Nigerian Journal of Clinical Practice最新文献

{"title":"Bridging the Theory-Practice Gap in Radiography Education: A Cross-Sectional Study of Clinical Placement Experiences.","authors":"Y Madkhali","doi":"10.4103/njcp.njcp_452_26","DOIUrl":"https://doi.org/10.4103/njcp.njcp_452_26","url":null,"abstract":"<p><strong>Background: </strong>Clinical placements are vital in radiography education, enabling students to apply theoretical knowledge in real settings. However, a theory-practice gap often exists, which is the discrepancy between academic learning and clinical application.</p><p><strong>Aim: </strong>To assess radiography students' perceptions of the theory-practice gap and factors associated with their clinical skill development.</p><p><strong>Methods: </strong>A cross-sectional study involving radiography students was conducted, using a Likert-scale questionnaire to assess the alignment between academic preparation and clinical practice. Data analysis included descriptive statistics, the Wilcoxon signed-rank test, Spearman's correlation, and linear regression to evaluate perceived gaps and predictors of skill development.</p><p><strong>Results: </strong>Of 121 students (62.8% female, 37.2% male), the mean clinical placement experience score was 3.46. The university preparation rated significantly above neutral ( P < 0.001), while the theory-practice gap was below neutral ( P = 0.002). A negative correlation was noted between perceived university preparation and the gap (rho = -0.290, P = 0.001). Linear regression showed that perceived relevance of courses (B = 0.245, P < 0.001) and confidence in performing routine exams (B = 0.259, P < 0.001) were significant predictors of skill development, explaining 22% of the variance (R² = 0.2).</p><p><strong>Conclusion: </strong>Although students experienced a theory-practice gap, improved academic preparation, frequent clinical exposure, and opportunities for routine exams enhanced perceived skills. Enhancing the connection between academic curricula and clinical training could help bridge this gap and improve learning outcomes.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"997-1002"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Single-Segment versus Two-Segment Pedicle Screw Fixation on Postoperative Sagittal Balance and Cranial Adjacent Segment Disease in L4-L5 Spondylolisthesis.","authors":"R Acikalin, M Ferat, C Sezer, I Istemen, M Harput, D Babaoglan","doi":"10.4103/njcp.njcp_55_26","DOIUrl":"https://doi.org/10.4103/njcp.njcp_55_26","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the effects of single-segment versus two-segment pedicle screw fixation on adjacent segment disease (ASDis) and lumbar sagittal balance in patients with L4-L5 spondylolisthesis.</p><p><strong>Materials and methods: </strong>This retrospective study included 35 patients who underwent lumbar fusion for L4-L5 spondylolisthesis between January 2020 and January 2025. Patients were divided into single-segment (SS) and two-segment (TS) groups: SS (L4-L5 fusion, n = 19) and TS (L3-L4-L5 fusion, n = 16). Clinical outcomes were assessed using the Visual Analog Scale (VAS) and the Oswestry Disability Index (ODI). Radiological parameters, including lumbar lordosis (LL), sagittal vertical axis (SVA), and sacral slope (SCS), were measured. Adjacent segment degeneration (ASDeg) was evaluated using Modified Pfirrmann Grades. The follow-up period was 6 months postoperatively.</p><p><strong>Results: </strong>Both groups showed significant improvement in VAS and ODI scores postoperatively. At 6-month follow-up, the TS group demonstrated greater improvement (VAS: P =0.028; ODI: P =0.042). The SS group exhibited higher Pfirrmann scores, indicating greater ASDeg, compared to the TS group ( P < 0.05). The TS group showed better restoration of LL and SVA at final follow-up, though differences were not statistically significant ( P > 0.05).</p><p><strong>Conclusion: </strong>Both single-segment and two-segment fixation improve clinical and radiological outcomes in L4-L5 spondylolisthesis. However, two-segment fixation offers advantages in preventing adjacent-segment degeneration and maintaining radiographic parameters.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"966-972"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: Glazed vs. Polished Zirconia: How Surface Finishes Affect Human Enamel and Dentin Wear.","authors":"","doi":"10.4103/njcp.njcp_596_26","DOIUrl":"10.4103/njcp.njcp_596_26","url":null,"abstract":"","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1087"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Lateral Flow Test and PCR for Carbapenemase Detection in Carbapenem-Resistant Klebsiella pneumoniae and the Ceftazidime-Avibactam Resistance Profile.","authors":"O Yapıcı, E Dalmanoğlu, A G Şener, T K Atik, A F Anıl, K Demirel, M Aysın","doi":"10.4103/njcp.njcp_787_25","DOIUrl":"https://doi.org/10.4103/njcp.njcp_787_25","url":null,"abstract":"<p><strong>Background: </strong>Carbapenem-resistant Klebsiella pneumoniae (CRKp) strains are a major public health threat.