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Journals Nigerian Medical Journal : Jou...

Nigerian Medical Journal : Journal of the Nigeria Medical Association

https://read.qxmd.com/read/38094614/clinical-profile-and-predictors-of-outcomes-of-hospitalized-patients-with-laboratory-confirmed-severe-acute-respiratory-syndrome-coronavirus-2-in-nigeria-a-retrospective-analysis-of-13-high-burden-states-in-nigeria
#1
JOURNAL ARTICLE
Christopher Sabo Yilgwan, Adamu Onu, Joshua Ofoli, Longji Benle Dakum, Nathan Yakubu Shehu, Dimie Ogoina, Ijeoma Okoli, Deborah Osisanwo, Vivian Okafor, Adebola Olayinka, Ibrahim Mamadu, Adebimpe Adebiyi
BACKGROUND: The majority of global COVID deaths have occurred in developed countries. Not much is known about the clinical outcomes for the patients admitted with COVID in Nigeria. We thus described the clinical characteristics, outcomes, and predictors of outcomes of hospitalized Nigerian COVID-19 patients. METHODOLOGY: We performed multilevel and mixed effects regression, Kaplan-Meir survival, and Cox proportionate hazards analyses to evaluate factors associated with death in patients admitted for COVID-19 in 13 high-burden states of Nigeria between 25th February 2020 and 30th August 2021...
2023: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38736520/pilot-study-on-the-locoregional-demographics-of-prostate-cancer-in-river-state-nigeria
#2
JOURNAL ARTICLE
John E Raphael, Okigbeye Danagogo
BACKGROUND: The aetiology of prostate cancer is a subject of intense research and has been attributed to several risk factors. Geographical variations have also been observed with high incidence in western countries and rising rates in developing countries. This study aims to evaluate the locoregional distribution of histologically confirmed prostate cancer patients and discuss the risk factors for the observed variations according to their Local Government Areas (LGA) in Rivers State...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38736519/malignant-phyllodes-tumor-report-of-two-cases-and-review-of-literature
#3
John Ifeanyi Nwadiokwu, Taiwo Olufemi Solaja, Victor Chimezie Okebalama, Clement Enyinnaya Omenihu Onuoha
Phyllodes tumuor (PT) is a rare biphasic breast neoplasm. It constitutes <1% of the entire tumours of the breast. Based on the World Health Organization's (WHO) proposal, premised on multiple histological features, phyllodes tumour is categorized into benign, borderline, and malignant breast neoplasms. Malignant phyllodes tumor (MPT) is even a rarer neoplasm. It occurs more commonly in older patients. However, it can uncommonly occur in younger individuals. The transformation of benign phyllodes into malignant forms is extremely rare...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38736518/correlation-of-foetal-liver-length-with-gestational-age-and-foetal-weight-in-pregnant-nigerian-women
#4
JOURNAL ARTICLE
Emmanuel Ozoemene Isaac-Okolo, Bolanle Olubunmi Ibitoye, Omotade Adebimpe Ijarotimi, Chidiogo Chukwunweike Onwuka, Ibukun Anuoluwa Abidoye, Bukunmi Michael Idowu
BACKGROUND: This study aims to determine the relationship(s) of fetal liver length (FLL) to the gestational age, biometric parameters (BPD, FL, AC, HC), and fetal weight in third trimester pregnancies. METHODOLOGY: This was a hospital-based cross-sectional study of 400 fetuses in normal third trimester pregnancies recruited from the Obstetrics and Gynaecology department of OAUTHC, Ile-Ife, Nigeria. The participants were between 20-45 years of age and their gestational ages ranged from 27-40weeks...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38736517/a-clinicopathological-study-of-236-cystic-ovarian-lesions-at-jos-university-teaching-hospital-jos-nigeria
#5
JOURNAL ARTICLE
Innocent Emmanuel, Olufunmilayo Abobarin, Samuel Abaniwo, Samuel Kelechi Richard, Patrick Chim Nzekwe, Mbwas Isaac Mashor, Jagshak Barnabas Mandong, Emmanuel Nyam Yakubu
