Background: The primary causes of Type 2 Diabetes Mellitus (T2DM) are largely unknown but insulin... more Background: The primary causes of Type 2 Diabetes Mellitus (T2DM) are largely unknown but insulin insensitivity has been reported to be a risk factor for the T2DM through the alteration of insulin sensitivity pattern. There is paucity of studies on the effect of exercise on occurrence of T2DM in offspring of diabetic parents in our population. Objectives: This study was designed to assess the effect of exercise on insulin sensitivity (IS) on offspring of T2DM parents compared with offspring of non-diabetic parents. Design: This study involved 60 offspring of T2DM parents attending University College Hospital, Ibadan and 60 offspring of non-diabetic parents who are undergraduate students of the University of Ibadan, Nigeria. Participants were randomly assigned into two groups. Each participant followed a protocol of graded exercise using ‘‘tummy trimmer’’ everyday spending 45 minutes daily for 24 weeks. Blood samples were obtained after an overnight fasting for determination of insul...
Background: Physical Activity improves the functional capacity of the circulatory system with min... more Background: Physical Activity improves the functional capacity of the circulatory system with minimum myocardium stress. Objectives: This study was designed to assess exercise modulation and sex difference of blood pressure (BP), respiratory rate (RR) and pulse rate (PR) of selected undergraduate students. Design: This study involved 360 students selected using convenience sampling method, aged between 18 and 35 years. Lecturers and postgraduate students were exempted from the study. BP was measured using Sphygmomanometer before exercise and 30 minutes interval during exercise for two hours. Bicycle Ergometer was used as the exercise apparatus. Stop watch was used to measure PR and RR. Data were analyzed using descriptive statistics. Results: In total, 360 subjects, 180 males and 180 females, were included in the study. The mean SBP at baseline was 111.59 mmHg±0.35. It reduced to 96.99 mmHg±0.36 after 120 minutes of exercise (p=0.000). The mean DBP at baseline was 69.78mmHg±0.32. It...
The study was aimed at identifying the pattern of skeletal trauma in the paediatric age group as ... more The study was aimed at identifying the pattern of skeletal trauma in the paediatric age group as it relates to the causes. A retrospective analysis of the records on the request cards, case notes, radiographs and reports (where available) of all children aged one day to 15 years who were referred to the radiology department of Olabisi Onabanjo University Teaching Hospital, Sagamu was carried out. Fractures were analysed with respect to sex, age, causes, type and location of fracture. The analysis spanned a period of twenty-eight months during which a total of three hundred and twenty eight radiographs were analysed. The mean ages of male and female patients were 5.4±4.6 and 5.1±4.6 years, respectively, with a range of 0.2-15 years. Normal radiographs were found in 124 (37.80%) patients,53.1 (16.1%) had 55 fractures, and 39 (11.9%) had soft tissue swelling. Fractures were found most commonly in male children and in the age range 4-6 years. Fractures occur three times more in the uppe...
Elective orthopaedic operations on the knee is rarely complicated by arterial injury. A case repo... more Elective orthopaedic operations on the knee is rarely complicated by arterial injury. A case report is presented of a 10 year old girl that developed gangrene of the foot following an elective orthopaedic operation on the proximal tibial metaphysis. A transfixion wire that breached the posterior tibial cortex was most probably responsible for popliteal artery injury that resulted in ischaemia and gangrene. The patient had an amputation of all the toes in the affected limb and recovered satisfactory limb function. In operations on the proximal tibial metaphysis, implants (screws, pins, wires) should not be allowed to perforate the posterior cortex. When this occurs inadvertently, they should be readjusted as soon as radiographs confirm this, to avoid injury to the popliteal artery.
