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Nigerian Postgraduate Medical Journal

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https://www.readbyqxmd.com/read/29355167/preoperative-bowel-preparation-complicated-by-lethal-hypermagnesaemia-and-acute-nephropathy
#1
Olumuyiwa A Bamgbade
Hypermagnesaemia is an uncommon but serious disorder. An elderly woman presented with severe cardiovascular collapse, neurologic depression and acute nephropathy, following bowel preparation. Urgent laboratory tests revealed serum magnesium level of 7.5 mmol/L (normal = 0.75-1.05 mmol/L). Prompt resuscitation and treatment of the hypermagnesaemia included intravenous calcium chloride as a physiological antagonist, fluid infusion and frusemide to aid renal excretion of magnesium. There are few case reports of patients who survived hypermagnesaemia levels >7 mmol/L...
October 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29355166/giant-cell-tumour-of-the-clavicle-a-rare-presentation-of-a-locally-aggressive-tumour
#2
Adewole Tayo Akinsulire, Olakunle Olaleke Badmus, Suleiman Olayiwola Giwa
We report a case of a 28-year-old female who presents with painless, progressively increasing left upper chest swelling of 6 months duration. Examination revealed a 20 by 10 cm firm mass arising from the clavicle. She was investigated and a diagnosis established based on the histological report. The tumour was excised with a wide margin and reconstruction done with an autogenous fibula graft. Full functional ability was restored in limb with the radiological union. After 5 years of regular follow-up, there was no evidence of recurrence and shoulder function remained excellent...
October 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29355165/comparison-of-efficacy-of-cell-block-versus-conventional-smear-study-in-exudative-fluids
#3
Sandeep S Matreja, Kamal Malukani, Shirish S Nandedkar, Amit V Varma, Anjali Saxena, Arpita Ajmera
INTRODUCTION: Cytological examination of serous effusions helps in staging, prognostication and management of patients with malignancy. The method has disadvantage of lower sensitivity in differentiating reactive atypical mesothelial cells from malignant cells. AIM: The aim of this study is to compare the cytological features of pleural and peritoneal exudative fluids by conventional smear (CS) method and cell block (CB) method and also to assess the utility of a combined approach for cytodiagnosis of these effusions...
October 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29355164/serum-level-of-prostate-specific-antigen-in-diabetic-patients-in-basrah-iraq
#4
Jasim N Al-Asadi, Lamia M Al-Naama, Muhannad M Abdul-Kareem, Fawzi C Mashkoor
OBJECTIVES: The aim of this study was to determine the effect of type 2 diabetes mellitus (DM) on the serum level of prostate-specific antigen (PSA) in men in Basrah, Iraq. PATIENTS AND METHODS: A case-control study was done including 70 confirmed type 2 diabetic patients and 70 non-diabetic persons. Data about age and family history of diabetes were collected. For diabetic patients, data related to disease history were also enquired about. Weight and height were measured and body mass index (BMI) was calculated...
October 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29355163/the-role-of-transrectal-ultrasound-guided-fine-needle-aspiration-biopsy-in-the-diagnosis-of-prostate-cancer-sextant-versus-extended-protocol
#5
Abisola E Oliyide, Kehinde H Tijani, Emmanuel A Jeje, Charles C Anunnobi, Adekunle A Adeyomoye, Rufus W Ojewola, Moses A Ogunjimi, Taiwo O Alabi
AIM AND OBJECTIVES: The aim of this study is to compare the prostate cancer detection rates of sextant and extended transrectal ultrasound (TRUS)-guided fine-needle aspiration biopsy (FNAB) protocols. MATERIALS AND METHODS: This was a prospective study of 96 patients investigated for prostate cancer. An extended 10-aspiration TRUS-guided FNAB using a 22G Echotip Chiba needle was performed. Inclusion criteria included the presence of one or more of the following: Abnormal digital rectal examination (DRE) findings, persistently elevated prostate specific antigen, and abnormal prostatic imaging...