BACKGROUND: Cystic ovarian lesions are defined by an ovarian fluid containing space limited by a membrane. The exact prevalence of the disease is unknown. A proper diagnosis is imperative for the choice of appropriate therapy. The objective of this study is to establish the different histological variants of ovarian cysts diagnosed at the Histopathology Department of Jos University Teaching Hospital between January 1, 2000, and December 31, 2019. METHODOLOGY: This is a descriptive study of consecutive cases of ovarian cysts at the Jos University Teaching Hospital, Jos, Nigeria between January 1, 2000, and December 31, 2019...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38736516/time-flow-study-for-receipt-of-outpatient-services-in-public-and-private-hospitals-implications-for-lean-approach-in-health-facilities-in-rivers-state-nigeria
#6
JOURNAL ARTICLE
Chinonye Judith Kemdirim, Abasianam Uduak, Ndubuisi Opurum, David Hart, Daprim Samuel Ogaji
BACKGROUND: Waiting time is an important indicator of the quality of healthcare services in public and private health facilities. This study compared the waiting time at the general outpatient clinics (GOPC) in a private and public hospital in Rivers State. METHODS: A comparative cross-sectional survey using a multi-stage sampling technique was used to select a total of 299 ambulatory adult patients attending the GOPC in a public and a private hospital. Time spent at service stations was obtained using a record sheet...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38736515/cigarette-smoking-alcohol-consumption-and-the-risk-of-prostate-cancer-a-retrospective-analysis-of-prostate-cancer-patients-in-southern-nigeria
#7
JOURNAL ARTICLE
John Edoka Raphael, Onyeanunam Ngozi Ekeke
BACKGROUND: Tobacco contains harmful carcinogens that have been associated with cancers. Some studies have associated tobacco smoking with prostate cancer (PCa). The relationship between alcohol consumption as a risk factor for prostate cancer has been debated. Some studies associated alcohol consumption with increased risk of PCa, associating alcohol consumption with higher-grade cancers and poorer prognosis. Other studies have found a minimal relationship with PCa, with some even suggesting that alcohol consumption may even be protective...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38736514/post-emergency-obstetric-hysterectomy-morbidities-in-the-university-of-port-harcourt-teaching-hospital-a-five-year-review
#8
JOURNAL ARTICLE
Simeon C Amadi, Chidiebere N Ononuju, Dagogo S Abam, Lesi Sapira-Ordu, Elizabeth C Ezeaku
BACKGROUND: Hysterectomy in the peripartum period is a life-saving emergency procedure that is associated with both intra-operative and post-operative morbidities. This study aims to determine the prevalence of emergency obstetric hysterectomy (EOH), the indications, and the pattern of post-emergency obstetric hysterectomy complications and their outcome in our setting. METHODOLOGY: This was a retrospective study of parturients that had an emergency obstetric hysterectomy (EOH) over a five (5)-year period from 1st January 2008 - 31st December 2012...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38736513/reported-incidence-of-cluster-seizures-in-persons-with-epilepsy-experience-from-two-tertiary-hospitals-in-enugu-southeast-nigeria
#9
JOURNAL ARTICLE
Birinus A Ezeala-Adikaibe, Fintan Ekochin, Ernest Nwazor, Obinna D Onodugo, Orah-Chidimma Okpala, Bibiana Oti, Nkeiruka C Mbadiwe, Pauline Onodugo
BACKGROUND: Repetitive seizures are neurological emergencies which may occur in people with epilepsy. Ascertaining the incidence of these episodes of such seizures in the community is wrought with many challenges and few reports exist in sub-Saharan Africa, a region with a high burden of epilepsy. The aim of this study was to describe the caregiver reported frequency of acute recurrent seizures in people with epilepsy attending neurology outpatient clinic in Enugu. METHODS: This cross-sectional study was performed in the medical out-patient clinics in Enugu Nigeria...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38736512/audiologic-screening-of-people-with-down-syndrome-in-special-schools-in-surulere-lagos-nigeria
#10
JOURNAL ARTICLE
Chinyere N Asoegwu, Abdulrauf A Abdulazeez, Clement C Nwawolo
BACKGROUND: Down syndrome (DS) is associated with a high incidence of ear pathologies and hearing loss. There is a paucity of information on the audiology of people with DS particularly those in special schools in Nigeria. This study aimed to compare pneumatic otoscopy with tympanometry for middle ear screening and pure tone audiometry (PTA) with distortion product otoacoustic emission (DPOAE) for hearing screening in the different age groups of people with people DS. METHODOLOGY: People with DS in two special schools for people with intellectual disability in Surulere, Lagos state were selected based on the schools' record and their phenotype...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38736511/incidental-prostatic-adenocarcinoma-in-open-prostatectomy-specimens-an-institutional-experience