Attention is rarely given to patients' opinions regarding the quality of care they received, ... more Attention is rarely given to patients' opinions regarding the quality of care they received, which is an important feedback to healthcare providers, planners and policy makers. To assess how patients who survived life-threatening/emergency conditions percieved the quality of care they received. This prospective study was carried out among adult patients who had received emergency care at the Accident & Emergency (A & E) unit of Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, between March and December 2004 using a semi-structured questionnaire. There were 1129 respondents, 81 males and 48 females. Their mean age was 35.3 years. 62% were treated for surgical, and 37.2% for medical emergencies. The mean duration of stay at A & E was 2.4 days. Although 91% of the respondents regarded available equipments as very adequate, 38.8% perceived the overall quality of care as sub-optimal. Many of the patients were displeased with their interactions with care providers. They ...
Eye injuries are major causes of visual morbidity and monocular blindness worldwide. The common c... more Eye injuries are major causes of visual morbidity and monocular blindness worldwide. The common causes of eye injuries needs to be well defined in each community so as to plan for prevention of high morbidity and blindness as part of blindness prevention programme. It is necessary to compare the trend in causes of ocular injuries in Ogun State after a similar study over 15 years before. The part played by road traffic accidents [RTA] compared to other causes is also to be analysed. This prospective study was carried out between July 2004 and June 2005. All cases presenting to the Accident and Emergency Unit and Eye Clinic of Olabisi Onabanjo University Teaching Hospital, Sagamu, and the 2 private eye clinics in Sagamu town, presenting with any form of eye injuries during the study period were included. The biodata, cause and type of eye injury, time of injury, time of presentation and treatment offered were obtained using a questionnaire. The results were analysed with Epi-Info 2002...
Colon injuries are increasingly being treated safely by primary repair in spite of the high risk ... more Colon injuries are increasingly being treated safely by primary repair in spite of the high risk of septic complications. This is a retrospective study of the pattern, management and outcome in patients treated for penetrating colon injuries at Olabisi Onabanjo University Teaching Hospital, Sagamu over a 7 year period (January 1995-December 2001). Records of thirty-two patients were studied. Gunshots (75 percent) and knife stabs (18.75 percent) accounted for ninety-four percent of penetrating colon injuries. Associated intra-abdominal injuries were present in 22 patients (68.8 percent). Eight (twenty-five percent) patients presented in shock. Moderate to major faecal contamination was present in 30 (93.8%) patients. Severe colon injury occurred in nine patients. The eighteen patients with right colon wounds were managed by primary repair. All the fourteen patients with left colon wounds had a diverting colostomy alongside repair or resection. Complications included wound infection (...
In clinical orthopaedic practice, many patients are seen presenting with complications after bein... more In clinical orthopaedic practice, many patients are seen presenting with complications after being treated by traditional bone setters (TBS). These complications do not seem to deter other patients from patronising the TBS rather than modern orthopaedic service (MOS). Basic beliefs about TBS in particular and traditional healers (TH) in general are likely to be responsible for their continuing popularity. One hundred and eighty adults and adolescents were surveyed by means of interviewer administered questionnaires at a popular motor park, traditional and modern health facilities. While 37% (n = 67) of the respondents believe that TBS are indispensable (cannot do without), 32.8% (n = 65) believe they are desirable (can do without though useful) and 11% (n = 20) thought they are nuisances and fraudsters. Forty three per cent of them felt that TBS are competent or very competent, 24% adjudged their practice satisfactory (good but with some deficiencies) and 23% believe they are either...
AIMS AND OBJECTIVES The study was aimed at identifying the pattern of skeletal trauma in the paed... more AIMS AND OBJECTIVES The study was aimed at identifying the pattern of skeletal trauma in the paediatric age group as it relates to the causes. MATERIALS AND METHODS A retrospective analysis of the records on the request cards, case notes, radiographs and reports (where available) of all children aged one day to 15 years who were referred to the radiology department of Olabisi Onabanjo University Teaching Hospital, Sagamu was carried out. Fractures were analysed with respect to sex, age, causes, type and location of fracture. RESULTS The analysis spanned a period of twenty-eight months during which a total of three hundred and twenty eight radiographs were analysed. The mean ages of male and female patients were 5.4±4.6 and 5.1±4.6 years, respectively, with a range of 0.2-15 years. Normal radiographs were found in 124 (37.80%) patients,53.1 (16.1%) had 55 fractures, and 39 (11.9%) had soft tissue swelling. Fractures were found most commonly in male children and in the age range 4-6 y...
