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Nigerian Medical Journal: Journal of the Nigeria Medical Association

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https://www.readbyqxmd.com/read/29269988/ileoileal-intussusception-caused-by-the-metastasis-of-cutaneous-malignant-melanoma-to-the-small-bowel-6-years-after-its-excision-presenting-with-small-bowel-obstruction
#1
Gachabayov Mahir
No abstract text is available yet for this article.
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269987/secundum-atrial-septal-defect-with-eisenmenger-syndrome-a-scarcely-reported-disease-in-nigeria
#2
Nnamdi I Nwosu, Emeka Omejua, Nneka Udora, Ezinne Nwosu
Atrial septal defect (ASD) may be rarely associated with Eisenmenger syndrome (ES), the most advanced form of pulmonary vascular disease to complicate a congenital heart disease. In spite of availability of pediatric cardiologists and two-dimensional-echochardiography in many tertiary health care centers in Nigeria, late referral and late diagnosis of ASD still occur leading to the development of ES. We describe a case of a 19-year-old male with ASD who presented late with ES.
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269986/etiology-clinical-characteristics-and-management-of-pleural-effusion-in-ilorin-nigeria
#3
Peter Oladapo Adeoye, Wahab Rotimi Johnson, Olufemi Olumuyiwa Desalu, Chima Pascal Ofoegbu, Ademola Emmanuel Fawibe, Alakija Kazeem Salami, Abayomi Fadeyi, Akingbade Adebayo Akin-Dosumu, Ibraheem M Rasheedat
Background: Pleural effusion (PE) is a primary manifestation or secondary complication of many disorders. This study reviews the pattern and management of PE in a Nigerian hospital. Materials and Methods: The medical records of 213 patients with clinical diagnosis of PE over a period of 3 years were reviewed. Results: PE accounted for 0.5% of the total hospital admissions. The most common cause of PE was tuberculosis (TB) (32.9%), followed by malignancy (29...
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269985/are-semen-parameters-worsening-comparing-semen-parameters-10-years-apart
#4
Abayomi Bolaji Ajayi, Victor Dayo Ajayi, Ifeoluwa Oyetunji, Oluwafunmilola Biobaku, Happiness Aikhuele, Atiba Adedamilola, I Ibukun Ayelehin, Bamgboye M Afolabi
Background: Semen parameters, especially sperm count and motility have been said to be diminishing over time with implications for fertility and infertility treatment. Objective: The objective of this study was to study semen parameters 10 years apart and describe any observed change. Design: A retrospective study carried out at Nordica Fertility Centre, Lagos, Nigeria. Semen parameters of 100 consecutive men who sought fertility treatment on account of infertility in 2003 and semen parameters of 100 consecutive men who also sought fertility treatment at the center in 2013 on account of infertility were analyzed and compared...
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269984/clinical-feature-and-management-of-immune-thrombocytopenic-purpura-in-a-tertiary-hospital-in-northwest-nigeria
#5
Abdulaziz Hassan, Adeshola Adebayo, Abubakar Umar Musa, Aishatu Maude Suleiman, Ismaila Nda Ibrahim, Ibrahim Usman Kusfa, Mohammed Sirajo Aminu
Background: Immune thrombocytopenic purpura (ITP) is a rare bleeding disorder that may remit spontaneously. Life-threatening bleeding may require transfusion support, steroids, and other immunosuppressive therapy or splenectomy. Objective: To review the clinical presentation and laboratory features of ITP at Ahmadu Bello University Teaching Hospital (ABUTH), Zaria, Nigeria. Subjects and Methods: A retrospective analytic study of case notes and bone marrow (BM) records of patients diagnosed with ITP at Haematology Department, ABUTH, Zaria, from January 1, 2004, to December 31, 2012...
