Delta Journal of Clinical Practice
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Published: June 30, 2024
Quarterly issue featuring original research, clinical reviews, and case reports across key specialties.
Introduction: Hypertension remains the commonest cardiovascular disease in Nigeria. Most studies have focused on LV function assessment in HBP with minimal study of RV. The aim of this study is to assess RV function in HBP subjects and to determine the association, if any, between LV dysfunction and RV dysfunction. Methods: The study was a case-control study. A total of…
Introduction: Intermittent preventive treatment of malaria in pregnancy (IPTp) is indicated for all expectant mothers in malaria-endemic areas. This study examined the awareness and uptake of IPTp among women attending an antenatal clinic in Delta State, Nigeria. Materials and Methods: A cross-sectional survey was conducted at a referral hospital in Delta State, Nigeria. The respondents (n = 201) were randomly…
Tibia plateau fractures are associated with extensive soft tissue injuries. Wound dehiscence occurs rarely and can lead to exposure of bone and implant. The challenges in treating this condition are great due to difficulties achieving flap cover. This is a case report of a successful treatment option for a dehisced wound following fixation of a Schatzker 6 fracture.
Community Based Health Insurance (CBHI) is a form of local mutual aid scheme built on the concept of social solidarity, mutual trust, and social welfare. In Nigeria, it is an arm of the informal sector of the National Health Insurance Scheme. The purpose of this commentary is to make a strong case for strengthening the functions of CBHI schemes in…
Background: Spirometry is a noninvasive and cost-effective physiologic test that complements other investigative procedures in the evaluation of respiratory diseases. Aim: To study the pattern of lung function in patients referred to the respiratory laboratory of Federal Medical Centre, Asaba, and to determine if there are changing trends in comparison with earlier studies. Method: We reviewed and analyzed the records…
Aim: To highlight the presentations and outcomes of eye injuries from explosion of bottles containing carbonated drinks at FMC, Asaba, over a two-year period. Method: A retrospective study of a consecutive series of four patients involving five eyes seen at the eye clinic between 2020 and 2022, diagnosed with bottle cork injury. Information obtained included age, sex, occupation, laterality, circumstances…
Tranexamic acid is an antifibrinolytic agent used to reduce peri-operative blood loss. This randomized study evaluated its effectiveness and thrombotic risk in patients with femoral diaphyseal fractures treated with SIGN intramedullary nailing. Eighty patients were assigned to receive either tranexamic acid or normal saline. Calculated blood loss and reduction in haematocrit were significantly lower in the tranexamic acid group, and…
Background: There is a dearth of neurosurgical and neurological services in many populations in Nigeria. This is despite the documented high unmet neurosurgical need. Only in the last few decades have neurosurgical units spread outside federal teaching hospitals to other federal-owned and state hospitals in the country. We commenced neurosurgical services at the Federal Medical Centre Asaba in August 2020.…
Background: Ectopic pregnancy is the implantation of the fertilized ovum outside the normal endometrial cavity. It is an important cause of maternal morbidity and mortality in early pregnancy. This study assesses the prevalence, clinical presentations, and management of ectopic pregnancy in Federal Medical Centre, Asaba. Methods: A retrospective study of 153 cases of ectopic pregnancies managed at Federal Medical Centre,…
Background: The most important aspect of optimal management of patients suffering from diabetes is achieving good glycemic control. Self-management of the disease is an important factor affecting this treatment outcome. Aim: To determine the relationship between self-care behavior and glycaemic control, with the aim of identifying associated diabetic self-care activities with glycaemic control among type 2 diabetic patients attending the…
Measurement of the level of rational use of medicines in an area requires methodologies that deploy either qualitative or quantitative strategies or both. A commentary on current standard approach and study design is hereby presented.
Background and Objectives: Tranexamic acid (TA) is an antifibrinolytic agent that prevents clot lysis. It has been used to reduce peri-operative blood loss in arthroplasty and spine surgeries. Its effectiveness in other orthopaedic surgeries, including open intramedullary nailing for femoral diaphyseal fractures, with regard to reduction in blood loss and associated thrombotic risks, has not been adequately studied. Methods: Eighty…