#11
JOURNAL ARTICLE
Sebastian Anebuokhae Omenai, Oluwatobi Ayodeji Fashola, Augustine O Takure, John Olufemi Ogunbiyi
BACKGROUND: Prostatic diseases cause significant morbidity and mortality in African men. Most Nigerian patients presenting with huge prostate enlargement are availed open prostatectomy to relieve symptoms of prostatism. Some prostates removed for benign enlargement have indolent cancers that are only discovered after histopathological examination. The incidence of these incidental adenocarcinomas of the prostate varies widely. METHODOLOGY: We carried out a 10-year retrospective review of open prostatectomy specimens received in the Department of Pathology, from January 2009 to December 2018...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38736510/seroprevalence-and-factors-associated-with-risk-of-hepatitis-b-virus-infection-among-antenatal-attendees-in-abuth-zaria-northwestern-nigeria
#12
JOURNAL ARTICLE
Usman Yahaya Shuaibu, Jummai Fatima Giwa, Muhammad Mukhtar Abdulaziz, Lamido Zainab Tanko, Solomon Avidime, Tolulope Adebola Olayinka
BACKGROUND: Nigeria is one of the sub-Saharan African countries within the World Health Organization's (WHO) hyperendemic region for hepatitis B virus infection with prevalence greater than 8%. In this region, mother-to-child transmission is the major route of infection and approximately 90% of newborns of mothers who are seropositive for HBsAg and HBeAg become chronic carriers with a 25% risk of developing chronic liver diseases. This study aimed to determine the seroprevalence, and factors associated with risk of hepatitis B virus infection among antenatal attendees in Ahmadu Bello University Teaching Hospital (ABUTH), Zaria...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38736509/an-audit-of-tuberculin-skin-testing-among-nigerian-children-in-a-tertiary-health-facility-in-benin-city-nigeria
#13
JOURNAL ARTICLE
Ayebo Evawere Sadoh, Fidelis Ewenitie Eki-Udoko, Damian Uchechukwu Nwaneri, Stella Uduebor, Osarenoma Iguodala
BACKGROUND: This study objective was to describe the indications for the use of Tuberculin Skin Testing (TST) and the results in order to provide information that may be useful in defining the role of TST in the investigation and control of childhood tuberculosis. METHODOLOGY: Through a Prospective cross-sectional study an audit of TSTs carried out over a one year period (2015-2016)in a tertiary hospital was done. The indications for the TST were extracted as well as the TST readings...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38716439/use-of-recombinant-activated-factor-vii-pakistani-experience-of-managing-massive-obstetric-haemorrhage
#14
JOURNAL ARTICLE
Nabila Salman, Ayesha Rafay, Ruqayya Junaid, Rakhshanda Hanfi, Mussarat Sultana, Maryum Hussain
BACKGROUND: Massive obstetric haemorrhage is still a prime cause of maternal mortality and morbidity. Remarkable efficacy of off-label use of Recombinant Activated Factor VII (rFVIIa) has been reported in cases of postpartum haemorrhage (PPH) refractory to conventional measures. This study aims to determine the clinical efficacy of rFVIIa for patients with massive obstetric haemorrhage. METHODOLOGY: This was a retrospective cross-sectional comparative study of patients with PPH who received rFVIIa during their treatment at the Department of Obstetrics and Gynaecology from November 2009 to April 2018...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38716438/correlation-between-uroflowmetry-and-international-prostate-symptoms-score-in-the-evaluation-of-nigerian-men-with-benign-prostatic-enlargement
#15
JOURNAL ARTICLE
Victor Abhulimen, John Edoka Raphael
BACKGROUND: Benign prostatic enlargement (BPE) may obstruct the urethra, reduce urine flow, and cause Lower Urinary Tract Symptoms (LUTS). Patients with LUTS can be evaluated with the International Prostate Symptom Score (IPSS) and uroflowmetry for diagnosis, treatment selection, and monitoring. There are challenges, especially in developing countries with these two investigative modalities. A level of education is needed to fill the IPSS form while most centres do not have a uroflowmeter...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38716437/sacrococcygeal-agenesis-with-sacral-lipoma-in-a-child-of-a-non-diabetic-mother
