The Nigerian postgraduate medical journal
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Niger Postgrad Med J · Mar 2006
Case ReportsBurn scar carcinoma: two case reports and review of literature.
The development of carcinoma within a burn scar is an uncommon sequelae. When it does occur, the diagnosis is often delayed and consequently outcome less favourable. ⋯ Delay in presentation and treatment is often the norm rather than the exception in this part of the world. We recommend early closure of all burn wounds and frequent biopsies of chronic leg ulcers.
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Niger Postgrad Med J · Sep 2005
Trends in pain relief in labour: implications for obstetric analgesia service in Nigeria.
Labour and delivery result in severe pain for most women. Attention to comfort and analgesia for women in labour is important for physiological reasons and out of compassion. A review of common methods of pain relief of labour was done. ⋯ An organised obstetric analgesia service can be developed within the limits of available manpower and technology in an emerging country like Nigeria. This article therefore, focuses on trends in obstetric analgesia and its implications on the development of organised obstetric analgesia services in Nigeria. Key words: obstetric analgesia, obstetric analgesia service, Nigeria.
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Niger Postgrad Med J · Jun 2005
Alcohol use and abuse among medical and surgical in-patients in a general hospital.
Non-recognition of alcohol problems in medical and surgical patients may have adverse consequences. This may be minimised by having a high index of suspicion and the use of screening instruments. ⋯ Detailed inquiry about alcohol use, looking for indices of cigarette smoking and routine use of screening instruments should assist in discovering many patients with alcohol abuse who probably would have denied having the problem.
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Niger Postgrad Med J · Mar 2005
ReviewA review of the radiological diagnosis of small bowel obstruction using various imaging modalities.
Radiological investigation is an important tool in the diagnosis of small bowel obstruction (SBO). While plain abdominal radiograph remains the commonest investigation done in SBO, contrast gastrointestinal radiography, ultrasonography (US), computerised tomography (CT) scan -- with or without contrast enhancement are increasingly being advocated particularly in equivocal cases of SBO. We conducted manual, medicine and internet search for relevant literature on diagnosis of SBO using radiological investigations. ⋯ CT scan has an added advantage of predicting the site and cause of obstruction. In developing countries like ours, plain abdominal radiography still remains an important diagnostic tool. The role of abdominal ultrasonography needs further evaluation since it is safe, readily available and affordable.
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Niger Postgrad Med J · Sep 2004
Using verbal autopsy to identify and proportionally assign cause of death in Ibadan, southwest Nigeria.
Reliable and accurate data remain scarce on the cause and rates of mortality among adults in sub-Saharan Africa. The Idikan Adult Mortality Study, a prospective community-based study was initiated in order to obtain the overall as well as cause-specific mortality data for a community of adults (15 years and above). Standardised verbal autopsy questionnaire was used to investigate and assign the mode and cause of death. ⋯ Deaths were also more likely to have occurred at home and outside the hospital, increasing the probability of these deaths being underreported. Following multivariate logistic regression analysis, respondents between the age of 20 -49 years had significantly reduced risk of dying (p=0.029), while cigarette smoking significantly increased the risk of dying (p=0.012). In the absence of the urgently needed vital statistics, use of verbal autopsies is a potentially useful investigative method for identifying and assigning cause of adult deaths in a community.