The benefits of utilisation of guidelines for radiographic skull examination of head injured pati... more The benefits of utilisation of guidelines for radiographic skull examination of head injured patients were studied in one hundred and eleven patients. The causes of head injury were road traffic accidents (RTA) 87.4%, fall and assault 4.5% each, collapsed wall 1.8%, gunshot injury and industrial accident 0.9% each. RTA resulted predominantly from burst tyre 34%, vehicle pedestrian accidents 23.7% and vehicle collision 18.6%. Compliance with the use of the guidelines was 48%. Radiographic skull examination was carried out in 22 patients (20% of study population) and the positive yield for skull fracture was 32% (7/22 of all radiographs). At discharge, 14 of those who had radiographic examination (n=20) recovered without neurological complications while 39 among those not examined (n=58) similarly recovered, p=0.96. Among those who had skull radiography, neurological deficit occurred in 6 that had skull fractures (n=7) and in 5 of those without skull fractures (n=13), p=0.07. It was c...
OBJECTIVE To investigate the efficacy, tolerability and cost effectiveness of three antibiotics i... more OBJECTIVE To investigate the efficacy, tolerability and cost effectiveness of three antibiotics in a short-term antibiotic regimen in patients undergoing elective implant surgery. PATIENTS AND METHODS 89 patients who underwent 101 implantation procedures were enrolled during a period of five years and randomly divided into three groups to receive: (a) Rocephin (Ceftriaxone) 1g intravenously at induction and 1g 12 hours later (Group 1). (b) Zinacef (Cefuroxime) 1.5 g intravenously at induction and 750 mg six hourly for 12 hours (Group 2). Ciprotab (ciprofloxacine) 400mg intravenously at induction and 200mg six hourly for 12 hours (group 3). RESULTS The patients in the three groups were comparable regarding age, gender, pre-operative length of hospitalization and duration of surgery. The overall surgical site infection rate was 6.9% (7/101) with gram-negative organisms being the most common causative organisms (71.4%). The infection rates of 6.3% in group 1,7.3% in group 2 and 7.1% in...
BACKGROUND Eye injuries are major causes of visual morbidity and monocular blindness worldwide. T... more BACKGROUND Eye injuries are major causes of visual morbidity and monocular blindness worldwide. The common causes of eye injuries needs to be well defined in each community so as to plan for prevention of high morbidity and blindness as part of blindness prevention programme. OBJECTIVE It is necessary to compare the trend in causes of ocular injuries in Ogun State after a similar study over 15 years before. The part played by road traffic accidents [RTA] compared to other causes is also to be analysed. METHODOLOGY This prospective study was carried out between July 2004 and June 2005. All cases presenting to the Accident and Emergency Unit and Eye Clinic of Olabisi Onabanjo University Teaching Hospital, Sagamu, and the 2 private eye clinics in Sagamu town, presenting with any form of eye injuries during the study period were included. The biodata, cause and type of eye injury, time of injury, time of presentation and treatment offered were obtained using a questionnaire. The results...
