Recurrent oral squamous papilloma in a pediatric patient: Case report and review of the literature
OO Orenuga, Oluwo A, RT Oluwakuyide, AB OlawuyiNigerian Journal of Clinical Practice 2018 21(12):1674-1677 Squamous papillomas are common lesions of the oral mucosa. They are benign proliferating lesions often painless, slow growing and with a cauliflower appearance. However, its clinical appearance which sometimes mimics exophytic carcinoma, verrucous carcinoma or condyloma acuminatum raises concern when it occurs in the oral cavity. Squamous papilloma occurs predominantly in 30- to 50-year old's. However, they may be seen in children <10 years and accounted for 8% of all oral tumors in children. There is no ...
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: OO Orenuga Oluwo A RT Oluwakuyide AB Olawuyi Source Type: research

Rhabdomyoblastic differentiation in rosai dorfman disease of the orbit in a 12-year-old male
We present the clinical and histopathological features of a 12-year-old boy presenting with both. A 12-year-old boy was referred to our Ophthalmic Plastic Surgical Service with a 5-year history of bilateral, progressively enlarging eyelid, orbital masses causing proptosis, and severe cosmetic blemish. He had suffered vision loss to the right eye following trauma 2 years prior to the onset of the disease. Computed tomography of the orbits revealed preseptal and intraorbital components of well-defined multi-lobulated masses in both orbits. No significant nodal involvement was noted. He underwent excision biopsy of the tumor ...
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: E Ezeanosike OB Ezeanosike SI Akpan CN Ezisi Source Type: research

Seroprevalence of anti-Toxoplasma gondii IgG antibody and risk factors among abattoir workers in Uyo, Southern Nigeria
Conclusion: T. gondii IgG seroprevalence is high among abattoir workers in Uyo, and there is a need for Akwa Ibom State government to establish enlightenment and prevention programs for these occupationally exposed and other populations at risk of infection. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: US Ekanem AE Moses EG Abraham OO Motilewa AN Umo AI Uwah EI Itina Source Type: research

Evaluation and comparison of the film thicknesses of six temporary cements before and after thermal cycling
Conclusions: Thermal cycling affects the film thickness and retention of temporary cements significantly. The retention value was significantly higher for glass ionomer cement than for the other cements tested, and this cement also exhibited greatest film thickness. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: HO Gumus IL Kurtulus E Kuru Source Type: research

Evaluation of the content, quality, reliability and accuracy of YouTube videos regarding endotracheal intubation techniques
Conclusion: Videos regarding medical skills should be accurate. Information on YouTube regarding intubation is limited and is of low quality. The establishment of an organization authorized to evaluate the content, quality, accuracy and reliability of the information on the internet regarding medical skills is warranted. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: Umut OCAK Source Type: research

Diagnostic value of serum glial fibrillary acidic protein and S100B serum levels in emergency medicine patients with traumatic versus nontraumatic intracerebral hemorrhage
Conclusion: The GFAP and S100B concentrations were significantly higher in patients with traumatic or nontraumatic brain injury than in healthy individuals, indicating that serum levels of these biomarkers may provide an alternative to computed tomography for the diagnosis of brain injury. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: I Aydin A Algin MK Poyraz O Yumrutas Source Type: research

Vitamin D deficiency in patients with stages 1 and 2 chronic kidney disease in Southern China
Conclusion: Poor vitamin D status is common in patients with stages 1 and 2 CKD in southern China. The incidence of vitamin D deficiency is 39.8%. High serum GGT level, dyslipidemia, 24-hour UPE ≥3.5 g/24 hrs, and treatment with glucocorticoids are independent associated factors of vitamin D deficiency. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: M Feng J Lv FT Huang R Huang Q Qiu Y Tang AP Xu Source Type: research

Assessing knowledge, attitudes, and practices of healthcare workers regarding medical waste management at a tertiary hospital in Botswana: A cross-sectional quantitative study
Conclusion: This study showed that MWM practice at this facility was above average, although improvements were required in accessing waste disposal points and availability of personal protective equipment. Ongoing training should be provided to HCWs on MWM, with more attention to knowledge of regulatory requirements, and involvement of HCWs in development of MWM policies to enhance compliance. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: B Mugabi S Hattingh SC Chima Source Type: research

Anal melanoma: Outcomes of current surgical approaches
Conclusion: LE with adjuvant radiation seems to offer good locoregional control without reducing the survival and may be an option of treatment for patients with small, superficial AM. However, APR should be offered for patients with locally advanced disease or as a salvage following recurrence. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: S Kaya M Kement YE Altuntas O Altin A Seker S Mazmanoglu L Kaptanoglu N Bildik HF Kucuk Source Type: research