October 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29355162/effects-of-low-dose-intravenous-dexamethasone-combined-with-caudal-analgesia-on-post-herniotomy-pain
#6
Omotayo Felicia Salami, Simbo Daisy Amanor-Boadu, Olayinka Ranti Eyelade, Simeon Olugbade Olateju
BACKGROUND: Caudal analgesia for postoperative pain relief in paediatric day-case surgery has been found to be of short duration, hence the need for addition of adjuncts to prolong the analgesia. OBJECTIVE: The objective of the study was to compare the analgesic effects of caudal block with or without low-dose intravenous dexamethasone in children undergoing day-case herniotomy. PATIENTS AND METHODS: This was a prospective randomised controlled study conducted in male patients, aged between 1 and 7 years scheduled for herniotomy...
October 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29355161/pre-and-post-ductal-oxygen-saturation-among-apparently-healthy-low-birth-weight-neonates
#7
Leo A Odudu, Beatrice N Ezenwa, Christopher I Esezobor, Ekanem N Ekure, Mathias T C Egri Okwaji, Chinyere V Ezeaka, Fidelis O Njokanma, Jejelola Ladele
INTRODUCTION: Reference values of oxygen saturation (SpO2) to guide care of low birth weight neonates have been obtained mainly from Caucasians. Data from African newborns are lacking. To determine the pre- and post-ductal SpO2values of low birth weight neonates within the first 72 h of life, compare SpO2values of moderate-late preterm and term low birth weight neonates and determine how mode of delivery affected SpO2in the first 24 h of life. METHODOLOGY: An observational descriptive study was carried out on apparently healthy low birth weight newborns weighing 1500 to ≤2499 g...
October 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29355160/predictive-factors-of-management-outcome-in-adult-patients-with-mechanical-intestinal-obstruction
#8
Adebambo Olalekan Bankole, Adedapo Olumide Osinowo, Adedoyin Adekunle Adesanya
BACKGROUND: Mechanical intestinal obstruction (MIO) is a common and potentially fatal surgical emergency, which constitutes about 20% of all admissions to the surgical emergency departments. OBJECTIVE: To determine the predictive factors of morbidity and mortality in patients undergoing treatment for MIO at our tertiary hospital. PATIENTS AND METHODS: This was a prospective study of consecutive patients, 18 years and above, that presented with features of MIO during a 1-year period (May 2014 to April 2015)...
October 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29355159/colour-doppler-sonography-of-the-penis-in-the-evaluation-of-erectile-dysfunction-our-experience-in-abuja-nigeria
#9
Joshua Oluwafemi Aiyekomogbon, Joseph Bako Igashi, Reuben Omokafe Lawan, Muftau Jimoh Bioku, Musa Ameadaji
BACKGROUND: Erectile dysfunction (ED) is an inability to achieve and maintain erectile rigidity sufficient for satisfactory sexual performance. It is either organic or psychogenic in origin. This study was aimed at establishing vasculogenic causes among patients being evaluated for ED using triplex Doppler Ultrasound. PATIENTS AND METHODS: This study was conducted at the Department of Radiology, Federal Medical Centre, Abuja, Nigeria from July 2015 to January 2017...
October 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29355158/histological-types-of-soft-tissue-sarcomas-at-the-lagos-university-teaching-hospital
#10
Nzechukwu Zimudo Ikeri, Andrea Oludolapo Akinjo, Olugbende O Ajayi, Adekunbiola Aina Fehintola Banjo
OBJECTIVE: There is scanty data on histologically diagnosed soft-tissue sarcomas in the Nigerian literature. This is due to paucity of facilities for ancillary testing as well as a dearth of specialist soft tissue pathologists. Knowledge however of the common soft-tissue sarcomas is vital for the establishment of an effective sarcoma service. The aim of this study, therefore, was to determine the histological spectrum of soft-tissue sarcomas in Lagos, Nigeria. MATERIALS AND METHODS: Archival haematoxylin and eosin (H and E)-stained slides were retrieved and reviewed by a team of soft-tissue pathologists at the Royal National Orthopaedic Hospital, London, UK...
