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The use of uterine artery doppler indices for prediction of pre-eclampsia in Port-Harcourt, Nigeria 子宫动脉多普勒指数在尼日利亚哈科特港先兆子痫预测中的应用
IF 1.1 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-10-01 DOI: 10.4103/npmj.npmj_54_19
E. Okwudire, O. Atalabi, U. Ezenwugo
Context: Pre-eclampsia (PrE), a clinical syndrome characterised by elevated blood pressure arising after 20 weeks of gestation, is a leading cause of maternal death worldwide. We evaluated the role of uterine artery Doppler (UtAD) in screening for PrE among unselected, pregnant women. Methodology: This was a prospective cohort study of 170 healthy gravid women between 18 and 26 weeks of gestation recruited consecutively from the Antenatal Clinic of Braithwaite Memorial Specialist Hospital, Port-Harcourt, Nigeria, between July 2016 and June 2017. All had UtAD scans with an abnormal result defined as pulsatility index (PI), resistance index or systolic/diastolic (S/D) ratio >95th centile for gestational age or proto-diastolic notching. Outcome was obtained from antenatal records. Data were analysed using Statistical Package for Social Sciences, version 20 at statistical significance level of P < 0.05. Results: The prevalence of PrE was 7.6%. There was significant association between an abnormal PI (χ2 = 16.29, P = 0.00), S/D ratio (χ2 = 8.55, P = 0.00) and the combined result (χ2 = 11.5, P = 0.007) with subsequent PrE. The highest sensitivity (53.8%) was obtained for the combined result with specificity, negative predictive value (NPV) and positive predictive value of 86.6%, 95.8% and 25%, respectively, area under the curve (AUC) of 0.71 (95% confidence interval [CI]: 0.534–0.871). A normal result had a very high NPV for all indices. The accuracy for the prediction of severe PrE was greater for all indices being highest for the combined result AUC of 0.830 (95% CI: 0.624–1.000; P = 0.01). Conclusion: Abnormal UtAD indices were associated with PrE and may be used in PrE screening.
背景:先兆子痫(Pre)是一种以妊娠20周后血压升高为特征的临床综合征,是全球孕产妇死亡的主要原因。我们评估了子宫动脉多普勒(UtAD)在未经选择的孕妇PrE筛查中的作用。方法:这是一项前瞻性队列研究,对2016年7月至2017年6月期间从尼日利亚哈科特港Braithwaite纪念专科医院产前诊所连续招募的170名怀孕18至26周的健康孕妇进行了研究。所有人都进行了UtAD扫描,结果异常,定义为胎龄或原舒张期切口的搏动指数(PI)、阻力指数或收缩/舒张(S/D)比>95百分之一。结果来自产前记录。使用社会科学统计软件包第20版对数据进行分析,统计显著性水平为P<0.05。结果:PrE的患病率为7.6%,异常PI(χ2=16.29,P=0.00)、S/D比(χ2=8.55,P=0.000)与后续PrE的综合结果(χ2=11.5,P=0.007)之间存在显著相关性。联合结果的灵敏度最高(53.8%),特异性、阴性预测值(NPV)和阳性预测值分别为86.6%、95.8%和25%,曲线下面积(AUC)为0.71(95%置信区间[CI]:0.534–0.871)。正常结果的所有指标的NPV都非常高。所有指标预测严重PrE的准确性都更高,综合结果AUC为0.830(95%CI:0.624–1.000;P=0.01)。结论:异常UtAD指数与PrE相关,可用于PrE筛查。
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引用次数: 6
Drug treatment presentations at a treatment centre in southern Nigeria (2015–2018): Findings and implications for policy and practice 尼日利亚南部治疗中心的药物治疗报告(2015-2018年):调查结果及其对政策和实践的影响
IF 1.1 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-10-01 DOI: 10.4103/npmj.npmj_36_19
B. James, S. Olotu, O. Ayilara, Olubukola O. Arigbede, Goodnews Anozie, Hope Ogiku, J. Ariyo, Veronica Efiong, A. Adeyelu, Majesty Oni, Dora Odu
Introduction: Recent evidence suggests that rates of drug use and abuse in Nigeria exceed the global average. There is a strong treatment demand for psychoactive drug use disorders in Nigeria; however, it is not known whether available treatment facilities are attending to the array of treatment needs. This audit compares the pattern of presentations at a tertiary facility with a community-based survey. Methods: A review of cases (n = 212) seen at a regional drug treatment facility over a 4-year period, using local data retrieved from the Nigerian Epidemiological Network of Drug Use (NENDU) and comparison with data from the recently published national drug use survey. Results: Nine out of ten clients seen were male (93.4%). About half (49.5%) of the clients used psychoactive substances for the first time between ages 10 and 19 years. Cannabis was the primary drug of use overall and also among males, while females were more likely to present with opiate abuse. Over half had a co-occurring physical or mental disorder, and a minority had received testing for hepatitis C in the past 12 months. Conclusion: Although patterns of drug abuse presentations were consistent with findings from a national community-based survey, there was an under-representation of females in treatment. Implications for policy development and practice are discussed.