Morbidity pattern and interferon gamma level in sickle cell anemia patients with autosplenectomy
Conclusion: This study showed a higher prevalence of infection and bone pain crisis among SCA patients with autosplenectomy than in SCA patients without autosplenectomy. It also showed comparable level of IFN-γ in the 2 groups of patients. Patients with autosplenectomy may benefit from early institution of drugs such as hydroxyurea to improve quality of life. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: CI Okongwu FA Fasola AJ Adekanmi AA Onifade Source Type: research

Evaluation of tooth wear and associated risk factors: A matched case & #8211;Control study
Conclusion: Of the factors investigated, TW in the case group was correlated with consumption of acidic foods, lower salivary flow rate, and pH. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: C Atalay G Ozgunaltay Source Type: research

A comparative evaluation of smear layer removal by using different Er:YAG lasers parameters: An & #304;n-vitro scanning electron microscopic study
Conclusion: According to this study the laser group increases the bonding strength without a negative change in microhardness. In this study the further research is needed on this subject. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: Z Gorus Source Type: research

Molecular characterization of methicillin-resistant Staphylococcus aureus isolates from rural community settings in Trinidad and Tobago
Conclusions: SCCmec type IV and the pvl genes were common among the MRSA isolates from the community. The hla gene was found infrequently, but none of the isolates possessed the tst 1 gene. Knowledge of this is important for robust surveillance of such cases from the community in the country. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: FP Vire PE Akpaka C Unakal Source Type: research

The prognastic efficiencies of modified early warning score and mainz emergency evaluation score for emergency department patients
Conclusion: The results of our stuy suggests that mEWS evaluation is an effective and reliable tool for predicting outcome and hospitalization areas of ED patients. Our results also displayed that the easily available GCS and AVPU scales are reliable guides in patient management. MEES values, on the other hand, are not convenient for ED use. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: FS Akgun C Ertan N Yucel Source Type: research

Effect of different framework materials of resin-bonded bridges on load to fracture values and stress distribution
Conclusion: In vitro FSs of MR-RB and the stress concentration of the point that the forces were applied were higher as compared to other parts of the restoration. Furthermore, in contrast to FR-RB specimens, retainer tooth fractures were observed in MR-RB specimens. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: Ilgi Baran Merve Arslan Hamiyet Gungor Source Type: research

Effects of dietary habits and sedentary lifestyle on breast cancer among women attending the oncology day treatment center at a state university in Turkey
Conclusions: Cooking red meat by a deep-frying method, lack of physical activity, having a higher BMI particularly during the postmenopausal period, and nonadherence to the Mediterranean diet are risk factors of breast cancer. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: H Toklu NH Nogay Source Type: research

Midfacial fractures: A retrospective etiological study over a 10-year period in Western Romanian population
Conclusions: The overwhelming incidence of interpersonal violence in our population is currently a major public health problem. Implementing laws and initiating national programs for the prevention of interpersonal violence would lead to a considerable reduction of midfacial fractures in the Western Romanian population. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: PA Tent RI Juncar T Lung M Juncar Source Type: research

Resin infiltration technique and fluoride varnish on white spot lesions in children: Preliminary findings of a randomized clinical trial
Conclusions: Resin infiltration and fluoride varnish are clinically feasible and efficacious methods for the treatment of anterior WSLs. The inhibition of caries progression by resin infiltration should now be considered an alternative to fluoride treatment. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: F Eren Giray MA Durhan E Haznedaroglu B Durmus IO Kalyoncu I Tanboga Source Type: research

Treatment of class II malocclussion: A comparative study of the effects of twin-block and fatigue resistant device
Conclusion: FRD group produced skeletal effects as much as TB group in peak and post peak period of growth with still more mandibular incisor proclination. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: A Gulec M Goymen Source Type: research

Conservative treatment for deep carious lesions in primary and young permanent teeth
FA Alsadat, AA El-Housseiny, NM Alamoudi, AM AlnowaiserNigerian Journal of Clinical Practice 2018 21(12):1549-1556 The management of deeply carious lesion could be accomplished conservatively by two techniques: an indirect single-step and stepwise techniques. The former involves incomplete removal of carious dentin and then application of a well-sealed permanent restoration. While the latter involves incomplete removal of caries and then reentry after a period to remove the residual caries, after changing its environment. The aim of this article was to review the dental literature concerning the conservative methods avail...
Source: Nigerian Journal of Clinical Practice - December 18, 2018 Category: Rural Health Authors: FA Alsadat AA El-Housseiny NM Alamoudi AM Alnowaiser Source Type: research

