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Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria

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https://www.readbyqxmd.com/read/27487618/foreign-body-in-the-nasopharynx-masquerading-as-pharyngotonsillitis
#1
C O A Enyuma, M Offiong, A Adekanye, U Akpan, N Ezeanyagu, O Uffiah
Foreign body (FB) in the aerodigestive tracts has been commonly reported but findings of impacted foreign bodies in the nasopharynx following inhalation/ingestion are very rare. Most of the FB gets lodged as a result of forceful vomiting, coughing,and digital manoeuvres for removal of FB in the oropharynx. Several objects have been identified lodged in the nasopharynx. No age group is spared although most victims are children under 10 years of age. Foreign bodies in the nasopharynx can be uneventful or potentially dangerous depending on type, size and location as it may cause sudden airway obstruction, or local pressure necrosis of alimentary or respiratory tract or both...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487617/tmj-ankylosis-management-with-reconstruction-and-interpositional-arthroplasty
#2
Singh Madhumati, R Shruthi, Sojitra Mitul, Abhishek Karan, Abdul Aziz
Temporomandibular joint (TMJ) ankylosis is a very desolating structural condition that involves fusion of the mandibular condyle to the base of the skull. It causes difficulty in mastication and breathing. Trauma and Infections are usually responsible. If trauma occurs in young age, it leads to disturbance in growth & facial asymmetry. Treatment of temporomandibular joint (TMJ) ankylosis usually requires adequate excision of the involved ankylotic block (arthroplasty) or interpositional arthroplasty using autogenous or alloplastic materials...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487616/distal-ileal-stenosing-subserosal-lipoma-a-case-report
#3
Emmanuel Innocent, Kwaghe B Vandhi, Ajetunmobi Olanrewaju, Akpa Philip Ojile, M A Misauno, Ezra NabasuLemech, DikkolNendangtokDakup
Lipoma is the commonest soft tissue tumour and ubiquitous in distribution. The gastrointestinal tract is a rare site for this neoplasm. This 38 years old patient presented to the surgical emergency unit of the Jos University Teaching Hospital with features of intestinal obstruction which was confirmed by plain abdominal X-ray. Patient was resuscitated and had exploratory laparotomy. At surgery, a dilated, oedematous, and pale segment of ileum was seen measuring 56 cm in length and 10 cm short of the ileo-caecal junction, where an obstruction had occurred...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487615/current-management-of-peripartum-cardiomyopathy-a-review
#4
REVIEW
S T Dodiyi-Manuel, R C Ezennaka
BACKGROUND: Demarkis et al in 1971 described 27 patients who presented during pueperium with cardiomegaly, abnormal electrocardiographic findings, congestive heart failure and named the syndrome "peripartum cardiomyopathy". The aim of this review is to document the current concepts in the management of peripartum cardiomyopathy. MATERIALSAND METHODS: A search of the literature was done using PubMed, Goggle scholar and books from authors' collections. RESULTS: The cause of the disease might be environmental and genetic factors...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487614/tobacco-abuse-and-its-health-effect
#5
REVIEW
Jacob Amos Dunga, Yakubu Adamu, Ibrahim Musa Kida, Datonya Alasiya, Yusuf Jibrin, Umar Sabo, Christian Ukoli, C H Chuhwak, Jafiada Jacob Musa
Tobacco smoking is still one of the most important risk factor for Respiratory and cardiovascular diseases and an estimated 90% of causes of lung cancer are attributable toTobacco smocking and equally 90% of peripheral vascular disease in non-diabetic population is attributable to Tobacco smoking, despite the health effect there is disturbing figures of people who take up smoking habit daily and increase level of failed quit smoking attempts. Environment and genetics still plays major role, and various forms of tobacco is used worldwide and its health consequence has been highlighted...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487613/perception-of-quality-control-by-personnel-in-diagnostic-radiology-facilities-in-akwa-ibom-state-nigeria
#6
S O Inyang, I E Essien, N O Egbe
BACKGROUND: The perception of quality control (QC) implementation by personnel in diagnostic radiology facilities can affect service delivery and deprive the facilities of the benefits associated with QC implementation. The responses by personnel working in diagnostic radiology facilities in Akwa Ibom State, Nigeria, concerning the implementation of quality control in diagnostic radiology has been assessed in order to ascertain their perception of QC implementation. METHOD: A total of thirty eight (38) radiology personnel from twenty radiology facilities took part in the study that was conducted using a twenty item questionnaire that was initially tested for reliability...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487612/challenges-in-setting-up-quality-control-in-diagnostic-radiology-facilities-in-nigeria
#7
S O Inyang, N O Egbe, E Ekpo
BACKGROUND: The Nigerian Nuclear Regulatory Authority (NNRA) was established to regulate and control the use of radioactive and radiation emitting sources in Nigeria. Quality control (QC) on diagnostic radiology equipment form part of the fundamental requirements for the authorization of diagnostic radiology facilities in the Country. METHOD: Some quality control tests (output, exposure linearity and reproducibility) were measured on the x-ray machines in the facilities that took part in the study...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487611/clinicopathological-presentation-and-management-outcome-of-appendicitis-in-gombe-north-east-nigeria-a-7-year-retrospective-audit
#8
A A Adejumo, N M Mshelia, Y M Saleh
