Nigerian medical journal : journal of the Nigeria Medical Association最新文献

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Comparing Single Dose Versus Multiple Doses Antibiotic Prophylaxis in Preventing Surgical Site Infections Following Open Appendicectomy for Uncomplicated Appendicitis. 单剂量与多剂量抗生素预防无并发症阑尾炎开放性阑尾切除术后手术部位感染的比较。
Nigerian medical journal : journal of the Nigeria Medical Association Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI: 10.71480/nmj.v66i1.670
Onoriode Brotobor, Deliverance Brotobor, Jemima U Mukoro, Adedamola R Odeyale
{"title":"Comparing Single Dose Versus Multiple Doses Antibiotic Prophylaxis in Preventing Surgical Site Infections Following Open Appendicectomy for Uncomplicated Appendicitis.","authors":"Onoriode Brotobor, Deliverance Brotobor, Jemima U Mukoro, Adedamola R Odeyale","doi":"10.71480/nmj.v66i1.670","DOIUrl":"https://doi.org/10.71480/nmj.v66i1.670","url":null,"abstract":"<p><strong>Background: </strong>Acute appendicitis is the leading cause of acute surgical abdomen. Studies have shown that a single dose of antibiotics is as effective as multiple doses in preventing surgical site infections (SSI) after appendectomy, with advantages such as cost savings, fewer adverse reactions, and reduced risk of antibiotic resistance. Despite these benefits, multiple doses are still commonly used. This study compared the efficacy of single-dose versus multiple-dose antibiotic prophylaxis in preventing SSI after open appendectomy for uncomplicated appendicitis.</p><p><strong>Methodology: </strong>A one-year prospective study was conducted at the university of Benin teaching hospital (UBTH), Benin City, involving 62 adult patients with uncomplicated appendicitis. A total of 76 patients were initially recruited, but after histological evaluation, 62 patients were analyzed, 29 received a single dose of antibiotics, and 33 received multiple doses following the exclusion of the negative appendicectomies. All patients were given intravenous 1.5 g cefuroxime and 500 mg metronidazole at anesthesia induction, with the multiple-dose group receiving two additional doses. Outcomes assessed included SSI occurrence, cost of antibiotics, and SSI management costs.</p><p><strong>Results: </strong>SSI rates were similar between groups (3.5% vs. 3.0%), but the cost of multiple-dose regimens was over twice that of single-dose. Side effects were more frequent with multiple doses. Both SSI cases were superficial and associated with higher BMI.</p><p><strong>Conclusion: </strong>Single-dose antibiotic prophylaxis is equally effective, more economical, and safer than multiple doses.</p>","PeriodicalId":94346,"journal":{"name":"Nigerian medical journal : journal of the Nigeria Medical Association","volume":"66 1","pages":"187-197"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality of Sexual Life and its Correlates among Men with Diabetes Mellitus and Erectile dysfunction attending a tertiary hospital in Owerri, Nigeria. 尼日利亚奥韦里一家三级医院糖尿病和勃起功能障碍患者的性生活质量及其相关性
Nigerian medical journal : journal of the Nigeria Medical Association Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI: 10.71480/nmj.v66i1.523
Patrick Chinedu Obi, Ginikanwa Helga Njoku, Adaure Chibuzo Mbaike, Augustine Chinedu Ihim, Okechukwu Francis Nwako, Anthony Chinedu Anyanwu, John Uchechukwu Ohiri, Ernest Nwazor, Blessing Chinenye Ubani, Stanley Ugochukwu Ogbonna, Mafuka Johnson Simon, Reginald Nnamdi Oputa
{"title":"Quality of Sexual Life and its Correlates among Men with Diabetes Mellitus and Erectile dysfunction attending a tertiary hospital in Owerri, Nigeria.","authors":"Patrick Chinedu Obi, Ginikanwa Helga Njoku, Adaure Chibuzo Mbaike, Augustine Chinedu Ihim, Okechukwu Francis Nwako, Anthony Chinedu Anyanwu, John Uchechukwu Ohiri, Ernest Nwazor, Blessing Chinenye Ubani, Stanley Ugochukwu Ogbonna, Mafuka Johnson Simon, Reginald Nnamdi Oputa","doi":"10.71480/nmj.v66i1.523","DOIUrl":"https://doi.org/10.71480/nmj.v66i1.523","url":null,"abstract":"<p><strong>Background: </strong>Erectile dysfunction (ED) is common among men with Diabetes mellitus (DM), with a negative impact on their sexual satisfaction. There is a paucity of data on this in our locality. Hence this study was to determine the quality of sexual life, its correlates and predictors among such men.