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Nigerian Postgraduate Medical Journal

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https://www.readbyqxmd.com/read/28762369/variable-presentation-of-retrocaval-ureter-report-of-four-cases-and-review-of-literature
#1
Muhammed Ahmed, Abdullahi Alhassan, Muhammad Abubakar Sadiq, Ahmad Tijjani Lawal, Ahmad Bello, Hussaini Yusuf Maitama
Retrocaval ureter is a rare anomaly in which the ureter passes behind the inferior vena cava due to abnormal embryogenesis. Very few cases have been reported from Africa. Although the anomaly is congenital, patients become symptomatic in the third or fourth decade of life. We reviewed the records of four patients with the diagnosis of retrocaval ureter and managed in our centre between January 2010 and December 2016. Three patients presented with recurrent colicky right flank pain while one was asymptomatic...
April 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28762368/antibiotic-susceptibility-profiles-of-non-fermenting-gram-negative-bacilli-at-a-tertiary-care-hospital-in-patiala-india
#2
Udhayvir Singh Grewal, Rupinder Bakshi, Geeta Walia, Parth Rajeshbhai Shah
BACKGROUND: Non-fermenting Gram-negative bacilli (NFGNB) have emerged as a major cause of healthcare-associated infections and are innately resistant to many antibiotics. AIM: The aim of this study was to determine the prevalence of NFGNB isolated from various clinical specimens and evaluate their antimicrobial susceptibility profiles. MATERIALS AND METHODS: This retrospective study was done at our Department of Microbiology from December 2015 to December 2016...
April 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28762367/socioeconomic-status-of-parents-and-the-occurrence-of-pelvic-inflammatory-disease-among-undergraduates-attending-irrua-specialist-teaching-hospital-irrua-edo-state-nigeria
#3
Tijani Idris Ahmad Oseni, Michael Adeoye Odewale
BACKGROUND: Pelvic inflammatory disease (PID) is a major cause of gynaecological morbidity globally. Complications from PID include infertility, ectopic pregnancy and chronic pelvic pain. Low socioeconomic status (SES) is a risk factor for the occurrence of PID. OBJECTIVE: The aim of this study was to determine the association between SES of parents and the occurrence of PID among undergraduates attending Irrua Specialist Teaching Hospital, Irrua. METHODOLOGY: The study was a hospital-based, descriptive cross-sectional study...
April 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28762366/prevalence-and-factors-associated-with-exercise-induced-bronchospasm-among-rural-school-children-in-ilesa-nigeria
#4
Bankole Peter Kuti, Demilade Kehinde Kuti, Kehinde Oluyori Omole, Lasisi Oluwafemi Mohammed, Busayo Gideon Ologun, Bolanle Idowu Oso
BACKGROUND: Exercise-induced bronchospasm (EIB) assessed using changes in peak expiratory flow rates (PEFRs) to free range exercise is a relatively cheap way of screening for asthma in resource-poor centres where children with asthma are often undiagnosed and poorly managed. This study sets out to determine the prevalence and factors associated with EIB among rural schoolchildren in Ilesa, Nigeria. SUBJECTS AND METHODS: Children aged 8-16 years from two middle schools in rural Ilesa were selected by multistage sampling...
April 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28762365/reliability-and-validity-of-the-yoruba-version-of-the-oswestry-disability-index
#5
Ayoola Ibifubara Aiyegbusi, Ashiyat Kehinde Akodu, Eniolorunda Olajide Agbede
CONTEXT: Low back pain (LBP) is a major cause of disability, and the Oswestry Disability Index (ODI) is a validated assessment tool for evaluating disability in LBP patients. Cross-cultural adaptation of the ODI is important because not all populations are proficient in English. The Yoruba language is an indigenous language spoken by 40 million people in the Western part of Nigeria and some countries in West Africa and Latin America. Currently, no validated Yoruba version of ODI is available...