BACKGROUND: Acute appendicitis is a common cause of acute abdomen and right iliac fossa pain in the study centre with attendant negative appendicectomies. AIM: To study the demographic pattern, aetiology, clinical presentation and management outcome of appendicitis. METHODS: This is a retrospective study carried out on patients, who had appendicectomies between January 2007 and December 2014. A total of two hundred and thirteen (213) cases were operated during the study period...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487610/prevalence-pattern-and-risk-factors-for-retinal-vascular-occlusions-in-a-tertiary-hospital-in-jos-nigeria
#9
Olukorede O Adenuga, Alice V Ramyil, Ojo P Odugbo, Funmilayo J Oyediji
INTRODUCTION: Retinal vascular occlusions are the second most common retinal vascular diseases following diabetic retinopathy. They are associated with several systemic and ocular pathologies and are significant causes of visual loss. OBJECTIVE: This study aims to determine the prevalence, pattern and risk factors for retinal vascular occlusions in a tertiary hospital in Jos, Nigeria. METHODOLOGY: A retrospective review of all cases of retinal vascular occlusions seen in the eye clinic from January 2011 to December 2014 was carried out...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487609/prevalence-of-metabolic-syndrome-among-apparently-healthy-adults-in-a-rural-community-in-north-western-nigeria
#10
A M Nalado, B M Musa, I D Gezawa, H Muhammad, D A Ibrahim, A E Uloko
BACKGROUND: Metabolic syndrome (MetS) is a cluster of multiple metabolic abnormalities that increases the risk of cardiovascular morbidity and mortality, and a resultant severe economic implication. This study assessed the burden of MetS in a Nigerian rural community setting. METHOD: This was a cross-sectional, community based study on apparently healthy subjects. A multi stage cluster sampling technique was employed to recruit the study subjects. A standardized pre-tested questionnaire was used to obtain data, and blood samples from subjects were analysed using standard laboratory techniques...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487608/challenges-in-the-management-of-glaucoma-in-a-developing-country-a-qualitative-study-of-providers-perspectives
#11
B J Adekoya, F G Adepoju, K F Moshood, A H Balarabe
BACKGROUND: Glaucoma management is challenging to patients as well as to the eye care providers. The study is aimed at describing the challenges faced by providers using qualitative methods. METHODS: In-depth interviews were conducted with selected Ophthalmologists and resident doctors in ophthalmology at centres offering medical and surgical glaucoma services in Lagos state, Nigeria, according to established qualitative methods. This was done using semi-structured, open ended questions to explore the providers' perspective on glaucoma burden, challenges in the management, surgery for glaucoma, acceptance of glaucoma surgery by patients, and recommendations for improving glaucoma services...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487607/body-mass-index-is-a-poor-predictor-of-malnutrition-in-hospitalized-patients
#12
F Baccaro, A Sanchez
OBJECTIVE: Comparison between Subjective Global Assessment and Body Mass Index to determine the nutritional status in patients admitted in an Internal Medicine Service. METHODS: Prospective, longitudinal, observational study of a population of 152 patients, using the Subjective Global Assessment and Body Mass Index. Plasma levels of albumin, functional capacity weight and income conditions were determined. Statistics: methods of chi-square test for univariate analysis, non-parametric tests and logistic regression were used...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487606/stroke-critical-appraissal-of-intensive-care-management
#13
T O Olajumoke, J O Afolayan, K O Ojo
BACKGROUND: Stroke is a common medical condition in the medical units. Stroke patients are usually managed on the medical wards while some that needs organ support are admitted into the intensive care unit. However there is conflicting data on the benefits or otherwise of admitting stroke patients into the intensive care unit. This necessitated this study to know how much benefit is derived from admitting stroke patients into the intensive care unit. AIM AND OBJECTIVE: The study aims at the benefits of admitting stroke patients into the intensive care unit...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487605/maternal-mortality-audit-in-a-tertiary-health-institution-in-nigeria-lessons-from-direct-causes-and-its-drivers
#14
F A Bello, O A Adesina, I O Morhason-Bello, A O Adekunle
INTRODUCTION: Nigeria has the second highest number of maternal deaths in the world.The study aimed at determining the causes of and non-obstetric contributors to maternal mortality at a tertiary referral hospital. MATERIALS AND METHODS: It was a prospective audit of all consecutive maternal deaths in the hospital over a three-year period. Immediately after the death, information wvas retrieved via a data collection form. Data were analysed with SPSS-20. RESULTS: Seventy deaths were examined over the study period...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487604/reference-values-of-fetal-peak-systolic-blood-flow-velocity-in-the-middle-cerebral-artery-at-12-41-weeks-of-gestation-in-jos-north-central-nigeria
#15
U O Ulu, B E Udoh, K K Agwu
OBJECTIVES: The objectives of this prospective cross sectional study are (i) to establish new reference values of peak systolic blood flow velocity measurement in the fetal middle cerebral artery (MCA-PSV) following validated methodological guidelines (ii) to correlat peak systolic velocity with gestational age and (iii) to establish regression prediction model of MCA-PSV for our population. PATIENTS AND METHODS: Cross-sectional data were obtained from 480 low risk pregnant women and cross validated by 120 high risk pregnant women between 12 and 41 weeks' gestation...
