A. C. Nwachukwu, C. Nwachukwu, I. Ezeobi, C. K. Melekwe
{"title":"Femoral Neck Fracture in Children- Decompression, Anatomic Reduction and Use of Kirchner Wires to the Rescue?","authors":"A. C. Nwachukwu, C. Nwachukwu, I. Ezeobi, C. K. Melekwe","doi":"10.31871/WJIR.6.6.11","DOIUrl":"https://doi.org/10.31871/WJIR.6.6.11","url":null,"abstract":"Femoral neck fracture in children is very rear. Whenever it occurs, it presents a challenge to the orthopaedic surgeon. There are schools of thought on immediate capsular aspiration and surgery. However, some do not believe that capsular decompression and immediate surgery prevent avascular necrosis of the femur. This is the reason for this report, to lend my findings to the debate. This patient is a 7year old female child. She was a victim of truck-pedestrian injury. It was a high energy trauma with resultant displaced intertrochanteric femoral neck fracture(Delbert type IV). There was mild head injury which she recovered from. She did not have capsular decompression. She had open reduction and internal fixation 8 days after injury. We used smooth Kirchner wires for fixation. She was kept on strict bed rest. 6weeks after surgery, she had radiological union and commenced guarded ambulation with a walker(Zimmer frame). Six months post injury, there is no sign of avascular necrosis and patient walks full weight bearing without pain. Conclusion: Delayed surgery in a displaced femoral fracture in children did not affect surgery outcome. Open arthrotomy and immediate decompression may not be necessary in displaced femoral neck fracture. Open and anatomic reduction may be a way to reduced poor outcome.","PeriodicalId":191047,"journal":{"name":"World Journal of Innovative Research","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131071908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physicochemical and Microbiological Evaluation of Agbo (herbal decoction) Sold in Some Parts of Warri Metropolis, Delta-State, Nigeria","authors":"E. E. Francis, I. O. Isaac","doi":"10.31871/WJIR.6.6.29","DOIUrl":"https://doi.org/10.31871/WJIR.6.6.29","url":null,"abstract":"","PeriodicalId":191047,"journal":{"name":"World Journal of Innovative Research","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125781227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cellular Immunity and Immune Activation Markers in HIV Seropositive Tuberculosis Patients in Zaria, Nigeria","authors":"T. P. Mbaave","doi":"10.31871/WJIR.6.6.26","DOIUrl":"https://doi.org/10.31871/WJIR.6.6.26","url":null,"abstract":"Materials and method: The study subjects were new patients who presented to Ahmadu Bello University Teaching Hospital (ABUTH) Zaria during the study period. They underwent clinical evaluation, relevant investigations. Those found to be co infected with TB/HIV further had CD4+ T lymphocytes count, beta-2-microglobulin (β2M) and Erythrocyte Sedimentation Rates (ESR) evaluated and were consecutively included in the study. HIV negative tuberculosis patients and normal persons served as controls. Findings: Seventy five study subjects were included in the study. Their mean CD4+ count was 178 ± 116.81 cells/ul., serum beta -β2M level was 3.29mg/L, tuberculin skin test (TST) reaction was 5 ±6.7mm and erythrocyte sedimentation rate (ESR) was 67.88 ± 37.32mm/hr, which were statistically significantly different from the TB only and controls. Conclusion and recommendation: The ESR and the TST reaction had weak and moderate predictive values for CD4+ count respectively. The association is too weak for these to be recommended as surrogates for CD4+ T lymphocytes count and progression in HIV/TB co infected patients.","PeriodicalId":191047,"journal":{"name":"World Journal of Innovative Research","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115213871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Autologous Fibular Strut Graft as a Substitute for Iliac Crest Graft and Bone Substitutes or Implant in Opening Wedge Valgus Tibia Osteotomy in Children","authors":"Nwachukwu Ac, Nwachukwu Cc","doi":"10.31871/WJIR.6.5.17","DOIUrl":"https://doi.org/10.31871/WJIR.6.5.17","url":null,"abstract":"Genu varum deformity in children remains a major worry for parents. Children with pathologic genu varum deformities usually undergo corrective osteotomy to correct the deformity. Several methods of osteotomy which include closing wedge lateral tibial osteotomy, dome osteotomy, opening wedge medial osteotomy have been employed. Objective: Objective of the study was to determine the usefulness of autologous fibular