African Journal of Medicine and Surgery

African Journal of Medicine and Surgery ISSN 3156-8734 Vol. 2 (3), pp. 042-047, July, 2015. © International Scholars Journals 

Full Length Research Paper

Prevalence of priapism in cases suffering from sickle cell disease in Madhya Pradesh of Central India

Ranvid Khan Shakarn

Department of Biochemistry, Regional Medical Research Centre for Tribals (Indian Council of Medical Research), Near NSCB Medical College & Hospital, P.O: Garha, Nagpur Road, Jabalpur-482 003, Madhya Pradesh, Central India.

E-mail: shakarn.rk@yahoo.co.in

Accepted 11 January, 2015

Abstract

The sickle cell disorder is a common disabling disease that profoundly affects human morbidity, mortality and quality of life. Priapism in sickle cell disease is a condition that causes sustained, painful, and unwanted erection of the penis in boys or men without any sexual stimulation. Sickled cells are short lived and can cause vaso-occlusive crisis in affected persons. A few case reports have shown the rare occurrence of priapism in sickle cell disease in India. This hospital based study showed around 2.97% prevalence of priapism in cases suffering from sickle cell disease in a tertiary hospital at Jabalpur in Madhya Pradesh of Central India. The present study reports the lower fetal hemoglobin (mean, 8.5%) in two of the three cases, and elevated serum bilirubin level (mean, 4.4 mg/dl) and higher platelet (mean, 351.7 m/mm3) and reticulocyte (mean, 8.7%) counts of all patients studied with priapism in sickle cell disease, indicating erythropoietic imbalance. It is a common practice in India that any problem related to sex or sex organs is intentionally not disclosed (kept secret) to elderly family members because of shyness or psycho-social implications or due to a stigma attached to it. It is rarely brought to the notice of a medical doctor. This is due to utter lack of sex education that results in deteriorated health complications in rural areas of the state. Priapism in sickle cell disease is a pathological condition of penile erection and recovery of erectile function is dependent on prompt counseling and urgent intervention. Priapism should be considered as a medical and surgical emergency and efforts should be made to educate both professionals and vulnerable population as well.

Key words: Priapism, sickle cell disease, prevalence, sex education, ischemic, stuttering.

African Journal of Medicine and Surgery ISSN 3156-8734 Vol. 2 (2), pp. 036-041, March, 2015. © International Scholars Journals 

Case Study

Physical examination in patients diagnosed urinary tract infections and proper management

Mohammed Zaki Yamani

King Abdulaziz University, Jeddah, Saudi Arabia.

E-mail: zakiyamani@gmail.com

Accepted 10 February, 2015

Abstract

This is a case report of 30 years old female patient who presented with almost monthly episodes of urinary symptoms misdiagnosed and treated as recurrent urinary tract infections with poor response. On physical examination of this lady, features suggestive of lichen planus involving both the oral and genital area were found and immediately she was placed on systemic and local immunosuppressive therapy with excellent response for almost a year, but unfortunately she was lost for follow up.

Key words: Lichen planus, vaginitis, erosive vulvovaginal, gingival syndrome, immunosuppressive drugs.

African Journal of Medicine and Surgery ISSN 3156-8734 Vol. 2 (1), pp. 031-035, January, 2015. © International Scholars Journals 

Full Length Research Paper

Attitudinal index influencing the trend of child health care services in Cross Rivers State, Nigeria

Umoh O. David¹*, Emuakpor Avwerosuo¹ and Toheeb G. Babatunde²

¹Department of Human Kinetics and Health Education, University of Calabar, Calabar, Cross River State, Nigeria. ²University of Calabar Teaching Hospital, Calabar, Cross River State, Cross River State, Nigeria.

E-mail: umoh.david4@gmail.com 

Accepted 17 November, 2014

Abstract

This study investigated the relationship between attitude indices and utilization of maternal/child health care services among women in Akpabuyo Local Government Area (LGA) of Cross River State, Nigeria. The study isolated and examined mothers’ level of education, distance to health care facilities, attitude of health care givers, cultural beliefs, and the utilization of maternal health care services. A validated and reliability certified structured questionnaire was used to generate data from 150 subjects among nursing and pregnant mothers using the convenience sampling technique. Data generated were analyzed using the Pearson Product Moment Correlation statistics. The result of the analysis showed that level of education of mothers, distance to health facilities, attitude of health care givers, and cultural beliefs were significantly related with utilization of maternal/child health care services in Akpabuyo Local Government Area of Cross River State. Based on the result of the study, the following recommendations among others were proffered: Advocacy and practical approach to the girl-child education should be pursued by the government at all levels; and that adult literacy education should be instituted in Akpabuyo Local Government Area, with maternal and child health as core component of the programme.

