Background: Ethnic characteristics of individuals are best described with the skull. Cranial index is one of the most important variables for determining sexual dimorphism and of course racial differences. Parameters used in establishing cephalic index vary considerably depending on the age, sex, geographical habitat, ethnic background of the individuals involved and the methods employed. Such has not been documented in Calabar, especially with the use of advanced imaging modality such as the Computed Tomography (CT) scans. This is the rationale of the study.Objective: To determine the cephalic index of Nigerians residing in Calabar using CT scan.Materials and Methods: A total of 200 cranial Brivo 385 16 slice CT scan images of Nigerians aged from 18 to 87 years were obtained from the Asi-Ukpo Diagnostic Medical Centre Calabar. A simple random probability sampling technique was employed. Variables measured were the Maximum Cranial Length (MCL), Maximum Cranial Width (MCW), Bizygomatic Length (BZL) and the Orbital Length (OBL). The cephalic index was obtained by measuring the ratio of the maximum head width (MCW) or the Biparietal Diameter (BPD) to maximum head length (MCL) or the antero-posterior diameter then multiplied by 100.Results: Cranial length was 182.9 ± 0.657mm in males and 178.53 ± 0.09mm in females. Cranial width was 138.59 ± 0.56mm in males and 137.21 ± 0.65mm in females. The orbital length was 34.35 ± 0.31mm in males and 33.37 ± 0.29mm in females while bizygomatic length was 130 ± 0.31mm in males and 127.54 ± 0.84mm in females. Cranial index was 76.09mm in males and 75.81mm in females. No significant difference between males and females of the study population as the subject appears to be largely mesocephalic (p<0.05).Conclusion: Cranial index of the study sampled population is majorly mesocephalic. Therefore, CT scan is very important a tool in the assessment of cranial parameters in anthropometry.Keywords: Anthropometry, Calabar, Cranial index, Computed Tomography, Mesocephalic

Background of Study: Radiation protection is of core importance in radiodiagnostic centres, to keep both patients care givers and staff of the centres from stochastic and non- stochastic effects of radiation. The effectiveness and protectiveness of aprons are of valuable importance, it is therefore necessary to assess these aprons to ensure efficacy. Such quality checks have not been reported in the South – South region of Nigeria. Aim: To assess in terms of their quality and therefore protective features, the lead aprons in used radiology clinics in the South-South region of Nigeria. Method: Twenty two protective lead aprons from 18 radiological clinics in South-South Nigeria were directly exposed to X-rays with average factors of 70 ± 5kVp, 16 mAs and 100 cm Source to apron distance, with 43 x 35 cm cassettes places underneath to cover the upper (thoracic half) and the lower (abdominal half) respectively. Exposed films were processed in each centre following regular processing protocols to obtain radiographs with images of the state of the aprons. The images were analyzed on the basis of each apron’s lead equivalence (content), age, brand and the type of defects observed. Defects were characterized into cracks, tears, splits and rips. Physical examination for cleanliness, wear and tear was also carried out. Results: Results showed that 68% of all the aprons under study were defective, having cracks (44%), tears (33%), splits (15%) and/or rips (8%). About 73 % of the defective aprons had more than one (1) type of defect. Up to 87% of the defective aprons had no inherent lead equivalence and manufacturer identification indicated on them. It was observed that about 73% of these defects occurred in aprons of aged between 1-10 years with the area affected in the range of 1.00 – 1000.00 mm2 . Conclusion: Over two-thirds (⅔) of lead aprons found in diagnostic radiology centres in South – South Nigeria, have shown sufficient evidence of defects to suggest that they may not be useful for radiation protection of the users.

Objective: Physicians who often request for computed tomography (CT) scan examinations are expected to have sound knowledge of radiation exposure (risks) to patients in line with the basic radiation protection principles according to the International Commission on Radiological Protection (ICRP), the Protection of Persons Undergoing Medical Exposure or Treatment (POPUMET), and the Ionizing Radiation (Medical Exposure) Regulations (IR(ME)R). The aim is to assess the level of requesting physicians’ knowledge of ionizing radiation from CT scan examinations in two Nigerian tertiary hospitals. Materials and Methods: An 18-item-based questionnaire was distributed to 141 practicing medical doctors, excluding radiologists with work experience from 0 to >16 years in two major teaching hospitals in Nigeria with a return rate of 69%, using a voluntary sampling technique. Results: The results showed that 25% of the respondents identified CT thorax, abdomen, and pelvis examination as having the highest radiation risk, while 22% said that it was a conventional chest X-ray. Furthermore, 14% concluded that CT head had the highest risk while 9% gave their answer to be conventional abdominal X-ray. In addition, 17% inferred that magnetic resonance imaging had the highest radiation risk while 11% had no idea. Furthermore, 25.5% of the respondents have had training on ionizing radiation from CT scan examinations while 74.5% had no training. Majority (90%) of the respondents were not aware of the ICRP guidelines for requesting investigations with very little (<3%) or no knowledge (0%) on the POPUMET and the IR(ME)R respectively. Conclusion: There is low level of knowledge of ionizing radiation from CT scan examinations among requesting physicians in the study locations.

Objective: This study assessed the use of Aloe vera lotion as an alternative coupling medium for ultrasound imaging. Materials and Methods: A prospective analytical research design was adopted. A total of 50 subjects who consented were randomly recruited into the study from the University of Calabar Teaching Hospital (UCTH), Calabar and the Gijuwie Medical Diagnostics, Calabar. A total of 50 image pairs were obtained on scanning with Aloe vera lotion (Image A) and commercial ultrasound gel (Image B) for comparison. Image quality was assessed using anatomical details (AD) and visualization of hyperechoic structures (VHS) as criteria. Results: A substantial agreement was seen among raters (A: k = 0.658, B = 0.691; P < .05) with acceptable level of consistency (Cronbach’s alpha scores of 0.701 and 0.825 for Aloe vera lotion and commercial gel, respectively) based on AD. Images recommended as acceptable by raters was 91.7% for Aloe vera lotion and 81.7% for commercial gel. Both methods demonstrated almost perfect agreement (kappa > 80; P < .05) with each other based on AD and VHS (Table 3). Conclusion: Aloe vera lotion, which is locally available and relatively affordable, has the potential to be used as acoustic coupling medium in diagnostic sonography.

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