Hoppewebb3740

Introduction The prevalence of strokes is continuously growing in Africa. Morbidity and mortality related to this disease depend on patients management in the community and health care facilities (FOSAs). The purpose of this study was to describe the outcome and the therapeutic path of patients with stroke admitted to the Bafoussam Regional Hospital (BRH). Methods We conducted a cohort non-controlled study of patients who were diagnosed with stroke. Data were collected using two tools such as an anonymous questionnaire among patients or on their pre-hospital management and a grid for the collection of data on patient's outcome during hospitalization. Data were analyzed by describing the frequency distribution of the sources and types of supports solicited prior to and during hospitalization as well as that of patients' outcome at the end of hospitalization including the incidence of complications. Results A total of 46 patients were included in this study, with an average age of 62 years 27(58.7%) were women and 37 (80.4%) were referred to other FOSAs. Four (8.7%) patients had taken products before their hospitalization; 2(4.3%) patients had taken a traditional product. Thirty-six (78.3%) patients had a cardiovascular history, of whom 22 with high blood pressure. Ten days after hospitalization, 32 (69.6%) patients resumed their autonomy and 5(10.9%) died. Conclusion Few patients used non-medical treatments before their arrival to hospital. Most of them underwent care in time, but the rate of hospital complications and deaths were high. A study should be conducted to determine the factors contributing to high rate of complications and death in patients hospitalized for stroke at the BRH. © Brice-Donald Agokeng Kemnang et al.Fungal osteomyelitis is a rare disease which usually presents in an indolent manner. Opportunistic infections due to other non-aspergillus moulds are an emerging entity. We report a case of fungal osteomyelitis due to Acremonium spp in an immunocompetent adult which showed a chronic, indolent course but responded well to treatment with voriconazole. This case highlights the importance of diagnosing the causative agent in fungal osteomyelitis as species specific susceptibility can aid in the treatment of fungal osteomyelitis. © Sadia Khan et al.Introduction Prelacteal feeding remains an obstacle in achieving the best breastfeeding practices in the country. The growing poor breastfeeding practices are made worse by the continued engagement of the communities in prelacteal feeding practices. VPS34inhibitor1 This study aimed at assessing the determinants of prelacteal feeding among mothers of children aged less than 24 months in Ile-Ife Southwest, Nigeria. Methods A community-based cross-sectional study that employed quantitative and qualitative methods. Two hundred and fifty-five (255) mother with children aged 0-23 months were recruited into the study using a multistage sampling technique. SPSS version 20 was used for data analysis Descriptive statistics, bivariate and multivariable logistic regression analysis was done. Results In this study, 26.3% of children were given prelacteal feeds. Glucose water (46.3%), sugar water (25.4%) and infant formula (17.9%) were commonly given prelacteal feeds. On multivariate analysis initiating breastfeeding after one hour (Adjusted Odds Ratio (AOR) 2.74, 95% CI 1.43, 5.23), not attending antenatal clinic (AOR = 2.52, 95% CI 1.05, 5.33), delivery via caesarian section 52% (AOR = 1.52, 95 % CI 1.10, 6.34) were associated with increased odds of giving prelacteal feeds. Delivery attended by health professional 25% (AOR = 0.75. 95% CI 0.42, 0.97), highest wealth quintiles 21% (AOR =0.79, 95 % CI 0.51, 0.94) were associated with lowers odds of giving prelacteal feeds. Conclusion Prelacteal feeding was prevalent in the study community and associated with community, individual and health service-related factors. Intervention that strengthens individual and community access to appropriate health information and maternal health services is vital in reducing prelacteal feeding practices. © Tolulope Ogundele et al.Introduction The burden of childhood diarrheal disease has resulted in massive mortality and morbidity globally. Children below 5 years in sub-Saharan Africa are most implicated by diarrheal illnesses resulting in numerous medical consultations, admissions, and deaths despite the disease being easy to prevent and control. The study aimed to determine the correlates of enteric bacterial infection causing diarrhea. Methods During the months of April-October 2017, 163 children below five years presenting with diarrhea were randomly selected in Murang'a and Muriranja's hospitals. Bacterial agents were identified and correlates of diarrhea determined. The study used a hospital-based cross-sectional study design. A standardized questionnaire was used to collect information from the guardian. Statistical analyses were performed using STATA v. 13. Results Forty-nine children were infected with enteric pathogenic bacteria (Enterotoxigenic Escherichia coli, Enteropathogenic Escherichia coli, Enteroaggregative Escherich after toilet use (OR 1.6, 95% CI 1.1-2.7) was associated with enteric bacterial infection compared to hand washing before meal preparation. Conclusion Sanitation, hygiene, nutritional and clinical factors were associated with enteric bacterial infections causing diarrhea among children below five years in the study area. Childhood diarrhea in Murang'a County is a major public health problem. © Oliver Waithaka Mbuthia et al.Epidermoid cyst is a benign embryonic tumor. It is an anomalous localization of ectoderm-derived tissue. Cervical epidermoid cyst is rare. It can cause diagnostic difficulties, especially in patients with voluminous and compressive cysts. We report a case of large epidermoid cyst of the neck with signs of compression of the upper aerodigestive tract. The patient underwent cervicotomy with mass resection. Pathological examination of the surgical specimen showed epidermal cyst. © Nogognan Ignace Lengane et al.Introduction Prostate cancer (PCa) is the leading cause of cancer-related deaths in men aged 40 years and older. Incidence and mortality rates are higher in African men. PCa is amenable to early detection by screening which can prevent and reduce cancer deaths. Late-stage presentation and diagnosis often occur due to poor screening practices. This study assessed the knowledge, attitude, prevalence and barriers towards PCa screening among males in an urban area in Nigeria using a mixed method approach. Methods This cross-sectional descriptive study used quantitative and qualitative methods among men aged 40 years and older. A pretested structured questionnaire was used to interview 344 respondents through multi-stage sampling. Additionally, two focus group sessions were held using a pre-tested guide. Results Respondents were between 40-89 years with a mean age of 52.8 ± 9.9 years. Majority (54.9%) had poor knowledge of prostate cancer and its screening methods however, 65.7% expressed positive attitudes towards screening.