</p><p><strong>Methodology: </strong>One hundred diabetic men with ED as well as 100 without ED were recruited consecutively. Questionnaires were used to collect relevant information and assess their quality of sexual life. This was followed by a focused physical examination and anthropometric measurements. Blood samples were collected for relevant investigations. Data analysis was with SPSS version 25 while p-value < 0.05 was considered significant.</p><p><strong>Results: </strong>Participants with ED had a mean IIEF-5 score of 11.97 ± 4.73 while those without ED had 24.06 ± 1.10 (p = 0.000). Among the DM participants with ED and those without ED, their mean SQoL-M scores were 44.14 ± 10.85% and 89.73 ± 16.23% respectively (p = 0.000). Correlation between SQoL-M scores and IIEF-5 scores showed (r = 0.374, p = 0.000) while that between SQoL-M scores and HbA1c showed (r = - 0.205, p = 0.040) in diabetic participants with ED. IIEF-5 scores and HbA1c levels were observed to be the only predictors of SQoL scores among diabetic participants with ED.</p><p><strong>Conclusion: </strong>There is a significant difference in the quality of sexual life between diabetic men with ED and those without ED. While there is a positive correlation between SQoL-M and IIEF-5 scores, there is a negative correlation between SQoL-M scores and HbA1c levels among diabetic men with ED. IIEF-5 scores and HbA1c values are predictors of quality of sexual life among diabetic men with ED. Thus, there is a need for evaluation of quality of sexual life among diabetic men with ED.</p>","PeriodicalId":94346,"journal":{"name":"Nigerian medical journal : journal of the Nigeria Medical Association","volume":"66 1","pages":"36-43"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of Compliance to Preventive Measures against COVID-19 using WHO Checklist among Secondary Schools in Nnewi North Local Government Area of Anambra State, Nigeria. 使用世卫组织清单评估尼日利亚阿南布拉州Nnewi North地方政府区的中学对COVID-19预防措施的遵守情况
Nigerian medical journal : journal of the Nigeria Medical Association Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI: 10.71480/nmj.v66i1.645
Vivian Amarachi Aguwamba, Dominic Udodirim Emezuru, Ugochukwu Anthony Aguwamba
{"title":"Assessment of Compliance to Preventive Measures against COVID-19 using WHO Checklist among Secondary Schools in Nnewi North Local Government Area of Anambra State, Nigeria.","authors":"Vivian Amarachi Aguwamba, Dominic Udodirim Emezuru, Ugochukwu Anthony Aguwamba","doi":"10.71480/nmj.v66i1.645","DOIUrl":"https://doi.org/10.71480/nmj.v66i1.645","url":null,"abstract":"<p><strong>Background: </strong>Coronavirus Disease of 2019 (Covid-19) was arguably the greatest global health threat of our time. Immediately the pandemic was declared by WHO, countries around the world took broad public health and social measures (PHSM), including closure of schools, to prevent the spread of the SARS-CoV-2 virus, which causes COVID-19. The COVID-19 pandemic posed an enormous risk to the health and safety of learners, teachers, parents, school administrators, education practitioners, and the wider community. However, reopening schools carried the public health risk of viral resurgence. This study aimed to assess the compliance to COVID-19 preventive measures among secondary schools in Nnewi North LGA of Anambra state, Nigeria using WHO checklist.</p><p><strong>Methodology: </strong>This was a facility-based cross-sectional observational survey of secondary schools within Nnewi North local government area of Anambra state. Data was collected through school surveys and observations of compliance measures, both done during the same school visit. Informed consent was obtained from the principal of each school or their representative before carrying out the study in their facilities.</p><p><strong>Results: </strong>Out of the schools sampled, 12 schools (38.71%) had good compliance, 9 schools (29.03%) had moderate compliance, and 10 schools (32.26%) had poor compliance. The finding of this study thus revealed that the overall compliance level toward COVID-19 preventive and control measures among secondary schools in Nnewi-North LGA of Anambra state was 38.71%.</p><p><strong>Conclusion: </strong>The common restraining factors against compliance to standard COVID-19 preventive measures included the fact that the students are children (aged between 11 - 18 years) and thus wouldn't always wear their masks, school ownership, attitude towards, and risk perception of COVID-19 and these factors significantly influenced the adherence of each school towards COVID-19 mitigation measures.</p>","PeriodicalId":94346,"journal":{"name":"Nigerian medical journal : journal of the Nigeria Medical Association","volume":"66 1","pages":"127-141"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pattern and Outcome of Medical Admissions at the University of Uyo Teaching Hospital: A 5-Year Hospitalization Analysis. Uyo大学教学医院住院模式与结果:5年住院分析
