Out of hospital emergency care in Nigeria: A narrative review.

Introduction: Out of Hospital Emergency Care (OHEC) in Nigeria, the most populous country with the highest GDP in Africa, is considered inadequate. A better understanding of the current state of OHEC is essential to address the country's unique challenges and offer potential solutions.

Objectives: This paper sought to identify gaps, barriers, and facilitators in implementing an OHEC model in Nigeria and provide recommendations for improvement.

Comparative study on the adequacy of cervical smears using wooden Ayre's spatula, VS Papcone® sampling device.

This is a comparative study on the adequacy of cervical smears obtained using the Papcone® sampling device or wooden Ayre's spatula conducted from two tertiary health facilities -- Nnamdi Azikiwe University Teaching Hospital Nnewi and Chukwuemeka Odumegwu Ojukwu University Teaching Hospital Awka, in Anambra State, Nigeria. Slides from smears obtained using both devices were read by a cytopathologist blinded for the study. The primary outcome was the proportion of smears with an adequate endocervical component.

COVID-19: Learning from the HIV/AIDS pandemic response in Africa.

About 74.9 million persons were infected during the human immunodeficiency virus/acquired immunodeficiency syndrome HIV/AIDS global pandemic with nearly half of them succumbing to the disease. In 2018 alone, Africa recorded over 400,000 AIDS-related deaths which is more than half of the global total.

Global fund: Analyzing 10 Years of bridging health inequalities.

The Global Fund is a non-profit organization founded by Bill Gates, Melinda Gates, Kofi Annan, Amir Attaran, and Jeffrey Sachs on the 28th January, 2002. Each year, about US$ 4 billion is invested to support programs and organizations led by local experts in various communities towards developing strategies and ways in which these three (HIV/AIDS, Malaria and Tuberculosis) diseases could be fought. The Global Fund has supported various innovative strategies used in tackling these infectious diseases.

Dynamic thiol/disulfide homeostasis in children with community-acquired pneumonia.

Background: Alteration in thiol level under oxidative stress may contribute to community-acquired pneumonia (CAP). The goal of this study was to determine whether there are changes in thiol/disulfide homeostasis and nitric oxide (NO) in children with CAP.

Methods: In total, 130 participants were involved in the study.

Effect of varicocoelectomy on seminal fluid parameters.

Background: Infertility can be a source of anxiety and marital disharmony to a couple. The male factor traditionally contributes 40%. Varicocoeles are a significant cause of male infertility.

Ethnicity and Prostate Cancer in Southern Nigeria: A Preliminary Report.

Introduction: The natural history of prostate cancer varies among patients. The aim of this study is to detect any variations in clinical and pathological characteristics of the tumor in patients from different ethnic groups in Southern Nigeria.

Patients And Methods: Consecutive patients who presented with features of prostatic diseases at the Urology Units of University of Port Harcourt Teaching Hospital, Port Harcourt and Nnamdi Azikiwe University Teaching Hospital, Nnewi, were evaluated prospectively with history, physical examination, and relevant investigations using a proforma.

Management of priapism in adult men.

This study aims to present the management of priapism in adult men in Port Harcourt, Nigeria. All patients who presented with priapism in 2 hospitals in Port Harcourt from July 2007 to April 2014 were prospectively studied. Treatment was assigned based on clinical presentation.

FRACTURE OF THE PENIS IN THE NIGER DELTA REGION OF NIGERIA.

Background: Penile fracture is a surgical emergency which often frightens the patient and partner. Varying incident rates, precipitating mechanisms and outcomes of treatment have been reported from different parts of the world.

Aim: To determine clinical presentation, aetiological factors and outcome of treatment of penile fracture in Port Harcourt, Niger Delta region of Nigeria.

Weekend versus weekday hospital deaths: analysis of in-patient data in a Nigerian tertiary healthcare center.

Aim: This study aims at comparing weekday deaths to weekend deaths of in-patients of a tertiary hospital in Nigeria.

Materials And Methods: This is a 10-year retrospective survey conducted at the Nnamdi Azikiwe University Teaching Hospital in which the death records of the hospital were accessed from the various wards and health records department to extract relevant data pertaining to the time of hospital death. Tests of statistical significance were done using Chi-square test at 95% confidence intervals.

Spontaneous knotting of a feeding tube in the bladder.

Urinary catheterization is often performed in the pediatric age group. The procedure although safe, is not free of complications. Knotting of the urinary catheter is a rare but serious complication.

Management of prostate cancer in port harcourt, Nigeria: changing patterns.

Background: This is a follow up to a study done at the University of Port Harcourt Teaching Hospital (UPTH) 11 years ago on the management of prostate cancer.

Aims: To assess the current pattern in the management of prostate cancer in Port Harcourt, Nigeria and the impact of changes in diagnosis and treatment.

Methods: All the case notes of prostate cancer presenting in the University of Port Harcourt Teaching Hospital between January 2003 and December 2012 were reviewed.

Postabortion care counseling practiced by health professionals in southeastern Nigeria.

Objective: To determine the practice of postabortion care (PAC) counseling among healthcare professionals in southeastern Nigeria.

Methods: A cross-sectional questionnaire-based survey conducted among healthcare professionals in Anambra State, southeastern Nigeria, in 2006. Participants were chosen using a multi-stage sampling technique.

Development and validation of standardized clinical summary format.

Background: The use of a structured guideline in medical education to reach a diagnosis provides accurate information which is relatively free from bias. The purpose of this paper is to assess the performance of medical students using unstructured and structured format in case summary.

Methods: One hundred and sixty- nine medical students in Part III MB; BS Programme in the University of Port Harcourt were studied.

Spectrum of urological procedures in University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.

Aim: To determine the relative frequencies of types of operations, age and gender distribution of the patients and the indications for operation in the Urology Unit over a 10-year period between 1989 and 1998.

Setting: The Urology Unit of the University of Port Harcourt Teaching Hospital.

Type Of Study: Retrospective.

Antibiotics prophylaxis for digital-guided transrectal tru-cut needle biopsy of the prostate.

Background: Prostate biopsy is essential to diagnose prostate cancer. The complications need to be kept in view.

Aim: To explore the outcome of prostate biopsy using Gentamicin 280 mg by intramuscular injection as prophylaxis against infection.

Abdominal wound dehiscence: A review.

Wound dehiscence and its complications plague surgical practice. This study aims to identify the clinical features, etiological factors, and preventive measures of abdominal wound dihiscence (AWD). A Medline search from 1966 to February 2004 was done, using the terms abdominal wound dehiscence, burst abdomen, and abdominal wound closure.

Urethral prolapse in a woman in her reproductive age--a very rare occurrence.

Background: Urethral prolapse is a rare condition occurring in prepubertal girls and postmenopausal women. Even most rare is that occurring in the reproductive age grade.

Method: A report of a woman in her reproductive age who presented in the gynaecology clinic of a private hospital is presented together with a brief review of the literature.

Neologisms in medical practice: their potential to be 'useful', 'useless' or 'misleading'.

Background: The advances in human endeavours have led to changes in technology. New words, neologisms, have been creeping up and are coined with astounding speed. While these terms are fascinating etymologically, their impact needs to be appreciated from a realistic perspective to keep one aware of the collateral changes we are importing into common language, particularly in medical practice.