Browsing by Author "Bojuwoye, M.O."
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Item Accuracy of The Clinical Diagnosis of Heart Failure Among General Practitioners in a Resource-Constrained Setting.(World Heart Federation, 2018) OGUNMODEDE, James Ayodele; Kolo, P.M.; Katibi, I.A.; Adekeye, K.A.; Bojuwoye, M.O.; Omotoso, A.B.; Aderibigbe, AAccurate and early diagnosis of Heart failure (HF) is imperative for effective treatment to reduce mortality especially in a resource constrained setting. Very frequently , the first diagnosis and indeed subsequent management of HF is done by general practitioners The objective was to determine the accuracy of the clinical skill of GPS practising in Nigeria in making a correct diagnosis of HF using echocardiography as the gold standardItem Characteristics of patients with acute heart failure in North Central Nigeria.(College of Health Sciences, Osun state University, Osogbo., 2021) Ogunmodede, James Ayodele; Kolo, P.M.; Bojuwoye, M.O.; Dele-Ojo, B.F; Ogunmodede, A.J.; Kolo, P,M., Omotoso, A.B.O.Objectives: Heart failure (HF) is an important cause of hospital admission in Nigeria. HF is increasingly prevalent because the population is aging and HF epidemiology is changing. We aimed at profiling the socio-demographic, clinical and echocardiographic (Echo) characteristics of patients admitted for acute HF. This is one of the largest cohorts of HF patients profiled in Nigeria so far. Methods: Cross sectional design. Socio-demographic, clinical and Echo data were collected from 455 patients admitted for AHF at University of Ilorin Teaching Hospital, North central, Nigeria. Results: Mean age of patients was 58.9± 15.7years, (men were older than women, P= 0.006). 265(58.2%) were males, most patients were aged >60 years, 4.8% had pre-existing Type2 Diabetes mellitus. 53.2% of patients presented in New York Heart Association StagesIII and IV. Median duration of admission was 11days (IQR, 6-17), intrahospital mortality- 11.6%. Hypertension was the commonest aetiological factor (62.4%), followed by dilated cardiomyopathy 17.6%, rheumatic heart disease (6.6%), Peripartum cardiomyopathy (5.3%), and others. Conclusion: AHF patients in our study are older than those in previous studies in Nigeria and sub-Saharan Africa. Hypertension is main driver of AHF, and patients largely present with clinically advanced disease necessitating stronger public health education about risk factors and early presentation.Item Clinicopathological Review of Colonic Polyps in a Tertiary Hospital in North Central Nigeria.(Faculty of Medicine, Omdurman Islamic University and the National Centre for Gastroenterology and Liver Diseases, Sudan., 2018) Bojuwoye, M.O.; Olokoba, A.B; Ogunmodede, James Ayodele; Agodirin, S.O., Ibrahim, O.O.K., Adeyeye, A.A., Bamidele, O.F., Ogunlaja, O.A., Okonkwo, K.C., Aliyu, A.M.Background: Colorectal polyps, especially adenomas, are known as precursors of colorectal carcinomas. This study was aimed at determining the prevalence and histopathologic characteristics of colonic polyps among Nigerians that underwent colonoscopy at the University of Ilorin Teaching Hospital, Ilorin, Nigeria. The authors also determined the polyp detection rate and adenoma detection rate. Materials and Methods: This was a hospital-based cross-sectional study of all colonoscopy examinations performed at the University of Ilorin Teaching Hospital, Ilorin from March 2013 to September 2017. The endoscopy register was reviewed, and patients’ biodata, indications for colonoscopy and colonoscopic findings were recorded on a proforma. The histopathologic reports of the polyps were also retrieved and their diagnosis confirmed. Results: A total of 289 patients had colonoscopy carried out on them. The age of the patients ranged from 14 to 90 years with a mean ±SD of 57.0 ± 15.3 years and a median age of 58 years. There were 178 (61.6%) males and 111 (38.4%) females giving a M:F ratio of 1.6:1. The indications for colonoscopy were rectal bleeding 124 (42.9%); suspected colorectal cancer 67 (23.2%); abdominal pain 22 (7.6%); chronic diarrhea 18 (6.2%); surveillance colonoscopy 12 (4.2%); constipation 11 (3.8%); change in bowel habit 9 (3.1%); occult bleeding 6 (2.1%); others 20 (6.9%). Endoscopic findings were normal findings 89 (30.8%); hemorrhoids 88 (30.4%); colonic polyps 50 (17.3%); diverticulosis 34 (11.8%); rectal cancer 29 (10.0%); colon cancer 24 (8.3%); colitis 19 (6.6%); others 13 (4.5%). The findings were not mutually exclusive. The diagnostic yield was 69.2%. The overall polyp detection rate was 17.3%. Of the 50 patients with polyps, 33 (66.0%) were males (p = 0.481). The adenoma detection rate was 4.8%. Conclusion: The authors conclude that their observed polyp detection rate is consistent with the estimated rates for Africa. Rectal bleeding and adenomatous polyps were the commonest presentation and histopathologic finding, respectively.Item Indirect victims of COVID-19: Effect of closure of the Medical Outpatient services on Non-COVID-19 patients(West African College Of Physicians, 2021) Ogunmodede, James Ayodele; Ogunmodede, A.J.; Bojuwoye, M.O.; Bello, A.H.; Buhari, O.I.N; Kolo, P.M.Background: In order to reduce COVID-19 transmission and protect healthcare workers, the outpatient departments (OPDs) in many hospitals worldwide were closed down in the early days of the pandemic. Patients being managed for chronic medical illnesses who subsequently suffered reduced access to healthcare have been described as “the patients left behind”. The study aimed at assessing the impact of the closure of the Medical OPD of the University of Ilorin Teaching Hospital (UITH) during the government-declared lockdown between March 23, 2020 and June 8, 2020 on the health and perceived well-being of patients with chronic medical illnesses. Methods: A cross-sectional study of 166 patients with chronic medical illnesses attending the MOPD in UITH. Results: Mean age of participants was 49.5±18.5 years, 82 (49.4%) were male, median duration of attending MOPD was 24months (IQR 12-36). 