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Maiduguri, Nigeria

The University of Maiduguri is located in Maiduguri, a city in Borno State in northeast Nigeria. The university was created by the federal government in 1975, with the intention of its becoming one of the country's principal higher-education institutions. It enrolls about 25,000 students in its combined programs, which include a college of medicine and faculties of agriculture, arts, Dentistry, education, engineering, law, management science, Pharmacy, science, social science, and veterinary medicine. With the encouragement of the federal government, the university has recently been increasing its research efforts, particularly in the fields of agriculture and conflict resolution, and expanding the university press. The total budget is ₦1,920,660,623.11. The university is the major higher institution of learning in the north-eastern part of the country. It has a serene environment for learning, a very efficient teaching hospital. Wikipedia.

Ali N.,University Of Maiduguri
Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria | Year: 2012

Acute appendicitis and its complications is still the most common cause of acute abdominal pain that will require surgical intervention in most parts of the West African sub-region. This study is a review of our management and outcome of acute appendicitis in the University of Maiduguri Teaching Hospital [UMTH]. A retrospective and prospective audit of all patients with acute appendicitis seen and managed over an 8- year period [2002-2009 inclusive] in the UMTH is presented. Materials used included patients demographic variables, clinical presentation, laboratory data, operative findings and treatment outcome. One thousand two hundred and fifty-seven patients were studied. These were 426 (33.9%) males and 831 (66.1%) females; a male to female ratio of 1:2. The mean age was 32.4 15.0 years. All the patients were admitted with abdominal pain that was initially located at the right iliac fossa in 480 (38.2%), periumbilical in 393 (31.3%) and diffused in 351(27.9%) patients. Vomiting 85.7%, fever 73.0% and anorexia 49.0% were the most frequent symptoms. The mean duration of illness was 72 hours. Right iliac fossa pain and tenderness were present in 1112 (88.46%) patients. The total white cell count was significantly raised (p < 0.05). All the patients had appendicectomy, 295 (23.47%) of the appendices were perforated at operation and 200 (15.9%) of the removed appendices had no histological evidence of inflammation. The complication rate was 36.2% and wound infection (28.30%) was the most common. The mean hospital stay was 3 days. There were 12 deaths; a mortality rate of 0.9%; mostly patients with ruptured appendix and peritonitis. The diagnosis of appendicitis is clinical and supported by a raised total white cell count with neutrophilia. The negative appendicectomy rate of 15.9% falls below the range reported in other studies. More than a fifth of the appendices were perforated and mortality was low.

Ribadu D.Y.,University Of Maiduguri
The Nigerian postgraduate medical journal | Year: 2010

To assess the possible role of poverty as a cause and a consequence of blindness among blind individuals in Maiduguri, Nigeria. Eighty-five consenting blind individuals living within 4 wards of Maiduguri had ocular examination to determine the cause of their blindness with a view to determining the avoidable nature (preventable and/or curable, were adequate resources available) of their blindness. A semi-structured questionnaire which captured their demographic data, antecedents of blindness and interventions (medical and rehabilitative) sought, access to welfare support services was also administered. Socio-economic status of the respondents was explored through information sought on educational attainment, employment status, means of livelihood, possession of personal assets, and estimates of monthly income. Blindness from the main causes were avoidable as they were either curable (cataract 41, 48%) or preventable (xerophthalmia 20, 23.5%; glaucoma 12, 14.1%; and trachoma 5, 5.1%). Only 8.2% of the subjects were employed, majority (75.3%) roamed the streets begging; and 69% lived on less than a dollar a day. Over three-quarters had no access to any form of welfare support. Majority (70.6%) did not have any personal asset. More than two-thirds had no formal education and over three-quarters had no access to health services. CONCLUSIONS & RECOMMENDATION: The avoidable nature of blindness in 78 (90%) of the subjects implicates poverty as a causative factor. In turn, the subjects' subsequent existence in poverty and destitution appear directly related to their blindness. We recommend an effective and comprehensive eye care service, and an intensification of poverty-alleviation measures.