引言:最近的证据表明,尼日利亚的药物使用和滥用率超过了全球平均水平。尼日利亚对精神药物使用障碍的治疗需求很大;然而,目前尚不清楚现有的治疗设施是否满足了一系列的治疗需求。本次审计将高等教育机构的陈述模式与基于社区的调查进行了比较。方法:使用从尼日利亚药物使用流行病学网络(NENDU)检索的当地数据,并与最近公布的全国药物使用调查数据进行比较,对4年内在地区药物治疗机构就诊的病例(n=212)进行回顾。结果:10名客户中有9名是男性(93.4%)。约一半(49.5%)的客户在10至19岁之间首次使用精神活性物质。大麻是总体上和男性中使用的主要药物,而女性更容易出现阿片类药物滥用。超过一半的人同时患有身体或精神障碍,少数人在过去12个月内接受了丙型肝炎检测。结论:尽管药物滥用的表现模式与全国社区调查的结果一致,但接受治疗的女性人数不足。讨论了对政策制定和实践的影响。
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引用次数: 3
Multiple pigmented macules as a sequel of cosmetic lip micro-pigmentation: New clinical presentation of tattoo reactions 化妆品唇部微色素沉着引起的多发性色素斑:纹身反应的新临床表现
IF 1.1 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-10-01 DOI: 10.4103/npmj.npmj_88_19
B. Abtahi-Naeini, Zabihollah Shahmoradi, M. Hadian, Elmira Niknami, A. Saffaei
Cosmetic tattooing using micro-pigmentation has gained popularity in recent years. Tattoos can cause a broad range of clinical and psychosocial problems. Several medical complications may arise after tattooing. A 35-year-old female was referred with an 8-week history of grey-to-smoky hyperpigmentation of permanent makeup of lips and lip lines. Histopathological examination revealed lichenoid lymphocytic infiltrations in the dermis. Clinical and histopathological findings were compatible with the diagnosis of multiple pigmented macules as a sequel of cosmetic lip micro-pigmentation. Here, we report the first case of lichenoid-type tattoo reactions with new presentation as multiple asymptomatic pigmented macules after lip tattooing. The current report emphasises the requirement of a skin biopsy of all tattoo reactions. Considering the new component in the tattoo material, a dermatologist should be aware of the new clinical presentation of tattoo reactions that may occur.
近年来,利用微色素沉着的美容纹身越来越受欢迎。纹身会引起广泛的临床和心理问题。纹身后可能会出现一些并发症。患者为35岁女性,有8周的唇部和唇纹永久性色素沉着史。组织病理学检查显示真皮内有地衣样淋巴细胞浸润。临床和组织病理学结果与诊断的多重色素斑作为美容唇微色素沉着的后果是一致的。在这里,我们报告第一例苔藓样类型的纹身反应,新的表现为多个无症状的色素斑唇纹身后。目前的报告强调需要对所有纹身反应进行皮肤活检。考虑到纹身材料中的新成分,皮肤科医生应该意识到可能发生的纹身反应的新临床表现。
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引用次数: 0
Hearing threshold of deaf pupils in Kaduna metropolis, Kaduna, Nigeria: A cross-sectional survey 尼日利亚卡杜纳市卡杜纳大都市聋生的听阈:一项横断面调查
IF 1.1 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-07-01 DOI: 10.4103/npmj.npmj_56_19
A. Kirfi, M. Samdi, A. Salisu, M. Fufore
Background: Hearing loss in paediatric age group may be inherited, developmental or caused by maternal rubella. It may also be due to complications at birth or certain infections such as meningitis and measles. Ototoxicity and exposure to excessive noise also contribute significantly. Majority of hearing loss in children can be prevented primarily. We aimed to share our findings on assessing the hearing thresholds of pupils in deaf schools in Northwestern Nigeria. Participants and Methods: This was a cross-sectional study which assessed the hearing threshold of pupils in deaf schools in Kaduna metropolis, Kaduna, Nigeria. Approval was obtained from the State Ministry of Health Ethics Committee. Multi-staged sampling method was used to enrol 430 deaf pupils. Consent was obtained and a structured pre-tested questionnaire was used to generate data on the participant's biodata, history and detailed examination findings as well as pure-tone audiometry. Collated data were documented and entered into Statistical Product and Service Solutions version 20 for windows then analysed. Results: Mean pure-tone average of the right ear was 103.4 ± 8.3 and the left ear was 104.3 ± 8.9. Majority had bilateral profound hearing loss (99.0%). Severe hearing loss was seen in 0.9%, whereas the remaining 0.1% had moderate hearing loss. The hearing loss sensorineural in majority (97.6%) and the remaining 2.4% had mixed hearing loss. High-frequency hearing loss predominated (98.6%). Conclusion: Majority of the deaf pupils had bilateral, profound, sensorineural hearing loss, involving higher frequencies.
