Browsing by Author "Salaudeen, A.G."
Now showing 1 - 20 of 21
Results Per Page
Sort Options
Item Adherence to prescribed drug therapy among adult patients of General Out-Patient Department of a Tertiary Hospital in Nigeria(Research Journal of Health Sciences, 2018-06-30) Salaudeen, A.G.; Akande, T.M.; Ologe, M.; Odeigha, L.O.; Medubi, G.F.Background: The widespread problems of adherence to medication denied substantial number of patients the maximum benefits of medical treatment, resulting in poor health outcomes, lower quality of life and increased health care costs. The objective of this study was to determine the extent of drug adherence among patients seen in a tertiary hospital in Nigeria. Methods: The study was a descriptive cross-sectional survey carried out among 381 patients attending the General Out-Patient Department (GOPD) of a Teaching Hospital in Nigeria. Interviewer administered questionnaire was used as the research tool and case notes of the patients were used to obtain information on drug adherence. Results: About half of the patients 194 (50.9%) adhered fully with doctor's prescription on the use of drugs for diseases they presented to the hospital. More than three quarters (78.0%) of patients aged 56 years and above adhered fully with prescription compared with 11.1% in the age group 15-25 years. The older patients had better adherence to medication than the younger patients with a statistically significant difference (p = 0.001). Many of the patients with no formal education (69.0%) adhered fully with prescription compared with 28.6% with post secondary education p = 0.001. Conclusion: Health education intervention and active role of health care providers in patients'-provider communication towards addressing the determinants of non-adherence will play a major role in improving adherence to medicationItem Assessment of Knowledge and attitude towards family planning among selected religious leaders in Ogbomosho, Oyo; State.(College of Health Sciences, University of Ilorin, 2017) Salaudeen, A.G.; Osagbemi, G.K.; Omokanye, Lukman O.; Gobir, A.A.; Ahmed, A.; Musa, O.IItem Assisted Reproduction Technology: Comparison of Clinical outcomes between day 3 and day 5 embryo transfer(College of Medicine KLE University, Belgaum, India, 2018) Omokanye, Lukman O.; Saadu, L.O.; Olatinwo, Abdulwaheed O.; Biliaminu, S.A.; Durowade, K A.; Panti, Abubakar A.; Salaudeen, A.G.BACKGROUND: Embryo transfer (ET) is a critical step in in vitro fertilization (IVF). Selecting the day of transfer for achieving the desired outcomes has been a great challenge. AIMS AND OBJECTIVES: The aim of this study was to compare the pregnancy rates of day 3 and day 5 ET in assisted conception. MATERIALS AND METHODS: This is a longitudinal prospective study of 122 eligible patients that underwent assisted reproduction program in our facility. All patients had controlled ovarian hyperstimulation using antagonist protocol. Patients with four or more zygotes were randomly allocated on day 1 to either day 3 or 5 transfers (58 vs. 64 patients). Fertilization was achieved through conventional IVF. Zygotes were kept in a single‑step medium (Global total®) for day 3 and 5 transfers, respectively. The morphologically best two or three embryos or blastocysts were chosen for transfer in both groups. RESULTS: The overall clinical pregnancy and live birth rates for both groups were 40.2% and 33.6%. There was no statistically significant difference between day 3 and day 5 transfer regarding clinical pregnancy rates (36.2% vs. 43.8% [P = 0.51]), live birth rates (27.6% vs. 9.1% [P = 1.0]), twinning rates (18.8% vs. 20% [P = 1.0]), and rates of early pregnancy loss (8.6% versus 4.7% P = [0.2]). CONCLUSION: In this study, the clinical outcomes of blastocyst transfer are similar to day 3 ET. This underscores the need for patient selection for the choice of days of ET. Further controlled randomized prospective studies with larger sample sizes are recommended.Item Condom use among HIV sero-concordant couples attending a secondary health facility in North-Central Nigeria(Nigeria Journal of