Key words: Health care services, maternal and child health, attitude, utilization.

African Journal of Medicine and Surgery Vol. 1 (4), pp. 024-027, November, 2013. © International Scholars Journals

Full Length Research Paper

Circumcision mishaps: Sequelae from the hands of the untrained personnels

Tabowei BI¹, Kombo B.B² and Mukoro Duke George³

¹Department of surgery, Niger-Delta University, amassoma, Bayelsa, Nigeria.

²Department of surgery, University of Port-Harcourt, Rivers State, Nigeria.

³Department of Accident and Emergency medicine, Niger-Delta University teaching Hospital, Bayelsa, Nigeria.

*Corresponding author. E-mail: mukoroduke@yahoo.com

Accepted 07 October, 2013

Abstract

Male circumcision is one of the oldest surgical operations documented on earth. It is performed both for religious and cultural reasons. It is being carried out by both trained and untrained persons leading to several complications. The psycho-social effects are overwhelming to both the victims and their relations. Reports of adult cases are very rare because circumcision is commonly carried out in neonates. The article attends to illustrate that untold complications from circumcision by untrained personnel could occur and present in adulthood or uncommon age groups.  A series of three case, two adults and one infant, were reviewed for rare complications of amputation which were managed in Bayelsa State. These circumcision cases illustrated that some of the long term complications arisen from circumcision by untrained personnel. Hemorrhage, infections, penile necrosis, glans amputation, and buried penis were the complications reported in the literature. To avoid these complications, trained personnel must carry out the Circumcision.

Key words: Circumcision, mishaps, untrained personnel, penile necrosis, buried penis. 

African Journal of Medicine and Surgery Vol. 1 (3), pp. 015-019, October, 2013. © International Scholars Journals

Full Length Research Paper

Evaluation of patient safety culture: Single-center, non-randomized, cross-sectional study, Department of General Surgery, Faculty of Medicine, Trakya University, Turkey experience

Tamer Sagiroglu¹*, Serhat Oğuz¹, Mehmet Ali Yağcı¹, Hilmi Tozkır² and Tülin Yalta³

¹General Surgery Department, Medical Faculty, Trakya University, Edirne/Turkey.

²Medical Biology Department, Medical Faculty, Trakya University, İstanbul/Turkey.

³Pathology Department, Medical Faculty, Trakya University, Edirne/Turkey.

*Corresponding author. E-mail: tamersagiroglu@gmail.com. Tel: 00905322848934. Fax: 00902842352730.

Accepted 27 February, 2013

Abstract

This study aims to measure and analyze the patient safety culture in General Surgery Department, Faculty of Medicine, Trakya University, Edirne-Turkey. A cross-sectional study, utilizing the Turkish version of the Hospital Survey on Patient Safety Culture developed by the Agency for Healthcare Research and Quality and a demographic questionnaire was distributed to 125 health professionals including nurses, technicians, managers and medical staff. 125 healthcare staff, including physicians, nurses, and health officers participated in this research. The main outcome measure(s) comprise the patient safety culture score including subscores on 12 dimensions and 42 items; patient safety grade and number of events reported. Results of this study reveals overall patient safety grade was rated as excellent or very good by 40% of respondents, acceptable by 46% and failing or poor by 14%. The percentage of positive responses was highest for ‘staffing’ (52%), ‘management support for patient safety (41%), ‘non-punitive response to error” (40%), lowest for ‘teamwork within units (11%), feedback and communication about error (12%), organizational learning and continuous improvement (15%). Thus, improving patient safety culture, setting national and organizational based patient safety system without fear of punitive action should be a priority among hospital and national administrators.

Medical Subject Headings (MeSH) Terms: Healthcare surveys, safety management/methods, medical errors/prevention and control, attitude of health personnel, organizational culture.