Nigerian Journal of Clinical Practice最新文献

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Panoramic Radiography in the Evaluation of the Relationship of Maxillary Molar Teeth and Maxillary Sinuses on the Deep Learning Models Improved with the Findings Obtained by Cone Beam Computed Tomography. 利用深度学习模型评估上颌臼齿和上颌窦的关系的全景放射摄影,改进了锥形束计算机断层扫描的结果。
IF 0.9 4区 医学
Nigerian Journal of Clinical Practice Pub Date : 2024-05-01 Epub Date: 2024-05-29 DOI: 10.4103/njcp.njcp_220_24
E A Kadan, R Kiliç, Ö Miloğlu, İ Y Özbek, E A Oral
{"title":"Panoramic Radiography in the Evaluation of the Relationship of Maxillary Molar Teeth and Maxillary Sinuses on the Deep Learning Models Improved with the Findings Obtained by Cone Beam Computed Tomography.","authors":"E A Kadan, R Kiliç, Ö Miloğlu, İ Y Özbek, E A Oral","doi":"10.4103/njcp.njcp_220_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_220_24","url":null,"abstract":"<p><strong>Background: </strong>Panoramic radiography (PR) is available to determine the contact relationship between maxillary molar teeth (MMT) and the maxillary sinus floor (MSF). However, as PRs do not provide clear and detailed anatomical information, advanced imaging methods can be used.</p><p><strong>Aim: </strong>The aim of this study was to evaluate the diagnostic performance of deep learning (DL) applications that assess the relationship of the MSF to the first maxillary molar teeth (fMMT) and second maxillary molar teeth (sMMT) on PRs with data confirmed by cone beam computed tomography (CBCT).</p><p><strong>Methods: </strong>A total of 2162 fMMT and sMMT were included in this retrospective study. The contact relationship of teeth with MSF was compared among DL methods.</p><p><strong>Results: </strong>DL methods, such as GoogLeNet, VGG16, VGG19, DarkNet19, and DarkNet53, were used to evaluate the contact relationship between MMT and MSF, and 85.89% accuracy was achieved by majority voting. In addition, 88.72%, 81.19%, 89.39%, and 83.14% accuracy rates were obtained in right fMMT, right sMMT, left fMMT, and left sMMT, respectively.</p><p><strong>Conclusion: </strong>DL models showed high accuracy values in detecting the relationship of fMMT and sMMT with MSF.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 5","pages":"669-677"},"PeriodicalIF":0.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141260818","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}
引用次数: 0
Burnout and Job Satisfaction among Lecturers in Public Universities in Enugu State, Nigeria. 尼日利亚埃努古州公立大学讲师的职业倦怠与工作满意度。
IF 0.9 4区 医学
Nigerian Journal of Clinical Practice Pub Date : 2024-05-01 Epub Date: 2024-05-29 DOI: 10.4103/njcp.njcp_87_24
E N Aguwa, E N Shu, J E Conable
{"title":"Burnout and Job Satisfaction among Lecturers in Public Universities in Enugu State, Nigeria.","authors":"E N Aguwa, E N Shu, J E Conable","doi":"10.4103/njcp.njcp_87_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_87_24","url":null,"abstract":"<p><strong>Background: </strong>There is increasing awareness of burnout and job disaffection among many professions like health profession, teachers, armed personnel and lawyers. However not much has been studied about university lecturers.</p><p><strong>Aim: </strong>To obtain the prevalence and determine predictors of burnout and job satisfaction among lecturers in public universities in Enugu State, Nigeria.</p><p><strong>Methods: </strong>It was a cross sectional analytical study. The participants were academic staff from University of Nigeria Nsukka and Enugu State University of Technology who met inclusion criteria. They were selected using multistage sampling technique. Data were collected using Oldenberg Burnout Inventory for burnout and Job Descriptive Index for job satisfaction.