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Search Results: 1 - 10 of 1701 matches for " AO Adisa "
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Oral Amelanotic Melanoma
AO Adisa, WO Olawole, OF Sigbeku
Annals of Ibadan Postgraduate Medicine , 2012,
Abstract: Malignant melanomas of the mucosal regions of the head and neck are extremely rare neoplasms accounting for less than 1% of all melanomas. Approximately half of all head and neck melanomas occur in the oral cavity. Less than 2% of all melanomas lack pigmentation, in the oral mucosa however, up to 75% of cases are amelanotic. No etiologic factors or risk factors have been recognized for oral melanomas. Some authors have suggested that oral habits and selfmedication may be of etiological significance. Oral melanoma is rare but it is relatively frequent in countries like Japan, Uganda, and India. It is rarely identified under the age of 20 years. In Australia where cutaneous melanomas are relatively common primary melanoma of the oral mucosa is rare. The surface architecture of oral melanomas ranges from macular to ulcerated and nodular. The lesion is said to be asymptomatic in the early stages but may become ulcerated and painful in advanced lesions. The diagnosis of amelanotic melanoma is more difficult than that of pigmented lesions. The neoplasm consists of spindle-shaped cells with many mitotic figures and no cytoplasmic melanin pigmentation. Immunohistochemistry using S-100, HMB-45, Melan-A and MART-1 will help in establishing the correct diagnosis. Radical surgery with ample margins and adjuvant chemotherapy are appropriate management protocol for malignant melanoma. Oral melanoma is associated with poor prognosis but its amelanotic variant has even worse prognosis because it exhibits a more aggressive biology and because of difficulty in diagnosis which leads to delayed treatment.
Florid cemento-osseous dysplasia: a report of two cases seen at The University College Hospital Ibadan
AO Lawal, AO Adisa, TJ Lasisi
Annals of Ibadan Postgraduate Medicine , 2011,
Abstract: Florid cemento-osseous dysplasia (FCOD) is commonly seen in black women, but few cases have been reported in sub-Saharan Africa. This article presents two cases of FCOD seen at the University College Hospital Ibadan. Two women aged 70 and 60 years were initially diagnosed as chronic osteomyelitis but both were eventually diagnosed as florid cementoosseous dysplasia after radiological examination by orthopanthomogram. Diagnosis of florid cemento-osseous dysplasia is possible by clinical examination and the distinct radiological presentation, especially on orthopanthomogram and a biopsy may not be required.
Evaluation of patients\' adherence to chemotherapy for breast cancer
AO Adisa, OO Lawal, ARK Adesunkanmi
African Journal of Health Sciences , 2008,
Abstract: The study aimed to establish the common reasons for non-adherence to drug treatment among breast cancer patients at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria over a ten-year period (Jan 1993 - Dec 2002). Patients\' adherence and reasons for non-adherence to chemotherapy were evaluated using descriptive statistics. Two hundred and twenty-five breast cancer patients including 199 females and 6 males with breast cancer were recruited. 12(5.3%) patients had Stage I disease while 126 (56%) were in stage IV. The non-adherence rate was 80.9% and 111(73%) of the non-adherent patients were eventually not seen again. Of the one hundred and one patients who gave reasons for non-adherence, 45% complained of financial difficulties; 18% thought they were well enough; 15% were fearful of subsequent operation and 11% were unable to further bear the drug side effects. In conclusion, the study demonstrated poor economic status of the patients as one of the major reasons for non-adherence to cancer chemotherapy in Nigeria. Government subsidy of breast cancer treatment, improved health education and advocacy complemented by home visiting to encourage hospital attendance would be required for better adherence to chemotherapy. African Journal of Health Sciences Vol. 15 (1&2) 2008: pp. 22-27
Informed Consent In Surgery: An Audit Of Practice In Ile-ife, Nigeria
AO Adisa, UU Onakpoya, AO Oladele, OO Lawal
Nigerian Journal of Clinical Practice , 2008,
Abstract: Objectives: This study was conducted to assess patients\' knowledge of their diagnoses and proposed surgical procedures before giving consent for such procedures in the various surgical units of Obafemi Awolowo University Teaching Hospitals Complex, (OAUTHC), Ile-Ife. Materials and Methods: A structured questionnaire was administered to 80 consecutive patients who had just undergone an elective major surgery in general surgery, gyneacology, orthopaedics and surgical subspecialty units of the hospital. Results: Sixty patients (75%) gave consent themselves, while other consents were obtained from close relations. Thirty-seven (46.25%) respondents were informed of the diagnoses and procedure by the unit consultants but no consultant was involved in the completion of the consent form. Seventy-five (93.75%) respondents had a knowledge of the diagnoses, 68(85%) understood the procedure but only 21(26.25%) knew any alternative to the procedure, 29(36.25%) knew at least one complication of the procedure and 12(15%) knew an option or complication of anaesthesia. Forty-five (56.25%) of the consent forms were properly filled while other forms had one error or another. Conclusion: Well structured and standardized method of obtaining informed consent from surgical patients should be adopted. While educating patients, the various alternatives to the procedure and possible complications should be carefully explained to the patients who should be carried along in decision making.