Yahya S.J.,University Of Maiduguri
Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria | Year: 2010

BACKGROUND: Tobacco is the leading preventable cause of death in the United States; responsible for more than 400,000 deaths annually. There have been few reports in the literature about the association between these diseases and cigarette smoking from African countries, which may indicate that these diseases are not common in Africans. There is a dearth of knowledge about the smoking habit among adolescents and factors influencing it in Africa. This is a survey of the factors influencing the onset of cigarette smoking among adolescents in Konduga local government area. METHODS: A cross-sectional study involving 400 randomly selected subjects from the four districts of the local government who responded to a modified version of the standard WHO questionnaire (WHO/SMO, 1984) for surveying smoking habit. RESULTS: The study showed that friends/peers (57%) as the major factor for initiating the smoking habit in adolescents. Others were pleasure (24%), stress (13%), family members (4%) and cigarette adverts (1%). The study also revealed that the adolescents continued to smoke even though they were aware of the health consequences of smoking. The majority of the respondents (70%) advocated outright ban on tobacco sales by the government as the most effective way to check this world's major preventable health hazard. CONCLUSION: The study showed that friends/peer groups were the dominant factor influencing the onset of cigarette smoking among adolescents. This underscores the need for targeting the group in behaviour change communication.

Bukar M.,University Of Maiduguri
African journal of medicine and medical sciences | Year: 2012

The utilization of cervical cancer screening services is very poor in developing countries. The study was aimed at establishing the determinants of the awareness of cervical cancer, Papanicolaou smear and its utilization among outpatient clinic attendees in north-eastern Nigeria. Cross sectional study among outpatient clinic attendees in two tertiary institutions in north-eastern Nigeria. A total of 235 women of reproductive age were interviewed during the study period. Sixty two (62%) were aware of cervical cancer, while 44.3% were aware of screening with Pap smear. However, overall, only 11.5% had ever been screened for cervical cancer before our study. More than half (54%) of the respondents did not state any reason for not doing the test. Compared with women who were not screened, screened women were aged 30 years and above with a mean age of 29.7 +/- 7.6 years (p = 0.021), better educated (p = 0.046), multiparous and employed outside home (p = 0.000). Determinants of awareness of cervical cancer and Pap smear were higher level of education (O.R. 7.80, 95% CI: 7.2-9.4; O.R. 5.12, 95%; CI: 5.0-6.4) and being civil servants (O.R. 2.01, 95% CI: 2.5-3.0; O.R. 3.23, 95%; CI: 2.9-4.7) respectively, while utilization of Pap smear depended on the age (O.R. 3.25, 95%; CI: 2.7-4.0) and higher educational status (O.R. 2.87, 95%; CI: 2.9-3.2). The utilization of Pap smear among women studied is very low. But the reasons advanced for poor utilization are modifiable. Efforts at addressing these reasons might improve the take up rate of cervical cancer screening in North-eastern Nigeria.

Magnesium sulphate is currently the most ideal drug for the treatment of eclampsia but its use in Nigeria is still limited due its cost and clinicians inexperience with the drug. The purpose of this study was to determine whether a shortened postpartum course of magnesium sulphate is as effective as the standard Pritchard regimen in controlling fits in eclampsia Between January and June 2011, 98 eclamptic mothers presenting at the labour ward of the University of Maiduguri Teaching Hospital were randomised to receive either the standard Pritchard regimen of magnesium sulphate or a shortened postpartum course in which only two doses of intramuscular magnesium sulphate is given four hours apart. The maternal and fetal outcomes were compared. The primary outcome measure was recurrence of fits. The recurrence of fits and other maternal complications were similar in the two groups. The total dosage of magnesium sulphate in the shortened group was reduced by 40% in 66% of patients. The shortened postpartum course of magnesium sulphate is as effective as the standard Pritchard regimen in the management of eclampsia.

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