Nigerian Journal of Clinical Practice最新文献

{"title":"Thirty-Year-Old Rhinolith in a Female Adult at a Tertiary Institution.","authors":"R B Mgbe, A G Adekanye, M E Offiong, B C Onwughalu","doi":"10.4103/njcp.njcp_850_24","DOIUrl":"10.4103/njcp.njcp_850_24","url":null,"abstract":"<p><p>Rhinoliths are concrete salts of calcium, aluminum, and magnesium that form around exogenous or endogenous foreign bodies in the nasal cavity. Rhinoliths are most commonly asymptomatic and misdiagnosed. When symptomatic, they can present with nasal obstruction, foul breath, and bloody rhinorrhea. Rhinoscopy is the mainstay for rhinolith diagnosis. Plain radiographs or computerized tomography (CT) imaging aids in rhinolith diagnosis to determine their proper orientation. The definitive treatment is removal via manual or endoscopic maneuvers. We report the case of a 32-year-old female who was diagnosed with nasal polyps by a general practitioner because of persistent left-sided nasal obstruction, foul breath, and rhinorrhea for 6 months. The rhinolith was diagnosed via nasendoscopy and CT tomography of the paranasal sinuses, and its removal was performed under general anesthesia with the aid of an endoscope. The procedure was uneventful. The index patient was asymptomatic for 30 years, and was misdiagnosed with nasal polyps by a general practitioner. To the best of our knowledge, this is the first reported case of a rhinolith at our center.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 6","pages":"773-775"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485287","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 Normal Pancreatic Stiffness Using 3T Magnetic Resonance Elastography.","authors":"L Karakaş, S Poçan, A Y Karkaş, Ş Şahin","doi":"10.4103/njcp.njcp_192_25","DOIUrl":"10.4103/njcp.njcp_192_25","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to establish the normal range of pancreatic stiffness in adults using 3T magnetic resonance elastography (MRE) and investigate how factors such as age, sex, pancreatic diameter, and anthropometric characteristics influence pancreatic stiffness.</p><p><strong>Aim: </strong>We aimed to provide data to the literature in determining the stiffness values of normal pancreatic tissue with 3T MRE.</p><p><strong>Methods: </strong>Patient demographic data, including age, sex, and body mass index (BMI), were collected. magnetic resonance imaging (MRI) and MRE parameters were extracted from the hospital's radiology database. Medical history, including liver or pancreatic conditions, was obtained from the patients and confirmed through electronic medical records.</p><p><strong>Results: </strong>The study included 54 patients, comprising 31 males (57.4%) and 23 females (42.6%), with a mean age of 35.8 ± 9.18 years. The average BMI was 24.73 ± 1.83 kg/m². The pancreatic diameters were 20.80 ± 2.13 cm (CC) and 19.93 ± 3.29 cm (AP). The mean pancreatic stiffness was 1587.09 ± 114.90 Pascals (Pa). No significant correlations were found between pancreatic stiffness and age (r = -0.128, P = 0.358), sex (r = -0.051, P = 0.716), BMI (r = -0.026, P = 0.850), pancreatic CC diameter (r = -0.090, P = 0.519), or AP diameter (r = 0.054, P = 0.701).</p><p><strong>Conclusion: </strong>This study provides reliable baseline values for normal pancreatic stiffness (1587.09 ± 114.90 Pa) using 3T MRE, which is essential for distinguishing normal from pathological tissue. These findings suggest that demographic and anatomical factors have little impact on pancreatic stiffness, supporting the potential of MRE in evaluating pancreatic diseases.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 6","pages":"751-757"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485295","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":"The Effect of Suckling and Swallowing Exercises During the Transition to Oral Feeding in Premature Infants: Randomized Controlled Study.","authors":"E Gökdemir, A K Doğan","doi":"10.4103/njcp.njcp_41_25","DOIUrl":"10.4103/njcp.njcp_41_25","url":null,"abstract":"<p><strong>Background: </strong>Underdeveloped oral structures of preterm infants cause feeding problems. Therefore, the development of sucking reflexes of premature babies should be supported.</p><p><strong>Aim: </strong>Investigating the effect of suck-swallow exercises during the transition to oral feeding in premature infants was the scope of this study.</p><p><strong>Methods: </strong>This randomized controlled trial study was conducted in the NICU of a public hospital in Istanbul. The study sample consisted of 82 premature infants. Of these infants, 41 were assigned to the intervention group and 41 to the control group. Study data were collected using the Premature Infant Data Collection Form and Early Feeding Skills Assessment Tool. Throughout the study, preterm infants in the intervention group (n = 41) were given suck-swallow exercises for 12 minutes once a day before feeding for 14 days. SPSS22 was used to analyze the data.