</p><p><strong>Aim: </strong>This study aimed to compare multiplex lateral flow immunochromatographic testing (LFT) and polymerase chain reaction (PCR) for detecting carbapenemase genes in carbapenem-resistant K. pneumoniae (CRKp). A secondary objective was to assess the gene-specific susceptibility profile of these isolates to critical antimicrobial agents: ceftazidime-avibactam (CZA), last-resort options (colistin, amikacin).</p><p><strong>Methods: </strong>CRKp isolates from patient samples (blood, urine, and respiratory tract) were identified based on colony morphology, Gram stain, and the BD Phoenix M50system. Isolates resistant to ≥1 carbapenem per EUCAST criteria were included. Resistant isolates underwent PCR for bla KPC, bla NDM, bla VIM, bla IMP, and bla OXA-48 genes, and carbapenemase production was phenotypically confirmed using a commercial immunochromatographic test (ICT) kit (detecting OXA-48-like, NDM, VIM, IMP, KPC simultaneously). Susceptibility to ceftazidime-avibactam (CAZ-AVI), colistin, and amikacin was assessed according to EUCAST standards. The study was conducted in Western Anatolia, in Balıkesir, Türkiye.</p><p><strong>Results: </strong>The distribution patterns of the isolates showed that blaOXA-48 predominated (n = 27, 38.0% of positive isolates), followed by blaKPC (n = 15, 21.1%) and blaNDM (n = 7, 9.9%). Notably, 22 isolates (31.0%) harbored multiple carbapenemase genes: OXA-48 + NDM (n = 14, 19.7%), KPC + NDM (n = 4, 5.6%), and OXA-48 + KPC (n = 4, 5.6%). Neither blaVIM nor blaIMP was detected. The lateral flow test (LFT) demonstrated good agreement with PCR for the detection of blaKPC and blaOXA-48 genes (Cohen's κ = 0.72 and 0.65, respectively); however, its accuracy decreased in isolates harboring multiple carbapenemase genes. While susceptibility to ceftazidime- avibactam averaged 28.6% overall among CP-Kp isolates, it varied according to carbapenemase type, with KPC producers exhibiting the highest rate (46.7%).</p><p><strong>Conclusions: </strong>These findings highlight the importance of rapid and easily applicable diagnostic tests, as well as the urgent need for new antimicrobial agents and novel therapeutic approaches (e.g, Phage therapy, immunotherapies).</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1003-1009"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pattern of Blood Donor Deferral in a Blood Establishment in Lagos.","authors":"A K Orolu, B I Osikomaiya, B T Bello, A D Samuel, O G Animashaun","doi":"10.4103/njcp.njcp_824_25","DOIUrl":"https://doi.org/10.4103/njcp.njcp_824_25","url":null,"abstract":"<p><strong>Background: </strong>Donor deferrals serve a critical safety function in transfusion, yet high deferral rates may negatively impact blood supply and future donor return. Understanding the epidemiology and reasons for deferral can guide targeted interventions and policy adjustments.</p><p><strong>Aim: </strong>To determine the rate, pattern, and factors associated with pre-donation deferral among voluntary blood donors at the Lagos State Blood Transfusion Services (LSBTS) donation center.</p><p><strong>Methods: </strong>A retrospective cross-sectional review of donor records was conducted over 12 months (January to December 2019) at LSBTS. Data were extracted from donation and deferral registers on donor demographics, type, and causes of deferral. Statistical analysis was performed using SPSS software version 28.0. Chi-square tests assessed associations between categorical variables, and t-tests compared continuous variables. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated for selected associations. Statistical significance was set at P < 0.05.</p><p><strong>Results: </strong>Of 5,427 prospective donors, 854 (15.7%) were deferred. Deferral rates varied significantly across age groups; P < 0.001. Temporary deferrals accounted for 98.0% of all deferrals, with low hemoglobin being the leading cause (46.3%). In multivariable logistic regression, female donors remained independently associated with donor deferral (adjusted OR [AOR] 5.84, 95% CI: 4.98-6.86; P < 0.001), while first-time donors had higher odds of deferral than repeat donors (AOR 1.34, 95% CI: 1.15-1.56; P < 0.001).</p><p><strong>Conclusion: </strong>To promote donor retention and maintain an adequate and safe blood supply, blood services should prioritize pre-donation education, adopt gender-sensitive eligibility guidelines, and implement policy updates informed by local population characteristics.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1010-1017"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic and Prognostic Significance of Systemic Inflammatory Indices in Bell's Palsy in Relation to Electrophysiological Findings: A Retrospective Observational Case-Control Study.","authors":"E Simsek, E Baran, M Mutlu, D K Gok, B N Ugurlu","doi":"10.4103/njcp.njcp_338_26","DOIUrl":"10.4103/njcp.njcp_338_26","url":null,"abstract":"<p><strong>Background: </strong>Systemic inflammatory indices have been investigated as potential biomarkers in Bell's palsy (BP), but their relationship with electrophysiological findings remains unclear.