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Abuzaid MM, Haider F, Al Amry N, Abousalem R, Habib Z. Patient satisfaction with radiology services in the UAE: A comprehensive analysis of care, comfort, service, and accessibility. Radiography (Lond) 2023; 29:1029-1034. [PMID: 37688802 DOI: 10.1016/j.radi.2023.08.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 08/23/2023] [Accepted: 08/29/2023] [Indexed: 09/11/2023]
Abstract
INTRODUCTION This paper analyses patient satisfaction with radiology services in the United Arab Emirates (UAE). The study evaluates the care, comfort, service, and accessibility of the services and patient satisfaction with imaging procedures. METHODS The research design employed a descriptive, cross-sectional approach, and data were collected through a survey consisting of eight sections. A total of 444 participants completed the survey, providing valuable insights into their demographics, appointment experiences, waiting times, staff attitudes and overall satisfaction. RESULTS 70.4% of the participants stated that it was easy to make appointments, and 66.1% stated that they were satisfied with the efficiency of check-ins. 54.9% felt they waited the right amount of time to make an appointment, and 56.1% were satisfied with the time waiting to receive the imaging report. The findings indicate that waiting times and staff attitudes significantly influence patient satisfaction, while demographic factors, such as nationality, education, and age, do not significantly impact them. The study concludes that healthcare providers should prioritise efficient appointment scheduling, reduce waiting times and foster positive patient-staff interactions to enhance patient satisfaction. The open-ended feedback provided by the participants also offers valuable suggestions for improving service quality. CONCLUSION This study is a foundation for future research and provides healthcare organisations with valuable insights to enhance patient satisfaction in UAE radiology services. IMPLICATIONS FOR PRACTICE Healthcare providers should focus on patient satisfaction to improve retention and loyalty, attract new patients and enhance their reputation.
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Affiliation(s)
- M M Abuzaid
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah Sharjah, United Arab Emirates.
| | - F Haider
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah Sharjah, United Arab Emirates
| | - N Al Amry
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah Sharjah, United Arab Emirates
| | - R Abousalem
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah Sharjah, United Arab Emirates
| | - Z Habib
- Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah Sharjah, United Arab Emirates
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Siah TH, Habib Z, McWilliams RG, Chan TY. Implications for patient follow-up of changes in inferior vena cava filter removal plan practices. Clin Radiol 2022; 77:794-799. [PMID: 35985844 DOI: 10.1016/j.crad.2022.06.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Revised: 06/23/2022] [Accepted: 06/29/2022] [Indexed: 11/29/2022]
Abstract
AIM To assess the improvements during patient follow-up after implementing a proactive plan for retrieval of inferior vena cava (IVC) filters. MATERIALS AND METHODS A retrospective study was undertaken including all patients who had a temporary IVC filter inserted over a 10-year period. Patient demographics, insertion dates, retrieval dates, retrieval rates, and complications were recorded. Patients were categorised into three groups as follows: group A, no intervention where retrieval was not suggested; group B, passive intervention where retrieval was suggested but no appointment made; and group C, proactive intervention where a retrieval date was booked by the radiologist. RESULTS Five hundred and nine patients had a temporary IVC filter inserted at Royal Liverpool University Hospital over the study period. One per cent of patients in group C were lost to follow-up compared to 41% and 29% in groups A and B respectively (p<0.001). The number of patients who had an IVC retrieval attempt also increased to 80% in group C compared to 53% and 64% in groups A and B (p<0.001). CONCLUSION Incorporation of a proactive retrieval booking system has significantly reduced the number of patients lost to follow-up to 1%, leading to an increased number of IVC filter retrieval attempts.
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Affiliation(s)
- T H Siah
- Department of Radiology, Royal Liverpool University Hospital, Liverpool University Hospitals NHS Foundation Trust, Prescot Street, Liverpool L7 8XP, UK.
