Enugu, Nigeria
Enugu, Nigeria

Caritas University is a private Catholic university in Amorji-Nike, Enugu State, Nigeria. Enjoying both state and ecclesiastical approval, it strives to revive in its community the age-long tradition of Catholic education and the exacting demand of contemporary society for sound education rooted in salubrious life-promoting morality. Wikipedia.

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PubMed | Praxis for Internal Medicine, Caritas Hospital, Caritas University, Zhengzhou University and 6 more.
Type: Review | Journal: Medical ultrasonography | Year: 2016

The science of lung ultrasound has grown tremendously over the last two decades and lung ultrasound has not only enteredthe mainstream of point of care ultrasound but has become a dominant topic. Understanding lung ultrasound signs and artifactsis critical to being able to correlate findings with actual pathology and normal anatomy and physiology. Investigators havedescribed multiple lung ultrasound artifacts and findings and it is important to understand both the physics and anatomic basisbehind them. Additionally, ultrasound machine use and transducer selection can significantly affect results obtained on patientduring an examination and the provider must carefully choose the correct settings. This manuscript describes the state of theart in ultrasound artifact recognition and correlation as well as management of ultrasound technology to optimize diagnosticsuccess.

PubMed | Hannover Medical School, Vita-Salute San Raffaele University, University of Santiago de Compostela, SRH Wald Klinikum Gera and 13 more.
Type: Journal Article | Journal: Gastrointestinal endoscopy | Year: 2016

Pancreatic ductal adenocarcinoma (PDAC) is typically diagnosed at a late stage. Little is known about the incidental finding of early-stage PDAC. The aim of the current study was to determine the etiology of small solid pancreatic lesions (15mm) to optimize clinical management.Inclusion criterion for the retrospective study analysis was the incidental finding of primarily undetermined small solid pancreatic lesions15mm in 394 asymptomatic patients. Final diagnoses were based on histology or cytology obtained by imaging-guided biopsy (and at least 12-month follow-up) and/or surgery. Contrast-enhanced US or contrast-enhanced EUS was performed in 219 patients.The final diagnoses of 394 patients were as follows: 146 PDACs, 156 neuroendocrine tumors, 28 metastases into the pancreas from other primary sites, and 64 various other etiologies. Contrast-enhanced US allowed differential diagnosis of PDAC and non-PDAC in 189 of 219 patients (86%).Approximately 40% of patients with small solid pancreatic lesions had very early stage PDAC. Approximately 60% of small solid pancreatic lesions15mm are not PDAC and, therefore, do not require radical surgery. Without preoperative diagnosis, an unacceptably large proportion of patients would be exposed to radical surgery with significant morbidity and mortality.

PubMed | Intensivmedizin Kantonsspital Graubunden, Notfallstation, Caritas University, Krankenhaus Markisch Oderland Strausberg Wriezen and 4 more.
Type: Journal Article | Journal: Medical ultrasonography | Year: 2016

Peripheral venous as well as arterial punctures have traditionally been performed on the basis of designated anatomical landmarks. However, due to patients individual anatomy and vessel pathology and depending on individual operators skill, this landmark approach is associated with a significant failure rate and complication risk. This review comments on the evidence-based recommendations on ultrasound (US)-guided vascular access which have been published recently within the framework of Guidelines on Interventional Ultrasound (INVUS) of the European Federation of Societies for US in Medicine and Biology (EFSUMB) from a clinical practice point of view. Part 1 of the review had its focus on general aspects of US- guidance and on central venous access, whereas part 2 refers to peripheral vascular access.