Nigerian medical journal : journal of the Nigeria Medical Association Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI: 10.71480/nmj.v66i1.678
Effiong Ekong Akpan, Aniema Isaac Asam Udo, Idongesit Odudu Umoh, Bertha Chioma Ekeh, Victor Aniedi Umoh, Anyiekere Morgan Ekanem, Udeme Ekpenyong Ekrikpo
{"title":"Pattern and Outcome of Medical Admissions at the University of Uyo Teaching Hospital: A 5-Year Hospitalization Analysis.","authors":"Effiong Ekong Akpan, Aniema Isaac Asam Udo, Idongesit Odudu Umoh, Bertha Chioma Ekeh, Victor Aniedi Umoh, Anyiekere Morgan Ekanem, Udeme Ekpenyong Ekrikpo","doi":"10.71480/nmj.v66i1.678","DOIUrl":"https://doi.org/10.71480/nmj.v66i1.678","url":null,"abstract":"<p><strong>Background: </strong>The pattern of hospital admission is necessary for proper planning and budgeting in health care. It also provides insights into the burden of disease in a particular community. Additionally, admission patterns also assist in reviewing the morbidity and mortality over the duration of the study and allow for proper planning and prevention of these occurrences.</p><p><strong>Methodology: </strong>This is a five-year retrospective study of patients admitted to the medical wards. Patients' case notes were retrieved from the hospital's records department. Demographic data such as age, sex, occupation, and religion were extracted from the case notes. Clinical data such as diagnosis, date of admission and discharge, duration of stay, and cause of death were also extracted. Kaplan-Meier survival curves were plotted, and a multivariate Cox proportional hazards model was used to determine the independent predictors of mortality.</p><p><strong>Results: </strong>A total of 2634 patient records were retrieved. The ages of patients ranged from 15 to 102 years, with a mean of 54.8 ± 16.5 years. There were more males 1374 (52.2%) against 1269(47.8%) females), p<0.001. Noncommunicable diseases (NCDs) accounted for 2286 (86.8%), with 348 (13.2%) being communicable diseases. Chronic kidney disease (CKD) 21.5%, acute kidney injury (5.0%), Stroke (19.9%), Heart failure (17.6%), and Diabetes (20.7%) were the leading NCDs. On the other hand, Tuberculosis (4.0%), and Pneumonia (1.4%), were the leading communicable diseases causing hospitalization. Older age groups ≥60 years (p= 0.02), kidney disease, (p< 0.001). HIV. (p=0.01) were independently associated with mortality.</p><p><strong>Conclusion: </strong>The epidemiological transition to NCDs is well established in the adult population of Akwa Ibom State. Older age, kidney diseases, stroke, and HIV infection were independent predictors of mortality.</p>","PeriodicalId":94346,"journal":{"name":"Nigerian medical journal : journal of the Nigeria Medical Association","volume":"66 1","pages":"210-224"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Purple Urine Bag Syndrome: A Case Report of An Elderly Nigerian Woman. 紫尿袋综合征:1例尼日利亚老年妇女报告。
Nigerian medical journal : journal of the Nigeria Medical Association Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI: 10.71480/nmj.v66i1.693
Ibitrokoemi Faye Korubo, Ekechi Stella Amadi, Chikeka Chimaroke Ukachi
{"title":"Purple Urine Bag Syndrome: A Case Report of An Elderly Nigerian Woman.","authors":"Ibitrokoemi Faye Korubo, Ekechi Stella Amadi, Chikeka Chimaroke Ukachi","doi":"10.71480/nmj.v66i1.693","DOIUrl":"https://doi.org/10.71480/nmj.v66i1.693","url":null,"abstract":"<p><p>Purple urine bag syndrome (PUBS) is an unusual presentation of urinary tract infection (UTI). Few cases have been reported in Africa. We present a case report of Purple Urine Bag Syndrome from the Niger Delta region of Nigeria. The patient was a bedridden catheterized 71 -year-old quadriplegic female patient with a history of hypertension, and ischemic stroke. She was treated with a course of appropriate antibiotics and by changing her urinary catheter and bag. The patient's caregiver refused further care and signed against medical advice after forty-eight hours of admission without doing the requested investigations. Purple urine bag syndrome (PUBS) is a rare benign condition with a good prognosis.</p>","PeriodicalId":94346,"journal":{"name":"Nigerian medical journal : journal of the Nigeria Medical Association","volume":"66 1","pages":"385-388"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sociodemographic predictors of knowledge and practice of exclusive breastfeeding among mothers attending primary health centres in Ethiope West, Delta State Nigeria. 埃塞俄比亚西部、尼日利亚三角洲州初级保健中心母亲纯母乳喂养知识和做法的社会人口预测因素。
