The effect of different positions of unerupted lower third molar teeth on the fragility of mandibular angle: Finite element analysis
Conclusion: For all kinds of impacted teeth, there was more stress accumulation in the buccal area than in the lingual area when the force is from the symphisis. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - October 26, 2022 Category: Rural Health Authors: NK Seyrek OE Kahraman Source Type: research

Outcome and surgical management of symptomatic renal angiomyolipoma in Ibadan, Nigeria, Sub-Saharan Africa
Conclusion: The incidence of renal angiomyolipoma among solid renal masses is 4.9% in our environment. Open radical nephrectomy is still the preferred method of treatment with satisfactory outcome. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - October 26, 2022 Category: Rural Health Authors: AO Takure CA Okolo Source Type: research

Building a responsive healthcare system & #8211; A Nigerian experience
Conclusion: As a direct result of the findings, the hospital designed an 18-month renewable strategic plan premised on five pillars: (i) human resources development; (ii) improvement of quality of service; (iii) expansion of services and infrastructure renewals; (iv) financial re-engineering and partnership; and (v) appropriate utilization of technology. Through this policy redirection and constant re-evaluation, our quality improvement journey continues to yield desired positive health system outcomes. We recommend collaborative quality improvement initiatives with strong internal political will that can harness both the ...
Source: Nigerian Journal of Clinical Practice - October 26, 2022 Category: Rural Health Authors: A Dada OI Olaopa TO Chukwuanukwu A Asumah Source Type: research

Etiologic dilemma and challenges of management of nodular vasculitis in tertiary health-care facility: A case report
We present a 17-year-old adolescent female who presented with a six-month history of cough; recurrent fever and bilateral lower limb multiple ulcerated nodules of 1-month duration. Clinical examination revealed generalized lymphadenopathy with bilateral pitting leg edema which had multiple nodules and discoid ulcers extending from the groin to the ankles and discharging purulent fluid. Tests for human immunodeficiency virus and tuberculosis were negative. Histology of nodule biopsy revealed extensive caseous and coagulative fat necrosis, granulomatous inflammation with epitheloid macrophages and multinucleated giant cells ...
Source: Nigerian Journal of Clinical Practice - September 22, 2022 Category: Rural Health Authors: JN Eze CL Odimegwu OC Okafor IN Nwafia Source Type: research

Primary extraskeletal Ewing & #39;s sarcoma presenting as an axillary mass: A case report and review of the literature
AM Albasri, IA Ansari, AR Aljohani, AS AlhujailyNigerian Journal of Clinical Practice 2022 25(9):1608-1610 Extraskeletal Ewing's sarcoma (EES) is a rare soft tissue tumor predominantly observed in adolescents and young adults, and is characterized by aggressive behavior. So far, only two cases of primary axillary soft tissue EES have been reported in the literature. One of them was a 29-year-old female patient who presented with a lump in her left axilla. Upon examination, an irregular, painless mass, measuring 5 cm × 5 cm × 3 cm, was noted in the left axilla. A histopathological examina...
Source: Nigerian Journal of Clinical Practice - September 22, 2022 Category: Rural Health Authors: AM Albasri IA Ansari AR Aljohani AS Alhujaily Source Type: research

Dyke-davidoff-masson syndrome: A case report of an adolescent boy at a tertiary hospital in Adamawa, North-Eastern Nigeria
AB Usman, P Emmanuel, NP Namuya, DB Manchan, AM C Dahiru, N Raheem, AU Usman, K HirayamaNigerian Journal of Clinical Practice 2022 25(9):1604-1607 Dyke-Davidoff-Masson Syndrome (DDMS) is a rare clinical condition in which atrophy or hypoplasia of one cerebral hemisphere occurs secondary to brain insult during fetal or early childhood, which results in variable clinical manifestations like hemiparesis, seizures, expressive aphasia, and mental retardation. This rare entity mainly presents in childhood and is unusual in adults. DDMS is a rare cause of epilepsy and should be considered and excluded in cases of refractory seiz...
Source: Nigerian Journal of Clinical Practice - September 22, 2022 Category: Rural Health Authors: AB Usman P Emmanuel NP Namuya DB Manchan AM C Dahiru N Raheem AU Usman K Hirayama Source Type: research

