Difference in frequency obstetric fistula in nigerian and european women

An obstetric fistula is an abnormal opening between the vagina and organs of pelvis.Each year, more than a quarter million women in Nigeria die in pregnancy and childbirth, of those that do not perish, suffer from obstetric fistula (OF).OF caused by of obstructed labor, without timely medical intervention or Cesarean section. During this time, the soft tissues of the pelvis are compressed between the baby’s head and the mother’s pelvic bones. The lack of blood flow causes tissue to die, creating a hole between the mother’s vagina and organs of pelvis

Efficiency of surgical treatment in patients with cancer of stomach, complicated with bleedeing in Nigeria

Gastric cancer (GC) is the second leading cause of cancer death in the world. GC more frequently accompanied by bleeding signaling an advanced development from the mucosa to different layers of stomach. Bleeding may result from ulcerated mucosa, local vessel damage in 60%–70% of patients with advanced cancer. Hemorrhage may occur as an acute catastrophic event, episodic major bleeds, or ongoing low-volume oozing

The impact of ЕNРР1 gene K121Q polymorphism on the development of concomitant cardiovascular diseases in patients with type 2 diabetes

Proven the important role of ENPP1 gene in the development of calcification of the vascular wall and insulin resistance. This contributes to cardiovascular disease (CVD) on the one hand, on the other – type 2 diabetes (T2DM)

Difference in frequency obstetric fistula in nigerian and european women

An obstetric fistula is an abnormal opening between the vagina and organs of pelvis.Each year, more than a quarter million women in Nigeria die in pregnancy and childbirth, of those that do not perish, suffer from obstetric fistula (OF).OF caused by of obstructed labor, without timely medical intervention or Cesarean section. During this time, the soft tissues of the pelvis are compressed between the baby’s head and the mother’s pelvic bones. The lack of blood flow causes tissue to die, creating a hole between the mother’s vagina and organs of pelvis

Efficiency of surgical treatment in patients with cancer of stomach, complicated with bleedeing in Nigeria

Gastric cancer (GC) is the second leading cause of cancer death in the world. GC more frequently accompanied by bleeding signaling an advanced development from the mucosa to different layers of stomach. Bleeding may result from ulcerated mucosa, local vessel damage in 60%–70% of patients with advanced cancer. Hemorrhage may occur as an acute catastrophic event, episodic major bleeds, or ongoing low-volume oozing

Recycling oriented vertical vibratory separation of copper and polypropylene particles

Vibration has been employed in various engineering processes for material handling. The famous Brazil nut effect, large particles tend to rise to the top under vibration, initiates various research about vibration induced particle segregation. Particle size and density are two determining factors for their behaviour under vibration. Previous research in University of Nottingham proves vertical vibratory separation to be a promising environmental friendly mechanical separation method for recycling metallic fraction from shredded Waste Electric and Electronic Equipment (WEEE) stream. A pilot scale thin cell vibratory separator has been developed to investigate the potential for WEEE recycling applications. Shredded copper and polypropylene particles have been chosen to mimic metallic and non-metallic fractions in WEEE. Vibratory separation experiment with controlled environment and addition of solid lubricant are presented in this paper. The result demonstrates the effect of relative humidity and solid lubricant on improving flowability of granular system hence successful vibratory separation. The proposed mechanisms for the presence of moisture and solid lubricant are lubricant effect and elimination of static electricity

The impact of ЕNРР1 gene K121Q polymorphism on the development of concomitant cardiovascular diseases in patients with type 2 diabetes

Proven the important role of ENPP1 gene in the development of calcification of the vascular wall and insulin resistance. This contributes to cardiovascular disease (CVD) on the one hand, on the other – type 2 diabetes (T2DM)

Preterm prelabour rupture of membranes (PPROM) and pregnancy outcomes in association with HIV-1 infection in KwaZulu-Natal, South Africa

AbstractBackgroundSubSaharan Africa has a disproportionate burden of HIV and preterm births (PTB). We hypothesized that PTB in HIV-1 infected women are more likely a result of prelabour rupture of membranes (PROM) and could lead to worse birth outcomes than HIV-uninfected women. We also hypothesized that PPROM increased the risk of mother-to-child transmission (MTCT) of HIV-1. Current clinical management protocols for PPROM do not include a differential treatment plan for HIV-infected women.MethodsThe maternity register at a regional hospital in a high HIV-burden district in South Africa was reviewed to identify all preterm births over a 3 month-period in 2018. We determined the incidence of PPROM using predefined criteria. Maternal age, parity, previous pregnancy complications, antenatal care, body mass index, history of smoking or alcohol, HIV infection and syphilis were computed on chi-square contingency tables to determine risk of PPROM. Overall pregnancy outcomes that included mode of delivery, fetal survival, birth weight, gestational age and newborn apgar scores were compared between HIV-infected and HIV-uninfected women whose pregnancies were complicated by PPROM. HIV-exposed newborns are routinely tested at birth for HIV by PCR.ResultsA total of 1758 deliveries were recorded for Jan-Mar, 2018, and 295 (16.8%) were preterm. Maternity charts were retrieved for 236 (80.0%) PTB; 47 of PTB (19.9%; 95%CI 15.0–25.6) were further complicated by PROM which translates to 2.7% (95%CI 1.9–3.4) of all deliveries. None of the risk variables including HIV-positive status (48.9% vs 47.6%) were different between PPROM and non-PPROM groups and the majority of women were receiving cART (94.7 and 92.0%). There were no differences in the proportion of low birth weight (RR 1.2 95%CI 0.6–2.1) or severe preterm birth (RR 1.6; 95%CI 0.9–2.9) between HIV-infected and HIV-uninfected women whose pregnancies were complicated by PPROM. None of the 22 HIV-exposed newborns in the PPROM group were HIV-infected at birth.ConclusionThe PPROM incidence is not higher among HIV-infected women and our findings suggest that HIV-infected women who are virally suppressed on cART and presenting with PPROM are less likely to transmit HIV to their infants and do not have worse birth outcomes than HIV-uninfected women.</jats:sec