| | - Z Habib
- Department of Radiology, Royal Liverpool University Hospital, Liverpool University Hospitals NHS Foundation Trust, Prescot Street, Liverpool L7 8XP, UK
| | - R G McWilliams
- Department of Radiology, Royal Liverpool University Hospital, Liverpool University Hospitals NHS Foundation Trust, Prescot Street, Liverpool L7 8XP, UK
| | - T Y Chan
- Department of Radiology, Royal Liverpool University Hospital, Liverpool University Hospitals NHS Foundation Trust, Prescot Street, Liverpool L7 8XP, UK
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Elimian K, Musah A, King C, Igumbor E, Myles P, Aderinola O, Erameh C, Nwanchukwu W, Akande O, Nicaise N, Ogunbode O, Egwuenu A, Crawford E, Gaudenzi G, Abdus-Salam I, Olopha O, Disu Y, Bowale A, Oshoma C, Ohonsi C, Arinze C, Badaru S, Ebhodaghe B, Habib Z, Olugbile M, Dan-Nwafor C, Abubakar J, Pembi E, Dunkwu L, Ike I, Tobin E, Mutiu B, Luka-Lawal R, Nwafor O, Okowa M, Ezeokafor C, Iwara E, Yennan S, Eziechina S, Olatunji D, Falodun L, Joseph E, Abali I, Mohammed T, Yiga B, Kamaldeen K, Agogo E, Mba N, Oladejo J, Ilori E, Aruna O, Namara G, Obaro S, Hamza K, Asuzu M, Bello S, Okonofua F, Deeni Y, Abubakar I, Alfven T, Ochu C, Ihekweazu C. COVID-19 mortality rate and its associated factors during the first and second waves in Nigeria. PLOS Glob Public Health 2022; 2:e0000169. [PMID: 36962290 PMCID: PMC10022313 DOI: 10.1371/journal.pgph.0000169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Accepted: 05/03/2022] [Indexed: 11/19/2022]
Abstract
COVID-19 mortality rate has not been formally assessed in Nigeria. Thus, we aimed to address this gap and identify associated mortality risk factors during the first and second waves in Nigeria. This was a retrospective analysis of national surveillance data from all 37 States in Nigeria between February 27, 2020, and April 3, 2021. The outcome variable was mortality amongst persons who tested positive for SARS-CoV-2 by Reverse-Transcriptase Polymerase Chain Reaction. Incidence rates of COVID-19 mortality was calculated by dividing the number of deaths by total person-time (in days) contributed by the entire study population and presented per 100,000 person-days with 95% Confidence Intervals (95% CI). Adjusted negative binomial regression was used to identify factors associated with COVID-19 mortality. Findings are presented as adjusted Incidence Rate Ratios (aIRR) with 95% CI. The first wave included 65,790 COVID-19 patients, of whom 994 (1∙51%) died; the second wave included 91,089 patients, of whom 513 (0∙56%) died. The incidence rate of COVID-19 mortality was higher in the first wave [54∙25 (95% CI: 50∙98-57∙73)] than in the second wave [19∙19 (17∙60-20∙93)]. Factors independently associated with increased risk of COVID-19 mortality in both waves were: age ≥45 years, male gender [first wave aIRR 1∙65 (1∙35-2∙02) and second wave 1∙52 (1∙11-2∙06)], being symptomatic [aIRR 3∙17 (2∙59-3∙89) and 3∙04 (2∙20-4∙21)], and being hospitalised [aIRR 4∙19 (3∙26-5∙39) and 7∙84 (4∙90-12∙54)]. Relative to South-West, residency in the South-South and North-West was associated with an increased risk of COVID-19 mortality in both waves. In conclusion, the rate of COVID-19 mortality in Nigeria was higher in the first wave than in the second wave, suggesting an improvement in public health response and clinical care in the second wave. However, this needs to be interpreted with caution given the inherent limitations of the country's surveillance system during the study.
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Affiliation(s)
- Kelly Elimian
- Nigeria Centre for Disease Control, Abuja, Nigeria
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
- Department of Microbiology, Faculty of Life Sciences, University of Benin, Benin City, Edo State, Nigeria
- Nigeria COVID-19 Research Coalition, Abuja, Nigeria
| | - Anwar Musah
- Nigeria COVID-19 Research Coalition, Abuja, Nigeria
- Department of Geography, University College London, London, United Kingdom
| | - Carina King
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Ehimario Igumbor
- Nigeria Centre for Disease Control, Abuja, Nigeria
- Nigeria COVID-19 Research Coalition, Abuja, Nigeria
- Department of Geography, University College London, London, United Kingdom
| | - Puja Myles
- Clinical Practice Research Datalink, Medicines and Healthcare Products Regulatory Agency, London, United Kingdom
| | | | - Cyril Erameh
- Institute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria
| | | | | | - Ndembi Nicaise
- Africa Centres for Disease Control and Prevention, Addis-Ababa, Ethiopia
| | | | | | | | - Giulia Gaudenzi
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | | | | | - Yahya Disu
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - Abimbola Bowale
- Infectious Disease Unit, Mainland Hospital, Lagos, Lagos State, Nigeria
| | - Cyprian Oshoma
