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Prevalence and trends of adult overweight and obesity in Nigeria & #8212; A systematic review and meta-analysis
Conclusion: The prevalence of obesity and overweight in Nigeria is high with a rising trend over the years. A Nigerian national health survey of non-communicable diseases especially the burden of overweight/obesity is recommended to through more light on the subject. There is need for concerted effort to tame the tide of rising obesity rates in Nigeria.
Source: Nigerian Journal of Clinical Practice - February 1, 2023 Category: Rural Health Authors: MA Ramalan ID Gezawa BM Musa AE Uloko YM Fakhraddeen Source Type: research

Is it possible to predict the outcome of endovascular thrombectomy for hyperdense middle cerebral artery sign at the time of first admission ?
Conclusion: We showed that the presence of HMCAS in initial CT was not helpful in predicting good clinical outcomes in patients undergoing endovascular therapy patients. However, the presence of HMCAS is related to more new territory embolism during the procedure. Different endovascular strategies may be applied to these patients.
Source: Nigerian Journal of Clinical Practice - October 26, 2022 Category: Rural Health Authors: O Aykac AO Ozdemir U Cenikli Source Type: research

Bleeding events in the emergency department with warfarin versus novel oral anticoagulants: A five-year analysis
Conclusion: Our findings indicate that rates of major and minor bleeding complications in patients taking NOACs are similar to those in patients taking warfarin. While warfarin was associated with fewer complications than NOACs in terms of gastrointestinal bleeding, the risk of intracranial bleeding, was similar between the groups.
Source: Nigerian Journal of Clinical Practice - August 16, 2022 Category: Rural Health Authors: Y Dogan A Az O Sogut T Akdemir O Kaplan Source Type: research

Evaluation of neurology consultations in a COVID-19 pandemic hospital, A retrospective study
Conclusion: The change in consciousness was the reason in more than half of the patients who requested neurology consultation during COVID-19 follow-up. Impaired consciousness in a patient with COVID-19 may indicate a poor prognosis. If the studies planned in the near future can shed light on the cause of the unconsciousness developing in COVID-19, it will be promising in terms of treatment plans to reduce mortality.
Source: Nigerian Journal of Clinical Practice - July 20, 2022 Category: Rural Health Authors: ZB Gunduz Source Type: research

Blood pressure profile, prevalence of hypertension and associated familial factors in school children in Accra, Ghana
Conclusion: Urgent positive lifestyle transformations, which should start from school to reduce the incidence of hypertension in children.
Source: Nigerian Journal of Clinical Practice - April 19, 2022 Category: Rural Health Authors: TJ Afaa NA H Seneadza E Ameyaw OP Rodrigues Source Type: research

Marfan Syndrome with Aortic Root Disease, Severe Heart Failure and Aortic Dissection- Two Case Reports
PO Njoku, NC Mbadiwe, BJ Onwubere, EC Ejim, BC Anisiuba, TC Iyidobi, CT OnyemaNigerian Journal of Clinical Practice 2022 25(2):205-210 Marfan syndrome is an uncommon inheritable connective tissue disease which affects the cardiovascular system. This paper presents two cases of Marfan Syndrome with predominant aortic root disease that were seen at the Cardiology Clinic of University of Nigeria Teaching Hospital, Enugu, Nigeria. Their biography, clinical features and echocardiography parameters were captured using structured questionnaire. Both were young males in their 4th decade of life, and had advanced aortic root disea...
Source: Nigerian Journal of Clinical Practice - February 16, 2022 Category: Rural Health Authors: PO Njoku NC Mbadiwe BJ Onwubere EC Ejim BC Anisiuba TC Iyidobi CT Onyema Source Type: research

