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Nigerian Journal of Clinical Practice

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https://www.readbyqxmd.com/read/27811462/delayed-diagnosis-of-bullous-pyoderma-gangrenosum-with-acute-myelogenous-leukemia
#1
S Sener, G Sarac, N Altunisik, Y Bayindir
Pyoderma gangrenosum (PG) is a rare, but serious neutrophilic dermatosis characterized by recurrent painful cutaneous ulcerations. It is commonly associated with inflammatory bowel disease, rheumatoid arthritis, and hematological malignancies. Because laboratory evaluations and histologic features of PG are nonspecific, diagnosis is based on the clinical features of the ulcer and requires exclusion of other conditions that cause such ulceration. The disease responds to glucocorticoids, immunosuppressives, and anti-inflammatory drugs...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811461/fitz-hugh-curtis-syndrome-an-incidental-diagnostic-finding-in-an-infertility-workup
#2
R C Onoh, C C Mgbafuru, S E Onubuogu, I Ugwuoke
A case of Fitz-Hugh-Curtis syndrome in a 32-year-old para 1+1 is reported. She presented with inability to conceive of 4 years duration. Her husband's semen analysis was within normal range. She had a hysterosalpingogram that showed bilateral tubal blockage and clinical assessment showed right sided abdominal tenderness, cervical excitation tenderness, and adnexa tenderness. The endocervical swab test for Chlamydia trachomatis was a positive. Laparoscopy and dye test showed adhesion bands on the under surface of the liver (the violin string appearance)...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811460/high-risk-pulmonary-embolism-in-a-patient-with-acute-dissecting-aortic-aneurysm
#3
M Tudoran, C Tudoran
In the last decades, an increased incidence of pulmonary embolism (PE) and acute dissection (AD) of aortic aneurysms has been registered mostly due to increased availability of advanced imaging techniques. They seldom occur concomitantly in the same patient. In this paper, we present the clinical challenges and controversies of diagnosis and therapy in a 70-year-old male patient with an atypical presentation of high-risk PE occurring concomitantly with a silent AD of a thoracic aortic aneurysm.
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811459/kimura-s-disease-a-case-presentation-of-postauricular-swelling
#4
A Rajesh, T Prasanth, V C Naga Sirisha, Mds Azmi
Kimura's disease (KD) is a rare chronic inflammatory disease of subcutaneous tissues and occurs predominantly in head and neck region. It is seen primarily in young Asian males. Typical clinical presentations are painless subcutaneous masses, regional lymph node enlargement, blood and tissue hypereosinophilia, and increased serum IgE levels. Here, we present a case of a 27-year-old female who presented with unilateral single nodular swelling in the right postauricular region. The diagnosis of KD was done based on characteristic histopathologic finding in conjunction with peripheral eosinophilia and increase in serum IgE levels...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811458/surgical-site-infection-in-posterior-spine-surgery
#5
O A Ojo, B S Owolabi, A W Oseni, O O Kanu, O B Bankole
BACKGROUND: Surgical site infections (SSIs) in spine surgery remain a significant cause of morbidity and prolonged hospitalization. Factors affecting SSI includes patient's comorbidities, duration of surgery, type and indication for surgery among others. We intend to document our experience in our center and highlight possible factors influencing SSI in posterior spine surgery. METHODOLOGY: All consecutive patients who had posterior spine surgeries between January 2012 and July 2014 were recruited into the study...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811457/effect-of-routine-preoperative-fasting-on-residual-gastric-volume-and-acid-in-patients-undergoing-myomectomy
#6
O V Ajuzieogu, A O Amucheazi, U I Nwagha, H A Ezike, S K Luka, D S Abam
BACKGROUND: Preoperative fasting of patients aims to reduce the residual gastric volume (RGV). The magnitude of this reduction is yet to be ascertained in the Nigerian population. AIM: To compare the RGV and pH of patients fasted for 6-12 h with those allowed oral intake of fluid up to 2 h preoperatively. SUBJECTS AND METHODS: This randomized study involved 90 American Society of Anesthesiologists physical status I-II patients booked for abdominal myomectomy under general anesthesia...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811456/challenges-and-outcome-of-cranial-neuroendoscopic-surgery-in-a-resource-constrained-developing-african-country
#7
E O Uche, E Okorie, J Emejulu, O Ajuzieogu, N J Uche
BACKGROUND: Cranial neuroendoscopy has been safely applied to the surgical treatment of different lesions of the brain in our center since its introduction in September 2009. This article summarizes our experience with neuroendoscopy, highlighting the salient challenges and outcome. METHODS: A single institution, retrospective analysis of prospectively acquired cases over a 2.5-year period (September 2010 to February 2013). Challenges experienced during the course of patient care as well as complications and outcomes were recorded and analyzed using SPSS (SPSS Inc...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811455/evaluation-of-antifungal-efficacy-of-qmix-2in1-as-a-final-irrigant-an-in-vitro-study
