Nigerian Postgraduate Medical Journal最新文献

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Pattern of indications for tracheostomy in a tertiary hospital in South Western Nigeria. 尼日利亚西南部一家三级医院气管切开术的指征模式。
IF 1.1
Nigerian Postgraduate Medical Journal Pub Date : 2023-10-01 DOI: 10.4103/npmj.npmj_226_23
Babatunde A Bamigboye, Moronke Doris Akinola, Adedotun Adesiyakan, Agboola Adebowale Ogunbiyi, Chinyere N Asoegwu, Moses Ayodele Akinola, Abayomi Oladapo Somefun, Clement Chukwuemeka Nwawolo
{"title":"Pattern of indications for tracheostomy in a tertiary hospital in South Western Nigeria.","authors":"Babatunde A Bamigboye, Moronke Doris Akinola, Adedotun Adesiyakan, Agboola Adebowale Ogunbiyi, Chinyere N Asoegwu, Moses Ayodele Akinola, Abayomi Oladapo Somefun, Clement Chukwuemeka Nwawolo","doi":"10.4103/npmj.npmj_226_23","DOIUrl":"10.4103/npmj.npmj_226_23","url":null,"abstract":"<p><strong>Introduction: </strong>Tracheostomy is a life-saving procedure; the benefits and frequency of procedures being performed have led to frequent reviews of indication in many regions of the world. The aim is to establish the indications, diagnosis and complications of tracheostomy performed in the past 10 years in a tertiary hospital in Lagos.</p><p><strong>Methods: </strong>This is a 10-year retrospective study of all patients who had tracheostomies for various indications from 2010 to 2019. Patient medical records were analysed for demographic profile, diagnosis, indication, elective or emergency tracheostomy, surgeon's rank, technique of decannulation and type of complications. All the variables in the data were imputed and analyzed using the IBM Statistical Package for the Social Sciences version 27. Continuous variables were presented as mean and standard deviation, whereas categorical variables were presented as frequency and percentage.</p><p><strong>Results: </strong>Four hundred and eighty-six tracheostomies were carried out during the period under review, and 440 patients had complete data retrieved. The age group of 0-9 years constituted the most common age for tracheostomy (18%). The most common indication for tracheostomy was for relief of upper airway obstruction in 53.4%. Neoplasms (40%) and trauma (30.7%) constituted primary diagnosis requiring tracheostomies. Amongst the paediatric age group with upper airway obstruction, infections (31.8%) and foreign body inhalation (24.3%) constituted the most common primary diagnosis. Stoma infection and peristomal granulation tissue were the most common early complication (21.8%) and late complication (43.4%), respectively.</p><p><strong>Conclusion: </strong>Relief of upper airway obstruction from neoplasm remains the most common indication for tracheostomy, and peristomal granulation infection was the most common complication.</p>","PeriodicalId":19720,"journal":{"name":"Nigerian Postgraduate Medical Journal","volume":"30 4","pages":"305-309"},"PeriodicalIF":1.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138461379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The United Kingdom National Health Service through the lens of an overseas clinical observer: A reflective account based on personal experience. 海外临床观察员视角下的英国国民保健服务:基于个人经验的反思。
IF 1.1
Nigerian Postgraduate Medical Journal Pub Date : 2023-10-01 DOI: 10.4103/npmj.npmj_174_23
Babatunde Abayomi Salami, Nadeem Ahmad, Abraham Abiodun Ayantunde, Bandipalyam Praveen, Adedoyin Adekunle Adesanya