背景:儿童年龄组的听力损失可能是遗传性的、发展性的或由母体风疹引起的。它也可能是由于出生时的并发症或某些感染,如脑膜炎和麻疹。耳毒性和暴露于过度噪音也有显著影响。大多数儿童听力损失是可以预防的。我们的目的是分享我们在评估尼日利亚西北部聋哑学校学生听力阈值方面的发现。参与者和方法:这是一项横断面研究,评估了尼日利亚卡杜纳大都市聋哑学校学生的听力阈值。已获得国家卫生部伦理委员会的批准。采用多阶段抽样法对430名失聪小学生进行了调查。获得同意后,使用结构化的预测试问卷来生成参与者的生物数据、病史和详细的检查结果以及纯音听力测定数据。整理后的数据被记录下来,并输入统计产品和服务解决方案版本20,然后进行分析。结果:平均右耳纯音平均值为103.4±8.3,左耳纯音平均值为104.3±8.9。多数为双侧深度听力损失(99.0%)。重度听力损失占0.9%,其余0.1%为中度听力损失。97.6%为感音神经性听力损失,其余2.4%为混合性听力损失。高频听力损失占主导地位(98.6%)。结论:大多数聋学生为双侧、深度、感音神经性听力损失,涉及频率较高。
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引用次数: 1
Self-medication practice in Akuse, a rural setting in Ghana 加纳农村阿库塞的自我药疗实践
IF 1.1 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-07-01 DOI: 10.4103/npmj.npmj_87_19
Barbara Mensah, Irene Agyemang, D. Afriyie, S. Amponsah
Objective: In most resource-poor settings, there is a paucity of data on self-medication and possible factors that influence this practice. The current study assesses self-medication among the people of Akuse, a rural setting in the Eastern Region of Ghana. Methods: A quantitative cross-sectional study was carried out in Akuse from 4th January 2016 to 27th February 2016. Using a questionnaire, interviews were conducted to assess self-medication: class of drugs taken, sources of drugs, knowledge of potential adverse effects, among others. Results: Of the 363 participants enrolled, 361 completed questionnaires administered. Of the 361 respondents, 58.4% were female. A majority of the respondents were within the ages of 30 and 45 years. Respondents were mainly farmers (40.2%), and a majority (44.6%) had primary level as the highest education. One major reason for self-medication was influence from family and friends (32.7%). Antibiotics (32.1%) and analgesics (21.0%) were the most common self-medicated drugs, and these drugs were mostly obtained from licenced chemical sellers (32.5%). A little more than a third (39.9%) of the respondents said that their condition did not change after self-medication. A greater number of the respondents (81.7%) did not have knowledge of potential adverse reactions associated with self-medicated drugs. However, respondents with high educational level had the most knowledge of adverse drug reactions. Conclusion: The study found self-medication as a common practice among a number of residents of Akuse. Findings from this study provide data that could be used for targeted education and sensitisation of self-medication and its demerits in similar resource-poor rural settings.