</p><p><strong>Results: </strong>A total of 392 lecturers were studied: The males were 221 (56.3%), and the modal age group was 41-50 years: 152 (38.8%). The majority were married 303 (77.3%) and had worked for ≤10 years (65.8%). The prevalence of burnout was 57.7%. In general, 150 (38.3%) had a high level of job satisfaction. However, in most facets, < 50% were satisfied. Most socio-demographic variables were not associated with either burnout or job satisfaction. There is significant association between burnout and job satisfaction. Almost all 205 (90.7%) who had burnout had low job satisfaction and this was statistically significant (p value = 0.011). Present work condition, pay, opportunities, supervision were used as predictors to level of burnout. Present condition of work was a significant contributor (p = < 0.001).</p><p><strong>Conclusion: </strong>The prevalence of burnout was high and many had low to moderate job satisfaction. Most socio-demographic variables were not associated with burnout or job satisfaction. There was a negative association between job satisfaction and burnout.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 5","pages":"654-663"},"PeriodicalIF":0.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262577","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}
引用次数: 0
Effect of Neurostimulator Usage on Block Success in Costoclavicular Block: A Randomized Controlled Trial. 使用神经刺激器对肋锁阻滞成功率的影响:随机对照试验
IF 0.9 4区 医学
Nigerian Journal of Clinical Practice Pub Date : 2024-05-01 Epub Date: 2024-05-29 DOI: 10.4103/njcp.njcp_476_23
S Soylu, D G Moralar, S Ş Şehirlioğlu, Ü Yaman, Ü A Türkmen
{"title":"Effect of Neurostimulator Usage on Block Success in Costoclavicular Block: A Randomized Controlled Trial.","authors":"S Soylu, D G Moralar, S Ş Şehirlioğlu, Ü Yaman, Ü A Türkmen","doi":"10.4103/njcp.njcp_476_23","DOIUrl":"https://doi.org/10.4103/njcp.njcp_476_23","url":null,"abstract":"<p><strong>Background: </strong>The need of a neurostimulator for a successful nerve block was questioned in different block types after ultrasound had become standard.</p><p><strong>Aim: </strong>To determine the effect of neurostimulator use on block success in the costoclavicular block (CCB).</p><p><strong>Methods: </strong>Sixty patients undergoing upper limb surgery were enrolled in the study. Patients using ultrasound and injection pressure manometer were divided as Group USP, and those using ultrasound, injection pressure manometer, and neurostimulator were divided as Group USPN. After block was applied, sensory and motor block levels were measured on a numeric scale. The block was considered successful when the desired score was reached or general anesthesia was not required intraoperatively. The number of successful and unsuccessful blocks for each group was summed up. The successful block rate was compared as the primary objective. Block application time, time to readiness for surgery, the number of needle passes, diaphragm paralysis rate, and complication rate were compared as secondary goals.</p><p><strong>Results: </strong>Block success rate was 90% (27/30) in Group USP and 96.7% (29/30) in Group USPN. There was no statistical difference in terms of block success rate. Block application time was significantly shorter in Group USP (207.2 ± 32.7 s) when compared to Group USPN (280.9 ± 70.1 s). Other secondary outcomes were similar.</p><p><strong>Conclusion: </strong>Neurostimulator use did not affect block success in the CCB. Neurostimulator utilization prolonged block application time explicitly and did not change the complication rate. Ultrasound and injection pressure manometer are sufficient for a safe and successful CCB.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 5","pages":"576-582"},"PeriodicalIF":0.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141260481","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}
引用次数: 0
Fractured Metallic Tracheostomy Tube: A Rare Presentation of Bronchial Foreign Body. 金属气管造口管断裂:支气管异物的罕见表现。
IF 0.7 4区 医学
Nigerian Journal of Clinical Practice Pub Date : 2024-05-01 Epub Date: 2024-05-29 DOI: 10.4103/njcp.njcp_541_23
E E Afiadigwe, U S Umeh, G Obasikene, T O Chukwuanukwu, B C Ezeanolue