{"title":"The United Kingdom National Health Service through the lens of an overseas clinical observer: A reflective account based on personal experience.","authors":"Babatunde Abayomi Salami, Nadeem Ahmad, Abraham Abiodun Ayantunde, Bandipalyam Praveen, Adedoyin Adekunle Adesanya","doi":"10.4103/npmj.npmj_174_23","DOIUrl":"10.4103/npmj.npmj_174_23","url":null,"abstract":"<p><p>This article provides insight into an aspect of the National Health Service (NHS) of the United Kingdom (UK) through the perspective of an overseas clinical observer. The NHS is a government-funded medical and health care service in the UK and has developed over the years providing a high standard of medical care and professionalism. The Clinical Observership Programme has been designed primarily for International Medical Graduates to experience how the NHS functions and the kind of services it offers. This article explores the overseas observer's experience in a surgical unit of the NHS including the organisational structure, delivery of care and challenges of the system. This article also highlights the observer's perspective of surgical care in the NHS compared to surgical care in low-resource income countries. The Clinical Observership is useful in learning about UK medical practice and gaining experience in a different cultural and professional environment. This is a reflective first-hand account based on personal experience.</p>","PeriodicalId":19720,"journal":{"name":"Nigerian Postgraduate Medical Journal","volume":"30 4","pages":"310-314"},"PeriodicalIF":1.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138461382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Serum copper, zinc and selenium levels in women with unexplained infertility in Ibadan Nigeria: A cross-sectional analytical study. 尼日利亚伊巴丹不明原因不孕妇女血清铜、锌和硒水平:一项横断面分析研究。
IF 1.1
Nigerian Postgraduate Medical Journal Pub Date : 2023-10-01 DOI: 10.4103/npmj.npmj_144_23
Adewale Ayodeji Adeniyi, Olayinka Oladunjoye Ogunbode, Ayodeji Sylvester Adeyanju, Adesina Oladokun
{"title":"Serum copper, zinc and selenium levels in women with unexplained infertility in Ibadan Nigeria: A cross-sectional analytical study.","authors":"Adewale Ayodeji Adeniyi, Olayinka Oladunjoye Ogunbode, Ayodeji Sylvester Adeyanju, Adesina Oladokun","doi":"10.4103/npmj.npmj_144_23","DOIUrl":"10.4103/npmj.npmj_144_23","url":null,"abstract":"<p><strong>Background: </strong>Infertility is a global public health issue affecting couples. Trace metals have been implicated in effective reproductive functions in males but less studied in females.</p><p><strong>Objective: </strong>To compare the serum levels of copper (Cu), zinc (Zn), selenium (Se) and copper/zinc ratio in women with unexplained infertility and fertile women.</p><p><strong>Subjects and methods: </strong>This was a cross-sectional analytical study that compared 75 consenting women who had unexplained infertility with 74 fertile women that were controls. Both groups were seen within 1 year of delivery and were recruited from the family planning unit, at the University College Hospital, Ibadan. Data were obtained through a semi-structured questionnaire, after which 10 mL of venous blood was collected. Analysis of selected trace elements were done by atomic absorption spectrophotometry. IBM SPSS version 23 was utilized for data analysis and the levels of statistical significance was set at <0.05.</p><p><strong>Results: </strong>The mean (± SD) serum concentrations of Cu (93.11 ± 16.55 μg/dL), Zn (72.04 ± 15.03 μg/dL) and Se (28.28 ± 8.33 μg/dL) amongst the women with unexplained infertility were lower when compared to the control group (all with P < 0.001). The serum Cu/Zn ratio was higher among the fertile women, though not statistically significant (P < 0.62). Age of <35 years was associated with normal serum levels of Cu (P < 0.01), while women with normal body mass index had low serum concentrations of Cu (P = 0.04), amongst the fertile group.</p><p><strong>Conclusion: </strong>Serum copper, zinc and selenium concentrations are significantly lower in women with unexplained infertility, therefore diets or supplements containing these trace elements may be helpful in their management.</p>","PeriodicalId":19720,"journal":{"name":"Nigerian Postgraduate Medical Journal","volume":"30 4","pages":"269-274"},"PeriodicalIF":1.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138461380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The perception and practice of routine lingual flap retraction in lower third molar surgery among oral and maxillofacial surgeons in Nigeria. 尼日利亚口腔颌面外科医生对下第三磨牙手术常规舌瓣牵开的认识和实践。