#16
Ibrahim Gombe Adamu, Yahuza Mansur Adamu
Sacrococcygeal agenesis or caudal regression syndrome is an uncommon disorder in which there is partial or total agenesis of the sacrum with or without lumbar involvement. Very few cases have been reported in the literature. We report a case of a 7-year-old child of a non-diabetic mother who presented with complaints of urinary and faecal incontinence since birth. Clinical examination revealed a soft, fluctuant swelling at the lower aspect of the back. The sacral and coccygeal bones were not palpable. CT scan and MRI confirmed sacrococcygeal agenesis with a sacral lipoma...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38716436/ureteric-injuries-following-obstetrics-and-gynaecologic-surgeries-a-single-center-experience
#17
JOURNAL ARTICLE
Abdullahi Sudi, Muhammed Ahmed, Aisha Mustapha, Fatima Mahmud, Musliu Adetola Tolani, Nasir Oyelowo, Mudi Awaisu, Ahmad Tijjani Lawal, Ahmad Bello
BACKGROUND: Ureteric injuries are not uncommon in obstetric and gynaecologic surgeries. Some specific procedures predispose to these injuries. Recognition is often delayed. This study aims to present a single-center experience on the presentation, risk factors, and management of ureteric injuries. METHODOLOGY: We retrospectively reviewed case files of patients primarily presenting or referred to our urology division with ureteric injuries following obstetrics or gynaecologic surgeries from June 2005 to May 2015...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38716435/referral-decision-making-an-assessment-of-family-physicians-in-a-tertiary-hospital-in-nigeria
#18
JOURNAL ARTICLE
Osahon Enabulele
BACKGROUND: Family physicians offer first contact, comprehensive and coordinated care to patients, and refer those in need of further specialist care to specialists in other clinical departments. This referral decision-making is dependent on certain factors which can lead to variations in the pattern of referrals with impact on the coping capacity of a health facility. This study sought to assess the factors influencing referral decision-makingof family physicians in a tertiary hospital in Nigeria...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38716434/an-epidemiological-investigation-of-lassa-fever-outbreak-in-ebonyi-state-south-eastern-nigeria-lessons-learnt-january-to-march-2018
#19
JOURNAL ARTICLE
Joseph Agboeze, Matthew Igwe Nwali, Nnennaya Ajayi, Nneka Marian Chika-Igwenyi
BACKGROUND: We investigated an outbreak of Lassa fever that occurred in Ebonyi state, Southeast Nigeria from January to March 2018. METHODOLOGY: The Emergency operational centre (EOC) model was used for the outbreak coordination. Cases and deaths were identified through the routine surveillance system. Blood specimens collected from suspected cases were sent for confirmation at the Virology Centre, Alex Ekwueme Federal University Teaching Hospital, Abakaliki (AEFUTHA)...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
https://read.qxmd.com/read/38716433/streptococcus-agalactiae-carriage-serotype-distribution-and-associated-antibiogram-among-pregnant-and-non-pregnant-women-in-jos-city-nigeria
#20
JOURNAL ARTICLE
Helen Daniel Nanbol, Nanbol Daniel Listick, Nenrot Binshak, Yvonne Tawolo Olukemi-Kandakai, Dahal Abednego Samuel, Amos Dangana, Rabeb Issaoui, Idris Nasir Abdullahi
BACKGROUND: Streptococcus agalactiae (S.agalactiae) largely colonizes the gastrointestinal and genitourinary tissues and poses an increased risk for early-onset and late-onset sepsis in neonates delivered by colonized mothers. This comparative cross-sectional study aimed to determine the S. agalactiae carriage rate, serotypes, as well as antimicrobial resistance (AMR) of the isolates among pregnant and non-pregnant women in Jos metropolis, Nigeria. METHODOLOGY: High vagina and anorectal swab samples were collected from 200 pregnant women and 100 non-pregnant women...
2021: Nigerian Medical Journal: Journal of the Nigeria Medical Association
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