Nigerian Journal of Clinical Practice最新文献

{"title":"Efficacy Analysis of PKP and PMCP in Treatment of Osteoporotic Vertebral Compression Fracture.","authors":"L Zhou, J Gu, F Xu, P Li, S He, P Zhang","doi":"10.4103/njcp.njcp_22_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_22_24","url":null,"abstract":"<p><strong>Background: </strong>Osteoporotic vertebral compression fractures (OVCFs) represent the most common fragility fractures in the elderly population. These fractures frequently cause refractory back pain and progressive kyphosis, with subsequent high risks of vertebral refracture, ultimately leading to substantial disability, elevated mortality rates, and considerable socioeconomic burdens. Current therapeutic strategies prioritize minimally invasive approaches that are safe, technically feasible, and effective, with the primary goals of early functional recovery and quality of life restoration. Currently, the mainstream consensus favors minimally invasive surgical interventions.</p><p><strong>Aim: </strong>To compare the efficacy of percutaneous kyphoplasty (PKP) versus percutaneous 28 mesh-container-plasty (PMCP) for OVCF.</p><p><strong>Methods: </strong>The clinical data of 75 patients with thoracolumbar OVCF surgically treated in our hospital from March 2021 to March 2023 were reviewed and analyzed, of which 45 cases were treated with PKP, 30 cases were treated with PMCP, and the follow-up time was from 8 to 12 months. We compared the basic clinical data, surgical conditions, VAS (Visual Analog Scale), and ODI (Oswestry Disability Index) scores before and after surgery, the heights of the anterior and middle margins of the injured vertebrae, the Cobb angle of the injured vertebrae, and the leakage and distribution of bone cement between the two groups.</p><p><strong>Results: </strong>The VAS and ODI scores, the height, and the Cobb angle of the injured vertebrae of the two groups were improved compared with those of the preoperative period, and the difference was statistically significant (P < 0.05). The PMCP group had longer operation time, larger amount of bone cement injection, more reasonable distribution, lower leakage rate, and better recovery of the vertebral height and the Cobb angle, compared with the PKP group, and the difference was statistically significant (P < 0.05).</p><p><strong>Conclusion: </strong>Both PKP and PMCP can effectively improve the pain symptoms and dysfunction of patients with OVCF, and the operation time of PMCP group is longer than that of the PKP group, but it can better improve the height and kyphosis of injured vertebrae, and the distribution of bone cement is more reasonable and the leakage rate is lower.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 5","pages":"641-647"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216458","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":"Assessment of Zinc, Selenium and Vitamin C Status in Maternal and Umbilical Cord Blood of Intrapartum Women in Enugu Metropolis, Enugu State, Nigeria.","authors":"C M Adilieje, C S Ejezie, H O Obianyido, C C Ugwu, O S Ezeadichie, F E Ejezie","doi":"10.4103/njcp.njcp_467_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_467_24","url":null,"abstract":"<p><strong>Background: </strong>Zinc, selenium, and vitamin C are vital antioxidants that mitigate oxidative stress. Pregnancy-induced metabolic changes may alter their levels, affecting maternal and fetal health.</p><p><strong>Aim: </strong>This study evaluated zinc, selenium, and vitamin C concentrations in maternal and umbilical cord blood of women in labor in Enugu Metropolis, Nigeria.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 48 mother-neonate pairs. Maternal and umbilical cord blood samples (5 mL each) were collected postpartum. Zinc and selenium were analyzed using atomic absorption spectrophotometry, while vitamin C was measured colorimetrically.</p><p><strong>Results: </strong>Mean maternal and cord serum zinc levels were 41.61 ± 2.45 µg/dL and 42.65 ± 4.7 µg/dL, respectively, indicating deficiency. Selenium averaged 168.10 ± 14.47 µg/L in maternal serum and 197.56 ± 16.74 µg/L in cord blood, with neonatal levels exceeding physiological limits. Vitamin C concentrations were 7.53 ± 0.26 mg/L (maternal) and 7.11 ± 0.50 mg/L (cord), both within normal ranges. Correlation analysis showed a weak maternal-cord zinc relationship (r = 0.11, P = 0.46), a significant positive correlation for selenium (r = 0.48, P = 0.00059), and a slight negative correlation for vitamin C (r = -0.022, P = 0.88).