Abstract：
BACKGROUND:The prevalence of chronic renal failure and End Stage Renal Disease (ESRD) has remained high worldwide and the epidemiology has changed significantly in the last decade in industrialised countries. While there have been significant improvements in these patient's outcomes in developed countries, their state and survival is still appalling in developing countries. OBJECTIVE:To determine the clinical pattern, presentation and management outcomes in our ESRD population over a 19-year period (1989-2007). METHODS:Seven hundred and sixty patients' records were reviewed. Data on major causes, clinical presentation, management and survival were retrieved and collated. Data was analysed using SPSS package version 16. RESULTS:Their ages ranged between 15-90 years (mean ± SD; 39.9±1.67years) with male preponderance (70.3%). Major presenting complaints were body swelling and uraemic symptoms in most studied patients. The predisposing conditions included chronic glomerulonephritis, hypertension, obstructive uropathy and diabetes mellitus. Renal replacement therapy offered included HD in 556(73.2%), Continous Ambulatory Peritoneal Dialysis (CAPD) in only 9(1.2%) patients and renal transplantation in only 7(0.9%). Only 38(6.8%) survived on HD for longer than three months while 7(77.8%) CAPD patients and all transplanted patients survived for between six months and four years (p<0.00001). Median duration of survival after diagnosis for all the patients was 2 weeks (range 0-50 months). CONCLUSION:End stage renal disease is still prevalent with chronic glomerulonephritis and hypertension being the common causes. Prognosis is still grave hence subsidized renal replacement therapy and preventive nephrology should be targeted in such underserved populations.
journal_name
Afr Health Scijournal_title
African health sciencesauthors
Arogundade FA,Sanusi AA,Hassan MO,Akinsola Asubject
Has Abstractpub_date
2011-12-01 00:00:00pages
594-601issue
4eissn
1680-6905issn
1729-0503journal_volume
11pub_type
杂志文章abstract：INTRODUCTION:Hysterosalpingography (HSG) is still a commonly used investigation in the evaluation of the female genital tract and the main indication for HSG is infertility. OBJECTIVE:The purpose of this study was to find the pathology detected at HSG in patients with infertility in our setting. MATERIALS AND METHODS...
journal_title：African health sciences
pub_type： 杂志文章
doi：
更新日期：2004-12-01 00:00:00
abstract：Objective:Acute organophosphorus(OP) pesticide poisoning is associated with dysfunctions in multiple organs, especially skeletal muscles, the nervous system and the heart. However, little is known about the specific microRNA (miRNA) changes that control the pathophysiological processes of acute OP poisoning damage. We ...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v18i2.18
更新日期：2018-06-01 00:00:00
abstract：BACKGROUND:Non-traumatic perforation of the small bowel is an uncommon serious complication associated with high morbidity and mortality. Diseases that cause small bowel perforation vary in different areas of the world. OBJECTIVE:To highlight difficulties in the diagnosis and management of non-traumatic perforation of...
journal_title：African health sciences
pub_type： 杂志文章
doi：
更新日期：2008-03-01 00:00:00
abstract：:In this review of recent advances in nutrition, we shall follow the 'life cycle' with special attention to maternal and foetal nutrition, linear growth, and nutritional assessment. We also consider nutrition, infection and micronutrients, and recent concepts of the pathophysiology and management of protein energy maln...
journal_title：African health sciences
pub_type： 杂志文章,评审
doi：
更新日期：2003-12-01 00:00:00
abstract：Introduction:Glanzmann's Thrombasthenia (GT) is a rare autosomal recessive bleeding disorder due to defective platelet membrane glycoprotein GP IIb/IIIa (integrin αIIbβ3). The prevalence is estimated at 1:1,000,000 and it is commonly seen in areas where consanguinity is high. Case Presentation:The authors report a 12 ...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v20i2.27
更新日期：2020-06-01 00:00:00
abstract：BACKGROUND:Co-trimoxazole use is the standard of care for preventing Pneumocystis jirovecii pneumonia in sub-Saharan Africa but implementation remains slow. Co-trimoxazole is self- administered with uncertain adherence. Knowledge of co-trimoxazole use among HIV infected persons is unknown. OBJECTIVES:To assess knowled...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v15i1.7
更新日期：2015-03-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Little information is available on the rapid diagnostic testing for syphilis in Burkina Faso. The objectives of the study were (i) to assess the sensitivity and specificity of four on site rapid tests in comparison with Treponema pallidum haemagglutination assay (TPHA) as a gold standard and (i...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v15i2.8
更新日期：2015-06-01 00:00:00
abstract：BACKGROUND:Upper gastrointestinal bleeding (UGIB) is a common emergency medical condition that may require hospitalization and resuscitation, and results in high patient morbidity. Upper gastrointestinal endoscopy is the preferred investigative procedure for UGIB because of its accuracy, low rate of complication, and i...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v12i4.19
更新日期：2012-12-01 00:00:00
abstract：BACKGROUND:Currently, there is renewed interest in the role community participation can play in Primary Health Care (PHC) programmes such as the delivery of effective anti-TB treatment to patients in high-burden settings. OBJECTIVES:To explore the feasibility of community participation in a high-burden Tuberculosis Co...
