Browsing by Author "Adegboye, O. A."
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Item Intelligence Quotient of Neurologically Impaired Children Attending Neurology Clinic in a Nigerian Tertiary Institution.(College of Medicine and Allied Health Sciences, University of Sierra Leone, 2018-01) Adeboye, M. A. N.; Katibi, O. S.; Adegboye, O. A.; Ojuawo, A.; Afolabi, J. K.; Buhari, O. I. N.; Adegunloye, O. A.; Bello, S. O.; Omefa, P. N.; Abdulazeez, T. A.Background: The need to identify the intellectual capability of Neurologically impaired children dictates their educability which can be estimated through their intelligence quotient (IQ). Draw-a-man test for IQ estimation is available, easy and has been validated in Nigeria. Method: Through a prospective, cross-sectional study that lasted 12 months (January-December, 2011), children aged 4 years and above attending neurology clinic were recruited once they have no severe motor or sensory limitations affecting their upper limbs, and can obey instruction to draw a person. Anthropometry was carried out on them and they were comfortably seated to draw a person. The parents or care givers were instructed not to make any suggestion or hint to them and no time limit was given. Their drawings were assessed using the 52 parameters of Ziler and interpreted accordingly. Ethical procedures were adhered to. Analysis was done using SPSS version 16 and an interactive calculation tool for chi-square tests of goodness of fit and independence. Results: Seventy-five (45 male, 30 female) children met the inclusion criteria. Their clinical conditions were Epilepsy 48 (64%), Cerebral Palsy 6 (8%), ADHD 5 (6.7%), Down Syndrome 4 (5.3%), Speech/Hearing impairment 3 (4.0%), Hypothyroidism 2 (2.7%) and 7 (9.3%) others. Their ages ranged from 4 years to 16 years (mean±SD = 9.7± 3.8 years). Their IQ distribution were Normal 4 (5.3%), Borderline 12 (16.0%), Mild Mental Retardation 16 (21.3%), Moderate Mental Retardation 19 (25.3%), Severe and Profound Mental Retardation 24 (32.0%) with no significant difference in relation to their birth order. Conclusions: Ninety-six percent of the study population had IQ below normal. Epilepsy was the commonest condition seen in the Paediatric Neurology clinic and all categories of IQ are seen among children with epilepsy.Item INTELLIGENCE QUOTIENT OF NEUROLOGICALLY IMPAIRED CHILDREN ATTENDING NEUROLOGY CLINIC IN A NIGERIAN TERTIARY INSTITUTION.(College of Medicine and Allied Health Sciences, University of Sierra Leone, 2018) Adeboye, M.A.N.; Katibi, O.S.; Adegboye, O. A.; Ojuawo, A.; Afolabi, J.K.; Buhari, O.I.N.; Adegunloye, O. A.; Bello, S.O.; Omefe, P. N.; Abdulazeez, T.A.Background: The need to identify the intellectual capability of Neurologically impaired children dictates their educability which can be estimated through their intelligence quotient (IQ). Draw-a-man test for IQ estimation is available, easy and has been validated in Nigeria. Method: Through a prospective, cross-sectional study that lasted 12 months (January-December, 2011), children aged 4 years and above attending neurology clinic were recruited once they have no severe motor or sensory limitations affecting their upper limbs, and can obey instruction to draw a person. Anthropometry was carried out on them and they were comfortably seated to draw a person. The parents or care givers were instructed not to make any suggestion or hint to them and no time limit was given. Their drawings were assessed using the 52 parameters of Ziler and interpreted accordingly. Ethical procedures were adhered to. Analysis was done using SPSS version 16 and an interactive calculation tool for chi-square tests of goodness of fit and independence. Results: Seventy-five (45 male, 30 female) children met the inclusion criteria. Their clinical conditions were Epilepsy 48 (64%), Cerebral Palsy 6 (8%), ADHD 5 (6.7%), Down Syndrome 4 (5.3%), Speech/Hearing impairment 3 (4.0%), Hypothyroidism 2 (2.7%) and 7 (9.3%) others. Their ages ranged from 4 years to 16 years (mean±SD = 9.7± 3.8 years). Their IQ distribution were Normal 4 (5.3%), Borderline 12 (16.0%), Mild Mental Retardation 16 (21.3%), Moderate Mental Retardation 19 (25.3%), Severe and Profound Mental Retardation 24 (32.0%) with no significant difference in relation to their birth order. Conclusions: Ninety-six percent of the study population had IQ below normal. Epilepsy was the commonest condition seen in the Paediatric Neurology clinic and all categories of IQ are seen among children with epilepsy.Item Massive subgalealhaematoma in 5-year-old child(Niger J Paed Published by the Paediatric Association of Nigeria., 2013) Adeboye, A.A. M.A.N. :; Adegboye, O. A.; Yusuf, A.S.; Saka, A.O.; Akintola, M.A.; Ayeni, A.S.; Adebayo, A.B.; Olorunsola, S S.; Buhari, T T.Item Measles in a Tertiary Institution in Bida, Niger state, Nigeria- Prevalence, Immunization Status and Mortality Pattern.