Browsing by Author "Bello, S.O."
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Item Aetiology and outcome of childhood heart failure in an emergency paediatric unit in North Central Nigeria(Port Harcourt Medical Journal, 2017) Abdulkadir, Mohammed Baba; Bello, S.O.; Oladele, D.P.; Owolabi, Bilkis; Suberu, Habibat Dirisu; Adeoye, Peter Oladaposignificantly to mortality amongst children. Objective: The study aims to describe the burden of heart failure in an emergency paediatric unit (EPU), its causes and the outcome. Methods: This is a retrospective review of admissions into the EPU over a 24‑month period from May 2013 to April 2015. Children aged 1 month to 14 years who met the case definition for heart failure were recruited. Unit registers and hospital folders were reviewed, and data on age, sex, aetiology of heart failure, and outcome were extracted and recorded. Results: Two hundred and ninety‑one (12.5%, 95% confidence interval: 11.3–14.0) of the 2321 medical admissions over the study period had heart failure. Majority (75.6%) of the children were aged < 5 years and 164 (56.4%) were male. The common causes of heart failure were severe anaemia (66.7%), acute lower respiratory infections (21.3%), congenital disease (8.3%) and acquired heart disease (3.8%). The case fatality rate for heart failure was 5.8% (17 deaths) with majority (64.7%) of the deaths resulting from severe anaemia. Conclusion: Heart failure is a common contributor to morbidity and mortality in this environment, and the causes are largely preventable. Aggressive management of these cases may result in an improved outcome.Item The Burden of Under-Nutrition Among School Aged Children In Ilorin North Central Nigeria.(East African Medical Journal. Published by Nairobi Medical Association of East Africa, 2018) Bello, S.O.; Saka, A.O; Adeboye, M.A.N.; Ojuawo, AItem 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 Serum brain natriuretic peptide in healthy Nigerian newborn babies(Paediatric Association of Nigeria, 2021) Issa, A; Abdulkadir, Mohammed Baba; Adesiyun, O.O.; Owolabi, B; Bello, S.O.; Bakare, R.R.Background: Brain natriuretic peptide (BNP) is a sensitive biomarker that is valuable in the management of childhood heart failure. Studies have reported racial differences in the level of BNP, especially in the adult population. The level of BNP in healthy Nigerian newborn babies is unknown. Hence, we determined the level of BNP in healthy term appropriate for gestational age (AGA) newborn babies. Methods: This was a cross- sectional study,85 healthy term AGA newborn babies aged 24 to 72 hours. The babies had relevant demographic parameters docu mented in a proforma and BNP assay analysed using ELISA method. Results: The median IQR serum BNP level was 341.43 (313.39 to 425.45) pg/ml. The median level in females, was higher than males, {393.86 (296.97- 460.62) pg/ml vs328.05 (313.61-389.39) pg/ml, p >0.05}.There was no significant relationship between serum BNP and birth weight, chronological age, gestational age, or mode of delivery (p>0.05 in each case). Conclusion: The study demonstrated high BNP levels in healthy term Nigerian newborns. There was no relationship between BNP, the chronological age, birth weight, gender, gestational age or mode of delivery in babies between 24 to 72 hours of life