Browsing by Author "Ogunlaja, Olumuyiwa Ayotunde"
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Item A clinicopathological review of colonic polyps in a tertiary Hospital in North Central Nigeria(Faculty of Medicine, Omdurman Islamic University, 2018) Bojuwoye, Matthew Olumuyiwa; Olokoba, Abdulfatai Bamidele; Ogunmodede, James Ayodele; Agodirin, Sulaiman Olayide; Ibrahim, Olatunde O. Kazeem; Adeyeye, Ademola A; Bamidele, Opeyemi F; Ogunlaja, Olumuyiwa Ayotunde; Okonkwo, Kenechukwu C; Aliyu, Aminu MansaBackground: 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 March2013 to September2017. 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 58years. 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 bleeding124(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, respectivelyItem A survey on the knowledge, attitude and acceptance of male sterilzation among men in Ogbomoso, South West Nigeria(College of Health Sciences, Osun State University, 2017) Ogunlaja, Olumuyiwa Ayotunde; Akinola, S.E; Aworinde, O.O; Ogunlaja, Idowu Pauline; Bojuwoye, Matthew OlumuyiwaBackground: Traditionally, majority of the family planning services and campaigns focus on women without much consideration given to their male partners. In our society, there is bias, myth and misconception about vasectomy, this has resulted in a significant reduction in the willingness of men to seek vasectomy as a means of family planning. This study aims to identify the level of awareness and acceptance of male sterilization among men in Ogbomoso, south west Nigeria. Methods: This study was a cross sectional survey carried out among men in Ogbomoso, participation was voluntary and three hundred men had the questionnaires complete and suitable for analysis. Result: This study revealed a high level of awareness of family planning methods among men in Ogbomoso. However, less than half of these men agreed that men should be involved in family planning despite a higher number of the respondents being aware of vasectomy as a means of contraception. The common reasons for not accepting of vasectomy varied from preference for other methods of contraception, cultural taboos, religious sentiments, similarity to castration , fear for surgery and surgical complications. Conclusion: Renewed effort has to be made which will be aimed at improving the level of information about vasectomy in the public domain especially by the media and health care workers. This effort should also be targeted at religious organizations, clerics and traditional institutions this is because most of these misconceptions have deep rooted religious and cultural sentiments. This can also be achieved by ensuring synergy between government, non governmental organizations, advocacy groups, traditional and religious rulers.Item Barriers to Placenta Donation for Bio-Medical Reasearch Purposes Among Pregnant Women in a Tertiary Health Institution in Nigeria.(College of Health Sciences, University of Ilorin, Ilorin, 2021) Ogunlaja, Olumuyiwa Ayotunde; Aina, A.S.; Ogunlaja, Idowu Pauline; Aina, I; Abiola, Olajide Olusegun; Bojuwoye, Matthew Olumuyiwa; Olasinde, Yetunde T; Bakare, Y.T; Ajari, O.OItem Familial adenomatous polyposis syndrome with colorectal cancer in two Nigerians: a report of two cases and review of literature(African field epidemiology network (AFENET), 2018) Bojuwoye, Matthew Olumuyiwa; Olokoba, Abdulfatai Bamidele; Ogunlaja, Olumuyiwa Ayotunde; Agodirin, Sulaiman Olayide; Ibrahim, Olatunde O. Kazeem; Okonkwo, Kenechukwu C; Aliyu, Aminu MansaFamilial adenomatous polyposis syndrome is a rare condition characterized by the presence of numerous adenomatous polyps in the gastrointestinal tract and associated with risk for colorectal cancer. The disease is scarcely reported in Nigeria and this is the index report in Ilorin. Two cases were clinically diagnosed in our facility. They both presented with gastrointestinal bleeding and numerous rectal and colonic polyps were identified at colonoscopy. Histological examination of the polyps in both cases revealed features in keeping with adenomatous polyps. This report highlights the occurrence of this precancerous condition.Item From traditional birth attendants to hospital: a maternal near-miss(South Sudan Doctors’ Association, 2017) Ogunlaja, Olumuyiwa Ayotunde; Fehintola, A.O., Ogunlaja, I.P., Idowu, A., Abiola, O.O. & Bojuwoye, M.O.; Ogunlaja, Idowu Pauline; Idowu, Ajibola; Abiola, O.O.; Bojuwoye, Matthew OlumuyiwaItem Intestinal Parasitosis Among Food Handlers in a Tertiary Hospital in North Central Nigeria(Rwanda Biomedical Center/Rwanda Health Communication Center, Rwanda, 2020) Bojuwoye, Matthew Olumuyiwa; Fadeyi, Abayomi; Nyamngee, Amase; Fasiku, Mojirola Martina; Ogunlaja, Olumuyiwa Ayotunde; Akanbi II, A. ABACKGROUND: Food borne diseases (FBD), such as intestinal parasitosis, remain a major public health issue across the