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Search Results: 1 - 10 of 8332 matches for " Victor Nwagbara "
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Basal Cell Carcinoma: Experience in a Teaching Hospital, Calabar-South Nigeria  [PDF]
Asuquo Maurice, Otei Otei, Nwagbara Victor, Ebughe Godwin, Omotoso Joshua
International Journal of Clinical Medicine (IJCM) , 2011, DOI: 10.4236/ijcm.2011.22019
Abstract: Background: Basal cell carcinoma (BCC) is the commonest malignancy among Caucasians in Europe, North America, and Australia. This study attempted to identify the prevalence, risk factors, and outcome of management of this problem in our region. Methods: All the patients with histologic diagnosis of BCC presenting to the University of Calabar Teaching Hospital, Calabar during the study period January 2000 to December 2009 were evaluated. Results: One hundred and fifty two patients (136 blacks, 16 albinos) were afflicted with skin malignancy, squamous cell carcinoma and BCC totaled 70 [SCC – 62, BCC – 8], and malignant melanoma (MM) – 16. Of the 8 patients, (3 males and 5 females, mean age 43 years, range 21-65 years) observed with BCC lesions, 2 (25%) were darkly pigmented and 6 (75%) were albinos. Most of the albinos who presented 3 decades before the darkly pigmented ranged in age from 21-60 years (mean 35.7 years). The lesions afflicted the head and neck region, 9 (82%), while 2 (18%) were observed on the upper limb. All the patients had excision with satisfactory results during the period of follow up that ranged from 6 months to 3 years (mean 13 months). Conclusion: BCC is an uncommon lesion in our region. Albinism and solar radiation were identified risk factors. Most of the albinos presented 3 decades earlier than the darkly pigmented. Early institution of preventive measures, early diagnosis, and treatment would result in better outcome.
Penetrating Abdominal Trauma: Experience in A Teaching Hospital, Calabar, Southern Nigeria  [PDF]
Maurice Asuquo, Mark Umoh, Victor Nwagbara, Gabriel Ugare, Cyril Agbor, Emmanuel Japhet
International Journal of Clinical Medicine (IJCM) , 2012, DOI: 10.4236/ijcm.2012.35079
Abstract: Background: Penetrating abdominal trauma (PAT) typically involves the violation of the abdominal cavity by a gun-shot wound (GSW) or stab wound Recently several studies have favored a more conservative approach as opposed to mandatory exploratory laparotomy. Methods: Patients admitted in the University of Calabar Teaching Hospital (UCTH), Calabar, with PAT from January 2008 to December 2010 were prospectively studied based on a questionnaire. The total number of patients with PAT was compared with total number of emergencies, traumatic injuries and abdominal trauma seen during the same period. Results: A total of 48 patients presented with abdominal trauma: PAT 29 (60%) and blunt abdominal trauma (BAT) 19 (40%). The ages of the patients (28 male, 1 female) ranged from 3 - 62 years (mean 28.1 years). Gunshot wound (GSW) 11 (38%) patients, stab wound 8 (27.6%) patients and machete cut 4 (13.8%) patients ranked first, second and third respectively as causes of PAT. The commonest organ injury was perforation of the small intestine. Four (13.8%) patients were managed conservatively while 25 (86.2%) patients had laparotomy. The duration of admission ranged from 2 - 19 days (mean 10.5 days). Morbidity [surgical site infection (SSI)] and mortality were recorded in 2 (6.9%) and 3 (10.3%) patients respectively. Conclusion: Key areas that require attention have been highlighted. Revamping the ailing economy and gainful employment for youths are paramount areas that require prompt, dedicated and sustained intervention for reduction in violent crimes.