Nigerian medical journal : journal of the Nigeria Medical Association Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI: 10.71480/nmj.v66i1.695
Aruoriwo Ajiroghene Okwesa, Nyemike Simeon Awunor, Mamodesan Tudjegbe Okumagba, Augustine Ossai Okwesa, Efe Abolodje
{"title":"Sociodemographic predictors of knowledge and practice of exclusive breastfeeding among mothers attending primary health centres in Ethiope West, Delta State Nigeria.","authors":"Aruoriwo Ajiroghene Okwesa, Nyemike Simeon Awunor, Mamodesan Tudjegbe Okumagba, Augustine Ossai Okwesa, Efe Abolodje","doi":"10.71480/nmj.v66i1.695","DOIUrl":"https://doi.org/10.71480/nmj.v66i1.695","url":null,"abstract":"<p><strong>Background: </strong>A mother's sociodemographic characteristics influence her practice of breastfeeding and are vital in determining the overall well-being of the baby. This study assessed the sociodemographic predictors of the knowledge and practice of exclusive breastfeeding among lactating mothers attending primary health centres in Ethiope West LGA of Delta State.</p><p><strong>Methodology: </strong>This cross-sectional questionnaire-based study was conducted among 360 mothers of children aged 6-15 months attending six primary health centres in Ethiope West Local Government Area of Delta State. Data was collected on sociodemographic factors, knowledge, and practice of exclusive breastfeeding among mothers. There were 8 questions that assessed the knowledge of exclusive breastfeeding. A mother was assessed to have good knowledge of exclusive breastfeeding when she answered correctly at least 6 out of the 8 questions. Data was analyzed using IBM SPSS Version 26.0.</p><p><strong>Results: </strong>The respondents were aged 15-41 years with the majority (47.4%) being 20-29 years and a mean age of 28.92±6.89 years. They were mainly Urhobos (62.8%), married (78.9%), with about half (50.6%) of the participants in the lowest social class and about 43.3% having at least a secondary education. Most (78%) respondents had a good knowledge of exclusive breastfeeding but only about one-third (36%) were exclusively breastfed. Logistic regression analysis showed the odds of practicing EBF to be about twice in married women compared to the unmarried (AOR= 1.90, 95% CI= 1.007-3.591, p=0.014) and that the level of education was predictive of knowledge of EBF (AOR= 12.89, 95% CI= 4.006-40.901; p=0.001).</p><p><strong>Conclusion: </strong>Despite the good knowledge of EBF, its practice was poor with marital status being the most important predictor of EBF.</p>","PeriodicalId":94346,"journal":{"name":"Nigerian medical journal : journal of the Nigeria Medical Association","volume":"66 1","pages":"235-245"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038624/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond Grades: Harnessing Self-Regulated Learning to Empower Underperforming Students. 超越成绩:利用自我调节学习来激励表现不佳的学生。
Nigerian medical journal : journal of the Nigeria Medical Association Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI: 10.71480/nmj.v66i1.689
Shree Lakshmi Devi Singaravelu, Abilash Sasidharannair Chandrakumari
{"title":"Beyond Grades: Harnessing Self-Regulated Learning to Empower Underperforming Students.","authors":"Shree Lakshmi Devi Singaravelu, Abilash Sasidharannair Chandrakumari","doi":"10.71480/nmj.v66i1.689","DOIUrl":"https://doi.org/10.71480/nmj.v66i1.689","url":null,"abstract":"<p><p>Self-regulated learning (SRL) represents a critical educational framework through which learners proactively govern their learning processes using self-motivation, metacognitive reflection, and strategic task management. This article examines SRL's transformative role in enhancing academic performance, particularly for underperforming students who often face significant academic and environmental challenges. SRL offers a structured approach for these students by promoting resilience and reinforcing goal-oriented learning behaviors. Key SRL components include establishing structured