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Search Results: 1 - 10 of 119063 matches for " Gabriel O Ogun "
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Cavernous lymphangioma of the breast
Gabriel O Ogun, O Oyetunde, EffiongE Akang
World Journal of Surgical Oncology , 2007, DOI: 10.1186/1477-7819-5-69
Abstract: We describe a 38-year-old woman who presented with a palpable breast lump, which measured 5 × 4 cm. A local excision of the lump was performed and a diagnosis of cavernous lymphangioma was made. The patient is alive and well, after five years of follow-up, with no complaints or recurrence.To the best of our knowledge, this is the first case to be documented in a black African woman. Complete surgical excision seems to be the best modality of treatment of this lesion.Lymphangioma in the breast is a rare entity, and only a few cases have been documented in the literature [1-9]. Lymphangiomas are composed of dilated lymphatic channels lined by endothelium. They occur predominantly in children, with up to 90% of cases presenting by the second year of life [10,11]. The cases that have been previously documented in literature ranged from three to 25 cm in diameter and were mainly located in the upper outer quadrant of the breast (Table 1). This anatomical pattern of distribution is related to the drainage pattern of the lymphatics in the breast, which is mainly towards the tail and the axilla [9]. We present a case of lymphangioma in the breast of a black African woman.A 38-year-old black female presented with a two-month history of a painful left breast lump. The pain was relieved by simple analgesics. There was no associated nipple discharge. There were no other clinical symptoms. Her past medical and family history was not significant. Physical examination revealed a well circumscribed, slightly mobile, and tender soft lump measuring about 5 × 4 cm, located in the upper outer quadrant of the left breast. There was no axillary lymphadenopathy. Clinical examination did not reveal any other significant findings. A fine needle aspiration cytology specimen obtained from the breast lesion was reported as inflammatory. The patient subsequently had excisional biopsy of the lump.Macroscopically, the lump measured 5 × 3 × 2.5 cm and weighed 30 gm. It was nodular, and soft in con
Dermoid cyst of the urinary bladder as a differential diagnosis of bladder calculus: a case report
Linus I Okeke, Gabriel O Ogun, Blessing R Etukakpan, Anselmn Iyama, Adewunmi O Adeoye, Babatunde M Duduyemi
Journal of Medical Case Reports , 2007, DOI: 10.1186/1752-1947-1-32
Abstract: Dermoid cysts are benign 'tumours', which are considered as developmental anomalies. They consist of tissue from more than one germ cell layer and occur most commonly in the ovaries but may also be found at other sites, especially in the midline and para-axial locations. They are rare in the urinary bladder The parthenogenic theory, which suggests an origin from primordial germ cell, is now the most widely accepted theory of pathogenesis of dermoid cysts. We present a case of dermoid cyst in the urinary bladder of a 34-year old woman.A 34-year-old woman presented with a 9-year history of irritative lower urinary tract symptoms (LUTS) characterized by frequency, nocturia, urgency, and urge incontinence. She also had dysuria and suprapubic pain relieved by voiding. There was no haematuria, obstructive LUTS or weight loss. She had worked in a dye industry for 3 years in the Democratic Republic of the Congo. She walked with a gliding gait suggestive of an irritating bladder stone. An abdominopelvic ultrasound scan revealed that the upper urinary tract was normal, with multiple tiny echogenic structures casting acoustic shadows in the urinary bladder. At urethrocystoscopy, a single bladder calculus adherent to the midline of the anterior wall/dome of the bladder was found, with evidence of surrounding cystitis. The urethra was normal. She received antibiotics for culture-proven E. coli urinary tract infection preoperatively.At an open bladder exploration 18 days later, a single grey sessile polypoid mass measuring about 5 cm diameter (Figure 1), covered with grains of whitish deposits was found arising from the midline of the anterior bladder wall. The rest of the bladder mucosa was normal. The mass was excised with a 1 cm rim of normal bladder mucosa and sent for histological examination.The specimen measured 4 × 2.5 × 2 cm and was greyish brown in appearance after immersion in 10% buffered formalin. It weighed 10 g. Its cut surface showed a yellowish appearance with a
Kaposi Sarcoma in HIV Positive Nigerian Children: A Case Series  [PDF]
Regina Oladokun, Bamidele Kolude, Gabriel Ogun, Biobele Brown, Kikelomo Osinusi
