Nigerian Journal of Clinical Medicine

Ocular Anaesthetic Failure Following Peribulbar Administration of Lidocaine

I.A. Saka — 2021-03-18

This article reports a failure in achieving adequate anaesthesia following local peri-ocular block. Failure can be partial where subtle pain is felt and it can be total, in which akinesia and analgesia are not achieved. We report a case of failed local(ocular) anaesthesia in a Nigerian male scheduled for intra ocular lens implantation.
Our patient is a 48-year-old man who presented to the eye clinic with complaints of poor vision of count finger in left eye following cataract surgery at an external eye facility. Examination revealed mid-peripheral cornea opacity and aphakia. Posterior segment examination was essentially normal. A +10 lens over the index eye improved visual acuity to 6/12. He was scheduled for elective scleral fixation of posterior chamber intraocular lens, which was aborted intraoperatively due to failure to achieve adequate ocular anaesthesia probably due to local drug resistance.
More research into the causes of anaesthetic failure is required and it is worth noting that anaesthetic failure should be approached using an alternative anaesthetic agent or alternative route.

Urinary Myiasis in a Nigerian Child: A Case Report and Review of the Literature

Gbenga Akinyosoye — 2021-03-18

Myiasis is a parasitic disease caused by invasion of the body tissues of mammals such as man by larvae of developing Diptera flies. The larval stage is the feeding stage of an insect’s development and may lead to considerable damage to the host tissues. This invasion may involve any of the host tissues. The urogenital tract is the least commonly affected as this body part is rarely exposed to the exterior, to flies, their eggs or larva. Certain unhygienic practices during urination or defecation as well as exposure to sites where flies lay their eggs may predispose to urinary myiasis. This case report documents a five-year-old Nigerian boy with urinary myiasis. We also highlight predisposing factors, clinical features as well as treatment options.

Psychosocial Impacts of 2019 Coronavirus Disease (COVID-19) Pandemic

Issa Bamidele Lubuola — 2021-03-18

No abstract.

Concepts of Plagiarism and Reference Management in Scholarly Writing: Perspectives for the Residency Training Programme in Nigeria

Peter Odion Ubuane — 2021-03-18

Scholarly/scientific writing is an integral part of the Residency Training Program in Nigeria, culminating in the writing and defence of dissertations. Plagiarism, a form of research publication misconduct, is the inappropriate use of someone else’s writing without appropriate attribution. Limited empirical data suggests that plagiarism is not uncommon among residents and fellows. Despite widespread awareness of plagiarism amongst residents and fellows, there is deficient in depth knowledge of its nuances. Factors such as ‘publish or perish’ phenomenon, inadequate literature search and critique skills and inexperience with ethical scientific writing may also be contributing to the committal of plagiarism among residents. There is thus the need to formally train and mentor residents in ethical writing. While stressing the need for the individual resident to accept responsibility to acquire these skills, we highlight the roles of training units, institutions and colleges in fostering and institutionalising ethically sound writing
culture by organising formal trainings and mentorship in scientific writing, formulating and disseminating anti plagiarism policy and providing access to plagiarism checkers. We also briefly identify proficiency in reference management as a strategy for avoiding plagiarism. We conclude by identifying researchable gaps on the subject of plagiarism in postgraduate medical education in Nigeria.