</p><p><strong>Results: </strong>Male infants constituted 54.9% of the sample group. At enrollment, the gestational age of all infants was 34-37 weeks. Birth weight was 1501-2000 grams in 35.4% of the infants. Evaluation of the 5 sub-parameters of the Early Feeding Assessment Tool revealed that the post-test scores for respiratory regulation, oral motor function, swallowing coordination, feeding participation, and physiological stability were significantly higher in the intervention group than in the control group (P < 0.005).</p><p><strong>Conclusion: </strong>The results of the study showed that sucking and swallowing exercises applied to premature infants improved oral feeding skills and in this context, the use of sucking and swallowing exercises in neonatal intensive care units is recommended.</p><p><strong>Clinicaltrialsgovid: </strong>NCT06371443.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 6","pages":"708-715"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485284","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":"Magnetic Resonance Imaging Assessment of Rectal and Vascular Changes Following Radiotherapy in Prostate Cancer Patients.","authors":"F Karaca, S Keskin, S Menteş, H Akkaya, B Gülek","doi":"10.4103/njcp.njcp_107_25","DOIUrl":"10.4103/njcp.njcp_107_25","url":null,"abstract":"<p><strong>Background and aims: </strong>Radiotherapy is the preferred treatment method for early-stage prostate cancer. The objective of this study was to evaluate the alterations that take place in the vascular structures of non-operated prostate cancer patients following the administration of curative radiotherapy.</p><p><strong>Methods: </strong>In total, 102 male patients who underwent curative external radiotherapy for prostate cancer were included in the study. A contrast-enhanced magnetic resonance imaging (CE-MRI) examination was performed on these patients both prior to and 3 months after the radiotherapy sessions. CE-MRI images were evaluated based on the measurements performed for the internal and external diameters of the rectum and the diameters of the bilateral iliac and femoral arteries. All measurements were done by the utilization of the centimeter (cm) scale.</p><p><strong>Results: </strong>No statistically significant differences were found between the pre- and post-radiotherapeutic measurements of the rectal internal and external diameters, right and left external iliac artery diameters, right and left femoral artery diameters, Gleason scores, and total and free prostate-specific antigen (TPSA and FPSA) levels, in terms of pathological stagings. The mean values of the rectal external diameter, right external iliac artery diameter, and the right and left femoral artery diameters, together with the TPSA and FPSA levels, were found to have been diminished at measurements done 3 months after the radiotherapy (P = 0.001).</p><p><strong>Conclusion: </strong>Vessel and rectal lumens were found to have been narrowed following radiotherapy, on CE-MRI examinations performed 3 months after the radiotherapy sessions.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 6","pages":"744-750"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485282","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 ECG Interpretation Among Undergraduate Medical Students at Universities in Makkah Region, Saudi Arabia: A Cross-Sectional Study.","authors":"A J Mandourah, K A Basamih, G A Alghamdi, R M Almatrafi, S Y Hazra, F A Alghamdi, Y M Alraffah","doi":"10.4103/njcp.njcp_261_24","DOIUrl":"10.4103/njcp.njcp_261_24","url":null,"abstract":"<p><strong>Background: </strong>Electrocardiogram (ECG) Interpretation is one of the most important and critical skills for various medical specialists. It is essential for diagnosing and managing many cardiac diseases, including life-threatening conditions.</p><p><strong>Aim: </strong>To evaluate competency in ECG interpretation skills among medical students in the Makkah region and the associated factors.</p><p><strong>Methods: </strong>Medical students from all Makkah region medical schools were asked to complete a web-based survey containing questions on 17 ECG strips. There were questions on primary ECG parameters (rate, rhythm, and axis), emergencies, and common ECG abnormalities. Multiple logistic regression analysis was used to determine factors associated with their performance. A P value of < 0.05 was considered as significant.</p><p><strong>Results: </strong>We enrolled 1239 medical students from medical schools in the Makkah region completed the questionnaire. The participants' ECG interpretation competency scores were generally low, with a median of 35.29% (IQR 17.65%-52.94%). Fifth and sixth-year students demonstrated significantly higher ECG competency scores compared students in the earlier years (P < 0.001). Logistic regression analysis showed that being in clinical years (OR: 1.65, 95% CI: 1.18-2.30, P = 0.003), self-study as primary source of ECG knowledge (OR: 0.58, 95% CI: 0.43-0.79, P = 0.001), and using both online and face-to-face learning methods (OR: 1.44, 95% CI: 1.00-2.07, P = 0.049) were significantly associated with higher odds of adequate ECG interpretation competency.