Extrusion of ventriculoperitoneal shunt cathether through a herniotomy wound in an infant: Case report and review of literature
KE IbebuikeNigerian Journal of Clinical Practice 2018 21(11):1542-1547 Cerebrospinal fluid (CSF) diversion through the insertion of ventriculoperitoneal shunt (VPS) is the standard treatment for hydrocephalus. Many complications have been reported following VPS insertion. A case of extrusion of a VPS through a herniotomy wound is reported in a 4-month old male infant, who had a herniotomy performed on him by a General Practitioner (GP) for scrotal swelling. The extruded VPS was first externalized to the chest to aid healing of the groin wound and maintain CSF diversion. Later the VPS was removed to aid sepsis control. Alt...
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: KE Ibebuike Source Type: research

Comparison of serum concentration of Ca, P, Mg, and Fe between hemifacial spasm patients and healthy controls; prospective randomized controlled study
Conclusion: These results show us the role of HFS in the pathogenesis of these four trace elements and the importance of its location in etiology. We think that changes in the concentration of trace elements in HFS can lead to demyelinization, which may lead to spasm. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: EK Ulusoy DM Ulusoy S Kilic Source Type: research

Diagnostic values of diffusion tensor parameters in 3 T breast magnetic resonance imaging: Differentiation of breast tumors from bilateral healthy breast parenchyma
Conclusion: DTI findings, such as FA, ADC, RA and VR, provide significant contribution in differentiating cancer from healthy breast tissue. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: ST Ozal E Inci Source Type: research

Perceived social support and depression levels of women in the postpartum period in Hatay, Turkey
Conclusion: This study concludes that as social support levels increase there is a decrease at postpartum depression risk. It is recommended that planning of interventions should be in accordance with the factors affecting the social support and depression levels at women in the postpartum period. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: H Tambag Z Turan S Tolun R Can Source Type: research

The distribution and pattern of neurological disease in a neurology clinic in Ile-Ife, Nigeria
Conclusion: Epilepsy and stroke are the commonest neurological disorders in the outpatient setting and there should be more studies in the community on their prevalence and impact. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: MA Komolafe OF Owagbemi TI Alimi Source Type: research

Evaluation of content and cost of traditional eye medication in a resource-poor country & #8211; Implications for eye care practice and policy
Conclusion: The content of the majority of the samples of traditional eye medications in this study had high extremes of pH and/or had a high microbial content. The practice of THs should be regulated. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: AE Aghaji IV Ezeome ER Ezeome Source Type: research

Tubal sterilization during cesarean section at a training hospital in Turkey: A clinical and demographic analysis
Conclusion: These findings conclude that in developing countries TS can safely be applicable as a contraceptive method without additional cost at time of CSs and should be considered as an option for those women who desire or would benefit from it. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: S Arlier Source Type: research

Comparison of three different ketofol proportions in children undergoing dental treatment
Conclusion: Decreased ketamine doses in ketofol mixture was related with decreased side effect profile, high parents' satisfaction with fast recovery, however, dentists' satisfaction was lower. In this context, results of present study indicated that ketofol mixture of 1:2 ratio was more reliable choice than others when all investigated parameters evaluated simultaneously. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: G Kip D Atabek M Bani Source Type: research

Radiographic features associated with temporomandibular joint disorders among African, White, Chinese, Hispanic, and Indian racial groups
Conclusions: Chinese patients presented with more radiographic features suggestive of TMD, whereas the Indians showed the least, compared with subjects from the White, Black, and Hispanic racial groups. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: S Obamiyi S Malik Z Wang S Singh EP Rossouw L Fishman C Feng D Michelogiannakis RH Tallents Source Type: research

Anisakiasis: The risks of seafood consumption
Conclusions: Endoscopy was valuable for the diagnosis and treatment of anisakiasis. We recommend endoscopy in suspected cases of anisakiasis. Moreover, it is desirable to combine complementary tests such as immunological tests/IgE measurement. As the popularity of Japanese cuisine increases, reports of anisakiasis are likely to be more frequent in countries other than Japan. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: K Furuya H Nakajima Y Sasaki Y Urita Source Type: research

Preliminary data on clinical performance of bulk-fill restorations in primary molars
Conclusions: Based on this short term data, restoration of Class I cavities with both bulk fill and conventional composite restorations can be performed successfully. Postoperative sensitivity can be an issue with the restorations completed with Bulk fill restorative. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: B Oter K Deniz SB Cehreli Source Type: research