BACKGROUND Attention is rarely given to patients' opinions regarding the quality of care they... more BACKGROUND Attention is rarely given to patients' opinions regarding the quality of care they received, which is an important feedback to healthcare providers, planners and policy makers. AIM To assess how patients who survived life-threatening/emergency conditions percieved the quality of care they received. METHOD This prospective study was carried out among adult patients who had received emergency care at the Accident & Emergency (A & E) unit of Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, between March and December 2004 using a semi-structured questionnaire. RESULTS There were 1129 respondents, 81 males and 48 females. Their mean age was 35.3 years. 62% were treated for surgical, and 37.2% for medical emergencies. The mean duration of stay at A & E was 2.4 days. Although 91% of the respondents regarded available equipments as very adequate, 38.8% perceived the overall quality of care as sub-optimal. Many of the patients were displeased with their interacti...
BACKGROUND Colon injuries are increasingly being treated safely by primary repair in spite of the... more BACKGROUND Colon injuries are increasingly being treated safely by primary repair in spite of the high risk of septic complications. OBJECTIVE This is a retrospective study of the pattern, management and outcome in patients treated for penetrating colon injuries at Olabisi Onabanjo University Teaching Hospital, Sagamu over a 7 year period (January 1995-December 2001). PATIENTS AND METHODS Records of thirty-two patients were studied. RESULTS Gunshots (75 percent) and knife stabs (18.75 percent) accounted for ninety-four percent of penetrating colon injuries. Associated intra-abdominal injuries were present in 22 patients (68.8 percent). Eight (twenty-five percent) patients presented in shock. Moderate to major faecal contamination was present in 30 (93.8%) patients. Severe colon injury occurred in nine patients. The eighteen patients with right colon wounds were managed by primary repair. All the fourteen patients with left colon wounds had a diverting colostomy alongside repair or r...
Objective: Osteonecrosis (ON) of the head of femur is not uncommon. The characteristics of affect... more Objective: Osteonecrosis (ON) of the head of femur is not uncommon. The characteristics of affected patients and the associated aetiological factors in Nigeria are largely undocumented. To determine the epidemiological characteristics of patients with osteonecrosis of the head of femur, the radiological severity at presentation and associated aetiological risk factorsMethods: A retrospective study was done, of patients with femoral head ON seen between January 2013 and January 2019. Data on patients' characteristics, affected hips and radiological severity were entered onto a proforma and analysed.Results: There were 29 patients with ON of the head of femur involving 32 hips. There were 55.2% females and 44.8% male patients. While 3 (10.3%) patients had bilateral affectation, 26 (89.7%) had unilateral affectation. Their mean age is 26.6years 13.3. The mean age of male and female patients are 29.3 years and 24.3 years respectively. The mean BMI is 21.9 5.2 and no significant di...
Elective orthopaedic operations on the knee is rarely complicated by arterial injury. A case repo... more Elective orthopaedic operations on the knee is rarely complicated by arterial injury. A case report is presented of a 10 year old girl that developed gangrene of the foot following an elective orthopaedic operation on the proximal tibial metaphysis. A transfixion wire that breached the posterior tibial cortex was most probably responsible for popliteal artery injury that resulted in ischaemia and gangrene. The patient had an amputation of all the toes in the affected limb and recovered satisfactory limb function. In operations on the proximal tibial metaphysis, implants (screws, pins, wires) should not be allowed to perforate the posterior cortex. When this occurs inadvertently, they should be readjusted as soon as radiographs confirm this, to avoid injury to the popliteal artery.
Summary Background Hospital and community survey reports from Nigeria, on the epidemiology of inj... more Summary Background Hospital and community survey reports from Nigeria, on the epidemiology of injuries in the elderly are lacking. This data is useful for planning effective treatment and prevention strategies. Patients and methods A retrospective case analysis is done, of patients attending the Accident & Emergency unit. Results Out of 3839 patients, 32 injured patients were 65 years and older,
Two cases are reported to highlight the morbidity attendant to nonunion associated with chronic o... more Two cases are reported to highlight the morbidity attendant to nonunion associated with chronic osteomyelitis, and a method of treatment involving prolonged antibiotic treatment and internal fixation with or without allograft bone grafting. This method successfully achieved fracture healing in femoral nonunion complicating osteomyelitis.
