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Kazuma Murata, Endo Kenji, Hidekazu Suzuki, Taichiro Takamatsu, Hirosuke Nishimura, Yuji Matsuoka, Yasunobu Sawaji, Hidetoshi Tanaka, Kengo Yamamoto
STUDY DESIGN: This is a retrospective radiographic study of a consecutive case series of dropped head syndrome (DHS) at a single tertiary referral center. OBJECTIVE: The aim was to clarify the spinal sagittal alignment of DHS. SUMMARY OF BACKGROUND DATA: DHS is characterized by chin-on-chest deformity and devastatingly impedes activities of daily living in affected individuals. Among various forms of DHS, isolated neck extensor myopathy (INEM) is considered to cause the chin-on-chest symptom in the absence of specific abnormality...
April 16, 2018: Spine
Ifedayo M O Adetifa, Aishatu L Adamu, Angela Karani, Michael Waithaka, Kofo A Odeyemi, Christy A N Okoromah, Mohammed M Bello, Isa S Abubakar, Victor Inem, J Anthony G Scott
Changes in nasopharyngeal (NP) carriage of vaccine-type (VT) Streptococcus pneumoniae can be used to assess the effectiveness of a pneumococcal conjugate vaccine (PCV10). We conducted a baseline carriage survey in rural (Kumbotso, Kano) and urban (Pakoto, Ogun) Nigeria. In this cross-sectional study, we obtained data on demography, clinical history, risk factors, and took NP swabs for pneumococcal culture. We calculated crude and age-standardised carriage prevalence and used log-binomial regression to assess risk factors for carriage...
February 22, 2018: Scientific Reports
Steven Lam, Christine Zwart, Inem Chahal, David Lane, Harry Cummings
Violence against children is a global public health issue with serious social, economic, physical, and emotional impacts. This study evaluates the effectiveness of a school-based program aimed to prevent and respond to physical, sexual, and psychological violence against children in Sri Lanka from the perspective of parents. A cross-sectional retrospective study design was used. A total of 835 parents of children who participated in the program were surveyed across seven districts in Sri Lanka. Dose-response analyses were conducted to assess for correlations between program exposure and perceived prevention of violence against children...
February 2018: Child Abuse & Neglect
Anish Mirchandani, Allen S Chen
Patients presenting with a chin-on-chest deformity, or dropped head syndrome, may have a diagnosis of isolated neck extensor myopathy (INEM). INEM is a diagnosis of exclusion occurring primarily in elderly patients. INEM usually has a benign progression, which may involve the shoulder girdle but does not advance to other muscle groups. Patients without an inflammatory etiology typically experience minimal or no recovery of their symptoms. Dropped head syndrome has various implications on a patient's quality of life and activities of daily living...
October 6, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
Abolfazl Rahimizadeh, Housain F Soufiani, Saghayegh Rahimizadeh
The dropped head syndrome (DHS) is a disabling condition caused by severe weakness of the neck extensor muscles causing progressive reducible kyphosis of the cervical spine and the inability to hold the head up. Weakness can occur in isolation or in association with a generalized neuromuscular disorder. Isolated cases are owed to the late onset of noninflammatory myopathy designated as INEM, where persistent chin to chest deformity may gradually cause or aggravate preexisting degenerative changes of the cervical spine and ultimately result in myelopathy...
2016: Case Reports in Orthopedics
Bilqisu Jibril Idris, Victor Inem, Mobolanle Balogun
INTRODUCTION: The West African sub-region is currently witnessing an outbreak of EVD that began in December 2013. The first case in Nigeria was diagnosed in Lagos, at a private medical facility in July 2014. Health care workers are known amplifiers of the disease. The study aimed to determine and compare EVD knowledge, attitude and practices among HCWs in public and private primary care facilities in Lagos, Nigeria. METHODS: This was a comparative cross-sectional study...