Basic and Clinical Sciences., 2013) Salaudeen, A.G.; Ojotule, A.; Durowade, K.A.; Musa, O.I O.I. & Saka, M.J.; Saka, M. JItem Condom use among people living with HIV/AIDS attending Abejukolo General Hospital in Kogi State, North Central Nigeria(Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria, 2014) Salaudeen, A.G.; Musa, O.I.; Ojotule, A.; Yusuf, A.S.; Durowade, K A.Background: Condom programming is an integral component in a range of HIV/AIDS prevention strategies and with repeated sexual contact among HIV‑discordant couples, 98‑100% of those who used latex condoms correctly and consistently did not become infected. The objective of this study is to determine condom use among people living with HIV/AIDS (PLWHA). Methods: This is a cross‑sectional survey carried out among 231 PLWHA and receiving care and treatment at General Hospital Abejukolo in Kogi State, Nigeria. The research instrument was interviewer‑administered questionnaire. The data obtained were analysed using EPI‑INFO version 3.4.1 software and P-value of < 0.05 was significant for the study. Results: About three‑quarters (70.6%) of the respondents had ever used condom. Reasons given by respondents who did not use condom were: Desire for children (39.7%), and reduction of sexual pleasure (17.7%) and partner preference. More than half (56.0%) of the respondents with multiple partners did not use condom. About half 119 (51.5%) have used condom in the last sexual encounter. Gender, literacy level and disclosure of HIV status to partners significantly influence condom use during sexual intercourse. Conclusion: The poor uptake of condom among PLWHA underscores the need for government and other stakeholders in the management of HIV/AIDS to provide more enlightenment opportunities to address the gaps in condom use and disclosure of HIV status to patients.Item Controlled ovarian stimulation protocols in assisted conception: agonist versus antagonist in normal responders(African Journal of Infertility and Assisted Conception, 2017) Omokanye, Lukman O.; Olatinwo, Abdulwaheed O.; Saadu, L.O.; Biliaminu, S.A.; Durowade, K A.; Panti, Abubakar A.; Salaudeen, A.G.Item Current Trend of Transfusion Transmissible Infections among Voluntary Blood Donors in North Central Nigeria(College of Health Sciences, University of Ilorin, 2021-07) Durotoye, I.A.; Salaudeen, A.G.; Sanni, E.O.; Durowade, K.A.; Babatunde, A.S.; Olawumi, H.O.; Akande, T.M.; Musa, I.O.Blood transfusion is an integral part of modem medicine which had saved many lives which would have been lost as a result of lack of blood. Although blood is needed for survival, it can also be a medium for the transmission of harmful infectious diseases. This study evaluated current trend of transfusion transmissible infections among voluntary blood donors in Nigeria. This was a descriptive community-based study involving 600 prospective voluntary blood donors among staff and students of 5 tertiary institutions in Kwara and Kogi States. Hepatitis B surface antigen and Hepatitis C antibodies were screened for using Hepatitis B Virus Surface Antigen Bio-Inteco ELISA KIT, and Anti-HCV Bio-Inteco ELISA KIT, respectively. Screening for HIV was done with Enzyme immunoassay method using Human Immunodeficiency Virus (HIV) 1+2 Antigen Antibody ELISA KIT, product of Bio-Inteco HIV Diagnostics, UK. Testing for Syphilis was carried out using Rapid Plasma Reagin (RRR) test. Statistical analysis was done with IBM SPSS version 20. Level of significance was set at p< 0.05 The mean age of the subjects was 21.98 ± 5.17 years. Two thirds of the prospective blood donors were within the second decade of life and more than half were males. The prevalence of Hepatitis B among subjects were 4.7%, Hepatitis C,0.2%, HIV 1% and Syphilis 0%. The prevalence of hepatitis B and HIV were relatively high compared to Hepatitis C and Syphilis among voluntary blood donors, although lower than the prevalence among general population in Nigeria. In order to improve on blood transfusion safety, there is a need to increase public awareness on vaccination for hepatitis B virus, Quality