April 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28762364/brain-and-spine-imaging-artefacts-on-low-field-magnetic-resonance-imaging-spectrum-of-findings-in-a-nigerian-tertiary-hospital
#6
Godwin Ogbole, Joseph Odo, Richard Efidi, Richard Olatunji, Ayotunde Ogunseyinde
BACKGROUND: Low-field (LF) magnetic resonance imaging (MRI) is a technology that is widely used in resource-limited settings for clinical imaging. The images produced, even though of low resolution with noise and artefacts, provide valuable information and guidance for patient assessment and treatment. This study shows a spectrum of MRI artefacts that affect image quality during routine clinical neuroradiology practice using LF MRI in a Nigerian hospital and suggests ways to avoid them...
April 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28762363/routine-chest-radiograph-in-pre-employment-medical-examination-for-healthcare-workers-time-for-a-review-of-the-protocol
#7
Oluseun Oloruntoba Adeko, Adekunle Joseph Ariba, Ayodeji Anike Olatunji, Oluyemisi O Toyobo
BACKGROUND: Pre-employment medical examination (PEME) sought to evaluate the ability of workers to work without risk to their own or others' health and safety. This is important especially in a hospital environment where the patients may be at risk in case of employees harbouring infectious lung conditions or as a result of occupational exposure. Although not all healthcare workers are at risk or pose risk, they are expected to undergo chest X-ray (CXR) as part of PEME. AIMS: The aim of this study is to determine the number of prospective employees with abnormal findings on routine CXR, describe their characteristics and reassess the value of CXR in PEME...
April 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28762362/prevalence-and-pattern-of-potential-drug-drug-interactions-among-chronic-kidney-disease-patients-in-south-western-nigeria
#8
J Fasipe Olumuyiwa, A Akinbodewa Akinwumi, O Adejumo Ademola, B Akawa Oluwole, E Okaka Ibiene
BACKGROUND: Management of chronic kidney disease (CKD) patients often requires the use of multiple drugs due to a high number of cardiovascular risk factors and complications associated with the disease. Multiple drugs predispose to potential drug-drug interactions (DDIs) which may be associated with increased morbidity, mortality, length of hospital stay and health-care cost. OBJECTIVES: This study determined the prevalence and pattern of potential DDIs among CKD patients attending Kidney Care Centre, in Ondo City, Nigeria...
April 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28762361/prevalence-of-chronic-kidney-disease-and-its-risk-factors-among-adults-in-a-semi-urban-community-of-south-east-nigeria
#9
Chimezie Godswill Okwuonu, Innocent Ijezie Chukwuonye, Oluseyi Ademola Adejumo, Emmanuel Idoko Agaba, Louis Ikechukwu Ojogwu
BACKGROUND: Chronic kidney disease (CKD) is an increasingly prevalent problem worldwide. Treatment of end-stage kidney disease is beyond the reach of an average Nigerian. The prevention and early detection are imperative to reducing its burden. AIM: The aim of this study was to determine the prevalence of CKD and some of its risk factors among adults in a representative semi-urban Nigerian population. SUBJECTS AND METHODS: A cross-sectional study involving 400 randomly selected adults...
April 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28762360/screening-for-bacterial-vaginosis-before-intrauterine-device-insertion-at-a-family-planning-clinic-in-south-west-nigeria
#10
Opeyemi Rebecca Akinajo, Folasade A Bello, Oluwasomidoyin O Bello, Oladapo O Olayemi
AIM: This study determined the prevalence of bacterial vaginosis (BV) among clients before insertion of intrauterine device (IUD) and compared the incidence of complications between participants who were positive and negative for BV. PATIENTS AND METHODS: This was an observational cohort study that was performed between May 2014 and September 2014. A total of 360 women were recruited and followed up for 1 month. High vaginal swabs were obtained from each participant pre-insertion of the IUD and 1 month post-insertion...