{"title":"Fractured Metallic Tracheostomy Tube: A Rare Presentation of Bronchial Foreign Body.","authors":"E E Afiadigwe, U S Umeh, G Obasikene, T O Chukwuanukwu, B C Ezeanolue","doi":"10.4103/njcp.njcp_541_23","DOIUrl":"10.4103/njcp.njcp_541_23","url":null,"abstract":"<p><strong>Background: </strong>Tracheostomy is an important life-saving surgical procedure that could be used to secure the lower airway. It can however serve as a source of airway compromise when fragments from it are deposited. This condition must be diagnosed early enough, and appropriate intervention should be done to forestall potential morbidity and mortality.</p><p><strong>Case report: </strong>A 56-year-old tracheostomized patient presented to the accident and emergency department with a 4-hour history of sudden onset choking cough and labored breathing. The shaft of his tracheostomy tube (TT) was fractured and subsequently aspirated while he was attempting to remove and clean the inner tube that morning. He has used the TT for about 6 years and lost to follow-up clinic visits. The chest radiograph showed the metallic foreign body lodged within the trachea. He had an emergency rigid bronchoscopy via the tracheostomy stoma, and the object was retrieved. All respiratory symptoms subsequently resolved, and a check radiograph showed normal findings.</p><p><strong>Conclusion: </strong>Tracheostomy tube fracture and aspiration should be ruled out in every tracheostomized patient with sudden onset acute respiratory symptoms. Otolaryngologists must always emphasize the need for proper handling of TT, regular follow-up, and tube replacement when due.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 5","pages":"678-681"},"PeriodicalIF":0.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141260689","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}
引用次数: 0
Tuberculous Paraplegia: Outcome of Operative Intervention. 结核性截瘫:手术干预的结果
IF 0.9 4区 医学
Nigerian Journal of Clinical Practice Pub Date : 2024-05-01 Epub Date: 2024-05-29 DOI: 10.4103/njcp.njcp_390_23
H O Obiegbu, C Ndukwu
{"title":"Tuberculous Paraplegia: Outcome of Operative Intervention.","authors":"H O Obiegbu, C Ndukwu","doi":"10.4103/njcp.njcp_390_23","DOIUrl":"https://doi.org/10.4103/njcp.njcp_390_23","url":null,"abstract":"<p><strong>Background: </strong>Tuberculosis of the spine, a common manifestation of extra-pulmonary tuberculosis is characterized by vertebral destruction, paradiscal involvement, abscess collection and varying degrees of neurologic affectation. The primary disease caused by mycobacterium tuberculosis complex infects the lungs, lymph nodes of the mediastinum and gastrointestinal tract/ viscera with spinal involvement being secondary and caused by haematogenous spread. Tuberculous paraplegia arises as a complication of spinal involvement.</p><p><strong>Aim: </strong>To determine the outcome of operative intervention in tuberculous paraplegia. Methodology: This was a retrospective study involving 10 patients with tuberculous spinal involvement with varying degrees of neurological deficit as defined by both Tuli and ASIA grading. The VAS score, ESR, ASIA grade (both pre-op and post op), Tuli's grade (pre-op and post op) were used to analyze the therapeutic effects of the surgery.</p><p><strong>Results: </strong>The mean pre-operative VAS score was 5.9 ±1.8, which significantly decreased to 2.2 ±1.3 six weeks post operatively. The mean pre-operative ESR and CRP was 78.9 ± 11.3mm/hr and 83 ± 13.5 respectively; which both showed a statistically significant decrease post-operatively, p<0.05. All cases achieved an increase of more than one ASIA grade post-operatively.</p><p><strong>Conclusion: </strong>Early surgical intervention is beneficial in patients with tuberculous spinal disease with neurologic involvement.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 5","pages":"565-569"},"PeriodicalIF":0.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261701","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}
引用次数: 0
Evaluation of Hearing Functions in Children with Celiac Disease and the Effect of Gluten-free Diet on these Functions. 评估乳糜泻患儿的听觉功能以及无麸质饮食对这些功能的影响。
IF 0.9 4区 医学