- Department of Microbiology, Faculty of Life Sciences, University of Benin, Benin City, Edo State, Nigeria
| | | | | | | | | | - Zaiyad Habib
- University of Abuja Teaching Hospital, Abuja, Nigeria
| | | | | | | | - Emmanuel Pembi
- Adamawa State Ministry of Health and Human Services, Yola, Adamawa State, Nigeria
| | - Lauryn Dunkwu
- Tony Blair Institute for Global Change, Abuja, Nigeria
| | - Ifeanyi Ike
- Nigeria Centre for Disease Control, Abuja, Nigeria
- eHealth Africa, Abuja, Nigeria
| | - Ekaete Tobin
- Institute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria
| | - Bamidele Mutiu
- Lagos State Biobank Mainland Hospital Yaba, Lagos, Lagos State, Nigeria
| | | | | | | | - Chidiebere Ezeokafor
- Nigeria COVID-19 Research Coalition, Abuja, Nigeria
- National Agency for the Control of AIDS, Abuja, Nigeria
| | - Emem Iwara
- Maryland Global Initiatives Corporation, Abuja, Nigeria
| | | | | | | | - Lanre Falodun
- Department of Internal Medicine, National Hospital, Abuja, Nigeria
| | - Emmanuel Joseph
- Kaduna State Infectious Disease Control Centre, Kaduna, Kaduna State, Nigeria
| | | | | | - Benjamin Yiga
- Bauchi State Ministry of Health, Bauchi, Bauchi State, Nigeria
| | | | | | - Nwando Mba
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - John Oladejo
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - Elsie Ilori
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - Olusola Aruna
- International Health Strengthening Project, Global Public Health, Public Health England, Abuja, Nigeria
| | | | - Stephen Obaro
- Department of Paediatrics, University of Nebraska, Lincoln, Nebraska, United States of America
| | - Khadeejah Hamza
- Nigeria COVID-19 Research Coalition, Abuja, Nigeria
- Department of Community Medicine, Ahmadu Bello University, Zaria, Nigeria
| | - Michael Asuzu
- Nigeria COVID-19 Research Coalition, Abuja, Nigeria
- University College Hospital, Ibadan, Oyo State, Nigeria
| | - Shaibu Bello
- Nigeria COVID-19 Research Coalition, Abuja, Nigeria
- College of Health Sciences, Usmanu Danfodiyo University, Sokoto, Sokoto State, Nigeria
| | - Friday Okonofua
- Centre of Excellence in Reproductive Health Innovation, University of Benin, Benin City, Edo State, Nigeria
| | - Yusuf Deeni
- Nigeria COVID-19 Research Coalition, Abuja, Nigeria
- Department of Microbiology and Biotechnology, Faculty of Science, Federal University Dutse, Dutse, Jigawa State, Nigeria
| | - Ibrahim Abubakar
- Institute for Global Health, Faculty of Pop Health Sciences, University College London, London, United Kingdom
| | - Tobias Alfven
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Chinwe Ochu
- Nigeria Centre for Disease Control, Abuja, Nigeria
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Habib Z, Hafeez Y, Mbarek I, Haque MU. A revolutionary step; Role of Qatar`s central hubs in managing the Covid-19 Pandemic. J Med Res 2021. [DOI: 10.31254/jmr.2021.7201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
WHO declared Corona Virus disease 2019 (COVID-19) as a public health emergency on the 30th of January 2020. Soon afterward, COVID-19 cases started to emerge from all parts of the world. The state of Qatar was extremely vigilant from the very outset. Special measures were introduced immediately to restrict the influx of people from high-risk countries such as China and Iran. The Ministry of public health (MOPH), Qatar started preparing for an impending pandemic in the meantime. The first cluster of COVID-19 positive cases was declared on March the 11th 2019. A total of 238 cases were declared positive on this day. It raised the alarm to roll over all those preparations on the ground into practice
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Agada AA, Kwaghe V, Habib Z, Adebayo FO, Anthony B, Yunusa T, Ekele BA. COVID-19 and Mycobacterium Tuberculosis Coinfection: A Case Report. West Afr J Med 2021; 38:176-179. [PMID: 33641155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
COVID-19 is a global pandemic, with attendant high morbidity and mortality. There is no previous documentation of its coinfection with Mycobacterium tuberculosis; the single most common cause of death from an infectious disease. Management and survival from this "cruel duel" in a low resource country will be daunting. We report the case of a middle-aged man who survived and the lessons learned from a COVID-19 treatment centre in the north-central of Nigeria. The patient presented with symptoms and clinical features of COVID-19 and Mycobacterium tuberculosis was confirmed with laboratory investigation. The patient commenced anti-tuberculous medications, received nutritional support and other supportive treatment for COVID-19 infection. He was discharged home to continue follow up at the medical outpatient and the DOTS clinic. Early recognition and prompt treatment are critical for a favourable clinical outcome.