April 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28762359/factors-associated-with-antenatal-care-services-utilisation-patterns-amongst-reproductive-age-women-in-benin-republic-an-analysis-of-2011-2012-benin-republic-s-demographic-and-health-survey-data
#11
Justin Dansou, Adeyemi O Adekunle, Ayodele O Arowojolu
BACKGROUND: High maternal and neonatal mortality persist in Benin Republic despite recent improvements. Numerous women and newborns continue to suffer preventable deaths. Although factors associated with the attendance of at least one antenatal care (ANC) visit are well documented, there is little evidence on factors related to compliance with World Health Organization (WHO) recommended four ANC visits. The present study determined the extent to which reproductive age mothers received the ANC check-ups at a health facility focussing on the WHO-recommended regimen...
April 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28492213/psychiatry-outside-the-framework-of-empiricism
#12
Celestine Okorome Mume
Science is interested in whatever that is empirical and objective. Any claim that cannot be objectively demonstrated has no place in science, because the subject does not deviate from the role, which it has set out to play in the life of mankind. Psychiatry, as a scientific discipline, plays along these basic principles. In the etiology, symptomatology, and management of psychiatric disorders, the biopsychosocial model recognizes the role of biological, psychological, and social factors. This essay views psychiatry from the biopsychosocial perspective and asserts that certain elements, which may not be readily and empirically verifiable, are important in the practice of psychiatry...
January 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28492212/isolated-sternal-cleft-in-a-patient-with-atrial-septal-defect-a-rare-sole-association
#13
Olugbenga O Olusoji, Saheed B Sanni, Omotayo O Omodara, Oluwaseye F Akerele
Sternal cleft (SC) is a rare form of chest wall deformity with an incidence of <0.15%. It occurs because of failure of fusion of the sternal bars about the 7-9th week of intrauterine life. It could occur in isolation or as a part of a syndromic complex. This condition exposes the vital mediastinal structures to a huge risk of injury, aside from cosmetic issues. Treatment in the neonatal period is most favourable, though other modalities are available in the later stages of life, but it can be challenging...
January 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28492211/raised-adenosine-deaminase-in-the-cerebrospinal-fluid-a-tool-for-the-diagnosis-of-tuberculous-meningitis-in-developing-countries
#14
Purti A Saini, Preeti R Chakrabarti, Dosi Shilpi, Gambhir Shankhini, Gupta Priyanka, Tignath Gargi
CONTEXT: The rapid diagnosis followed by the early treatment of tuberculous meningitis (TBM) is important in preventing fatal outcomes. The mainstay of diagnosis lies in cerebrospinal fluid (CSF) analysis, radiological investigations, and clinical findings. AIM: The present study was conducted to determine the efficacy, sensitivity, and specificity of raised adenosine deaminase (ADA) level in CSF to differentiate TBM from non-TBM cases as a rapid, cost-effective, and noninvasive test...
January 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28492210/predictors-of-quality-of-life-in-patients-with-diabetes-mellitus-in-two-tertiary-health-institutions-in-ghana-and-nigeria
#15
Grace K Ababio, Samuel Bosomprah, Adesola Olumide, Nicholas Aperkor, Chris Aimakhu, Audrey Oteng-Yeboah, Joan Agama, William F Chaplin, Kola S Okuyemi, Albert G B Amoah, Gbenga Ogedegbe
BACKGROUND: Patients with chronic diseases such as Type 2 diabetes mellitus (DM) usually have a relatively poor quality of life (QoL), because the cost of care (living expenses and health) or diet restrictions are heavily felt by these patients, and this is of a public health concern. However, limited data on DM QoL exist in Ghana and Nigeria. This makes it imperative for data to be collated in that regard. MATERIALS AND METHODS: We adopted the Strengthening The reporting of observational studies in epidemiology (STROBE) consensus checklist to survey the patients with DM seen at the diabetic clinic at the Department of Medicine of the Korle-Bu Teaching Hospital and University College Hospital, Ibadan, Nigeria...
