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Obi AO, Odo C, Ogolo DE, Okeke CJ, Ulebe AO, Afogu EN. Open prostatectomy for benign prostatic hyperplasia: A critical analysis of patient presentation and surgical outcomes in a contemporary series. Niger J Clin Pract 2023; 26:1326-1334. [PMID: 37794546 DOI: 10.4103/njcp.njcp_55_23] [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] [Indexed: 10/06/2023]
Abstract
Background Open prostatectomy (OP) is still a valid treatment option for benign prostatic hyperplasia (BPH), but it needs to be constantly reevaluated in the context of minimally invasive treatments (MITs). Aim Our purpose is to present contemporary data on patient presentation and surgical outcomes of OP with which other OP series and MITs can be compared. Methods A retrospective study of all OP was carried out in our institution from January 2011 to December 2020. All patients had a thorough preoperative workup and optimization of comorbidities before surgery. Data were collected in a predesigned pro forma and analyzed. Results The mean age of the 148 patients studied was 66.2 (±7.9) yrs. The mean duration of symptoms before surgery was 32.2 (±33.7) mos. The mean preoperative prostate volume was 118.0 (±67.1) cm3. There was a 54.4% comorbidity rate with diabetes mellitus (DM) topping the list (16.0%). An incidental prostate cancer rate of 6.1% was found. The overall complication rate was 45.3%. Perioperative hemorrhage requiring blood transfusion (BT) was the most common complication (26.1%). There was no significant difference in age, duration of surgery, and prostrate volume between subjects with and without BT (P > 0.05). Wound infection was significantly associated with diabetes (P = 0.043, OR = 3.507, 95% CI = 1.042-11.805). The reoperation rate was 1.4%, and mortality rate was 0.7%. The International Prostate Symptom Score (IPSS), quality-of-life (QOL) score, and post-void residual urine (PVR) volume were significantly improved (P < 0.001). Conclusion OP was found to be a safe and effective procedure for the relief of bladder outlet obstruction (BOO) secondary to BPH. However, it was associated with high morbidity and low reoperation rate.
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Affiliation(s)
- A O Obi
- Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi; Department of Surgery, Ebonyi State University, Abakaliki, Ebonyi; Urology Department, Alpha Urology Centre, Enugu, Nigeria
| | - C Odo
- Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi, Nigeria
| | - D E Ogolo
- Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi, Nigeria
| | - C J Okeke
- Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi, Nigeria
| | - A O Ulebe
- Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi, Nigeria
| | - E N Afogu
- Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi, Nigeria
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Ugwu AO, Igbodike EP, Funtua Anas R, Kusamotu OA, Adefemi A, Anyobode O, Okeke CJ, Umezuluike BS, Shehu JS, Ige S, Harrison NE, Ayeni SA, Okpara AL, Soibi-Harry P, Ngwu HO, Makwe CC, Ugwu EO, Achara JI, Olamijulo JA, Garba S, Garba R, Omisakin SI. A Multicenter Retrospective Cohort Study of the Profile of Seminal Fluid Analyses of Men Seeking Fertility Care at Different Hospitals. West Afr J Med 2023; 40:863-868. [PMID: 37639545] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/31/2023]
Abstract
BACKGROUND Male infertility contributes 40 % of couple infertility. The prevalence of abnormal semen parameters has been on the increase. Age among other factors affects the fertility potential of males. This study analysed the pattern of seminal fluid parameters of males, seeking fertility treatment in hospitals and the relationship between age, volume and liquefaction time on these other semen parameters. METHODS This is a multicentre retrospective cohort study conducted in eight secondary and tertiary hospitals in Nigeria. The case notes of couples that sort fertility care at the Gynaecology and Urology clinics of these hospitals from January 1st 2022 to December 31st 2022 were retrieved after receiving ethical approval. A purposeddesigned proforma based on the WHO manual for the examination of human semen was used for data collection. Outcome measures were time of semen collection and examination, volume of semen, sperm number, sperm concentration, PH, agglutination, liquefaction, motility,morphology, vitality, and white blood cell count. Data was analysed using SPSS version 23. Data were presented as means and proportions. P-value of < 0.05 was used as the level of significance. RESULTS Overall, 1063 couples attended gynaecology and urology clinics with fertility-related concerns within the study period with a retrieval rate of 98.3%. The mean age of participants was 38.24 ± 8 years, while the mean semen volume and sperm concentrations were 2.62 ± 1.6 mls and 34.32 ± 7.4 million respectively. The age of participants significantly affected motility, volume and morphology (p-values of 0.001, 0.001 and 0.004 respectively). The total motility and sperm concentration have an inverse relationship with the age of the participants. CONCLUSION This study shows that sperm motility decreases with the age of participants. It was also observed that the most common combined abnormality was oligoasthenozoospermia.