</p><p><strong>Conclusion: </strong>The study showed a significant need for improvement in ECG interpretation skills among medical students in the Makkah region. The findings underscore the importance of integrating practical ECG interpretation training throughout the medical curriculum, with emphasis on clinical exposure, self-study, and blended learning approaches.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 6","pages":"695-707"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485281","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":"Orofacial Manifestations and Oral Health-Related Quality of Life in Patients with Systemic Lupus Erythematosus.","authors":"F Akkoca, F Basibuyuk, E Koyuncu, G Ilhan, M E Arayici, M Ozdede, G Sen","doi":"10.4103/njcp.njcp_166_25","DOIUrl":"10.4103/njcp.njcp_166_25","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated orofacial manifestations and oral health-related quality of life in patients with systemic lupus erythematosus (SLE) in the Turkish population. It also aims to investigate the relationship between these findings and disease activity and other associated factors.</p><p><strong>Methods: </strong>Patients referred from the rheumatology clinic and SLE-diagnosed patients were evaluated in the oral diagnosis clinic. Orofacial manifestations were assessed through clinical examinations, and oral health status was evaluated using the Decayed-Missing-Filled Teeth (DMFT) index. Disease activity was measured using the Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K), while oral health-related quality of life was assessed with the Oral Health Impact Profile-14 (OHIP-14). Statistical analyses, including Pearson correlation and Kruskal-Wallis tests, were performed to evaluate associations among disease activity, oral health status, and quality of life.</p><p><strong>Results: </strong>The study included 70 SLE patients (67 females, 3 males; mean age: 46.3 ± 13.5 years). Orofacial lesions were present in 25.7% of the patients, and the cheek mucosa was the most commonly affected site. Bruxism was detected in 42.9% of patients, while burning mouth syndrome was observed in 11.4% of patients. Disease activity assessment showed that 45.7% had no activity, and 47.1% had mild severity. The OHIP-14 analysis indicated that psychological discomfort was the most affected domain (2.8 ± 2.26), whereas handicap had the least impact (0.97 ± 1.32). Although significant correlations were found between the OHIP-14 subscales, no significant correlation was observed between SLEDAI-2K scores and OHIP-14 subscales (P > 0.05).</p><p><strong>Conclusion: </strong>Orofacial lesions in SLE patients were relatively common and varied in presentation. Although no direct relationship was found between disease activity and oral health-related quality of life, significant associations existed between different domains of OHIP-14. These findings highlight the need for a multidisciplinary approach to managing oral health in SLE patients to improve their overall quality of life.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 6","pages":"730-736"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485283","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":"The Relationship between Choroidal Thickness and Liver Damage in Simple Autoimmune Hepatitis Patients.","authors":"","doi":"10.4103/njcp.njcp_904_24","DOIUrl":"10.4103/njcp.njcp_904_24","url":null,"abstract":"","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 6","pages":"776"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485285","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":"The Relationship between Violence Tendency and Premenstrual Symptoms among University Students: A Cross-Sectional Study in Turkey.","authors":"L Kutlu, Y V Yıldırım","doi":"10.4103/njcp.njcp_780_24","DOIUrl":"10.4103/njcp.njcp_780_24","url":null,"abstract":"<p><strong>Background: </strong>Literature discusses the relationship between young women's violent tendencies and biological, psychological, and social factors. Notably, hormonal fluctuations during the menstrual cycle are reflected in mood swings and aggression levels, which may increase the tendency of young women to resort to violence.</p><p><strong>Aim: </strong>This study aimed to evaluate the relationship between violent tendencies and premenstrual symptoms in university students.</p><p><strong>Methods: </strong>Data for this cross-sectional analytical study were collected from 1301 students via a Google survey between January and May 2020 using the Personal Information Form, Premenstrual Syndrome Scale (PMSS), and Violence Tendency Scale (VTS).