learning environments, optimizing resource use, and building self-efficacy. Through SRL instruction, educators can support underperformers in cultivating sustainable, autonomous learning practices. Specific strategies, such as peer tutoring and interactive tools like \"Betty's Brain,\" reinforce understanding as students teach and apply learned concepts. Integrating SRL among underperforming students cultivates lifelong learning skills and establishes a foundation for enduring academic and professional success. Future research should explore innovative SRL approaches tailored to the needs of underperforming students, with particular emphasis on applications within medical education, where SRL could significantly enhance both immediate and long-term outcomes.</p>","PeriodicalId":94346,"journal":{"name":"Nigerian medical journal : journal of the Nigeria Medical Association","volume":"66 1","pages":"26-35"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality of life in children with epilepsy: Effect of socio-demographic factors and Parental awareness of seizure action plan in Eastern India. 癫痫儿童的生活质量:东印度社会人口因素的影响和父母对癫痫行动计划的认识
Nigerian medical journal : journal of the Nigeria Medical Association Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI: 10.71480/nmj.v66i1.690
Aishwarya Senapaty, Preeti Srivastava, Shikha Swaroop, Roshan Mohanty, Adyasha Mishra
{"title":"Quality of life in children with epilepsy: Effect of socio-demographic factors and Parental awareness of seizure action plan in Eastern India.","authors":"Aishwarya Senapaty, Preeti Srivastava, Shikha Swaroop, Roshan Mohanty, Adyasha Mishra","doi":"10.71480/nmj.v66i1.690","DOIUrl":"https://doi.org/10.71480/nmj.v66i1.690","url":null,"abstract":"<p><strong>Background: </strong>Epilepsy is a chronic neurological disorder that disrupts daily life and negatively impacts quality of life (QOL). While most medical approaches focus on seizure control, there is limited attention to the QOL of children with epilepsy (CWE) in eastern India. This study aimed to assess QOL among CWE and examine the influence of sociodemographic factors, seizure characteristics, and parental awareness of a seizure action plan (SAP).</p><p><strong>Methodology: </strong>This cross-sectional study was conducted in the Department of Paediatrics at a tertiary care teaching hospital in eastern India from December 2020 to May 2022. Eighty children aged 5-15 years, all diagnosed with epilepsy and on antiepileptic medication for at least six months, participated. Approval was obtained from the Institutional Ethics Committee of the hospital concerned. The participants were interviewed using a structured pre-tested schedule. The QOL of the participants was evaluated using the Quality of Life in Childhood Epilepsy (QOLCE-55) questionnaire. Parental awareness of SAP was assessed based on their knowledge of essential seizure management actions. Kruskal Wallis test was used to identify factors associated with QOL.</p><p><strong>Results: </strong>The mean age in the study population was 9.37 ± 3.57 years, with 56.45% males. The mean QOL scores in cognitive, emotional, social, and physical domains were 59.41, 55.11, 56.40, and 65.11, respectively. QOL steadily declined with age, with emotional and social domains more impacted on older children. Maternal illiteracy, low socioeconomic status, and earlier onset of epilepsy were significantly associated with poorer QOL (p<0.001). Only 21.25% of parents had complete awareness of SAP, and the children of these parents had relatively better QOL scores.</p><p><strong>Conclusion: </strong>QOL was better in CWE who were younger, had late-onset epilepsy, belonged to the upper socioeconomic class, and whose mothers were educated. Interventions enhancing parental awareness about SAP may lead to improvement in the QOL of CWE.</p>","PeriodicalId":94346,"journal":{"name":"Nigerian medical journal : journal of the Nigeria Medical Association","volume":"66 1","pages":"225-234"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case of Lacunar Stroke in a Patient with Possible Normal Pressure Hydrocephalus (NPH). 可能伴有正常压力脑积水的腔隙性脑卒中1例。
Nigerian medical journal : journal of the Nigeria Medical Association Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI: 10.71480/nmj-v66i1.502
Oluwatowo Daniel Fabiyi, Samuel Busayo Ogunlade