October 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29355157/urinary-schistosomiasis-in-school-children-of-a-southern-nigerian-community-8-years-after-the-provision-of-potable-water
#11
Emmanuel Eyo Ekanem, Francis Michael Akapan, Michael Eteng Eyong
BACKGROUND: Urinary schistosomiasis, one of the neglected tropical diseases, is a major infection of public health importance in Nigeria. Control measures include the provision of potable water as the main strategy, population-based chemotherapy and health education. AIMS AND OBJECTIVES: The aim of this study was to determine the effect of the provision of potable water on the prevalence and intensity of infection with Schistosoma haematobium in Adim community, Cross River State, Nigeria...
October 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29355156/relationship-between-foetal-haemoglobin-and-haematological-indices-in-children-with-sickle-cell-anaemia-from-south-western-nigeria
#12
Morenike Agnes Akinlosotu, Samuel Ademola Adegoke, Saheed Babajide Oseni, Oluwagbemiga Oyewole Adeodu
BACKGROUND: Foetal haemoglobin (HbF, α2γ2) retards polymerisation of haemoglobin (Hb) in sickle cell anaemia (SCA). In Nigeria, studies on the levels of HbF and its relationship with haematological indices are scanty. This study evaluated HbF concentrations of children with SCA from Southwestern Nigeria and correlated the levels with various haematological indices. MATERIALS AND METHODS: HbF levels were quantified by high-performance liquid chromatography and haematological parameters determined with automated haemoanalyser...
October 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29082911/a-diagnosis-of-an-unusual-lower-lip-swelling-schwannoma
#13
Sneha Upadhyay, Jyoti Bhavthankar, Mandakini Mandale, Jayanti Humbe
Schwannoma is a benign tumour of Schwann cell origin. Although it commonly occurs in the head and neck region, its intraoral presentation is rare. Establishing a clinical diagnosis of schwannoma is often difficult due to its non-specific clinical features. Hence, histopathological telltale features of Antoni A and Antoni B areas are unexpected in most cases. Reported here is a case of intraoral schwannoma affecting a 17-year-old male who presented with a slow growing mass in the lower lip.
July 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29082910/the-use-of-intubating-lightwand-in-difficult-airway-patients-with-limited-management-options
#14
Olumuyiwa A Bamgbade
The intubating lightwand is a recommended airway management tool in patients with failed direct laryngoscopy or intubation; but the device is under-utilised. This study reports successful lightwand intubation in a cohort of 22 consecutive adult patients with difficult airway; who required endotracheal general anaesthesia, in the presence of limited management options. Patients underwent different procedures: tonsillectomy (2), pharyngeal biopsy (6), abdominal surgery (5), thoracoscopy (3) and maxillofacial surgery (6)...
July 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29082909/dysphagia-following-acute-stroke-and-its-effect-on-short-term-outcome
#15
Sani Atta Abubakar, Bello Yusuf Jamoh
BACKGROUND: Dysphagia is assciated with numerous medical conditions including stroke, and there are wide variations in reported frequency of dysphagia in stroke survivors in the literature. Dysphagia has been shown to be an important risk factor for aspiration pneumonia and has profound impact on survivors. AIMS: This study aims to determine the frequency of dysphagia in stroke survivors and its effects on short-term outcome. METHODS: Consecutive patients hospitalised for first-ever acute stroke at Ahmadu Bello University Teaching Hospital Zaria, Nigeria, were prospectively enrolled from April 2015 to January 2017...