84 patients(50.6%) perceived a negative affectation of their well-being by the closure of MOPD. Being >50years was associated with a perception of negative affectation of well-being (P=0.02). 130 patients (78.2%) had clinic appointments that fell within the period under review. 61(69.3%) of the 88 patients who had medical complaints during the period could not reach a doctor and this was associated with a perception of negative affectation of their well being. The commonest action they took was to do nothing (27.9%), two (3.3%) resorted to herbal concoctions. 49 (29.9%) felt their complaints were urgent. Conclusions: Our study identifies that patients with chronic medical illness are potential victims of COVID-19 related disruption of healthcare services. Healthcare managers in Nigeria must develop alternatives such as telemedicine that sustain face-to-face medical interaction during eventualities.Item The Indirect victims of COVID-19: perception of non- COVID-19 patients about the effect of closure of the medical outpatient services on their health.(West African College Of Physicians, 2022) Ogunmodede, James Ayodele; Ogunmodede, A.J.; Dele-Ojo, B.F; Bello, A.H.; Bolarinwa, O.A.; Bojuwoye, M.O.; Yusuf, I.A.; Abiola, T.S; Olokoba, A.B.; Kolo, P.M.BACKGROUND: In order to reduce COVID-19 transmission and protect healthcare workers, the outpatient departments (OPDs) in many hospitals worldwide were closed down in the early days of the pandemic. Patients being managed for chronic medical illnesses who subsequently suffered reduced access to healthcare have been described as “the patients left behind”. AIM: The study aimed at assessing the impact of the closure of the Medical OPD in University of Ilorin Teaching Hospital (UITH) on the health and perceived well-being of patients with chronic medical illnesses. METHODS: A cross-sectional study of 180 patients with chronic medical illnesses attending the MOPD in UITH. RESULTS: Mean age of participants was 50.2±18.2years, 92 (51.1%) were male, median duration of attending MOPD was 21 months (IQR 12-36). 92 patients (51.1%) perceived a negative affectation of their well-being by the closure of MOPD. Being >50 years was associated with a perception of negative affectation of well-being (P=0.042). 140 patients (77.8%) had clinic appointments that fell within the period under review. 67(69.3%) of the 97 patients who had medical complaints during the period could not reach a doctor and this was associated with a perception of negative affectation of their wellbeing. The commonest action they took was to do nothing (28.3%), three (4.5%) resorted to herbal concoctions. 19 (29.9%) felt their complaints were urgent. CONCLUSION: Our study identifies that patients with chronic medical illness are potential victims of COVID-19 related disruption of healthcare services. Healthcare managers in Nigeria must develop alternatives such as telemedicine that sustain face-to-face medical interaction during eventualities.Item Self-reported symptoms of uninvestigated dyspepsia among university staff in Ilorin, Nigeria(College of Health Sciences, Osun state University, Osogbo., 2016) Ogunmodede, James Ayodele; Bojuwoye, M.O.; Olokoba, A.B.; Bolarinwa, O.A.; Kolo, P.M.Objectives: Dyspepsia is a common gastrointestinal (GI) symptom which impacts negatively on quality of life, workplace efficiency and overall productivity. Many studies on dyspepsia in our environment are hospital based, but being a complaint frequently treated first by self-medication before presentation to the hospital, such studies may underestimate its prevalence. The objective of the study was to determine the prevalence of the dyspepsia and its associated factors among administrative staff of the College of Health Sciences, University of Ilorin, Nigeria. Methods: This was a cross-sectional study. Pretested structured, close-ended, interviewer-administered questionnaires were administered to 53 administrative staff selected across the different units by stratified random sampling. The questionnaire obtained information about subject's experiences of dyspeptic symptoms and presence of associated factors such as family history, non-steroidal anti-inflammatory drugs (NSAIDS), tobacco and alcohol use, and presence of diabetes mellitus (DM). Results: The prevalence of uninvestigated dyspepsia among the respondents was 37.5%. Age was significantly predictive of the occurrence of dyspepsia among the subjects Odds Ratio- 1.46, 95% Confidence Interval (1.042-2.045) P=0.03. Use of NSAIDS, presence of DM, family history and tobacco use were not predictive of occurrence of dyspepsia. Conclusion: The prevalence of dyspepsia is high among respondents in the study.