New Nigerian Journal of Clinical Research最新文献_第7页

A Review of indications and outcome of total abdominal hysterectomy at a tertiary public health facility in Southern Nigeria 尼日利亚南部三级公共卫生机构腹式全子宫切除术的适应症和结果的审查

New Nigerian Journal of Clinical Research Pub Date : 2018-01-01 DOI: 10.4103/NNJCR.NNJCR_49_16

Chika Oseki, J. Osaikhuwuomwan

{"title":"A Review of indications and outcome of total abdominal hysterectomy at a tertiary public health facility in Southern Nigeria","authors":"Chika Oseki, J. Osaikhuwuomwan","doi":"10.4103/NNJCR.NNJCR_49_16","DOIUrl":"https://doi.org/10.4103/NNJCR.NNJCR_49_16","url":null,"abstract":"Objective: Ours' is a major referral center in southern Nigeria which now offers an organized cervical cancer screening and treatment program. Total abdominal hysterectomy is a commonly performed procedure in this center, and this study is aimed at ascertaining its frequency, indications, and safety in line with current reproductive health best practice. Methodology: A descriptive study of consecutive patients who had total abdominal hysterectomy for various benign and malignant indications during the period from January 2009 to December 2013 was conducted. Data extracted from the case files included age, parity, indications for surgery, and postoperative complications. Data were analyzed using Computer Programs for EPIdemiologist (PEPI) and presented in frequency tables. Results: Total abdominal hysterectomy accounted for 13.4% of all major gynecological operations. Majority of the women were in their fifth decade of life (88.5%) and parity of 5 and above (50%). The most common indications were uterine fibroids (50.4%) and cervical intraepithelial neoplasia (17.1%). Postoperative morbidity was recorded in 46 (18.3%) cases, and these were significantly more in premalignant/malignant cases (P < 0.05). The most common postoperative complications were pyrexia (9.5%), wound infection (7.5%), and anemia (6.3%). There was no mortality. Conclusion: Total abdominal hysterectomy is a common procedure in this center; we can hypothesize that the triad of uterine fibroids, age ≥45, and a high parity increases its likelihood in this center. While the most common indication still remains uterine fibroids, we also note increasing cases of hysterectomy for cervical dysplasia/malignancy (courtesy cancer screening services). Although not complication free, overall the procedure is relatively safe and should be offered to selected patient as appropriate.","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125676644","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: 3

Claude syndrome: A report of two cases and review of literature 克劳德综合征:两例报告及文献复习

New Nigerian Journal of Clinical Research Pub Date : 2018-01-01 DOI: 10.4103/NNJCR.NNJCR_33_16

S. Sheetal, M. Madhusudanan, Reji Thomas, P. Byju

引用次数: 1

Important ethical issues in the surgical separation of the conjoined twins jane and may that consequentialism cannot be satisfactorily dealt with 在手术分离连体双胞胎的重要伦理问题，简和可能，结果主义不能令人满意地处理

New Nigerian Journal of Clinical Research Pub Date : 2017-02-01 DOI: 10.4103/NNJCR.NNJCR_17_17

A. Ayanniyi

引用次数: 0

Self-perception of body size among adults in Delta State, Nigeria 尼日利亚三角洲州成年人对体型的自我认知

New Nigerian Journal of Clinical Research Pub Date : 2017-02-01 DOI: 10.4103/nnjcr.nnjcr_37_16

E. Umuerri, C. Ayandele

{"title":"Self-perception of body size among adults in Delta State, Nigeria","authors":"E. Umuerri, C. Ayandele","doi":"10.4103/nnjcr.nnjcr_37_16","DOIUrl":"https://doi.org/10.4103/nnjcr.nnjcr_37_16","url":null,"abstract":"Background: Obesity is a lifestyle disease with enormous public health challenges. Accurate self-perception of body size is essential to maintain a healthy lifestyle and a healthy body size. Aim: The aim of this study is to describe self-perception of body size among adults in Delta State, Nigeria, and determine the level of misperception. Settings and Design: This was a cross-sectional exploratory survey of apparently healthy adults living in Delta State, Nigeria. Materials and Methods: Data on demography, self-perception of body size, and means of assessing body size were reported and documented. Height, weight, and waist circumference (WC) were measured and body mass index (BMI) calculated. Actual body size was compared with self-perceived body size. Results: About 85% of the respondents reported normal/healthy self-perceived weight while <10% indicated that they were overweight or obese. One-third of respondents misperceived their weight, 24.8% underestimated, while 8.8% overestimated their self-perceived weight using BMI. Female respondents had a higher BMI than males (P < 0.001). Body size defined by BMI was significantly different from self-perceived weight (P < 0.001) with obese females and overweight males having a higher rate of misperception of weight. Urban respondents had a higher rate of misperception than their rural counterparts (P < 0.001). BMI and WC were identified as means of weight assessment in 7.6% and 0.0% of the respondents, respectively. Conclusion: The rate of misperception of weight among adults is high in Delta State, Nigeria, especially among those who were male, overweight, and urban dwellers. Lack of recognition of actual weight status may hinder public health initiatives to effectively deal with obesity.","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131255232","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

