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Nigerian Journal of Clinical Practice

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https://www.readbyqxmd.com/read/29888734/hypereosinophilic-atopic-transverse-myelitis
#1
F A Fasola, O W Aworanti
Atopic transverse myelitis is a rare disorder that is defined as a localized myelitis of an unknown cause in patients with either high immunoglobulin E (IgE) level or mite-specific IgE or coexistent atopic disease. It is a cause of intramedullary cord lesions, but its diagnosis does not need tissue confirmation. We report a case of a patient who presented with bladder and anal incontinence, paresthesia, and lower limb weakness. Neither IgE level nor mite-specific IgE level could be determined due to lack of fund; however, magnetic resonance imaging (MRI) of the thoracolumbar region showed hypotense-isotense lesion within the spinal cord at T4 vertebral level, suggestive of transverse myelitis...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888733/type-ii-enteropathy-associated-t-cell-lymphoma-a-case-report-and-literature-review
#2
L Zhao, Y Yang, Y Zhang
Type II enteropathy-associated T-cell lymphoma (Type II EATL) is a rare peripheral T-cell lymphoma of the gastrointestinal tract. Here, we report a case of Type II EATL, in which the patient with repeated diarrhea was diagnosed as ulcerative colitis and amebic infection at the beginning, but her symptom had no improvement after therapy. The diagnosis of Type II EATL was confirmed by the repeated biopsies and immunohistochemistry. This case suggests that Type II EATL is difficult to diagnose due to lack of specific symptoms and endoscopic features...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888732/effect-of-home-bleaching-on-surface-of-zinc-phosphate-cement-a-scanning-electron-microscopic-study
#3
S A AlZain
Context: The effect of home bleaching on surfaces of dental cements is controversial. Aim: The aim of this study was to microscopically evaluate and compare the effect of different concentrations of carbamide peroxide (CP) home bleaching agents on the surface of zinc phosphate cement. Materials and Methods: Forty 10 mm × 2 mm specimens of zinc phosphate cement were prepared following the manufacturer's directions. All specimens were immersed in artificial saliva at 37°C for 24 h...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888731/mammographic-findings-of-breast-cancer-screening-in-patients-with-positive-family-history-in-south-east-nigeria
#4
U R Ebubedike, E O Umeh, S N C Anyanwu
Background: A positive family history of breast cancer is an important risk factor associated with the development of breast cancer in women. Early detection required regular screening in these women. Objective: To determine the mammographic findings of breast cancer screening in patients with a positive family history in Iyienu, Southeast Nigeria. Methodology: Forty-three consenting females with a positive family history of breast cancer who underwent mammographic screening at Radiology Department, Iyienu Mission Hospital, Anambra State, were enrolled in the study...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888730/evaluation-of-fracture-resistance-in-root-canal-treated-teeth-restored-using-different-techniques
#5
T Aslan, B Sagsen, Ö Er, Y Ustun, F Cinar
Objective: This study aimed to evaluate the effects of different coronal restoration techniques on fracture resistance of root canal-treated mandibular premolars with mesio-occluso-distal (MOD) cavities. Materials and Methods: A total of 105 mandibular premolars were selected and randomly distributed into seven groups (n = 15). MOD cavities were prepared except the control group. Root canal treatments were performed. Each tooth was embedded in acrylic resin. Groups were classified as follows; G1: intact teeth (control), G2: unfilled MOD cavity, G3: MOD + composite resin, G4: 10-mm-long fiber post + composite resin, G5: 5-mm-long fiber post + composite resin, G6: Ribbond in the occlusal surface + composite resin, and G7: horizontal fiber post + composite resin...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888729/effects-of-auditory-and-audiovisual-presentations-on-anxiety-and-behavioral-changes-in-children-undergoing-elective-surgery
#6
Z Hatipoglu, E Gulec, D Lafli, D Ozcengiz
Background: : Preoperative anxiety is a critical issue in children, and associated with postoperative behavioral changes. Aims: : The purpose of the current study is to evaluate how audiovisual and auditory presentations about the perioperative period impact preoperative anxiety and postoperative behavioral disturbances of children undergoing elective ambulatory surgery. Materials and Methods: : A total of 99 patients between the ages of 5-12, scheduled to undergo outpatient surgery, participated in this study...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888728/determinants-of-outcome-of-final-undergraduate-surgery-examinations-in-a-nigerian-university
#7
O Onwuasoigwe, E E Onyia, M Mesi