</p><p><strong>Conclusion: </strong>Zinc deficiency in maternal and cord blood highlights the need for routine monitoring and supplementation. Elevated neonatal selenium suggests potential toxicity risks, requiring further research. Adequate vitamin C levels indicate sufficient nutrition, supporting immune function and oxidative stress reduction. These findings emphasize the importance of maternal micronutrient balance for neonatal health.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 5","pages":"565-573"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216456","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":"Preoperative Anxiety and its Associated Factors among Adult Patients Undergoing Elective Surgery in Tertiary Hospitals in Enugu, Southeast Nigeria.","authors":"C J Mbadugha, N J Omotola, J E Emega, O T Madu, A L Obiekwu","doi":"10.4103/njcp.njcp_404_22","DOIUrl":"https://doi.org/10.4103/njcp.njcp_404_22","url":null,"abstract":"<p><strong>Background: </strong>Anxiety before surgery is an influential element in the pre-operative care and postoperative outcome of patients. Identifying the level of pre-operative anxiety and possible factors will enable health professionals to provide appropriate psychological care aimed at preventing potential post-operative complications.</p><p><strong>Aim: </strong>This study aimed to assess the level of pre-operative anxiety and associated factors among adult patients undergoing elective surgery in two tertiary hospitals that provide surgical services in Southeast Nigeria.</p><p><strong>Methods: </strong>A descriptive cross-sectional study design was adopted. Ninety-eight adults booked for surgery in selected hospitals were assessed using a standardized (State and trait anxiety inventory) instrument to obtain information on their anxiety level and contributing factors.</p><p><strong>Results: </strong>The prevalence of anxiety in the study was 55%. Financial loss due to hospitalization (52%), fear of postoperative pain (50%), and fear of complications (51%) were the major factors that precipitated anxiety among respondents. Patients with acute cases (36.1%) and no previous experience with general anesthesia (79%) were associated with higher levels of anxiety than their counterparts. Provision of preoperative counseling was insignificant in influencing the level of anxiety (P > 0.05). The main strategies used by patients were praying and meditating.</p><p><strong>Conclusion: </strong>Patients undergoing elective surgery experience pre-operative anxiety. Inadequate information during the preoperative period was implicated as a factor that contributed to high anxiety levels among those who received preoperative counseling. Therefore, improving preoperative counseling sessions and ensuring the availability of social support is likely to reduce the prevalence of preoperative anxiety and facilitate postoperative recovery.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 5","pages":"633-640"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216468","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":"Unusual Association of 46XY/45XO Mosaic Turner Syndrome and Mullerian Agenesis.","authors":"M U Ibekwe, C G Ogbonna-Nwosu, L N Nwokeji-Onwe","doi":"10.4103/njcp.njcp_274_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_274_24","url":null,"abstract":"<p><p>Gonadal dysgenesis and Müllerian agenesis are rare congenital developmental disorders that are known to cause primary amenorrhea. They occur in approximately 1 in 2500 live births and in 1 in 4500-5000 females. We report a case of a 17-year-old girl who presented to our clinic on account of short stature and primary amenorrhea. Investigations revealed hypergonadotropic hypogonadism and absent ovaries uterus, upper part of the vagina, and right kidney on imaging. The karyotype showed 46, XY [12]/45, X[20] (mosaic Turner syndrome). The rare association of 46XY/45X mosaicism and Mullerian agenesis has significant clinical implications due to its known effects on growth and development, hormonal balance, reproductive capability, cultural implications, and psychological well-being.