African health sciences
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Breast cancers metastasizing to thyroid gland are relatively uncommon in clinical practice. ⋯ US was useful in screening TM in breast cancer patients. Both partial and total thyroidectomy was effective in disease free survival of isolated TM cases, with controlled primary condition. TM responded well to chemotherapy in most of the recurrent breast cancer cases with or without distant metastasis.
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African health sciences · Dec 2017
The effect of interrupted anti-retroviral treatment on the reconstitution of memory and naive T cells during tuberculosis treatment in HIV patients with active pulmonary tuberculosis.
The reconstitution of cellular immune components contributes to clinical outcome of HIV and Mycobacterium tuberculosis (MTB) infection. Interruption of anti-retroviral therapy (ART) could lead to perturbations in reconstitution of T cells in HIV/ tuberculosis (TB) patients. ⋯ Interrupting ART alters CD8+ but not CD4+ sub-sets in patients with less advanced HIV infection and TB.
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African health sciences · Dec 2017
Gastrointestinal malignancies at five regional referral hospitals in Uganda.
There is a paucity of published data regarding the trend and distribution of gastrointestinal malignancies in Uganda. ⋯ Oesophageal, liver, stomach and colorectal cancer remain the most common gastrointestinal malignancies and their rate is increasing in Uganda. There is a need for awareness, endoscopic and radiological assessment of symptomatic individuals and a need for screening of high index patients.
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African health sciences · Dec 2017
Oral dysbacteriosis in type 2 diabetes and its role in the progression to cardiovascular disease.
Salivary changes and proliferation of specific bacterial communities are known to result in oral disease which may adversely impact on systemic conditions like diabetes and cardiovascular diseases. ⋯ Disruption in the salivary environment and changes in microbial ecology with increased load of cariogenic bacteria were found in diabetic and cardiac patients. This study brings forward new evidence of a markedly higher load of Streptococcus mutans in cardiac patients which may underlie the progression of diabetes to cardiovascular disease in this population.
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African health sciences · Dec 2017
Intestinal candidiasis and antibiotic usage in children: case study of Nsukka, South Eastern Nigeria.
Overgrowth of candida results from factors that disrupt the intestinal microbial balance, such as the use of antibiotics. Unregulated antibiotic use and rampant practice of self-medication in Nigeria, is a cause for concern. ⋯ The results of this study showed a high prevalence of intestinal candidiasis among children in Nsukka. Strong associations were observed between the presence of intestinal candidiasis and diarrhoea, age and use of antibiotics (p<0.001).