Background: Medical students' assessment is an important aspect of medical undergraduate training that requires periodic review to achieve objectivity and improve training. We reviewed the outcome and factors that influenced outcome of undergraduate students' final surgery examination. Materials and Methods: Final examination records of undergraduate medical students in surgery from a single institution for 5 years (2013-2017) were retrospectively reviewed. Scores of the students in continuous assessments (CA), multiple-choice questions (MCQs), essays, long case, short cases, orals, and objective structured clinical examinations (OSCE) were extracted as appropriate...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888727/the-value-of-bedside-ocular-ultrasound-assessment-of-optic-nerve-sheath-diameter-in-the-detection-of-increased-intracranial-pressure-in-patients-presenting-to-the-emergency-room-with-headache
#8
Y Canakci, O Koksal, V A Durak
Introduction: Headache is one of the most important complaints in emergency room (ER) admissions, and the rate of the increase in intracranial pressure in these cases should not be overlooked. This study was performed to investigate the value of the measurement of optic nerve sheath diameter (ONSD) by ocular ultrasound in ER patients with the complaint of headache and increase in intracranial pressure regarding this. Materials and Methods: : A total of 100 patients who applied to the ER with the complaint of headache were included in this prospective study...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888726/assessment-of-apical-transportation-caused-by-nickel-titanium-rotary-systems-with-full-rotation-and-reciprocating-movements-using-extracted-teeth-and-resin-blocks-with-simulated-root-canals-a-comparative-study
#9
M Alrahabi, M S Zafar
Objectives: : We compared apical transportation in the WaveOne and ProTaper Next systems, which are rotary nickel-titanium systems with reciprocating and continuous rotation movements, respectively, using manual measurements obtained from resin blocks with simulated root canals and double digital radiographs of extracted teeth. Materials and Methods: : We used 30 resin blocks with simulated root canals and 30 extracted teeth for this study. The same endodontist performed root canal shaping using the WaveOne or ProTaper Next system...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888725/association-between-serum-heavy-metals-level-and-cancer-incidence-in-darbandikhan-and-kalar-area-kurdistan-region-iraq
#10
B H Marouf
Background: : Exposure to heavy metals is considered as the main threat to human health and biological system. Darbandikhan Lake is one of the three large lakes in Kurdistan, Northern Iraq; it is currently at a high risk of pollution by sewage and municipal wastes. The current study was designed to highlight the potential association between concentration of heavy metals and carcinogenicity in people who live in Darbandikhan and the surrounding area. Materials and Methods: : A case-control study was carried out on 29 cancerous patients and 25 healthy individuals from Darbandikhan, Kalar, and the surrounding area; the patients were admitted to the Hiwa Oncology Center in Sulaimani City...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888724/antibiofilm-efficacies-of-cold-plasma-and-er-yag-laser-on-staphylococcus-aureus-biofilm-on-titanium-for-nonsurgical-treatment-of-peri-implantitis
#11
M Ulu, T Pekbagriyanik, F Ibis, S Enhos, U K Ercan
Objectives: The aim of the present study was to compare antibiofilm efficacies of the laser in contact and noncontact application modes and cold atmospheric plasma (CAP) on Staphylococcus aureus biofilm grown on sandblasted, large grit, acid-etched (SLA) titanium discs as an in vitro model of biofilm eradication on dental implant materials. Methods: S. aureus biofilm was matured on titanium discs for 7 days then, treated with contact and noncontact Er:YAG laser and CAP...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888723/epidemiology-of-injuries-seen-in-a-nigerian-tertiary-hospital
#12
N O C Onyemaechi, O E Nwankwo, R A Ezeadawi
Background: The study aimed to describe the pattern of injuries among patients presenting at a tertiary care hospital in Enugu southeast Nigeria. Patients and Methods: A retrospective review of records of all injured patients seen in our hospital over a 12-month period was done. Results: A total of 789 patients had complete medical records and were included in the study. Road traffic accident (RTA) was the most common cause of injury. Lacerations/abrasions, fractures, and traumatic brain injury (TBI) were the most frequently seen injuries...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888722/the-effects-of-smoking-cessation-on-visceral-adiposity-index-levels
#13
S Pekgor, C Duran, K Marakoglu, I Solak, A Pekgor, M A Eryilmaz
Background: : Known to cause important metabolic disturbances, weight gain becomes a major health problem after smoking cessation. Visceral adiposity index (VAI) is becoming increasingly popular in the detection of cardiometabolic risks in several disorders and general population. Here, we aimed to investigate the effects of quitting smoking on VAI levels. Materials and Methods: : Of 350 participants included into the cigarette cessation program, 70 (20%) completed the study and were enrolled into the analyses...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888721/a-3-year-study-of-deferasirox-therapy-in-sickle-cell-disease-patients-in-basra-southern-iraq