World Journal of AIDS (WJA) , 2011, DOI: 10.4236/wja.2011.13010
Abstract: Background: HIV associated KS is relatively rare in children and has been reported to be higher in East Africa compared to other regions. Literature on cases of histologically proven Kaposi sarcoma in children with HIV infection in West Africa is scanty. Case presentation: This communication presents three cases of KS seen among children in a paediatric HIV unit. The first case was an eleven year old HIV positive boy who had oral candidiasis that resolved with treatment and subsequently developed a painless, erythematous swelling at the middle of the dorsum of the tongue with central loss of papillae. He also had multiple discoid hyperpigmented flat lesions on the legs and soles of the feet. In addition to switching to second line antiretroviral therapy, he had chemotherapy. The lesions regressed. The second case was a double orphan who had KS involvement of the right eye, nasal cavity and lymph nodes. The tumour rapidly progressed and the child died before ART and chemotherapy could be commenced. The last case was a five year old girl with mild KS of the skin but also had other manifestations of severe HIV disease which she succumbed to. Incisional biopsies of the lesions revealed an invasive epithelial lined vascular tumour destroying the upper layers of skeletal fibres within the connective tissue stroma in keeping with KS. Human Herpes Virus type 8 (HHV8) screen was also positive for all the cases. Conclusion: A high index of suspicion must be entertained and biopsy of suspicious muco-cutaneous lesions is necessary to exclude a diagnosis of KS which is an indicator of severity and progression of HIV.
Determination of Parallel Market Exchange Rate Premium  [PDF]
Oluremi Ogun
Modern Economy (ME) , 2015, DOI: 10.4236/me.2015.62026
Abstract: A model of the determination of parallel market exchange rate premium in liberalized economies is presented. Clear distinction is made between fundamental and nominal determinants with economic justification(s) given for every variable. Likely data problems that may arise during implementation are discussed and suggestions on circumventing are made.
Congenital orbital teratoma: a case report and challenges of its management in a resource limited setting
Olufunmilola Abimbola Ogun, Gabriel Olabiyi Ogun, Biobele Jotham Brown, Adedamola Lameed Mosuro, Adeyinka Olusola Ashaye
Pan African Medical Journal , 2012,
Abstract: We report a case of congenital immature teratoma of the orbit in a female neonate who presented on the second day of life. She was successfully managed by modified exenteration. The patient was lost to follow-up intermittently over a 24-month period without recurrence of the tumour. However the patient could not be traced again after 24 months of follow up. This happened despite concerted efforts to educate the parents. The possible implications of this and other social factors, in a challenging and resource limited setting, on the prognosis of the disease and cosmetic outcome are considered. Pan African Medical Journal 2012; 12:3
Extraosseous osteosarcoma in Ibadan: case series over a 20-year period
Temitope Oluwagbenga Alonge,Henry Adebayo Obamuyide,Gabriel Olabiyi Ogun
Rare Tumors , 2009, DOI: 10.4081/rt.2009.e2
Abstract: Extraosseous osteosarcoma (EOO) is a rare form of sarcoma. There have been few reports of cases and outcome from an African population. Out of 112 cases of sarcomas seen at the UCH, Ibadan between 1986-2005, 5 were EOO. All presented late on account of initial excision without histology and outcomes were poor. EOO occurs in the black population of Sub-Saharan Africa. The outlook for these patients is still bleak.
Exchange Rate Determination in Developing Economies  [PDF]
Oluremi Davies Ogun
Modern Economy (ME) , 2012, DOI: 10.4236/me.2012.35067
Abstract: This paper identifies the determinants of nominal exchange rate movements in less developed countries operating the flexible exchange rate system. Factors peculiar to such countries which are believed to potently drive their nominal ex-change rates are incorporated into the resulting model. In particular, the weather, parallel market exchange rate and its associated premium as well as corrupt practices enter the model. While all four factors should play crucial roles in ex-plaining short-run variations in the exchange rate, corrupt practices may still be at work in the long-run. However, those more advanced developing countries that have succeeded in instituting a relatively more effective legal system stem-ming the tide of corruption, and, also characterized by a near absence of parallel exchange rate market, may follow the standard model of exchange rate in the literature.
