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Aim The aim of this study was to determine the prevalence and predictors of dyslipidaemia in adults in Nigeria. Methods Using the WHO criteria, we determined dyslipidaemia using serum lipid levels of 3 211 adult Nigerians, aged at least 18 years, obtained between March 2017 and February 2018 from two communities (rural and urban) in a state from each of the six geopolitical zones of Nigeria. Results The overall prevalence of low high-density lipoprotein cholesterol (l-HDL), elevated low-density lipoprotein cholesterol (e-LDL), hypertriglyceridaemia (h-TG) and hypercholesterolaemia (h-CHL) were 72.5,13.6, 21.4 and 7.5%, respectively. The adjusted odds of h-CHL [odds ratio (95% confidence interval) 1.47 (1.10-1.95)], h-TG [1.89 (1.48-2.41)] and e-LDL [1.51 (1.03-2.15)] increased with obesity. Being a rural dweller increased the odds of h-TG [1.55 (1.29-1.85)], e-LDL [1.38 (1.10-1.73)] and l-HDL [1.34 (1.14-1.58)]. The odds of h-CHL [2.16 (1.59-2.95)], h-TG [1.21 (1.01-1.47)], e-LDL [1.42 (1.13-1.80)] and l-HDL [0.78 (0.65-0.93)] increased with hypertension. Diabetes mellitus doubled only the odds of h-TG [2.04(1.36-3.03)]. Conclusion The prevalence of dyslipidaemia, particularly low HDL-C, is high among adult Nigerians.

Knowledge of activity concentration of radionuclides in soil of our farmlands and the consequent transfer factors of the radionuclide to plants are necessary to estimate the contamination level of the soil, plants and food. The activity concentration of 40K, 238U and 232Th in soils and cassava in Ini Local Government Area, Akwa Ibom State, Nigeria were measured using gamma spectrometry. Activity concentrations of radionuclides in soils in the locations ranged from BDL (below detectable limit) to 298.76 ± 21.40 Bq/Kg for 40K; BDL to 7.95 ± 1.88 Bq/Kg for 238U and 2.59 ± 0.25 to 16.56 ± 1.61 Bq/Kg for 232Th. Activity concentration of the radionuclides in cassava in all locations ranged from 213.96 ± 15.38 Bq/kg to 520.58 ± 37.25 Bq//Kg for 40K; BDL to 33.02 ± 8.91 Bg/Kg for 238U and BDL to 16.34 ± 1.59 Bq/kg for 232Th. The activity concentrations of all the radionuclides were lower than the world standard. Transfer factors obtained ranged between 3.21 to 4.18 for 40K; 0.93 to 12.64 for 238U and 0.75 to 1.01 for 232Th. Effective ingestion dose due to the consumption of cassava from the studied area obtained ranged between 1.31 to 1.74 mSv/yr and 3.52 to 4.69 mSv/yr for children and adult respectively. These values are above the 1.0 mSv/yr recommended dose limit for general public, therefore the consumption of this food stuff could pose a radiological health effect on humans. However the risk could be minimized when the cassava is cooked.

Natural radioactivity exists in primordial formations such as rocks, soils, water and air where long lived radionuclides such as , , and their affiliates are found. This work was done to determine the specific activity of radionuclides, soil to cassava transfer factor and the effective dose due to consumption of radionuclide in cassava products in Ikot Ekpene Local Government Area, Akwa Ibom State. The specific activity of 40K, 238U and 232Th in soils and cassava in the study area was measured using gamma spectrometry. Mean specific activity in soils ranged from BDL to 153.46 ± 10. 99 Bq/Kg for 40K; BDL to 31. 22 ± 7.49 Bq/Kg for 238U and 1.03 ± 0.10 to 12.71 ± 1.24 Bq/Kg for 232Th. Mean specific activity of the radionuclides in cassava in all locations ranged from 119.86 ± 8.61 to 601.28 ± 43.23 Bq//Kg for 40K; below detectable limit (BDL) to 15. 89 ± 1.55 Bg/Kg for 238U and BDL to 15. 89 ± 1.55 Bq/kg for 232Th. Transfer factors ranged between 3.64 to 4.18 for 40K; 1.30 to 1.82 for 238U and 0.51 to 0.72 for 232Th. Effective ingestion dose due to the consumption of cassava from the area ranged between 0.99 mSv/yr to 1.08 mSv/yr and 2.68 mSv/yr to 29.16 mSv/yr for children and adult respectively. Most of the TF and effective ingestion dose results for this study were above the recommended value of unity which suggests that consumption of cassava from the studied area may pose radiological health.

Background Estimating the burden of hypertension in Nigeria hitherto relied on clinic blood pressure (BP) measurement alone. This excludes individuals with masked hypertension (MH), i.e., normotensive clinic but hypertensive out-of-clinic BP. Methods In a nationally representative sample of adult Nigerians, we obtained clinic BP using auscultatory method and out-of-clinic BP by self-measured home BP with semi-automated oscillometric device. Clinic BP was average of 5 consecutive measurements and home BP was average of 3 days duplicate morning and evening readings. MH was clinic BP Results Among 933 participants, the prevalence of sustained hypertension, MH, and white-coat hypertension was 28.3%, 7.9%, and 11.9%, respectively. Among subjects whose clinic BP were in the normotensive range (n = 558), the prevalence of MH was 13%; 12% among untreated and 27% among treated individuals. The mutually adjusted odds ratios of having MH among all participants with normotensive clinic BP were 1.33 (95% confidence interval, 1.10–1.60) for a 10-year higher age, 1.59 (1.09–2.40) for a 10 mm Hg increment in systolic clinic BP, and 1.16 (1.08–1.28) for a 10 mg/dl higher random blood glucose. The corresponding estimates in the untreated population were 1.24 (1.03–1.51), 1.56 (1.04–2.44), and 1.16 (1.08–1.29), respectively. Conclusions MH is common in Nigeria and increasing age, clinic systolic BP, and random blood glucose are the risk factors.