Relations of the neck of groin hernia to pubic tubercle
EA Agbakwuru, OI Alatise, AO Adisa, AA Saloko, ARK Adesunkanmi
Nigerian Journal of Clinical Practice , 2009,
An Audit of Laparoscopic Surgeries in Ile-Ife, Nigeria
AO Adisa, OO Lawal, OI Alatise, ARK Adesunkanmi
West African Journal of Medicine , 2011,
Abstract: Background: After several years of lagging behind due to several constraints, many general surgeons across Nigeria are now performing laparoscopic surgery. An audit of the procedure in our setting is required. Objective: To describe the outcome of consecutive laparoscopic general surgical procedures performed at the Obafemi Awolowo University Teaching Hospital, South-western Nigeria. Methods: All patients with general surgical conditions who had laparoscopic surgery from January 2009 through May 2010 in our hospital were prospectively studied and type of pre, intra and postoperative data including sex, age, indication for surgery, and outcome of the procedure were obtained and analysed. Results: Sixty-two patients (ages 18 to 72 years) had laparoscopic surgeries within the study period. Eighteen (29%) patients had laparoscopic cholecystectomy, 13 (21%) had laparoscopic appendicectomy, 10 (16.1%) had laparoscopic adhesiolysis, 7 (11.3%) laparoscopic biopsies of intraabdominal masses while 14(22.6%) others had diagnostic laparoscopies for a range of suspected abdominal conditions. All diagnostic procedures were performed as day cases while the duration of hospital stay was one to two days for the therapeutic procedures. Two(3%) procedures, including a biopsy of hepatic mass and a cholecystectomy were converted to open surgery due to significant haemorrhage. A minor bile duct injury was recorded in one patient who had cholecystectomy and superficial port site wound infections were noticed in two patients who had appendectomy. No mortality was recorded. Conclusion: Our results show the feasibility of laparoscopic surgery in Nigeria. We advocate local adaptation and improvisations to increase the use of laparoscopic surgery in Nigerian hospitals.
Otorhinolaryngologic Associated Features Of HIV/ AIDS Patients In Ile – Ife Nigeria
YB Amusa, AO Adisa, IA Adediran, MA Durrosinmi
Nigerian Journal of Clinical Practice , 2004,
Abstract: Objective: Symptoms and signs in Human Immune deficiency virus (HIV) infection and Acquired Immuno- Deficiency Syndrome (AIDS) patients are diverse; hence the presentations at hospitals are multichannelled. The pattern of presentation and treatment outcome in HIV / AIDS patients in our centre is presented. Method: Twenty – two new patients referred to the otorhinolaryngology (ORL) clinic of Obafemi Awolowo University Teaching Hospital Complex (OAUTHC), IIe- Ife, screened and confirmed to be positive for HIV/ AIDS were retrospectively studied and followed up. All the patients consented to retroviral screening. The total number of patients seen during the study period also noted. Results: Twenty- two patients made up of 7 males and females (M: F: 1:2) were studied. They constituted 0.7% of the 3000 patients seen in ORL clinic during the study period their ages ranged from 15 year to 59 year. Fifty – four percent of the patients were within age range 20 year to year. All the patients were sexually active; some confessing multiple sexual partners. Almost all professions, skilled and unskilled, were represented. Major clinical features were recorded. Treatment was mainly supportive: few patients could afford retroviral therapy. Over 50% of the patients defaulted for several reasons. Mortality rate was 18%. Conclusion: The prevalence rate of 0.7% among new ORL cases in this study is high. Otorhinolaryngologists practicing in this environment must be well trained in the act of pre and post screening counseling, while precaution is taken against infecting themselves and their patients. Key Words: HIV/AIDS, ORL, Nigeria. Nigerian Journal of Clinical Practice Vol. 7(2) 2004: 69-73
Metastatic breast cancer in a Nigerian tertiary hospital
AO Adisa, OA Arowolo, AA Akinkuolie, NA Titiloye, OI Alatise, OO Lawal, ARK Adesunkanmi
African Health Sciences , 2011,