Non operative treatment of obturator dislocation with indentation fracture of the femoral head: A case report
CO Anisi, IE Abang, OG Osakwe, JE AsuquoNigerian Journal of Clinical Practice 2022 25(9):1601-1603 Traumatic anterior hip dislocation is quite rare and accounts for 7% to 15% of all hip dislocations. Approximately 70% of anterior hip dislocations are the obturator type and represent less than 7% of all hip dislocations. Indentation fracture of the femoral head complicates 35–55% of obturator dislocations. Features of osteonecrosis of the femoral head and osteoarthritis of the hip joint may manifest within 2 years. Our index patient is a 19-year-old female...
Source: Nigerian Journal of Clinical Practice - September 22, 2022 Category: Rural Health Authors: CO Anisi IE Abang OG Osakwe JE Asuquo Source Type: research

Effects of lead exposure on biomarkers of thyroid and renal function tests among panel beaters in Enugu Metropolis, Nigeria
Conclusion: Though the mean levels of thyroid hormones and Cr were within their respective reference intervals, there was a preponderance of non-euthyroid status among participants in the present study with the majority of the participants falling within CKD grades 2 and 3. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - September 22, 2022 Category: Rural Health Authors: CW Kassy IA Meka CJ Okwor OD Onodugo NP Onodugo EN Aguwa Source Type: research

Clinicopathological profile of myxoid soft tissue tumors- A retrospective study in a tertiary care hospital in South India
Conclusion: Light microscopic morphology, supplemented by ancillary techniques like IHC, remains the cornerstone for diagnosis of myxoid soft tissue tumors. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - September 22, 2022 Category: Rural Health Authors: Karthik Sigamani Karkuzhali Ponnuswamy Source Type: research

Colonoscopy in Zaria: Indications and findings
Conclusion: A colonoscopy is an effective tool in the management of colorectal diseases. Lower gastrointestinal bleeding was the commonest indication for colonoscopy in our center and hemorrhoids and colorectal tumors were the commonest findings. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - September 22, 2022 Category: Rural Health Authors: M Manko AK Bello MF Mohammed AM Jabir IA Isah M Daniyan SM Mado SK Mustapha MM Dauda Source Type: research

The relationship between university students & #39; depression, anxiety, and stress with positivity attitudes and the COVID-19 pandemic
Conclusion: Compared with the pre-pandemic period, the frequency of university students showing symptoms of depression increased, and there was no significant change in anxiety and stress levels. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - September 22, 2022 Category: Rural Health Authors: NU Ocal M Kilic G Uslukilic Source Type: research

Remineralization activities of toothpastes with and without aloe vera with different ratios of fluoride on demineralized enamel: An In-vitro study
Conclusions: This study emphasized the remineralization effects of fluoride on initial enamel lesions. It can be said that toothpaste containing 1450 ppm fluoride and aloe vera provides an effective remineralization and sodium monofluorophosphate formulation may have a synergistic effect with aloe vera. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - September 22, 2022 Category: Rural Health Authors: C Yikici S Ozcan Source Type: research

Analysis of one-year postoperative mortality and risk factors of elderly patients with intertrochanteric fractures after PFNA
Conclusion: The risk factors affecting long-term death in the treatment of intertrochanteric fractures in elderly patients with PFNA shall be taken into consideration fully, and the improvement of preoperative and postoperative health status will help to reduce the postoperative mortality and improve the efficacy of surgery. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - September 22, 2022 Category: Rural Health Authors: J Gu S He L Wang Source Type: research

Investigation of the effects of marsupialization on histomorphological and immunohistochemical markers of odontogenic keratocysts
Conclusion: Our study suggests that increased Slug expression may enable the second surgery by increasing fibrosis in the cyst wall. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - September 22, 2022 Category: Rural Health Authors: E Baris Atak Secen S Karabulut SE Gultekin Source Type: research

A comparison of goldmann applanation tonometry and rebound tonometry measurements among patients attending a glaucoma clinic in Southwest Nigeria
Conclusion: The intraocular pressure measurements obtained with iCare RBT and GAT though strongly correlated, showed statistically significant differences in the means. The impact of central cornea thickness on measurements obtained by GAT and RBT was statistically insignificant. The iCare rebound tonometer, cannot replace GAT for routine use in the glaucoma clinic. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - September 22, 2022 Category: Rural Health Authors: O Ashano O Oderinlo A Ogunro E Ashano Source Type: research