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Nigerian Postgraduate Medical Journal

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https://read.qxmd.com/read/30860202/severe-necrotising-pneumonia-in-a-toddler-a-rare-presentation-with-dual-bacterial-aetiology
#1
Maria Ahuoiza Garba, Lawal Waisu Umar, Festus Dele Akeredolu, Suleiman Mayaki
Necrotising pneumonia (NP) is a rare complication of bacterial pneumonia which is associated with severe morbidity and mortality. Pneumonia of polymicrobial aetiology predicts worse pathology with fulminating clinical course. Reports of necrotising pneumonia from multiple bacterial infections are scanty in published literature. We report a case of a toddler with NP in whom Klebsiella pneumonia and Staphylococcus aureus, two pathogens which are well documented in its aetiopathogenesis, were isolated concurrently from his sputum and blood...
January 2019: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30860201/undiagnosed-placenta-praevia-percreta-a-rare-case-report-and-review-of-management
#2
Adeyemi Adebola Okunowo, Ephraim Okwudiri Ohazurike, Fatimah Murtazha Habeebu-Adeyemi
Placenta accreta spectrum disorders, especially placenta percreta (PP) and placenta praevia (PLP), are major risk factors for massive obstetric haemorrhage which is a common cause of maternal morbidity and mortality in our environment. This risk becomes exponential and life-threatening when the two conditions co-exist in the same patient. Even in advanced countries with readily available expertise and state of the art resuscitative and supportive facilities, these conditions are associated with grave maternal and perinatal morbidity and mortality...
January 2019: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30860200/the-pattern-and-outcomes-of-childhood-renal-diseases-at-university-of-abuja-teaching-hospital-abuja-nigeria-a-4-year-retrospective-review
#3
Emmanuel Ademola Anigilaje, Temilade Christianah Adesina
Introduction: Renal disorders contribute to childhood morbidity and mortality in developing countries. Therefore, the knowledge of the burden of childhood renal diseases is required for preventive and management purposes. This article determines the pattern and the outcomes of childhood renal diseases seen at the University of Abuja Teaching Hospital (UATH), Gwagwalada, Abuja, Nigeria. Materials and Methods: This was a retrospective review of children aged 1 month to 17 years, who were seen at the paediatric nephrology clinic, emergency paediatric unit and paediatric ward of the UATH over 4 years from January 2013 to December 2016...
January 2019: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30860199/demographic-characteristics-and-causes-of-death-for-persons-brought-in-dead-to-emergency-department-of-a-tertiary-health-facility-in-south-west-nigeria
#4
Oluseyi Adegoke, Janet Ngozi Ajuluchukwu
Introduction: Identifying the demographic characteristics and causes of death in persons 'brought-in-dead' (BID) will inform possible strategies for the prevention of their occurrence. Objective: To characterise the demography as well as document the autopsy-determined underlying and immediate causes of death in BID cases presenting to the emergency department (ED) of a tertiary health facility. Methods: This is a 5-year retrospective descriptive study of 253 autopsied-BID cases...
January 2019: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30860198/mentoring-in-a-resource-constrained-context-a-single-institutional-cross-sectional-study-of-the-prevalence-benefits-barriers-and-predictors-among-post-graduate-medical-college-fellows-and-members-in-south-eastern-nigeria
#5
Gabriel Uche Pascal Iloh, Miracle Erinma Chukwuonye, Obianma Nneka Onya, Ezinne Uchamma Godswill-Uko
Background: Globally, the post-graduate medical education has undergone tremendous changes with emphasis on training, services and research to equip trainees with competence for independent professional development. However, not all the fellows and members of the West African Post-graduate Medical College and the National Post-graduate Medical College of Nigeria recognise the values of mentoring in achieving the career success. Aim: The study was aimed at describing the prevalence, benefits, barriers and predictors of mentoring in a cross-section of the Post-graduate Medical College fellows and members in a tertiary health institution in South-Eastern Nigeria...
January 2019: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30860197/post-operative-management-in-uncomplicated-caesarean-delivery-a-randomised-trial-of-short-stay-versus-traditional-protocol-at-the-lagos-university-teaching-hospital-nigeria
#6
Nuvie Oyeyemi, Lawal Oyeneyin, Ayodeji Oluwole, Abisoye Oyeyemi, Bosede Afolabi
Context: Caesarean section (CS) is the most common major obstetric operation. There has, therefore, been an increasing interest in issues pertaining to the management and length of hospital stay following the procedure. Aim: This study aimed to evaluate morbidity outcomes as well as incurred costs between traditional and short-stay protocols, following uncomplicated CS deliveries. Settings and Design: This was a randomised controlled trial conducted among booked antenatal patients who had elective CS at the Lagos University Teaching Hospital...