October 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487603/review-of-control-of-human-immunodeficiency-virus-infection-in-nigeria
#16
REVIEW
N Dami, N Y Shehu, S Dami, M O Iroezindu
The global scourge of human immunodeficiency virus (HIV) infection is inundating, especially in sub-Saharan Africa and in particular Nigeria which is home to 10% of the world's HIV-infected persons. The target of the millennium development goal 6 is to halt and reverse the spread of HIV/AIDS by 2015. HIV control in Nigeria was initially shrouded in denial and apathy. Subsequently, a more pragmatic approach was launched during the tenure of President Olusegun Obasanjo. Several policies were formulated. The national prevalence of HIV witnessed some progressive decline and is currently 4...
July 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487602/recurrent-pleomorphic-adenoma-of-the-upper-lip-case-report-and-review-of-the-literature
#17
REVIEW
B Fomete, O O Adeosun, D I Awelimobor, L Olayemie
INTRODUCTION: Pleomorphic adenoma or mixed tumour is a benign salivary gland tumour, presenting usually in the parotid or submandibular glands. This tumour contains elements of both epithelial and mesenchymal origin. They are the most common tumours (50%), (60-65%) of the major and minor salivary glands. The palate is considered as the most common intraoral site (42.8-68.8%), followed by the upper lip (10.1%) and cheek (5.5%). CASE REPORT: A 37 year old female Nigerian house wife was seen with a four year history of painless slowly progressive upper lip swelling...
July 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487601/transmigration-of-intra-uterine-device-exploratory-laparotomy-retrieval-and-repair-of-perforated-uterus
#18
S F Eli, E Olisa, D S Abam, C E Enyindah
BACKGROUND: Perforation of the uterus following transmigration of Intra-uterine devise (IUD) is an uncommon finding of insertion of IUD. There is associated increased risk of accidental pregnancy,morbidity and mortality. AIM: To report a rare clinical condition in which there was uterine perforation following migration of IUD and to increase awareness of this condition in our environment. CASE REPORT: A 37 year old para 6⁺⁰ woman (all alive) who presented with a ten day history of lower abdominal pains following IUD insertion...
July 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487600/giant-pseudoaneurysm-of-a-splanchnic-artery-a-case-report
#19
I A Nwafor, J C Eze, N Ezemba, C I Ngene, A F Akpan
A true aneurysm is defined as an enlargement of an artery resulting in a diameter more than 1.5 times the anatomic size. It can be fusiform when it covers the entire perimeter of the vessel, or saccular when it bulges on one side of the artery. The pseudoaneurysm is a pulsating encapsulated haematoma in communication with the lumen of the ruptured vessel,which affects the the intima and the media and which is stopped from developing by the adventitia and the surrounding connective tissue. Geographically, aneurysm can be broadly divided into intracranial and extracranial types...
July 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
https://www.readbyqxmd.com/read/27487599/effects-of-root-canal-irrigants-on-the-planktonic-form-of-enterococcus-faecalis-a-review
#20
REVIEW
Zahed Mohammadi
BACKGROUND: Bacteria play an essential role in the initiation and perpetuation of pulpal and periapical pathoses. Enterococcus faecalis is associated with both primary and persistent endodontic infections. However, the frequency of E. faecalis in persistent periradicular lesions has been shown to be very higher than primary infections. AIM: The purpose of this paper was to review the effect of various irrigation solutions such as sodium hypochlorite, chlorhexidine, MTAD and Tetraclean against E...
July 2015: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
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