Changes in stroke volume variation and cardiac index during open major bowel surgery
Conclusion: SVV, a dynamic index of fluid responsiveness can be used to monitor patients expected to have large fluid shifts during major abdominal surgery. It is very specific and has a high negative predictive value. When SVV increases, CI is usually maintained. Since many factors affect SVV and CI, any increase in SVV >13%, must be correlated with other parameters before administration of the fluid challenge.
Source: Nigerian Journal of Clinical Practice - November 15, 2021 Category: Rural Health Authors: SP Prabhu A Nileshwar HM Krishna M Prabhu Source Type: research

Awareness of risk factors and warning signs of stroke among nursing students: Results from questionnaire
Conclusion: Students had a good knowledge of some of the warning signs and risk factors about stroke. Therefore, it is recommended that this subject should be emphasized more in course contents.
Source: Nigerian Journal of Clinical Practice - May 20, 2021 Category: Rural Health Authors: H Kankaya O Usta Yesilbalkan Source Type: research

Relation between index of cardioelectrophysiological balance and stroke severity in patients with acute ischemic stroke
Conclusion: Our results suggested that iCEB is associated with stroke severity on admission in patients with acute ischemic stroke. It is known that high iCEB is associated with torsade de pointes (TdP), ventricular tachycardia.
Source: Nigerian Journal of Clinical Practice - June 10, 2020 Category: Rural Health Authors: U Ozturk O Ozturk Source Type: research

Could monocyte level/HDL cholesterol ratio predict cardiovascular diseases in patients with COPD ?
Conclusion: MHR is significantly associated with CVD in COPD patients. Further prospective studies are warranted to elucidate the predictive value of MHR in COPD patients.
Source: Nigerian Journal of Clinical Practice - April 3, 2020 Category: Rural Health Authors: HI Yakar A Kanbay Source Type: research

The effect of emotional distress on functional outcomes in acute stroke patients
Conclusion: The results of the study showed that acute stroke patients with a good emotional state had better functional outcomes. It can be concluded that evaluating the emotional state and existing problems while planning of rehabilitation programs will make a positive contribution to both the functional and emotional states of acute stroke patients.
Source: Nigerian Journal of Clinical Practice - November 12, 2019 Category: Rural Health Authors: A Gunal F Baskurt Z Baskurt Source Type: research

Clinical observation in edaravone treatment for acute cerebral infarction
Conclusion: Edaravone can significantly improve the degree of neurological impairment during acute cerebral infarction, functional movement, and living quality with a definite effect and high safety. Thus, this drug has a good prospect in clinical treatment.
Source: Nigerian Journal of Clinical Practice - October 13, 2019 Category: Rural Health Authors: Z Sun Q Xu G Gao M Zhao C Sun Source Type: research

The relationship between plasma homocysteine levels and MTHFR gene variation, age, and sex in Northeast China
Conclusion: High plasma homocysteine levels were linked to the MTHFR gene mutation. In addition, plasma homocysteine levels increased significantly with age with male's homocysteine levels higher than that of females.
Source: Nigerian Journal of Clinical Practice - March 5, 2019 Category: Rural Health Authors: F Wang X Sui N Xu J Yang H Zhao X Fei Z Zhang Z Luo Y Xin B Qin X Zhao S Cao Y Zhang Z Yang Source Type: research

Hemoglobin A1c-related histologic characteristics of symptomatic carotid plaques
Conclusions: Increased HbA1c values seem to contribute to plaque instability through the formation of a thin fibrous cup. Thus, of the carotid artery plaque parameters including fibrous cup thickness, plaque rupture, lipid core, inflammation, intraplaque hemorrhage, thrombus, calcification, necrotic core, and neovascularization, fibrous cup thickness is the only histomorphological feature that affected by HbA1c.
Source: Nigerian Journal of Clinical Practice - March 5, 2019 Category: Rural Health Authors: M Tecellioglu S Alan S Kamisli FS Tecellioglu O Kamisli C Ozcan 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 - November 12, 2018 Category: Rural Health Authors: MA Komolafe OF Owagbemi TI Alimi Source Type: research

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