Background: The primary causes of Type 2 Diabetes Mellitus (T2DM) are largely unknown but insulin... more Background: The primary causes of Type 2 Diabetes Mellitus (T2DM) are largely unknown but insulin insensitivity has been reported to be a risk factor for the T2DM through the alteration of insulin sensitivity pattern. There is paucity of studies on the effect of exercise on occurrence of T2DM in offspring of diabetic parents in our population. Objectives: This study was designed to assess the effect of exercise on insulin sensitivity (IS) on offspring of T2DM parents compared with offspring of non-diabetic parents. Design: This study involved 60 offspring of T2DM parents attending University College Hospital, Ibadan and 60 offspring of non-diabetic parents who are undergraduate students of the University of Ibadan, Nigeria. Participants were randomly assigned into two groups. Each participant followed a protocol of graded exercise using ‘‘tummy trimmer’’ everyday spending 45 minutes daily for 24 weeks. Blood samples were obtained after an overnight fasting for determination of insul...
Background: Physical Activity improves the functional capacity of the circulatory system with min... more Background: Physical Activity improves the functional capacity of the circulatory system with minimum myocardium stress. Objectives: This study was designed to assess exercise modulation and sex difference of blood pressure (BP), respiratory rate (RR) and pulse rate (PR) of selected undergraduate students. Design: This study involved 360 students selected using convenience sampling method, aged between 18 and 35 years. Lecturers and postgraduate students were exempted from the study. BP was measured using Sphygmomanometer before exercise and 30 minutes interval during exercise for two hours. Bicycle Ergometer was used as the exercise apparatus. Stop watch was used to measure PR and RR. Data were analyzed using descriptive statistics. Results: In total, 360 subjects, 180 males and 180 females, were included in the study. The mean SBP at baseline was 111.59 mmHg±0.35. It reduced to 96.99 mmHg±0.36 after 120 minutes of exercise (p=0.000). The mean DBP at baseline was 69.78mmHg±0.32. It...
The study was aimed at identifying the pattern of skeletal trauma in the paediatric age group as ... more The study was aimed at identifying the pattern of skeletal trauma in the paediatric age group as it relates to the causes. A retrospective analysis of the records on the request cards, case notes, radiographs and reports (where available) of all children aged one day to 15 years who were referred to the radiology department of Olabisi Onabanjo University Teaching Hospital, Sagamu was carried out. Fractures were analysed with respect to sex, age, causes, type and location of fracture. The analysis spanned a period of twenty-eight months during which a total of three hundred and twenty eight radiographs were analysed. The mean ages of male and female patients were 5.4±4.6 and 5.1±4.6 years, respectively, with a range of 0.2-15 years. Normal radiographs were found in 124 (37.80%) patients,53.1 (16.1%) had 55 fractures, and 39 (11.9%) had soft tissue swelling. Fractures were found most commonly in male children and in the age range 4-6 years. Fractures occur three times more in the uppe...
Elective orthopaedic operations on the knee is rarely complicated by arterial injury. A case repo... more Elective orthopaedic operations on the knee is rarely complicated by arterial injury. A case report is presented of a 10 year old girl that developed gangrene of the foot following an elective orthopaedic operation on the proximal tibial metaphysis. A transfixion wire that breached the posterior tibial cortex was most probably responsible for popliteal artery injury that resulted in ischaemia and gangrene. The patient had an amputation of all the toes in the affected limb and recovered satisfactory limb function. In operations on the proximal tibial metaphysis, implants (screws, pins, wires) should not be allowed to perforate the posterior cortex. When this occurs inadvertently, they should be readjusted as soon as radiographs confirm this, to avoid injury to the popliteal artery.