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269983/effects-of-atorvastatin-on-proteinuria-of-type-2-diabetic-nephropathy-in-patients-with-history-of-gestational-diabetes-mellitus-a-clinical-study
#6
Fatemeh Abbasalizadeh, Parviz Saleh, Rana Dousti, Reza Piri, Mohammad Naghavi-Behzad, Shamsi Abbasalizadeh
Background: Gestational diabetes is known as one of the diseases through pregnancy. In the present study, changes in proteinuria after atorvastatin administration among patients with history of gestational diabetes were studied. Materials and Methods: In this randomized clinical trial, 42 patients were included in the study. Atorvastatin was administered for 21 patients, and 21 patients were designated as control group. Lipid profile, protein, and 24 h urine creatinine (uCr) levels were determined in the beginning and 3 months after intervention...
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269982/diagnostic-accuracy-of-spot-albumin-creatinine-ratio-and-its-association-with-fetomaternal-outcome-in-preeclampsia-and-eclampsia
#7
Rekha Sachan, Munna Lal Patel, Pushpalata Sachan, Radhey Shyam, Pratima Verma, Soniya Dheeman
Introduction: Hypertensive disorders in pregnancy are one of the leading causes of maternal and perinatal mortality. Proteinuria is one of the common and important features of preeclampsia. To evaluate the diagnostic accuracy of albumin-creatinine ratio (ACR) in woman with preeclampsia and eclampsia and examine the association between ACR and fetomaternal outcome. Materials and Methods: Prospective study carried out over a period of 1 year in the Department of Obstetrics and Gynaecology, after informed consent and ethical clearance total ninety pregnant women from gestational age 20 to 40 weeks were enrolled, including, thirty preeclampsia, thirty antepartum eclampsia, considered as cases and thirty normotensive pregnant women as controls...
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29269981/the-incidence-risk-factors-and-determinants-of-perinatal-outcome-of-umbilical-cord-prolapses-in-lagos-nigeria
#8
Omololu Adegbola, Olufemi Ayanbode
Background: Umbilical cord prolapse is an obstetric emergency which is associated with significant perinatal mortality and morbidity as well as long-term handicap. Objectives: The objective of this study was to determine the incidence of cord prolapse, elucidate the risk factors as well as the fetal outcome at the Lagos University Teaching Hospital (LUTH). Design and Setting: A retrospective study at a tertiary care center in Lagos, Nigeria...
March 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238129/persistent-hypocalcemia-and-hungry-bone-syndrome-after-parathyroidectomy-and-renal-transplantation-in-a-patient-with-end-stage-renal-disease
#9
Hamid Tayyebi-Khosroshahi, Farahnoush Farnood, Maryam Ghorbanian, Farid Karkon-Shayan, Mohammad Naghavi-Behzad
Hungry bone syndrome (HBS) defines as persistent and severe hypocalcemia after parathyroidectomy surgery. It is treated by oral or venous discrimination of calcium carbonate. The present treatment is mostly effective. Hereby, we describe a 60-year-old man who had developed hyperparathyroidism secondary to end-stage renal disease and then parathyroidectomy was performed for him twice before renal transplantation. Up to 500 vials of calcium gluconate (100 mg/ml calcium gluconate 10%) were administered for him to control serum calcium level after parathyroidectomy and renal transplantation...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238128/evaluation-of-outcomes-of-tuberculosis-management-in-private-for-profit-and-private-not-for-profit-directly-observed-treatment-short-course-facilities-in-lagos-state-nigeria
#10
Olusola Adedeji Adejumo, Olusoji James Daniel, Andrew Folarin Otesanya, Shukrat Olajumoke Salisu-Olatunj, Husseine A Abdur-Razzaq
Background: The engagement of private practitioners in the public-private mix of tuberculosis (TB) management started in 2007 in Lagos State Nigeria. This study compared the treatment outcomes of patients managed at private for profit (PFP) and private not for profit (PNFP) directly observed treatment short course (DOTS) facilities. Methods: A retrospective review of treatment cards of TB patients managed between January 1, 2012, and June 30, 2012, in seven PFP and four PNFP DOTS facilities that served as treatment and microscopy center under the Lagos State TB and Leprosy Control Programme (LSTBLCP) at least 2 years before data collection was conducted...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238127/comparison-between-brain-natriuretic-peptide-and-calcitonin-gene-related-peptide-in-children-with-dilated-cardiomyopathy-and-controls
#11
Noor Mohammad Noori, Alireza Teimouri, Iraj Shahramian