journal_title：African health sciences
pub_type： 杂志文章
doi：
更新日期：2002-04-01 00:00:00
abstract：BACKGROUND:Due to increasing stress, individual personality traits are becoming a significant contributor to CRT (Crash Related Trauma). In the present study, we hypothesized that there will be no difference in personality characteristics of CRT patients and control subjects and there will be no association between tra...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v16i3.27
更新日期：2016-09-01 00:00:00
abstract：BACKGROUND:Morbid obesity of parturient has become very important in perinatal medicine because of a worldwide obesity epidemic. Morbid obesity of parturient is reportedly associated with severely increased anaesthetic and obstetric risk. OBJECTIVE:To determine the prevalence rate, anaesthetic and obstetric complicati...
journal_title：African health sciences
pub_type： 杂志文章
doi：
更新日期：2012-03-01 00:00:00
abstract：BACKGROUND:The principal mode of HIV transmission in Southern Africa is through sexual intercourse, and this has prompted uptake of safe male circumcision. Engaging in risky sexual behaviour by circumcised men increases the risks of acquiring HIV, though male circumcision coupled with preventive behaviour reduces this ...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v16i1.14
更新日期：2016-03-01 00:00:00
abstract：BACKGROUND:Resistance to most antimalarial drugs has encouraged the use of herbal preparations along with prescribed orthodox drugs. OBJECTIVE:To investigate effect of co-administration of aqueous extract of T. occidentalis leaves; commonly used as antimalarial and haematinic agent in Nigeria and artesunate using P. b...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v13i4.16
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVE:To analyze gender differences in QOL of patients presenting at PHC centres and to identify the socio-demographic variables associated with poor QOL. METHODS:This was a cross-sectional study. Consecutive adult patients at outpatient departments of three PHC centres were eligible. Those selected were interview...
journal_title：African health sciences
pub_type： 杂志文章
doi：
更新日期：2010-12-01 00:00:00
abstract：Background:Contraceptive use helps in preventing unplanned pregnancy and reducing maternal death among married women. Objective:To investigate the attitude of married women towards contraceptive use in Ilorin metropolis, Kwara State. The study also examined whether the variables of age and educational attainment would...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v19i2.10
更新日期：2019-06-01 00:00:00
abstract：Background:Induction of labour (IOL) is an obstetric procedure that should be conducted in a healthcare facility with the capacity to provide optimal care based on the patient risk status. Inadequate monitoring, untimely procedure and lack of readily available and experienced medical staff to participate in the care of...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v20i3.27
更新日期：2020-09-01 00:00:00
abstract：BACKGROUND:Current strategies to overcome the global problem of antimicrobial resistance include research in finding new and innovative antimicrobials from plants. This study was carried out to determine the antibacterial activity of plant extracts of Olea africana stem-bark, Psidium guajava leaves, Vernonia amygdalina...