Blunt Abdominal Trauma in a Teaching Hospital, Calabar, Nigeria  [PDF]
Maurice Asuquo, Victor Nwagbara, Mark Umoh, Gabriel Ugare, Cyril Agbor, Emmanuel Japhet, Anthonia Ikpeme
International Journal of Clinical Medicine (IJCM) , 2012, DOI: 10.4236/ijcm.2012.37124
Abstract:

Background: Road traffic injury remains a major source of blunt abdominal trauma (BAT). Road traffic injury and other forms of trauma have become a major health problem throughout the world especially in low and middle-income countries. In a previous study (2005-2007), abdominal trauma constituted 79 (4.8%) of trauma cases; BAT, 40 (53%) and penetrating abdominal trauma (PAT), 39 (47%). Effective policies on road safety should be developed based on local research and not on adapted models. We present this study to highlight the possible effect of legislation on the ban of the use of motorcycles on blunt abdominal trauma. Methods: Patients that presented to the University of Calabar Teaching Hospital, Calabar with BAT from 2008-2010 were prospectively studied based on a questionnaire following the legislation prohibiting the use of motorcycles. Results: A total of 12,083 patients presented during the study period, trauma patients totaled 4942 (41%), of this, 48 (1%) suffered abdominal trauma: BAT 19 (40%), penetrating abdominal trauma (PAT) 29 (60%). The age range of the patients was from 5 to 48 years (mean 26.6 years) with a M:F = 5.3:1. Road traffic accident (RTA) 17 (90%) [Motorvehicle 7 (37%), motorcycles 10 (53%)] was the commonest cause of trauma. The spleen was the commonest injured organ 14 (74%). Conclusion: Road traffic injury constitutes a public health challenge and the hallmark is prevention. Legislation prohibiting the use of motorcycles may have been responsible for the reduction in BAT.

Cutaneous Metastatic Disease: Case Series in a Tropical Setting  [PDF]
Maurice E. Asuquo, Aniefon N. Umana, Victor I. C. Nwagbara, Martin Nnoli, Theophilus Ugbem
Case Reports in Clinical Medicine (CRCM) , 2016, DOI: 10.4236/crcm.2016.51005
Abstract: Background: Cutaneous metastasis is valuable though with infrequent occurrence in clinical practice. It is of esteem value in diagnosis as well as treatment of cancer due to the ease of accessibility for clinical examination and biopsy. Case Series: This is a presentation of 5 consecutive patients with histologic diagnosis of cutaneous metastatic malignancies at the University of Calabar Teaching Hospital, (UCTH), Calabar, Nigeria from 2010 to 2013. They were studied in an attempt to evaluate the clinical significance of cutaneous metastatic nodules/disease in a tropical setting. This was compared with total cutaneous malignancies and total malignancies seen over the same period. Conclusion: The spectrum in the reported cases ranged from localised and barely noticeable nodules to generalised nodules. Clinicians are urged to show renewed interest in cutaneous nodules in view of the estimable value by subjecting such for histological evaluation.
Complicated Left-Sided Amyand’s Hernia in an 18-Month-Old Boy: A Case Report and Literature Review  [PDF]
Victor I. C. Nwagbara, Maurice E. Asuquo, Ayi E. Archibong, Emmanuel Etuk, Ijeoma O. Uchejeru
Case Reports in Clinical Medicine (CRCM) , 2016, DOI: 10.4236/crcm.2016.51001
Abstract: The rare finding of the vermiform appendix within an inguinal hernia sac is known as Amyand’s hernia. It was first described by Claudius Amyand in 1735, in a right inguinal hernia. A much rarer find is a left-sided Amyand’s hernia. This is a report of a case of complicated left-sided Amyand’s hernia in an eighteen month old male child. He presented as an emergency with an obstructed inguino-scrotal hernia and the diagnosis of Amyand’s hernia was made intra-operatively. He made uneventful recovery after surgery. Treatment options depend on findings during operation and clinical status of the patient.
Anal Cancer in a HIV Sero-Positive Bisexual Bachelor—A Case Report and Literature Review  [PDF]
Victor Nwagbara, M. E. Asuquo, J. A. Ashindoitiang, S. O. Akpan
Case Reports in Clinical Medicine (CRCM) , 2018, DOI: 10.4236/crcm.2018.712055
Abstract: Anal cancer, especially squamous cell carcinoma (SCC) variety, is evolving with rising incidence globally. This is due to the increasing adoption of risky life styles and social habits even in populations with rare occurrences previously. This case report aims to expose risk factors exhibited by a patient recently managed for anal cancer in our facility before his demise. Early exposure to bisexual orientation, receptive anal intercourse and multiple sexual partners, are notable high risk factors for the development of anal SCC. The permissive role of smoking, illicit drug and alcohol use enhances the disease occurrence. Acquisition of human immune-deficiency virus (HIV) sero-positive status further reduces the body’s immune competence and enhances early age of onset as well as accelerates development of anal SCC. Proper history exploring the risk factors, physical/anorectal examination and histological analysis, are vital for proper diagnosis and staging which guides appropriate treatment with chemo-radiation as mainstay.