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Affiliation(s)
- A O Ugwu
- Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Idi-Araba, Lagos State, Nigeria
- Department of Obstetrics and Gynaecology, 68 Nigerian Army Reference Hospital, Yaba, Lagos State, Nigeria
| | - E P Igbodike
- Department of Obstetrics and Gynaecology, Havana Specialist Hospital, Lagos State, Nigeria
| | - R Funtua Anas
- Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Katsina State, Nigeria
| | - O A Kusamotu
- Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Idi-Araba, Lagos State, Nigeria
| | - A Adefemi
- Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria
| | - O Anyobode
- Department of Obstetrics and Gynaecology, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria
| | - C J Okeke
- Department of Urology, EPSOM and St. Helier University Hospitals, NHS Trust, London
- Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Nigeria
| | - B S Umezuluike
- Department of Obstetrics and Gynaecology, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Nigeria
| | - J S Shehu
- Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Katsina State, Nigeria
| | - S Ige
- Department of Obstetrics and Gynaecology, 68 Nigerian Army Reference Hospital, Yaba, Lagos State, Nigeria
| | - N E Harrison
- Department of Obstetrics and Gynaecology, 68 Nigerian Army Reference Hospital, Yaba, Lagos State, Nigeria
| | - S A Ayeni
- Department of Obstetrics and Gynaecology, 68 Nigerian Army Reference Hospital, Yaba, Lagos State, Nigeria
| | - A L Okpara
- Department of Obstetrics and Gynaecology, Federal Medical Centre, Yenegoa, Nigeria
| | - P Soibi-Harry
- Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Idi-Araba, Lagos State, Nigeria
| | - H O Ngwu
- Department of Obstetrics and Gynaecology, Irrua Specialist Teaching Hospital, Edo State, Nigeria
| | - C C Makwe
- Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Idi-Araba, Lagos State, Nigeria
- Department of Obstetrics and Gynaecology, College of Medicine, University of Lagos, Akoka, Lagos State, Nigeria
| | - E O Ugwu
- Department of Obstetrics and Gynaecology, College of Medicine/ University of Nigeria Teaching Hospital, Nsukka, Nigeria
| | - J I Achara
- Department of Obstetrics and Gynaecology, College of Medicine/ University of Nigeria Teaching Hospital, Nsukka, Nigeria
| | - J A Olamijulo
- Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Idi-Araba, Lagos State, Nigeria
- Department of Obstetrics and Gynaecology, College of Medicine, University of Lagos, Akoka, Lagos State, Nigeria
| | - S Garba
- Department of Obstetrics and Gynaecology, 68 Nigerian Army Reference Hospital, Yaba, Lagos State, Nigeria
| | - R Garba
- Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Idi-Araba, Lagos State, Nigeria
| | - S I Omisakin
- Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Idi-Araba, Lagos State, Nigeria
- Department of Obstetrics and Gynaecology, College of Medicine, University of Lagos, Akoka, Lagos State, Nigeria
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Okeke CJ, Jeje EA, Obi AO, Ojewola RW, Ogunjimi MA, Tijani KH. Correlation between bladder wall thickness and uroflowmetry in West African patients with benign prostatic enlargement. Niger J Clin Pract 2023; 26:986-991. [PMID: 37635584 DOI: 10.4103/njcp.njcp_850_22] [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] [Indexed: 08/29/2023]
Abstract
Background Pressure flow urodynamic study remains the gold standard for the diagnosis of bladder outlet obstruction; however, their use is limited by their relative unavailability in our environment, cost, and invasiveness. Measurement of bladder wall thickness (BWT) by transabdominal ultrasonography is a promising tool that can be used to diagnose bladder outlet obstruction in our environment where pressure-flow urodynamic study is not readily available. Objective The study aimed to correlate BWT with uroflowmetry and to establish a BWT cut-off in patients with lower urinary tract symptoms (LUTS) due to benign prostatic enlargement. Materials and Methods This was a prospective one-year study of patients with LUTS due to benign prostatic enlargement. The patients were divided into obstructed and non-obstructed groups with Q- max of 10 ml/s serving as the cut-off value. Receiver Operator Curve (ROC) was used to evaluate the performance of BWT in diagnosing BOO. Statistical significance was set at P < 0.05. Results The mean BWT and Q-max were 4.53 ± 2.70 mm and 15.06 ± 9.43 ml/s. There was a negative correlation between BWT and Q-max (r = -0.452, P = 0.000), Q-average (r = -0.336, P = 0.000), and voided volume (r = -0.228, P = 0.046). A BWT cut-off of 5.85 mm was found to be the best threshold to differentiate obstructed from non-obstructed patients with a sensitivity and specificity of 70 and 88.2 percent respectively. Conclusion Bladder wall thickness showed an inverse relationship with maximum flow rate with high sensitivity and specificity. This non-invasive test can be used as a screening tool for BOO in our setting, where the pressure flow urodynamic study is not readily available.
