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Mbaise Ahiazu Mbaise Amaifeke Amaigbo Amandugba Amike Anara Arondizuogu Dikenafai Ehime Mbano Ejemekwuru Ekwereazu Emekuku Eziama Obiato. The border areas between the Amaigbo country and Nkwerre to the which he had difficulty procuring was a guide that would escort his column into Nkwerre.
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Sudden death related to hypertensive cardiovascular disease and its complications occurred in twenty-six subjects.
This accounted to for The average cardiac weight and left ventricular wall thickness were Males constituted The mean age Escort Amaigbo both sexes was Males had a lower mean age of Escort Amaigbo risk factors may be single or in multiples in a single patient.
These risk factors Escort Amaigbo illustrated in the pie chart below. Three patients died of gastrointestinal tract-related diseases. Escort Amaigbo patients were aged 23, 48 and 52 years respectively.
The youngest died of perforated gastric ulcer with massive haemoperitoneum, peritonitis and haemorrhagic shock. The remaining two died of ruptured esophageal varices consequent upon chronic liver disease with liver cirrhosis and portal hypertension. Other anatomic pathologic finding was haemorrhagic shock evident on the marked corticomedullary differentiation of the kidneys.
One of the patients diagnosed with chronic liver disease also had lobar pneumonia as comorbidity. The central nervous system recorded ten cases. Two were cases of acute bacterial meningitis in a 15 and 45 year old male patients.
Escort Amaigbo male to female ratio was 2. The peak age of incidence was years Escort Amaigbo a modal age of 45 years.
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Escort Amaigbo patients had prominent leptomeningeal vascular congestion, purulent exudates on the cerebral hemispheres and base of the brain respectively and raised intracranial pressure with tonsillar herniation into the foramen magnum.
The microbiology culture yielded Klebsiella spp and Escort Amaigbo pyogenes. The second anatomic pathologic findings in the CNS were intracranial haemorrhage. The subarachnoid haemorrhage had male preponderance with a male to female ratio of 2.
February
Most Moreover, there is a berry aneurysm circle of Willis in two cases. Two cases of respiratory diseases were observed. One patient had chronic lung disease Bronchial asthma with pulmonary fibrosis, adhesion of the Escort Amaigbo to the parietal pleura with plugging of the bronchioles by thick, tenacious mucus and right atrial and tricuspid valve dialatation. A second case was acute alcoholic intoxication with aspiration of gastric content into the lungs.
This patient also had marked cerebral edema Table 1. Escort Amaigbo 1 Classification of causes of sudden unexpected natural death and the gender distribution. Vascular diseases accounted for 4.
The second case had morbid obesity with pulmonary embolism. The cause of death in 6. All were between the age of 20 and 30 years with mean age of Figure 1: Histogram showing the distribution of sudden unexpected natural death among different age groups.
Escort Amaigbo 2: A pie chart showing the risk factors of sudden natural death in Owerri, Imo State. In this study, SUND constituted 9. The disease of the cardiovascular system CVScentral nervous system Escort Amaigbo and the gastrointestinal system were the leading primary causes of death and constituted Other organ systems involved Escort Amaigbo the vascular and respiratory tract diseases which together contributed 8.
There was significant gender disparity in the incidence of SUND in our study with male to Escort Amaigbo ratio of 3. The mean age was The contribution of SUND 9. The gender disparity in this study is similar to those reported from Makurdi, Ireland, Turkey, Spain and India [ 82025 - 28 ].
However, reports from southwest Nigeria were akin to those of India, Iran and Jamaica with a wider male to female ratio ranging from to [ 17 , 19 , 32 , 33 ], Hayashi et al.
However, reports from southwest Nigeria were akin to those of India, Iran and Jamaica with a wider male Escort Amaigbo female ratio ranging from to [ 17193233 ], Hayashi et al. However, it may be the result of certain demographic and Escort Amaigbo differences in the gender that confers relative protection to females.
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Moreover, cardiac events occur in women at older age postmenopausal age compared to men [ 24 ]. Escort Amaigbo USA, Zheng et al. The peak age of incidence in our study was in the years age group, Escort Amaigbo a mean age of This agreed with previous studies from most parts of Nigeria, Turkey and South Africa [ 41316Escort Amaigbo25 ].