IF 1.1
Nigerian Postgraduate Medical Journal Pub Date : 2023-10-01 DOI: 10.4103/npmj.npmj_104_23
Ekaniyere Benlance Edetanlen, Ufadime Lawani, Taofeek Akinniyi, Esther Ayanere, Uchenna C Okechi, Benjamin Fomete, Otasowie Osunde, Timothy Olukunle Aladelusi
{"title":"The perception and practice of routine lingual flap retraction in lower third molar surgery among oral and maxillofacial surgeons in Nigeria.","authors":"Ekaniyere Benlance Edetanlen, Ufadime Lawani, Taofeek Akinniyi, Esther Ayanere, Uchenna C Okechi, Benjamin Fomete, Otasowie Osunde, Timothy Olukunle Aladelusi","doi":"10.4103/npmj.npmj_104_23","DOIUrl":"10.4103/npmj.npmj_104_23","url":null,"abstract":"<p><strong>Background: </strong>Lingual nerve injury is a known complication of mandibular third molar (M3M) surgery, and retraction of the lingual flap is reported to reduce the incidence of this complication. However, there is no global consensus on the routine retraction of lingual flap.</p><p><strong>Aim: </strong>The aim of the study was to assess the perception and practice of lingual flap retraction amongst oral and maxillofacial surgeons in Nigeria.</p><p><strong>Materials and methods: </strong>This cross-sectional national survey was conducted amongst 122 oral and maxillofacial surgeons in Nigeria from January 2023 to March 2023 using a validated, structured, self-administered questionnaire. The questionnaire had three sections and 14-item questions. Section A consists of the sociodemographic questions, Section B comprises questions on perception towards lingual flap retraction, whereas Section C consists of questions on the practice of lingual flap retraction. These questionnaires were deployed as an online survey and as hard copies. Both qualitative and quantitative data were analysed. A critical probability level (P < 0.05) was used as the cut-off level for statistical significance.</p><p><strong>Results: </strong>Most of the participants (47.6%) belong to the age group of 31-40 years. The male-to-female ratio was 6:1. Only 12 (9.8%) participants had a positive perception towards routine lingual flap retractions following M3M surgery. Perception of lingual flap retraction was found not to be associated with the demographic variables of the participants (P > 0.05). A total of 95 participants (77.9%) did not raise nor retract the lingual flap during lower third molar surgery. The rate of practice of lingual flap retraction during third molar surgery was not influenced by any of the factors studied (P > 0.05).</p><p><strong>Conclusion: </strong>The majority of oral and maxillofacial surgeons in Nigeria do not agree that routine retraction of the lingual flap is necessary to reduce lingual nerve injury and majority, too, do not practice this in their management of impacted lower third molar.</p>","PeriodicalId":19720,"journal":{"name":"Nigerian Postgraduate Medical Journal","volume":"30 4","pages":"293-298"},"PeriodicalIF":1.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138461381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring artificial intelligence in the Nigerian medical educational space: An online cross-sectional study of perceptions, risks and benefits among students and lecturers from ten universities. 在尼日利亚医学教育领域探索人工智能:对来自10所大学的学生和讲师的看法、风险和利益的在线横断面研究。
IF 1.1
Nigerian Postgraduate Medical Journal Pub Date : 2023-10-01 DOI: 10.4103/npmj.npmj_186_23
Kehinde Sunday Oluwadiya, Adekunle Olatayo Adeoti, Sulaiman Olayide Agodirin, Timothy Eyo Nottidge, Mustapha Ibrahim Usman, Mtaku Bata Gali, Ndubuisi Onu Onyemaechi, Ali Mohammed Ramat, Adejare Adedire, Lawal Ya'u Zakari