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Affiliation(s)
- C J Okeke
- Department of Urology, Epsom and St Helier University Hospitals NHS Trust, Surrey, London, United Kingdom
| | - E A Jeje
- Department of Surgery/College of Medicine, University of Lagos, Idi-Araba Surulere, Lagos, Nigeria
| | - A O Obi
- Alex-Ekwueme Federal University Teaching Hospital/Department of Surgery, Ebonyi State University Abakaliki Ebonyi State, Nigeria
| | - R W Ojewola
- Department of Surgery/College of Medicine, University of Lagos, Idi-Araba Surulere, Lagos, Nigeria
| | - M A Ogunjimi
- Department of Surgery/College of Medicine, University of Lagos, Idi-Araba Surulere, Lagos, Nigeria
| | - K H Tijani
- Department of Surgery/College of Medicine, University of Lagos, Idi-Araba Surulere, Lagos, Nigeria
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Obi AO, Okeke CJ, Ulebe AO, Ogbobe UU. The modified suprapubic prostatectomy technique is associated with improved hemostasis and decline in blood transfusion rate after open suprapubic prostatectomy compared to the freyers technique. Niger J Clin Pract 2022; 25:432-438. [PMID: 35439901 DOI: 10.4103/njcp.njcp_1391_21] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background Open suprapubic prostatectomy is attended by significant perioperative haemorrhage and need for blood transfusion. Aim To share our experience on how the adoption of a modified suprapubic prostatectomy technique has led to improved hemostasis and decline in the blood transfusion rate after open suprapubic prostatectomy in our center. Patients and Methods This was a retrospective study comparing two open prostatectomy techniques. The patients in group 1 had Freyer's suprapubic prostatectomy while the patients in group 2 had a modified suprapubic prostatectomy technique. The groups were compared for the effectiveness of hemostasis using change in packed cell volume, clot retention, blood transfusion, and requirement of continuous bladder irrigation. Results Both groups were similar concerning age, body mass index (BMI), total prostate-specific antigen (PSA), prostate volume, presence of comorbidities, duration of surgery, and duration of follow-up. The clot retention rate was 34% in group 1 versus 16.4% in group 2, P = 0.030. The clot retention requiring bladder syringe evacuation occurred in 32.1% of the patients in group 1 versus 14.8% in group 2, P = 0.048. The mean change in the packed cell volume (PCV) in group 1 was 8.0 ± 5.3 versus 6.9 ± 3.5 in group 2, P = 0.175. The blood transfusion rate in group 1 was 40.0% versus 13.3% in group 2, P = 0.040. The complication rate in group 1 was 67.2% versus 41.9% in group 2, P = 0.004. A general decline in blood transfusion was noted from January 2011 to December 2019. Conclusion The modified suprapubic prostatectomy technique was associated with better hemostasis compared to the standard Freyer's prostatectomy technique. It should be a worthwhile addition to the numerous modifications of the original Freyer's suprapubic prostatectomy technique.