control of screening methods and rational use of Blood.Item Determinants of Utilization of Assisted Reproductive Technology services in Ilorin, Nigeria(Regional Institute of Medical Sciences, Imphal, India, 2017) Omokanye, Lukman O.; Olatinwo, Abdulwaheed O.; Durowade, K A.; Raji, H.O.; Raji, S.T.; Biliaminu, S.A.; Salaudeen, A.G.Background: Infertility is the most important reproductive health and social issue confronting married couples in developing countries. Assisted Reproductive Technology (ART) offer a chance at parenthood to couples, who until recently would have had no hope of having a “biologically related” child. Aims and Objectives: This study aimed at determining the factors influencing the utilization of ART services at a public health facility in Ilorin, Nigeria. Materials and Methods: A cross‑sectional descriptive study of consecutively consenting infertile couples seen at the ART unit of the Department of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital, Ilorin, between January 1, 2012, and December 31, 2015. Results: The patients aged 22–52 years with a mean age of 36.1 ± 6.6 years and mean duration of infertility of 7.3 ± 5.8 years. Majority (87.3%) was aware of ART services; only a few (15.6%) had ever used it. Most (63.3%) were of the opinion that ART is financially accessible. Reasons for nonutilization of ART were high cost (44.3%) and nonavailability (29.4%). Measures to enhance the utilization of ART were cost reduction (61.2%) and awareness creation (27.2%). Knowledge on ART practices showed that 56.7% were aware that the procedure could fail and 35.1% knew that it could address male infertility. Female partner age and parity had a significant influence on awareness and utilization of ART services. Conclusion: Awareness of ART services is high; however, utilization is abysmally low. Efforts should be made to make the procedure more affordable and accessible to the masses.Item The Determinants of Utilization of Insecticide Treated Nets Among Pregnant Women Attending Antenatal Clinic at University of Ilorin Teaching Hospital, Ilorin, Nigeria(Biomedical Science Direct Publication, 2012) Omokanye, Lukman O.; Saidu, R.; Olatinwo, Abdulwaheed O.; Jimoh, A.A.G.; Salaudeen, A.G.; Balogun, O.R; Ijaiya, M.A.; Panti, Abubakar A.Background and Objective: Malaria remains a disease of public health importance in the developing countries. The purpose of this study was to determine factors influencing the utilization of ITNs among pregnant women attending antenatal clinic at the UITH, Ilorin. Materials and Methods: This study was a cross-sectional survey of pregnant women carried out in the antenatal clinic of UITH. The subjects were selected at booking and administered questionnaire. Data were analyzed using Epi-Info software version 3.4.1 of computer. Results: The findings were that 85.2% knew about ITNs and 29.6% did not know where to obtain ITNs. About 74% did not know the cost of ITNs, and 81.5% and 79.8% were of the opinion that ITNs are used to protect against mosquito bites and effective in prevention of malaria respectively. One third (33.7%) of respondents had ever used ITNs. The reasons for non-utilization of ITNs were among others, lack of knowledge, lack of interest, unavailability and use of other methods of prevention. About half of ITNs users used it every day and only 7.9% have been using it for over three years. Statistical analysis showed that marital status, parity, and education had significant influence on utilization of ITNs, where as age and gestational age at booking did not. Conclusion: ITNs coverage is abysmally low among the most vulnerable group. There is need for government to increase enlightenment campaign and intensify advertisement on media that would inform and educate individuals about the usefulness of ITNsItem Ectopic Pregnancy in Ilorin, Nigeria(National Postgraduate Medical College of Nigeria, 2013) Omokanye, Lukman O.; Balogun, O.R.; Salaudeen, A.G.; Olatinwo, Abdulwaheed O.; Saidu, R.Aims and Objectives: This is to study the incidence, predisposing factors, clinical presentation and