2015: Pan African Medical Journal
O O Olatosi, V Inem, O O Sofola, P Prakash, E O Sote
OBJECTIVE: The aim was to determine the prevalence of early childhood caries (ECC) and its association with infant feeding and oral health-related behavior among preschool children aged 6-71 months in Lagos. MATERIALS AND METHODS: This was a descriptive cross-sectional study in which 302 children aged 6-71 months were selected from four pediatric outpatient clinics in Lagos, Nigeria. A structured questionnaire was used to obtain information regarding oral hygiene practices, dietary habits, breast and bottle feeding, birth weight of child and socioeconomic status of the family, from mothers of the children...
July 2015: Nigerian Journal of Clinical Practice
I P Okafor, A O Sekoni, S S Ezeiru, J O Ugboaja, V Inem
INTRODUCTION: Utilization of orthodox health facilities for maternal health services is determined by factors operating at the individual, household, community and state level. The prevalence of small family norm is one of the identified variables operating within the community which influences the decision of where to access care (orthodox/traditional). The objective of the study was to determine the use of orthodox versus unorthodox maternity healthcare and determinants among rural women in southwest Nigeria...
June 2014: Malawi Medical Journal: the Journal of Medical Association of Malawi
Miguel Soares-Oliveira, Raquel Ramos
AIM: To describe the stages of development and implementation of an automated external defibrillator (AED) program within the Emergency Medical Service System and in public places in Portugal. METHODS: Description of the implementation process in terms of logistics, training and supervision of activity. RESULTS: By the end of 2012 there were 442 emergency ambulances equipped with AEDs included in the AED program of the National Institute for Medical Emergencies (INEM)...
June 2014: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
Hélder Pereira, Fausto J Pinto, Rita Calé, Ernesto Pereira, Jorge Marques, Manuel Almeida, Sofia de Mello, Luís Dias Martins
AIMS: Portugal has one of the lowest rates of primary percutaneous coronary intervention (p-PCI) in Western Europe. This study assessed the progress of Portuguese p-PCI performance indicators one year after Portugal joined the Stent for Life (SFL) initiative. METHODS AND RESULTS: Two national surveys were carried out, each covering a period of one month: the first when Portugal joined the SFL in 2011 (Moment Zero), and the second one year later (Moment One). A total of 397 consecutive patients with probable ST-segment elevation myocardial infarction were enrolled (201 at Moment Zero and 196 at Moment One) from 15 centers...
June 2014: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
A O Sekoni, M R Balogun, O O Odukoya, V Inem, O O Onigbogi
AIM AND OBJECTIVES: This study was carried out to assess the blood donation practices and willingness to donate among residents of an urban slum. MATERIAL AND METHODS: Cross sectional descriptive study design with a qualitative and quantitative component. Multistage sampling was used to select 400 respondents for the questionnaire interview while three FGD sessions were conducted guide among three groups of participants namely youths, men and women. The information collected was analyzed manually (FGD) and with Epi info version 3...
March 2014: Nigerian Postgraduate Medical Journal
Waris Qidwai, Peng Nam Yeoh, Victor Inem, Kashmira Nanji, Tabinda Ashfaq
No abstract text is available yet for this article.
2013: Evidence-based Complementary and Alternative Medicine: ECAM
Alok D Sharan, David Kaye, Wilsa M S Charles Malveaux, K Daniel Riew
Dropped head syndrome (DHS) is characterized by severe weakness of the cervical paraspinal muscles that results in the passively correctable chin-on-chest deformity. DHS is most commonly associated with neuromuscular disorders. However, it is not always accompanied by electromyographic findings or noticeable changes on muscle biopsy. In such cases, the term isolated neck extensory myopathy (INEM) is used instead. The literature on the management of INEM is limited. Most reports suggest that nonsurgical interventions help to stabilize the deformity...
December 2012: Journal of the American Academy of Orthopaedic Surgeons
Hélder Pereira
AIMS: Despite primary angioplasty being the recommended treatment for patients with acute myocardial infarction with ST-elevation, recent studies have shown a great heterogeneity in the access to this form of treatment in Europe. The project "Stent for Life", an initiative of the European Society of Cardiology which Portugal joined in February 2011, aims to improve this situation. METHODS AND RESULTS: The objective of this study was to re-evaluate the basic Portuguese performance indicators for primary angioplasty...
