African journal of medicine and medical sciences
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Multicenter Study Comparative Study
Distribution of the three McKenzie syndromes among patients with low back pain in selected outpatient physiotherapy facilities in Nigeria.
This multi-centre study investigated the distribution pattern of the three McKenzie syndromes among patients with low back pain (LBP) from the out patient physiotherapy departments of some selected medical facilities in Oyo, Ogun and Lagos States of Nigeria in order to establish the distribution index for patients suffering from LBP. Patients were selected using a consecutive sampling technique. Patients were examined and classified using the McKenzie assessment protocol. ⋯ Alpha level was set at 0.05. Result showed that patients with derangement syndrome constituted 83.0% of the patients' population while dysfunction syndrome and postural syndrome were 9.0% and 8.0% respectively. It was concluded that derangement syndrome is predominant, in the studied population.
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The objective of this manuscript is to review the clinical manifestations, diagnosis and management of diabetic ketoacidosis, one of the most common acute complications of diabetes mellitus. We performed a medline search of the English-language literature using a combination of words (diabetic ketoacidosis, hyperglycemic crises) to identify original studies, consensus statements and reviews on diabetic ketoacidosis published in the past 15 years. Emphasis was placed on clinical manifestations of diabetic ketoacidosis, its diagnosis and treatment. ⋯ Many cases of DKA can be prevented by better access to medical care, proper education, and effective communication with a health care provider during intercurrent illness. Provision of guidelines will also reduce mortality. Resources need to be redirected towards prevention by funding better access to care and educational programs.
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Comparative Study
Childhood bacterial meningitis in Ibadan, Nigeria--antibiotic sensitivity pattern of pathogens, prognostic indices and outcome.
Bacterial meningitis remains a major cause of morbidity, mortality and neurodisability in childhood, particularly in the developing world where effective vaccines against the usual pathogens responsible for the disease are not in routine use. To describe the patterns and outcome of bacterial meningitis among children admitted into the University College Hospital (UCH), Ibadan, Nigeria. All children who satisfied the case definition for meningitis, admitted into the paediatric wards of the University College Hospital, UCH, Ibadan over a period of 30 months were prospectively enrolled and blood and CSF samples were taken for bacteriological analyses. ⋯ Bacterial meningitis remains a major cause of childhood mortality and neurodisability. Hib and pneumococcus remain the major pathogens responsible for this dreadful disease in Ibadan, Nigeria. The increasing emergence of antibiotic resistance calls for institution of adequate control measures, particularly routine childhood immunisation against the disease.