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Nigerian Postgraduate Medical Journal

Priyanka Sehrawat, K K Shivlingesh, Bhuvandeep Gupta, Richa Anand, Abhinav Sharma, Monica Chaudhry
AIM: To assess the oral health knowledge, awareness and associated exercised practices of pre-school children's mothers in Greater Noida, India. SUBJECTS AND METHODS: The sampling frame for this study was chosen via convenient sampling. It comprised 598 mothers of children aged between 2 and 5 years, attending the paediatrics division of a government and four private hospitals in Greater Noida. A pre-tested questionnaire was distributed to the participants which comprised questions on the participant's sociodemographic characteristics and 23 statements regarding their knowledge, attitude and practices towards their child's oral health...
July 2016: Nigerian Postgraduate Medical Journal
Simon Pius, Mustapha Bello, Gadzama Balla Galadima, Halima A Ibrahim, Samuel Timothy Yerima, Jose Pwavimbo Ambe
AIMS AND OBJECTIVES: The aim and objective of the study was to determine the incidence, bacterial isolates and the antibiogram sensitivity of the isolates in neonates with septicaemia. PATIENTS AND METHODS: The neonates with clinical diagnosis of neonatal septicaemia (NNS) were consecutively enrolled into our special care baby unit. The patients were investigated including blood cultures, cerebrospinal fluid cultures and urine among others. Data were analysed with Statistical Package for Social Sciences software version 16...
July 2016: Nigerian Postgraduate Medical Journal
Ayodeji Akinwumi Akinbodewa, Oludamilola Adebola Adejumo, Oluseyi Ademola Adejumo, Funmilola Yinka Adebayo, Gladys Oghenevo Akinbodewa, Emmanuel Oladimeji Alli, Mercy Aanuoluwapo Benson
BACKGROUND: Discharge against medical advice (DAMA) portends serious ethico-legal consequences for healthcare givers. Several studies have described its prevalence and pattern but hardly any to evaluate adherence to standards by medical staff while administering DAMA in developing countries. OBJECTIVES: The objective of this study is to evaluate adherence of medical staff to standard protocols during the administration of DAMA in a public secondary hospital in Ondo State...
July 2016: Nigerian Postgraduate Medical Journal
Babatunde Abayomi Salami, Olatunde Odusan, Henry Okuchukwu Ebili, Patrick Akintunde Akintola
BACKGROUND: The prevalence of goitrous swelling has reduced in Nigeria since the introduction of salt iodisation programme. Thyroid disorders are the second most common endocrine disorder after diabetes mellitus worldwide. They present to general outpatient, medical and surgical clinics accompanied by great anxiety and poor health-related quality of life. OBJECTIVES: The study aimed to determine and describe the spectrum of thyroid disorders seen at Olabisi Onabanjo University Teaching Hospital over a 10-year period...
July 2016: Nigerian Postgraduate Medical Journal
Oluwatobi Olalekan Idowu, Olufisayo T Aribaba, Adeola Olukorede Onakoya, Adekunle Rotimi-Samuel, Kareem Olatunbosun Musa, Folasade Bolanle Akinsola
BACKGROUND: Presbyopia is an age-related loss of lens accommodation resulting in difficulty in performing near task with attendant effect on the quality of life. OBJECTIVE: The objective of the study was to determine the prevalence of presbyopia and presbyopic spectacle correction coverage among public school teachers in Ifo township, with a view to providing a baseline information that could be useful for advocacy and planning appropriate intervention. STUDY DESIGN: The study was a descriptive, cross-sectional study...
July 2016: Nigerian Postgraduate Medical Journal
Sarat Abolore Badmus, Ayotunde Idowu Ajaiyeoba, Bernice Oluwakemi Adegbehingbe, Oluwatoyin Helen Onakpoya, Adenike Odunmorayo Adeoye
PURPOSE: The study aimed at determining the associations between ocular biometry and anthropometric measurements in a Nigerian adult population. SUBJECTS AND METHODS: Participants were healthy members of staff and students of Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife. The height and weight were measured, and the body mass index (BMI) was calculated. Ocular axial length (AL), anterior chamber depth (ACD), keratometric readings (K) and corneal radius of curvature were measured with the IOL Master...