Nigerian Journal of Clinical Practice Pub Date : 2024-05-01 Epub Date: 2024-05-29 DOI: 10.4103/njcp.njcp_137_24
D Atan, A Comba
{"title":"Evaluation of Hearing Functions in Children with Celiac Disease and the Effect of Gluten-free Diet on these Functions.","authors":"D Atan, A Comba","doi":"10.4103/njcp.njcp_137_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_137_24","url":null,"abstract":"<p><strong>Objective: </strong>The present study aims to investigate the potential impact of celiac disease (CD) on hearing functions and assess the effect of a gluten-free diet (GFD) on this condition.</p><p><strong>Materials and methods: </strong>The study included 55 children with CD (110 ears) and 25 healthy controls (50 ears) matched for age and gender. The CD group was divided into adherent (n = 31) and nonadherent (n = 24) to GFD. Participants underwent tympanometry and pure tone audiometry assessments covering frequencies from 500 to 4000 Hz.</p><p><strong>Results: </strong>Patients with CD showed significantly higher air and bone conduction hearing averages compared to the control group at frequencies of 500, 1000, 2000, and 4000 Hz for air conduction, and at 500 Hz for bone conduction (P < 0.05). Celiac patients, those who fully adhered to GFD, had notably higher air conduction hearing averages at 500, 2000, and 4000 Hz compared to healthy controls (P < 0.05). However, there was no difference in bone conduction hearing averages between the two groups. In contrast, celiac patients who did not comply with GFD had statistically significantly higher air and bone conduction hearing averages than the control group (P < 0.05), at frequencies of 500, 1000, and 4000 Hz for air conduction, and at 500 and 1000 Hz for bone conduction (P < 0.05).</p><p><strong>Conclusions: </strong>The study suggests that nonadherence to GFD may elevate the risk of hearing loss in children with CD. As a result, it is recommended to conduct hearing screenings for children with CD and underscore the importance of complying with GFD to mitigate further detrimental effects on hearing functions.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 5","pages":"664-668"},"PeriodicalIF":0.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141260568","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}
引用次数: 0
Surgical Outcome of Open Radical Prostatectomy in Nigeria: A Five-Years Single-Surgeon Experience. 尼日利亚开放式根治性前列腺切除术的手术效果:五年的单人手术经验
IF 0.9 4区 医学
Nigerian Journal of Clinical Practice Pub Date : 2024-05-01 Epub Date: 2024-05-29 DOI: 10.4103/njcp.njcp_453_23
S O Osaghae
{"title":"Surgical Outcome of Open Radical Prostatectomy in Nigeria: A Five-Years Single-Surgeon Experience.","authors":"S O Osaghae","doi":"10.4103/njcp.njcp_453_23","DOIUrl":"https://doi.org/10.4103/njcp.njcp_453_23","url":null,"abstract":"<p><strong>Background: </strong>Organ-confined prostate cancer is curable through surgical treatment by radical prostatectomy.</p><p><strong>Aim: </strong>To report initial outcomes of open radical prostatectomy in Nigeria from 2014 to 2019.</p><p><strong>Methods: </strong>Open radical prostatectomy in private hospital settings. Thirty-five patients underwent open radical prostatectomy in private hospital settings from 2014 to 2019. A retrospective study of the case notes was undertaken.</p><p><strong>Results: </strong>The age range was 56-77 years (mean: 67.7 ± 5.6 years); presenting total PSA 7.3-32.0 ng/ml (mean: 16.2 ± 6.4); Gleason score range 6-10 and clinical stage T2c. Mean operation duration 192.4 ± 52.0 min. All patients received blood transfusion (average blood transfusion 4.58 ± 1.9 pints). The median length of hospital stay was 7 days and the catheterization duration was 16.6 days. The Gleason score ranges from 6 to 10. Biopsy and specimen histology Gleason scores correlated in all cases. Biochemical relapse within 1 year occurred in 12 (34.3%) patients. Adequate PSA control was achieved in 23 (65.7%) patients. Two cancer-related deaths occurred within 2 years of surgery. All patients voided well following removal of the catheter; persisting mild stress urinary incontinence resolved on conservative measures within 3-6 months. Anastomotic stricture occurred in one patient 1 (2.9%) in this present. Information on preoperative potency rate was unavailable; however, postoperation, 11 (31.4%) patients achieved erections sufficient for intercourse with oral therapy. All surviving 33 (94.3%) patients reported satisfactory performance status.