</p><p><strong>Aim: </strong>This study aimed to investigate the diagnostic and prognostic value of NLR, MPV, RDW, PDW, SII, and SIRI in patients with BP and to evaluate their relationship with electrophysiological test results (ENoG and EMG).</p><p><strong>Methods: </strong>In this retrospective study, 90 patients diagnosed with BP and 90 age- and sex-matched healthy individuals were evaluated. Complete blood count parameters at the time of diagnosis were recorded, and related inflammatory indices were calculated. ENoG results (performed between days 3 and 10) and EMG results (performed after day 21) of patients with BP were analyzed. Differences between groups and correlations with electrophysiological tests were statistically assessed.</p><p><strong>Results: </strong>NLR, SIRI, and SII were higher in the Bell's palsy group in the initial comparisons. After false discovery rate correction, the differences in NLR and SIRI remained significant, whereas SII did not. ROC analyses demonstrated limited discriminatory performance, with AUC values of 0.611 for NLR, 0.605 for SIRI, and 0.591 for SII. In age- and sex-adjusted logistic regression models, higher NLR, SIRI, and SII values were independently associated with Bell's palsy. No significant associations were observed between the inflammatory indices and electrophysiological prognostic indicators.</p><p><strong>Conclusion: </strong>NLR and SIRI were associated with Bell's palsy after correction for multiple comparisons, and NLR, SIRI, and SII showed independent associations in age- and sex-adjusted models. However, their limited ROC performance indicates that these indices should not be considered stand-alone diagnostic tests. No significant association was observed with the electrophysiological prognostic indicators evaluated in this cohort.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1063-1069"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Acute Urinary Retention on the Early and Late Outcomes of Transurethral Resection of the Prostate.","authors":"Y Aktaş, A Tongal, A N Gökcan, M Köse, A Tunçekin, H Türk","doi":"10.4103/njcp.njcp_791_25","DOIUrl":"https://doi.org/10.4103/njcp.njcp_791_25","url":null,"abstract":"<p><strong>Background: </strong>Transurethral resection of the prostate (TURP) is the gold standard surgical treatment for benign prostatic hyperplasia (BPH), but postoperative outcomes may differ in patients presenting with acute urinary retention (AUR).</p><p><strong>Aim: </strong>This study aimed to evaluate the impact of AUR on postoperative outcomes and complications in patients undergoing TURP for BPH.</p><p><strong>Methods: </strong>This retrospective study included 398 male patients who underwent TURP between January 2020 and June 2024. We categorized the patients into two groups: those we operated on for lower urinary tract symptoms (LUTS) and those for AUR. Demographic data, prostate volume, serum prostate-specific antigen (PSA), maximum urinary flow rate (Qmax), post-void residual volume (PVR), International Prostate Symptom Score (IPSS), length of hospital stay, and postoperative complications were analyzed. Complications were classified according to the Clavien-Dindo system. Statistical analysis was performed using Student's t-test and Chi-square tests, with P < 0.05 considered significant.</p><p><strong>Results: </strong>A total of 398 patients were included in the study, comprising 237 who underwent TURP for LUTS and 161 for AUR. The AUR group demonstrated significantly higher prostate volume ( P = 0.03), elevated PSA levels ( P < 0.001), longer hospital stay ( P = 0.001), and a higher early complication rate ( P < 0.001). The majority of these complications were recurrent AUR. Both groups showed significant postoperative improvement in Qmax and IPSS; however, patients with AUR had lower postoperative Qmax ( P < 0.001) and higher PVR ( P < 0.001). At six months, urethral stricture occurred more frequently in the LUTS group ( P = 0.025).</p><p><strong>Conclusion: </strong>AUR before TURP is associated with longer hospitalization, higher early postoperative complication rates, and poorer functional outcomes. Preoperative urodynamic assessment and individualized postoperative follow-up may help optimize surgical results in this patient group.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1025-1031"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Intraparotid Branching Patterns of the Facial Nerve During Parotidectomy: A Clinical Study Based on the Davis and Alomar Classifications.","authors":"Y Ç Kumbul, F Yeşilkuş, Y E Ekinci, H Yasan, M Tüz, E Okur, M E Sivrice","doi":"10.4103/njcp.njcp_306_26","DOIUrl":"https://doi.org/10.4103/njcp.njcp_306_26","url":null,"abstract":"<p><strong>Background: </strong>The branching patterns of the facial nerve (FN) vary among individuals, which may affect the risk of surgical complications.</p><p><strong>Aim: </strong>The aim of this study is to examine the relationship between FN branching patterns and clinical variables including facial paralysis in patients undergoing parotidectomy in our clinic and to reveal the region-specific anatomical distribution of the FN.