目的:在大多数资源匮乏的环境中,缺乏关于自我用药的数据以及影响这种做法的可能因素。目前的研究评估了加纳东部地区农村地区阿库塞人的自我用药情况。方法:2016年1月4日至2016年2月27日在阿克斯进行定量横断面研究。使用问卷调查,进行访谈以评估自我用药:服用的药物类别、药物来源、潜在不良反应的知识等。结果:在363名参与者中,361人完成了问卷调查。361名受访者中,女性占58.4%。大多数受访者的年龄在30至45岁之间。受访者主要是农民(40.2%),大多数人(44.6%)受过小学教育。自我用药的一个主要原因是受到家人和朋友的影响(32.7%)。抗生素(32.1%)和止痛药(21.0%)是最常见的自我用药药物,这些药物大多来自有执照的化学品销售商(32.5%)。略高于三分之一(39.9%)的受访者表示,自我用药后他们的病情没有改变。更多的受访者(81.7%)不知道与自我用药相关的潜在不良反应。然而,受教育程度高的受访者对药物不良反应的了解最多。结论:研究发现,在阿克斯的一些居民中,自我用药是一种常见的做法。这项研究的结果提供了数据,可用于有针对性的教育和宣传自我药物治疗及其在类似资源匮乏的农村环境中的缺点。
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引用次数: 18
Age and reasons for first dental visit among children in Lagos, Nigeria 尼日利亚拉各斯儿童首次就诊的年龄和原因
IF 1.1 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-07-01 DOI: 10.4103/npmj.npmj_60_19
O. Olatosi, N. Onyejaka, A. Oyapero, J. Ashaolu, A. Abe
Background: An early first dental clinic appointment offers the prospect of prompt preventative care and parental education regarding the oral health of the child. The evidence-based recommendation by dental professionals all over the world is that a child should visit a dentist before or by 1 year of age. Aim: This study aimed to determine the chronological age at and the purpose for a first dental clinic visit amongst children aged 16 years and below attending the Paediatric Dental Clinic at the Lagos University Teaching Hospital (LUTH). Materials and Methods: This was a retrospective study conducted amongst children who attended the Paediatric Dental Clinic at the LUTH between January 2017 and December 2018. Data on age at first dental visit, reasons for attending and other information relevant to the study were collected. Descriptive statistics and Chi-square analysis were conducted, and the level of significance was set at P < 0.05. Results: A total of 1157 children were studied, comprising 580 (50.5%) males and 577 (49.9%) females. Their mean age on their first dental visit was 7.9 ± 3.7 years. Most of the children (31.4%) had their first dental visits at 7 and 9 years, and 0.8% of the children had their first dental visit below the age of 1 year. The most common reason for visiting the dental clinic was dental pain (33.1%). A higher proportion of the children (911 [79.0%]) had their first dental visit for therapeutic purposes, whereas 246 (21.0%) children visited the dental clinic for preventive care. Sex and age at first dental visit were statistically significantly associated with the reason for attendance (P < 0.001). Conclusion: Most children had their first dental visit between the ages of 7 and 9 years, mainly because of pain. It is necessary to create more awareness among parents/caregivers and to establish the concept of dental home.
背景:早期的第一次牙科诊所预约为孩子的口腔健康提供了及时的预防性护理和家长教育的前景。世界各地牙科专业人士基于证据的建议是,儿童应在1岁前或1岁前去看牙医。目的:本研究旨在确定拉各斯大学教学医院(LUTH)儿科牙科诊所16岁及以下儿童首次就诊的年龄和目的。材料和方法:这是一项对2017年1月至2018年12月期间在LUTH儿科牙科诊所就诊的儿童进行的回顾性研究。收集了第一次牙科就诊时的年龄、就诊原因和其他与研究相关的信息。进行描述性统计和卡方分析,显著性水平设定为P<0.05。结果:共有1157名儿童接受了研究,其中男性580人(50.5%),女性577人(49.9%)。他们第一次就诊时的平均年龄为7.9±3.7岁。大多数儿童(31.4%)在7岁和9岁时首次就诊,0.8%的儿童在1岁以下首次就诊。去牙科诊所就诊的最常见原因是牙痛(33.1%)。更高比例的儿童(911[79.0%])第一次去牙科就诊是为了治疗,而246名(21.0%)儿童去牙科诊所进行预防性护理。第一次就诊时的性别和年龄与就诊原因有统计学意义(P<0.001)。结论:大多数儿童在7-9岁之间进行了第一次就诊,主要是因为疼痛。有必要在父母/护理人员中提高认识,并建立牙科之家的概念。
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引用次数: 22
Utilisation and preferences of family planning services among women in Ikosi-Isheri, Kosofe Local Government area, Lagos, Nigeria 尼日利亚拉各斯科索夫地方政府区Ikosi Isheri妇女对计划生育服务的利用和偏好
IF 1.1 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-07-01 DOI: 10.4103/npmj.npmj_52_19
O. Kanma-Okafor, E. Asuquo, M. Izuka, M. Balogun, O. Ayankogbe