Prevalence and Predictors of Depression among Adolescents in Ido Ekiti, South West Nigeria  [PDF]
K. O. Oderinde, M. U. Dada, O. C. Ogun, N. S. Awunor, N. S. Awunor, H. K. Ahmed, A. B. Tsuung, S. T. Tanko, A. A. Yusuff
International Journal of Clinical Medicine (IJCM) , 2018, DOI: 10.4236/ijcm.2018.93017
Abstract: Background: Depression among adolescents has been recognized as a public health problem all over the world. In Nigeria, as in most developing countries, there is a need for more research on the epidemiology of adolescent depression as this will guide prevention, diagnosis and treatment. Objectives: The study sought to determine the one month prevalence and predictors of depression among a sample of in-school adolescents in a rural region in South West Nigeria. Materials and Methods: This was a cross sectional descriptive survey among 540 secondary school students randomly selected from the six secondary schools in the study area using a Socio demographic Questionnaire and the Patient Health Questionnaire modified for Adolescents. Subsequently, a proportion of them were interviewed with the Kiddies Schedule for Affective Disorders and Schizophrenia. Results: Data were analyzed using the SPSS version 17. Respondents were aged 10 - 19 years (mean age was 14.07 ± 1.84). The one month prevalence of depression among the study population was 16.3% (using weighting method). Logistic regression analysis showed that death of a mother (OR = 11.786, 95% CI, 1.990 - 23.184), being from a polygamous family (OR = 5.781, 95% CI, 3.253 - 24.371), low socioeconomic class (OR = 6.222, 95% CI, 4.705 - 23.379), having a single parent (OR = 2.236, 95% CI, 0.869 - 11.786), having witnessed frequent violence (OR = 12.411, 95% CI, 0.516 - 29.851) and positive history of sexual abuse (OR = 0.203, 95% CI, 0.003 - 0.529) were significantly and independently associated with depression in this sample of adolescents. Conclusion: The one month prevalence of adolescent depression within the study population is slightly higher than what has been reported in other parts of the world. Therefore, there is a need for government to design and implement policies which can help to prevent, detect early, and treat depression among youths especially in rural areas.
Commentary: Causes of death in elderly
Y Ogun
Annals of African Medicine , 2011,
Abstract: No
Management Of Ischaemic Stroke – Recent Advances
SA Ogun
Nigerian Journal of Clinical Practice , 2002,
Abstract: There is a better understanding of the natural course of stroke as well as its pathogenesis. This has led to the philosophy of “watch and intervene from ischaemie damage. Thrombolytic therapy given within 3 hours of ictus has been effective but this is not feasible in Africa because of time delay and lack of neuro-imaging facilities in most centers. Contemporary management of stroke is divided into 4 phases; acute, early subacute, late subacute and long term. Acute phase involves early assessment and supportive care from the onset of stroke to the 7th day. These include adequate fluid therapy (not haemodilution) of isotonic or hypertonic infusion to improve cerebral blood flow and reduce cerebral oedema; insulin therapy for hyperglycaemia as well as use of free radical scavengers. Hypertension is the commonest predisposing factor for stroke, but the weight of available evidence does not support its treatment in the first 10 days of stroke onset. However, for extra cerebral complications with blood pressure above 220/120, oral antihypertensive agents could be beneficial. Combination of thrombolytics, agents to protect against the effects of ischaemia and ant-oedema measures are likely to be required. Possible agents that might halt the ischaemic process before infarction becomes inevitable include NMDA receptor blockers, ion channel blockers, free radical scavengers, caspace and xanthine oxidase inhibitors. During the early subacute phase, from the 2nd to the 4th week, prevention of pulmonary embolism with subcutaneous heparin, treatment of pneumonia with antibiotics and early physiotherapy are important. During the late phase, physical and psychological rehabilitation and prevention of stroke recurrence by modifying the risk factors are essential. For effective management of stroke (“brain attack”), stroke units are now in vogue in developed nations. Stroke management in our nation should be reprioritized as a time dependent urgent medical emergency just as is currently stressed for major trauma and acute myocardial infarction (heart attack). Efforts should equally be made to set up stroke units and strengthen primary prevention. KEY WORDS: stroke, management. Nigerian Journal of Clinical Practice Vol.5(2) 2002: 130-138
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