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 5","pages":"672-676"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216471","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":"Intravenous Tranexamic Acid Reduces Blood Loss and Transfusion Requirements in Total Knee Replacement Surgery: A Double-Blind Controlled Study in a Regional Hospital, Southwest, Nigeria.","authors":"M E Ugbeye, K A Alatishe, S O Olanrewaju, W O Lawal, I J Akpan, U C Nwose","doi":"10.4103/njcp.njcp_57_24","DOIUrl":"10.4103/njcp.njcp_57_24","url":null,"abstract":"<p><strong>Background: </strong>Tranexamic acid (TXA) is one of the agents used to reduce perioperative bleeding during total knee replacement. However, there is no consensus or guidelines for its use in our environment.</p><p><strong>Objective: </strong>We assessed the effectiveness of intravenous TXA compared to placebo for reducing blood loss and blood transfusion requirements in total knee replacement (TKR).</p><p><strong>Methods: </strong>This prospective, randomized, double-blind study was conducted at our regional hospital between January 2016 and June 2017. Patients with severe osteoarthritis scheduled to undergo TKR were randomly allocated to the placebo and TXA groups. Intraoperative blood loss (IBL), postoperative blood loss (PBL), total blood loss (TBL), hemoglobin (Hb) drop, and transfusion rates were compared between the two groups.</p><p><strong>Results: </strong>A total number of 72 patients (98 knees) were randomized to two groups. Thirty-six patients (52 knees) in the placebo group and the remaining 36 patients (46 knees) were randomized in TXA group. The baseline demographic data were similar in both groups [Table 1]. The mean IBL, PBL, and TBL in TXA group (187.7 ± 46.2 mL, 334.4 ± 85.9 mL and 574.3 ± 102.1 mL) were significantly lower than those in the placebo group (344.3 ± 89.0 mL, P < 0.001; 628.0 ± 197.4 mL, P < 0.001; and 946.5 ± 152.3 mL, P < 0.001) [Table 2]. The mean Hb drop was lower in TXA group compared to placebo (P < 0.001). The transfusion rate in TXA group was significantly lower when compared to placebo (P = 0.03).</p><p><strong>Conclusion: </strong>Intravenous TXA is effective in reducing perioperative bleeding, hemoglobin loss, and blood transfusion requirements in TKR.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 5","pages":"590-594"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216466","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":"Extranodal Nasal-Type NK/T-Cell Lymphoma Treatment: Analysis from a Multicenter Study.","authors":"D Sahin, N Soyer, M Yeral, S Namdaroglu, F Hindilerden, I Aydogdu, Hba Ozturk, B Turgut, O Bilgir, M S Dal, A Gunes, M H Dogu, S Demircioglu, A Tombak, F Vural, E Gulturk, S Korkmaz, T Ulas, B Eser, F Altuntas","doi":"10.4103/njcp.njcp_499_24","DOIUrl":"10.4103/njcp.njcp_499_24","url":null,"abstract":"<p><strong>Background: </strong>Extranodal natural killer/T-cell lymphoma, nasal type (ENKL), or nasal NK/T-cell lymphoma is the most common cause of the syndrome known as \"fatal midline granuloma.\"</p><p><strong>Aim: </strong>In this study, we aimed to analyze the treatment outcomes of extranodal natural killer (NK)/T-cell lymphomas.</p><p><strong>Methods: </strong>Data of 39 patients from 15 centers were evaluated retrospectively. The characteristics that determine the risk status of the patients, in which treatments they received, and their responses were observed.</p><p><strong>Results: </strong>Complete response was achieved in 21 patients (53.8%) who received first-line therapy. Median follow-up was 12.5 months (range, 1-60 months) and mortality was 56.4% in patients with highly advanced disease. Median overall survival was 16 (95% CI, 13.07-18.93) months.</p><p><strong>Conclusion: </strong>The prognosis of patients with ENKL has been improved with the use of anthracycline-free treatments, but mortality rates remain high in advanced patients.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 5","pages":"602-607"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216459","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":"Prevalence and Predictors of Gestational Diabetes Mellitus in Enugu, Nigeria Using the New International Federation of Gynecology and Obstetrics (FIGO) Diagnostic Criteria.","authors":"G U Odoh, C I Onwuka, E O Ugwu, E I Iloghalu, J E Nnagbo, C I Onwuka, V C Duru, T D Ifezuoke, P C Udealor","doi":"10.4103/njcp.njcp_501_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_501_24","url":null,"abstract":"<p><strong>Background: </strong>Gestational diabetes mellitus (GDM) is a common medical condition arising from impaired glucose tolerance and complicating pregnancies worldwide. An estimation of its current prevalence using the International Federation of Gynecology and Obstetrics (FIGO) new diagnostic criteria is important in its management.