Background: Despite women's adequate knowledge and the obvious unmet need for family planning (FP), contraceptive prevalence in Nigeria is low. A greater understanding of the barriers to FP that informs service utilisation and preferences is needed to improve service delivery. Aim: This study was aimed at assessing the use and preferences of FP services among women. Subjects and Methods: A community-based, descriptive, cross-sectional survey was carried out among 367 women (15–49 years of age) residing in Ikosi-Isheri, Kosofe local government area, who were selected by multistage sampling method. Data were collected using a pre-tested, semi-structured, interviewer-administered questionnaire and were analysed using SPSS software version 20. Frequency distributions and cross tabulations were generated. The Chi-square and Fisher's exact tests were used to determine associations, and the level of significance was set at P ≤ 0.05. Results: Although 64.0% were aware of FP, only 26.4% had ever used FP services. The contraceptive prevalence was 17.9%. Traditional or religious restrictions were given as the reasons for not using FP (40.9%). The preferred FP services were those offered at primary healthcare centres (45.2%) and teaching hospitals (33.9%) because of proximity (38.7%), privacy (14.5%) and health workers being female (22.6%). Age, level of education and marital status were associated with the utilisation of FP services (P < 0.001, P = 0.020 and P < 0.001, respectively). Conclusion: Although awareness was high, uptake was low. Government health facilities were preferred. Primary healthcare should be strengthened, and FP services should be scaled up to make FP more accessible. Services should be closer to where people live while providing the privacy they desire.
背景:尽管妇女有足够的知识,而且计划生育需求明显未得到满足,但尼日利亚的避孕普及率很低。需要更好地了解FP的障碍,从而告知服务利用率和偏好,以改进服务提供。目的:本研究旨在评估妇女对计划生育服务的使用和偏好。受试者和方法:对居住在科索夫地方政府区Ikosi Isheri的367名女性(15-49岁)进行了一项基于社区的描述性横断面调查,她们是通过多阶段抽样方法选出的。数据使用预测试、半结构化、访谈者管理的问卷收集,并使用SPSS软件版本20进行分析。生成了频率分布和交叉表格。卡方检验和Fisher精确检验用于确定相关性,显著性水平设定为P≤0.05。结果:虽然64.0%的人知道FP,但只有26.4%的人使用过FP服务。避孕普及率为17.9%。传统或宗教限制被认为是不使用FP的原因(40.9%)。首选的FP服务是在初级保健中心(45.2%)和教学医院(33.9%)提供的,因为距离近(38.7%)、隐私(14.5%)和卫生工作者是女性(22.6%),教育水平和婚姻状况与计划生育服务的利用率相关(分别为P<0.001、P=0.020和P<0.001)。结论:虽然意识很高,但接受率很低。政府卫生设施是首选。应加强初级保健,扩大FP服务,使FP更容易获得。服务应该更靠近人们居住的地方,同时提供他们想要的隐私。
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引用次数: 3
An appraisal of the presentation and management of adult intussusception at a Nigerian Tertiary Hospital 在尼日利亚三级医院成人肠套叠的表现和管理的评价
IF 1.1 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-07-01 DOI: 10.4103/npmj.npmj_47_19
O. Balogun, T. Olajide, M. Afolayan, A. Lawal, A. Osinowo, A. Adesanya
Background: Intussusception in adults is considered rare in surgical practice. It is the causative lesion in a small proportion of cases of intestinal obstruction and lower gastrointestinal bleeding. In the last decade, the incidence of adult intussusception appears to be increasing at our centre. Aims: This study aims to document the pattern of presentation and management outcome of adult intussusception at our institution during the last decade. We also observed the occurring trends of this lesion. Patients and Methods: This was a 10-year retrospective study of consecutive adult patients with intussusception seen at our institution from July 2008 to June 2018. Information on biodata, clinicopathological features and management outcome retrieved from case notes and pathology records were analysed on a personal computer using SPSS version 23. Results: Twenty adult patients who had intussusception were seen during this period. There were 9 (45%) males and 11 (55%) females giving a male-to-female ratio of 1:1.2. The mean age of presentation was 45 (range 18–66) years. Clinical features were abdominal pain (85%), abdominal distension (80%), vomiting (70%), rectal bleeding (70%) and palpable abdominal mass (35%). Majority of patients (70%) presented with features of intestinal obstruction. Idiopathic intussusception (55%) accounted for more than half of the cases with the jejunoileal variety (30%) as the most common pathological type. One patient who had intussusception in the postoperative period was treated with manual reduction at laparotomy. Bowel resections were performed in the remaining 19 (95%) patients. Conclusion: Adult intussusception is still uncommon in our general surgical practice. Bowel resection is the mainstay of treatment.