Attention is rarely given to patients' opinions regarding the quality of care they received, ... more Attention is rarely given to patients' opinions regarding the quality of care they received, which is an important feedback to healthcare providers, planners and policy makers. To assess how patients who survived life-threatening/emergency conditions percieved the quality of care they received. This prospective study was carried out among adult patients who had received emergency care at the Accident & Emergency (A & E) unit of Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, between March and December 2004 using a semi-structured questionnaire. There were 1129 respondents, 81 males and 48 females. Their mean age was 35.3 years. 62% were treated for surgical, and 37.2% for medical emergencies. The mean duration of stay at A & E was 2.4 days. Although 91% of the respondents regarded available equipments as very adequate, 38.8% perceived the overall quality of care as sub-optimal. Many of the patients were displeased with their interactions with care providers. They ...
Eye injuries are major causes of visual morbidity and monocular blindness worldwide. The common c... more Eye injuries are major causes of visual morbidity and monocular blindness worldwide. The common causes of eye injuries needs to be well defined in each community so as to plan for prevention of high morbidity and blindness as part of blindness prevention programme. It is necessary to compare the trend in causes of ocular injuries in Ogun State after a similar study over 15 years before. The part played by road traffic accidents [RTA] compared to other causes is also to be analysed. This prospective study was carried out between July 2004 and June 2005. All cases presenting to the Accident and Emergency Unit and Eye Clinic of Olabisi Onabanjo University Teaching Hospital, Sagamu, and the 2 private eye clinics in Sagamu town, presenting with any form of eye injuries during the study period were included. The biodata, cause and type of eye injury, time of injury, time of presentation and treatment offered were obtained using a questionnaire. The results were analysed with Epi-Info 2002...
Colon injuries are increasingly being treated safely by primary repair in spite of the high risk ... more Colon injuries are increasingly being treated safely by primary repair in spite of the high risk of septic complications. This is a retrospective study of the pattern, management and outcome in patients treated for penetrating colon injuries at Olabisi Onabanjo University Teaching Hospital, Sagamu over a 7 year period (January 1995-December 2001). Records of thirty-two patients were studied. Gunshots (75 percent) and knife stabs (18.75 percent) accounted for ninety-four percent of penetrating colon injuries. Associated intra-abdominal injuries were present in 22 patients (68.8 percent). Eight (twenty-five percent) patients presented in shock. Moderate to major faecal contamination was present in 30 (93.8%) patients. Severe colon injury occurred in nine patients. The eighteen patients with right colon wounds were managed by primary repair. All the fourteen patients with left colon wounds had a diverting colostomy alongside repair or resection. Complications included wound infection (...
In clinical orthopaedic practice, many patients are seen presenting with complications after bein... more In clinical orthopaedic practice, many patients are seen presenting with complications after being treated by traditional bone setters (TBS). These complications do not seem to deter other patients from patronising the TBS rather than modern orthopaedic service (MOS). Basic beliefs about TBS in particular and traditional healers (TH) in general are likely to be responsible for their continuing popularity. One hundred and eighty adults and adolescents were surveyed by means of interviewer administered questionnaires at a popular motor park, traditional and modern health facilities. While 37% (n = 67) of the respondents believe that TBS are indispensable (cannot do without), 32.8% (n = 65) believe they are desirable (can do without though useful) and 11% (n = 20) thought they are nuisances and fraudsters. Forty three per cent of them felt that TBS are competent or very competent, 24% adjudged their practice satisfactory (good but with some deficiencies) and 23% believe they are either...
AIMS AND OBJECTIVES The study was aimed at identifying the pattern of skeletal trauma in the paed... more AIMS AND OBJECTIVES The study was aimed at identifying the pattern of skeletal trauma in the paediatric age group as it relates to the causes. MATERIALS AND METHODS A retrospective analysis of the records on the request cards, case notes, radiographs and reports (where available) of all children aged one day to 15 years who were referred to the radiology department of Olabisi Onabanjo University Teaching Hospital, Sagamu was carried out. Fractures were analysed with respect to sex, age, causes, type and location of fracture. RESULTS The analysis spanned a period of twenty-eight months during which a total of three hundred and twenty eight radiographs were analysed. The mean ages of male and female patients were 5.4±4.6 and 5.1±4.6 years, respectively, with a range of 0.2-15 years. Normal radiographs were found in 124 (37.80%) patients,53.1 (16.1%) had 55 fractures, and 39 (11.9%) had soft tissue swelling. Fractures were found most commonly in male children and in the age range 4-6 y...
