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  1. Article ; Online: Hysterosalpingographic findings in infertility - what has changed over the years?

    Omidiji, Olubukola At / Toyobo, Oluyemisi O / Adegbola, Omololu / Fatade, Abiodun / Olowoyeye, Omodele A

    African health sciences

    2019  Volume 19, Issue 2, Page(s) 1866–1874

    Abstract: Background: Prior studies on Hysterosalpingography (HSG) have shown that pelvic inflammatory disease (PID) related tubal adhesions accounted for 30 - 50% of female infertility, with as high as 80% reported in some studies. With improved access to ... ...

    Abstract Background: Prior studies on Hysterosalpingography (HSG) have shown that pelvic inflammatory disease (PID) related tubal adhesions accounted for 30 - 50% of female infertility, with as high as 80% reported in some studies. With improved access to contraceptives, antibiotics and promotion of safe practices, the abnormal findings in HSG may have reduced or altered.
    Objective: To document the imaging findings in the HSG of participants and to compare current findings with prior studies done nationally and internationally.
    Method: A retrospective evaluation of 974 HSGs done at the tertiary diagnostic center over a 7-year period was conducted and analyzed using diagnostic accuracy tables.
    Results: Tubal pathologies were the most common abnormality in this study, (35.1% of the cases), comprising tubal blockage and hydrosalpinges; followed by uterine masses seen in 223 (22.9%) of the clients. Tubal occlusion was higher in clients with multiple abnormal findings; while normal sized and large uterine cavities had a higher percentage of bilateral tubal patency.
    Conclusion: Tubal factors remain the most common abnormality seen in the HSGs of infertile women in this study, though with lower prevalence compared with prior older studies. Forty seven (47%) of the cases of female factor infertility had normal HSGs with bilateral tubal patency.
    MeSH term(s) Adolescent ; Adult ; Age Distribution ; Fallopian Tube Diseases/complications ; Fallopian Tube Diseases/diagnostic imaging ; Fallopian Tube Diseases/epidemiology ; Fallopian Tubes/diagnostic imaging ; Female ; Humans ; Hysterosalpingography/methods ; Infertility, Female/diagnostic imaging ; Infertility, Female/epidemiology ; Infertility, Female/etiology ; Retrospective Studies ; Socioeconomic Factors ; Uterus/diagnostic imaging ; Young Adult
    Language English
    Publishing date 2019-10-01
    Publishing country Uganda
    Document type Evaluation Study ; Journal Article
    ZDB-ID 2240308-5
    ISSN 1729-0503 ; 1680-6905
    ISSN (online) 1729-0503
    ISSN 1680-6905
    DOI 10.4314/ahs.v19i2.9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3851: Show issues Location:
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  2. Article ; Online: A 5-year multidisciplinary care outcomes in children with wilms' tumour managed at a tertiary centre: A retrospective observational study.

    Alakaloko, Felix M / Akinsete, Adeseye M / Seyi-Olajide, Justina O / Joseph, Adedayo O / Elebute, Olumide O / Ladipo-Ajayi, Oluwaseun A / Odubanjo, M Olatokunboh / Olowoyeye, Omodele A / Ademuyiwa, Adesoji O / Temiye, Edamisan O / Akinsulie, Adebola A / Bode, Christopher O

    African journal of paediatric surgery : AJPS

    2022  Volume 19, Issue 2, Page(s) 83–88

    Abstract: Background: Over the last two decades, there has been significant improvement in the outcomes of children with Wilms' tumour (WT) in high income countries (HICs) with approximately 85% survival rate globally. This is partly attributable to a multi- ... ...

    Abstract Background: Over the last two decades, there has been significant improvement in the outcomes of children with Wilms' tumour (WT) in high income countries (HICs) with approximately 85% survival rate globally. This is partly attributable to a multi-disciplinary team approach to care and the evolution of more robust treatment measures. A previous review in our centre prior to multi-disciplinary team shows a survival rate of 31.48%, However, the survival rates from low- and middle-income countries are still low when compared to HICs due to delays in access to care at all levels, poor to non-existent health insurance coverage, limited workforce resources, weak health-care systems and infrastructure. The aim of this study is to determine the impact of a multi-disciplinary team approach on the treatment outcomes of children with WT.
    Methodology: This is a 5-year retrospective review of all patients managed with WT at the Lagos University Teaching Hospital, Lagos, Nigeria. Information was extracted from the patients' case notes, operation notes and ward admission records. The data were analysed with SPSS 25, and P < 0.05 was considered to be statistically significant.
    Results: Forty patients were included in the study; male to female ratio was 1.6:1. The disease occurred in the right kidney in 23 patients (57.5%) and on the left in 17 patients (42.5%). The average duration of symptoms before presentation was 3.6 months (range 1-7 months), majority of patients presented with abdominal masses and were assessed as per unit protocol with abdominal Computerized tomography scan, chest X-ray and abdominal ultrasound scan to assign the patient International Society of Paediatric oncology regimen. The predominant stage at surgery was Stage III 26 (65%), while Stage IV was 9 (22.5%). Morbidity after chemotherapy was 10 (25%). Twenty-five patients (63%) completed chemotherapy while 15 patients (37%) started chemotherapy but defaulted midway. The 5-year survival rate was 75%. Increasing age and male sex were associated with reduced odds of mortality; however, this was not statistically significant. Increased duration of treatment, being treated with chemotherapy alone, as well as advanced tumour stage and histology were associated with increased odds of mortality, however, this was not statistically significant.
    Conclusion: The development of an institutional WT treatment pathway involving a multidisciplinary team has resulted in improved outcomes. There is need for increased community awareness to improve the time to presentation.
    MeSH term(s) Female ; Humans ; Infant ; Kidney ; Kidney Neoplasms/therapy ; Male ; Nigeria ; Retrospective Studies ; Wilms Tumor/therapy
    Language English
    Publishing date 2022-01-14
    Publishing country India
    Document type Journal Article ; Observational Study
    ZDB-ID 2392865-7
    ISSN 0974-5998 ; 0974-5998
    ISSN (online) 0974-5998
    ISSN 0974-5998
    DOI 10.4103/ajps.AJPS_155_20
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: COVID-19: Challenges and coping strategies in radiology departments in Nigeria.

