Background: Stroke is becoming a significant cause of morbidity and mortality in low and middle-income countries. And accurate diagnosis and management of stroke relies on Neuroimaging.Objective: To determine the CT scan pattern, as well as associated risk factors of stroke patients attending Jimma University Medical Center Methods: A hospital-based retrospective study was conducted on all patients with a CT scan of the head with the diagnosis of stroke at JUMC from December 11, 2016, up to October 8, 2019, southwest Ethiopia. Data was analyzed using SPSS V 24 Software. And the results were presented using tables and Figures.Results: A total of 536 patients have undergone head CT for a clinical diagnosis of stroke during the study period and from those 250 people were included in the study, 184(65%) were male and 99(35%) were female. And 180(63.9%) were from rural areas while the rest 103 (36.4%) of came from urban regions. The mean age was (57 ± 14 years. The most common pattern of stroke in the CT findings was hemorrhagic stroke with 126(44.5%) followed by ischemic stroke 122(43.1%). Conclusion:The study shows that stroke is a major public health concern and A prospective community-based study is required to define the true magnitude and socio-demographic characteristics of stroke and the associated factors in the general population. Strategies for screening and management of hypertension, structural heart disease, and atrial fibrillation should be given priority as these are the most prevalent risk factors identified.
In this paper, we will describe a week old neonate who was referred to Black Lion Referral Hospital with a diagnosis of ambiguous genitalia and was screened for associated congenital anomalies. The neonate was evaluated with Trans-fontanel Ultrasound and Brain MRI, which showed the absence of the lateral and third ventricles and associated Intracranial multiple anomalies.
Thyroid cancer is the most common endocrine malignancies. It is postulated that goiter is a precursor lesion to the development of thyroid cancer. The worldwide prevalence of goiter in the general population is estimated at 4 to 7%. The objective of the study was to assess the burden of thyroid cancer among patients who visited Jimma University Medical Center (JUMC) with thyroid swelling over the past 5 years. The record of patients who had undergone Fine Needle Aspiration Cytology (FNAC) over the past five years from September 2012 to July 2017 was taken as the source population and the patients who underwent FNAC for a thyroid swelling were taken as the study population. The information was collected by the principal investigator and a trained data collector using a structured data collecting guide. Data was compiled and analyzed using IBM SPSS version 22 software and presented using tables, graphs and figures. A total of 2008 thyroid cases which underwent FNAC from September 2012 to July 2017 were collected. Of these, 378 (18.9%) were male and 1626 (81.1%) female. It was observed that the highest prevalence of thyroid swelling cases occurred in the age group 20 to 30 years with 577 (29.2%) of the participants. The most common thyroid lesion that was found was goiter accounting for 85.4% (1715/2008) of all thyroid swellings in patients that underwent FNAC during the study period. And the most common malignancy that was found was papillary carcinoma (PTC) accounting for 49.3% of malignant lesions. As known, the highest prevalence of carcinoma was found in 2016/17, with 25 (5.8%) and lowest in 2012/2013 with 8 (3.7%). Based on this study, although thyroid swelling is quite a common problem in and around Jimma, the prevalence of thyroid cancer is quite low. And the leading type of malignancy is papillary thyroid carcinoma. Age was found to have a statistically significant association with thyroid malignancy. And there is an increasing incidence of thyroid malignancy over the past 5 years.
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