Case Study: Emerging Advantages of Climate Change for Agriculture in Kano State, North-Western Nigeria  [PDF]
Moses Okemini Nwagbara
American Journal of Climate Change (AJCC) , 2015, DOI: 10.4236/ajcc.2015.43021
Abstract: The current climate change is affecting the environment in diverse ways. Some of the effects are good and some others bad. The good side has not been given its deserved attention in Nigeria, nor has it in most parts of the world. Some areas are becoming warmer and wetter, which could enhance agriculture. This paper therefore examined the rainfall and temperature trends as tools of climate change over Kano State, north-western Nigeria, which is an area well known for agriculture. Rainfall and temperature data covering a period of 43 years (1971-2013) were collected and analyzed using the moving averages, regression and correlation statistics. Results obtained showed gradual but steady increases in both temperature and rainfall. The results indicate that Kano State is warming at an average annual rate of 0.011°C and becoming wetter at a rate of 21.26 mm per annum. An implication of this increased rainfall for farmers in the area is the opportunity to increase crop and animal production. This is because more rainfall can now be harvested. Also, soil moisture, rivers, dams, and ponds are being recharged more, thus making water more available and longer lasting for crops and animals.
Geo-Spatial Assessment of Vegetation Response to Drought in North Central Nigeria  [PDF]
Oye Ideki, Moses Okemini Nwagbara
Journal of Geoscience and Environment Protection (GEP) , 2019, DOI: 10.4236/gep.2019.73003
Abstract: The thrust of this paper is to examine the impact of drought risk on vegetation health in North Central Nigeria. The study applied remote sensing, Geographic information system (GIS) and statistical techniques as research methodologies. Monthly rainfall data which span through a period of 56 years (1960-2017) were obtained from Nigeria Meteorological Agency (NIMET) for analysis of variation and drought characterization using SPI. Consequently, drought risk maps were produced for three different periods: 2000-2005, 2005-2010 and 2010-2015. The study made use of the near real time data of Moderate Resolution Imaging Spectroradiometer (MODIS) Terra and Aqua Normalized Difference Vegetation Index (NDVI) of 16 Day L3 Global 250 m resolution from 2000 to 2016 for analysis of vegetation health. The results of the study proved the efficacy of NDVI in highlighting areas that are currently under vegetation stress, reduction and drought. The states with reduced and low vegetation cover corresponded well to those with low rainfall hence, more vulnerable to drought risk. The summary of the NDVI results showed that Niger, plateau and Nasarawa states have low vegetation cover and are more vulnerable to drought risk.
Osseous union in cases of nonunion in long bones treated by osteosynthesis
IC Nwagbara
Nigerian Journal of Clinical Practice , 2010,
Abstract: To determine the incidence of osseous union in cases of nonunion of long bones managed by open reduction and compression plating. : Between November, 2003 and June, 2005, 53 patients with nonunion of long bones were treated by open reduction and internal fixation and followed up. The follow up period for each case was 6 months. Immediate post- operative x-ray was done in each case. Patients were seen in the post- operative period at 4 weeks, 6 weeks, 12 weeks, and 6 months.At each visit, clinical and radiological assessments were done. : The male to female ratio was 3:2, and the average age at presentation was 39.7 years (range: 19-64years). The average time from injury to presentation was 19.98 months (range: 6-132months). The commonest bone involved was the humerus (18), followed by the femur (17), the Tibia (11), the ulna (5), and the radius (2). Osseous union was achieved in 44 patients (83%). There was no significant difference in incidence of osseous union among the various bones. It was observed that previous infection at the fracture site adversely affected osseous union. The management of nonunion in long bones by compression plating was found to be satisfactory.
Leading By Interaction in Educational Organisations: The Imperatives of Leadership Communication and Complaint Management
Uzoechi Nwagbara
Lumina , 2011,
Abstract: Communicating for organisational leadership and effective complaints management is essential for educational organisations to achieve leadership communication. This is particularly the case in recent time when poor communication poses grave danger to business success and leadership. This is in line with what Fairclough (1992) calls "linguistic turn", a period in leadership and business management, when communication is the mainstay of good leadership. A properly harnessed leadership and communication strategies brings about leadership communication, which anticipates as well as takes cognisance of approaches to avert or curb miscommunication, bad leadership and frequency of complaints for organisational success.
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