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Renal Function in Type 2 Diabetes Patients in Ile-Ife, Southwest Nigeria: A Clinicopathological Study | Chapter 15 | Highlights on Medicine and Medical Science Vol. 18

The goal of this study was to find out how common diabetic nephropathy is in type 2 diabetics in Southwest Nigeria, as well as the clinicopathological correlations. Descriptive, cross-sectional study design. Renal Unit, Medicine Department, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Southwest Nigeria, throughout the duration of the study. Methodology: A percutaneous ultrasound-guided renal biopsy was performed on 40 consenting type 2 diabetic adults out of 88 patients with chronic kidney disease in stages 3 and 4 according to the Kidney Disease Improving Global Outcomes categorization. Eighty-eight (48.1%) of the one hundred and eighty-three participants had clinical Diabetic Nephropathy, with a mean age of 58.05(6.10) years. Diabetes had been present for 9.55(4.1) years. Protein excretion was 0.55 g/day on average. Glomerular Filtration Rate was estimated to be 45.1(12) ml/min on average. Thirty-nine renal tissues (97.5%) had thickened glomerular basement membranes...

Clinical Epidemiology of Chickenpox in Iraq, 2007-2011 | Chapter 04 | Innovations in Medicine and Medical Research Vol. 1

Chickenpox (Varicella zoster) infection is an acute disease caused by varicella zoster virus (VZV). In endemic areas, primary infection tends to occur at a younger age. The World Health Organization (WHO) recommended that routine childhood varicella vaccination should be considered in countries where the disease is a relatively important public health and socioeconomic problem, and where high (85 to 90%) and sustained vaccine coverage can be achieved. Aim: 1- To describe the epidemiology (occurrence, age, gender and season) of registered clinical cases of chickenpox in Iraq from 2007-2011, 2- To determine the need for the use of chickenpox vaccine in Iraq. Methods: A retrospective descriptive analysis of surveillance data. Frequency and percentage were used to describe the data. The occurrence per 100,000 of Iraqi population was calculated. Chi square test was used. Results: There was an obvious rise in the registration of clinical chickenpox cases from 21,798 case in...

A Comparison of Rheumatoid Arthritis Patients in Kuwait with Other Populations: Results from the KRRD Registry | Chapter 07 | Innovations in Medicine and Medical Research Vol. 1

Objective: Data on rheumatoid arthritis (RA) in Kuwait and The Middle East is scarce. Available data from Western countries may not be representative of the region. We describe RA patients in Kuwait and compare them with other RA populations and with Kuwaiti general population. Methods: Adult RA patients from Kuwait Registry for Rheumatic Diseases (KRRD), the first RA registry in The Middle East, were studied from February 2013 through February 2015. Demographic, clinical and serologic data were compared with other RA populations and with Kuwaiti general population. Results: 835 patients were enrolled, 62.3% female. Mean age 50.6±12 years and disease duration 6.1±6 years. RA was diagnosed at a mean age of 44.9±12 years. 17.1% had family history of autoimmune rheumatic diseases. 3.1% had rheumatoid nodules. Rheumatoid factor (RF) and anti-citrullinated peptide (ACPA) were detected in 75.6% and 57.8%, respectively. Both were positive in 49% (r=0.287, p=0.001). ANA was posit...

Modelling and Prediction of Atherogenic Index of Plasma Against Cardiometabolic Risk | Chapter 01 | Current Trends in Disease and Health Vol. 2

Background and aim: Cardiometabolic risk is a constellation of cardiovascular risk factors which include diabetes, hypertension, obesity and dyslipidaemia. Atherogenic Index of Plasma (AIP) is gaining prominence as a screening tool for dyslipidaemia however, these tools are expensive, time consuming, cumbersome and beyond the reach of an average Nigerian. The purpose of this study was to determine the predictors and modelling of AIP against some cardiometabolic parameters among workers in Owerri, Nigeria. Prediction and modelling of AIP will give cost effective options in the assessment of cardiometabolic risk. Methods: This was designed as a work-site based cross sectional study carried out on three hundred and sixty one (361) transport workers. The respondents were anthropometrically examined. Blood glucose estimation was determined using glucose oxidase/peroxidase method of Trinder. Lipid indices were determined using Freidewald’s method. Data were facilitated using XLSTAT ...

Impact of HIV/AIDS Burden on Economic Growth in Selected Sub- Saharan Africa (SSA) Countries: Evidence from a Dynamic System GMM Estimates | Book Publisher International

HIV/AIDS is seen as not only the leading cause of death in SSA region but a major public health challenge. Currently, 13% of total population workforce in the region lives with the epidemic; the above means that one in every ten adults in the region is HIV/AIDS positive. Regrettably so, there is a link between the epidemic prevalence and poverty. As a result, the study empirically examined the impact of HIV/AIDS burden on economic growth in selected Sub-Saharan Africa (SSA) countries: Evidence from a dynamic system GMM estimates utilizing cross-country series of 18 countries in the  region for the period of 1986-2015. The choice of the selected 18 SSA countries was driven by factors such as degree of prevalence of the epidemic, level of economic growth and regional affiliations resulting in four major regional blocs: SADC, ECOWAS, CEMAC and COMESA. Expectedly, the study employed a two-step dynamic Blundell-Bond system GMM panel estimation technique alongside with the Diebold and ...

Neglected Tropical Diseases (NTDs): Case Study on Gastrointestinal Parasites and Morbidity Indicators in Some Rural Villages of the South Region of Cameroon | Chapter 06 | Current Trends in Disease and Health Vol. 1

Background: Parasitic diseases in tropical regions are important cause of morbidity and mortality. Some groups of infection that sufficient attention has not been attributed to by donors and planners worldwide still exist presently. These infections include schistosomiasis, soil transmited helminthes (STHs), amibiasis etc. Intestinal parasitic infections still constitute major public health threats in many parts of Cameroon. To improve on the different control measures and their effectiveness, continuous surveys are necessary to update epidemiological data. Aim: This study aim to evaluate the transmission level of intestinal parasitosis and morbidity indicators link to infections in inhabitants of Lolodorf Health district in south Cameroon. Informations from such studies will permit to build concrete recommendations for the National control program for these infections. Methodology: A total of 423 participants were recruited for the study. Stool samples were col...

A Study of Scoliosis among Adolescent Female Patients at the National Orthopaedic Hospital, Enugu, Enugu State, Southeast Nigeria | Chapter 07 | Current Trends in Medicine and Medical Research Vol. 3

Background: Scoliosis is a musculoskeletal disorder characterised by a lateral bending or curvature of the spine. Aim   of   Study: To   evaluate   the   prevalence,   distribution   and age   of   onset   of   adolescent   scoliosis among female patients at the National Orthopaedic Hospital, Enugu, Southeast, Nigeria. Study   Design: This was   a retrospective epidemiological study of female scoliosis patients treated between 2005 and 2014. Data were obtained from patients medical records after due permission had been sought for and obtained from the hospital management. A total of 16,027 orthopaedic cases were analysed. Results: The prevalence of female adolescent scoliosis within the 10-year period was 0.27%. The peak age of presentation was 11-12 years, followed by 13-14 years. The prevalence rate varied from one   year   to   the   other.   Thirty   per...