Vol. 6 No. 4 (2025): Management Dilemma of an Incidentally Discovered Bilateral Dysgerminoma

View Vol. 6 No. 4 (2025): Management Dilemma of an Incidentally Discovered Bilateral Dysgerminoma

Foreword

This issue, which is the last for the year 2025, comes with the theme: “Dilemma of an Incidentally Discovered Bilateral Dysgerminoma” where a team of researchers stumbled upon this clinical condition during an emergency cesarean section in a primigravida. The authors stated that, the client had a normal, regular ante-natal visits with normal pregnancy progression; and the bilateral ovarian dysgerminoma only presented as a case of arrested labour which necessitated an emergency surgery. They therefore advised clinicians to be meticulous in the management of pregnant women, especially in the tail end of apparently normal pregnancies as such incidents may spring up surprises. In another study, a team of researchers investigated the extent and scope of serum lipid profiles and their association with cardiovascular diseases in patients with diabetes and hypertension. And they found the mean lipid values for hypertensive versus diabetic patients when compared were as follows: HDL (1.3±0.8 vs 1.2±0.3, t=1.737, p=0.08), LDL (3.3±1.0 vs 3.1±1.1, t=2.170, p=0.03), total cholesterol (5.3±1.2 vs 5.2±1.7, t=0.598, p=0.55), and triglycerides (1.6±1.0 vs 1.6±0.6, t=0.389, p=0.70). The predominant lipid abnormality among both hypertensive and diabetic patients was hypercholesterolaemia. Management of such patients should therefore factor this finding in the drug formulations and dietary advice for the desired results. Due to the growing burden of complete or partial blindness globally including Nigeria, researchers sought to describe the patterns of refractive errors known to be among the common causes of preventive blindness at Barau Dikko Teaching Hospital, Kaduna Northwest Nigeria. Out of the 4,640 eyes of 2,888 people studied, comprising 1,114 males (38.6%) and 1,774 females (61.4%): myopia occurred in 1,574(33.9%) eyes, maximum was -13D, hypermetropia in 1,964(42.3%) maximum was +4D in naturally occurring and +16D in aphakic and astigmatism in 480(10.4%). Astigmatism consisted of 291(60.6%)  myopia, 59(12.3%) hypermetropia and 130(27.1%) were mixed. They recommended regular eye checks to arrest preventable blindness in our communities. Due to the socio-economic challenges, in addition to the diverse health needs of patients with chronic kidney disease, researchers looked into the Health-Related Quality of Life (HRQOL) of haemodialysis patients. And they found that the overall HRQOL was average to above average. Regular outpatient visits, having health insurance, and level of annual income were all critical factors that affected HRQOL. Physical functioning was most significantly affected, with 78% of respondents reporting work limitations due to physical health problems.Management of patients with this clinical conditions should therefore be all encompassing targeting total well-being.  

Professor Michael Simidele Odimayo

Editor-In-Chief

31st December, 2025

Published: 2025-12-31

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