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Affiliation(s)
- A O Obi
- Department of Surgery Alex Ekwueme Federal, University Teaching Hospital; Department of Surgery Ebonyi State University, Abakaliki, Ebonyi State, Nigeria
| | - C J Okeke
- Department of Surgery Alex Ekwueme Federal, University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria
| | - A O Ulebe
- Department of Surgery Alex Ekwueme Federal, University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria
| | - U U Ogbobe
- Department of Surgery Alex Ekwueme Federal, University Teaching Hospital, Abakaliki, Ebonyi State, Nigeria
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Okeke CJ, Musyoka TM, Sheik Amamuddy O, Barozi V, Tastan Bishop Ö. Allosteric pockets and dynamic residue network hubs of falcipain 2 in mutations including those linked to artemisinin resistance. Comput Struct Biotechnol J 2021; 19:5647-5666. [PMID: 34745456 PMCID: PMC8545671 DOI: 10.1016/j.csbj.2021.10.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2021] [Revised: 09/30/2021] [Accepted: 10/03/2021] [Indexed: 10/29/2022] Open
Abstract
Continually emerging resistant strains of malarial parasites to current drugs present challenges. Understanding the underlying resistance mechanisms, especially those linked to allostery is, thus, highly crucial for drug design. This forms the main concern of the paper through a case study of falcipain 2 (FP-2) and its mutations, some of which are linked to artemisinin (ART) drug resistance. Here, we applied a variety of in silico approaches and tools that we developed recently, together with existing computational tools. This included novel essential dynamics and dynamic residue network (DRN) analysis algorithms. We identified six pockets demonstrating dynamic differences in the presence of some mutations. We observed striking allosteric effects in two mutant proteins. In the presence of M245I, a cryptic pocket was detected via a unique mechanism in which Pocket 2 fused with Pocket 6. In the presence of the A353T mutation, which is located at Pocket 2, the pocket became the most rigid among all protein systems analyzed. Pocket 6 was also highly stable in all cases, except in the presence of M245I mutation. The effect of ART linked mutations was more subtle, and the changes were at residue level. Importantly, we identified an allosteric communication path formed by four unique averaged BC hubs going from the mutated residue to the catalytic site and passing through the interface of three identified pockets. Collectively, we established and demonstrated that we have robust tools and a pipeline that can be applicable to the analysis of mutations.
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Affiliation(s)
| | | | - Olivier Sheik Amamuddy
- Research Unit in Bioinformatics (RUBi), Department of Biochemistry and Microbiology, Rhodes University, Makhanda 6140, South Africa
| | - Victor Barozi
- Research Unit in Bioinformatics (RUBi), Department of Biochemistry and Microbiology, Rhodes University, Makhanda 6140, South Africa
| | - Özlem Tastan Bishop
- Research Unit in Bioinformatics (RUBi), Department of Biochemistry and Microbiology, Rhodes University, Makhanda 6140, South Africa
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Ogunjimi MA, Ojewola RW, Fatuga AL, Tijani KH, Jeje EA, Okeke CJ, Oladimeji AT. Urologic Day Case Surgery at a Nigerian Tertiary Hospital: A 5-Year Experience. Niger J Clin Pract 2021; 24:1380-1384. [PMID: 34531353 DOI: 10.4103/njcp.njcp_671_20] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background Nowadays, the practice of day case surgery (DCS) is an attractive and appealing one with widespread acceptability because of numerous benefits. Aim This study aimed at presenting our experience with urologic DCS in a tertiary healthcare center. Patients and Methods A 5-year review of all day-case urologic surgeries at our tertiary healthcare center was carried out. Data on patients' biodata including age and sex, diagnoses, indications and procedures performed, types of anesthesia, complications, admission and re-admission history were obtained from theatre records and patients' case notes. Data were analyzed using PASW Statistics version 18.0 and results presented in table and charts. Results A total number of 1277 of the 1825 urologic surgeries which took place during the study period were performed as day cases giving a proportion of 67.8%. The age range was 11 days to 94 years. The most commonly performed DCS are prostate biopsy, cystoscopy and varicocelectomy in 368 (28.8%), 165 (12.9%) and 163 (12.8%) patients respectively. Local anesthesia with or without sedation was the most commonly used in 981 (76.8%) cases. Twenty-four (1.9%) patients required unplanned admission for complications, 18 (1.4%), delayed completion of surgery, 4 (0.3%) and delayed recovery from anesthesia, 2 (0.16%). Three (0.2%) of these patients were re-admitted for management of sepsis following prostate biopsy. Conclusion This study like numerous others demonstrated the feasibility, effectiveness and safety of DCS. To meet up with the global trends in DCS in Nigeria, there is need for investment in infrastructure and adoption of minimally invasive techniques to allow incorporation of more complex cases in the range of procedures offered as DCS.