</p><p><strong>Methods: </strong>Data from 39 patients who underwent parotidectomy were analyzed. In all cases, the main trunk of the FN was located at the exit of the stylomastoid foramen and dissected. Intraoperative nerve monitoring was used in all cases. The branching patterns of the FN were categorized according to the Davis and Alomar classifications. The relationship between these two classifications and the variables was statistically analyzed.</p><p><strong>Results: </strong>Of patients, 53.8% were female and 46.1% were male, with an average age of 47.59 ± 16.12 years. The mean length of the main trunk of the FN was 15.44 ± 3.51 mm. The interbranch anastomosis rate was 74.36%. In the Alomar classification, the most frequent subtype was IB2 (51.28%), while in the Davis classification, Type I (25.64%) and Type III (25.64%) were the most frequent. The rate of facial paralysis (FP) in the early postoperative period was determined to be 33.3%. A significant association was found between malignant tumors and the development of FP ( P = 0.035 ).</p><p><strong>Conclusion: </strong>Understanding the branching patterns of the FN and regional anatomical variations is critical for improving surgical success during parotidectomy. Among clinical variables, malignant histopathology is the strongest predictor of FP.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 9","pages":"1032-1039"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nephropleural Fistula as a Rare Complication of Nephrolithiasis: A Case Report and Literature Review.","authors":"Y Kayalı","doi":"10.4103/njcp.njcp_609_25","DOIUrl":"10.4103/njcp.njcp_609_25","url":null,"abstract":"<p><p>Nephropleural fistula (NPF) is an exceptionally rare yet clinically significant complication that typically arises in the context of severe urinary tract infections or following percutaneous nephrolithotomy. We describe a case of NPF secondary to a complicated urinary tract infection, outlining its clinical course, diagnostic challenges, and therapeutic management. This report highlights the importance of early recognition and appropriate interventions to prevent the morbidity associated with this unusual entity.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 8","pages":"949-952"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Catastrophic Intraoperative Systemic Vascular Injuries in Elective Thoracic Surgery: A 10-Year Retrospective Single-Center Study.","authors":"C İşevi, S M Yücel, M G Pirzirenli, F Ömür, A T Şengül, Y Büyükkarabacak, B Çelik","doi":"10.4103/njcp.njcp_659_25","DOIUrl":"https://doi.org/10.4103/njcp.njcp_659_25","url":null,"abstract":"<p><strong>Background: </strong>Systemic vascular injuries during elective thoracic surgery are rare, but potentially life-threatening complications. Their occurrence is closely related to tumor-vessel proximity and intraoperative technical challenges.</p><p><strong>Aims: </strong>To determine the incidence proportion, mechanisms, and clinical outcomes of systemic vascular injuries during elective thoracic surgery, and to assess the impact of multidisciplinary preoperative planning.</p><p><strong>Methods: </strong>This retrospective descriptive study reviewed patients with intraoperative systemic vascular injuries during elective thoracic surgery at a tertiary center between January 2015 and December 2024. Demographic, surgical, and perioperative data-including injured vessel, blood loss, transfusion, complications, and need for cardiovascular surgery (CVS) support-were analyzed. Pulmonary artery injuries and emergency surgeries were excluded.</p><p><strong>Results: </strong>Of 7,597 elective thoracic surgeries, 11 patients (0.15%) sustained systemic vascular injuries. The most injured vessels were the superior vena cava (SVC), brachiocephalic vein, and subclavian artery. Preoperative imaging failed to detect vascular invasion in 45.5% of patients. CVS consultation was obtained in 5 cases (45.5%), but cardiopulmonary bypass (CPB) was not required. Median blood loss and transfusion requirements were higher in the CVS group, though differences were not statistically significant. Three patients (27.3%) died during the postoperative period, with pulmonary complications such as pneumonia identified as the primary cause of death. One neoadjuvant-treated patient experienced a subclavian artery injury requiring graft interposition.</p><p><strong>Conclusions: </strong>Although uncommon, systemic vascular injuries in elective thoracic surgery are associated with significant morbidity and mortality. Preoperative imaging may underestimate vascular risk. Multidisciplinary planning and intraoperative preparedness are essential to mitigate complications. Larger multicenter prospective studies are warranted to develop standardized preventive strategies.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"29 8","pages":"923-930"},"PeriodicalIF":0.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}