背景:成人肠套叠在外科手术中被认为是罕见的。它是一小部分肠梗阻和下消化道出血病例的病因病变。在过去的十年里,我们中心的成人肠套叠的发病率似乎在增加。目的:本研究旨在记录我们机构在过去十年中成人肠套叠的表现模式和治疗结果。我们还观察了这种病变的发生趋势。患者和方法:这是一项为期10年的回顾性研究,对2008年7月至2018年6月在我院就诊的连续成年肠套叠患者进行了回顾性研究。从病例记录和病理记录中检索的生物数据、临床病理特征和治疗结果的信息在个人计算机上使用SPSS 23版进行分析。结果:20例成人肠套叠患者在此期间就诊。其中9名(45%)男性和11名(55%)女性的男女比例为1:1.2。表现的平均年龄为45岁(范围为18-66岁)。临床特征为腹痛(85%)、腹胀(80%)、呕吐(70%)、直肠出血(70%)和可触及的腹部肿块(35%)。大多数患者(70%)表现为肠梗阻。特发性肠套叠(55%)占病例的一半以上,空肠类型(30%)是最常见的病理类型。一名患者在术后出现肠套叠,在剖腹手术中采用手法复位治疗。其余19例(95%)患者进行了肠道切除术。结论:成人肠套叠在我们的普通外科手术中仍然不常见。肠道切除术是主要的治疗方法。
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引用次数: 4
The effects of playing wind musical instruments on the occlusal characteristics in a Northern Nigerian Population 演奏管乐器对尼日利亚北部人群咬合特征的影响
IF 1.1 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-07-01 DOI: 10.4103/npmj.npmj_71_19
T. Adeyemi, O. Otuyemi
Introduction: Dentists are often questioned on whether playing a wind musical instrument can adversely affect dental occlusion. This study compared the occlusal characteristics in wind instrument players (WIPs) and non-WIPs. Materials and Methods: This was a cross-sectional comparative study comprising a group of fifty males aged 18–45 years that had been playing wind instruments for a minimum of 2 years, whereas the control group were non-WIPs in the same environment. All the participants had full complement of dentition. The occlusal characteristics of overjet, overbite, anterior open bite and Little's irregularity were assessed for both groups. Excellent intra-examiner reliability was observed (Cronbach's alpha – 0.997). The Statistical Package for Social Sciences (SPSS Inc., Chicago, IL, USA) version 17 was used for data analysis, and statistical significance level was set at P < 0.05. Results: The number of years of playing wind musical instrument ranged from 2 to 25 years. The mean overjet was 3.46 ± 1.49 mm and 3.18 ± 1.27 mm in the WIP and non-WIP groups, respectively (P > 0.05). The maxillary anterior segment showed statistically significantly higher Little's Irregularity Index score in the WIP group (3.18 ± 3.73 mm) than that in the non-WIP group (1.87 ± 2.21 mm) (P < 0.05). The maxillary Little's Irregularity Index score in trumpet and trombone players (3.55 ± 3.93 mm) was significantly higher than that in saxophone and clarinet players (1.69 ± 2.39 mm). Both the maxillary and mandibular anterior-segment alignments were neither influenced by the number of years nor the frequency of play. Conclusions: Playing wind musical instruments significantly affects the maxillary anterior-segment alignment.