August 2012: EuroIntervention
Ifedayo M O Adetifa, Martin Antonio, Christy A N Okoromah, Chinelo Ebruke, Victor Inem, David Nsekpong, Abdoulie Bojang, Richard A Adegbola
BACKGROUND: Introduction of pneumococcal vaccines in Nigeria is a priority as part of the Accelerated Vaccine Introduction Initiative (AVI) of the Global Alliance for Vaccines and Immunisation (GAVI). However, country data on the burden of pneumococcal disease (IPD) is limited and coverage by available conjugate vaccines is unknown. This study was carried out to describe the pre vaccination epidemiology and population biology of pneumococcal carriage in Nigeria. METHODS: This was a cross sectional survey...
2012: PloS One
Bolajoko O Olusanya, Victor A Inem, Olayinka A Abosede
We explored factors associated with traditional maternity/herbal homes (TMHs) run by traditional birth attendants (TBAs) compared with hospital or home delivery in Lagos, Nigeria, and found that infants delivered at TMHs were less likely to have severe hyperbilirubinemia compared with infants delivered in hospitals or residential homes. These infants were also less likely to be preterm compared with those delivered in hospitals or undernourished compared with infants delivered in residential homes. We concluded that infants delivered at TMHs who survive are unlikely to be at greater risks of some adverse perinatal outcomes than those delivered in hospitals or family homes...
June 2011: Health Care for Women International
Michihisa Zenmyo, Masahiko Abematsu, Takuya Yamamoto, Yasuhiro Ishidou, Setsuro Komiya, Kosei Ijiri
We report a case of a 69-year-old man with dropped head syndrome associated with isolated neck extensor myopathy (INEM). Over a period of 2 years, he exhibited progressive inability to lift his chin off his chest, resulting in the dropped head position that impaired his activities of daily living. He had a disturbed gait with severe imbalance of spinal alignment. Computed tomography revealed osseous contracture of cervical vertebral bodies in flexed position. Anterior combined posterior reconstruction surgery yielded a successful outcome in his activities of daily living, including his walking balance of spinal alignment...
January 19, 2011: Diagnostic Pathology
I M Graham
Homocysteine is an amino acid that appears to damage the vascular endothelium and promote thrombosis. The most frequent causes of hyperhomocyst(e)inemia are the inherited defect of the enzyme cystathinonine B-synthase and nutritional deficiency of vitamin B(12) or folate. Hyperhomocyst(e)inemia is associated, perhaps causally, with atherosclerotic vascular disease. Interactions with risk factors such as cigarette smoking, hyperlipidemia, and hypertension are possible, but not yet defined. Dietary supplementation with vitamin B(12), folate, and other substances can reduce homocysteine levels...
September 1991: Trends in Cardiovascular Medicine
Adeleye I Adeyemi, Akanmu A Sulaiman, Bamiro B Solomon, Obosi A Chinedu, Inem A Victor
An investigation was carried out during October 2005-September 2006 to determine the prevalence of bloodstream infections in patients attending the outpatient department of the HIV/AIDS clinic at the Lagos University Teaching Hospital in Nigeria. Two hundred and one patients--86 males and 115 females--aged 14-65 years were recruited for the study. Serological diagnosis was carried out on them to confirm their HIV status. Their CD4 counts were done using the micromagnetic bead method. Twenty mL of venous blood sample collected from each patient was inoculated into a pair of Oxoid Signal blood culture bottles for 2-14 days...
August 2010: Journal of Health, Population, and Nutrition
Srikanth Muppidi, David S Saperstein, Aziz Shaibani, Sharon P Nations, Steven Vernino, Gil I Wolfe
OBJECTIVE: To determine if isolated neck extensor myopathy (INEM) is responsive to immunosuppressive treatment. METHODS: We retrospectively reviewed charts of patients with INEM from 2002 to 2008 to identify patients and determine the response to immunomodulatory therapy. Clinical, electrodiagnostic, histologic, and radiographic data were reviewed. RESULTS: Four patients were identified during the study period. Three were women. The age of onset of neck extensor weakness ranged from 58 to 78 years...
September 2010: Journal of Clinical Neuromuscular Disease
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