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Affiliation(s)
- M A Ogunjimi
- Department of Surgery, Faculty of Clinical Sciences, College of Medicine of University of Lagos and Urology Unit, Lagos University Teaching Hospital, Idi-Araba, Surulere, Nigeria
| | - R W Ojewola
- Department of Surgery, Faculty of Clinical Sciences, College of Medicine of University of Lagos and Urology Unit, Lagos University Teaching Hospital, Idi-Araba, Surulere, Nigeria
| | - A L Fatuga
- Department of Surgery, Urology Unit, Lagos University Teaching Hospital, Idi-Araba, Surulere, Lagos, Nigeria
| | - K H Tijani
- Department of Surgery, Faculty of Clinical Sciences, College of Medicine of University of Lagos and Urology Unit, Lagos University Teaching Hospital, Idi-Araba, Surulere, Nigeria
| | - E A Jeje
- Department of Surgery, Faculty of Clinical Sciences, College of Medicine of University of Lagos and Urology Unit, Lagos University Teaching Hospital, Idi-Araba, Surulere, Nigeria
| | - C J Okeke
- Department of Surgery, Urology Unit, Lagos University Teaching Hospital, Idi-Araba, Surulere, Lagos, Nigeria
| | - A T Oladimeji
- Department of Surgery, Urology Unit, Lagos University Teaching Hospital, Idi-Araba, Surulere, Lagos, Nigeria
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Hamdi Y, Zass L, Othman H, Radouani F, Allali I, Hanachi M, Okeke CJ, Chaouch M, Tendwa MB, Samtal C, Mohamed Sallam R, Alsayed N, Turkson M, Ahmed S, Benkahla A, Romdhane L, Souiai O, Tastan Bishop Ö, Ghedira K, Mohamed Fadlelmola F, Mulder N, Kamal Kassim S. Human OMICs and Computational Biology Research in Africa: Current Challenges and Prospects. OMICS 2021; 25:213-233. [PMID: 33794662 DOI: 10.1089/omi.2021.0004] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Following the publication of the first human genome, OMICs research, including genomics, transcriptomics, proteomics, and metagenomics, has been on the rise. OMICs studies revealed the complex genetic diversity among human populations and challenged our understandings of genotype-phenotype correlations. Africa, being the cradle of the first modern humans, is distinguished by a large genetic diversity within its populations and rich ethnolinguistic history. However, the available human OMICs tools and databases are not representative of this diversity, therefore creating significant gaps in biomedical research. African scientists, students, and publics are among the key contributors to OMICs systems science. This expert review examines the pressing issues in human OMICs research, education, and development in Africa, as seen through a lens of computational biology, public health relevant technology innovation, critically-informed science governance, and how best to harness OMICs data to benefit health and societies in Africa and beyond. We underscore the disparities between North and Sub-Saharan Africa at different levels. A harmonized African ethnolinguistic classification would help address annotation challenges associated with population diversity. Finally, building on the existing strategic research initiatives, such as the H3Africa and H3ABioNet Consortia, we highly recommend addressing large-scale multidisciplinary research challenges, strengthening research collaborations and knowledge transfer, and enhancing the ability of African researchers to influence and shape national and international research, policy, and funding agendas. This article and analysis contribute to a deeper understanding of past and current challenges in the African OMICs innovation ecosystem, while also offering foresight on future innovation trajectories.