{"title":"Exploring artificial intelligence in the Nigerian medical educational space: An online cross-sectional study of perceptions, risks and benefits among students and lecturers from ten universities.","authors":"Kehinde Sunday Oluwadiya, Adekunle Olatayo Adeoti, Sulaiman Olayide Agodirin, Timothy Eyo Nottidge, Mustapha Ibrahim Usman, Mtaku Bata Gali, Ndubuisi Onu Onyemaechi, Ali Mohammed Ramat, Adejare Adedire, Lawal Ya'u Zakari","doi":"10.4103/npmj.npmj_186_23","DOIUrl":"10.4103/npmj.npmj_186_23","url":null,"abstract":"<p><strong>Background: </strong>The impact of artificial intelligence (AI) has been compared to that of the Internet and printing, evoking both apprehension and anticipation in an uncertain world.</p><p><strong>Objective: </strong>This study aimed to explore the perceptions of medical students and faculty members from ten universities across Nigeria regarding AI.</p><p><strong>Methods: </strong>Using Google Forms and WhatsApp, a cross-sectional online survey was administered to clinical year medical students and their lecturers from ten medical schools representing all the six geopolitical zones of Nigeria.</p><p><strong>Results: </strong>The survey received 1003 responses, of which 708 (70.7%) were from students and 294 (29.3%) were from lecturers. Both groups displayed an average level of knowledge, with students (Median:4, range -5 to 12) significantly outperforming lecturers (Median:3, range -5 to 15). Social media (61.2%) was the most common form of first contact with AI. Participants demonstrated a favourable attitude towards AI, with a median score of 6.8 out of 10. Grammar checkers (62.3%) were the most commonly reported AI tool used, while ChatGPT (43.6%) was the most frequently mentioned dedicated AI tool. Students were significantly more likely than lecturers to have used AI tools in the past but <5% of both groups had received prior AI training. Excitement about the potential of AI slightly outweighed concerns regarding future risks. A significantly higher proportion of students compared to lecturers believed that AI could dehumanise health care (70.6% vs. 60.8%), render physicians redundant (57.6% vs. 34.7%), diminish physicians' skills (79.3% vs. 71.3%) and ultimately harm patients (28.6% vs. 20.6%).</p><p><strong>Conclusion: </strong>The simultaneous fascination and apprehension with AI observed among both lecturers and students in our study mirrors the global trend. This finding was particularly evident in students who, despite possessing greater knowledge of AI compared to their lecturers, did not exhibit a corresponding reduction in their fear of AI.</p>","PeriodicalId":19720,"journal":{"name":"Nigerian Postgraduate Medical Journal","volume":"30 4","pages":"285-292"},"PeriodicalIF":1.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138461477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between periodontal inflamed surface area and systemic inflammatory biomarkers among pre-dialysis chronic kidney disease patients. 透析前慢性肾病患者牙周炎症表面面积与全身炎症生物标志物的关系
IF 1.1
Nigerian Postgraduate Medical Journal Pub Date : 2023-10-01 DOI: 10.4103/npmj.npmj_124_23
Olusoji Ayodele Onabanjo, Solomon Olusegun Nwhator, Fatiu A Arogundade
{"title":"Association between periodontal inflamed surface area and systemic inflammatory biomarkers among pre-dialysis chronic kidney disease patients.","authors":"Olusoji Ayodele Onabanjo, Solomon Olusegun Nwhator, Fatiu A Arogundade","doi":"10.4103/npmj.npmj_124_23","DOIUrl":"10.4103/npmj.npmj_124_23","url":null,"abstract":"<p><strong>Background: </strong>Several studies have shown an association between chronic kidney disease (CKD) and periodontitis. However, only few studies have quantified the burden of periodontal inflammation in pre-dialysis CKD patients. The aim of this study was to determine the association between periodontal inflamed surface area (PISA) and systemic inflammatory biomarkers among pre-dialysis CKD patients.</p><p><strong>Materials and methods: </strong>120 pre-dialysis CKD participants were recruited into this study. 