ACR • Volume 10

Volume 10, 2026

Issue 1

Showing 1–11 of 11 articles in Clinical Medicine

  1. Clinical Medicine

    Anthropometric indices of adults with obesity attending general outpatient clinic of Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.

    Obesity, a global public health concern, is increasing in prevalence in Nigeria and is associated with a heightened risk of cardiometabolic diseases. While Body Mass Index (BMI) is widely used to assess obesity, it does not distinguish between body fat and lean mass. Other anthr…

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  2. Clinical Medicine

    Characterizing Chronic Kidney Disease in Rural Southern Nigeria: Socio-demographic, Clinical, and Referral Patterns.

    Chronic kidney disease (CKD) significantly contributes to mortality globally. Understanding the socio-demographic and clinical characteristics of CKD is vital for advocacy to alleviate its burden in Nigeria. This study assesses these attributes and referral patterns of CKD patie…

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  3. Clinical Medicine

    Evaluation of Functional Outcome of Closed Intramedullary Fixation with Titanium Elastic Nails in Paediatrics Femoral Diaphyseal Fractures.

    Femoral diaphyseal fractures account for 1.6% of all paediatric fractures. In children younger than 5 years nonoperative treatment is ideal as they have good remodeling ability; however, in children aged 6-11 years, accurate reduction is necessary to correct angular deformity. T…

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  4. Clinical Medicine

    Impact of free national emergency trauma service in irrua specialist teaching hospital, Nigeria.

    The management of patients with traumatic injuries has evolved over the years. Many countries have developed protocols aimed at improving the care and outcome with trauma patients. The government of Nigeria in an attempt to improve on the outcome of trauma care and management es…

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  5. Clinical Medicine

    Predictors of substance use among medical students in southern Nigeria.

    Psychoactive substance use among medical students is a significant public health concern given the unique and cumulative stressors of medical education and its implications for patient safety and healthcare delivery. Nigeria bears a disproportionately high national burden of sub…

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  6. Clinical Medicine

    Preoperative Chlorhexidine-Cetrimide Versus 10% Povidone-Iodine Vaginal Cleansing for Prevention of Post-Caesarean Section Infectious Morbidities: A Randomised Controlled Trial.

    Infectious morbidity is the most common complication of caesarean section. Despite routine antibiotic prophylaxis, post-caesarean infectious morbidity remains a significant source of maternal morbidity, particularly in Nigeria. Preoperative vaginal antisepsis is recommended as a…

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  7. Clinical Medicine

    Imperatives of trauma centres; designating Irrua Specialist Teaching Hospital as a level 1 trauma centre in Nigeria.

    Trauma centres are specialized hospital departments designed to provide 24/7 advanced, comprehensive care for patients with critical, life-threatening injuries, such as severe falls, motor vehicle crashes, or gunshot wounds. These specialized facilities, often classified by leve…

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  8. Clinical Medicine

    Substance Use Initiation and Accessibility in Students of the College of Medicine, Ambrose Alli University, Ekpoma.

    Secondary school represents the dominant context for substance use initiation across most drug categories in Nigeria, yet the specific patterns of onset age and educational setting at first use among medical students—a high-risk group whose training trajectory extends risk expos…

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  9. Clinical Medicine

    Substance use among medical students in Edo state, Nigeria: prevalence and sociodemographic correlates

    Substance use among medical students is an emerging public health and educational concern globally. Despite their medical knowledge, students may engage in substance use due to academic stress, social pressures, and environmental influences. Evidence from Nigeria and other count…

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  10. Clinical Medicine

    Radiological evaluation of kidney morphology in patients with chronic kidney disease: analysing kidney size, echogenicity, corticomedullary differentiation, and their impact on clinical outcomes in a Nigerian population

    Renal ultrasound is an effective, noninvasive method for assessing renal health. It measures parameters like kidney size, echogenicity, and corticomedullary differentiation, which help evaluate renal function and pathology. Despite rising chronic kidney disease (CKD) cases in Ni…

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  11. Clinical Medicine

    Commentary Improvised Low-Cost Colostomy Appliance: Innovation Driven by Necessity

    Colostomy creation is a common and often unavoidable practice in both adult and paediatric surgery. Beyond the clinical indication, many patients encounter psychosocial stigma associated with carrying a faecal collection bag. In resource-limited settings, this challenge is exace…

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