globe, especially in developing countries. The entire hospital community is at risk of acquiring these diseases from food handlers (FHs) in hospitals. Hospitalized patients are particularly at risk primarily due to compromised immunity. OBJECTIVES: This study determined the carriage rate of intestinal parasites and assessed the socio-demographic factors associated with carriage among FHs in a tertiary hospital in Nigeria. METHODS: A cross-sectional study that involved screening of all FHs in the hospital for intestinal parasites was conducted from May 2018 to June 2018. Finger swabs and fresh stool specimens of the FHs were collected and examined for intestinal parasites following standard microbiological techniques. The socio-demographic characteristics of the FHs were also obtained using structured questionnaires specifically designed for the study. RESULTS: Of the 81 FHs studied, 9 (11.1%) were positive for different types of intestinal parasites. Entamoeba histolytica (33.3%) and hookworms (33.3%) were the most common intestinal parasites, followed by Taenia spp. (22.2%) and Ascaris lumbricoides (11.2%). All intestinal parasites were detected in stool specimens with none recovered from the finger swabs. The educational level of the FHs was significantly associated with intestinal parasitosis (p=0.047). CONCLUSION: FHs in this study are carriers of intestinal parasites and their level of education is significantly associated with intestinal parasitosis. Periodic screening and eradication therapy for infested FHs are recommended to avoid outbreaks of FBD in hospitals.Item Knowledge and Uptake of Human Papilloma Virus Vaccine for Prevention of Cervical Cancer Among Secondary School Females in Ogbomoso, South West Nigeria(College of Health Sciences, University of Ilorin, Ilorin, 2018-01) Ogunlaja, Olumuyiwa Ayotunde; Akinola, S.E; Aworinde, O.O; Ogunlaja, Idowu Pauline; Bojuwoye, Matthew OlumuyiwaItem Knowledge and Uptake of Human Papilloma Virus Vaccine for Prevention of Cervical Cancer Among Secondary School Females in Ogbomoso, South West Nigeria.(College of Health Sciences, University of Ilorin, Ilorin, 2018-01) Ogunlaja, Olumuyiwa Ayotunde; Akinola, S.E.; Aworinde, O.O.; Ogunlaja, Idowu Pauline; Bojuwoye, Matthew OlumuyiwaItem Myomatous erythrocytosis syndrome: a case report in Ogbomoso, Southwest Nigeria(Sudan Medical Association, 2017) Ogunlaja, Olumuyiwa Ayotunde; Fehintola, A.O.; Ano-Edward, G.H.; Aworinde, K.F.; Abiola, O.O.; Ogunlaja, Idowu Pauline; Bojuwoye, Matthew OlumuyiwaItem PREVALENCE OF HEPATITIS B VIRUS INFECTION AMONGST PATURIENTS IN THE UNIVERSITY OF ILORIN TEACHING HOSPITAL(The Society of Gastroenterology and Hepatology in Nigeria (SOGHIN), 2015-06) Ogunlaja, Olumuyiwa Ayotunde; Bojuwoye, Matthew Olumuyiwa; Fawole, Adegboyega Adisa; Adesina, A.K.; Olawumi, H.O.; Ogulaja, Idowu PaulineBackground: Hepatitis B virus (HBV) infection is endemic in Nigeria and indeed the whole of Sub-Saharan Africa. The Society of Gastroenterology and Hepatology in Nigeria (SOGHIN) recommends HBV screening for all Nigerians to pave way for early detection and treatment of the infection in those who are infected and prevention of infection in individuals who are free of the infection via immunization. Identifying seropositive paturients and taking steps to deter vertical transmission are important preventive strategies. This study, therefore, sought to determine the seroprevalence rate of HBV infection among paturients seen at a tertiary hospital in Ilorin. Patients and Methods: This was a prospective observational study of pregnant women seen between September 1 to December 31, 2012 at the Ante-natal clinic of the Department of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital (UITH), Ilorin. Demographic information, relevant medical information and blood samples for screening were taken from all booked and unbooked pregnant women after obtaining informed consent. The serologic test done was a qualitative one using immunochromatographic test strips to screen for the presence of Hepatitis B surface antigen (HBsAg) in the sera of the study subjects. Results: A total number of 237 pregnant women were enrolled into this study during the study period (mean age 31.2 ± 3.4 years). Thirty (12.7%) of the study subjects had positive test results to the presence of HBsAg in their sera. Hence, the HBV seroprevalence rate in this study was 12.7%. Conclusion and recommendations: This study has shown a high HBV seroprevalence rate of 12.7% among pregnant women seen at UITH. It is our recommendation, therefore, that HBV screening be included among the routine antenatal investigations for all pregnant women in UITH and the community at large.Item Prevalence Of Human Immunodeficiency Virus & Hepatitis B Virus Co-Infection In A Population Of Apparently Healthy Pregnant Women In University Of Ilorin Teaching Hospital, Ilorin(College of Health