journal_title：African health sciences
pub_type： 杂志文章
doi：
更新日期：2009-08-01 00:00:00
abstract：BACKGROUND:Globally, and particularly in developing countries, the menace of anti-microbial resistance is an accelerating problem. In Nigeria, increase in bacterial resistance has been phenotypically established but due to high cost, few molecular studies have been reported. OBJECTIVES:This study screened for presence...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v17i2.9
更新日期：2017-06-01 00:00:00
abstract：BACKGROUND:Snake envenomation is a major public health problem of the Savannah regions of West Africa. Ocular manifestations of snakebites are rare with few reports documenting blindness as a complication. OBJECTIVE:To highlight an unusual manifestation of snake bites and its attendant problems. METHODS:A report of s...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v15i3.46
更新日期：2015-09-01 00:00:00
abstract：OBJECTIVES:To investigate the pattern of referral for and utilisation of physiotherapy in the continuum of stroke care at a tertiary hospital in Ibadan, Nigeria. METHODS:Referral notes and medical records of patients admitted in the University College Hospital, Ibadan with a clinical diagnosis of stroke between Januar...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v17i1.11
更新日期：2017-03-01 00:00:00
abstract：BACKGROUND:Barriers to oral health utilization are many, but those that are significant for our environment are not yet clear. The current study was designed to identify and graduate the barriers to receipt of oral health care among a cross-section of patients attending our centre. We also investigated the influence of...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v12i4.17
更新日期：2012-12-01 00:00:00
abstract：OBJECTIVE:To estimate the prevalence and extent of MSDs among a sample of freshmen in a nursing college in Ghana. METHODS:A semi-structured self-reported questionnaire including the Nordic Musculoskeletal Questionnaire (NMQ) was used to collect information on age, gender and musculoskeletal complaints among a random s...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v15i2.18
更新日期：2015-06-01 00:00:00
abstract：Background:Quinine has been reported to possess anti-spermatogenic activities. Objectives:This study was carried out to determine the effect of quinine on ovarian function in Sprague-Dawley rats. Methods:Twenty rats with regular 4-days oestrous cycle divided into 4 groups (N=5) were used. Group I received quinine at ...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v18i2.8
更新日期：2018-06-01 00:00:00
abstract：Background:Current evidence shows that the surge of sexually transmitted infections (STIs) is of public health importance. In Nigeria, about 3 million cases of STIs are reported annually with the highest rates observed among young people. Objective:This study was designed to investigate the knowledge, sexual behaviour...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v20i1.7
更新日期：2020-03-01 00:00:00
abstract：Background:Urinary tract infections (UTI) are frequently encountered medical complications of pregnancy. Objective:This study was aimed at analyzing the bacterial resistance in urogenital tract as well as the immunological profile amongst pregnant and non-pregnant women at Mbouda Ad-Lucem Hospital, Western Region of C...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v19i1.26
更新日期：2019-03-01 00:00:00
abstract：BACKGROUND:To analyze the epidemiological characteristics and secular trends of the leading causes of death in China. METHODS:Data on the leading causes of death was collected from the Statistical Yearbook of China. Data for 11 years, from 2003 to 2013, was analyzed by regression analysis and chi-square test. RESULTS...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v17i2.29
更新日期：2017-06-01 00:00:00
abstract：Background:Normative information on the breastfeeding of term newborns may guide clinicians in early identification of breastfeeding difficulties and oro-pharyngeal dysphagia (OPD), and may support optimal breastfeeding practices. Objective:To describe breastfeeding skills of term newborn infants in a South African ho...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v19i3.43
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:The decoration of interior spaces can lead to dangerous levels of indoor formaldehyde pollution. Exposure to indoor air pollution may be responsible for nearly 2 million deaths per year in developing countries. OBJECTIVES:To assess the prevalence of indoor formaldehyde pollution caused by decoration and res...
journal_title：African health sciences
pub_type： 杂志文章
doi：10.4314/ahs.v13i1.19
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:We determined the genetic diversity of mycobacteria isolated from tuberculosis patients in Mbarara Uganda, using region of difference (RD) analysis and spacer oligonucleotide typing (spoligotyping). METHODS:Sputum samples were cultured on Lowenstein Jensen media. The isolates were characterized using RD ana...
journal_title：African health sciences
pub_type： 杂志文章
doi：
更新日期：2010-12-01 00:00:00
abstract：OBJECTIVES:To evaluate the effectiveness of Botulinum toxin injection in the treatment of anal fissure. METHODS:38 patients (22 males, 16 females; mean age (SD) of 33.3 (8.3) years) who have presented to Surgical Outpatient Clinic at Al Ain Hospital, United Arab Emirates, with anal fissure in the period between June 2...
journal_title：African health sciences
pub_type： 临床试验,杂志文章
doi：10.5555/afhs.2007.7.1.14
更新日期：2007-03-01 00:00:00