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Affiliation(s)
- A A Agada
- Department of Internal Medicine, University of Abuja Teaching Hospital (UATH) Abuja, Nigeria
| | - V Kwaghe
- Department of Internal Medicine, University of Abuja Teaching Hospital (UATH) Abuja, Nigeria
| | - Z Habib
- Department of Internal Medicine, University of Abuja Teaching Hospital (UATH) Abuja, Nigeria
| | - F O Adebayo
- Department of Obstetrics & Gynecology, University of Abuja Teaching Hospital (UATH) Abuja, Nigeria
| | - B Anthony
- Department of Internal Medicine, University of Abuja Teaching Hospital (UATH) Abuja, Nigeria
| | - T Yunusa
- Department of Medical Microbiology, University of Abuja Teaching Hospital (UATH) Abuja, Nigeria
| | - B A Ekele
- Department of Obstetrics & Gynecology, University of Abuja Teaching Hospital (UATH) Abuja, Nigeria
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Elimian KO, Ochu CL, Ilori E, Oladejo J, Igumbor E, Steinhardt L, Wagai J, Arinze C, Ukponu W, Obiekea C, Aderinola O, Crawford E, Olayinka A, Dan-Nwafor C, Okwor T, Disu Y, Yinka-Ogunleye A, Kanu NE, Olawepo OA, Aruna O, Michael CA, Dunkwu L, Ipadeola O, Naidoo D, Umeokonkwo CD, Matthias A, Okunromade O, Badaru S, Jinadu A, Ogunbode O, Egwuenu A, Jafiya A, Dalhat M, Saleh F, Ebhodaghe GB, Ahumibe A, Yashe RU, Atteh R, Nwachukwu WE, Ezeokafor C, Olaleye D, Habib Z, Abdus-Salam I, Pembi E, John D, Okhuarobo UJ, Assad H, Gandi Y, Muhammad B, Nwagwogu C, Nwadiuto I, Sulaiman K, Iwuji I, Okeji A, Thliza S, Fagbemi S, Usman R, Mohammed AA, Adeola-Musa O, Ishaka M, Aketemo U, Kamaldeen K, Obagha CE, Akinyode AO, Nguku P, Mba N, Ihekweazu C. Descriptive epidemiology of coronavirus disease 2019 in Nigeria, 27 February-6 June 2020. Epidemiol Infect 2020; 148:e208. [PMID: 32912370 PMCID: PMC7506173 DOI: 10.1017/s095026882000206x] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 08/18/2020] [Accepted: 08/28/2020] [Indexed: 02/06/2023] Open
Abstract
The objective of this study was to describe the epidemiology of COVID-19 in Nigeria with a view of generating evidence to enhance planning and response strategies. A national surveillance dataset between 27 February and 6 June 2020 was retrospectively analysed, with confirmatory testing for COVID-19 done by real-time polymerase chain reaction (RT-PCR). The primary outcomes were cumulative incidence (CI) and case fatality (CF). A total of 40 926 persons (67% of total 60 839) had complete records of RT-PCR test across 35 states and the Federal Capital Territory, 12 289 (30.0%) of whom were confirmed COVID-19 cases. Of those confirmed cases, 3467 (28.2%) had complete records of clinical outcome (alive or dead), 342 (9.9%) of which died. The overall CI and CF were 5.6 per 100 000 population and 2.8%, respectively. The highest proportion of COVID-19 cases and deaths were recorded in persons aged 31-40 years (25.5%) and 61-70 years (26.6%), respectively; and males accounted for a higher proportion of confirmed cases (65.8%) and deaths (79.0%). Sixty-six per cent of confirmed COVID-19 cases were asymptomatic at diagnosis. In conclusion, this paper has provided an insight into the early epidemiology of COVID-19 in Nigeria, which could be useful for contextualising public health planning.
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Affiliation(s)
- K. O. Elimian
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
- Department of Microbiology, Faculty of Life Sciences, University of Benin, Edo State, Nigeria
- Nigeria COVID-19 Research Consortium, Abuja, Nigeria
| | - C. L. Ochu
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
- Nigeria COVID-19 Research Consortium, Abuja, Nigeria
| | - E. Ilori
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - J. Oladejo
- Health Emergency Preparedness and Response, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - E. Igumbor
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
- Nigeria COVID-19 Research Consortium, Abuja, Nigeria
- School of Public Health, University of the Western Cape, Cape Town, South Africa
| | - L. Steinhardt
- Centers for Disease Control and Prevention, U.S. Embassy Abuja, Abuja, Nigeria
| | - J. Wagai
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - C. Arinze
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - W. Ukponu
- Georgetown University, Abuja, Nigeria
| | - C. Obiekea
- Public Health Laboratory Services, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - O. Aderinola
- Health Emergency Preparedness and Response, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - E. Crawford
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - A. Olayinka
- Nigeria COVID-19 Research Consortium, Abuja, Nigeria
- World Health Organization, Abuja, Nigeria
- Ahmadu Bello University, Zaria, Nigeria
| | - C. Dan-Nwafor
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - T. Okwor
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - Y. Disu
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - A. Yinka-Ogunleye
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - N. E. Kanu
- African Field Epidemiology Network, Abuja, Nigeria
- Nigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria
| | | | - O. Aruna
- Public Health England's International Health Regulations Strengthening Project, Abuja, Nigeria
| | | | - L. Dunkwu