PubMed | University of Vienna, Danube University Krems and Caritas University
Type: Journal Article | Journal: Archives of physical medicine and rehabilitation | Year: 2016

To investigate the perception of muscular effort in individuals with multiple sclerosis (MS) and healthy controls during dynamic contractions.Case-control study.MS day care center.Individuals with MS (n=28) and controls (n=28) (N=56).Not applicable.Perceived muscular effort during dynamic elbow extensions was rated at 9 different weight intensities (10%-90% of 1-repetition maximum) in a single-blind, randomized order using the OMNI-Resistance Exercise Scale. Muscle activity of the triceps brachii muscle (lateral head) was measured via surface electromyography and normalized to maximal voluntary excitation.According to OMNI-level ratings, significant main effects were found for the diagnostic condition (F=27.33, P<.001, (2)=.11), indicating 0.7 (95% confidence interval [CI], 0.3-1.1) lower mean OMNI-level ratings for MS, and for the intensity level (F=46.81, P<.001, (2)=.46), showing increased OMNI-level ratings for increased intensity levels for both groups. Furthermore, significant main effects were found for the diagnostic condition (F=16.52, P<.001, (2)=.07), indicating 7.1% (95% CI, -8.6 to 22.8) higher maximal voluntary excitation values for MS, and for the intensity level (F=33.09, P<.001, (2)=.36), showing higher relative muscle activities for increasing intensity levels in both groups.Similar to controls, individuals with MS were able to differentiate between different intensities of weight during dynamic elbow extensions when provided in a single-blind, randomized order. Therefore, perceived muscular effort might be considered to control resistance training intensities in individuals with MS. However, training intensity for individuals with MS should be chosen at approximately 1 OMNI level lower than recommended, at least for dynamic elbow extension exercises.

Nwamaka N.T.,University of Nigeria | Chike A.E.,Caritas University
African Journal of Microbiology Research | Year: 2010

The demand for fermented dairies is on the increase in developing countries following consumer awareness of some of the health benefits attributed to prolonged intake. Eight samples of yoghurt produced from Enugu, Eastern Nigeria was collected from various locations. Samples were incubated using various media for the isolation, identification and enumeration of the bacteria population within the yoghurt. Reports indicated that total viable count of bacteria was in the range of 1.4 x 106 - 2.2 x 107 cfu /ml. Not all bacterial isolates were lactose fermenters. Members of the genus Staphylococcus, Aeromonas, Klebsiella, Pseudomonas, Bacillus, Streptococcus and Lactobacillus were isolated with 100, 25, 50, 33.3, 25, 12.5 and 25% frequency of occurrence, respectively. Viable counts of lactic acid bacteria were low indicating that probiotics effect following consumption may be poor. Occurrence of pathogenic organisms indicates improper handling and inadequate sanitary measures. More care should be taken during yoghurt fermentation. © 2010 Academic Journals.

Nnaemeka-Okeke R.,Caritas University
Journal of Ecological Engineering | Year: 2016

Urban environmental problems are of different dimensions and are mostly due to geologic, climatic and cultural factors. However, the cultural factors seems to be more pronounced in the Nigerian context because most of the identified urban environmental issues are so much associated with the way of life of the people, either as reactions to urbanization or their spatial heritage. Their effects are far reaching on efforts to attain sustainable development in the country. Since no section of the country's urban environment is immune to environmental effects, there is urgent need to seek workable solutions by the application of planning, economic, legal, institutional and educational tools as have been suggested here.

Dietrich C.F.,Caritas University
Ultraschall in der Medizin (Stuttgart, Germany : 1980) | Year: 2012

The European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) introduced the first guidelines on the use of contrast-enhanced ultrasound (CEUS) in 2004. This EFSUMB document focused mainly on liver applications. However, new applications extending beyond the liver were subsequently developed. Therefore, in the update of the clinical recommendations on the use of CEUS by the EFSUMB, applications in other organs were also described and published in 2008. Increased interest in recent years in the CEUS technique and in the application of CEUS in novel fields has resulted in CEUS indications and applications for nearly all organ systems. As a result, the EFSUMB initiated a new update of the guidelines in 2011 to include this additional knowledge. Some of the indications are established, whereas others are preliminary. The latter indications are categorized as emergent CEUS applications since the available evidence is insufficient for general recommendation. This article focuses on comments, illustrations and examples of the application of CEUS in the pancreas, spleen, gastrointestinal tract, kidney, adrenals, lymph nodes, perineum, and hepatobiliary system. The potential for endoscopic ultrasound to highlight the importance of CEUS in the daily routine is also addressed. © Georg Thieme Verlag KG Stuttgart · New York.