</p><p><strong>Conclusions: </strong>Open radical prostatectomy was successfully performed in all the patients. Reasonable, comparative functional, and oncological outcomes were achieved during the study period.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 5","pages":"570-575"},"PeriodicalIF":0.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261264","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}
引用次数: 0
The Frequency of Occipital Spurs in Relation to the Cephalic Index: An Anatomorphometric Cone Beam CT Study. 枕骨骨刺频率与头颅指数的关系:锥形束 CT 解剖学研究。
IF 0.9 4区 医学
Nigerian Journal of Clinical Practice Pub Date : 2024-05-01 Epub Date: 2024-05-29 DOI: 10.4103/njcp.njcp_45_24
F Çağlayan, H Güller, E Öncü, N Kuzey, Hlt Dalcı
{"title":"The Frequency of Occipital Spurs in Relation to the Cephalic Index: An Anatomorphometric Cone Beam CT Study.","authors":"F Çağlayan, H Güller, E Öncü, N Kuzey, Hlt Dalcı","doi":"10.4103/njcp.njcp_45_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_45_24","url":null,"abstract":"<p><strong>Background: </strong>The occipital spur (OS) can be described as an abnormal elongation of the external occipital protuberance (EOP). The cephalic index (CI) refers to the ratio of width to length in any skull.</p><p><strong>Aim: </strong>The aim of the present study was to evaluate the frequency and types of OS. It also aimed to determine the mean CI and the distribution of skull types using cone beam computed tomography (CBCT). And to determine if there was a relationship between the cephalic index and the presence and types of OS.</p><p><strong>Methods: </strong>CBCT scans from 523 patients were included in the study. OSs were classified as type 1 (flat), type 2 (crest), and type 3 (spine). Skull length and width were measured on axial sections and the CI was calculated. Based on the cephalic index (CI), skull types were classified as dolichocephalic (CI < 75), mesocephalic (75 < CI < 80), brachycephalic (80 < CI < 85), and hyperbrachycephalic (CI > 85).</p><p><strong>Results: </strong>The most common cranial types in the study group were brachycephalic (44.7%), mesocephalic (28.3%), hyperbrachycephalic (21.2%), and dolichocephalic (5.7%). Regarding the presence of OS, 54.3% of the participants had no OS, 23.1% had flat type, 15.3% had crest type, and 7.2% had spin type OS. There was a statistically significant difference (P < 0.05) in the frequency of OS according to skull type.</p><p><strong>Conclusion: </strong>This study, the first to evaluate CI and OS using CBCT, concludes that brachycephaly is the most common cranial type. OS is more common in mesocephalic and dolichocephalic skulls, at older ages, and in males.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 5","pages":"647-653"},"PeriodicalIF":0.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261667","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}
引用次数: 0
The Effect of Aromatherapy with Lavender Essential Oil on the Sleep and Fatigue Level of Patients with Multiple Sclerosis in Turkey: A Randomized Controlled Trial. 薰衣草精油芳香疗法对土耳其多发性硬化症患者睡眠和疲劳程度的影响:随机对照试验
IF 0.7 4区 医学
Nigerian Journal of Clinical Practice Pub Date : 2024-05-01 Epub Date: 2024-05-29 DOI: 10.4103/njcp.njcp_811_23
E Kavuran, A Yurttaş