strut graft as a substitute for other iliac crest graft, bone substitutes and implants as graft to fill the void and maintain the patency of the open wedge and correction.","PeriodicalId":191047,"journal":{"name":"World Journal of Innovative Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134251193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Construction and Performance Evaluation of Savonius Vertical Axis Wind Turbine","authors":"Y. Abdullahi, M. Musa","doi":"10.31871/WJIR.6.5.24","DOIUrl":"https://doi.org/10.31871/WJIR.6.5.24","url":null,"abstract":"","PeriodicalId":191047,"journal":{"name":"World Journal of Innovative Research","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126812642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Green Building and Energy Conserving Designs: Significance of Timber as a Sustainable Building Material in Nigeria","authors":"Osore Oludare Temitope","doi":"10.31871/WJIR.6.5.10","DOIUrl":"https://doi.org/10.31871/WJIR.6.5.10","url":null,"abstract":"","PeriodicalId":191047,"journal":{"name":"World Journal of Innovative Research","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125015507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gender Preference and Succession of Family Businesses in Jos, Plateau State, Nigeria","authors":"Shittu Paulina, Ibitomi Taiwo","doi":"10.31871/WJIR.6.5.34","DOIUrl":"https://doi.org/10.31871/WJIR.6.5.34","url":null,"abstract":"","PeriodicalId":191047,"journal":{"name":"World Journal of Innovative Research","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125828298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Geoelectric Tomography Study of Hydrocarbon Spill at IJEDODO Area, Abule Ado, Lagos","authors":"O. O. Adeoye-Oladapo, M. I. Oladapo","doi":"10.31871/WJIR.6.5.35","DOIUrl":"https://doi.org/10.31871/WJIR.6.5.35","url":null,"abstract":"Geo-tomography study has been undertaken to determine the level of pollution occasioned by hydrocarbon spill at Ijedodo section of petroleum pipeline route at Ijedodo area of Abule Ado, Lagos. The field study involved the electrical resistivity tomography method using Dipole-Dipole electrode configuration. Traverse length of 1,870 m was occupied with electrode separations of 10 m and inter-dipole separation factor (n) varied from 1 to 8. The study area is underlain by the Dahomey Sedimentary Basin. The data are presented as field and theoretical pseudosections alongside 2-D resistivity structure. 2-D Resistivity Structure output presents inversion of the field data to obtain a model utilized for subsurface characterization. Observed high resistivity values are attributable to resistive sand units while low values obtained are diagnostic of conductive clay units. However, anomalously high resistivity values recorded are attributable to hydrocarbon invasion of some pore spaces. Dipole-Dipole field and theoretical pseudosections generated for the segment show predominance of conductive (clay) materials interspersed with slightly resistive (sand) materials beneath the southern half (1000 m) of the investigated segment. An isolated conductive feature (clay) was delineated beneath hydrocarbon pollution point. Finite Difference Method (FDM) inversion section of the investigated section however presents low resistivity materials (presumably clay) constituting the top segment within 180 – 970 m to depth of about 23 m. The section presents anomalously high resistivity constituents (diagnostic of severe hydrocarbon impact) at the lower segment in areas around 390 – 940 m and 1740 – 1870 m.","PeriodicalId":191047,"journal":{"name":"World Journal of Innovative Research","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129291131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Digital Rectal Examination (DRE); A Despised Clinical Sign among Medical Students?","authors":"Nwachukwu Ac","doi":"10.31871/WJIR.6.5.38","DOIUrl":"https://doi.org/10.31871/WJIR.6.5.38","url":null,"abstract":"","PeriodicalId":191047,"journal":{"name":"World Journal of Innovative Research","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131410206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The State Of Residency Training In Nigeria – Resident Doctors’ Perspective","authors":"Nwachukwu Ac","doi":"10.31871/WJIR.6.4.32","DOIUrl":"https://doi.org/10.31871/WJIR.6.4.32","url":null,"abstract":"","PeriodicalId":191047,"journal":{"name":"World Journal of Innovative Research","volume":"18 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126934071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}