Background: Preeclampsia is a major public health problem especially in low- and middle-income countries. It is associated with a serious burden on the health care system and the economy of the family. This study aimed to determine the prevalence of preeclampsia and feto - maternal outcome of women diagnosed with preeclampsia in a secondary health facility in North central Nigeria. Materials and Methods: This was a retrospective cross-sectional study carried out among women diagnosed with preeclampsia at Nigeria Customs Hospital KaruAbujaover a seven-month period from 1st of January 2022 to 31st July 2022.Case notes were identified from records in the labour ward, antenatal clinic, theatre, gynaecological emergency and the intensive care unit. The case notes were retrieved from the Central Medical Record’s library. Data was entered and analyzed using the IBM Statistical Product and Service Solutions (SPSS Statistics) Version 27. Armonk, NY: IBM CorpA. Results: The total of 420 deliveries were reported during the study period of which 56 cases developed preeclampsia and only 47 has the complete information and were included in the statistical analysis. The retrieval rate was 83.9%. The prevalence of preeclampsia among the study participants was 13.0%. The mean age of the study participants were 31.04 (5.01) years, The mean gestational age at the booking was 23.86 (4.73) weeks. The mean gestational age at the diagnosis preeclampsia was 35.60(4.87) Only12 (25.5%) participants had severe preeclampsia. Perinatal mortality was 8.5 per 1000, Thirty-three (77.0%) of the neonate were born prematurely, and 2 (4.6%) had birth asphyxia. No maternal death or stroke were reported among the study participants. Only six (12,8) of the women sustained acute kidney injury. Conclusion: The prevalence of preeclampsia was high in the rural community of Karu Abuja. No maternal death was reported among the study participants. The perinatal mortality was 8.5 per 1000 birth.

Insulinoma is a rare functional pancreatic neuroendocrine tumour that is usually sporadic and solitary. It can have a varied presentation. Neuroglycopenic manifestations of hypoglycemia due to insuline hypersecretion can mimic neurological or psychiatric disorders, thus often a diagnosis and treatment delay. Insulinoma is a potentially curable condition, but it can be fatal if left unrecognized. We report a case of A 45-year-old woman who had a 9-year delay before diagnosing insulinoma after being initially assessed with anxiety–depressive disorder. The case report below provides a detailed review of the diagnosis, tumour localization, and the successful surgical intervention implemented for the patient.

Background: The term ‘frozen shoulder’ should be reserved for a well-defined disorder characterized by progressive pain and stiffness of shoulder which usually resolves spontaneously after about 18 months. The objectives of treatment are to relieve pain and thus restore motion and function of shoulder. Recommended treatment approaches are physical therapy, local and systemic corticosteroid, anti-inflammatory drugs, antidepressants, nerve blocks and manipulation under anesthesia. Objective: Compare the efficacy of intra-articular corticosteroid injection and phonophoresis in the treatment of Adhesive Capsulitis. Method And Material: : This randomized clinical trial was performed in the Department of Physical Medicine and Rehabilitation, Dhaka Medical College Hospital, Dhaka, Bangladesh, over a period of six months. Study population was the patients of adhesive capsulitis disease attending the out- patient department of Physical Medicine and Rehabilitation during the study period. Meticulous history taking, clinical examination and relevant investigations were done. Eligible participants were allocated into two groups, group A-intra-articular corticosteroid injection and group B- phonophoresis by randomization with the help of lottery. Statistical Analysis: Statistical analysis was performed using the statistical program Statistical Package for Social Science (SPSS) version 16.0. Continuous variables (age, etc) were expressed as mean ± SD and comparison of socio- demographic variable of both groups was measures by chi-square test and outcome variables by t-test. A “p” value <0.05 was considered as significant with 95% confidence interval. Result: The mean age of the patients in this study was 51.47 ± 6.30 years. Out of 74 patients 44 were female & 30 were male and the ratio female: male ratio 1.46: 1. Out of 74patients 40.54% patients had right sided involvement and 59.45% patients had left sided involvement. Among 74 patients, service holder were 25 (33.80%), house wife 23 (31%), reteired (12.16%), labour 5(6.755), teacher 4(5.41%) and others 8(10.81%). Significant difference of VAS score and DASH score between Group A and Group B was found at week 2 and Week 6 follow up (P<0.05). Significant difference was found at week 2 and week 6 follow up (P<0.05) regarding ROM (flexion, abduction, internal rotation, external rotation) in Group A than Group B. Conclusion: Present study shown that intra-articular corticosteroid injection was more effective to reduce pain, improve ROM and disability in adhesive capsulitis.