#14
A M Mohsin, M K Hassan
Background: Patients with sickle cell disease (SCD) may require repeated transfusions, which inevitably lead to iron overload (IOL). Aims: : This study aims to assess the effectiveness and safety of oral deferasirox (DFX) in patients with SCD and transfusional IOL. Patients and Methods: A descriptive study has been performed on patients with SCD who have completed at least 3 years on DFX. Height and weight were checked every 3-6 months. The efficacy was assessed based on serum ferritin (SF) levels...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888720/the-role-of-electrophysiological-examination-in-the-diagnosis-of-carpal-tunnel-syndrome-analysis-of-2516-patients
#15
A Cirakli, E K Ulusoy, Y Ekinci
Objective: The aim of the present study was to assess the correlation between patient history, physical examination, and electrophysiological method of assessment in patients with clinical suspicion of carpal tunnel syndrome (CTS). Patients and Methods: Results of electrophysiological examinations performed from 2009 to 2016 on 3151 hands of 2516 patients who had symptoms that clinically suggested CTS were examined retrospectively. Patients were assessed in terms of age, gender, direction of nerve compression, and presence and degree of CTS as determined electrophysiologically...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888719/reconstruction-of-complex-soft-tissue-defects-around-the-knee-using-the-proximally-based-sural-island-fasciocutaneous-flap
#16
K O Opara, I C Nwagbara
Background: : Complex soft tissue defects around the knee are not common. They pose significant reconstructive challenges; hence, several methods have been tried. In this study, the use of proximally based sural island fasciocutaneous flap is evaluated. Aim: : The aim of this study is to report our experience with the use of proximally based sural island fasciocutaneous flap in the reconstruction of complex soft tissue defects around the knee. Patients and Methods: This was a prospective study...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888718/surgical-management-of-anorectal-foreign-bodies
#17
H Cinar, M Berkesoglu, M Derebey, E Karadeniz, C Yildirim, K Karabulut, T Kesicioglu, K Erzurumlu
Purpose: Anorectal foreign bodies (AFBs) inserted into anus constitute one of the most important problems needing surgical emergency due to its complications. We describe our experience in the diagnosis and treatment of AFBs retained in the rectosigmoid colon. Materials and Methods: Between the years 2006 and 2015, a total of 11 patients diagnosed with AFBs were admitted to an emergency room and general surgery clinics. They were diagnosed and treated in four different hospitals in four different cities in Turkey...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888717/maxillomandibular-advancement-for-obstructive-sleep-apnea
#18
M Däzlä, M Yilmaz, F Karaloglu, R Karamert, V C Goksu, S A Kahraman, Y K Kemaloglu
Objective: : We aimed to present our clinical experience with maxillomandibular advancement (MMA) for the treatment of obstructive sleep apnea (OSA) syndrome and to compare our results with literature data. Materials and Methods: : The patients who were operated for OSA in the last 10 years were included in the study. A detailed patient's charts review was retrospectively performed. Inclusion criteria were to be available with preoperative and postoperative polysomnography data...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888716/ocular-adnexal-lymphomas-an-eye-care-service-experience-in-turkey
#19
B Kiziltas, C Baskan, R Duman, M S Dal
Aim: This study aimed to evaluate the clinical and pathological features of ocular adnexal lymphoma (OAL) and the treatment results in an eye care service center in Turkey. Materials and Methods: The data sets of the patients diagnosed with OAL acquired between January 2008 and January 2016 were collected and analyzed. Results: Fifteen patients were included in our study. The mean age was 55.80 ± 17.85 years. The age range was 7-85 years...
June 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/29888715/is-low-level-laser-therapy-and-gaseous-ozone-application-effective-on-osseointegration-of-immediately-loaded-implants
#20
I R Karaca, G Ergun, D N Ozturk
Purpose: The purpose of this study was to investigate the effects of biostimulation lasers and ozone therapy on osseointegration of immediately loaded implants. Materials and Methods: A total number of 100 implants (DTI Implant Systems) were applied to 25 patients evenly. Temporary crowns were applied to each patient on the same session as the surgery. Implants were divided into four treatment groups (Group 1: low-level laser therapy (LLLT) group, Group 2: ozone therapy group, Group 3: different protocol of ozone therapy group, and Group 4: control group) each with 25 implants...
June 2018: Nigerian Journal of Clinical Practice
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