was a retrospective cross-sectional study of 198 cases of teenage pregnancies managed at University of Port-Harcourt Teaching Hospital (UPTH), from 1st January 2008 to 31st December 2015. Results: The teenage pregnancy prevalence rate was 15 per 1,000 deliveries (1.5%). Low level of education (below secondary) was seen in 81.3% of the women. A socio-cultural factor like early marriage was noted in 56.1% of the women and only 26.8% of the teenage mothers had ever used any form of contraception. Conclusion: The teenage pregnancy rate in Port-Harcourt showed a downward trend. Contraceptive awareness creation for teenagers, implementation of teenage-friendly policies, education of the girl child coupled with promotion of moral and sex education will further reduce the trend.


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