July 2016: Nigerian Postgraduate Medical Journal
Onyinye Uchenna Anyanwu, Roland Chidi Ibekwe, Ada Rosemary C Nwokocha, Chidozie Bede Ibe
BACKGROUND: Sexual maturation is an important milestone which starts between 8 and 14 years in girls. However, varying ages of onset of sexual maturation have been reported in different environments, with more recent studies showing earlier ages of onset in girls. There is therefore need to describe the sexual maturation of girls in each environment. SUBJECTS AND METHODS: A cross-sectional study of 6-18-year-old school girls in Abakaliki. One thousand one hundred and fifty-five girls were selected through multi-staged sampling...
July 2016: Nigerian Postgraduate Medical Journal
Fidelis Anayo Onyekwulu, Edith Ebere Agu, Adaobi Obianuju Amucheazi
AIMS AND OBJECTIVES: The aim of this study was to evaluate the efficacy of intravenous tramadol in control of shivering in obstetric patients under spinal anaesthesia and to determine the minimal dose of tramadol that is effective. PATIENTS AND METHODS: This was a prospective, randomised, double-blind, cross-sectional study of 144 pregnant women at term who had an indication for caesarean section. The patients were randomly allocated into three groups at the occurrence of shivering...
July 2016: Nigerian Postgraduate Medical Journal
Cathlyn Akindiose, Olusegun Isaac Alatise, Olukayode Adeolu Arowolo, Augustine E Agbakwuru
OBJECTIVES: The objective of this study was to compare the efficacy and safety of 5% phenol in almond oil with 50% dextrose water as sclerosants in the treatment of first- to third-degree haemorrhoids. PATIENTS AND METHODS: This was a prospective, comparative study conducted on eighty patients with first-, second- and third-degree haemorrhoids who consented to treatment by injection sclerotherapy with either 5% phenol in almond oil or 50% dextrose water. They were randomised equally into two groups...
July 2016: Nigerian Postgraduate Medical Journal
Adedoyin Adekunle Adesanya
No abstract text is available yet for this article.
July 2016: Nigerian Postgraduate Medical Journal
Babatunde Babasola Osinaike
The development of open-heart surgery (OHS) programme in Nigeria has followed the different economic phases. Starting from the oil boom era in the 70s to 80s when indigenous efforts led to the successful performance of the first set of OHS to the period of depressed economy in the 80s to 90s that witnessed a lull in the programme, the revamping of the programme that started in the mid-90s following intense collaboration with foreign groups is gradually being sustained. The aim of this article was to examine the current efforts at sustaining the development of OHS programme in Nigeria with a view to identifying various challenges and how such can be addressed...
April 2016: Nigerian Postgraduate Medical Journal
Adeyemi A Okunowo, Kehinde S Okunade, Ayodeji K Adefemi, Fatimah M Habeebu-Adeyemi
Spontaneous heterotopic pregnancy (HP) is a very rare and fatal condition that could result in significant maternal morbidity and mortality if prompt diagnosis and appropriate interventions are not instituted at the right time. Unfortunately, this life-threatening condition may be easily misdiagnosed in early pregnancy due to its rarity, vague clinical presentation and the presence of an intrauterine pregnancy which may confuse an inexperienced clinician. The aim of management is to excise the ectopic gestation while preserving the intrauterine pregnancy, if alive...
April 2016: Nigerian Postgraduate Medical Journal
Omotayo Omobolarinwa Olusoga, Benjamin Nonso Nkemjika, Chinyere Nkiruka Asoegwu, Okezie Obasi Kanu, Andrew Omotayo Ugburo, Bolaji Oyawale Mofikoya
Complex craniofacial defects often create a reconstructive challenge in our region. We highlight two cases that demonstrate this problem and highlight the role of microvascular free flaps in covering these defects. The evolution of head and neck reconstruction as well as the peculiarities of these types of reconstruction in our environment are discussed.
April 2016: Nigerian Postgraduate Medical Journal
Mary Ogbenyi Ugalahi, Oluyemi Fasina, Olufunmilola A Ogun, Benedictus G K Ajayi
AIM: The aim was to determine the prevalence and pattern of congenital colour vision deficiency among secondary school students in Ibadan, Nigeria. SUBJECTS AND METHODS: A descriptive cross-sectional study was conducted among students from three public secondary schools through a multi-staged sampling method. Ocular examination including visual acuity assessment and colour vision test with the Ishihara plate was performed for all students. Further assessment with the Farnsworth-Munsell D-15 panel was performed for those who failed the Ishihara test...
