14,828 research outputs found
Endoscopic evaluation of upper and lower gastro-intestinal bleeding
No full textIntroduction: A myriad of pathologies lead to gastro-intestinal bleeding (GIB). The common clinical presentations are hematemesis, melena, and hematochezia. Endoscopy aids localization and treatment of these lesions. Aims: The aim was to study the differential diagnosis of GIB emphasizing the role of endoscopy in diagnosis and treatment of GIB. Patients and Methods: A prospective study of patients with GIB referred to the Endoscopy unit of two health facilities in Port Harcourt Nigeria from February 2012 to August 2014. The variables studied included: Demographics, clinical presentation, risk score, endoscopic findings, therapeutic procedure, and outcome. Data were collated and analyzed using SPSS version 20 software. Results: A total of 159 upper and lower gastro-intestinal (GI) endoscopies were performed during the study period with 59 cases of GI bleeding. There were 50 males and 9 females with an age range of 13-86 years (mean age 52.4 20.6 years). The primary presentations were hematochezia, hematemesis, and melena in 44 (75%), 9 (15%), and 6 (10%) cases, respectively. Hemorrhoids were the leading cause of lower GIB seen in 15 cases (41%). The majority of pathologies in upper GIB were seen in the stomach (39%): Gastritis and benign gastric ulcer. Injection sclerotherapy was successfully performed in the hemorrhoids and a case of gastric varices. The mortality recorded was 0%. Conclusion: Endoscopy is vital in the diagnosis and treatment of GIB. Gastritis and Haemorrhoid are the most common causes of upper and lower GI bleeding respectively, in our environmen
[Letter from Alex Bradford to Lieutenant and Mrs. Ray Starner - November 4, 1940]
No full textLetter from Alex Bradford to Lieutenant and Mrs. Ray Starner describing the the current state of affairs that the author was experiencing, including: the London blitz, the moral of the troops on the ground, and the collective company of men opposing the Nazi regime
Epidemiology of Gastrointestinal Malignancies in Nigeria:Port Harcourt Cancer Registry Study
No full textThe student's guide to completing an author study
No full textThe 'Student's guide to completing an author study' emerged during the early development of the school library resource center program at Glen Stewart Elementary School in Stratford Canada on Prince Edward Island. This research process centered on an author study, with direct teaching and clear assignment. The resulting model has been adapted to various grade levels and subject areas in different schools.Source type: Electronic(1)http://proquest.umi.com/pqdweb?did=49237063&Fmt=7&clientId=65345&RQT=309&VName=PQ
Active X-ray optics for the next generation of X-ray space telescopes
No full textDescribed within is the design, manufacture, metrology and X-ray testing of an active X-ray
prototype intended for the next generation of X-ray telescopes. One of the challenges faced by
the X-ray telescope community is how to combine high resolution and high sensitivity into one
system, as weight limitations place constraints on the optics that can be launched. Therefore the
mandate of the active X-ray prototype is to provide high sensitivity through the ability of the optics
to be nested and to deliver high angular resolution through the active control of the optic’s form.
Piezoelectric unimorph actuators provide the active component: it is intended that they will correct
for figure errors within the optic and therefore increase the angular resolution capability.
The prototype’s design is based upon an ellipsoidal segment which provides point-to-point
focussing of an X-ray source. The prototype itself is composed of an electroformed nickel optic
where the non-reflective surface is populated with 30 piezoelectric actuators and it is the production
of the prototype that is the core of the presented research. Metrology of the actuators’ influence
functions is presented and highlight the prototype’s ability to deform its optic surface by microns.
In addition, the measured influence functions are compared against finite element models and a
distinct similarity between the functions is observed.
The prototype was tested at an X-ray beamline facility in November 2008 and the results
showed the prototype’s ability to correct the optic to achieve an improved angular resolution: from
0.786 arc-minutes to 0.686 arc-minutes in terms of full width half maximum. Finally, difficulties
in the manufacture of the prototype and X-ray testing shall be presented alongside future work in
conclusion to this thesis
Author, Geraldine Brooks at the National Library of Australia for the 2009 Ray Mathew Lecture, Canberra, 23 October 2009 [picture] /
No full textTitle from acquisitions documentation.; Part of the collection: Portraits of author, Geraldine Brooks during her visit to the National Library of Australia for the 2009 Ray Mathew Lecture, Canberra, 23 October 2009.; Acquired in digital format; access copy available online.; Mode of access: Internet via World Wide Web.; Photographed by a staff member of the National Library of Australia
The Future of Inclusive Green Growth and Creation of Decent Jobs in Developing Countries: Attracting Investments for Inclusive Green Growth and Creation of Decent Jobs
No full textA Critical Review of Distress Syndrome in Nigerian Banks with a View to Preventing Recurrence
No full textUpper Gastro-Intestinal Endoscopy in Port Harcourt, Nigeria: An Audit
No full textBackground: Accurate diagnosis of disease conditions using laboratory, imaging or endoscopic investigation is essential for appropriate treatment. There is paucity of data on upper GI endoscopy in Port-Harcourt. This audit of our early experience is intended to provide data on the pattern of endoscopy findings which is needed to improve the quality of patient care. The study aims to report the pattern of presentation as well as the endoscopic and pathologic findings of symptomatic upper gastro-intestinal disease conditions.Method: All consecutive patients presenting to the endoscopy unit of a private hospital from February 2012to October 2018 were prospectively studied. The sociodemographics, indications, endoscopic findings and histopathologic report for biopsies were collated. Data was statistical analyzed using SPSS version20.Results: There were 44 OGDsin 87 patients performed during the study period. Twenty-one were males and 16 females. A male: female ratio of 1.8:1 and age range from 5-86years(mean 46.4±18.5 years).The major indications were dyspepsia 28(52.8%) and dysphagia 8(18%).Nonulcerative gastritis was the most common endoscopic finding seen in 16 (82%) cases and more than one pathologic condition was seen in 8(18%)cases.Conclusion: Peptic ulcer is not the most common cause of dyspepsia. Gastritis and multiple nonulcer pathologies in a patient are more common thus the need for thorough endoscopic investigation in symptomatic upper GI disease.Keywords: Upper gastro-intestinal tract, endoscopy, audi
Screening colonoscopy in Port Harcourt, Nigeria
No full textColonoscopy is a screening tool for colorectal cancer. The cost of this service, ready availability and expertise are factors limiting its routine use in low-/middle-income countries. The aim was to study premalignant colonic polyps in asymptomatic middle-aged Nigerians and highlight the usefulness of screening colonoscopy in a sub-Saharan African population. We carried out an observational study on asymptomatic patients undergoing screening colonoscopy in a referral endoscopy facility in Port Harcourt, Rivers State, Nigeria from January to December 2018. The variables collated were demographics, endoscopic and histologic findings. Statistical analysis was done using IBM SPSS Statistics for Windows, version 20 Armonk, NY. A total of 144 colonoscopy procedures were performed during the study period with 70 asymptomatic cases for screening indication. Sixty-five were males and 5 females. The age range was from 48 years to 60 years; mean 54.8 ± 3.6 years. A polyp-detection rate of 53.7% was recorded with multiple polyps seen in 13 cases. Adenoma(s) detected in 19 persons were: 22 tubular adenomas with low grade dysplasia; 3 tubulo-villous adenomas with low grade dysplasia; 1 sessile serrated adenoma. The adenoma detection rate was 28.8%. No abnormality was detected in 19 cases. There is a worrisome prevalence of adenomatous polyps; villous adenoma is rare. A targeted policy of screening and surveillance by colonoscopy will curb the rising incidence of colorectal cancer
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