{"title":"The Effect of Aromatherapy with Lavender Essential Oil on the Sleep and Fatigue Level of Patients with Multiple Sclerosis in Turkey: A Randomized Controlled Trial.","authors":"E Kavuran, A Yurttaş","doi":"10.4103/njcp.njcp_811_23","DOIUrl":"10.4103/njcp.njcp_811_23","url":null,"abstract":"<p><strong>Background: </strong>Fatigue is a common problem in patients with multiple sclerosis (MS) and is one of the most serious symptoms of the disease. Although many factors play a role in the etiology of fatigue in patients with MS, it has been reported that fatigue is caused by irregular or disrupted sleep patterns.</p><p><strong>Aim: </strong>The purpose of the study was to examine the effects of lavender oil aromatherapy on the sleep and fatigue of MS patients.</p><p><strong>Methods: </strong>The study was designed as a randomized controlled trial and was conducted in Turkey. The data of the study were collected using the Patient Description Form, Fatigue Severity Scale, and Pittsburgh Sleep Quality Index.</p><p><strong>Results: </strong>The mean FSS score in the experimental group was 6.86 ± 0.94 before the procedure and 3.42 ± 0.85 after the procedure, the mean PSQI score was 9.45 ± 1.23 before the procedure and 6.68 ± 2.87 after the procedure, and the difference in the mean scores between the two groups was found to be statistically significant (P < 0.001).</p><p><strong>Conclusion: </strong>The results showed that aromatherapy with lavender essential oil has significant impacts on fatigue and sleep in MS patients. Lavender essential oil aromatherapy can be used by nurses as an independent nursing practice. It is an inexpensive, noninvasive, and reliable technique to manage fatigue in individuals with MS.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 5","pages":"635-642"},"PeriodicalIF":0.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261304","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}
引用次数: 0
The Relationship Between Controlling Nutritional Assessment Score and Mortality in Patients with Chronic Coronary Syndrome: A Retrospective Study from Türkiye. 慢性冠状动脉综合征患者营养评估分数控制与死亡率之间的关系:土耳其的一项回顾性研究。
IF 0.9 4区 医学
Nigerian Journal of Clinical Practice Pub Date : 2024-05-01 Epub Date: 2024-05-29 DOI: 10.4103/njcp.njcp_769_23
M M Tiryaki, S V Emren, M O Gursoy, T Kiris, F Esin, S Esen, M Karaca, C Nazli
{"title":"The Relationship Between Controlling Nutritional Assessment Score and Mortality in Patients with Chronic Coronary Syndrome: A Retrospective Study from Türkiye.","authors":"M M Tiryaki, S V Emren, M O Gursoy, T Kiris, F Esin, S Esen, M Karaca, C Nazli","doi":"10.4103/njcp.njcp_769_23","DOIUrl":"https://doi.org/10.4103/njcp.njcp_769_23","url":null,"abstract":"<p><strong>Background: </strong>Controlling Nutritional Assessment (CONUT) score has been shown to have a higher predictive value compared to other nutritional scores in acute coronary syndrome.</p><p><strong>Aim: </strong>To determine the relationship between CONUT score and long-term mortality in patients with chronic coronary syndrome (CCS).</p><p><strong>Methods: </strong>Between 2017 and 2020, 585 consecutive patients newly diagnosed and proven to have CCS by coronary angiography were included in the study. CONUT score and demographic and laboratory data of all patients were evaluated. The relationship between results and mortality was evaluated.</p><p><strong>Results: </strong>The mean age of the patients was 64 years and 75% were male. Mortality was observed in 56 (9.6%) patients after a median follow-up period of 3.5 years. The median CONUT score was significantly higher in patients with mortality (P < 0.001). In multivariate regression analysis, the CONUT score was associated with mortality (Hazard ratio (HR): 1.63 (95% confidence interval (CI): 1.34-1.98 P < 0.001)). The area under curve (AUC) for long-term mortality estimation for the CONUT score was 0.75 (95% CI 0.67-0.82 P < 0.001). When the CONUT score value was accepted as 0.5, the sensitivity was 78% and the specificity was 60.</p><p><strong>Conclusion: </strong>CONUT score was found to be predictive of mortality in long-term follow-up of patients with CCS.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 5","pages":"612-619"},"PeriodicalIF":0.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261672","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}
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