10 research outputs found
Effect of Proliferation of Small Arms and Light Weapons on the Development of the Niger Delta Region of Nigeria
Get PDFThe study was a survey of the sources of small arms and their effects on the development of the South-South Zone of Nigeria. The study was conducted in the Niger Delta region of Nigeria. The data used for the project were the responses of youths, staff and adults randomly selected from the research area. The Mean and Simple Percentage Method formulae were used to analyze the data and interpret the results. The results revealed that it was not the advent of small arms but oil multinationals activities, insensitivity and long years of neglect that caused the insecurity in the Niger Delta. The Federal Government of Nigeria made no genuine effort to develop the region until the creation of Niger Delta Development Commission in the year 2000. The study concludes that rather than cause the insecurity situation in the Niger Delta, small arms aided the militants to panic the Federal Government into accepting development as the indispensible solution to the Niger Delta question. The study recommended adequate finding and supervision of Niger Delta Development Commission and accountability of the part of Commission officials to at least realize the 15 years of the Commissions Master Plan
Paratesticular myxoid liposarcoma in a 23-year old Nigerian
Get PDFParatesticular liposarcomas are rare tumors and are usually seen in patients in middle age or older. Optimal treatment is radical orchidectomy. Radiotherapy or chemotherapy is added for advanced disease or recurrences. These practice guidelines often vary from the experience in developing countries
Reducing the burden of regular indwelling urinary catheter changes in the catheter clinics: the opinion of patients and relatives on the practice of self-catheterization
Get PDFBACKGROUND: Clean intermittent self-catheterization is accepted worldwide as a standard of care for patients with long-standing need for urinary bladder decompression. Evidence of its routine practice in our low-resource setting is lacking, leading to increasing number of patients with a long-standing indwelling urinary catheter. OBJECTIVE: To seek the opinion of patients already using indwelling catheters regarding the practice of self-catheterization. PATIENTS AND METHODS: Over a 4-month period, the opinion of every patient and patient’s relative that attended the regular urinary catheter clinic was sought using an intern-administered questionnaire. The data was analyzed using SPSS version 20. RESULTS: A total of 108 patients completed the questionnaire. Age range was 16–100 years with a mean of 62.2±15.5 years. Only 30.5% of the patients had formal education beyond the primary level. The median cost for change of the indwelling catheter was 1,325 naira (3.13–$25 USD). Analysis showed that: 70.8% of patients aged under 60 years/60.6% of those with formal education beyond primary level/61.9% of those wearing catheters for <3 months would give consent for training in self-catheterization. Higher cost of catheter change did not influence the decision to consider self-catheterization. Of the 59 patient relatives who completed the questionnaire, 63% of those younger than 50 years old and 69.2% of those with tertiary education would be willing to undertake training to administer self-catheterization. CONCLUSION: A select group of patients and accompanying relatives in our low-resource setting are willing to learn and practice self-catheterization
Phaeochromocytoma in a 20-Year-Old Nigerian, Resolving the Dilemma of Benignity or Malignancy
No full textPheochromocytomas are rare tumors that present a diagnostic challenge in developing countries. They occur in the adrenal gland and as paragangliomas along the sympathetic chain. Clinical features are usually those of sustained or paroxysmal hypertension and complications thereof. Surgical extirpation remains the mainstay of treatment and is greatly facilitated by accurate pre-operative tumor localization. Pre-operative medical management with antihypertensive medication has led to significant reductions in peri-operative mortality. Determination of malignancy is difficult in the absence of obvious metastases. We present a case of left adrenal phechromocytoma that was stabilized. Adrenalectomy had a good outcome and the patient has so far been followed up for a year
Prostate Cancer Detected by Screening in a Semi Urban Community in Southeast Nigeria: Correlations and Associations between Anthropometric Measurements and Prostate‑specific Antigen
Get PDFContext: Prostate cancer (PCa) is frequently diagnosed at advanced stages in Nigeria.Aims: To determine the screen detected PCa prevalence in a suburban community and explore any relationships between prostate‑specific antigen (PSA) and anthropometric measurements.Settings and Design: Nsukka is a town and local government area (LGA) in  Southeast Nigeria in Enugu State. Towns that share a common border with Nsukka are Edem Ani, Alor‑uno, Opi, Orba, and Ede‑Oballa. Nsukka LGA has an area of 1810 km² and a population of 309,633 at the 2006 census. All consecutive responders who met the inclusion criteria were recruited. Subjects and Methods: A screening outreach was conducted in one location in Nsukka. PSA testing and digital rectal examinations were performed. Height and weight were measured and body mass index (BMI) was calculated. Statistical Analysis Used: Results were subjected to statistical analysis using SPSS 20 (IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY, USA). Categorical data were analyzed using the Chi‑square test, with significance level set at P < 0.05. Pearson’s correlation was conducted for interval data (P < 0.05).Results: One‑hundred and sixty men met the inclusion criteria and were screened. Age range was 40–81 years; PSA range was 1.20–33.9 ng/ml. Digital rectal examinations (DREs) was abnormal in 17 men. Median BMI was 27.49. A Pearson’s correlation coefficient showed a significant correlation between age and PSA, r = 0.127; P ≤ 0.05, and DRE findings and PSA, r = 0.178; P ≤ 0.05. There was no significant correlation between height and PSA, r = −0.99; P = 0.211; weight and PSA, r = −0. 