- Tony Blair Institute for Global Change, Abuja, Nigeria
| | - O. Ipadeola
- Centers for Disease Control and Prevention, U.S. Embassy Abuja, Abuja, Nigeria
- University of Ilorin, Ilorin, Nigeria
| | - D. Naidoo
- World Health Organization, Abuja, Nigeria
| | - C. D. Umeokonkwo
- African Field Epidemiology Network, Abuja, Nigeria
- Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria
| | - A. Matthias
- Centers for Disease Control and Prevention, U.S. Embassy Abuja, Abuja, Nigeria
| | - O. Okunromade
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - S. Badaru
- Public Health Laboratory Services, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - A. Jinadu
- Health Emergency Preparedness and Response, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - O. Ogunbode
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - A. Egwuenu
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - A. Jafiya
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - M. Dalhat
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
- Resolve to Save Lives, Abuja, Nigeria
| | - F. Saleh
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - G. B. Ebhodaghe
- Prevention, Programmes and Knowledge Management, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - A. Ahumibe
- Public Health Laboratory Services, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - R. U. Yashe
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - R. Atteh
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - W. E. Nwachukwu
- Surveillance and Epidemiology, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - C. Ezeokafor
- Nigeria COVID-19 Research Consortium, Abuja, Nigeria
- National Agency for the Control of AIDS, Abuja, Nigeria
| | - D. Olaleye
- Nigeria COVID-19 Research Consortium, Abuja, Nigeria
- Department of Virology, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Z. Habib
- Nigeria COVID-19 Research Consortium, Abuja, Nigeria
- University of Abuja Teaching Hospital, Abuja, Nigeria
| | | | - E. Pembi
- Ministry of Health and Human Services, Adamawa State, Nigeria
| | - D. John
- Department of Public Health, Health and Human Services Secretariat, FCT, Abuja, Nigeria
| | | | - H. Assad
- Health Emergency Preparedness and Response, Nigeria Centre for Disease Control, Abuja, Nigeria
- Ministry of Health, Kebbi State, Nigeria
| | - Y. Gandi
- Department of Disease Control and Immunisation, Bauchi State Ministry of Health, Bauchi, Nigeria
| | - B. Muhammad
- Department of Public Health, Kano State Ministry of Health, Kano State, Nigeria
| | - C. Nwagwogu
- Department of Public Health, Abia State Ministry of Health, Abia State, Nigeria
| | - I. Nwadiuto
- Department of Public Health, Rivers State Ministry of Health, Rivers State, Nigeria
| | - K. Sulaiman
- Department of Epidemiology and Disease Control, Katsina State Ministry of Health, Katsina, Nigeria
| | - I. Iwuji
- Epidemiology Unit, Department of Public Health, Ministry of Health, Bayelsa State, Nigeria
| | - A. Okeji
- Epidemiology Unit, Department of Public Health, Ministry of Health, Imo State, Nigeria
| | - S. Thliza
- Epidemiology Unit, Department of Public Health, Ministry of Health, Borno State, Nigeria
| | - S. Fagbemi
- Department of Epidemiology and Disease Control, Ministry of Health, Ondo State, Nigeria
| | - R. Usman
- Department of Public Health, Zamfara State Ministry of Health, Zamfara State, Nigeria
| | - A. A. Mohammed
- Department of Public Health Services, Ministry of Health, Sokoto State, Nigeria
| | - O. Adeola-Musa
- Department of Public Health, Ministry of Health, Osun State, Nigeria
| | - M. Ishaka
- Department of Public Health, Yobe State Primary Healthcare Management Board, Yobe State, Nigeria
| | - U. Aketemo
- Department of Public Health, Taraba State Ministry of Health, Taraba State, Nigeria
| | - K. Kamaldeen
- Department of Public Health, Kwara State Ministry of Health, Kwara State, Nigeria
| | - C. E. Obagha
- Anambra State Ministry of Health, Anambra State, Nigeria
| | - A. O. Akinyode
- Directorate of Public Health, Oyo State Ministry of Health, Oyo State, Nigeria
| | - P. Nguku
- African Field Epidemiology Network, Abuja, Nigeria
| | - N. Mba
- Public Health Laboratory Services, Nigeria Centre for Disease Control, Abuja, Nigeria
| | - C. Ihekweazu
- Office of the Director General, Nigeria Centre for Disease Control, Abuja, Nigeria
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Iliyasu G, Tiamiyu A, Daiyab F, Tambuwal S, Habib Z, Habib A. Effect of distance and delay in access to care on outcome of snakebite in rural north-eastern Nigeria. Rural Remote Health 2015. [DOI: 10.22605/rrh3496] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Abstract
Cardiac myxoma is a benign (non-malignant) neoplasm that represents the most common primary tumour of the heart. We present the case of a 36 year old woman with background hypertension who presented with features of left ventricular failure and seizures, and was found during transthoracic echocardiography to have left atrial myxoma protruding through the mitral valve orifice. She subsequently had excision of the atrial myxoma. The usefulness of early transthoracic echocardiography in any patient presenting with features of heart failure even when the aetiology seems obvious cannot be over-emphasised.