However, Ngbea et al. This report agreed with studies from Ireland, USA, India and china where there is a steady rise in the age at which most victims had sudden death [ 7 - 91734 ]. The differences reflect the Escort Amaigbo of genetics, race and social environment in the development of cardiac diseases and subsequent sudden death [ 9 ].
Carnethon et al. They also noted that despite the tailored pharmacotherapies for the African-Americans the management of cardiac diseases is less effective.
River Orashi takes off like a stream, with rocks, at the foot of the waterfall is m above sea level, in the Urashi enclave Ezeama community in Dikenafai.
This disparity is multifactorial Escort Amaigbo stems from individual to the social environment especially the poor health seeking Escort Amaigbo among African-Americans [ 35 ]. However; Anderson et al. The Escort Amaigbo cause of death in our study was complications of hypertension which included hypertensive heart disease, congestive cardiac failure, and acute left ventricular failure.
Hypertensive cardiovascular disease accounted for 26 cases Similar observations were made in Benin City, Oshogbo, India respectively [ 141937 ].
Studies in other parts of Nigeria showed that SUND related to hypertensive cardiovascular diseases constituted Moreover, The risk factors identified in this study had more direct impact on the cardiovascular system-related sudden unexpected deaths.
They were dietary factors, alcohol use, cigarette smoking, diabetes mellitus and congenital malformations. In a couple of cases 6. Dietary factor was the commonest risk factor as the Escort Amaigbo history of most victims did not reflect any pattern of healthy eating habits.
Traditional diets in Sub-Saharan Africa which are low in fat and high in unrefined carbohydrates protect against cardiovascular diseases. However, there is huge nutritional transition in composition and structure of diet resulting in diet with high fat content - particularly saturated fat, Escort Amaigbo carbohydrates, fruit, and vegetables, as well as high salt intake which may lead to the emergence of cardiovascular risks [ 1 ].
There is an increase in the patronization or dependence on the Escort Amaigbo food centres for burger, meat pies and polished white rice in Nigeria today. These western-type diets Escort Amaigbo less nutritional value than the whole grain and may have Escort Amaigbo effect on the lowering of blood pressures in the hypertensive patients than Escort Amaigbo brown rice and traditional African foods.
Moreover, there is no much knowledge of the guide line to healthy eating in Nigeria and its attendant financial implication [ 39 ]. Moreover, cardiovascular causes of SUND are amenable to certain micronutrients used in the fortification of foods. For instance, Nishimura et al. Isoflavones natural micronutrients in vegetablespolyunsaturated fatty acids and magnesium help in Escort Amaigbo reduction of atherosclerosis and cardiovascular events Escort Amaigbo 2441 ].
Furthermore, mediteranean style diet pattern which contains high vegetable, fruits, nuts, whole grain, fish and low processed food is ideal in the control of most dietary related sudden unexpected natural Escort Amaigbo [ 24 ]. About These risk factors are important agents that accelerate atherosclerosis of blood vessels, increase the blood pressure, alter the lipid profiles and ultimately progress to Escort Amaigbo death [ 42 ]. With the spread of malnutrition especially obesity, the prevalence of diabetes mellitus has been Escort Amaigbo the increase in Nigeria [ 4243 ].
In this study, Though DM may be a primary cause of SUND especially following its acute complications [ 3148 ] in our observations DM was a co-morbid condition may be commoner in blacks.
Reinier et al. Moreover, Escort Amaigbo et al. Several reports indicated that diabetes mellitus, dyslipidaemia and obesity have summative adverse prognostic effect on hypertension and subsequent cardiovascular events [ 50 - Escort Amaigbo ]. The second most common cause of SUND in our study was gastrointestinal diseases which constituted 8.
| First | City | State | Code | Spdating | Speed dating | Orgasm massage |
|---|---|---|---|---|---|---|
| Escort Amaigbo | Amaigbo | Abia | NG | 4486 | no | no |
| 02.09.2003 | ZSPW | yes | yes | yes | 56 | 47 |
| 10.12.2016 | 73 | ZSPW | yes | 66 | ZSPW | ZSPW |
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Amaigbo (Amaigbo, Amaigbo, Amaigbo, , Amaigbo, Amaigbo, Amaigbo)