Knowledge, risk perception and practices related to antibiotic resistance among patent medicine vendors in Sokoto metropolis, Nigeria
Conclusion: Despite high levels of knowledge of the causes, prevention, and perception of the risks associated with antibiotics resistance, practices favorable to its development were very prevalent among PMVs in Sokoto, Nigeria. Government should regulate and closely monitor PMVs' practices in order to avert the looming crisis in medical practice that will become inevitable if there are no potent antibiotics. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: KJ Awosan PK Ibitoye AK Abubakar Source Type: research

Parental monitoring and substance use among youths: A survey of high school adolescents in Lagos State, Nigeria
Conclusion: Of the three domains assessed, negotiated unsupervised time was consistently associated with substance use among these youth. Efforts to educate parents on the need to restrict unsupervised time of their wards may be warranted. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: OO Odukoya OO Sobande A Adeniran A Adesokan Source Type: research

Comparison of sleep quality and quality of life indexes with sociodemographic characteristics in patients with chronic kidney disease
Conclusion: Like in HD patients, close follow-up of predialysis patients with CKD is critical considering the resolution of the encountered problems. We believe that the increase in QOL and sleep in patients with CKD may decrease the morbidity. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: A Karatas E Canakci E Turkmen Source Type: research

Dental fear in primary school children and its relation to dental caries
Conclusion: About one quarter of 6- to 12-year-old children had dental fear; about half of them had severe dental fear. Dental fear has a direct relationship with decayed permanent teeth and an inverse relationship with restored permanent teeth. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: FA Alsadat AA El-Housseiny NM Alamoudi DA Elderwi AM Ainosa FM Dardeer Source Type: research

Incidence of pyramidal thyroid lobe in the university college hospital Ibadan
Conclusion: The presence of a pyramidal lobe is not uncommon in people of southwestern Nigeria with its morphologic and histologic profile akin to what obtains in other geographical locations of the world. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: OO Ayandipo OO Afuwape OY Soneye Source Type: research

The efficacy of resin infiltrate on the treatment of white spot lesions and developmental opacities
Conclusion: DIAGNOdent pen scores decreased and the lesion was partially masked after resin infiltrate was applied to treat developmental enamel opacities; the resin infiltrate application, however, was more successful than fluoride varnish on WSLs. Treating WSLs with resin infiltrate was a good option due to shorter term esthetic recovery and high patient satisfaction. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: ZZ Ciftci S Hanimeli H Karayilmaz OE Gungor Source Type: research

Pattern of blood donation and characteristics of blood donors in Enugu, Southeast Nigeria
Conclusion: VNRD made up <20% of the total number of donors in Enugu, Nigeria. There is a need for improvement in public enlightenment on the need for VNRDs and employment opportunities of the populace to improve voluntary blood donation. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: AO Ugwu AJ Madu CC Efobi OG Ibegbulam Source Type: research

The prevalence of microalbuminuria and associated factors among patients with type 2 diabetes mellitus in Botswana
Conclusion: High prevalence of MA raises an urgent need for changes in the management of patients with type 2 DM in Botswana, with emphasis on prevention and reduction of MA to avoid development of overt diabetic nephropathy and ensuing cardiovascular morbidity and mortality. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: OJ Molefe-Baikai M Molefi F Cainelli GM Rwegerera Source Type: research

Determination of the relationship between patient satisfaction and some global economic indicators using multidimensional scaling
Conclusion: Multidimensional scaling analysis findings reveal that countries have different positions and groups in terms of each three indicators. According to these results, it cannot be said that high expenditures in the field of health will affect patients satisfaction. Having a strong economy or spending too much money on health does not increase human satisfaction in health care. Effective expenditures on the field of health will increase healthcare service satisfaction. Policy-makers should consider international criteria and take the right steps according to citizens' expectation and satisfaction of healthcare ...
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: O Gorgulu Source Type: research

Comparison of the prevalence of adhesions at the time of diagnostic laparoscopy for infertility between patient who had open myomectomy and those who had no previous pelvic-abdominal surgery or pelvic inflammatory disease
Conclusion: In infertile women, post-open myomectomy adhesions have a high prevalence of 80.2% with high predilection in fallopian tubes and uterus, compared with women without prior abdominopelvic surgery at 20.3%. Cohesive form of adhesion predominates. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: JI Ikechebelu GU Eleje NN Joe-Ikechebelu CD Okafor AO Akintobi Source Type: research