</p><p><strong>Aim: </strong>To determine the prevalence and predictors of GDM among pregnant women attending antenatal care in the two tertiary teaching hospitals in Enugu, Nigeria.</p><p><strong>Methods: </strong>This was a cross-sectional study of 254 pregnant women who attended the antenatal clinics of the University of Nigeria Teaching Hospital (UNTH) and Enugu State University Teaching Hospital (ESUTH), both in Enugu, Nigeria. The eligible women were recruited between 24 and 28 weeks gestational age during which their fasting blood glucose levels were tested and GDM diagnosed using the new FIGO diagnostic criteria, which is fasting plasma glucose of 5.1-6.9 mmoL/L. All data were analyzed using Statistical Package for Social Sciences (SPSS) version 22 (Statistical package for the social sciences (SPSS) software, version 22.0, IBM SPSS, Chicago, Illinois) at 95% confidence level. A P value of < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The prevalence of GDM was 5.5% (n = 14/254) using the new diagnostic criteria. About 42.9% (6/14) of those who had GDM from the new criteria had no risk factor. Obesity (odds ratio [OR] = 2.14, confidence interval [CI]: 1.07, 4.30, P = 0.04) and family history of diabetes mellitus (OR = 2.50, 95% CI: 1.24, 5.01, P = 0.013) were the predictors of GDM.</p><p><strong>Conclusion: </strong>The prevalence of GDM is high with the new diagnostic criteria. Obesity and family history of diabetes mellitus were the predictors of GDM in Enugu, Nigeria.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 5","pages":"648-653"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216469","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":"Importance of Apparent Diffusion Coefficient in Differentiation of Cerebral Tumors.","authors":"S Y Sağlam, F Kökcü, M E Çeker","doi":"10.4103/njcp.njcp_853_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_853_24","url":null,"abstract":"<p><strong>Background: </strong>Diffusion-weighted magnetic resonance imaging (MRI) is an advanced functional imaging method based on the molecular motion of water. The diffusion of the water molecules in the tissue is dependent on a number of factors. One factor that modulates the diffusion of water molecules is the cell density in the tissue and the nuclear/cytoplasmic volume ratio, which is often increased in high-grade tumors.</p><p><strong>Aim: </strong>In line with this information, the present study aimed to investigate the role of apparent diffusion coefficient (ADC) values in the differential diagnosis of brain tumors and to demonstrate their contribution to diagnosis.</p><p><strong>Materials and methods: </strong>We measured ADC values in three different regions of the lesion in 317 patients with central nervous system tumors on diffusion-weighted imaging (DWI) and compared the mean calculated ADC values.</p><p><strong>Results: </strong>In our study, ADC values of low-grade glial tumors were significantly higher than all other groups. In the comparison between metastatic patients, the ADC values of the patients with lung metastasis were considerably higher than the ADC values of the patients with metastasis other than breast and lung metastases. In addition, in comparing lung subtypes, we found that the ADC values of patients with histopathological diagnosis of small cell lung cancer (SCLC) were significantly lower than other subtypes. There was no significant difference between high-grade glial tumors and metastases. The number of patients in some subgroups in the metastasis group was insufficient. Therefore, we could not perform statistical analysis, but the mean ADC values of patients with renal cell carcinoma (RCC) metastasis were approximately 0.521 × 10-3 mm2/s and were lower than the ADC values of other metastatic tumors.</p><p><strong>Conclusion: </strong>In the differential diagnosis of central nervous system (CNS) tumors, DWI makes important contributions to conventional MRI examinations. If supported by studies with larger and homogeneous groups, more precise and reliable results can be obtained with the help of other imaging findings.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 5","pages":"608-614"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216465","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":"Application of Case-Based Learning Combined with PDCA in the Training of Grassroot Surgeons for the Updates in the CSCO Guidelines for the Diagnosis and Treatment of Breast (2023).","authors":"J Li, G Hu, G Zhao","doi":"10.4103/njcp.njcp_161_24","DOIUrl":"10.4103/njcp.njcp_161_24","url":null,"abstract":"<p><strong>Background: </strong>In county-level hospitals in China, there is a need to enhance the understanding and implementation of the updates in the Guidelines for the Diagnosis and Treatment of Breast Cancer.