A lipoma is a common type of benign tumor and a neurolipoma is one of its variants. It is also referred to as neural fibrolipoma, fibrolipomatous hamartoma, intramural lipoma, and lipomatosis of nerve. The most common sites of presentation are the volar aspects of the hands, wrists, and forearms of young persons. The median nerve is most commonly involved. Lower-extremity cases are extremely rare. We report here a rare case involving the median nerve without any skeletal deformity occurring in a male patient. It usually presents with swelling associated with pain and tenderness.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

[FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

Background: In recent past, there has been a gradual increase in the volume of patients treated on a day case basis in our center. However, no study has been conducted to audit pediatric day case surgery practice at the Lagos University Teaching Hospital. Objectives: To determine the level of parental satisfaction with pediatric day case surgery at the Lagos University Teaching Hospital. Patients and Methods: A total of 101 parents or the patient's caretakers whose wards had day case surgery were administered a self-completed questionnaire on the first postoperative day visit at the surgical outpatient clinic. The questions assessed parental satisfaction with the following: (a) Communication with doctors (surgeons and anesthesiologists), (b) Physical conditions of the theatre environment, (c) Staff's care, (d) Need to care for the child at home, and (e) Postoperative complication. Result: There were 101 respondents with an age range of 22-56 years (mean 35.05 ± 6.85). Eighty-seven (86%) of the respondents were satisfied with the amount of information they obtained from their doctors before the operation; 43 (42.6%) were satisfied with the waiting time, whereas 47 (46.5%) were satisfied with the fasting time. However, 26 (25.7%) of the respondents were dissatisfied with the waiting room environment and 87 parents (87.1%) were dissatisfied with the nursing care. Conclusion: Most parents are satisfied with pediatric day case surgery care. Some adjustments, however, need to be made on reducing the waiting and fasting time of the patients and improving both the waiting room environment and the nursing care in order to increase its acceptance.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

Background: The patient-surgeon relationship is based on trust, loyalty, and respect. When errors and adverse events occur, they can test the foundation of that relationship with lasting consequences for both the patient and the surgeon. Disclosure of errors and adverse events is a requisite skill in surgical education. Materials and Methods: Surgical trainees' perception of the disclosure of errors and adverse events was evaluated using a questionnaire at the revision course of the West African College of Surgeons in September 2012. The questionnaire addressed three domains: Types of errors that should be disclosed, barriers to disclosure, and experience with disclosure. Results: Nearly all the residents, 60 (95.2%), agreed that adverse events should be disclosed. Most of the respondents, 40 (66.7%), either agreed or strongly agreed that "adverse events and errors in surgery are one of the most serious problems in health care." Only 18 residents (28.5%) either disagreed or strongly disagreed with the statement "It might make me less likely to disclose an error or adverse event to a patient if I think I might get sued." Almost all the residents, 58 (92.1%), have not had a formal training in disclosure of adverse events and errors. Conclusion: The majority of the residents agreed that errors and adverse events should be disclosed. Most of the residents also reported that they have not had a formal training in disclosure. Training residents in disclosure is clearly warranted, as such training will provide them with a valuable skill that they will use throughout their careers.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub] [CITATIONS]

The differential diagnoses of radiopacities in the orofacial region include sialoliths, calcified lymph nodes, tuberculous nodes, and uncommon phleboliths. We report a case of a 37-year-old lady with intermittent unilateral left-sided submandibular swelling caused by a vascular hamartoma with phleboliths, which was initially diagnosed as submandibular sialolithiasis.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub]

[FULL TEXT]  [PDF]  [Mobile Full text]  [EPub]

Introduction: Infertility is a major social problem with public health relevance in developing countries, with prevalence levels up to 30%. In contrast, the available treatment options for infertile couples are limited. Most times, the cost of this treatment is far beyond the reach of the common man and the success rates recorded with these treatments are minimal. This study was carried out to determine the knowledge, attitude, and practice of child adoption among infertile women attending fertility clinics in the public health facilities in Lagos, and to identify factors that may influence the willingness to adopt among these women. Materials and Methods: A descriptive cross-sectional study was conducted in the three government-owned tertiary fertility clinics in Lagos (namely the Lagos University Teaching Hospital (LUTH), the Lagos State University Teaching Hospital (LASUTH), and the Federal Medical Center (FMC) Ebute-Metta) among 355 infertile women attending these clinics. Results: The majority of the respondents (90.1%) had heard of child adoption before and 28.7% of them had a good knowledge of the processes and legalities involved in child adoption. Almost two-thirds (63.7%) expressed their willingness to adopt, while 58.6% of the respondents felt that an adopted child could never be compared to a biological child. Factors that were significantly associated with the attitude toward child adoption included the level of education of the respondent, their religion, marital status, knowledge of child adoption, and duration of infertility (P < 0.05). Discussion: The high level of willingness to adopt in contrast to the low level of practice among infertile women in Lagos indicates the scope for advocacy and public enlightenment to integrate adoption into the arsenal of management of infertility.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub]

Background: Malaria is an eminently preventable, treatable and curable disease. Proven effective options to reduce morbidity and mortality include early diagnosis, combined with prompt effective therapy and malaria prevention through reduction of human-vector contact, emphasizing the use of insecticide-treated nets (ITNs). The aim of this study was to determine the knowledge, attitude and utilization of malaria preventive methods among the students residing in Mariere Hostel of the University of Lagos, Akoka. Materials and Methods: The study design was a cross-sectional descriptive study. Simple random sampling method was used to select the respondents. Pre-tested, structured, open and close-ended self administered questionnaires were used for data collection. Data analysis was done using Epi info version 3.5.1 statistical software package. The study was carried out in February 2012. Results: A total of 221 out of the administered 250 questionnaires were retrieved and analyzed giving a response rate of 88.4%. All the respondents were males with a mean age of 20 ± 2.8 years. The mean knowledge score (%) of the respondents was 76.5 ± 3.19. Although, 91.0% of the respondents recommended the use of ITNs to all students, only 31.6% use ITNs. The major reason given for non-usage of ITNs being that it is uncomfortable (45.3%). There was no statistically significant relationship between socio-demographic characteristics and utilization of ITN. Conclusion: This study has demonstrated high level of knowledge of malaria and positive attitude towards malaria prevention but poor malaria prevention practice as evidenced by poor usage of insecticide-treated nets. There is therefore need for more enlightenment campaigns to improve and sustain the knowledge and attitude towards malaria prevention as well as improve utilization of ITNs.

[ABSTRACT]  [FULL TEXT]  [PDF]  [Mobile Full text]  [EPub]