Ruptured uterus at Sagamu,Nigeria

Ruptured uterus, the largest contributor to maternal deaths in our center was reviewed to find ways of reducing it and improve the outcome. Sixty cases treated at Ogun State University Teaching Hospital, Sagamu between January 1988 and December 1997 were scrutinised. During the 10 year period, total deliveries were 5,214 giving an incidence of 11.5 per 1,000. 76.7% of cases occurred in patients aged 30 years and more; and 58.6% in para 4 and more. 88.3% were unbooked. The ruptures were spontaneous in 76.7% and lower uterine segment was the most common (80%). Uterine repair with sterilisation was carried out in 46.7%, sub total hysterectomy in 26.7% and repair only in 11.7%. Most of the aetiological factors were preventable by good antenatal care and the outcome improved by early referral and efficient blood transfusion system.     

三明市区蝇类调查

本文首次报告了三明市区蝇的种类,季节消长和分布情况。发现蝇4科35属68种,其中长条溜蝇、吸溜蝇、毛瓣家蝇、盘突缅麻蝇、瘦钩鬃麻蝇为福建省首次发现;蝇类以家蝇、大头金蝇、市蝇和丝光绿蝇为优势种;蝇类常年活动,以4—5月和8—9月为活动高峰期;不同活动场所蝇类构成不同,各种场所的蝇种分布也不同。     

One year of EEG unit at psychiatric hospital, Yaba, Lagos

To show the continuous investigative value of electroencephalography (EEG) in the management of neuro-pathological disorders such as epilepsy in Nigeria. The limitation against this, especially lack of adequate fund to procure the EEG machine was highlighted. A prospective study over the first twelve months of setting up the EEG unit at the psychiatric hospital, Yaba, Lagos. Subjects included all the patients that had EEG recording in the unit during the study period. Awake EEG was done on each subject using 10-20 system of electrode placement with metal disc electrodes on the 24-channel medelec computerised EEG machine. Majority of the cohort (71.3% ) were aged < 30 years. Seizure disorder constituted the largest clinical reason for EEG request. The EEG findings were normal in close to 44% of the cohort, but abnormal in 56% with 'epileptiform activities' as the most common abnormalities. Despite the notable constraints involved, EEG continues to be of immense value in the management of neuro-pathological disorders in Nigeria.     

中国和加拿大两所医院乳腺癌病人术后生存分析比较

目的 :探讨我国北方地区乳腺癌病人的 5年生存率、主要预后因素及其与加拿大类似气候地区的异同。方法 :收集吉林大学第一医院 (中国长春 ,简称 FTH)和拉瓦尔大学圣萨可门医院 (加拿大魁北克 ,简称 SSH) 10 0 2例乳腺癌病人的资料 ,包括自然状况及预后因素 (经历史性队列研究 ) ,采用Kaplan- Meier方法计算生存指标 ,并进行分层比较。结果 :病人的平均年龄 FTH较 SSH小 10岁( P<0 .0 0 0 1) ;病人原发肿瘤大小差异有显著性 ( P=0 .0 36) ;腋窝淋巴结有转移病人的比例 FTH明显地高于 SSH( P<0 .0 0 0 1) ;手术方式 FTH多为乳腺癌改良根治术 ,SSH则对 、 期病人首选局部切除 ;病人术后 5年生存率 :FTH为 74 .2 % ,SSH为 76.3% ,差异不显著 ( P=0 .30 2 )。结论 :尽管两所医院病人的就诊年龄、肿瘤大小、淋巴结转移个数有不同 ,但其 5年生存率却无显著性差异。