{"title":"A Case of Lacunar Stroke in a Patient with Possible Normal Pressure Hydrocephalus (NPH).","authors":"Oluwatowo Daniel Fabiyi, Samuel Busayo Ogunlade","doi":"10.71480/nmj-v66i1.502","DOIUrl":"https://doi.org/10.71480/nmj-v66i1.502","url":null,"abstract":"<p><strong>Background: </strong>Normal pressure hydrocephalus (NPH) is a condition seen in the elderly, characterized by gait disturbances, urinary incontinence, and cognitive impairment. However, sudden onset neurological deficits suggest a vascular event rather than NPH.</p><p><strong>Methodology: </strong>We report a case of a 65-year-old male who presented with sudden onset gait difficulty and speech impairment, initially suspected to be idiopathic NPH. The diagnostic process and management strategies are discussed.</p><p><strong>Results: </strong>The patient's symptoms, including insidious gait difficulties, speech impairment, and memory loss, led to a suspected diagnosis of NPH. However, the sudden improvement of neurological deficits indicated a vascular cause. Computed Tomography (CT) imaging identified supporting evidence of a lacunar stroke, leading to a revised diagnosis.</p><p><strong>Conclusion: </strong>This case highlights the importance of considering vascular events in the differential diagnosis of NPH, especially when sudden neurological deficits improve rapidly. Early identification and differentiation between NPH and vascular events are crucial for appropriate management, particularly in low-resource settings.</p>","PeriodicalId":94346,"journal":{"name":"Nigerian medical journal : journal of the Nigeria Medical Association","volume":"66 1","pages":"364-369"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knowledge and awareness of dental professionals regarding Professional Indemnity Insurance (PII) in India- A systematic review. 印度牙科专业人员关于专业赔偿保险(PII)的知识和意识-系统回顾。
Nigerian medical journal : journal of the Nigeria Medical Association Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI: 10.71480/nmj.v66i1.588
Ramandeep Singh Gambhir, Ridhi Aggarwal, Amit Aggarwal, Anurag Aggarwal, Nitin Kaushal, Ramandeep Kaur
{"title":"Knowledge and awareness of dental professionals regarding Professional Indemnity Insurance (PII) in India- A systematic review.","authors":"Ramandeep Singh Gambhir, Ridhi Aggarwal, Amit Aggarwal, Anurag Aggarwal, Nitin Kaushal, Ramandeep Kaur","doi":"10.71480/nmj.v66i1.588","DOIUrl":"https://doi.org/10.71480/nmj.v66i1.588","url":null,"abstract":"<p><strong>Background: </strong>In recent times, patients have become more aware of their rights, and this has led to significant rise in the compensation cases against doctors. Due to the nature of the work and costs involved in the treatment, dental professionals are at high risk of facing such medical negligence cases. Therefore, the present study was conducted to assess knowledge and awareness regarding professional indemnity insurance (PII) among dental professionals in India.</p><p><strong>Methodology: </strong>A systematic review of relevant cross-sectional observational studies was conducted among dental professionals in India to report their knowledge and awareness regarding PII. Eight studies out of 98 were finally included in the review after conducting both electronic and manual search of scientific databases and making necessary exclusions. Potential biases were addressed and relevant data regarding PII data was extracted by the investigators concerned.</p><p><strong>Results: </strong>More than 60% of subjects had knowledge regarding PII in one of the study reports. Only 0.5% of subjects had taken PII in one of the studies and merely 8% in the other study. One of the studies mentioned that 76.2% of subjects paid compensation to their patients for negligence during dental treatment. Main hurdles for not opting PII were unawareness and considering PII non-mandatory for dentists. More than 90% of subjects in one study showed interest in buying PII for themselves.</p><p><strong>Conclusion: </strong>The results of the present review reveal that less than half of the subjects in some studies reported a lack of knowledge regarding PII and very few had taken PII. Therefore, there is an urgent need to make dental professionals aware of the benefits of obtaining PII to safeguard themselves from various litigation issues.</p>","PeriodicalId":94346,"journal":{"name":"Nigerian medical journal : journal of the Nigeria Medical Association","volume":"66 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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