April 2016: Nigerian Postgraduate Medical Journal
Adedapo Olumide Osinowo, Olugbenga Oluseyi Olusoji, Adedoyin Adekunle Adesanya
BACKGROUND: The optimum management of patients with abdominal stab wounds (ASWs) is yet to be fully elucidated. AIMS AND OBJECTIVES: To evaluate the pattern of injury, treatment offered and outcome in patients with ASWs seen at our tertiary hospital. PATIENTS AND METHODS: This was a retrospective descriptive study of patients who sustained ASWs seen from January 2011 to December 2015. Information obtained from case notes were analysed on a personal computer using SPSS version 22 (SPSS Inc...
April 2016: Nigerian Postgraduate Medical Journal
Riyike Alaba Ogunyemi, Olumuyiwa O Odusanya
BACKGROUND: A descriptive cross-sectional survey was conducted among healthcare workers offering immunisation services in primary healthcare facilities in Alimosho Local Government Area, Lagos, Nigeria, on knowledge and reporting practices of healthcare workers on adverse events following immunisations (AEFIs). MATERIALS AND METHODS: A pre-tested, close-ended, self-administered questionnaire was used to assess knowledge and reporting practices on AEFI. Data were analysed using Statistical Package for Social Sciences (SPSS) version 16...
April 2016: Nigerian Postgraduate Medical Journal
Alexander Ndubuisi Otakpor, Mary Ehimigbai
CONTEXT: Perception of one's physical appearance is important in the development of the concept of body image. Desire to achieve the unrealistic image of 'physical perfection' often make adolescents feel discontented; thus leading to mental health problems. AIMS: To assess body image perception (BIP) and its relationship with mental health of secondary school adolescents in Benin City, Nigeria. SETTINGS AND DESIGNS: The study was cross-sectional and descriptive, conducted in senior secondary schools in Benin City...
April 2016: Nigerian Postgraduate Medical Journal
Jerome Boluwaji Elutayo Elusiyan, Foluke Grace Ojetayo, Akinwumi Oladapo Fajola
BACKGROUND: Determination of normal reference values for penile dimension may prevent overdiagnosis of micropenis and hence reduce unnecessary investigation and parental anxiety. Only a few data exist on the subject in Nigeria. OBJECTIVES: The study set out to document the stretched penile length (SPL) and penile diameter (PD) of male newborns in Port Harcourt, Nigeria. METHODOLOGY: Four hundred and eleven consecutively delivered male newborns were recruited for this study...
April 2016: Nigerian Postgraduate Medical Journal
Babasola O Okusanya, Adekunle E Sajo, Gbemi E Osanyin, Osemen E Okojie, Olusola N Abodunrin
BACKGROUND: Peripartum hysterectomy is life-saving and a life-threatening criterion of the World Health Organization (WHO) maternal near-miss concept. The maternal severity index (MSI) model was developed to assess the outcome of severe maternal morbidities. This study assessed severe maternal outcomes of peripartum hysterectomy using the MSI model and related maternal severity score with mortality. SUBJECTS AND METHODS: Records of women with peripartum hysterectomy over a 20-year period were retrieved and the documented WHO life-threatening conditions (severity markers) extracted...
April 2016: Nigerian Postgraduate Medical Journal
Rukiyat Adeola Abdus-Salam, Folasade Adenike Bello, Fatai A Fehintola, Ayodele O Arowojolu
CONTEXT: The benefit of malaria prophylaxis in pregnancy is threatened by emergence of Plasmodium falciparum resistance to antimalarial agents for chemoprophylaxis and treatment. AIM: This study aimed to compare the effectiveness of azithromycin (AZ) with sulphadoxine-pyrimethamine (SP) for malaria prevention. SETTINGS AND DESIGN: A prospective comparative study of antenatal clinic attendees at the University College Hospital, Ibadan, Nigeria...
April 2016: Nigerian Postgraduate Medical Journal
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