January 2019: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30860196/comparison-of-visual-estimation-of-intra-operative-blood-loss-with-haemoglobin-estimation-in-patients-undergoing-caesarean-section
#7
Sampson Uzo Anya, Fidelis Anayo Onyekwulu, Elias Chukwujioke Onuora
Background: Obstetrical haemorrhage is a potentially preventable cause of maternal morbidity and mortality; and measurements of surgical blood loss (BL) are often inaccurate. Accurate BL estimation is paramount as it may substantially alter the timing of interventions to control haemorrhage. The study compares the assessment of intra-operative BL by visual estimation with BL calculated from haemoglobin estimation using the HemoCue®201+. Materials and Methods: A total of 60 pregnant patients at term undergoing elective caesarean section under spinal anaesthesia were enrolled into the study...
January 2019: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30860195/medication-adherence-and-24-h-blood-pressure-in-apparently-uncontrolled-hypertensive-nigerian-patients
#8
Abiodun Moshood Adeoye, Akindele Olupelumi Adebiyi, Oladimeji Muritala Adebayo, Mayowa Ojo Owolabi
Background: Uncontrolled hypertension is a major risk for major cardiovascular events. While medication adherence determines blood pressure (BP) control, studies on treatment adherence among apparently uncontrolled hypertensives are sorely lacking in sub-Saharan Africa. We report the pattern and correlate of medication adherence among the uncontrolled hypertensive population. Materials and Methods: We investigated 148 age- and sex-matched hypertensive adults on anti-hypertensive medication for a minimum of 1 year...
January 2019: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30860194/haematological-values-in-steady-state-sickle-cell-anaemia-patients-and-matched-heamoglobin-aa-controls-in-a-rural-area-of-eastern-gabon
#9
Landry Erik Mombo, Gaël Mabioko-Mbembo, Cyrille Bisseye, Kevin Mbacky, Fatoumata Thiam, Apollinaire Edou
Background: In Gabon, universal neonatal screening of sickle cell disease is not carried out in rural areas, often leading to late detection of the disease. However, complete blood counts are available in rural areas. Materials and Methods: We evaluated the haematological parameters of 45 homozygous steady-state sickle cell anaemia (SCA) patients and compared them with 45 sex- and age-matched Haemoglobin AA controls in Koula-Moutou, a rural area in Eastern Gabon...
January 2019: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30860193/heart-rate-variability-study-in-adult-nigerian-subjects-with-sickle-cell-disease-during-vaso-occlusive-crisis
#10
Adewole Adesoji Adebiyi, Olaniyi Mabayomije Oyebowale, Ayodele John Olaniyi, Ayodele Olawale Falase
Context: Autonomic nervous system (ANS) dysfunction assessed by abnormalities in heart rate variability (HRV) is thought to play a role in the pathophysiology of sickle cell disease (SCD). There is suggestion that changes in ANS may occur in SCD subjects during episodes of vaso-occlusive crises (VOC). Aims: The aim of this study was to evaluate the ANS by determining the HRV in patients with SCD during VOC. Settings and Design: This was a cross-sectional observational study...
January 2019: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30860192/towards-zero-mortality-in-sickle-cell-pregnancy-a-prospective-study-comparing-haemoglobin-ss-and-aa-women-in-lagos-nigeria
#11
Ochuwa Adiketu Babah, Monsurat Bolanle Aderolu, Ayodeji A Oluwole, Bosede B Afolabi
Introduction: Sickle cell disease in pregnancy carries increased risk of maternal and perinatal morbidity and mortality. Past studies on pregnancy complications in sickle cell disease women were limited by relatively small sample sizes, and use of retrospective and hospital discharge data. Study Design: This prospective case-control study compared booked pregnant Haemoglobin (Hb) SS women with AA controls from two tertiary centres in Lagos, in order to precisely identify their complication and mortality rates and identify associated factors...
January 2019: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30588950/adaptable-skull-stand-an-indigenous-innovation
#12
Adeola A Olusanya, Bolutife A Olusanya
The aim of this report is to describe the structure and advantages of an innovative and indigenous device, the adaptable skull stand, which serves the purpose of holding a skull model steady in a variety of positions without the need for an assistant.
October 2018: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30588949/spontaneous-globe-rupture-in-a-blind-glaucomatous-eye-a-report-of-three-cases
#13
Darlingtess Abies Oronsaye, Dumebi Hedwig Kayoma
This paper aims to report cases of spontaneous globe rupture in the blind eyes of three elderly patients with end-stage glaucoma some of which were possibly structurally compromised with topical traditional eye medications and steroids. These patients presented to the ophthalmology department of the University of Benin Teaching Hospital with a history of bleeding from one of their eyes and no antecedent history of trauma. They were known glaucoma patients who were blind with previously recorded high intraocular pressures...
October 2018: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30588948/knowledge-and-attitude-of-women-on-genital-cosmetic-surgery-at-university-college-hospital-ibadan-nigeria
#14
Oluwasomidoyin Olukemi Bello, Olatunji O Lawal
Background: Female genital cosmetic surgery (FGCS) is performed in other to restore or enhance the female genitalia. Materials and Methods: This is a cross-sectional study assessing the knowledge and attitude of 310 women attending gynaecology clinic towards FGCS at University College Hospital, Ibadan, Nigeria. Data were analysed using SPSS 20. Results: Mean age of respondents was 33.28 ± 7.68 years. Majority were married (76.1%) in monogamous family (87...