(Oman Medical Specialty Board, Oman, 2011) Adeboye, M. A. N.; Adesiyun, O. O.; Adegboye, O. A.; Eze, E. C.; Abubakar, U.; Ahmed, G.; Abdullahi, U.; Solomon, A.; Rotimi, B. F.Objectives: Measles is a highly infectious immunizable disease with potential for eradication but is still responsible for high mortality among children, particularly in developing nations like Nigeria. This study aims to determine the hospital based prevalence of measles, describe the vaccination status of children managed for measles at the Federal Medical Centre, Bida, Niger state and to identify the parental disposition to measles vaccination. Methods: This is a cross-sectional study carried out over a period of 18 months beginning from July 2007. All children with a diagnosis of measles made clinically and reinforced with serological test in the WHO Measles, Rubella and Yellow Fever laboratory in Maitama District Hospital, Abuja were recruited. Informed consent was obtained from the parents/care givers. Structured questionnaire was used to obtain information and data analysis was by SPSS version 15. Results: One hundred and nine children were managed for measles, constituting 8% of total admission over the study period. The male to female ratio was 1.2:1. Of the 109 children with measles, 90 (82%) did not receive measles vaccination. Eighty-eight (80%) of the parents or guardian felt vaccination was bad for various reasons. Of the 23 (21.1%) children whose parents or guardians were positively disposed to vaccination, one death was recorded while the remaining seven deaths were recorded among children whose parents were negatively disposed to vaccination. All the deaths were in the non-vaccinated group below 2 years of age. Conclusion: Measles is still a major health burden in our community. The majority of affected children were not vaccinated due to negative parental disposition. Continuous health education is required for change the disposition of the parents/guardian and improve vaccination coverage to minimize measles associated morbidity and mortality.Item A Prospective Study of Spectrum, Risk Factors and Immediate Outcome of Congenital Anomalies in Bida, North Central Nigeria.(Department of Pediatrics, College of Health Sciences, University of Ilorin Teaching Hospital, 2017) Adeboye, M. A. N.; Abdulkadir, M. B.; Adegboye, O. A.; Saka, A. O.; Oladele, P. D.; Oladele, D. M.; Eze, E. C.; Adeyemi, O. O.; Abubakar, U.; Grace, A.; Rotimi, B. F.Background: Congenital disorders are structural, metabolic, behavioral and functional disorders that are present at birth. Their manifestations are protean ranging from mild anomalies to life‑threatening conditions. Aim: The objectives of this study were to describe the congenital anomalies in children seen at Federal Medical Center, Bida over a 12 month period, determine possible factors associated with these anomalies; and their short term outcome. Subjects and Methods: Children with clinically recognized congenital malformations were recruited consecutively over a 12 month period and socio‑demographic, etiologic and other relevant clinical data were obtained. A detailed examination was also performed and abnormalities documented. The data was analyzed using Epi‑info version 6 (Atlanta, USA). The Chi‑square was used to identify significant differences for categorical variables. Mid‑P and Fisher’s exact tests were utilized as appropriate. A P < 0.05 was considered to be significant. Results: A total of 46 children with congenital anomalies were seen during the study period, all which were recruited into the study. The hospital based prevalence amongst neonates was 111/1000 neonates. The most common system affected was the digestive system (50.0%) followed by the central nervous system and head and neck anomalies. There was no significant difference in distribution of anomalies amongst the various ethnic groups. About 22% of families were consanguineous, all being first cousins and 8.7% of mothers were greater than 35 years of age. The case fatality rate for congenital malformations was 2.2%, while 60.9% were referred to other hospitals for further care. Conclusion: The study has demonstrated a wide variety of congenital anomalies in Bida, North‑Central Nigeria with the digestive system anomalies being the most frequent. The findings of this study strengthen the need for empowerment of the institution in appropriate management of these disorders.Item Suspected Child abuse of an infant to the point of death by the father-need for enforcing protection Acts for Nigerian children(by College of Health Sciences, University of Ilorin, Ilorin, Nigeria, 2017) Adeboye, M. A. N.; Gobir, A. A.; Ibrahim, O. K.; Adegboye, O. A.; Saka, A. O.; Ayeni, A. S.; Ahmad, M. B.Child abuse occurs when a parent or caregiver, whether through action or failing to act, causes injury, death, or risk of serious harm to a child. There are many forms of child maltreatment, including neglect, physical abuse, sexual abuse, exploitation, and emotional abuse. It is a common phenomenon that can be easily missed by the health workers, thus it has a potential of becoming perpetuated. Some are characterized by tell-tale signs that give the diagnosis away very easily while some are not. It is generally acceptable in several African cultural settings for a parent or caregiver to “discipline” his or her child or ward by spanking or by any other physical measures than 'spare the rod and spoil the child' Case of an eleven-month old female child who was assaulted by her father while 'disciplining her' with resultant fatal outcome was reviewed. A review of some of the United Nations Articles and Acts on protection of the child and the merits or otherwise in the context of our cultural practice are highlighted. An eleven-month old female child recuperating from a febrile illness was physically abused by her father with resultant massive subdural haemorrhage only discovered at post mortem. The child was killed probably by the rage and over reaction of the father in attempt to discipline her. Protection Articles and Acts in the Nigerian Constitution and indeed those of other developing countries should be emphasized and enforced, given better publicity to reduce the magnitude of child abuse.