Browsing by Author "Kuranga, Sulyman Alege"
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Item Comparative evaluation of 0.5% ropivacaine and 0.5% bupivacaine for day case inguinal herniorrhaphy in a Nigerian tertiary hospital.(Journal of the Societies of Anaesthetists of West and East Africa., 2010) Bolaji, Benjamin olusomi; Yusuf, IF; Rahman, Ganiyu Alege; Kuranga, Sulyman Alege; Oyedepo, Olanrewaju OlubukolaBACKGROUND: Day case inguinal herniorrhaphy is a common surgical procedure performed in our environment with lidocaine used for field block. The study was aimed at comparing 0.5% ropivacaine and 0.5% bupivacaine for the field block, determine their effectiveness and safety in our environment. METHODS: In a double-blind randomized study, 52 ASA physical status I-II patients (age ≥ 18yrs) scheduled for field block for day case inguinal herniorrhaphy were assigned to two study groups to receive 0.5% ropivacaine 25ml (n = 26) or 0.5% bupivacaine 25ml (n = 26). Onset of analgesia, adequacy of block, duration of postoperative pain relief and pain score at first requirement of analgesic were recorded. RESULTS: One patient in the bupivacaine group did not complete the study. Patient demographics and surgical times were similar in the two groups. Mean onset time of anaesthesia was shorter in the bupivacaine group than the ropivacaine group (5.37± 0.50 min vs 5.48 ± 0.45 min) although this was not significant (P = 0.44). Adequacy of block was similar in the two groups (P = 0.55). Postoperative pain relief was significantly longer for the ropivacaine group 6.83 ± 0.57hr than for the bupivacaine group 6.32 ± 0.35 hr (P = 0.0004, unpaired t-test). Mean pain score at the first requirement for analgesic was lower in the ropivacaine group 1.38 ± 0.49 than the bupivacaine group (1.56 ± 0.51), but this was not significant (P = 0.22). Few untoward effects of nausea and dizziness were observed in this study. CONCLUSION: Ropivacaine and bupivacaine have comparable onset of actions and adequacy of anaesthesia when used for day case inguinal herniorrhaphy and are safe.Item Prevalence of Hypertension and Relationship with Anthropometric Indices in Urban Dwellers in Kwara State, Nigeria(Medical Research Society, College of Health Sciences, Nnamdi Azikiwe University, Awka, Nigeria, 2023-03-01) Olanrewaju, Timothy Olusegun; Aderibigbe, Ademola; Popoola, Ademola; Buhari, Mikhail Olayinka; Adedoyin, Olanrewaju Timothy; Kuranga, Sulyman Alege; Biliaminu, Sikiru Abayomi; Chijioke, Adindu; Ajape, Abdulwahab Akanbi; Dada, Samuel Ayokunle; Obajolowo, OmotolaBackground: Hypertension is a growing public health concern with a rising prevalence and associated clinical outcomes, particularly in Nigeria. The association of hypertension with anthropometric indices is insufficiently described in Nigeria. Objectives: We aim to determine the prevalence of hypertension and its relationship with anthropometric indices. Materials and Methods: This is a cross-sectional study of adults in seven urban communities in Kwara State, Nigeria. The study was done during World Kidney Day over a seven year period (2007-2015). Blood pressure, body mass index, waist circumference, and hip circumference were measured. Hypertension was defined as blood pressure ≥ 140/90mmHg. Results: One thousand five hundred and six adults were recruited, with a mean age of 44 ± 14 years, and a female preponderance (55%). The prevalence of hypertension was 30%, (30.2%) in males and (29.8% in females). Hypertension correlates significantly with age (r = 0.416, P = 0.001), BMI (r = 0.301, P = 0.001), hip circumference (r = 0.219, P = 0.001), waist-hip ratio (r = 0.225, P = 0.005), and waist circumference (r = 0.063, P = 0.045). The identified predictors of hypertension were; waist circumference had about 17% increased risk for hypertension (OR = 1.169, CI = 1.021 – 1.340, P = 0.024), body mass index, 11% (OR = 1.113, CI = 1.059–1.170, P = 0.001), and age 5% (OR = 1.052, CI = 1.034 – 1.070, P = 0.001).Conclusion:The prevalence of hypertension is high in urban population of Kwara State, and is similar in men and women, but it increases with age, high body mass index, and waist circumference.