引言:牙医经常被问及演奏管乐器是否会对牙齿咬合产生不利影响。本研究比较了管乐器演奏者(WIPs)和非WIPs的咬合特征。材料和方法:这是一项横断面比较研究,由50名年龄在18-45岁之间的男性组成,他们演奏管乐器至少2年,而对照组则是同一环境中的非WIP。所有参与者都有完整的齿列。对两组患者的咬合特点进行了评估,包括外覆、上覆、前开放咬合和利特尔不规则。观察到良好的检查者内部-外部可靠性(Cronbachα–0.997)。使用社会科学统计包(SPSS股份有限公司,芝加哥,伊利诺伊州,美国)第17版进行数据分析,统计显著性水平设置为P<0.05。结果:管乐器演奏年限为2~25年。在制品组和非在制品组的平均覆盖范围分别为3.46±1.49mm和3.18±1.27mm,上颌骨前节Little’s Unregularity Index评分WIP组(3.18±3.73mm)显著高于非WIP组(1.87±2.21mm)(P<0.05),小号和长号演奏者上颌骨Little‘s Unregular Index评分3.55±3.93mm显著高于萨克斯和单簧管演奏者(1.69±2.39毫米)。上颌和下颌前节段的排列既不受年龄的影响,也不受游戏频率的影响。结论:演奏管乐器对上颌前牙段排列有显著影响。
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引用次数: 5
Computer-assisted brain surgery (neuronavigation) in Abuja, North Central Nigeria: A 3-year retrospective review and practical challenges 尼日利亚中北部阿布贾的计算机辅助脑外科(神经导航):3年回顾性回顾和实际挑战
IF 1.1 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2019-07-01 DOI: 10.4103/npmj.npmj_66_19
Ugwuanyi Charles, Anigbo Anthony, Nwaribe Evaristus, Salawu Morayo, Jibrin Paul, Arua Chinedu
Introduction: Neuronavigation has become a standard of care in contemporary neurosurgery since more than two decades and is gradually being embraced in our local practice. It is, therefore, important to share our local experience, including practical challenges encountered with this technology. Aims and Objectives: The aim of this study is to review and present our early experience with stealth neuronavigation and to discuss the practical challenges encountered with the application of this technology in this environment. Methodology: Retrospective review of all consecutive cases over a 3-year period (January 2016–December 2018). Admitting diagnosis, operations, histological diagnosis, adjuvant treatments and 6 months outcome were the major study parameters. Procedural challenges were also highlighted. Data were analysed using simple descriptive statistics, and results were presented in tables and figures. Results: A total of 30 procedures were conducted. Nineteen males and 11 females (male: female = 1.7:1). Youngest was 8 months, oldest was 71 years, mean = 39 and standard deviation (SD) = 19.3. Operations performed were resection of mass lesion 18/30 (60%) and biopsy of mass lesion in 12/30 (40%) cases. Histological diagnostic yield was 100%. Mean duration of hospital stay was 2 days (SD = 0.25) for the biopsy group and 8 days (SD = 1.7) for the resection group. At 6 months review, 10/30 (33.3%) have died following progression and/or complications of their primary pathology. Conclusions: Wide spectrum of brain lesions were approached confidently with precision and minimal morbidity. No procedure-related mortality was recorded. Adjuvant treatments were easily deployed in line with a precise histological diagnosis. Practical challenges did not compromise the navigation process.
引言:二十多年来,神经导航已成为当代神经外科的一种护理标准,并逐渐被我们当地的实践所接受。因此,重要的是分享我们当地的经验,包括这项技术遇到的实际挑战。目的和目的:本研究的目的是回顾和介绍我们在隐形神经导航方面的早期经验,并讨论在这种环境中应用该技术所遇到的实际挑战。方法:对3年内(2016年1月至2018年12月)所有连续病例进行回顾性审查。入院诊断、手术、组织学诊断、辅助治疗和6个月的疗效是主要的研究参数。还强调了程序上的挑战。使用简单的描述性统计数据对数据进行分析,结果以表格和图表形式呈现。结果:共进行了30次手术。19名男性和11名女性(男性:女性=1.7:1)。最小8个月,最大71岁,平均值=39,标准差(SD)=19.3。手术切除了18/30(60%)的肿块,活检了12/30(40%)的肿块。组织学诊断率为100%。活检组的平均住院时间为2天(SD=0.25),切除组为8天(SD=1.7)。在6个月的回顾中,10/30(33.3%)在其主要病理学进展和/或并发症后死亡。结论:对广泛的脑损伤进行了自信的精确处理,发病率最低。没有记录与手术相关的死亡率。根据精确的组织学诊断,辅助治疗很容易部署。实际挑战并没有影响导航过程。
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引用次数: 6
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Nigerian Postgraduate Medical Journal
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