Mucinous colonic adenocarcinoma in patients aged under 25 years.
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Adenocarcinoma, Mucinous↗
Biomedical subjects
N J Jebbin
Publications and source records attributed to N J Jebbin.
The pattern of stab injuries in Port Harcourt.
All cases of stabbing reporting to the casualty Department of the University of Port Harcourt Teaching Hospital (UPTH) between 1st January 1997 and 31st December, 1997 were studied prospectively. Fifty new cases reported within the study period. Thirteen cases required admission while 37 cases were treated and discharged from the casualty department. The majority of injuries were minor and most victims were male and of these, students in the age group 21 - 30 years formed the greatest number. The most common weapon used was broken bottle and injuries involving multiple anatomic regions were in the majority. All cases requiring major surgical intervention reported within 6 hours of injury. No mortality was recorded.
Adolescent↗
Informed consent: how informed are patients?
BACKGROUND: By casual interaction with patients our impression was that patients lacked adequate knowledge about their ailments and surgical treatment. There is now increasing educational exposure and legal awareness in the society. AIM: To reassess the extent of the practice of "informed consent" expose failures if any, and make appropriate recommendation. METHODS: A written questionnaire, randomly distributed to patients, sought to find out to what extent patients admitted into the University of Port Harcourt Teaching Hospital (UPTH) were adequately informed about their ailments and the implications of surgical treatment. RESULTS: One hundred and fifty patients were randomly recruited into the study and all responded to the questionnaire. Majority of the patients (75%) knew their diagnoses. Most patients (63%) did not know the problems that could be associated with their surgery while 75% did not know the complications of anaesthesia. CONCLUSION: There is need for a closer interaction in communication between patients and their surgeons. This will facilitate the participation of patients in decisions on treatment options and consequently help to maintain a satisfactory standard of practice and reduce litigation following an unfavourable outcome of surgical treatment.
Adult↗
Attitudes to, knowledge and practice of breast self-examination (BSE) in Port Harcourt.
BACKGROUND: Many of the cases of carcinoma of the breast we find in our clinic are advanced, sometimes with fungation. We believe that if women in Port Harcourt are knowledgeable about breast self-examination (BSE) and practise it, this scenario may not be so. AIM: The study is intended to highlight the extent of their knowledge vis-à-vis their practice of BSE. METHOD: A written questionnaire was distributed to 200 women from different walks of life in Port Harcourt to assess their attitudes to, knowledge and practice of BSE. Their responses were then collated and analyzed. RESULTS: Ninety-eight percent of the respondents had formal education, majority having obtained tertiary education. Eighty-five point five percent of them had heard of BSE but 39.0% practised BSE only occasionally, while 24.0% did not practise it at all. Among 76 health workers who participated in the study, 60.0% of doctors and 53.7% of nurses practised BSE only occasionally. Only one doctor could describe how to perform BSE correctly. The news media, nurses and physicians were the commonest sources of information on BSE. CONCLUSION: Most women in Port Harcourt, though aware of BSE and its usefulness never practise it. Those who care to practise it are ignorant of how to correctly do it. There is need for a vigorous health education programme on this subject for our women. It is hoped that this will help to reduce the morbidity and mortality associated with carcinoma of the breast.
Adult↗
Anorectal disorders requiring surgical treatment in the University of Port Harcourt Teaching Hospital, Port Harcourt.
BACKGROUND: The prevalence of anorectal disorders requiring surgical treatment has not been previously documented in the University of Port Harcourt Teaching Hospital (UPTH). AIM: To find out which of the anorectal disorders were most commonly managed surgically in the UPTH from January 1 1998 to December 31 2002. METHODS: The case notes and theatre records of all anorectal conditions treated surgically were studied retrospectively. They were analysed with respect to age, sex, type of lesion, duration of pathology before surgery, surgical treatment performed, hospital stay, complications and outcome. RESULTS: Seventy patients were so treated. Males outnumbered females in a ratio of 1.2:1. The commonest age groups treated were in the first, third and fourth decades of life. The commonest conditions treated were haemorrhoid, fissure-in-ano, imperforate anus and fistula-in-ano. Apart from imperforate anus cases, the mean duration of symptoms before surgery was 18 1/2 months. Open haemorrhoidectomy, lateral internal sphincterotomy and fistulotomy/fistulectomy were themain procedures performed. The procedures for imperforate anus varied from simple serial anal dilatation to perineal pull through operations. Main complication encountered was post hemorrhoidectomy anal stenosis. The mean hospital stay was 16.9 days. Mortality rate was 1.4%. CONCLUSION: Haemorrhoid, fissure-in-ano, imperforate anus and fistula-in-ano were the commonest conditions treated surgically in UPTH over the 5 year period.
Adolescent↗
HIV positive patients and the surgeon.
BACKGROUND: Guidelines for the surgical treatment of HIV infected patients are lacking in Nigeria. The Social stigma of the infection and fears of contracting the disease discourage healthcare providers from treating the patients. OBJECTIVE: To present cases treated by surgeons and thereby stimulate interest on the need to offer these patients needed treatment. METHODS: A written questionnaire was sent to surgeons based in the University of Port Harcourt Teaching Hospital who have operated on patients known preoperativly to have HIV. Information sought included age, gender, indication for surgery, operation done, outcome of operation, indication for HIV test and information given to the patient after the test. RESULTS: a total of 26 HIV infected patients received surgical treatment in private and company clinics and there were 18 females and 8 males aged between 8 and 48 years. Most of these were in the 2nd to 4th decades. The operations were elective, emergency or urgent. Pregnancy-related indications predominated. Three patients volunteered their status. One when told she was HIV positive declined a planned right nephrectomy for hypernephroma. Nineteen patiens were discharged from hospital well. Three patients and parents of two were informed by the surgeons that they were HIV positive preoperatively. Five patients died postoperatively. CONCLUSION: There is need to promote awareness on the obligation of suregeons to offer these patients surgical treatment. A protocol and adequate facilities for prophylaxis for health care workers exposed to infection from patients should be established in Nigeria.
Adult↗