PubMed | Caritas University
Type: Journal Article | Journal: Journal of clinical oncology : official journal of the American Society of Clinical Oncology | Year: 2016

4229 Background: Oxaliplatin (L-OHP) and Paclitaxel (PCT) are active in squamous cell (SCC) and adeno carcinoma (AC) of the esophagus (E) and the gastro-esophogeal junction (GEJ); PCT in combination with cisplatin showed a promising activity in gastro-esophageal cancer. Concomitant administration of L-OHP and PCT in NSCLC is well tolerated and demonstrated activity. We examined tolerability and efficacy of the combination of L-OHP and PCT in patients with inoperable locally advanced or metastatic esophageal cancer.L-OHP 85mg/mA median of 2 (range 0-5) cycles were given. Relevant grade 3/4 toxicities were neutropenia (12.5%) and neurotoxicity (6.3%). There was no therapy related toxic death. Neuropathy was observed in 12/16 pats and in all 11 pats receiving 2 cycles (8 pts grade 1). In one pat treatment was stopped due to neurotoxicity (grade 3) during the 5L-OHP combined with PCT is a moderately active regimen with favourable toxicity in patients with locally advanced or metastatic cancer of the esophagus and the gastro-esophogeal junction. No significant financial relationships to disclose.

PubMed | Caritas University
Type: Journal Article | Journal: Journal of music therapy | Year: 2016

Evidence supports music-based oncologic support interventions including music therapy. By comparison, little is understood about music-based self-care. This meta-ethnography examined five published qualitative studies to extend understanding of musics relevance, including helpfulness, for people affected by cancer; including children, adolescents, and adults with cancer, carers, and the bereaved.To improve understanding of musics broad relevance for those affected by cancer.Meta-ethnography strategies informed the analysis. Five studies were synthesized that included 138 participants: 26 children and 28 parents of children with cancer; 12 adolescents and young adults with cancer; 52 adults with cancer; 12 carers; and 8 bereaved. Studies category and thematic findings were compared and integrated into third-order interpretations, and a line of argument. Perspectives from the five studies that illuminated the line of argument were developed.Music usage can remain incidental, continue normally, and/or change because of cancers harsh effects. Music can be a lifeline, support biopsychosocial and spiritual well-being, or become elusive, that is, difficult to experience. Music helps or intrudes because it extends self-awareness and social connections, and prompts play, memories, imageries, and legacies. Music therapists may help patients and carers to recover or extend musics helpful effects.Cancer care can be improved through offering music-based resources/services, which give cancer patients and carers opportunities to extend music usage for personal support and, for carers, to support patients. Music therapists can advocate for such resources and educate health professionals about assessing/recognizing when patients and carers changed music behaviors signify additional support needs.

PubMed | Caritas University, Zhengzhou University and Huazhong University of Science and Technology
Type: Journal Article | Journal: Ultrasound in medicine & biology | Year: 2016

The aim of this study was to evaluate the feasibility and utility of intra-cavitary contrast enhanced ultrasound (ICCEUS) in guiding percutaneous nephrostomy (PCN) and assessing complications. Forty-five ultrasound-guided PCNs were performed in 35 patients with hydronephrosis resulting from urinary tract obstruction. Ultrasound contrast agent (0.1mL diluted in 20-30mL saline) was injected through the puncture needle and thedrainage tube to precisely locate the device and obstruction, with the fluoroscopy results considered the gold standard. ICCEUS was performed again the next day to assess complications. All 45 PCNs were successfully performed under the guidance of ultrasound. With ICCEUS, we could confirm the correct insertion of needle and catheter and locate the obstruction in all 35 patients, with fluoroscopic results as the gold standard. Catheter dislodgement was diagnosed by administration of ultrasound contrast agent in 5 patients. Hematoma (1 patient) and urine leakage (1 patient) were also observed. With the advantages of lack of exposure to radiation, performance in real time and bedside availability, ICCEUS has the potential to become a new modality to guide PCN and assess catheter-related complications.

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