S B Garko

Ahmadu Bello University, Zaria, Kaduna State, Nigeria

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Publications (7)1.12 Total impact

  • Annals of African medicine. 01/2009; 8(4):284-6.
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    S B Garko, O S David, M Tasiu
    Annals of African medicine 07/2008; 7(2):94-5.
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    ABSTRACT: In acromegaly, specific structural and functional changes in the heart appear to contribute to the increased mortality in this disease. This disease is uncommon in Nigeria, West Africa and little has been published about it; also rare is clinically evident heart failure. We are therefore highlighting a late presentation of acromegaly as heart failure. A 45-year-old woman presented with a 4-year history of progressive increase in body size, lactation and amenorrhoea, and a six-week history of worsening symptoms of heart failure. Physical examination showed coarse facial features, spade like hands and feet, pitting pedal edema, galactorrhoea, and features of congestive cardiac failure. Chest radiograph showed gross cardiomegaly. On skull radiograph, destruction of the floor of the pituitary fossa was noted, with erosion of the clinoid processes. She had hyperprolactinamia. Fasting and post-glucose growth hormones values were elevated. Echocardiography revealed features of both diastolic and systolic dysfunction with left ventricular hypertrophy and dilation. A diagnosis of acromegalic cardiomyopathy in severe congestive heart failure was made. She was managed with anti-heart failure drugs with good results and subsequently began on a dopamine agonist. She was lost to follow up. Acromegaly is uncommon in our practice. This patient presented late with complications. Management was very difficult because of the combination of severe complications and lack of resources.
    Ethnicity & disease 02/2008; 18(1):104-6. · 1.12 Impact Factor
  • S B Garko
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    ABSTRACT: This study was conducted among people living with HIV/AIDS (PLWHAs) and it tries to understand their sexual and reproductive lives, with the aim of understanding what they know about reproductive health, social challenges of life they face daily and what are their needs. The study was conducted in the Northern state of Kaduna, Nigeria; a qualitative approach was employed using group interviews, in-depth interviews and focus group discussions. Individual PLWHAs, their associations and officials of the associations were interviewed. People living with HIV/AIDS (PLWHAs) are a group of people whose life has not been studied very well, they have a lot of pressing social issues such as their circumstances of diagnosis, bad experiences following the diagnosis, and lack of adequate provisions for their healthcare. They wish to see their welfare addressed with provision of drugs and social support. PLWHAs and their associations expressed concerns about how they are treated by both medical workers and the society. There is need to address these issues in the way of research aimed at changing the views of policy makers favourably.
    Annals of African medicine 10/2007; 6(3):124-7.
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    S. B. Garko, C. N. Ekweani, O. Okpe
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    ABSTRACT: Invasive pulmonary aspergillosis is a fulminant and highly lethal infection of severely immunocompromised patients. Risk factor for aspergillus infection include granulocytopenia (from bone marrow infiltration), intensive cytotoxic chemotherapy, corticosteroid use, chronic obstructive airway disease, pneumoconiosis and malnutrition to mention a few. Rarely, pulmonary aspergillosis has been reported in immunocompetent patients, reports of right ventricular dysfunction from pulmonary aspergillosis are not common. This is a report of pulmonary aspergillosis with cor pulmonale in an immunocompetent Nigeria man.
    Annals of African Medicine (ISSN: 1596-3519) Vol 1 Num 2.
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    S. B. Garko, C. N. Ekweani, C. A. Anyiam
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    ABSTRACT: Background: Many factors affect mortality among hospitalized patients. These include: - age, sex, diagnosis, types and complexity of co-morbidities, social and economic conditions of the patient and duration of hospital stay. Duration of hospital stay as it affects mortality is studied on our medical wards. Methods: A two year review of admissions into our medical wards between June 1999 and June 2001 was carried out. Medical records of patients as well as the discharge/death register were used. The SPSS version 10 was used to analyse the data Results: A total of 179 patients with age range of 12-85 years, mean age of 44.46 years were studied. Twenty (11.2%) of them died. Sixty-five percent of all deaths had occurred by the fifth day of admission, only 15% of all deaths occurred after the 10th day of admission. The mean duration of hospital stay for those who died was significantly shorter (P<0.01) than that for those who were discharged (4.95 days vs. 12.5days). Conclusion: The results suggest that duration of hospital stay is strongly linked with the likelihood of death among other factors. Death occurring mostly within the first few days of admission. Improved public health and education, raising the socio-economic status of people and improving the standards of our healthcare facilities and personnel would prevent a large proportion of deaths on our medical wards.
    Annals of African Medicine (ISSN: 1596-3519) Vol 2 Num 2.
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    ABSTRACT: To determine the correlates of late life depression among elderly hypertensive patients as seen in Zaria Northern Nigeria. Elderly hypertensive patients attending the cardiac clinic of Ahmadu Bello University Teaching Hospital Zaria were recruited for the study. They were interviewed using socio-demographic Questionnaire, Consortium to Establish Registry for Alzheimer's Disease (CERAD), Geriatric Depression Scale -30 and Stick Design Test. Patients that had a score of 11 and above in the GDS-30 were further interviewed using the Geriatric Mental State Schedule(GMSS) AGECAT. Data obtained from the study was analyzed using Statistical Package for Social Sciences windows version 15. All tests of significance were carried out at 5% level of probability RESULTS: A total of 179 patients participated in the study out of which 110(65.1%) were females. The mean age of the subject was 68.23 ± 5.72 years. The rate of late life depression based on International Classification of Diseases (ICD), 10th edition and Geriatric Mental State Schedule AGECAT (GMSS-AGECAT) diagnoses were 17. 88% (32) and 20.11 %( 36) respectively. There was very good agreement between diagnoses based on ICD-10 criteria and GMSS-AGECAT (kappa=0.82, p< .001). Late life depression was significantly associated with recent bereavement (OR=11.04, p=.001), poverty (OR=4.39, p=.036) and lower diastolic blood pressure (7.04, p=.008). Conclusion The rate of late life depression in this study is comparable to that of other studies reported in the literature. Poverty and bereavement but not high blood pressure, are important factors associated with depression in the elderly.
    The Nigerian postgraduate medical journal 20(3):208-213.

Publication Stats

10 Citations
1.12 Total Impact Points

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Institutions

  • 2007–2009
    • Ahmadu Bello University
      • Department of Medicine
      Zaria, Kaduna State, Nigeria