81 P = 0.308; and BMI and PSA, r = −0.066; P = 0.407. 8/21 men consented to prostate biopsy with three positive, giving a screen detected PCa prevalence of 1.875%.Conclusions: Screen detected PCa prevalence in high this population and efforts to improve early detection may be of value in improving treatment outcomes.Keywords: Body mass index, Nigeria, prostate cancer, prostate‑specific antigen,scree
Phaeochromocytoma in a 20-year-old Nigerian, resolving the dilemma of benignity or malignancy
No full textPheochromocytomas are rare tumors that present a diagnostic challenge in developing countries. They occur in the adrenal gland and as paragangliomas along the sympathetic chain. Clinical features are usually those of sustained or paroxysmal hypertension and complications thereof. Surgical extirpation remains the mainstay of treatment and is greatly facilitated by accurate pre-operative tumor localization. Pre-operative medical management with antihypertensive medication has led to significant reductions in peri-operative mortality. Determination of malignancy is difficult in the absence of obvious metastases. We present a case of left adrenal phechromocytoma that was stabilized. Adrenalectomy had a good outcome and the patient has so far been followed up for a year
Rare Tumors 2010; volume 2:e23 Paratesticular myxoid liposarcoma in a 23-year old Nigerian
No full textParatesticular liposarcomas are rare tumors and are usually seen in patients in middle age or older. Optimal treatment is radical orchidectomy. Radiotherapy or chemotherapy is added for advanced disease or recurrences. These practice guidelines often vary from the experience in developing countries. We present a 23-year old man who presented with paratesticular myxoid liposarcoma, after transscrotal orchidectomy for ‘testicular tumor ’ without histology. He was subsequently managed by neoadjuvant chemotherapy and complete tumor excision. A case of paratesticular myxoid liposarcoma in a young man is highlighted. Also noted is the fact that complete extirpation at primary surgery reduces the risk of local recurrence. The practice of transscrotal orchidectomy and non-submission of surgical specimens is highlighted and condemned
Renal angiomyolipoma in pregnancy: surgical management with fetal preservation - Approach in a developing setting
No full textRenal angiomyolipomas (RAML) are uncommon benign renal tumours that are associated with a tendency to rupture resulting in sometimes- torrential retroperitoneal hemorrhage as the Wunderlich syndrome or as severe potentially exsanguinating hematuria. When hemorrhage from RAML occurs in pregnancy it presents a unique challenge requiring timely and appropriately adapted intervention with the goal of preventing fatality, preserving renal function as well as preventing fetal loss if possible. We report the management of severe bleeding from RAML in pregnancy and highlight the need to adopt a management strategy that suits the practice environment and offers the patient standard and enduring care
Health Related Quality of Life and its Determinants in Cancer Patients in a Low-resource Setting
Full text linkObjectives: This study investigated the health-related quality of life (QoL) in patients with various cancers attending cancer clinics at a tertiary hospital in South-East Nigeria and also determined the predictors of the various domain of QoL in these patients.
Methods: This was a cross-sectional, descriptive study conducted among 104 participants. The WHO QoL questionnaire–short version was administered to patients with various cancer types. Analysis of Variance was used to compare the domains of quality of life among the various cancer types. The Independent t-test was used to compare socio-demographic variables of gender and quality of life across the domains and multiple linear regression analysis was used to further test if identified socio-demographic and clinical characteristics significantly predicted quality of life in all four domains.
Results: Of the 104 participants analysed, there was no significant association between individual cancers and overall quality of life (p = 0.67), and with individual cancers and satisfaction with health (p = 0.13). Occupation (p = 0.019), and the number of hospitalizations (p = 0.016) in the psychological domain; occupation (p = 0.032) and co-morbidities (p = 0.004) in the physical domain; age (p = 0.003) in the social domain, and level of education (p = 0.002) in the environmental domain predicted QoL in these patients.
Conclusion: Socio-demographic variables of age, number of hospitalizations, presence of comorbidities, education and occupation were significant predictors of QoL among cancer patients in this study. However, there was no association between cancer types and quality of life.</jats:p