management of ectopic pregnancy that presented over a four year period. Patients, Materials and Methods: This is a retrospective study of 98 ectopic pregnancies managed at the gynaecological unit of University of Ilorin Teaching Hospital, Ilorin from 1st January 2004 to 31st December 2007. Information was obtained from the case notes, theatre and labour ward registers. Results: A total of 10,054 deliveries were recorded while 1,430 gynaecological patients were admitted. Ninety eight patients had ectopic gestation accounting for 1% of all deliveries and 6.9% of all gynaecological admissions. The peak age group was 25-29 years (33%); 70 (74.5%) were married and 16 (17%) were students mostly undergraduates. Previous pelvic inflammatory disease 78 (83%), previous pelvic surgery 7 (7.4%) and previous history of ectopic pregnancy 2 (2.1%) were the most common risk factors in the patients. Lower abdominal pain 90 (95.7%), missed period 82 (87.2%), dizziness/fainting attack 57( 60.6%) and vaginal bleeding 50 (53.2%) were the predominant symptoms at presentation. There were 2 (2.1%) bilateral ampullary tubal ectopic with one unruptured ectopic which was treated with linear salpingostomy. Only one (1.1%) case of heterotrophic pregnancy. Open abdominal surgery was the treatment employed in all the patients. No Mortality was recorded. Conclusion: The incidence of ectopic pregnancy can be reduced by putting in place measures to reduce induced abortion and pelvic inflammatory disease. In addition, early presentation, prompt diagnosis and efficient blood transfusion services will decrease the morbidity and mortality associated with ectopic pregnancy.Item Female factor infertility: Laparoscopic evaluation at a public health facility in Ilorin, Nigeria.(College of Medicine KLE University, Belgaum, India, 2017) Omokanye, Lukman O.; Ibrahim, S.; Olatinwo, Abdulwaheed O.; Durowade, K.A.; Raji, S.T.; Biliaminu, S.A.; Salaudeen, A.G.BACKGROUND: Infertility is a problem of global proportions, the majority being the residents of developing countries. The contribution of female factor is assuming a tremendous proportion. Laparoscopy remains an indispensable tool in the evaluation of the fertility potential of these female partners. AIMS: This study was aimed at determining the various causes of female factor infertility among female partners of infertile couple in a tertiary health facility. METHODS: A cross-sectional observational study of ninety seven (97) eligible infertile women who underwent diagnostic laparoscopy between 1st January 2012 and 31st December 2015 were enrolled for the study. The data were analyzed using SPSS/PC version 16.0 and p value was preset at <0.05. RESULTS: The patients aged 21-50 years with a mean age of 33.2 ± 6.6 years. Majority (79.4%) were nulliparous. Fifty (51.5%) had primary infertility. Their duration of infertility ranged from 1to 33years (5.7 ± 5.5 years). Most (63.9%) belong to middle social class and their spouse age ranges between 28-60 years (39.0 ± 7.5). More than a quarter had clomiphene resistant Polycystic Ovarian Syndrome, 19 (19.6%) tubal blockage, 13 (13.4%) uterine fibroid and 10 (10.3%) each had endometriosis, peritubal and ovarian adhesions, ovarian cyst and normal findings respectively. There was significant association between patients’ age, intra-operative findings and tubal patency evaluation on laparoscopy (P < 0.05). CONCLUSION: Laparoscopic procedures are less invasive, more convenient and more precise for diagnosis of infertility in women. The common causes responsible for infertility were polycystic ovarian syndrome, tubal occlusion, uterine fibroid, endometriosis, peri-tubovarian adhesions and ovarian cyst.Item A five year review pattern of placenta previa in Ilorin, Nigeria(2017) Omokanye, Lukman O.; Olatinwo, Abdulwaheed O.; Salaudeen, A.G.; Ajiboye, A.D.; Durowade, K A.Background: Placenta previa, a major cause of obstetric hemorrhage, is potentially life-threatening to the mother and frequently results in high perinatal morbidity and mortality. Methodology: This is a retrospective study of all cases of placenta previa managed at the University of Ilorin Teaching Hospital over a 5-year from January 2011 to December 2015. A pro forma template was used to harvest information from case notes of patients involved in the study. Results: There were a total of 10,250 deliveries over the 5-year study and 164 cases of placenta previa were managed during this period; giving an incidence of 1.6% of the total deliveries. Of these patients, 65.9% were unbooked while 34.1% were booked. 