</p><p><strong>Results: </strong>It was determined that 65.3% of students had PMS, and the students' VTS scores was high in 25.8% of them and low in 73.2 of them. There was significant correlation between the students' VTS scores in both subscales and total scores of PMSS (P < 0.05), PMSS' anxiety (β = 0.171), irritability (β = 0.348), and sleep changes (β = 0.182) subscale scores positively affected VTS scores (P < 0.05).</p><p><strong>Conclusion: </strong>Most of the students in the study were found to suffer from PMS, and PMS symptoms, particularly anxiety, irritability, and sleep disturbances, were associated with higher VTS scores. These results suggest that specific symptoms of PMS may play an important role in determining students' VTS scores, and this may have implications for understanding PMS broader effects on student wellbeing and performance. Health professionals can provide education and health services aimed at reducing premenstrual symptoms, preventing violent tendencies, and providing resources and foundations for future studies by conducting more studies.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 6","pages":"677-686"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485286","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":"Assocıatıons Between Vıtamın D Receptor Gene Polymorphısms and Carpal Tunnel Syndrome.","authors":"B Yildiz, F E Algul, E Yesilada","doi":"10.4103/njcp.njcp_774_24","DOIUrl":"10.4103/njcp.njcp_774_24","url":null,"abstract":"<p><strong>Background: </strong>Vitamin D deficiency is associated with Carpal tunnel syndrome (CTS), and Vitamin D supplementation may improve symptoms and electrophysiological findings in CTS patients. The biological effects of vitamin D may be modified by various genetic factors, including single nucleotide polymorphisms in the vitamin D receptor (VDR) gene.</p><p><strong>Aim: </strong>With this study, we aimed to show whether Taq I and Fok I polymorphisms of the VDR gene cause an increase in the occurrence and severity of carpal tunnel syndrome.</p><p><strong>Methods: </strong>100 CTS patients and 100 healthy controls were included in this study. The severity of CTS was determined by electromyography and the patients were divided into 3 groups: mild, moderate and severe CTS. The Fok I and Taq I genotypes of the participants were determined from the peripheral blood samples taken from all participants. Genotypes and allele frequencies were compared between patient and control groups.</p><p><strong>Results: </strong>VDR Fok I genotype distribution and allele frequency showed a significant relationship with the risk of developing CTS and its severity. Taq I, on the other hand, was not associated with the risk of developing CTS or its severity.</p><p><strong>Conclusion: </strong>VDR Fok I polymorphism increases the risk of developing CTS and the risk of severe CTS in the Turkish population. Further studies on this subject are needed to further understand the relationship between CTS and VDR polymorphisms and explain its mechanism.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 6","pages":"716-720"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485297","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":"Development of Professional Competence and Competency Scale in Midwifery: A Methodological Study from Turkey.","authors":"M Balcik Colak, H Ozturk Can","doi":"10.4103/njcp.njcp_55_25","DOIUrl":"10.4103/njcp.njcp_55_25","url":null,"abstract":"<p><strong>Background: </strong>The main scope of competence in midwifery is the skills and practices relevant to the profession. Competencies are used to set unique standards within disciplines and specializations, including educators, learners, and practitioners.</p><p><strong>Aim: </strong>This study was aimed at developing the Professional Competence and Competency Scale in Midwifery.</p><p><strong>Methods: </strong>This was a methodological and validation study. The scale consists of 26 items. The created items were administered to 362 midwives. According to the results of the exploratory and confirmatory factor analysis of the factor pattern for all the items, ideally, the scale has a two-dimensional distribution. Responses given to the items are rated on a five-point Likert-type scale.</p><p><strong>Results: </strong>According to the item-total test correlation, all the items were related to each other. The Cronbach's Alpha value was 0.953 for the overall Professional Competence and Competency Scale in Midwifery, 0.917 and 0.932 for its \"Professional Responsibilities and Communication Skills\" and \"Professional Knowledge, Skills and Practices\" sub-dimensions, respectively. In addition, the scale has construct validity.</p><p><strong>Conclusion: </strong>According to the findings of the validity and reliability study of The Professional Competence and Competency Scale in Midwifery, it is a valid, reliable tool, and it is discriminative in terms of measuring the desired quality.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"28 6","pages":"721-729"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485300","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}