60 participants constituted Group A (those with periodontitis) while 60 participants constituted Group B (those without periodontitis). Full periodontal examination was carried out in the participants for the estimation of PISA. Blood samples also collected to determine levels of high sensitivity C-reactive protein (hsCRP) and interleukin-6 (IL-6) in all participants. Independent t-test was used to compare means of PISA, hsCRP and IL-6 levels in the two groups. Pearson correlation analysis was used to determine association between PISA and (hsCRP and IL-6).</p><p><strong>Results: </strong>The mean value of hsCRP was significantly higher in Group A compared to Group B (3.41 mg/L vs. 2.18 mg/L). PISA moderately correlated with hsCRP (r = 0.4, P < 0.01) in both groups. hsCRP also moderately correlated with IL-6 (r = 0.6, P < 0.001) in both groups.</p><p><strong>Conclusion: </strong>This study demonstrates that there was an association between PISA and hsCRP. Increased hsCRP level in Group A revealed the inflammatory burden imposed by periodontitis.</p>","PeriodicalId":19720,"journal":{"name":"Nigerian Postgraduate Medical Journal","volume":"30 4","pages":"299-304"},"PeriodicalIF":1.1,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138461476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Striving for excellence in subspecialty medical training in Nigeria: The 6th theophilus oladapo ogunlesi lecture. 在尼日利亚亚专科医学培训中追求卓越:第六届奥达波·奥贡莱西博士讲座。
IF 1.1
Nigerian Postgraduate Medical Journal Pub Date : 2022-10-01 DOI: 10.4103/npmj.npmj_228_22
Sebastian N N Nwosu
{"title":"Striving for excellence in subspecialty medical training in Nigeria: The 6<sup>th</sup> theophilus oladapo ogunlesi lecture.","authors":"Sebastian N N Nwosu","doi":"10.4103/npmj.npmj_228_22","DOIUrl":"https://doi.org/10.4103/npmj.npmj_228_22","url":null,"abstract":"<p><p>The solid foundation laid by Prof Theophilus Oladapo Ogunlesi and other founding fathers of the National Postgraduate Medical College of Nigeria (NPMCN) has consistently achieved its mandate of producing specialist medical practitioners in Nigeria. The ever-changing world requires that we have in Nigeria a critical mass of subspecialists to tackle the various old and emerging ailments that afflict the citizenry. Subspecialist training is popular among Nigerian specialists. While those who are not yet subspecialists crave for the training. Nigerian-born sub-specialists in the diaspora are willing to assist in the training. It is now left to policy makers and captains of the training institutions to seize the chance and move us forward with a view to improving the current embarrassingly low number of subspecialists in Nigeria. The NPMCN is hereby beckoned to take the lead. In doing so, it should combine excellence with relevance.</p>","PeriodicalId":19720,"journal":{"name":"Nigerian Postgraduate Medical Journal","volume":"29 4","pages":"347-353"},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40669896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-COVID-19 uptake of personal protective equipment and rules compliance amongst industrial workers in Kano, Nigeria. 在尼日利亚卡诺,工业工人使用非covid -19个人防护装备和遵守规则的情况。
IF 1.1
Nigerian Postgraduate Medical Journal Pub Date : 2022-10-01 DOI: 10.4103/npmj.npmj_214_22
Muhammad Garba Rayyan, Usman Muhammad Ibrahim, Usman Sunusi Usman, Karibullah Idris Muhammad