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Affiliation(s)
- Dike B Ojji
- Cardiology Unit, Department of Medicine, University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria
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Habib Z, Abdulla M. Plasma levels of zinc, copper, magnesium and calcium during early weeks of gestation. Acta Pharmacol Toxicol (Copenh) 2009; 59 Suppl 7:602-5. [PMID: 3776635 DOI: 10.1111/j.1600-0773.1986.tb02835.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Habib Z. Cleft lip and cleft palate. A family with two affected daughters. Hereditas 2009; 89:255-7. [PMID: 730542 DOI: 10.1111/j.1601-5223.1978.tb01280.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
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Al Fawaz IM, Ayas M, Rifai S, Khafaga Y, Al Shabanah M, Habib Z. Outcome of favorable histology Wilms' tumor: Experience at KFSH&RC, Saudi Arabia. J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.8557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- I. M. Al Fawaz
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - M. Ayas
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - S. Rifai
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - Y. Khafaga
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - M. Al Shabanah
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
| | - Z. Habib
- King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia
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Abstract
PURPOSE The aim of this study was to review the authors' experience with laparoscopic adrenalectomy in the pediatric age group. METHODS This is a retrospective analysis of laparoscopic adrenalectomies performed in children at King Faisal Specialist Hospital & Research Centre, between June 1997 and March 2003. Ten children had laparoscopic adrenalectomies during this period. They were between 3 weeks to 12 years of age and there was an equal number of boys and girls. Case selection was based mainly on the size of the lesion and its localized nature as seen on the imaging studies. The transperitoneal approach was used in all cases. RESULTS Eleven laparoscopic adrenalectomies were performed in 10 children (1 was bilateral adrenalectomy). Presenting features were virilization (n = 3), Cushing's syndrome (n = 1), antenatally detected adrenal cyst (n = 1), hypertension (n = 1), hepatomegaly (n = 1), loin pain with hematuria (n = 1) and an incidental adrenal mass (n = 1). One was a child with stage IV adrenal neuroblastoma postchemotherapy for resection of the residual tumor. On imaging studies, the tumors were between 2.8 and 7 cm in their largest dimension. Operating time ranged from 118 to 180 minutes in the unilateral resections, whereas the bilateral laparoscopic adrenalectomy required 330 minutes. Two had to be converted to open procedures. Postoperative hospital stay was between 2 and 15 days. Pathologic diagnoses were as follows: adrenal cortical adenoma (n = 3), adrenal medullary hyperplasia (n = 2), adrenal cortical carcinoma (n = 1), ganglioneuroma (n = 1), and neuroblastoma (n = 3). There were no complications. Follow-up ranged from 3 months to 6 years. The only mortality in our study group was in the child with stage IV neuroblastoma who died of disseminated disease 9 months later. In the rest, there has been no local recurrence or metastases, and the biochemical and hormonal parameters have remained normal in the functional tumors. CONCLUSIONS We believe that in a select group of pediatric adrenal lesions, laparoscopic adrenalectomy is a safe and effective procedure with the potential benefits of minimally invasive procedures.
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Affiliation(s)
- P Kadamba
- King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia
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Habib Z, Akram S, Ibrahim S, Hasan B. Febrile seizures: factors affecting risk of recurrence in Pakistani children presenting at the Aga Khan University Hospital. J PAK MED ASSOC 2003; 53:11-7. [PMID: 12666845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
Abstract
OBJECTIVES To (a) describe the effect of temperature rise on seizure recurrence in the ER (b) investigate the effect of age, gender, family and developmental history, type, duration and multiple seizures, past history and number of seizures and treatment given (either late or early) on seizure recurrence in the ER and (c) explore prognostic indicators for seizure recurrence. METHODS Data from 352 children [ages 3-84 months; 220 males (62.5%) 132 females (37.5%)] was taken using chart reviews for the years January 1998-August 2000 inclusive, from the Pediatric department of the Aga Khan University Hospital. Descriptive statistics, Chi-square, and Discriminant Analysis were used. RESULTS Of the 52 (16%) cases that had seizure recurrence in the ER, majority (36.5%) occurred in > 38.5 degrees < or = 39.5 degrees C temperature range. The percentage declined to 15% at higher temperatures. Bivariate tests showed that age, family and developmental history, type of seizure and treatment given did not affect seizure recurrence in the ER. Past history number of seizures (p = .006), duration of seizure (p < 0.001), past history of seizures (p = 0.004) and multiple seizure (p = 0.024) were factors significantly associated with seizure recurrence in the ER at the bivariate level of analysis. Duration of seizure was the most important prognostic indicator for FS recurrence in the ER at the multivariate level with beta = .79. CONCLUSION Duration of seizure (> 5 minutes) was the most important prognostic factor for FS recurrence. Early treatment did not affect recurrence,suggesting timely anti-pyretic vs. anti-leptic medication use.
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Affiliation(s)
- Z Habib
- Department of Pediatrics, Aga Khan University Hospital, Karachi, Pakistan
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Ibrahim S, Habib Z, Hyder S, Azam IS, Ahmed R. Parental [correction of Perinatal] consanguinity: a risk factor for developmental delay in Pakistani children. J PAK MED ASSOC 2001; 51:418-22. [PMID: 11850977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
OBJECTIVE To investigate the association of parental consanguinity and delayed development in terms of gross motor, fine motor, speech and social aspects in their children. METHODS One hundred and seventy seven children (age 15 days--72 months) were evaluated for their developmental status utilizing the Denver Developmental Screening Test (DDST). An unmatched case-control study design was used. Case group consisted of 94 children and control group 83 children. Odds ratios were calculated for parental consanguinity and delay in gross and fine motor, speech and social development in their children, for cases and controls, utilizing Binary Multiple Logistic Regression Analysis. Acquired delay was excluded through detailed birth history in both cases and control group respectively. RESULTS Univariate analysis showed high significant Odds ratios for all areas of developmental delay (viz. gross and fine motor, speech and social development), between cases and controls (p < .001). At the multivariate analysis level however, our results showed no increased risk of parental consanguinity on delayed gross and fine motor, speech and social development in their children. CONCLUSION Our results show no increased risk of parental consanguinity on delayed gross and fine motor, speech or social development (as measured by the DDST), in their children.