</p><p><strong>Aims: </strong>The aim of this study was to evaluate the effectiveness of case-based learning (CBL) integrated with the PDCA (Plan-Do-Check-Act) cycle in improving the knowledge and skills of surgeons related to the most recent Chinese Society of Clinical Oncology (CSCO) Guidelines for the Diagnosis and Treatment of Breast Cancer. Eighty surgeons from county-level hospitals were recruited and randomly assigned to two groups for a comparative study: one experiencing CBL alone and the other receiving CBL combined with the PDCA cycle.</p><p><strong>Methods: </strong>Participants in both groups underwent a 5-day breast cancer therapeutic strategy course. The effectiveness of these methodologies was assessed using pretraining and post-training tests, examinations, and a satisfaction questionnaire. Statistical analysis was conducted to compare the knowledge gains between the two groups using pretraining and post-training assessment scores, with the significance level set at P < 0.05.</p><p><strong>Results: </strong>Both instructional methods resulted in knowledge improvement, but the group that received CBL with PDCA demonstrated significantly higher scores on post-training tests, particularly regarding updates in guidelines (80% vs 76%, P = 0.002) and accuracy in case-based therapeutic plans (92% vs 83%, P < 0.001).</p><p><strong>Conclusion: </strong>The study concludes that the integration of the PDCA cycle with CBL significantly enhances the surgeons' acquisition and application of updated therapeutic knowledge and skills for breast cancer.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 5","pages":"666-671"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216454","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":"Adopting Virtual Reality in Medical Education: Insights from Clinical Students and Lecturers in a Nigerian University.","authors":"O D Otuyemi, O A Ijarotimi, A O Komolafe, S B Aregbesola, O M Adetutu, O B Akinwale, B A Kolawole, O A Okunola, A O Oluwatope, O Abiona, A T Ayinde, L Idowu, O M Agunbiade, A A Adediwura","doi":"10.4103/njcp.njcp_739_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_739_24","url":null,"abstract":"<p><strong>Background: </strong>The application of virtual reality (VR) in medical education has steadily increased over the years in advanced countries, but its uptake has been low in low- and middle-income countries.</p><p><strong>Aim: </strong>This study explored the feasibility, acceptability, and appropriateness of VR in clinical training/assessment among Nigerian students of Dentistry, Medicine/Surgery, Nursing, and their clinical lecturers.</p><p><strong>Materials and methods: </strong>A cross-sectional study was carried out among 237 clinical students and 71 clinical lecturers enrolled in three Health Sciences Programs at a Nigerian university. Their perceptions were assessed using a structured online questionnaire mailed to students and lecturers' platforms.</p><p><strong>Results: </strong>The age of respondents ranged from 20 to 68 years and were predominantly female gender (56.8%). The majority (91.3%) of respondents judged the model as acceptable, 90.0% acceded to the appropriateness of VR, while 89.3% agreed to its feasibility in medical education. The academic program was significantly associated with acceptability and feasibility of VR for teaching and clinical examination, with dentistry having the highest proportion of ratings across the three domains of outcomes (P < 0.05). Age was significantly associated with the feasibility of VR, with more appeal from younger trainees and trainers (P < 0.05). The medicine/surgery students were less enthusiastic about the appropriateness of VR for teaching and clinical examinations.</p><p><strong>Conclusion: </strong>The use of VR for training and assessment in undergraduate medical education was rated high in terms of its acceptability, appropriateness, and feasibility (>80%). This innovation was more appealing to younger trainees and trainers.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 5","pages":"582-589"},"PeriodicalIF":0.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216452","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}