Assessment of level of salt intake in a population is the first step toward planning strategies aimed at salt reduction. As a surrogate of salt intake, we measured a single 24‐hour urine sodium (uNa) of free‐living 2503 adults in a nationally representative sample of Nigerians drawn from 12 rural and urban communities; and evaluated the community‐level association of uNa with blood pressure (BP). Overall, the median (interquartile range (IQR)) of uNa was 99 (105) mmol, ranging from 23.8 (32.4) in rural north‐central to 172.8 (131.0) mmol in urban northwestern region. Daily uNa was significantly higher (p

Background: Previous studies that evaluated the prevalence, awareness and treatment of hypertension in Nigeria were either localized to some specific regions of the country or non-standardized thereby making evaluation of trend in hypertension care difficult.Methods: We used the World Health Organization (WHO) STEPwise approach to chronic disease risk factor surveillance to evaluate in a nationally representative sample of 4192 adult Nigerians selected from a rural and an urban community in one state in each of the six geo-political zones of the country.Results: The overall age-standardized prevalence of hypertension was 38.1% and this varied across the geo-political zones as follows: North-Central, 20.9%; North-East, 27.5%; North-West, 26.8%; South-East, 52.8%; South-South, 44.6%; and South-West, 42.1%. Prevalence rate did not differ significantly (p > 0.05) according to place of residence; 39.2% versus 37.5 %; urban vs rural. Prevalence of hypertension increased from 6.8% among subjects less than 30 years to 63.0% among those aged 70 years and above. Awareness was better (62.2% vs. 56.6%; P = 0.0272); treatment rate significantly higher (40.9 % vs. 30.8%; P < 0.0001) and control similar (14 vs. 10.8%) among urban compared to rural residents. Women were more aware of (63.3% vs. 52.8%; P < 0.0001); had similar (P > 0.05) treatment (36.7 vs. 34.3%) and control (33.9% vs. 35.5%) rates of hypertension compared to men.Conclusion: Our results suggest a large burden of hypertension in Nigeria and a closing up of the rural-urban gap previously reported. This calls for a change in public health policies anchored on a primary health care system to address the emerging disease burden occasioned by hypertension.

To compare left ventricular (LV) geometry patterns among normotensive type 2 diabetics (NT2DM) with normoalbuminuria, NT2DM with microalbuminuria and healthy controls. A cross-sectional study conducted at the medical outpatient department of a Teaching Hospital from January 2013 to March 2014. Sixty-three normoalbuminuric NT2DM, 71 microalbuminuric NT2DM and fifty-nine healthy controls were recruited. Microalbuminuria was tested for using Micral test strips (Roche, Germany). Trans-thoracic echocardiography was carried out on all subjects. Relative wall thickness (RWT), left ventricular mass index (LVMI) and LV geometry patterns were compared among the three groups. The three groups were age and sex-matched and appropriate statistical tests were used for comparisons with p

Background: Echocardiography plays a fundamental role in the evaluation of patients with atrial masses. The ability to distinguish tissue characteristics such as location, attachment, shape, size, and mobility noninvasively, quickly, cheaply, and without the use of ionizing radiation makes echocardiography the ideal diagnostic modality. With careful attention to mass location and morphology and appropriate application of clinical information, echocardiography can usually distinguish between the three principal atrial masses as follows: tumor, thrombus, and vegetation. Although transesophageal echocardiography has better sensitivity and specificity for detecting atrial masses, transthoracic echocardiography (TTE) can also detect atrial masses with specificity and sensitivity of about 58% and 98%, respectively. Objectives: The study is aimed at assessing the frequency and patterns of atrial masses in an urban teaching hospital using TTE. Materials and Methods: A retrospective review of our echocardiogram reports from July 2009 to June 2014 was done to identify the frequency of atrial masses, gender distribution, sizes, clinical presentations, and locations. Results: A total of 1027 echo examinations were done over this period, comprising 503 males (48.98%) and 524 females (51.02%). Nonvegetative atrial masses were found in six of these patients representing 0.58% of the study population. Myxoma was the most common mass noted, 3 out of 4 were found in female, and all were found in the left atrium. The two atrial thrombi were detected in the right atrium and both were found in males. Conclusion: Atrial masses are not rare and TTE is still valuable in the diagnosis and initial characterization of atrial masses.

Background: Pleural effusion is very common in congestive heart failure, and should resolve with treatment of congestive heart failure, including diuretic. However, refractory, recurrent, massive, or significant pleural effusions contributing to symptoms in the patients with congestive heart failure warrant treatment by pleural drainage. We sought to discover the clinic-pathologic characteristic of such pleural effusion in our congestive heart failure patients. Materials and Methods: Retrospective analysis of medical records of congestive heart failure patients admitted for inpatient treatment between January 2007 and June 2011. Results: Out of the 342 patients that presented with congestive heart failure during the study period, ten (2.9%) patients had significant pleural effusions in 12 pleural spaces that contributed to symptoms and refused to resolve on treatment of the congestive heart failure including diuretic. Male:Female was 1.2:1, modal age range 40-50 years, 50% in the left, 30% in the right, and 20% bilateral. The estimate of the pleural effusion was 2000 ml with 90% being transudate and 10% exudates. One patient had associated pericardial effusion. Upon drainage, 70% of the patients improved immediately. Conclusion: We recommend drainage of refractory, recurrent, massive, significant pleural effusion in congestive heart failure contributing to symptoms and responding to diuretic therapy.