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Nigerian Postgraduate Medical Journal

Samuel Uwale Eyesan, Amechi Uchenna Katchy, Olukayode Oluseyi Idowu, Stephen Adesope Adesina, Babajide Oladayo Ayandele, U Ano-Edward
Non-ossifying fibromas (NOFs) or fibroxanthomas are benign intracortical, multilocular and well-circumscribed lesions, which most commonly affect children and adolescents with an estimated prevalence of 30%-40% of all normal children. They are most commonly located in the distal femoral and distal tibial metaphysis although they can also be found in the fibula and upper extremity. Clinically, NOFs are asymptomatic and are detected only incidentally on radiographs where they appear as solitary, eccentric and lytic lesion in the metaphysis of a long bone and often polycyclic in shape...
April 2018: Nigerian Postgraduate Medical Journal
Narayanan Rajaram, Habib Md Reazaul Karim, Avinash Prakash, Sarasa Kumar Sahoo, Mridul Dhar, Anilkumar Narayan
Background: At present, selective and clinical assessment-based pre-operative investigations are advocated, but it is yet far from routine practice. Aim: This study aims to assess the prevalence and impact of abnormal routine pre-operative test results among co-morbid and non-co-morbid elective surgical patients. Methods: Data for this prospective study were collected by reviewing the medical charts of the patients attending pre-anaesthetic clinic from December 2016 to April 2017...
April 2018: Nigerian Postgraduate Medical Journal
Muhammed Ahmed, Abdullahi Sudi, Ahmad Bello, Ahmad Tijjani Lawal, Mudi Awaisu, Hussaini Yusuf Maitama
Background: Medical tourism is a fast-growing business worldwide with almost every country involved as either a provider and/or consumer. The degree of participation may vary depending on the status of health-care system in that country. This study aims to present our experience in the management of patients who sought urologic care abroad or returned from medical tourism with urologic complications. Methods: The method of study was based on the documentation of interaction with patients, patients' relations and their agents in a questionnaire between January 2010 and December 2015...
April 2018: Nigerian Postgraduate Medical Journal
Ayodeji Anike Olatunji, Olubunmi Temitope Bodunde
Background: Ocular dimensions are important in the refractive status of the eye. Aim: The aim of this study is to determine the effect of age and gender on ocular axial dimensions of emmetropic Nigerian Children. Materials and Methods: A cross-sectional study of 468 children from selected pre-nursery, nursery and primary schools with normal visual acuity were recruited into the study. Lens thickness (LT), anterior chamber depth (ACD) and vitreous chamber depth (VCD) were measured using a B-mode CLEA Vue 550 PHILLIP ultrasound Machine 2013 model, with a 4-12 MHz linear transducer...
April 2018: Nigerian Postgraduate Medical Journal
Abimbola Olayinka Olowoyeye, Kareem Olatunbosun Musa, Olufisayo Temitayo Aribaba, Adeola Olukorede Onakoya, Folasade Bolanle Akinsola
Aim: The aim of this study was to determine the pattern of childhood visual impairment and blindness (VI and BL) among students attending schools for the visually impaired in Lagos State, with a view to providing information on avoidable causes as well as emerging trends that would be useful to policy-makers for the planning and implementation of strategies for the control of avoidable childhood BL in Lagos State. Subjects and Methods: The study was conducted among students enrolled in two schools for the visually impaired in Lagos State who developed VI/BL before the age of 16 years...
April 2018: Nigerian Postgraduate Medical Journal
John Oluwatosin Makanjuola, Donna C Umesi, Olabisi H Oderinu
Aim: This study aims to compare the incidence of flare-up and operating time in root canal treatments where rotary or manual step-back canal preparatory technique was employed. Materials and Methods: A randomised study was conducted in a Nigerian Teaching Hospital. One hundred and twenty teeth belonging to 95 patients were randomised into two (Rotary and Manual) groups. Root canal treatment was performed using either rotary or manual step-back canal preparatory technique...
April 2018: Nigerian Postgraduate Medical Journal
Olatunbosun Waliu Oladosu, Sikiru Abayomi Biliaminu, Ishola Musbau Abdulazeez, Victor Ugochukwu Nwadike, Jameelu-Deen Omokunmi Yusuff, Adekunle Bashiru Okesina
Background: Seminal fluid analysis (SFA) is the most important investigation of infertile males. It is however limited in revealing the aetiologies of the various spermatozoa abnormalities observed on microscopy. Increasing prevalence of male infertility and the challenges of diagnosis require biochemical investigations, such as assay of seminal malondialdehyde (MDA), a marker of sperm peroxidation and to support SFA in investigation of infertile males. Aims: The aim of this study was to determine the seminal level of biomarker of lipid peroxidation by measuring seminal MDA levels among infertile males in Ilorin...