The benefits of utilisation of guidelines for radiographic skull examination of head injured pati... more The benefits of utilisation of guidelines for radiographic skull examination of head injured patients were studied in one hundred and eleven patients. The causes of head injury were road traffic accidents (RTA) 87.4%, fall and assault 4.5% each, collapsed wall 1.8%, gunshot injury and industrial accident 0.9% each. RTA resulted predominantly from burst tyre 34%, vehicle pedestrian accidents 23.7% and vehicle collision 18.6%. Compliance with the use of the guidelines was 48%. Radiographic skull examination was carried out in 22 patients (20% of study population) and the positive yield for skull fracture was 32% (7/22 of all radiographs). At discharge, 14 of those who had radiographic examination (n=20) recovered without neurological complications while 39 among those not examined (n=58) similarly recovered, p=0.96. Among those who had skull radiography, neurological deficit occurred in 6 that had skull fractures (n=7) and in 5 of those without skull fractures (n=13), p=0.07. It was c...
OBJECTIVE To investigate the efficacy, tolerability and cost effectiveness of three antibiotics i... more OBJECTIVE To investigate the efficacy, tolerability and cost effectiveness of three antibiotics in a short-term antibiotic regimen in patients undergoing elective implant surgery. PATIENTS AND METHODS 89 patients who underwent 101 implantation procedures were enrolled during a period of five years and randomly divided into three groups to receive: (a) Rocephin (Ceftriaxone) 1g intravenously at induction and 1g 12 hours later (Group 1). (b) Zinacef (Cefuroxime) 1.5 g intravenously at induction and 750 mg six hourly for 12 hours (Group 2). Ciprotab (ciprofloxacine) 400mg intravenously at induction and 200mg six hourly for 12 hours (group 3). RESULTS The patients in the three groups were comparable regarding age, gender, pre-operative length of hospitalization and duration of surgery. The overall surgical site infection rate was 6.9% (7/101) with gram-negative organisms being the most common causative organisms (71.4%). The infection rates of 6.3% in group 1,7.3% in group 2 and 7.1% in...
BACKGROUND Eye injuries are major causes of visual morbidity and monocular blindness worldwide. T... more BACKGROUND Eye injuries are major causes of visual morbidity and monocular blindness worldwide. The common causes of eye injuries needs to be well defined in each community so as to plan for prevention of high morbidity and blindness as part of blindness prevention programme. OBJECTIVE It is necessary to compare the trend in causes of ocular injuries in Ogun State after a similar study over 15 years before. The part played by road traffic accidents [RTA] compared to other causes is also to be analysed. METHODOLOGY This prospective study was carried out between July 2004 and June 2005. All cases presenting to the Accident and Emergency Unit and Eye Clinic of Olabisi Onabanjo University Teaching Hospital, Sagamu, and the 2 private eye clinics in Sagamu town, presenting with any form of eye injuries during the study period were included. The biodata, cause and type of eye injury, time of injury, time of presentation and treatment offered were obtained using a questionnaire. The results...