October 2018: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30588947/combined-intrarectal-lidocaine-gel-and-periprostatic-nerve-block-a-balanced-anaesthesia-for-transrectal-ultrasound-guided-prostate-biopsy
#15
Taiwo Opeyemi Alabi, Kehinde Habeeb Tijani, Adekunle Ayokunle Adeyomoye, Emmanuel Ajibola Jeje, Charles Chidozie Anunobi, Moses Adebisi Ogunjimi, Rufus Wale Ojewola, Olanrewaju Nurudeen Akanmu, Abisola Ekundayo Oliyide, Dubem Ejikeme Orakwe
Background and Aim: Periprostatic nerve block (PNB) which appears to be the gold standard for pain relief during transrectal ultrasound-guided prostate (TrusP) biopsy has been proven to be lacking in providing satisfactory anaesthesia during transrectal ultrasound (Trus) probe insertion into the anorectum necessitating the addition of another technique to produce a 'balanced' anaesthesia. The aim of this study was to determine whether combined intrarectal lidocaine gel and periprostatic nerve block (cGPNB) will provide adequate anaesthesia at all stages of TrusP compared with caudal block (CB)...
October 2018: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30588946/review-of-109-cases-of-primary-malignant-orofacial-lesions-seen-at-a-nigerian-tertiary-hospital
#16
Olufunlola Motunrayo Adesina, Olujide Oladele Soyele, Elijah Olufemi Oyetola, Olawunmi Adedoyin Fatusi
Background: Orofacial malignancy is a growing health issue common in developing regions of the world. Presentation patterns are myriad with geographic variations. Advanced stage owing to late presentation constitutes a significant public health burden. The site and type of the lesions are valuable in diagnosis and patient management. Aim: This study aims to review cases of primary orofacial malignancies at the OAUTHC Dental Hospital. Objectives: The objective of the study was to determine the prevalence of histologically diagnosed orofacial malignancies, the relative frequencies, types and site of distribution...
October 2018: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30588945/dental-caries-and-oral-hygiene-status-survey-of-schoolchildren-in-rural-communities-southwest-nigeria
#17
Clara Arianta Akinyamoju, David Magbagbeola Dairo, Ikeola Adejoke Adeoye, Akindayo Olufunto Akinyamoju
Purpose: Dental caries and poor oral hygiene cause pain and have an effect on activities of children such as playing, sleeping, eating and school attendance. Previous studies on the prevalence of dental caries and poor oral hygiene have focused more on urban than rural communities in the developing countries. The objective of the study was to assess dental caries and oral hygiene status of schoolchildren in rural communities. Materials and Methods: It was a cross-sectional study involving 778 schoolchildren from 12 public primary schools...
October 2018: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30588944/foeto-placental-parameters-in-normal-pregnancy-and-factors-affecting-them
#18
Ochuwa Adiketu Babah, Ayodeji A Oluwole, Opeyemi R Akinajo, Emmanuel Owie, Ephraim O Ohazurike
Objective: The aim of this study was to evaluate foeto-placental (F/P) parameters, namely foetal birth weight, placental weight (PW) and F/P weight ratio, in normal pregnancy and factors affecting them. Methodology: A retrospective study was conducted on labour ward data obtained over a period of 3 years (2015-2017). Only deliveries above 28-week gestational age which met other selection criteria were included in the study. Their sociodemographic parameters, PW, foetal birth weight, foetal outcome and Apgar scores were extracted from the delivery registers...
October 2018: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30588943/experience-and-knowledge-of-child-abuse-and-neglect-a-survey-among-a-group-of-resident-doctors-in-nigeria
#19
Olubukola Olamide Olatosi, Philip U Ogordi, Folakemi A Oredugba, Elizabeth O Sote
Background: Child abuse and neglect (CAN) is a significant public health problem. Dentists are in good position to identify and report cases of CAN. Aim: The aim of this study was to determine the experience and knowledge of CAN among a group of Nigerian dental residents. Materials and Methods: This was a cross-sectional study carried out among dentists attending a postgraduate update course. Data were collected to assess the knowledge of respondents on the forms of CAN, indicators and risk factors...
October 2018: Nigerian Postgraduate Medical Journal
https://read.qxmd.com/read/30588942/ultrasonographic-characterisation-of-obstructive-uropathy-in-nigerian-women-with-uterine-fibroids
#20
Bukunmi Michael Idowu, Bolanle Olubunmi Ibitoye, Victor Olufemi Oyedepo, Stephen Olaoluwa Onigbinde, Tolulope Adebayo Okedere
Objectives: The objective of this study was to determine the prevalence of upper renal tract obstructive changes in women with uterine fibroids using ultrasonography (USG). Methods: We enrolled 140 women with uterine fibroids and performed USG of the uterus and upper renal tract with full and empty urinary bladders, respectively. The number of fibroid nodules and the uterine volume were determined. The presence of hydronephrosis was graded and documented. Uterine volumes >200 cm3 were denoted as large and vice versa...
October 2018: Nigerian Postgraduate Medical Journal
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