April 2018: Nigerian Postgraduate Medical Journal
Ikechukwu Innocent Mbachu, Kingsley Ihedioha Achigbu, Kelechi Kenneth Odinaka, George Uchenna Eleje, Ihechimere Kelechi Osuagwu, Vincent Ofuka Osim
Background: The burden of stillbirth is disproportionately more in rural areas of developing countries where unskilled birth attendants contribute a large quota in the management of pregnant women. Tracking stillbirth should include the pattern of referral from the primary institutions that take care of these women. Aims and Objectives: This study evaluated the causes and determinants of stillbirth by the referral pattern in a rural area in southern Nigeria. Subjects and Methods: This was a retrospective case-controlled study of stillbirth at the Madonna University Teaching Hospital, Elele, from 2010 to 2014...
April 2018: Nigerian Postgraduate Medical Journal
Atiku Hafiz, Adenike Temitayo Adeniji-Sofoluwe, Adeyinka Francis Ademola, Millicent Olubunmi Obajimi
Background: Axillary lymph node (LN) status of patients with breast cancer is important in the surgical management. Sonographic evaluation of axillary LNs in newly diagnosed breast cancer is required to predict prognosis. Objective: The purpose of this study was to describe the morphologic features by sonographic evaluation of the cortices and sinuses as well as patterns of blood flow of axillary LNs and correlate same with the clinical staging in women with newly diagnosed breast cancer in a tertiary referral centre...
April 2018: Nigerian Postgraduate Medical Journal
Adedoyin O Ogunyemi, Foluke A Olatona, Kofoworola A Odeyemi
Context: Self-rated health (SRH) is a subjective measure of health considered valid to predict mortality among the elderly. With the rapid increase of older people living in Nigeria and the lack of adequate social security, it is important to identify factors affecting their SRH. Social support has also taken on added importance among the elderly in view of scarce resources. Objective: To determine the level of satisfaction with the forms of social support received by the elderly and the factors associated with their SRH...
April 2018: Nigerian Postgraduate Medical Journal
Nathan Yakubu Shehu, David Shwe, Kenneth I Onyedibe, Victor C Pam, Ibrahim Abok, Samson E Isa, Daniel Z Egah
The association of Zika virus (ZIKV) infection with congenital malformation and neurological sequelae has brought significant global concern. Consequently, the World Health Organization (WHO) declared it "a public health emergency of International concern" on 1 February, 2016. A critical review of its pathogenesis would lead to a better understanding of the clinical features and the neurological complications. This review is based on literature search in PubMed/Medline, Google Scholar and the WHO, http://www...
April 2018: Nigerian Postgraduate Medical Journal
Austine Abebe Osawe, Saleh M Kabir, Anas Ismail
Agenesis of the corpus callosum is a heterogeneous, congenital neurodevelopmental condition that can be observed either in isolation or in combination with other brain abnormalities. Patients often present early with characteristic neurologic and physical manifestations. This case discusses a 10-year-old boy who presented to a tertiary health facility in Northern Nigeria with 6-month history of seizure disorder, cognitive impairment and urinary incontinence and had classical magnetic resonance imaging (MRI) findings consistent with partial corpus callosum agenesis in combination with other brain abnormalities...
January 2018: Nigerian Postgraduate Medical Journal
Saheed Babatunde Nasir, Saadatu Jafar Ladan, Alfred Nicholas Bemu, Joshua Jibrin
Branchiootorenal syndrome is a rare autosomal dominant disorder characterised by branchial arch anomaly, hearing loss, renal anomalies and other otologic manifestations. We report a case of apparent de novo mutation that presented with hearing loss, branchial sinus and other manifestations of the disease. It is extremely rare in the West African region, and we suggest a high index of suspicion in a patient presenting with branchial sinus and/or hearing loss.
January 2018: Nigerian Postgraduate Medical Journal
Mohd Ilyas, Ghanshyam Dev, Anchal Gupta, Tameem Ahmad Bhat, Shwait Sharma
Background: Dual-energy computed tomography (DECT) utilises the technique of simultaneous image acquisition of a body part at two different energy levels of the X-ray tubes. We used the DECT in this project to study its accuracy in non-invasive in vivo differentiation of uric acid (UA) calculi from non-UA calculi using the 3rd generation dual-source computed tomography (CT) scanner. Materials and Methods: The DECT ratios of the various stones were noted and compared with the postextraction analysis of stones for composition...