{"title":"Non-COVID-19 uptake of personal protective equipment and rules compliance amongst industrial workers in Kano, Nigeria.","authors":"Muhammad Garba Rayyan,&nbsp;Usman Muhammad Ibrahim,&nbsp;Usman Sunusi Usman,&nbsp;Karibullah Idris Muhammad","doi":"10.4103/npmj.npmj_214_22","DOIUrl":"https://doi.org/10.4103/npmj.npmj_214_22","url":null,"abstract":"<p><strong>Background: </strong>Every workplace has got hazards in many different forms, ranging from sharps, falling objects, chemicals, infections, noise and a lot of other potentially dangerous situations. The occupational safety and health administration mandates employers to protect their employees from such potentially dangerous workplace hazards. Personal protective equipment (PPE) plays an important role in preventing and ensuring health safety amongst industrial workers. This study aimed to determine the use of PPE and rules compliance amongst Industrial Workers in Kano State.</p><p><strong>Methods: </strong>A cross-sectional study design was used to assess 150 workers selected from the Sharada Industrial Estate, Kano, Nigeria, using a multistage sampling technique. Data were obtained using semi-structured interviewer-administered questionnaires and analysed using SPSS version 22.0.</p><p><strong>Results: </strong>The response rate was 88.2%, and the mean age of respondents was 28.1 ± 7.4. About 72% were male, 74.7% had secondary education and 16.4% reported ever having a child with a congenital anomaly. Up to 25% reported using PPE always, 62% used PPE occasionally and 12% never used PPE. Factors significantly associated with the use of PPE at bivariate level were: Gender, 'provision of statutory regulation by the management', 'provision of PPE on worksite' and 'provision of training to staff' respectively. However, on multivariable regression analysis, only 'provision of statutory regulation by the management' and 'provision of PPE on worksite' were found to be independent (intrinsic) predictors of the use of PPE.</p><p><strong>Conclusions: </strong>Training alone does not necessarily increase the uptake of PPE amongst industrial workers. There is a need to ensure the availability of PPE at the worksite, as well as statutory regulations by industries.</p>","PeriodicalId":19720,"journal":{"name":"Nigerian Postgraduate Medical Journal","volume":"29 4","pages":"303-309"},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40655255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Vascular injuries: Aetiology, presentation and management outcomes at a tertiary hospital in Lagos, Nigeria. 血管损伤:尼日利亚拉各斯一家三级医院的病因、表现和管理结果。
IF 1.1
Nigerian Postgraduate Medical Journal Pub Date : 2022-10-01 DOI: 10.4103/npmj.npmj_221_22
Ezekiel Olayiwola Ogunleye, Olugbenga Oluseyi Olusoji, Okezie Obasi Kanu
{"title":"Vascular injuries: Aetiology, presentation and management outcomes at a tertiary hospital in Lagos, Nigeria.","authors":"Ezekiel Olayiwola Ogunleye,&nbsp;Olugbenga Oluseyi Olusoji,&nbsp;Okezie Obasi Kanu","doi":"10.4103/npmj.npmj_221_22","DOIUrl":"https://doi.org/10.4103/npmj.npmj_221_22","url":null,"abstract":"<p><p>Vascular injuries lead to haemorrhagic shock and distal limb ischaemia, especially with an arterial injury. This life-threatening state mandates urgent evaluation and intervention to save life and limbs. The treatment aims to restore blood flow and replace lost blood within the golden hours, stabilising cardiovascular haemodynamics and averting irreversible ischaemic damage. The aim of this study was to analyse the clinical profile of vascular injuries, management and outcomes in our institution.</p><p><strong>Materials and methods: </strong>This retrospective study covered the period from January 2015 to December 2021. Information of interest were extracted from the medical records of each participant. The results from the data analysis were presented in charts and tables.</p><p><strong>Results: </strong>Seventy-four patients aged 15-78 years (mean 32.30 ± 13.75 years) were included in this study. The male-to-female ratio was 3.6:1. The most common causes were gunshot injury, road traffic accident and iatrogenic injuries. The mean duration from injury to presentation was 9.85 h and mean duration from presentation to restoration of flow was 7.3 h. The most common injured artery was the femoral artery, whereas the most common vein was inferior vena cava. Primary vascular repair was done in majority of the cases. Amputation was performed in 18.9% with loss of viability of the limb.