BACKGROUND Attention is rarely given to patients' opinions regarding the quality of care they... more BACKGROUND Attention is rarely given to patients' opinions regarding the quality of care they received, which is an important feedback to healthcare providers, planners and policy makers. AIM To assess how patients who survived life-threatening/emergency conditions percieved the quality of care they received. METHOD This prospective study was carried out among adult patients who had received emergency care at the Accident & Emergency (A & E) unit of Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, between March and December 2004 using a semi-structured questionnaire. RESULTS There were 1129 respondents, 81 males and 48 females. Their mean age was 35.3 years. 62% were treated for surgical, and 37.2% for medical emergencies. The mean duration of stay at A & E was 2.4 days. Although 91% of the respondents regarded available equipments as very adequate, 38.8% perceived the overall quality of care as sub-optimal. Many of the patients were displeased with their interacti...
BACKGROUND Colon injuries are increasingly being treated safely by primary repair in spite of the... more BACKGROUND Colon injuries are increasingly being treated safely by primary repair in spite of the high risk of septic complications. OBJECTIVE This is a retrospective study of the pattern, management and outcome in patients treated for penetrating colon injuries at Olabisi Onabanjo University Teaching Hospital, Sagamu over a 7 year period (January 1995-December 2001). PATIENTS AND METHODS Records of thirty-two patients were studied. RESULTS Gunshots (75 percent) and knife stabs (18.75 percent) accounted for ninety-four percent of penetrating colon injuries. Associated intra-abdominal injuries were present in 22 patients (68.8 percent). Eight (twenty-five percent) patients presented in shock. Moderate to major faecal contamination was present in 30 (93.8%) patients. Severe colon injury occurred in nine patients. The eighteen patients with right colon wounds were managed by primary repair. All the fourteen patients with left colon wounds had a diverting colostomy alongside repair or r...
Objective: Osteonecrosis (ON) of the head of femur is not uncommon. The characteristics of affect... more Objective: Osteonecrosis (ON) of the head of femur is not uncommon. The characteristics of affected patients and the associated aetiological factors in Nigeria are largely undocumented. To determine the epidemiological characteristics of patients with osteonecrosis of the head of femur, the radiological severity at presentation and associated aetiological risk factorsMethods: A retrospective study was done, of patients with femoral head ON seen between January 2013 and January 2019. Data on patients' characteristics, affected hips and radiological severity were entered onto a proforma and analysed.Results: There were 29 patients with ON of the head of femur involving 32 hips. There were 55.2% females and 44.8% male patients. While 3 (10.3%) patients had bilateral affectation, 26 (89.7%) had unilateral affectation. Their mean age is 26.6years 13.3. The mean age of male and female patients are 29.3 years and 24.3 years respectively. The mean BMI is 21.9 5.2 and no significant di...
Elective orthopaedic operations on the knee is rarely complicated by arterial injury. A case repo... more Elective orthopaedic operations on the knee is rarely complicated by arterial injury. A case report is presented of a 10 year old girl that developed gangrene of the foot following an elective orthopaedic operation on the proximal tibial metaphysis. A transfixion wire that breached the posterior tibial cortex was most probably responsible for popliteal artery injury that resulted in ischaemia and gangrene. The patient had an amputation of all the toes in the affected limb and recovered satisfactory limb function. In operations on the proximal tibial metaphysis, implants (screws, pins, wires) should not be allowed to perforate the posterior cortex. When this occurs inadvertently, they should be readjusted as soon as radiographs confirm this, to avoid injury to the popliteal artery.
Summary Background Hospital and community survey reports from Nigeria, on the epidemiology of inj... more Summary Background Hospital and community survey reports from Nigeria, on the epidemiology of injuries in the elderly are lacking. This data is useful for planning effective treatment and prevention strategies. Patients and methods A retrospective case analysis is done, of patients attending the Accident & Emergency unit. Results Out of 3839 patients, 32 injured patients were 65 years and older,
Two cases are reported to highlight the morbidity attendant to nonunion associated with chronic o... more Two cases are reported to highlight the morbidity attendant to nonunion associated with chronic osteomyelitis, and a method of treatment involving prolonged antibiotic treatment and internal fixation with or without allograft bone grafting. This method successfully achieved fracture healing in femoral nonunion complicating osteomyelitis.
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