January 2018: Nigerian Postgraduate Medical Journal
Christopher O Bode, Adesoji O Ademuyiwa, Olumide A Elebute
Background: The use of honey as an escharotic agent in the conservative management of omphalocele major has not been widely explored in spite of its proven benefits in chronic wound management. We explored the use of local honey as an escharotic agent by comparing its use with 2.5% formal saline in the conservative management of major omphaloceles at the Lagos University Teaching Hospital, Lagos, Nigeria. Methods: From January 2006 to December 2009, 43 consecutive newborns with intact omphalocele major were alternately assigned into either Honey (H) or formal saline (FS) group...
January 2018: Nigerian Postgraduate Medical Journal
Dubem Ejikeme Orakwe, Kehinde Habeeb Tijani, Emmauel Ajibola Jeje, Moses Adebisi Ogunjimi, Wale Ojewola Rufus, Taiwo Opeyemi Alabi
Objective: Bilateral subcapsular orchiectomy (BSO) is said to be more aesthetic and psychologically satisfying when compared to bilateral total orchiectomy (BTO). This study compared the quality of life (QoL) of men with advanced prostate cancer who had BTO to those who had BSO, with an emphasis on their perception of self or identity as a man. Subjects and Methods: Sixty-one patients with advanced prostate cancer opting for bilateral orchiectomy were recruited...
January 2018: Nigerian Postgraduate Medical Journal
Nasiru Raheem, Saad A Ahmed, Modupeola Oa Samaila
Context: Majority of the previous studies on thyroid diseases in Northern Nigeria focussed mainly on neoplastic lesions. The non-neoplastic lesions are more common and constitute more public health burdens. Aim: To determine the histopathological pattern of thyroid diseases in our region and compare our findings with similar studies in Nigeria and elsewhere. Settings and Design: This is a retrospective study carried out at the Department of Pathology, Ahmadu Bello University Teaching Hospital, Zaria, from January 2005 to December 2014 using specified criteria...
January 2018: Nigerian Postgraduate Medical Journal
Kabir Bolarinwa Badmos, Olorunda Rotimi, Abdulrazzaq Oluwagbemiga Lawal, Adedapo O Osinowo, Mohammed Y Habeebu, Fatimah Biade Abdulkareem
Background: Complete and accurate pathology reporting of colorectal carcinoma (CRC) resection specimen is critical to clinical management of individual patients. The study aims to audit colorectal cancer histopathology reporting in Lagos between 2011 and 2015 before the adoption of the Society for Gastroenterology and Hepatology in Nigeria pro forma in 2016. Materials and Methods: All resected CRC cases were identified from the Histopathology record of our Department and that of a private Laboratory in Lagos over a 5-year from 2011 to 2015...
January 2018: Nigerian Postgraduate Medical Journal
Mariya Mukhtar-Yola, Adekunle Tolulope Otuneye, Amsa Baba Mairami, Yewande Wey, Vincent Nwatah, Lamidi Isah Audu
Background: Ninety percentage of children acquire human immunodeficiency virus (HIV) infection in the form of Mother-to-child Transmission (MTCT). In the absence of interventions, transmission rates range from 15% to 45%. This can be reduced to below 5% with effective interventions. The last published national guideline (NG) on prevention of MTCT (PMTCT) was in 2010. Clinical audits are essential in improving the quality of care delivered to patients. Objectives: The study objectives were to determine the rate of MTCT of HIV in exposed infants at a follow-up clinic between 2011 and 2014 and to determine the level of adherence to 2010 NG on the use of highly active antiretroviral therapy (HAART), polymerase chain reaction (PCR) testing, feeding options, antiretroviral (ARV) prophylaxis and the use of co-trimoxazole (CTZ)...
January 2018: Nigerian Postgraduate Medical Journal
Olaolopin Ijasan, Kehinde Sharafadeen Okunade, Ayodeji Ayotunde Oluwole
Background: Trichomonas vaginalis infection is the most prevalent non-viral sexually transmitted infection worldwide. Interactions between this infection and human immunodeficiency virus (HIV) may cause adverse pregnancy outcomes such as preterm labour, premature rupture of membranes, chorioamnionitis, low birth weight and post-abortal sepsis. Aims: This study was aimed to determine the prevalence and risk factors of T. vaginalis infection amongst HIV-positive pregnant women attending antenatal care at the Lagos University Teaching Hospital (LUTH), Lagos, Nigeria...
January 2018: Nigerian Postgraduate Medical Journal
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