The Nigerian postgraduate medical journal
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Niger Postgrad Med J · Jun 2012
Drowning in the Niger Delta region of Nigeria: an autopsy study of 85 cases.
To study the frequency distribution of gender, age, cause and circumstances of drowning in the Niger Delta region of Nigeria, using autopsy. ⋯ Death from drowning is a common but preventable public health problem in the Niger Delta region of Nigeria, since most of the victims drowned accidentally mainly due to lifestyle and psychosocial problem.
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Niger Postgrad Med J · Sep 2011
Randomized Controlled TrialSubarachnoid bupivacaine and pethidine for caesarean section: assessment of quality of perioperative analgesia and side effects.
This study determined the quality of perioperative analgesia and side effect profile of spinal bupivacaine plus pethidine for caesarean section. ⋯ Bupivacaine with pethidine 7.5mg resulted in better quality of anaesthesia, longer postoperative analgesia with acceptable side effect profile. This will be of value in the management of post-caesarean section pain particularly in the resource poor setting.
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The aim of this article is to discuss the management of mass casualty and sensitise authorities at various levels and trauma surgeons the need for awareness and training in the management of mass casualty. ⋯ Mass casualty usually associated with straining of existing facilities, and with high morbidity and mortality. Pre-incident and adequate training is necessary to reduce morbidity and mortality from major incident which occurrence is often not predictable.
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Niger Postgrad Med J · Dec 2010
Cardiovascular autonomic reflex function in sickle cell anaemia patients.
Cardiovascular autonomic dysfunction (CAD) has been documented as part of neurological complications in sickle cell anaemia (SCA). There is little information on CAD from sub-Saharan Africa with 25-40% prevalence rate of sickle cell trait. This study therefore assessed cardiovascular autonomic reflex function in a group of Nigerians with SCA. ⋯ CAN occur in Nigerians with SCA with relative preservation of the sympathetic blood pressure reflex control compared to parasympathetic heart rate regulation. Increase baseline heart rate associated with SCA in the presence of chronic anaemia could result in myocardial hypertrophy and dilatation. This is likely to be predispose sicklers to hypoxia-related arrhythmia.
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To highlight the usefulness of duplex ultrasonography in assessing patients with clinical features suggestive of DVT in this environment. ⋯ Duplex ultrasonography should be performed on all patients with a clinical diagnosis of DVT in order to rule out other differential diagnoses.