January 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28492209/some-characteristics-of-gliomas-managed-at-a-neurosurgery-centre-in-nigeria
#16
Chika A Ndubuisi, Samuel C Ohaegbulam, Mark O Chikani, Wilfred C Mezue, Tobechi Mbadugha, Mark Okhueleigbe
BACKGROUND: Gliomas are important primary brain tumours with varying prognosis. AIM: To study the histology characteristics of brain gliomas managed in a Neurosurgical centre in Nigeria. MATERIALS AND METHODS: A retrospective analysis of prospectively recorded data of patients managed for intracranial gliomas at our Hospital for Neurosurgery, between year 2006 and 2015. Only the patients with conclusive histology diagnosis following surgery were analysed...
January 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28492208/self-reported-dental-pain-and-dental-caries-among-8-12-year-old-school-children-an-exploratory-survey-in-lagos-nigeria
#17
Abiola A Adeniyi, Olumuyiwa O Odusanya
BACKGROUND: Dental pain is considered an important public health problem because it affects the daily life of children. This study was designed to assess the prevalence, associated factors, and impact of dental pain among 8-12-year-old school children in Lagos, Nigeria. SUBJECTS AND METHODS: A cross-sectional survey to determine self-reported dental pain among 8-12-year-old school children using an interviewer-administered questionnaire was conducted. This was followed by a clinical examination to determine the child's oral hygiene status and dental caries status...
January 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28492207/research-experience-of-resident-doctors-who-attended-research-methodology-courses-of-the-national-postgraduate-medical-college-of-nigeria
#18
Emmanuel A Jeje, Olumide A Elebute, Bolaji O Mofikoya, Michael A Ogunjimi, Taiwo O Alabi, Oyenike O Ekekezie
INTRODUCTION: For over three decades, the National Postgraduate Medical College of Nigeria (NPMCN) has been vested with the responsibility of overseeing postgraduate medical training. The main objective of this study was to assess the residents' perception of research as well as challenges faced in pursing seamless research during their training. MATERIALS AND METHODS: This study was a cross-sectional descriptive survey in 2013. Self-administered questionnaires were distributed to the participants of the annual research methodology workshop in all the 15 faculties of the NPMCN...
January 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28492206/community-screening-for-pre-hypertension-traditional-risk-factors-and-markers-of-chronic-kidney-disease-in-ondo-state-south-western-nigeria
#19
Akinwumi A Akinbodewa, Ademola O Adejumo, Olusesan V Koledoye, Janet O Kolawole, Damilola Akinfaderin, Abiola O Lamidi, Gloria O Gbakinro, Christianah Ogunduyile, Walter B Osungbemiro
BACKGROUND: Chronic kidney disease (CKD) has become an epidemic with many recognised risk factors. However, the role of pre-hypertension in CKD is yet to be fully studied in our environment. OBJECTIVES: We set out to determine the magnitude of pre-hypertension and traditional CKD risk factors. We also determined their relationships to proteinuria. SUBJECTS AND METHODS: This was a descriptive, cross-sectional study conducted in two urban local government areas (Akure South and Ondo West) in Ondo State, Southwest Nigeria in March 2014...
January 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28492205/the-identification-and-grading-of-the-psychosocial-impact-of-tinea-capitis-in-primary-school-children-in-a-semi-urban-area-of-rivers-state-nigeria
#20
Agnes E Fienemika, Chukwuma U Okeafor
INTRODUCTION: Tinea capitis is a fungal skin disease, which is not life-threatening but could affect the psychosocial life of those suffering from it. Thus, this study sought to identify and grade the psychosocial impact related to Tinea capitis in primary school children. SUBJECTS AND METHODS: This was a cross-sectional study involving primary school children in Emohua Local Government Area of Rivers State. These children had been clinically diagnosed with Tinea capitis...
January 2017: Nigerian Postgraduate Medical Journal
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