#8
E Kalyoncuoglu, E Sen Tunc, S Ozer, C Keskin, K Bilgin, A Birinci
BACKGROUND: It is known that no specific antifungal agent exists at present for irrigation of infected root canals. QMix 2in1 was investigated to determine whether they could be an alternative for sodium hypochlorite (NaOCl), chlorhexidine gluconate (CHX), and ethylenediaminetetraacetic acid (EDTA). OBJECTIVE: The aim of this in vitro study was to evaluate and compare the antifungal efficacy of QMix 2in1, 5.25% NaOCl, 2% CHX, and 17% EDTA as a final rinse against Candida albicans (C...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811454/sociodemographic-and-clinical-correlates-of-sexual-dysfunction-among-psychiatric-outpatients-receiving-common-psychotropic-medications-in-a-neuropsychiatric-hospital-in-northern-nigeria
#9
V O Olisah, T L Sheikh, E R Abah, A F Mahmud-Ajeigbe
BACKGROUND: Sexual dysfunction is common in patients receiving psychotropic medications and may reduce their quality of life and medication adherence with resultant negative impact on treatment outcomes. OBJECTIVES: In this study, we described the various types of sexual dysfunction among psychiatric outpatients receiving psychotropic medications and the sociodemographic and clinical correlates associated with it. SETTINGS AND DESIGN: A descriptive, cross-sectional study conducted in a Neuropsychiatric Hospital in Northern Nigeria...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811453/insulin-resistance-metabolic-syndrome-and-lipids-in-african-women
#10
E E Young, C N Okafor, M O Iroezindu, I S Agbalu
BACKGROUND: The metabolic syndrome is closely related to insulin resistance (IR) and cardiovascular disease. This study examined the prevalence of IR and metabolic syndrome as well as factors associated with IR among Nigerian women. MATERIALS AND METHODS: Eighty-six women living in an urban area in Enugu, South-East Nigeria, were assessed. Demographic information included age, residence, physical activity, alcohol and tobacco intake and were collected with questionnaires...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811452/simultaneous-control-of-blood-glucose-blood-pressure-and-lipid-among-drug-treated-type-2-diabetes-patients-from-shaanxi-province-north-western-china-a-multicenter-study
#11
S Xu, F Sun, W Xu, K Jiao, B Shi, X Xie, Y Wang, M Zhu, Q Ji
AIM: To investigate the percentage of patients with Type 2 diabetes mellitus (T2DM) who achieved simultaneous control of glycated hemoglobin (HbA1c), blood pressure (BP), and low-density lipoprotein cholesterol (LDL-C) and also to assess its determinants in Shaanxi province, North-Western China. MATERIALS AND METHODS: This cross-sectional survey was conducted between March and June 2012 in six tertiary hospitals across Shaanxi province. Subjects with known T2DM who had at least one antidiabetic medicine were invited...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811451/expressions-of-macrophage-migration-inhibitory-factor-in-patients-with-chronic-kidney-disease
#12
Y Liu, X Zhang, G Liu, J Huang, Y Pan, Z Hu
CONTEXT: Uremic cardiomyopathy is a risk factor of end-stage renal disease (ESRD) and is responsible for high mortality rates and increased left ventricular mass index (LVMI). Macrophage migration inhibitory factor (MIF) promotes inflammation and is an important factor in uremic cardiomyopathy. AIMS: The aim of this study is to investigate the effects of serum macrophage MIF on myocardial hypertrophy in ESRD patients and to examine the relation of this factor to clinical characteristics...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811450/gestational-age-at-initiation-of-antenatal-care-in-a-tertiary-hospital-southwestern-nigeria
#13
O P Aduloju, A A Akintayo, I P Ade-Ojo, J O Awoleke, T Aduloju, O R Ogundare
CONTEXT: Antenatal care utilization has been shown to be associated with reduction in maternal and perinatal morbidity and mortality while early initiation provides an opportunity for optimum utilization of this care with improved maternal and fetal outcomes. AIM: This study seeks to determine the time of initiation of antenatal care among pregnant women and possible factors influencing such timing. SETTING: A cross-sectional study involving 530 pregnant women was carried out at the booking clinic of the Ekiti State University Teaching Hospital, Ado-Ekiti, between September 03, 2013, and March 04, 2014...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811449/bond-strength-of-resin-composite-to-light-activated-bleached-enamel
#14
T Yavuz, O Y Ozyilmaz, A N Ozturk, F Aykent
