. Results: A total of 468 cases of spinal cord injury over the 15-year period were studied. Three hundred and twelve of them (66.2%) were aged 40 years and below, with the peak age incidence as 21-30 years. There were 328 males (70.1%) and 140 females (29.9%) showing a male to female ratio of 2.34:1. Road traffic accident accounted for 362 (77.4%) patients. At presentation, 430 (91.9%) of the injuries were of ASIA (American Spinal Injury Association) class A. Lumbar spine was affected in 278 (59.4%) of patients, whereas cervical spine accounted for 142 (30.3%). The most frequently seen complication was bedsore, seen in 163 (59.9%) of 272 patients that had complications. On discharge, 230 patients (49.1%) were in ASIA class A and 34 (7.5%) in ASIA E. Eighty-two patients (17.5%) died. Conclusion: Spinal injuries in Lagos occurred mostly in young adult males affecting mainly the lumbar spine. Traffic-related incidents were the leading cause and bedsore the most common complication.
BACKGROUND: Traditional bone setters (TBS) have existed for decades in Nigeria and other countries. Their treatment methods often lead to several complications, the most dangerous being extremity gangrene which usually leads to proximal amputation. OBJECTIVE: To apprise the Orthodox Practitioners of complications of musculoskeletal injuries treated by the bone setters, the factors that encourage patronage of TBS services and the outcome of the treatment of these complications by the orthodox practitioners. METHODS: This was a one-year prospective study involving one hundred and twenty-one consecutive patients presenting with complications related to treatment of their musculoskeletal injuries by bone setters. The following data were obtained using observer-administered questionnaires viz; demography, details of initial injury, reasons for patronage of TBS, nature of treatment, estimated cost of treatment and disability of patients at presentation. The outcome of orthodox treatment of these complications was assessed at six months using the following parameters -wound healing, bone union and use of prosthesis by the patients. RESULTS: One hundred and twenty-one patients with 155 musculoskeletal injuries and 168 complications of treatment by the TBS were seen; 75 (57%) were male and 52(43%) were female. The ages of the patients ranged from 6 weeks -72 years (mean 29.49 years). The common complications of TBS treatment were malunion and non-union which each accounted for 27 (16.1%) cases. The major reasons for TBS patronage was the perceived low cost of treatment in 47(27.9%) and pressure from family and friends in 36 (25%) patients. The cost of treatment of the TBS ranged from USD 18-380, whereas, at the Orthopaedic Hospital, it ranged from USD 34-98. At six months after orthodox surgery, 10(91%) of the patients who had amputation were yet to start using prosthesis, 3(23%) who had internal fixation failed to unite. CONCLUSION: The commonest reason for patronage was the believed cheapness of the TBS services. However, this study showed that orthodox treatment is actually cheaper in most cases. Despite all the complications associated with their treatment, majority of the people still have a strong belief in their capability. A suggested solution will be the incorporation of the TBS into the healthcare system so that they could be better trained and controlled. RÉSUMÉ CONTEXTE: Les os setters (TBS) existent depuis des décennies au Nigeria et dans d'autres pays. Leurs méthodes de traitement conduisent souvent à plusieurs complications, le plus dangereux étant extrémité gangrène qui conduit généralement à l'amputation proximale. OBJECTIF: Afin de sensibiliser les praticiens de l'Eglise orthodoxe de complications des blessures musculo-squelettiques traités par l'os setters, les facteurs qui encouragent les services de patronage de TBS et des résultats du traitement de ces complications par les orthodoxes pratiquants. MÉTHODES: Il s'agissait d'une année une étude prospective impliquant cent vingt et un patien...
Biodiesel's acceptance as a substitute for fossil-derived diesel has grown the world over. However, the food-fuel debate over conventional vegetable oils has rekindled research interest in exploring lesser known and minor oil crops. In this work, egusi melon seed oil was studied for the first time as a potential feedstock for biodiesel production. Crude egusi melon seed oil was transesterified using sodium methoxide as the catalyst at 60 °C and an oil/methanol ratio of 1:6 to produce its corresponding methyl esters. Egusi melon oil methyl ester (EMOME) yield was 82%. Gas chromatographic analysis of EMOME showed that it was composed mainly of palmitic, stearic, oleic, linoleic and linolenic esters, which is similar to the profile of sunflower, soybean and safflower oil. All the measured fuel properties of EMOME satisfied both the ASTM D6751 and the EN 14214 biodiesel standards. Fuel properties of EMOME were essentially identical with those of soybean, safflower and sunflower biodiesel. Remarkably, the kinematic viscosity of EMOME was measured to be 3.83 mm 2 /s, a value lower than most biodiesel fuels reported in the literature. The potential of egusi melon seed oil as a biodiesel feedstock is clearly presented in this study. OPEN ACCESSEnergies 2010, 3 608
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