110 (67%) were above 30 years of age and 51.2% were grand multiparous women. The majority (81.7%) of the patients belonged to the low socioeconomic class. Painless vaginal bleeding (62.2%), intrapartum hemorrhage (22.6%), and abnormal lie presentation (8.5%) were the most common mode of presentation. Vaginal delivery occurred in (29.3%) of patients while 70. 7% were delivered through cesarean section. There was a significant association between patients’ age, parity, booking status, and types of placenta previa (P < 0.05). Similarly, there was a significant association between gestational age at delivery, mode of delivery, intraoperative blood loss, and birth weight at delivery and types of placenta previa (P < 0.05). Perinatal mortality was 12.2%, 15.6% of babies had severe birth asphyxia, and there was no maternal mortality. Conclusion: From this study, the risk factors for placenta previa are advanced maternal age above 35 years, grand multiparity, and booking status. Early recognition, appropriate referral of these patients and availability of ultrasound facilities, blood transfusion facilities, improvement in neonatal facilities and trained personnel will go a long way in reducing the perinatal mortality from placenta previa.Item An improvised endotrainer for low resource settings(College of Health Sciences, Osun state University, NIgeria, 2013) Omokanye, Lukman O.; Olatinwo, Abdulwaheed O.; Salaudeen, A.G.; Balogun, O.R; Saidu, R.Training in minimal access surgery has always been difficult in developing countries with limited resources, paucity of animal laboratories, unaffordability/unaffordable conventional endotrainer and limited number of trained endoscopic surgeons to help the trainee. Objective: To design an endotrainer for use in resource- poor settings with the aim of domestication of laparoscopic surgery. Materials and Methods: A fabricated endotrainer box with a camera, a bulb for adequate illumination powered by electricity connected to a television was designed at affordable price to improvise for the conventional endotrainer for low resource settings. Results: The fabricated endotrainer model was found to be an effective training tool for improving psychomotor skills and dexterity of movement, especially for suturing in difficult areas. This is comparable to the sophisticated virtual reality simulator. Also, it is far less expensive compared to the expensive virtual reality simulator, thus affordable. Conclusion: It is concluded that this model should be employed by other low resource setting to improve the skills of surgeons in endoscopy surgery and facilitate the training of new hands.Item Involvement and Use of Family Planning Among Religious Leaders in A Community in South West Nigeria(College of Medical Sciences University of Benin, 2017) Salaudeen, A.G.; Omokanye, Lukman O.; Adeyemi, M. F.nilItem Knowledge and prevalence of risk factors for arterial hypertension and blood pressure pattern among bankers and traffic wardens in Ilorin, Nigeria(College of Medicine, Makerere University, Kampala, Uganda, 2014) Salaudeen, A.G.; Musa, I.O.; Babatunde, O.A.; Atoyebi, O.A.; Durowade, K A.; Omokanye, Lukman O.Background: High job strain, mental stress, sedentary lifestyle, increase in BMI are among the factors associated with significantly higher incidence of hypertension. The job of bank employees is both sedentary in nature and accompanies high mental stress. The aim of this study is to assess the level of knowledge of risk factors among respondents and to compare the blood pressure pattern of bankers and traffic wardens. Methodology: The study design is a