OBJECTIVES: This study evaluated the microtensile bond strength (μTBS) of a resin composite bonded to bleached enamel as a function of bleaching conditions. MATERIALS AND METHODS: The whiteness hydrogen peroxide (HP) bleaching agent containing 35% HP was applied to the central incisors' facial enamel surface and irradiated as follows: No treatment (G1; control); no light (G2); light-emitting diode, the 40s (G3); diode laser, the 20s (G4); and neodymium:yttrium aluminum garnet laser, 20s (G5)...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811448/the-comparison-of-modified-early-warning-score-and-glasgow-coma-scale-age-systolic-blood-pressure-scores-in-the-assessment-of-nontraumatic-critical-patients-in-emergency-department
#15
Ö Köksal, G Torun, E Ahun, D Sığırlı, S B Güney, M O Aydın
INTRODUCTION: The purpose of this study is to assess and compare the discriminatory ability of the Glasgow coma scale (GCS)-age-systolic blood pressure (GAP) score and modified early warning scoring system (mEWS) score for 4-week mortality, for the patients being in the triage category 1 and 2 who refer to Emergency Department (ED). METHODS: Five hundred and two nontraumatic cases being in the triage category 1 and 2 who were ≥18-year-old and who referred to ED were assessed prospectively...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811447/appraisal-on-the-wound-healing-activity-of-different-extracts-obtained-from-aegle-marmelos-and-mucuna-pruriens-by-in-vivo-experimental-models
#16
F A Toppo, R S Pawar
AIM: The use of a simple and reproducible model is inevitable for an objective statement of the effects of external factors on wound healing. Hence, the present study was conducted to evaluate wound healing activities of sequential different extracts of Aegle marmelos leaves (AM) and Mucuna pruriens seeds (MP) by in vivo experimental models. MATERIALS AND METHODS: Wistar albino rats were subjected to excision, incision and dead space wounds measuring approximately 250 mm2, 3 cm and implanting sterilized polyvinyl chloride tube on the back of each rat near either side of the vertebral column respectively...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811446/the-analgesic-effect-of-diclofenac-sodium-administered-via-the-epidural-route-in-an-experimental-visceral-pain-model
#17
O Kilci, T Demir, M Günbey, C Kara, D Bayazit, D Ornek, M Baydar
PURPOSE: The aim of this study was to investigate the characteristics of the analgesic effect of diclofenac sodium injected epidurally in single or repeated doses and whether tolerance develops in long-term use. MATERIALS AND METHODS: A total of 30 rats were included in the study. The rats were anesthetized using intraperitoneal ketamine hydrochloride and an epidural catheter (EC) was inserted at the level of 13th dorsal thoraco-lumbar vertebrae (T13). Eleven rats were excluded from the study...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811445/a-retrospective-analysis-of-blood-gases-with-two-different-insulin-infusion-protocols-in-patients-undergoing-cardiovascular-surgery
#18
S M Kuskonmaz, Ö Kurtipek, M E Aydın, M E Erbatur, M Alkan, Y Ünal, M Arslan
AIM: Intraoperative blood glucose concentration is known to be an independent risk factor for morbidity and mortality in patients undergoing cardiovascular surgery. Arterial blood gas analysis is an important investigation to monitor the acid-base balance and gas exchange in these patients. Hyperglycemia leads to a series of metabolic changes which affect acid-base balance and serum electrolytes. In this study, we aimed to look into the effect of glycemic control on arterial blood gas parameters, serum electrolytes, and hemoglobin (Hb)...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811444/morbidities-concordance-and-predictors-of-preterm-premature-rupture-of-membranes-among-pregnant-women-at-the-university-of-nigeria-teaching-hospital-unth-enugu-nigeria
#19
T C Okeke, J O Enwereji, C O Adiri, C I Onwuka, E S Iferikigwe
BACKGROUND: Preterm premature rupture of membranes (PPROM) is a challenging complication of pregnancies and an important cause of perinatal morbidity and mortality. Management of morbidities associated with PPROM is fraught with controversy. However, women should be informed of these complications. OBJECTIVE: This article aimed to review the morbidities, concordance, and predictors of PPROM over a 10-year period. METHODS: This was a retrospective review of morbidities, concordance, and predictors of PPROM among pregnant women at the University of Nigeria Teaching Hospital, Enugu, Nigeria between January 1, 1999, and December 31, 2008...
November 2016: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/27811443/measuring-the-resistance-of-different-substructure-materials-by-sticking-them-to-dentine-with-two-different-resin-cements-in-vitro
#20
V Eratilla, A D Yildiz, S Guven, E A Eratilla, T Karaman, S Aguloglu, E Sumer
INTRODUCTION: The resistance of three different substructure materials - metal (Cr-Co), zirconium (Zr), and ceramics (IPS Empress II) - was measured by sticking them to dentine with two different resin cements, a dual-cure resin cement (Panavia F 2.0 Light) and a self-adhesive resin cement (BisCem). MATERIALS AND METHODS: In an in vitro study, 72 central upper front teeth were selected with no decay or apparent breakage and with complete development, removed for periodontal reasons...
November 2016: Nigerian Journal of Clinical Practice
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