Internet Journal of Medical Update - EJOURNAL <p><em>Internet Journal of Medical Update </em>(IJMU) is an international e-journal which provides a multidisciplinary forum for the exchange of current ideas in form of review articles, original research work, interesting case reports, etc. among medical professionals. Editorial policy: The Editor receives manuscripts with the understanding that they have not been published previously and that they have not been submitted for publication elsewhere. The author should confirm this in writing in the cover letter when transmitting the manuscript for publication. Receipt of manuscripts will be acknowledged promptly, and authors will be notified of acceptance or rejection in a timely manner. The manuscripts are reviewed by an international committee of reviewers with maintenance of full anonymity. The editors of the journal identify the reviewers based on the nature of article. A statement of copyright transfer to the publisher will be required for manuscripts which are accepted for publication. The Editor will supply the necessary forms for this transfer.</p><p>Other websites related to this journal: <a title="" href="" target="_blank"></a></p> AKS Publication en-US Internet Journal of Medical Update - EJOURNAL 1694-0423 Copyright is owned by Dr. Arun Kumar Agnihotri Editorial: Beyond the Numbers. What determines journal quality? No Abstract Sushil Dawka Copyright (c) 2019-01-09 2019-01-09 13 2 2 2 10.4314/ijmu.v13i2.1 Selfmonitoring of blood glucose practices by people living with diabetes who use their personal glucometers in Port Harcourt, Niger Delta Region, Nigeria <p>Self-monitoring of blood glucose (SMBG) assists persons living with diabetes with the day-to-day behavioral and therapeutic adjustments to their diabetes care. It is a cheaper and more available alternative to glycated haemoglobin (HbA1c) in Nigeria for monitoring glycaemic control. Information on SMBG practices of Nigerians living with diabetes using their personal glucometers is scanty. The aim of the study is to assess the intensity and frequency of SMBG by glucometer owners, and the extent the patients and/or the health care providers (HCP) utilize SMBG to achieve personalized treatment goals via behavioral/treatment adjustments. This was a cross sectional study carried out among persons living with diabetes that accessed diabetes care at the diabetes clinic of the University of Port Harcourt Teaching Hospital (UPTH) and using their personal glucometers. They were consecutively recruited. Data obtained by using intervieweradministered questionnaires were analyzed using SPSS version 20.0, and pvalue &lt;0.05 was considered significant. A total of 128 persons living with diabetes participated in the study of which 40 (31%) were males and 88 (69%) were females; the mean age of the subjects was 52.05 ± 11.24 years with a range of 26–70 years. The majority of the study subjects (72%) were in the active working age group (25–60years). The highest frequency of glucometer use was in the 26 subjects (20%) who checked their blood glucose every morning while 62 (48%) of the subjects checked their blood glucose any morning they felt like. Most of the subjects (60%) did not have any recording device. Glucometer owners were not just the insulin-requiring people living with diabetes as more than half of the subjects, 66 (52%) were on oral anti diabetic drugs (OAD) only. Glucometer ownership was mainly by those that were in the working age group. SMBG protocol (frequency) was variable and SMBG data were not maximally utilized.</p><p><strong>Keywords:</strong> Self-monitoring of blood glucose; Personal glucometer; Diabetes; Blood glucose</p> M.O. Nkpozi A.U. Chapp Jumbo N.N. Unamba C.N. Unachukwu S Chinenye Copyright (c) 2019-01-09 2019-01-09 13 2 3 9 10.4314/ijmu.v13i2.2 Functional status and its associated factors in Nigerian adults with serious mental illnesses <p>Patients with serious mental illness may be less likely to achieve functional goals than the general population. Assessment of the functional impact of the illness is useful to determine severity of illness, evaluate remission, and achieve optimal treatment success. The aims of this study are to determine and compare the prevalence of low functional status among outpatients with major axis 1 psychiatric disorders, assess the risk factors for low functional status, and determine the proportion of the variance in low functional status explained by low self-esteem and non-adherence to medication. A descriptive cross-sectional study was conducted among 308 outpatients of the psychiatric unit of a tertiary hospital. The Global Assessment of Functions (GAF), Morisky Medication Adherence Scale (MMAS-8) and the Rosenberg’s Self-esteem Scale were used to collect data, which were analyzed using version 20 of SPSS. Level of statistical significance was set at 5% (P&lt; 0.05). The overall prevalence of low functional status was 40.6%. Patients with schizophrenia had the highest prevalence of low functional status (53.4%). Educational attainment, employment status, self-esteem, medication adherence, and comorbidity had significant association with functional status. Poor medication adherence had the largest relative contribution (35.4%) to the variance in functional status, while self-esteem had an insignificant relative contribution of 3.4%. An appreciable proportion of the patients in this study had low functional status with more schizophrenic patients having impairment than patients with mood disorders. Poor medication adherence, among other variables, contributes significantly to low functional status. Physicians should give as much attention to functional recovery as they give to symptom resolution in the management of psychiatric patients.</p><p><strong>Keywords:</strong> Functional capacity; Psychiatric patient; Correlates; Benin-City</p> Samuel Obateru Osasona Oluyemi Oluwatosin Akanni Copyright (c) 2019-01-09 2019-01-09 13 2 10 15 10.4314/ijmu.v13i2.3 Neuroendocrine tumor of the hepatic flexure: a rare colonic tumor <p>Neuroendocrine tumors (NETs) are rare, particularly common in the rectum. NETs of the colon (not including the appendix and rectum) are most commonly found in the cecum, and hepatic flexure involvement is rather infrequent. The clinical presentation of colonic NETs is dependent on the primary site. Many are discovered either at the time of screening or during the investigation of abdominal pain or anemia. Here we present a challenging case of a hepatic flexure colonic NETS of 26 -year-old male treated by laparoscopic right hemicolectomy.</p><p><strong>Keywords:</strong> Neuroendocrine tumors; Colonoscopy; Surgery; Immunohistochemical<br />test</p> Vipul D. Yagnik Sunil R. Prajapati Copyright (c) 2019-01-09 2019-01-09 13 2 16 18 10.4314/ijmu.v13i2.4 Letter to Editor: Sister Mary Joseph’s Nodule: A short compilation No Abstract Selçuk Ergen Copyright (c) 2019-01-09 2019-01-09 13 2 19 20 10.4314/ijmu.v13i2.5 Book Review: <i>Fundamentals of Operative Surgery</i>, 2nd edition <p><strong>Book Title: </strong><em>Fundamentals of Operative Surgery</em></p><p><strong>Book Author:</strong> Vipul Yagnik</p><p>Publisher: Wolters Kluwer, Year 2019, 435 pages Format: PDF and EPUB, Hardcover ISBN 9789387506817.</p> Sandip Hindocha Copyright (c) 2019-01-09 2019-01-09 13 2 21 22 10.4314/ijmu.v13i2.6