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Affiliation(s)
- S Ibrahim
- Department of Pediatrics, Aga Khan University Hospital, Karachi
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25
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Dean E, Frownfelter D, Wong WP, Al-Basarah K, Fagevik-Ols N M, Gosselink R, Habib Z, Hopkins-Rosseel D, Jones A, Lomi C, Pryor JA, Ravindra S, Skinner M. Cardiovascular/cardiopulmonary physical therapy sinks or swims in the 21st century: addressing the health care issues of our time. Phys Ther 2000; 80:1275-8. [PMID: 11087309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
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Abstract
BACKGROUND No survival data have yet been published from the Kingdom of Saudi Arabia for patients with rectal cancer. The present paper reports experience with these patients over an 8-year period. METHODS All patients referred to the King Faisal Specialist Hospital (KFSH) between March 1990 and February 1998 for the primary management of rectal cancer were entered into a computerized database. Prior to 1993 patients did not receive adjuvant therapy. Kaplan-Meier survival curves and the log-rank test were used to compare outcome data. RESULTS There were 70 men (average age: 55.6 years) and 75 women (average age: 52.8 years). Twelve per cent of patients admitted a family history of colorectal carcinoma (CRC). Twenty-seven per cent of tumours were circumferential. Most tumours were larger than 4 cm and the lowest edge of the majority of tumours was less than 6 cm from the anal verge. Fifty-four per cent of tumours were fixed; 69% of patients received either pre-operative or postoperative radiotherapy. A total of 106 patients underwent 'curative' surgery. Equal numbers of patients had abdomino-perineal resection (APR) and anterior resection (AR) of the rectum. Thirty-five patients received blood peri-operatively (APR, 34%; AR, 12%). Major anastomotic leakage following AR occurred in two patients. Two patients died within 30 days of surgery. Ten patients were lost to follow-up. Following curative AR, eight patients had a distal resection margin of < 2 cm and two patients (Dukes' C) developed local recurrence (25%); 37 patients had a margin > 2 cm and seven developed local recurrence (18.9%). A total of 48 patients underwent curative APR, and four patients developed local recurrence (8.3%). Overall local recurrence was tumour stage-dependent (Dukes' B, 8.8%; Dukes' C, 29.3%). Recurrence was local in 13 patients. Pre-operative radiotherapy seemed to reduce average tumour size (3.6 vs 4.3 cm). The crude overall 5-year survival rate was 39%. The 5-year survival rate for patients with Dukes' stage C cancers following 'curative' surgery was 25%. CONCLUSION Curative surgery can be performed with a relatively low requirement for blood transfusion, a low mortality and morbidity, and comparable outcomes to Western studies in spite of the large, low and often advanced stage of the tumours managed. Local recurrence rates following curative resection and re-anastomosis for low rectal cancers may be reduced by resisting patient pressure to avoid stomata.
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Affiliation(s)
- W H Isbister
- Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia.
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Abstract
In young children hepatitis A virus (HAV) infections are usually subclinical events. However, HAV is also associated with progressive hepatic failure and even death in some patients. This study was undertaken to characterize the course of hepatitis A-related acute liver failure in children from a developing country where hepatitis A is endemic and produces significant morbidity. Patients <15 years of age with confirmed hepatitis A, seen at the Aga Khan University Hospital between January 1991 and August 1998 were identified using the patient registry. Of the 2735 patients seen with hepatitis A, 232 were admitted to the hospital. Of these 30 patients developed progressive hepatic dysfunction and liver failure. During this period, 45 children were admitted with liver failure attributable to other causes. Of the patients admitted with hepatitis A-related liver failure, 25 (83.3%) were encephalopathic at presentation and 36.7% of the patients died. The prothrombin time was the most significant predictor of survival. There was a significant difference between those who survived and those who died on discriminant analysis with respect to age, grade of hepatic encephalopathy, duration of hospitalization, prothrombin time, and duration of jaundice when taken as a group. There is a striking prevalence of liver dysfunction progressing to hepatic failure among children seen at a hospital in Karachi, Pakistan. This study demonstrates the significant morbidity and mortality that can attend HAV infections in children in a developing country despite tertiary medical facilities. The risk of HAV and its sequelae could probably be effectively reduced in these settings with improved sanitation and universal immunization.
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Abstract
We report a case of a bladder-wall abscess in a patient with myelodysplasia and a neurogenic bladder. The aetiology of the abscess was obscure, but the patient had recurrent urinary tract infections and was being managed by clean intermittent catheterisation.
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Affiliation(s)
- F Bamehriz
- Department of Surgery, King Faisal Specialist Hospital, Riyadh, Saudi Arabia
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Abstract
Fanconi's anemia is an autosomal recessive disease, the main feature being pancytopenia secondary to bone-marrow hypoplasia. However, multiple congenital abnormalities may be encountered, urogenital malformations being common. We describe a patient with solitary crossed renal ectopia, vesicoureteric reflux, hypospadias, and unilateral undescended testis with absent vas deferens.
