scholarly journals A 5-year review of obstructed labour and its sequalae in the Federal Medical Centre, Yenagoa, South-South, Nigeria

2021 ◽  
Vol 5 (5) ◽  
pp. 06-12
Author(s):  
Oriji PC ◽  
Allagoa DO ◽  
Briggs DC ◽  
Chika MN ◽  
Mariere UI ◽  
...  
Keyword(s):  
Medical Centre ◽  
Obstructed Labour

O479 OBSTRUCTED LABOUR AT FEDERAL MEDICAL CENTRE GOMBE, A FIVE YEAR REVIEW

2012 ◽  
Vol 119 ◽  
pp. S431-S431
Author(s):  
H.M. Mukaddas ◽  
U.R. Yahaya ◽  
A.U. ElNafaty
Keyword(s):  
Medical Centre ◽  
Obstructed Labour

Prevalence of IgA Nephropathy: A 10 Years’ Experience from Jinnah Postgraduate Medical Centre, Karachi, Pakistan

2020 ◽  
Keyword(s):  
Body Mass Index ◽  
Iga Nephropathy ◽  
Body Mass ◽  
Immunoglobulin A ◽  
Medical Centre ◽  
Male Dominance ◽  
Clinical Indication ◽  
Glomerular Lesion ◽  
Female Ratio ◽  
Nephritic Syndrome

Background: Immunoglobulin A (IgA) is considered the most frequently dealt primary glomerulonephritis, worldwide. The Berger’s disease or IgA nephropathy is a mesangial proliferative glomerulonephritis characterized by deposition of immunoglobulin A in kidneys. The aim of the study was to report the prevalence of IgA nephropathy and the associated parameters (age, gender, and body mass index) in our population. Methods: This was a retrospective study, accomplished at Jinnah Postgraduate Medical Centre, Karachi, Pakistan, from June 2009-May 2019. The histopathology and immunofluorescence of renal biopsies of 519 patients were studied and the prevalence of biopsy proven IgA nephropathy was determined. The Chi-square test was used for association of biopsy proven IgA nephropathy with age, gender, and body mass index. A p-value of 0.05 or less was considered statistically significant. Results: A total of 519 biopsies were studied, out of those, only 4 (0.8%) had IgA nephropathy with male dominance in the last 10 years at Karachi, Pakistan. Male to female ratio was found to be 3:1. The most common clinical indication for renal biopsy was isolated hematuria in 50% of the cases followed by acute kidney injury and nephritic syndrome with 25% each respectively. Most of the patients suffering from proteinuria (> 3.5gm/24 hours), microscopic hematuria in 80% cases, high blood pressure in 50% cases, with other associated symptoms including edema, gastrointestinal, and skin-related symptoms reported. Conclusion: Immunoglobulin A (IgA) nephropathy is not a commonly diagnosed glomerular lesion. Further large-scale cohorts can aid in determining the other factors associated with a low frequency of IgA nephropathy. Keywords: Biopsy; Glomerulonephritis; Immunoglobulin A; Nephropathy.

scholarly journals Sharing primary percutaneous coronary intervention care: first experiences with South Limburg ST-elevation myocardial infarction network

2021 ◽  
Author(s):  
A. Lux ◽  
◽  
J. Vainer ◽  
R. A. L. J. Theunissen ◽  
L. F. Veenstra ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Emergency Medical Service ◽  
Medical Service ◽  
Coronary Intervention ◽  
Medical Centre ◽  
St Elevation Myocardial Infarction ◽  
System Delay ◽  
Percutaneous Coronary ◽  
St Elevation

Abstract Background In the region of South Limburg, the Netherlands, a shared ST-elevation myocardial infarction (STEMI) networking system (SLIM network) was implemented. During out-of-office hours, two percutaneous coronary intervention (PCI) centres—Maastricht University Medical Centre and Zuyderland Medical Centre—are supported by the same interventional cardiologist. The aim of this study was to analyse performance indicators within this network and to compare them with contemporary European Society of Cardiology guidelines. Methods Key time indicators for an all-comer STEMI population were registered by the emergency medical service and the PCI centres. The time measurements showed a non-Gaussian distribution; they are presented as median with 25th and 75th percentiles. Results Between 1 February 2018 and 31 March 2019, a total of 570 STEMI patients were admitted to the participating centres. The total system delay (from emergency call to needle time) was 65 min (53–77), with a prehospital system delay of 40 min (34–47) and a door-to-needle time of 22 min (15–34). Compared with in-office hours, out-of-office hours significantly lengthened system delays (55 (47–66) vs 70 min (62–81), p < 0.001), emergency medical service transport times (29 (24–34) vs 35 min (29–40), p < 0.001) and door-to-needle times (17 (14–26) vs 26 min (18–37), p < 0.001). Conclusions With its effective patient pathway management, the SLIM network was able to meet the quality criteria set by contemporary European revascularisation guidelines.

scholarly journals Correction to: Day case laparoscopic cholecystectomy at Kilimanjaro Christian Medical Centre, Tanzania

2021 ◽  
Author(s):  
Imogen Cullen ◽  
Fadlo Shaban ◽  
Oroog Ali ◽  
Matthew Breckons ◽  
Kondo Chilonga ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Medical Centre ◽  
Day Case ◽  
Kilimanjaro Christian Medical Centre

Case of the Month from Duke University Medical Centre: a complete renal staghorn stone

2021 ◽  
Vol 128 (1) ◽  
pp. 25-28
Author(s):  
Patrick Whelan ◽  
Glenn M. Preminger
Keyword(s):  
Medical Centre ◽  
Duke University ◽  
Staghorn Stone

scholarly journals Prescription Pattern of Primary Osteoarthritis in Tertiary Medical Centre

2017 ◽  
Vol 07 (04) ◽  
pp. 037-042
Author(s):  
Sowmya Sham Kanneppady ◽  
Sham Kishor Kanneppady ◽  
Vijaya Raghavan ◽  
Aung Myo Oo ◽  
Ohn Mar Lwin
Keyword(s):  
Vitamin D ◽  
Chondroitin Sulfate ◽  
Musculoskeletal Disorders ◽  
Therapeutic Agents ◽  
Medical Centre ◽  
Fixed Dose ◽  
Age Group ◽  
Prescription Pattern ◽  
Treatment Regimens ◽  
Dose Combination

Abstract Objectives: Osteoarthritis (OA) is one of the commonest joint/musculoskeletal disorders, affecting the middle aged and elderly, although younger people may be affected as a result of injury or overuse. The study aimed to analyze the data, evaluate the prescription pattern and rationality of the use of drugs in the treatment of primary OA with due emphasis on the available treatment regimens. Materials and methods: Medical case records of patients suffering from primary OA attending the department of Orthopedics of a tertiary medical centre were the source of data. The study was carried out prospectively for a period of 20 months (from December 2012 to July 2014). Results: 296 case records were collected in which the total number of drugs prescribed were 550. OA was more common in females (51.7%) and was more prevalent in the age group of 30–40 years (39%). Out of 550 drugs prescribed, Aceclofenac was the most frequently prescribed NSAID (29%) followed by Diclofenac (23%). Nimesulide and Paracetamol was the most commonly prescribed fixed dose combination (53). Among gastroprotectives, Ranitidine figured in 66 prescriptions. Glucocorticoids were prescribed orally and intraarticularly in 17 and 14 cases respectively. Dietary supplements like Calcium+Vitamin D (42) and Glucosamine Sulfate + Chondroitin Sulfate complex (19) were also prescribed. Conclusion: The above study highlights the rational use of therapeutic agents for primary OA.

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