Abstract: Background: Late presentation of breast carcinoma is common in resource-limited countries with attendant poor outcome. Objective: To describe the pattern of clinical presentation and challenges of treating patients presenting with metastatic breast carcinoma in a Nigerian hospital. Method: Clinical records of all patients who presented with metastatic breast carcinoma between January 1991 and December 2005 at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria were reviewed. Results: More than half of all histologically confirmed breast cancer patients seen within the study period presented with metastatic disease. Their ages ranged between 20-81years with a mean age of 45.9 years. Only 3% (6 of 202) were males. Twothirds had more than one secondary site on initial evaluation and the commonest sites were liver (63%), lung parenchyma (51%), pleura (26%) and contralateral breast in 25%. On immunohistochemistry, basal like tumours were found in 46.1%. Mastectomy was done in 37 patients with fungating breast masses while only one third of those referred to a nearby center for radiotherapy had it done. One year survival rate was 27%. Conclusion: Metastatic disease is common in Nigeria and treatment is limited due to resource limitations. Improved awareness of the disease is advocated to reduce late presentation.
On Practice of the Effect of Systematic Family Nursing Guidance on the Quality of Life of Elderly Patients with Implanted Cardiac Pacemaker  [PDF]
Xin Ao
Yangtze Medicine (YM) , 2018, DOI: 10.4236/ym.2018.23018
Abstract: Objective: To inquire into the effect of systematic family nursing guidance on improving the Quality of Life for elderly patients with implanted cardiac pacemaker. Methods: 41 elderly patients in accordance with the corresponding requirements were studied after offering systematic family nursing guidance and surveyed through the questionnaires about the QOL (quality of life) respectively 1 month, 3 months and 6 months after leaving hospital. Results: Compared with that of 1 month and 3 months after the operation, the questionnaire scores for 6 months after the operation were found to have significant improvement, and the differences were statistically significant. Conclusion: Systematic family nursing guidance can effectively improve the QOL for elderly patients with implanted cardiac pacemaker, which makes them spend their old age in comfort and happiness.
Furuncular myiasis of the breast caused by the larvae of the Tumbu fly (Cordylobia anthropophaga)
Charles Adisa, Augustus Mbanaso
BMC Surgery , 2004, DOI: 10.1186/1471-2482-4-5
Abstract: We present a case of furuncular breast myiasis due to the larvae of C. anthropophaga earlier misdiagnosed as mastitis in a patient living in tropical Africa (Nigeria) where the Tumbu fly is endemic.We report a 70 year old woman who presented with a week history of itchy multiple discharging sinuses of the right breast. The sinuses contained wriggling larvae of C. anthropophaga. Fourteen larvae were extracted from the breast and the sinuses healed quite well after the extraction.Cutaneous myiasis of the breast is rare, hence, an awareness of its clinical features is necessary when a patient presents with furuncular skin lesions especially in endemic areas or people returning from such areas. Diagnosis is mainly clinical and lesions heal well after the extraction of the larvae.Preventive measures such as ironing after drying of dresses and a good personal hygiene are crucial in controlling C. anthropophaga infestation.Myiasis is the term applied to the infestation of live humans and vertebrate animals with the larvae (maggots) of Diptera (two winged) flies. In humans, infestation may affect the skin, wounds, intestines and body cavities (oral, nasal, aural, ocular, sinusal, vaginal and urethra) [1].When open wounds are involved, the myiasis is known as traumatic and when boil-like, the lesion is termed furuncular. Cordylobia anthropophaga (also referred to as "Tumbu Fly", "Mango Fly", "Skin maggot fly or "Verde Cayor") is endemic in tropical Africa [2]. Furuncular myiasis as a result of Cordylobia anthropophaga infestation has been endemic in the West African sub region for more than 135 years [3].The other flies that cause furuncular myiasis include Cordylobia rhodaini (Lund fly, found in the rainforest areas of tropical Africa) and Dermatobia hominis (human botfly, which is endemic in Central and South America).The mode of transmission of Dermatobia hominis differs from the Cordylobia species. The eggs of D. hominis are carried to the host by a blood-sucking insect,
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