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Affiliation(s)
- Yosr Hamdi
- Laboratory of Biomedical Genomics and Oncogenetics, Institut Pasteur de Tunis, Université Tunis El Manar, Tunis, Tunisia.,Laboratory of Human and Experimental Pathology, Institut Pasteur de Tunis, Tunis, Tunisia
| | - Lyndon Zass
- Computational Biology Division, Department of Integrative Biomedical Sciences, Institute of Infectious Disease and Molecular Medicine, CIDRI Africa Wellcome Trust Centre, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Houcemeddine Othman
- Sydney Brenner Institute for Molecular Bioscience, University of the Witwatersrand, Johannesburg, South Africa
| | - Fouzia Radouani
- Chlamydiae and Mycoplasmas Laboratory, Institut Pasteur du Maroc, Casablanca, Morocco
| | - Imane Allali
- Computational Biology Division, Department of Integrative Biomedical Sciences, Institute of Infectious Disease and Molecular Medicine, CIDRI Africa Wellcome Trust Centre, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.,Laboratory of Human Pathologies Biology, Department of Biology, Faculty of Sciences, and Genomic Center of Human Pathologies, Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Rabat, Morocco
| | - Mariem Hanachi
- Laboratory of Bioinformatics, Biomathematics and Biostatistics, Institut Pasteur de Tunis, Université Tunis El Manar, Tunis, Tunisia.,Faculty of Science of Bizerte, Zarzouna, University of Carthage, Tunis, Tunisia
| | - Chiamaka Jessica Okeke
- Research Unit in Bioinformatics (RUBi), Department of Biochemistry and Microbiology, Rhodes University, Makhanda, South Africa
| | - Melek Chaouch
- Laboratory of Bioinformatics, Biomathematics and Biostatistics, Institut Pasteur de Tunis, Université Tunis El Manar, Tunis, Tunisia
| | - Maureen Bilinga Tendwa
- Research Unit in Bioinformatics (RUBi), Department of Biochemistry and Microbiology, Rhodes University, Makhanda, South Africa
| | - Chaimae Samtal
- Laboratory of Biotechnology, Environment, Agri-food and Health, Faculty of Sciences Dhar El Mahraz-Sidi Mohammed Ben Abdellah University, Fez, Morocco.,University of Mohamed Premier, Oujda, Morocco
| | - Reem Mohamed Sallam
- Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.,Department of Basic Medical Sciences, Faculty of Medicine, Galala University, Suez, Egypt
| | - Nihad Alsayed
- Centre for Bioinformatics and Systems Biology, Faculty of Science, University of Khartoum, Khartoum, Sudan
| | - Michael Turkson
- The National Institute for Mathematical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - Samah Ahmed
- Centre for Bioinformatics and Systems Biology, Faculty of Science, University of Khartoum, Khartoum, Sudan
| | - Alia Benkahla
- Laboratory of Bioinformatics, Biomathematics and Biostatistics, Institut Pasteur de Tunis, Université Tunis El Manar, Tunis, Tunisia
| | - Lilia Romdhane
- Laboratory of Biomedical Genomics and Oncogenetics, Institut Pasteur de Tunis, Université Tunis El Manar, Tunis, Tunisia.,Faculty of Science of Bizerte, Zarzouna, University of Carthage, Tunis, Tunisia
| | - Oussema Souiai
- Laboratory of Bioinformatics, Biomathematics and Biostatistics, Institut Pasteur de Tunis, Université Tunis El Manar, Tunis, Tunisia
| | - Özlem Tastan Bishop
- Research Unit in Bioinformatics (RUBi), Department of Biochemistry and Microbiology, Rhodes University, Makhanda, South Africa
| | - Kais Ghedira
- Laboratory of Bioinformatics, Biomathematics and Biostatistics, Institut Pasteur de Tunis, Université Tunis El Manar, Tunis, Tunisia
| | - Faisal Mohamed Fadlelmola
- Centre for Bioinformatics and Systems Biology, Faculty of Science, University of Khartoum, Khartoum, Sudan
| | - Nicola Mulder
- Computational Biology Division, Department of Integrative Biomedical Sciences, Institute of Infectious Disease and Molecular Medicine, CIDRI Africa Wellcome Trust Centre, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
| | - Samar Kamal Kassim
- Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
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8
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Okeke CJ, Obi AO, Odoemene CA, Ojewola RW, Afogu EN, Odo C, Ogbobe UU. Urological emergencies in a Nigerian teaching hospital: Epidemiology and treatment. Niger J Clin Pract 2021; 24:400-405. [PMID: 33723115 DOI: 10.4103/njcp.njcp_393_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background Urological emergencies constitute a significant part of emergency presentations in various referral centers. Data on the prevalence of these emergencies in West African sub-region are sparse. Objective The study is aimed at determining the pattern of urological emergencies in our center and is geared towards bridging the gap in knowledge of the epidemiology of urological emergencies in this sub-region as a means of achieving efficient use of scarce resources. Subjects and Methods It was a retrospective study of all urological emergency cases that presented over six years in a Federal University Teaching Hospital in Nigeria. Data were collected from emergency register and theatre logs. Data analysis was done using SPSS version 25. Results A total of 267 patients presented with urological emergencies during the period of study with 258 (96.6%) men and 9 (3.4%) women. The mean age of the patients was 50.6 ± 20.8 years. Urinary retention was the most common urological emergency accounting for 159 (59.6%) cases followed by Fournier's gangrene 23 (8.6%) and testicular torsion 23 (8.6%). Bladder and ureteral injuries accounted for 5 (55.6%) of the urological emergency presentations in women while both injuries accounted for only 4 (1.6%) in men (P = 0.000). Urethral catheterization was the most commonly performed procedure 139 (52.1%), followed by percutaneous suprapubic cystostomy (SPC) 31 (11.6%). Conclusion Urological emergencies have varying presentations in both sexes. Urinary retention, and acute scrotum were the most common urological emergencies in our facility. This knowledge can be used in emergency preparedness planning which involves personnel training and resource allocation.