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Affiliation(s)
- Z Habib
- Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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Abstract
A 1-year old girl with clitorimegaly was investigated for an intersex disorder before surgical referral. Examination revealed a normal introitus and the clitoral lesion proved to be a dermoid cyst.
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Affiliation(s)
- J Abudaia
- Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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Affiliation(s)
- Z Habib
- Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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Affiliation(s)
- Z Habib
- Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
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Pandit SK, Kaul A, Habib Z, Zarger HU. Childhood appendicitis. A clinical profile. Indian Pediatr 1993; 30:97-100. [PMID: 8406725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
A study to assess the reliability of clinical symptoms and signs in 50 patients with a presumptive diagnosis of acute appendicitis is presented. The male to female ratio was 3: 2, with age ranging from 2 to 15 years. Abdominal pain was present in 42; tenderness was localized in 35, generalized in 11 and diffuse in 4 patients. Total leucocyte count was above 11,000/cu mm in 31, below 11,000/cu mm in 17 and above 18,000/cu mm in 2. Of the 48 operated patients, 8 had normal appendices and the diagnosis in them was Meckel's diverticulitis 3, ruptured ovarian follicle 2, mesenteric adenitis 2, and salpingo-oophoritis 1. Abdominal pain and right iliac fossa tenderness with contributory investigations are the most reliable indicators of acute appendicitis with a false positive rate of 16.66% only.
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Affiliation(s)
- S K Pandit
- Department of Surgery, Government Medical College, Srinagar, J & K, India
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Abstract
In 505 random serum samples from unrelated healthy genuine Egyptians, haptoglobin 2-2 phenotypes were most prevalent, though statistically were as common as haptoglobin 2-1 phenotypes. High inbreeding with average inbreeding coefficient of 0.0145 explains the deviation of Egyptian haptoglobin phenotypes from the Hardy-Weinberg equilibrium.
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Habib Z. Haematological parameters in the healthy adult Egyptian population. Ann Hum Biol 1982; 9:85-7. [PMID: 7065642 DOI: 10.1080/03014468200005511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Haemoglobin parameters, serum iron and the levels of haemoglobins A2 and F were examined in normal unrelated adult Egyptians (60 males and 142 females). The mean red cell volume and the mean red cell haemoglobin are low. Haemoglobin A2 in Egyptian adult males is slightly less than that in females.
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Abstract
In the majority of cases, neonatal hydrocephalus is a genetic disease. The obstetrician's role in antenatal diagnosis of this disease is important. It is essential to take an accurate family history and to perform autopsies on affected infants if successful genetic counselling is to be pursued. Every woman, at her first antenatal visit, should be asked if she had a positive family history of hydrocephalus. Advanced experience in sonography will make the detection of hydrocephalus possible before the 20th week of gestation.
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Abstract
Maternal plasma alpha-fetoprotein (AFP) levels in 8 pregnancies, which several weeks later ended as missed abortions, were evaluated. In 7 patients, blood sampling before or after the death of their fetuses revealed almost normal maternal AFP values. The relatively viable placenta of missed abortion probably hampers the eventual leakage/transudation of fetal AFP into maternal circulation.
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Habib Z. Inappropriate terminology: "incompetent cervical os". Am J Obstet Gynecol 1978; 131:916. [PMID: 686099 DOI: 10.1016/s0002-9378(16)33152-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Abstract
Modern neonatal care and advanced plastic surgical correction have led to the survival of most newborns with oral clefts. These children are likely to reproduce. A slight increase in the incidence of oral clefts may be expected in the future. The genetics of cleft lip and cleft palate is reviewed. The inheritance is usually multifactorial. With normal parents the risk of having a first affected child with cleft lip is about one per thousand, the risk of having a second affected child 4 per cent and the risk of having a third affected child 10 per cent. If a parent has already a cleft lip, the risk of having a first affected child now is 4 per cent, while the risk of having a second affected child is 10 per cent. The methodology of genetic counseling is given.
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Abstract
The value of measuring maternal α-feto-protein in predicting an eventual pregnancy wastage was assessed. When pregnancies terminated in spontaneous abortion, maternal plasma α-feto-protein levels were statistically lower than in pregnancies with viable, healthy offspring.
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Habib Z. Factors determining occurrence of cleft lip and cleft palate. Surg Gynecol Obstet 1978; 146:105-10. [PMID: 337543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
The modern care of newborn infants with oral clefts renders their survival possible. Since they will eventually reproduce, a slight increase in the incidence may be expected and genetic counseling will be requested on occasion. The cleft lip with or without cleft palate has a different genetic inclination from isolated cleft palate and the risk of recurrence is different. Drugs, such as antiepileptics, salicylates, benzodiazepines and cortisone, have a role in causing oral clefts. When an oral cleft is a part of a syndrome, the genetics of the particular syndrome must be outlined and genetic counseling is given accordingly. Oral clefts alone are usually multifactorial.
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Habib Z. [Education of health service personnel for duty in developing countries]. Lakartidningen 1975; 72:2533-5. [PMID: 1134164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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