The relationship between fatigue and breastfeeding self-efficacy
Conclusion: In this study, the mothers' fatigue during the postpartum period was not associated with breastfeeding self-efficacy. Many of the variables identified may be considered modifiable and amenable to interventions. Targeted interventions should be directed toward improved breastfeeding outcomes among Turkish women. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: S Fata SU Atan Source Type: research

Evaluation of normal tibial tubercle to trochlear groove distance in adult Turkish population
Conclusion: Obtained results are similar with the results of Caucasian population but different than Asian. It is believed that these results will be significant in evaluation of patellofemoral disorders and helpful in treatment. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: A Ortug T Ormeci N Yuzbasioglu S Albay M Seker Source Type: research

The economic burden of malignant and premalignant hematological diseases in Southern Nigeria
Conclusion: In our setting, management of CHDs constitutes an economic burden. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: KI Korubo HC Okoye CC Efobi Source Type: research

A comparative study of gloved versus ungloved merocel & #174; as nasal pack after septoplasty
Conclusion: Gloved Merocel® may be preferred over ungloved Merocel® as nasal packing following septoplasty since both types of packs had similar hemostatic, adhesion prevention properties and similar incidence in postoperative complications and gloved Merocel® produces less pain during its insertion, while it is in situ, during its removal with early recovery of nasal mucociliary clearance mechanism of nose. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - November 12, 2018 Category: Rural Health Authors: J Kaur M Singh I Kaur A Singh S Goyal Source Type: research

Crohn & #39;s disease with positive Ziehl & #8211;Neelsen stain: Three case reports
D Zhou, Q Ouyang, M Xiong, Y ZhangNigerian Journal of Clinical Practice 2018 21(10):1387-1390 Because of the similarity of the clinical symptoms, endoscopic, and pathological features, the differential diagnosis between Crohn's disease (CD) and intestinal tuberculosis (ITB) remains difficult, especially in a high-incidence area of tuberculosis (TB). Here we reported three patients with positive Ziehl–Neelsen stain in endoscopic mucosal biopsy specimens. They had a poor response to anti-TB therapy but a good response to immunosuppresses, infliximab, or surgery, and were finally diagnosed as CD. It was not clear t...
Source: Nigerian Journal of Clinical Practice - October 8, 2018 Category: Rural Health Authors: D Zhou Q Ouyang M Xiong Y Zhang Source Type: research

Metastatic squamous cell cancer with unknown primary origin in the mediastinal lymph node
M Agca, A KosifNigerian Journal of Clinical Practice 2018 21(10):1384-1386 Metastatic tumors with unknown primary origin are a group of heterogeneous tumors with undetectable primary tumor site on admission. They have the common properties of rapid and aggressive progression and unpredictable metastases. They form 3%–5% of all cases with cancer and the fourth-most common cause of cancer-related deaths. The histological type of these tumors is commonly (90%) adenocarcinoma, whereas 5% are squamous cell carcinomas. Metastasis is observed in the liver, lungs, and bones. Mediastinal lymph node metastasis...
Source: Nigerian Journal of Clinical Practice - October 8, 2018 Category: Rural Health Authors: M Agca A Kosif Source Type: research

Benefits of anticitrullinated peptides examination in rheumatoid arthritis
Conclusions: The study was placed in Slovak Republic. We examined 833 patients with arthritis. There were 43 patients, or 62% of a subgroup of 69 who were ACPA positive whose ACPA examination was not needed—ACR/EULAR criteria was met without ACPA scoring. This number represents 5.1% of the total number examined. There were 15 patients, or 22% of the subgroup and 1.8% of the total whose diagnosis was revised to rheumatoid arthritis due to ACPA positivity—ACR/EULAR criteria were met solely with ACPA scoring. There were 11 patients (16% and 1.3%) whose medication was changed due to ACPA pos...
Source: Nigerian Journal of Clinical Practice - October 8, 2018 Category: Rural Health Authors: G Belakova V Manka E Zanova P Racay Source Type: research

Intrauterine insemination in ovulatory infertile patients
Conclusion: In the patients who had OI via CC, the pregnancy rates obtained with IUI were statistically significantly higher than timed intercourse. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - October 8, 2018 Category: Rural Health Authors: C Soysal U Ozmen Source Type: research

A community-based surveillance of gastrointestinal helminthiasis among pregnant women in Ibadan, South West Nigeria
Conclusion: These communities are classified as Category III, having a low prevalence and low intensity infection. Therefore, prophylactic anti-helminthic treatment in pregnancy is not recommended. The inverse relationship with education may be a function of better living conditions. Better hygiene should be advocated. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - October 8, 2018 Category: Rural Health Authors: AI Ayede FA Bello AO Kehinde Source Type: research