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Affiliation(s)
- C J Okeke
- Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital, Ebonyi State; Department of Surgery, Lagos University Teaching Hospital, Lagos, Nigeria
| | - A O Obi
- Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital; Department of Surgery, Ebonyi State University Abakaliki, Ebonyi State, Nigeria
| | - C A Odoemene
- Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital; Department of Surgery, Ebonyi State University Abakaliki, Ebonyi State, Nigeria
| | - R W Ojewola
- Department of Surgery, Lagos University Teaching Hospital; Department of Surgery, College of Medicine University of Lagos, Idi-Araba, Surulere, Lagos, Nigeria
| | - E N Afogu
- Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital, Ebonyi State, Nigeria
| | - C Odo
- Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital, Ebonyi State, Nigeria
| | - U U Ogbobe
- Department of Surgery, Alex-Ekwueme Federal University Teaching Hospital, Ebonyi State, Nigeria
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Obi AO, Okeke CJ, Ugwuidu EI. Acute testicular torsion: A critical analysis of presentation, management and outcome in southeast Nigeria. Niger J Clin Pract 2020; 23:1536-1541. [PMID: 33221778 DOI: 10.4103/njcp.njcp_188_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Objectives The aim of this study is to evaluate the pattern of presentation, anatomic anomalies, and treatment outcomes in patients presenting with acute testicular torsion in a tertiary health institution in southeast Nigeria. Methods This was a prospective study of all consecutive patients with acute testicular torsion seen from January 2011 to November 2019 at our institution. Their demographic and clinical data were analyzed. Results Thirty-one acute testicular torsion cases were seen during the study period. Mean age was 22.6 (±7.3) years. Two peaks of incidence were observed. These were in the 14-19-year and 20-25-year age groups. The left testis was more commonly affected than the right; 15 cases (48.4%) versus 13 cases (41.9%). Past history of intermittent torsion was seen in 48.4% of cases. Abdominal pain was the commonest associated symptom followed by vomiting; 20 (64.5%) and 11 (35.5%). Seven cases (22.6%) of acute torsion occurred during sleep. Delay in presentation and delay in surgical intervention were observed. Only 22.6% of patients presented within 6 h of onset of symptoms and only 32.3% were operated on within 6 h of presentation. Transverse lie of the testes was the most common intraoperative finding (36%). Testicular salvage rate was 87.1%. Conclusions Acute testicular torsion is a disease of young adults in southeast Nigeria. It is commoner on the left side with transverse lie being the most common predisposing factor. A new peak incidence in the 20-25-year age group is demonstrated. Late presentation is common but did not impact testicular loss in this study.
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Affiliation(s)
- A O Obi
- Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki; Department of Surgery, Ebonyi State University Abakaliki, Ebonyi State, Nigeria
| | - C J Okeke
- Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Abakaliki, Ebonyi State, Nigeria
| | - E I Ugwuidu
- Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Abakaliki, Ebonyi State, Nigeria
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Okeke CJ, Obi AO, Tijani KH, Eni UE, Okorie CO. Cancellation of elective surgical cases in a nigerian teaching hospital: Frequency and reasons. Niger J Clin Pract 2020; 23:965-969. [DOI: 10.4103/njcp.njcp_650_19] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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