Background: Dilated cardiomyopathy (DCM) is revealed with the left ventricular dilatation and systolic dysfunction. Objective: This study was performed to determine the level of calcitonin gene-related peptide (CGRP) and brain natriuretic peptide (BNP) in children with DCM and controls and comparison of these two biomarkers in patients. Materials and Methods: This study was performed from April 2014 to March 2015 on patients with DCM. The levels of BNP and CGRP were measured by ELISA, and final amounts of biomarkers were compared with the echocardiographic finding...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238126/should-venous-doppler-ultrasonography-be-routinely-applied-before-lower-extremity-major-orthopedic-surgery
#12
Hasan Göçer, Ali Kemal Yazici, Ahmet Veysel Polat
Background: Hip-knee arthroplasty and knee arthroscopy (KA) is frequently applied in the orthopaedic surgery. The approach does not exist related with the preoperative asymptomatic deep venous thrombosis (DVT). In this study, the patients who would undergo surgery lower extremity were screened for asymptomatic DVT, using the venous Doppler ultrasonography (USG). Patients and Methods: DVT was screened by venous Doppler USG in the patients who would undergo hip-knee arthroplasty and KA between the dates of November 2013 and September 2015...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238125/determinants-of-contraceptive-use-by-women-in-the-central-senatorial-zone-of-bayelsa-state-nigeria-a-cross-sectional-survey
#13
Numonyo Duabo Dambo, Israel Jeremiah, Akhtar Wallymahmed
Background: Contraceptives are known to contribute to maternal health and well-being as well as improve child survival. Due to the multiethnic nature of Nigeria, it is known that the factors that influence contraceptive use may vary from one location to another and as such a blanket policy by the federal government on improving contraceptive use may not take into account the subtle differences in sociocultural practices that may influence contraceptive use. The aim of the study was to determine the contraceptive prevalence and explore factors that determine the use of contraceptives among women of Bayelsa Central Senatorial Zone...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238124/rare-craniofacial-cleft-in-a-dark-skinned-african-population
#14
O Olalekan Adeosun, Stephen Agbomhekhe Ogah
Background: Craniofacial clefts are congenital anomalies which pose a management challenge to cleft surgeons, especially in developing countries. The aim of this study is to share our experience regarding the management of these atypical facial clefts. Patients and Methods: This prospective study was carried out from May 2009 to May 2014 at Federal Medical Centre, Nguru, Nigeria. Diagnosis was based on clinical examination and Tessier classification was used to describe these clefts...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238123/epidemiology-triggers-and-severity-of-childhood-asthma-in-ilesa-nigeria-implications-for-management-and-control
#15
Bankole Peter Kuti, Kehinde Oluyori Omole
Background: Knowledge about childhood asthma in a locality will assist clinicians to adequately manage the condition. This study set out to report the epidemiology, triggers of exacerbation, comorbid conditions, and severity of childhood asthma at a tertiary health facility in Nigeria and the implication of these, in management and symptoms control. Methods: Over a 15-month study period, children (aged <15 years) with physician-diagnosed asthma were consecutively recruited at the pediatric chest clinic of the hospital...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238122/right-ventricular-function-in-patients-with-heart-failure-in-a-cardiac-clinic-in-southwest-nigeria
#16
Adeseye A Akintunde
Background: Right ventricular (RV) function is an important entity in heart failure. Patients with RV dysfunction (RVD) have poorer prognosis and exercise tolerance than those with preserved RV systolic function. Tricuspid annular plane systolic excursion (TAPSE) has been proposed as a simple and reproducible parameter for the qualitative assessment of RV systolic function/ejection fraction (EF). This study aims at describing RV function/RVD among heart failure patients in a specialized cardiac facility in Southwestern Nigeria...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/29238121/epidemic-preparedness-and-management-a-guide-on-lassa-fever-outbreak-preparedness-plan
#17
REVIEW
Akinola Ayoola Fatiregun, Elvis Efe Isere
Epidemic prone diseases threaten public health security. These include diseases such as cholera, meningitis, and hemorrhagic fevers, especially Lassa fever for which Nigeria reports considerable morbidity and mortality annually. Interestingly, where emergency epidemic preparedness plans are in place, timely detection of outbreaks is followed by a prompt and appropriate response. Furthermore, due to the nature of spread of Lassa fever in an outbreak setting, there is the need for health-care workers to be familiar with the emerging epidemic management framework that has worked in other settings for effective preparedness and response...