descriptive cross-sectional conducted among bankers and traffic wardens in Ilorin to determine the pattern and knowledge of blood pressure. Self-administered questionnaires, weighing scale (Omron Digital scale), stadiometer and sphygmomanometer were used as the research instruments. Simple random sampling was used to select respondents involved in the study. Results: The prevalence of hypertension in this study was 34.4% in bankers and 22.2% in traffic wardens. The risk factors the bankers commonly had knowledge of are alcohol, obesity, high salt intake, certain drugs, stress, emotional problems and family history while the traffic wardens commonly had knowledge of all these in addition to cigarette smoking. Also, more bankers (32.2%) than traffic wardens (13.3%) were smoking cigarette and more of these cigarette smokers that are bankers (17.8%) had elevated blood pressure compared to the traffic wardens (3.3%). Conclusion: Workers in the banking industry as well as traffic wardens should be better educated about the risk factors of hypertension and bankers should be encouraged to create time for exercise.Item Mayer – Rokitansky Syndrome Type 1 With Karyotype XY Variant: A Case Study(College of Health Sciences, University of Ilorin, 2015) Omokanye, Lukman O.; Olatinwo, Abdulwaheed O.; Durowade, K A.; Panti, Abubakar A.; Salaudeen, A.G.; Adewara, E.O.Item obstetric outcome of grandmultiparous women in ilorin Nigeria: A five review(Nigeria journal of health sciences, 2012) Omokenye, L. O; Salaudeen, A.G.; Olatin, A.W.O; Adewara, E.O; Saidu, R.; Balogun, R.O.; Abdul;, I.F.Item Pregnancy outcomes following Assisted Reproduction Technology for infertile women at a public health institution in Nigeria(College of Health Sciences, University of Ilorin, 2015) Omokanye, Lukman O.; Olatinwo, Abdulwaheed O.; Durowade, K.A; Biliaminu, S.A.; Salaudeen, A.G.; Panti, A.A.Item Self-reported medical care seeking behaviour of doctors in Nigeria(Alexandria Journal of Medicine - Elsevier, 2016) Fawibe, A.E.; Odeigah, L.O.; Akande, T.M.; Salaudeen, A.G.; Olanrewaju, I.Background: There is need for information on the medical care seeking behaviour of Nigerian doctors. Purpose: This work was therefore designed to study the medical care seeking behaviour of Nigerian doctors in Nigeria. Methods: It was a cross-sectional survey among doctors in Nigeria. Results: Data from 522 doctors were included in the analysis. Majority of them (80.5%) had one form of illness or the other in the year preceding the survey. Only 35% of them reportedly consulted another doctor during their illness. Most of the consultations (61.2%) were informal in the form of over the phone (45.6%), Corridor (33.3%) and home visit (21.1%) and just 18.4% of the consultations occurred within 24 h of onset of illness. A low 19.5% of them had a regular source of medical care. Screening for illnesses was generally below expectation. Just 6 out of the 436 (1.4%) male doctors had screened for prostate cancer while 39 out of 86 (45.3%) females had screened for cervical cancer. A significantly higher proportion of general practitioners (p= 0.01) and doctors above 45 years of age (P = 0.004) consulted informally. Higher proportion of general practitioners and resident doctors based their consultations on their familiarity with the doctors consulted (p= 0.001) and privacy during consultation (p=0.001). Delay in consultation for more than 24 h after onset of illness was more likely in those above below the age of 45 years (p= 0.001). Conclusion: This study has shown that Nigerian doctors are often reluctant patients who frequently tend to delay medical care. The teaching of appropriate medical care seeking behaviour should be incorporated into medical curriculum in Nigeria.Item Sperm Bank Scheme And Surrogacy Institution;-willingness And Utilization Of Assisted Reproductive Technology Among Women Of Reproductive Age Group In Ilorin. Nigeria(Nigerian Fertility Society, 2013) Jimoh, A.A.G.; Saka, M.J.; Saidu, R.; Salaudeen, A.G.; Saka, A.O.; Raji, H.A.; Yahaya, L.A.; Balogun, O.R.; Ijaiya, M.A.; Omokanye, Lukman O.; Dare, J