Primary B-cell jejunal maltoma in a young adult male: A case report and review of literature 年轻成年男性原发性b细胞空肠瘤1例报告及文献复习

New Nigerian Journal of Clinical Research Pub Date : 2017-02-01 DOI: 10.4103/nnjcr.nnjcr_42_16

I. Ezejiofor, C. Ogbu, M. Onwukamuche, C. Ndukwe, K. Madubuike, F. Menkiti, N. Ozor, Emmanuel Okakpu

引用次数: 1

Impact of innovative pedagogical teaching methods on students' academic performance 创新教学方法对学生学习成绩的影响

New Nigerian Journal of Clinical Research Pub Date : 2017-02-01 DOI: 10.4103/2250-9658.225332

A. Mahajan, K. Kaushal

{"title":"Impact of innovative pedagogical teaching methods on students' academic performance","authors":"A. Mahajan, K. Kaushal","doi":"10.4103/2250-9658.225332","DOIUrl":"https://doi.org/10.4103/2250-9658.225332","url":null,"abstract":"Background: Microteaching techniques uses various interactive and multimodal strategies to create a more engaging classroom setting compared to the traditional didactic lecturing methods. The primary objective of this study was to assess the impact of innovative pedagogical teaching methods on students' academic performance. Subjects and Methods: It was a cross-sectional interventional study conducted among seventy students of basic and post basic B.Sc. Nursing course. Seventy students were evaluated for effectiveness of two different teaching techniques on students' performance over a series of five lectures; each lecture being divided into two sessions. The first session involved delivering the lecture with the aid of power point presentation only. The second session consisted of delivering the lecture using various interactive teaching techniques. At the end of five lectures, feedback was taken from students regarding the quality of lectures. Results: The quantitative analysis showed that the mean posttest scores obtained from the students were significantly higher than the pretest scores in all the five sessions. The qualitative assessment of the study based on feedback received from the students' also pointed toward better attainment of knowledge and greater satisfaction levels. Conclusion: It is mandatory to inculcate interactive learning into regular classroom teaching to have better understanding.","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"329 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122843022","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: 4

Knowledge and uptake of HIV counseling and testing in faith-based school: Case study of REMI School, Gwagwalada, Abuja, Nigeria 在信仰学校了解和接受艾滋病毒咨询和检测:尼日利亚阿布贾瓜瓦拉达REMI学校案例研究

New Nigerian Journal of Clinical Research Pub Date : 2017-02-01 DOI: 10.4103/NNJCR.NNJCR_50_16

R. Adelaiye, M. Jamda

{"title":"Knowledge and uptake of HIV counseling and testing in faith-based school: Case study of REMI School, Gwagwalada, Abuja, Nigeria","authors":"R. Adelaiye, M. Jamda","doi":"10.4103/NNJCR.NNJCR_50_16","DOIUrl":"https://doi.org/10.4103/NNJCR.NNJCR_50_16","url":null,"abstract":"Introduction: HIV counseling and testing (HCT) is the entry point to HIV prevention, care, and support services, especially among the adolescent group who are very vulnerable. This study is to assess the knowledge and uptake of HIV counseling and testing (HCT) services among secondary school students in Gwagwalada, Abuja. Methods: A cross-sectional descriptive study was conducted using eligibility criteria in selecting the 89 students in the study. Information was obtained through the use of pretested self-administered questionnaires. Data were analyzed using SPSS software and presented in frequency and proportions. Results: Out of the 89 students surveyed, 45 (50.6%) were aware of HCT. Electronic media and friends/relations representing 33.3% each were the major sources of HCT information. Respondents had little knowledge of the purpose of HCT. A total of 78 (87.6%) were willing to be tested; the uptake of free HCT services offered was 5 (5.6%). Of the 11 (12.4%) not willing to be tested, 7 (63.6%) were afraid of positive result and 4 (36.4%) because of associated stigma. Conclusion: Despite 50.6% of respondents been aware of HCT and majority willing to have HCT, uptake of free HCT offered was 5.6%. HCT services should be extended to secondary schools as a matter of urgency to “catch them young.” Intensive awareness targeted at this group of youths should be carried out in environments they would be comfortable and free to accept the knowledge and services provided in adolescent-friendly manner to enhance uptake.","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123744544","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

