The current status of ultrasound practice in Kano metropolis, Nigeria

Sidi, Mohammed; Sani, Ghali Makoda; Ya’u, Anas; Zira, Joseph Dlama; Loshugno, Shem Samuel; Luntsi, Geofery

doi:10.1186/s43055-021-00509-x

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…Unfortunately, despite the affordability and availability of Doppler ultrasound, it is rarely done in resource-limited settings due to insufficient expertise and advanced equipment for carotid Doppler ultrasound scans. [ 20 ] Carotid atherosclerosis is considered a surrogate marker of systemic atherosclerosis and correlates significantly with cardiovascular risk factors. [ 21 ]…”

Section: Discussionmentioning

confidence: 99%

Spectrum of carotid arterial Doppler abnormalities among stroke patients at a tertiary care centre in North West Nigeria

Hikima,

Lawal,

Isyaku

et al. 2024

JWAS

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Background: Stroke is the second most common cause of death worldwide. It also represents one of the most common causes of disability, affecting both children and adults. The identification of risk factors for stroke is critical in preventing its occurrence. Carotid atherosclerosis is one of the most significant risk factors of stroke, yet it is not routinely evaluated in these patients. Materials and Methods: We prospectively recruited 119 patients aged ≥18 years with stroke confirmed by computed tomography scan. The risk factors for stroke in these patients were identified, and carotid artery Doppler was performed to identify those with atherosclerosis. Results: Eighty-one (68%) of the 119 subjects showed abnormalities in the carotid arteries in the form of increased IMT or atheromatous plaque. The mean ± SD IMT of the right common carotid artery (CCA) was 1.07 ± 0.25 mm and 1.08 ± 0.26 mm for the left CCA. The IMT mean ± SD of the right and left ICA were 0.99 ± 0.18 mm and 0.99 ± 0.17 mm, respectively. There were 36 patients (30.2%) with atheromatous plaques, of which 57.8% were unstable and liable to rupture. The carotid bulbs were the most common sites for plaques, accounting for 47.2% of cases. No abnormalities in velocimetric indices were recorded. Conclusion: Carotid atherosclerosis is common in stroke patients and is a major risk factor. The evaluation of stroke patients for carotid atherosclerosis is rarely done, as most of the subjects examined only had it for the first time in this study after development of stroke.

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Section: Discussionmentioning

confidence: 99%

Spectrum of carotid arterial Doppler abnormalities among stroke patients at a tertiary care centre in North West Nigeria

Hikima,

Lawal,

Isyaku

et al. 2024

JWAS

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“…The absence of a robust regulatory framework for ultrasonography practice in Nigeria exacerbates the problem of abuse. Weak enforcement of existing regulations and inadequate monitoring mechanisms allow unscrupulous practitioners to operate with impunity, compromising standards of care and patient trust [8,18] . 4.…”

Section: Lack Of Regulatory Frameworkmentioning

confidence: 99%

“…Several studies have shed light on the patterns and practices surrounding the use of ultrasonography in Nigeria [6,7] . Moreover, studies evaluating the accuracy and reliability of ultrasonographic assessments in Nigerian healthcare settings have identified shortcomings in training and expertise among practitioners [8] .…”

Section: Introductionmentioning

confidence: 99%

The abuse of ultrasonography: A critical review of the Nigerian situation

Ayobami,

et al. 2024

Int. J. Radiol. Sci.

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Ultrasonography, a widely used diagnostic tool, has experienced significant proliferation in Nigeria's healthcare landscape. However, alongside its increased availability comes a concerning trend of abuse, raising questions about ethical practice, patient welfare, and regulatory oversight. This abstract critically reviews the abuse of ultrasonography in Nigeria, examining key factors contributing to this phenomenon and its implications for healthcare delivery. Firstly, the proliferation of unqualified practitioners highlights a fundamental issue, with individuals lacking proper training and credentials performing ultrasound scans, leading to inaccurate diagnoses and patient harm. Secondly, the misuse of ultrasonography for gender determination purposes has led to sex-selective abortions, raising ethical concerns and perpetuating gender-based discrimination. Furthermore, diagnostic inaccuracies and misinterpretations due to inadequate training and expertise among practitioners pose risks to patient safety. The absence of a robust regulatory framework exacerbates these challenges, allowing unscrupulous practitioners to operate with impunity. Ethical considerations surrounding informed consent, patient confidentiality, and respect for patient autonomy are compromised in cases of ultrasound abuse. Addressing the abuse of ultrasonography in Nigeria requires coordinated efforts to strengthen regulatory mechanisms, enhance professional standards, and promote ethical practices. By acknowledging the root causes of abuse and fostering accountability in medical practice, Nigeria can ensure the safe and responsible use of ultrasonography for improved healthcare outcomes.

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Sonographic Evaluation of Urinary Bladder Wall Thickness in Healthy Adults

Zafar

John

Ali

et al. 2022

PJHS

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The urinary bladder is distensible empty viscous with thick muscular walls organ in the pelvis. For normal urination the wall thickness of the bladder should be normal in the range. Objective: To determine urinary bladder wall thickness using ultrasound in normal adults. Methods: It was a cross-sectional study conducted over 4 months from December 2021 to March 2022 in the private sector hospital in Gujranwala, Pakistan. A sample size of 60 was collected using the convenient sampling approach from taking mean of sample sizes of previous related study. Participants with no disease were included after informed consent. Data were analyzed and entered using SPSS version 20.0. Results: The mean age of participants was 33.41 ± 11.9, the mean weight was 75.51 ± 13.9 and height was 171.08 ± 12.5. The mean body mass index was 25.00 ± 3.9. The mean of anterior wall thickness was 2.85 ± 0.405 and posterior wall thickness was 2.86 ± 0.430. Regarding lateral wall thickness, mean right lateral was 2.78 ± 0.464 and left lateral was 2.80 ± 0.430. The participants categorized into normal, overweight and obese showed very slight differences in the mean values of anterior, posterior and lateral wall thickness of bladder. Conclusion: In conclusion, ultrasound is the best modality for measuring the wall thickness of the urinary bladder in both males and females. The age and gender do not affect BWT. A small change is noted in thickness of anterior, posterior and lateral walls of urinary bladder.

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The current status of ultrasound practice in Kano metropolis, Nigeria

Cited by 3 publications

References 18 publications

Spectrum of carotid arterial Doppler abnormalities among stroke patients at a tertiary care centre in North West Nigeria

Spectrum of carotid arterial Doppler abnormalities among stroke patients at a tertiary care centre in North West Nigeria

The abuse of ultrasonography: A critical review of the Nigerian situation

Sonographic Evaluation of Urinary Bladder Wall Thickness in Healthy Adults

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