</p><p><strong>Conclusion: </strong>Vascular injury though relatively uncommon remains a challenging and life-threatening disease predominantly in young adult males. Urgent intervention prevents limb loss and mortality. Favourable outcome is accomplished by improving emergency healthcare delivery and well-equipped vascular centres with adequately trained personnel in the nation's hospitals.</p>","PeriodicalId":19720,"journal":{"name":"Nigerian Postgraduate Medical Journal","volume":"29 4","pages":"334-340"},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40669897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acceptability, appropriateness and feasibility of webinar in strengthening research capacity in COVID-19 era in Nigeria. 网络研讨会在尼日利亚加强新冠肺炎时代研究能力的可接受性、适当性和可行性。
IF 1.1
Nigerian Postgraduate Medical Journal Pub Date : 2022-10-01 DOI: 10.4103/npmj.npmj_167_22
Abiola Olubusola Komolafe, Omotade Adebimpe Ijarotimi, Olufemi Mayowa Adetutu, Oluseye Ademola Okunola, Temitope Olumuyiwa Ojo, Funmilola Folasade Oyinlola, Oluwatosin Eunice Olorunmoteni, Monday Daniel Olodu, Ojo Melvin Agunbiade, Olayinka Donald Otuyemi
{"title":"Acceptability, appropriateness and feasibility of webinar in strengthening research capacity in COVID-19 era in Nigeria.","authors":"Abiola Olubusola Komolafe,&nbsp;Omotade Adebimpe Ijarotimi,&nbsp;Olufemi Mayowa Adetutu,&nbsp;Oluseye Ademola Okunola,&nbsp;Temitope Olumuyiwa Ojo,&nbsp;Funmilola Folasade Oyinlola,&nbsp;Oluwatosin Eunice Olorunmoteni,&nbsp;Monday Daniel Olodu,&nbsp;Ojo Melvin Agunbiade,&nbsp;Olayinka Donald Otuyemi","doi":"10.4103/npmj.npmj_167_22","DOIUrl":"https://doi.org/10.4103/npmj.npmj_167_22","url":null,"abstract":"<p><strong>Introduction: </strong>The challenges posed by the COVID-19 pandemic have necessitated the increasing use of online virtual training platforms. The objectives of the study were to assess the acceptability, appropriateness and feasibility of virtual space in strengthening the research capacity in Nigeria.</p><p><strong>Materials and methods: </strong>Data were collected through an adapted online questionnaire from participants following a 2-day webinar. Both descriptive and inferential (bivariate and multivariate) analyses were done.</p><p><strong>Results: </strong>The findings of the study revealed that 55.2% of participants (n = 424) were males and 66.0% (n = 424) were early career researchers. Two hundred and thirty-six participants (55.7%) (n = 424) reported very good acceptability, 67.9% (n = 424) reported very good appropriateness while 54.7% (n = 424) reported good feasibility of webinar for research capacity strengthening. The rating of knowledge obtained from the webinar as 'excellent' increased the odds of acceptability (odd ratio [OR] = 38.30; P < 0.001), appropriateness (OR = 15.65; P < 0.05), and feasibility (OR = 20.85; P < 0.05). Furthermore, the preference for zoom and other online platforms for learning increased odds of acceptability of the webinar (OR = 2.29; confidence interval [CI]: 0.97-57.39; P < 0.05), appropriateness (OR = 2.55; CI: 1.10-5.91; P < 0.05) and feasibility (OR = 2.34; CI: 0.96-5.74; P < 0.05).</p><p><strong>Conclusion: </strong>The study concluded that webinar was acceptable, appropriate and feasible for strengthening research capacity, although poor internet connectivity and cost of data were the major challenges in Nigeria. However, a learner-centred approach in contents' delivery that ensures optimal learning has the potential of enhancing research capacity strengthening via virtual space.</p>","PeriodicalId":19720,"journal":{"name":"Nigerian Postgraduate Medical Journal","volume":"29 4","pages":"288-295"},"PeriodicalIF":1.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40655253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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