Morbidity and mortality pattern among young adolescents at the emergency pediatric unit of a tertiary care facility in Abuja, Nigeria 尼日利亚阿布贾某三级保健设施儿科急诊部青少年发病率和死亡率模式

New Nigerian Journal of Clinical Research Pub Date : 2017-01-01 DOI: 10.4103/NNJCR.NNJCR_1_16

Uduak Offiong, Felicia Mairiga

{"title":"Morbidity and mortality pattern among young adolescents at the emergency pediatric unit of a tertiary care facility in Abuja, Nigeria","authors":"Uduak Offiong, Felicia Mairiga","doi":"10.4103/NNJCR.NNJCR_1_16","DOIUrl":"https://doi.org/10.4103/NNJCR.NNJCR_1_16","url":null,"abstract":"Background/Aims: The period of adolescence can be described as the transition from childhood to adulthood. This transition also comes with changes in the health needs of this group due to their unique biological, psychological, and social characteristics. Defining morbidity and mortality burden in adolescents will help identify their health needs. In developing countries, this information is lacking and hence our study is to describe the emergency room morbidity/mortality pattern among pediatric unit adolescent patients at the emergency of our health institution. Materials and Methods: A retrospective study reviewing case notes and admission records of children aged 10–16 years presenting between January 2008 and December 2012 in the emergency pediatric unit in the University of Abuja Teaching Hospital Gwagwalada was conducted. Both demographic and clinical data on indications for admission were extracted and entered into Microsoft Excel 2007. Data are presented in percentages. Results: Four hundred and eighty-nine adolescents were seen during the study. There were 285 (58.3%) males and 204 (41.7%) females. The major causes of morbidity and mortality were infectious diseases with malaria and septicemia ranking highest. Tetanus was more prevalent in males than females. Sickle cell anemia was the most common noncommunicable disease (NCD) in the study population. Mortality rate was 8.8% with 60.5% occurring in males. Conclusion: Infectious diseases are still a cause of morbidity and mortality in the adolescent population. Tackling infection is necessary while taking steps to control the emergence of NCD among childhood survivors.","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129972118","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

Lipoma of the hard palate: A ubiquitous lesion in a rare location 硬腭脂肪瘤:一种罕见部位的普遍病变

New Nigerian Journal of Clinical Research Pub Date : 2017-01-01 DOI: 10.4103/2250-9658.212000

A. Ibikunle, Abdurrazaq Taiwo, R. Braimah, K. Abdullahi

引用次数: 1

Adequacy of clinical information supplied by clinicians for histopathologic diagnosis: The university of Benin teaching hospital experince 临床医生为组织病理学诊断提供的临床信息的充分性:贝宁大学教学医院的经验

New Nigerian Journal of Clinical Research Pub Date : 2017-01-01 DOI: 10.4103/2250-9658.212004

G. Forae, D. Obaseki

{"title":"Adequacy of clinical information supplied by clinicians for histopathologic diagnosis: The university of Benin teaching hospital experince","authors":"G. Forae, D. Obaseki","doi":"10.4103/2250-9658.212004","DOIUrl":"https://doi.org/10.4103/2250-9658.212004","url":null,"abstract":"Background: The volume of workload in histopathology laboratories need to be accurately measured so that resources can be used appropriately in a challenging clinical environment. Aims: The main objective of this work is to assess the adequacy of clinical information provided by clinicians requesting for histopathological investigations. Materials and Methods: A total of 1659 sequential histopathological request forms sent to Department of Histopathology of the University of Benin Teaching Hospital between January 1, and December 31, 2005, were retrospectively studied and analyzed. The provision of data by surgeons and physicians were compared in a Microsoft Excel 2000 Spreadsheet using the Chi-square test with Yates's correction where appropriate. Given the number of variables being assessed, a Bonferonni correction was applied, and a value of P = 0.001 was therefore considered the limit of significance. Results: A total of 1659 pathology request cards were audited in this study. Of these, 1382 cases accounting for 83.3% were a request made by surgeons while 277 constituting 16.7% were a request sent by physicians. Hence, the ratio of a request made by surgeons and physicians were 5:1. Among the request made by surgeons, the most common request was from the Surgery Department accounting for 783 (47.2%) of all requests. Among the 277 requests made by physicians, the department of internal medicine had the highest volume accounting for 122 (7.35%) of all cases. A total of 1415 out of 1659 were found to be inadequately completed accounting for 85.3%. There were significant differences in the information on ethnicity, date, time and clinical summary recorded by surgeons and physicians and the P < 0.001, respectively. Conclusion: Majority of the pathology request cards sent by clinicians are inadequately completed with an extremely high preanalytic phase errors.","PeriodicalId":261902,"journal":{"name":"New Nigerian Journal of Clinical Research","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126878613","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: 4