July 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29082908/progestogen-only-injectable-contraceptive-acceptor-prevalence-and-client-experience-at-sagamu-nigeria
#16
Adebayo Adekunle Akadri, Oluseyi Isaiah Odelola
CONTEXT: Progestogen-only injectable contraceptive is a long-lasting contraceptive given at interval of two or 3 months. It is effective, safe and convenient. Menstrual irregularity is a recognised side effect. AIMS: This study aims to determine the acceptor prevalence and clinical experience of women using progestogen-only injectable contraceptive at Olabisi Onabanjo University Teaching Hospital, Sagamu. METHODS: This was a retrospective study of new acceptors of progestogen-only injectable contraceptives between 1 January, 2010, and 31 December, 2014...
July 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29082907/self-discharge-against-medical-advice-from-tertiary-health-institution-a-call-for-concern
#17
Moruf Babatunde Yusuf, Johnson Dare Ogunlusi, Sunday Ogunsuyi Popoola, Sheriff Olawale Ogunlayi, Waheed Olaide Babalola, Kehinde Sunday Oluwadiya
BACKGROUND: Self-discharge by patients without completing their treatment is a problematic issue in healthcare and is strongly associated with readmission and poor treatment outcome. PATIENTS AND METHODS: A descriptive study of the rate and reasons why patients with limb injuries took self-discharge against medical advice (DAMA) from our facility, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria, a tertiary health institution between May 2011 and April 2014...
July 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29082906/sleep-quality-among-nurses-in-a-tertiary-hospital-in-north-west-nigeria
#18
Ibrahim Aliyu, Zainab F Ibrahim, Lawal O Teslim, Helen Okhiwu, Igoche David Peter, Godpower Chinedu Michael
BACKGROUND: Sleep is a necessity; it is nourishing, refreshing and healing. The nursing profession is associated with busy and difficult work schedules, especially the running of shifts which has been associated with cardiovascular and metabolic complications. There is a dearth of local data on sleep disorders, especially among nurses. In this study, we evaluated the quality of sleep and the tendency of daytime sleepiness among nurses. SUBJECTS AND METHODS: This study was cross-sectional in nature involving 100 nurses working with Federal Medical Centre Birnin Kebbi, Kebbi State; the study was carried out between October 2016 and February 2017...
July 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29082905/the-cost-effectiveness-of-predonation-screening-for-transfusion-transmissible-infections-using-rapid-test-kits-in-a-hospital-based-blood-transfusion-centre
#19
Adedoyin Owolabi Dosunmu, Akinsegun Abduljaleel Akinbami, Ayobami Kamal Ismail, Modupe Adebimpe Olaiya, Ebele Ifeyinwa Uche, Igbinoba Kingsley Aile
OBJECTIVE: Blood transfusion practice emphasises safety, efficacy and appropriate use. These require cost-effective programme management. This study focused on the cost of screening for transfusion transmissible infections (TTI). METHODS: This was a 1 year (2016) analysis of screening in a hospital-based transfusion centre. The cost of screening all blood donors by ELISA was compared to the cost of serial screening starting from rapid kit, taking into account, the estimated cost of blood bags prevented from discard after ELISA screening (attributable cost)...
July 2017: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/29082904/a-study-of-intubating-conditions-sevoflurane-versus-propofol-suxamethonium-in-children
#20
Morayo M Salawu, Elizabeth O Ogboli-Nwasor, Shola S Jamgbadi, Fidelia N Akpa
BACKGROUND: Endotracheal intubation is an integral part of general anaesthesia in children, and the choice of induction agents and technique may affect the ease of intubation and thus the outcome of paediatric patients. We compared the ease of endotracheal intubation following sevoflurane and propofol-suxamethonium induction using Helbo-Hansen score. PATIENTS AND METHODS: A prospective, randomized double-blinded comparative study conducted on sixty-six children (two groups of 33 each) between the ages of 3-10 years undergoing different elective surgeries...
July 2017: Nigerian Postgraduate Medical Journal
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