Browsing by Author "Raji, H.O"

Now showing 1 - 5 of 5
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    Analysis of presentations and outcomes of care of children with disorders of sexual development in a Nigerian Hospital
    (Elsevier Inc, 2019) Nasir, A.A; Abdur-Rahaman, L.O; Omotayo, O.A; Bamigbola, K.I; Adegboye, M.B; Raji, H.O; Adesiyun, A.M; Adeniran, J.O
    Study Objective: To describe the presentation, diagnosis, management, and short-term outcome of children with disorders of sexual development (DSD) in the context of multidisciplinary team care. Design: Prospective descriptive study. Setting: University Teaching Hospital. Participants: All children who presented with genital ambiguity. Interventions and Main Outcome Measures: Records of all patients diagnosed and managed for DSD between January 2011 and December 2016 were reviewed. The care pathway included clinical, laboratory, internal genitalia evaluation, and panel (including parents) meeting. Results: Fifteen children presented with DSD at a median age of 20 months. Only 5/15 (33.3%) presented in the neonatal period. Ten of fifteen patients (66.7%) presented with genital ambiguity. Ovotesticular DSD was the most common diagnosis (9/15; 60%). Seven of the patients were genetically female (46, XX), 1 was genetically male (46, XY) and 1 without genetic diagnosis. Six patients were assigned male gender and they underwent male genitoplasty. Five of them had excision of M€ullerian structures with gonadectomy. Three of fifteen patients (20%) were diagnosed as 46, XX DSD, at a median age of 7 years. All of them were due to congenital adrenal hyperplasia and underwent female genitoplasty. Two patients were diagnosed as XY, DSD. They were both raised as female at presentation and were reassigned male sex. Both had urethroplasty done. Four patients had postoperative urethrocutaneous fistula and 1 had partial wound dehiscence. The median follow-up period was 21 months (interquartile range, 2-26 months). Conclusion: The frequency of ovotesticular DSD is high in our setting. The decision of sex assignment was finally made at a median age of 7.5 months in most of our patients with satisfactory short-term surgical outcome.
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    Assessment of Expectation, Knowledge and Adjustment Behaviours of Menopausal Women, North Central Nigeria
    (The Tropical Journal of Health Sciences., 2011) Saka, M. J; Akamde, T.M; Saka, A.O; Odusolu, P.O; Olatinwo, A.W.O; Jimoh, A.A.G; Raji, H.O
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    Comparative Assessment of Health Workers Performance and The Per-formance Factors at Primary, Secondary and Tertiary Hospitals in Kwara State, Nigeria
    (The Tropical Journal of Health Sciences. CHS Unilorin, 2018) Saka, M.J; Akande, T.M; Olarinoye, A.O; Raji, H.O; Saka, A.O
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    Survey of Current Practice of Labour Analgesia among Obstetricians in Nigeria: Implications for pain-free Labour Initiative
    (by College of Medicine and Allied Health Sciences, University of Sierra Leone., 2016-12) Raji, H.O; Suleiman, Z.A; Ijaiya, M; Abdul, I.F; Saka, M.J; Adebara, I; Adegboye, M.B
    Labour pain has been described as the worst possible pain known to mankind. It is more excruciating than cancer pain, phantom pain or toothache. Failure to relieve pain of any cause has been regarded as a violation of fundamental human rights. This study aimed to evaluate the current obstetrics analgesia practice among physicians in Nigeria, identify constraints to the practice and recommend solutions to improve the provision of such service to parturients. This descriptive cross-sectional questionnaire-based study on the availability and practice of intra-partum analgesia services was conducted among practitioners at the Departments of Obstetrics and Gynecology of 3 tertiary health institutions located in 3 of the 6 geopolitical zones of Nigeria. Of the 120 questionnaires distributed to the participants, 81 (67.5%) of the respondents returned completed questionnaires. The age range of the respondents was 25-44 years with a mean age of 30.8 and a male to female ratio (M: F) of 1.7: 1. Majority of the respondents, 76 (93.8%) believed that intra-partum analgesia was important, epidural analgesia was the most known method of intra-partum analgesia by 86.4% of the participants and epidural analgesia was the most preferred, 61.7% of respondents. Majority of respondents, 66 (81.5%), did not have an institutional policy or protocol on intra-partum analgesia. Doctors working in the same centre responded differently to the questions in the distributed questionnaires; and this is suggestive of lack of departmental harmonisation of clinical practice in the form of Standard Operating Protocol on intrapartum analgesia. Although there is a high level of knowledge of intrapartum analgesia among physicians, inconsistencies in its practice exist within and between tertiary hospitals in Nigeria. Notable absence of institutional policies on intra-partum analgesia at the practice facilities of the respondents was also observed.
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    The therapeutic value of adjustment practices and coping with grandchildren for menopausal women in Nigeria
    (Publication of Gender and Behavior., 2011) Saka, M. J; Saka, A.O; Latinwo, A.W.O; Raji, H.O