January 2017: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/27942104/serum-thyroid-stimulating-hormone-level-and-relation-with-size-of-hippocampus-in-patients-with-mild-cognitive-disorders
#18
Mohammad-Hossein Daghighi, Masoud Poureisa, Pegah Ahmadi, Mahmoud Reshadatjoo, Sahar Golestani, Mohammad Naghavi-Behzad, Farid Karkon-Shayan
BACKGROUND: Cognitive disorders and dementia are common problems, and Alzheimer's disease is one of the major leading causes of death worldwide. Thyroid hormone disorders as a common problem effect on hippocampus size which as a prognostic factor in dementia. The aim of the present study was to investigate the relationship between serum thyroid-stimulating hormone (TSH) level and the size of hippocampus in patients with mild cognitive disorders. MATERIALS AND METHODS: In a descriptive-analytical study, 41 patients with symptoms of mild cognitive disorders whom referred to take the brain magnetic resonance image (MRI) in a radiology center under the direction of Tabriz University of Medical Sciences (Tabriz, Iran) were evaluated...
November 2016: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/27942103/gentamicin-mediated-ototoxicity-and-nephrotoxicity-a-clinical-trial-study
#19
Parviz Saleh, Shamsi Abbasalizadeh, Saman Rezaeian, Mohammad Naghavi-Behzad, Reza Piri, Hojjat Hossein Pourfeizi
BACKGROUND: Aminoglycosides and mainly gentamicin are the most important antimicrobial agents. Two different methods of administration exist: Single and multiple doses. There has always been a controversy about the less harmful administration method, to minimize adverse effects of gentamicin - deafness and renal insufficiency. In this study, it was aimed to compare two different methods of administration to figure out the least harmful treatment method. MATERIALS AND METHODS: In a clinical study, eighty patients aged 12-55 years who were admitted with sepsis syndrome were included in the study; they were divided into two groups: The first group received single-dose treatment (5 mg/kg) whereas the second group was treated with multiple doses (1...
November 2016: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://www.readbyqxmd.com/read/27942102/quality-of-acute-asthma-care-in-two-tertiary-hospitals-in-a-state-in-south-western-nigeria-a-report-of-clinical-audit
#20
Olufemi Olumuyiwa Desalu, Adekunle Olatayo Adeoti, Olarinde Jeffrey Ogunmola, Joseph Olusesan Fadare, Tolutope Fasanmi Kolawole
BACKGROUND: To audit the quality of acute asthma care in two tertiary hospitals in a state in the southwestern region of Nigeria and to compare the clinical practice against the recommendations of the Global Initiative for Asthma (GINA) guideline. PATIENTS AND METHODS: We carried out a retrospective analysis of 101 patients who presented with acute exacerbation of asthma to the hospital between November 2010 and October 2015. RESULTS: Majority of the cases were females (66...
November 2016: Nigerian Medical Journal: Journal of the Nigeria Medical Association
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