Sciences, University of Ilorin, Ilorin, 2016-01) Ogunlaja, Olumuyiwa Ayotunde; Fawole, Adegboyega Adisa; Bojuwoye, Matthew Olumuyiwa; Idowu, Ajibola; Ogunlaja, Idowu PaulineItem The knowledge and attitude of students of a Nigerian tertiary institution about peptic ulcer disease(College of Health Sciences, Osun State University, Osun State, 2021) Bojuwoye, Matthew Olumuyiwa; Ogunmodede, James Ayodele; Ogunlaja, Olumuyiwa Ayotunde; Fasiku, Mojirola Martina; Oyeleke, Ganiyat Kikelomo; Olokoba, Abdulfatai BamideleObjectives: This study was aimed at assessing the knowledge and attitude of students of a tertiary institution in North-Central Nigeria about peptic ulcer disease (PUD) Methodology: Three hundred students of the Kwara State Polytechnic, Ilorin, were recruited using a multistage sampling method. A semi-structured questionnaire was used to obtain socio-demographic data and assess their knowledge about and attitude towards PUD. Results: Two hundred and thirty-four (78.0%) of respondents had heard about PUD before. Two hundred and fifty (83.3%) of the respondents thought PUD was a gastrointestinal disease whereas 40 (13.3%) thought it was a disease of the heart. Only one (0.3%) of the respondents knew Helicobacter pylori as a cause of PUD, and only 17.3% believed drugs could treat PUD. Students of Science-based courses were twice as likely as non-Science based students to have had a prior knowledge of PUD (OR: 1.98, CI: 1.054 3.717, P=0.034). Conclusion: Though majority of respondents had heard about PUD, their knowledge of its aetiology, symptoms and treatment was poor. This reflects the need to strengthen public health education about PUD because of its potential for causing morbidity and mortalityItem Ultrasound estimation of amniotic fluid and perinatal outcome in normotensive and pre-eclamptics at term in a Nigerian tertiary hospital(School of Medicine and Health Sciences, University for Development Studies, Tamale, Ghana, 2015) Ogunlaja, Olumuyiwa Ayotunde; Fawole, Adegboyega Adisa; Adeniran, A. S; Adesina, Kikelomo T; Akande, H. J.; Ogunlaja, Idowu Pauline; Bojuwoye, Matthew Olumuyiwa; Idowu, AjibolaPre-eclampsia is a subtype of hypertensive disorder in pregnancy which is described as a disorder of widespread vascular endothelial malfunction and vasospasm that manifest clinically after 20 weeks gestation and can present as late as 4-6 weeks postpartum. However, the focus in modern obstetric care is on reduction of maternal and perinatal morbidity and mortality through preventive strategies. The objective of this study was to determine the usefulness of ultrasound scan measurement of the amniotic fluid indices in determining perinatal outcome in normotensive and preeclamptic paturients at term. This was an observational study involving 120 consenting preeclamptics and 120 normotensive women. An analysis of the measures of perinatal outcome in this study revealed a statistical significant difference when meconium stained liquor, route of delivery, fetal outcome and birth weight in pre-eclamptic women were compared with those of normotensive women. Ultrasound estimation of amniotic fluid in pre-eclamptic and normotensive paturients has been found to be useful in the management of these patients with the aim of improving perinatal outcome. Hence, there may be a need to include this in the protocol of management; however, randomized control trials will be needed to further justify the finding of this recommendation.Item Venous thromboprophylaxis risk assessment amongst gynaecological patients in a tertiary health institution, south west Nigeria(Nigerian Medical Association Enugu State, 2020) Ogunlaja, Olumuyiwa Ayotunde; Abolarin, Ademola; Ogunlaja, Idowu Pauline; Aworinde, Olufemi; Olasinde, Yetunde; Akinola, Samuel; Bojuwoye, Matthew OlumuyiwaVenous Thromboembolism (VTE), is a major health concern that has continued to pose a challenge to clinicians. It is a major cause of morbidity and mortality in our environment. In recent years there has been renewed attention on the need for thromboprophylaxis to prevent VTE and its consequences. This is a prospective study carried out on the gynaecological in patients of Bowen University Teaching Hospital, Ogbomoso. This study involved the use of a questionnaire with the details of the Caprini score in assessing patients. Our study revealed that 83 (58.5%) patients had low risk for VTE while 55 (38.7%) had moderate risk for VTE. Only 4 (2.8%) of participants had a high risk for VTE and none of the gynaecological patients could be classified as very low risk according to the Caprini index. There is a need to train and retrain health care givers on the importance of thromboprophylaxis. This training should include the development of local protocols similar to international guidelines meeting the local needs, this will go a long way to ensure it is user friendly to healthcare workers.