    Omidiji, Olubukola A / Atalabi, Omolola Mojisola / Idowu, Elizabeth A / Ishola, Aderemi / Olowoyeye, Omodele A / Omisore, Adeleye Dorcas / Eze, K C / Ahmadu, Muhammad S / Dim, Ngozi R / Anas, Ismail / Ilo, Adaobi C / Ayodele, Sidikat A T / Daji, Feyisayo Yvonne / Yidi, Abdulsalam M / Ajiboye, Olubukola Khadija / Jimoh, Kamaldeen O / Toyobo, Oluyemisi O / Onuwaje, Ayesan M / Irurhe, Nicholas Kayode /
    Adeyomoye, Adekunle O / Akinola, Rachael A / Arogundade, Rasheed Ajani

    Annals of African medicine

    2022  Volume 21, Issue 1, Page(s) 71–76

    Abstract: Context: COVID-19 came suddenly, bringing to the fore the challenges inherent in the health system. In a developing country, such as Nigeria, which already had myriad problems with funds and equipment in the health sector.: Aims: This study aims to ... ...

    Abstract Context: COVID-19 came suddenly, bringing to the fore the challenges inherent in the health system. In a developing country, such as Nigeria, which already had myriad problems with funds and equipment in the health sector.
    Aims: This study aims to examine the challenges encountered by the staff in Radiology facilities and how they combated the challenges.
    Settings and design: A descriptive cross-sectional study of radiology facilities in Nigeria.
    Subjects and methods: Radiologists from nine government and four private facilities who attended to COVID-19 patients were asked to fill questionnaires on challenges faced and their coping strategies. Responses were sent through E-mail.
    Statistical analysis used: Data from the responses were analyzed using Microsoft excel for Mac 2011 and presented as figures and tables.
    Results: Majority of the government 7 (77.8%) and private facilities 4 (100%) had no equipment dedicated only to COVID-19 patients. Seven (77.8%) government facilities complained of inadequate staff, poor availability of personal protective equipment (PPEs) 8 (88.9%), and lack of technology for remote viewing 7 (77.8%). Fear of cross-infection was a challenge in one of the facilities 1 (11.1%). Coping strategies adopted include ensuring less traffic in the department by discouraging walk-in patients and canceling non-emergent cases, booking suspected/confirmed cases for lighter times, using old film for face shields and cloth for facemasks, staff education on COVID-19 and preventive measures, and sending reports to physicians through E-mail.
    Conclusions: There were a lot of challenges during the COVID-19 crisis, with government hospitals experiencing more challenges than private facilities. The challenges included among others inadequate staff strength and lack of technology for remote viewing. Some were overcome using education and by production of facemasks/shields production using recycled materials.
    MeSH term(s) Adaptation, Psychological ; COVID-19/epidemiology ; Cross-Sectional Studies ; Humans ; Nigeria/epidemiology ; Radiology
    Language English
    Publishing date 2022-03-22
    Publishing country India
    Document type Journal Article
    ZDB-ID 2165792-0
    ISSN 0975-5764 ; 0975-5764
    ISSN (online) 0975-5764
    ISSN 0975-5764
    DOI 10.4103/aam.aam_76_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Common Factors Affecting Radiographic Diagnostic Quality in X-Ray Facilities in Lagos.

    Edeh, Victor I / Olowoyeye, Omodele A / Irurhe, Nicholas K / Abonyi, Livinus C / Arogundade, Rasheed A / Awosanya, Gbolahan O / Eze, Cletus U / Omiyi, Oselumenosen D

    Journal of medical imaging and radiation sciences

    2012  Volume 43, Issue 2, Page(s) 108–111

    Abstract: Objective: To determine the common factors that affect the diagnostic quality of radiographs in radiodiagnostic centers in Lagos state, Nigeria.: Methods: Self-administered questionnaires containing both open- and close-ended questions were ... ...

    Abstract Objective: To determine the common factors that affect the diagnostic quality of radiographs in radiodiagnostic centers in Lagos state, Nigeria.
    Methods: Self-administered questionnaires containing both open- and close-ended questions were distributed to the supervising radiographers in radiodiagnostic centers within the Lagos metropolis. The questions asked included the film/reject ratio in each center and reasons why each film was rejected.
    Results: Faulty x-ray machines, movement on the part of the patient, poor darkroom film processing, and suboptimal radiographic techniques were the main reasons respondents identified as factors commonly responsible for the production of faulty films. In some cases, more than one of these factors was responsible.
    Conclusion: There is a need to routinely ensure that x-ray machines are properly calibrated in order to reduce the rate of film rejects in our x-ray facilities. In addition, equipment that is old and cannot be properly calibrated should be replaced. This would guarantee optimum performance and reduce radiation dose to patients and personnel. Younger radiographers should also be open to mentoring by older colleagues so they can acquire useful tips on how to reduce the production of films with unacceptable diagnostic quality. They should be encouraged to attend continuing education programs for improved expertise. Also, quality control and maintenance programs such as the reject film analysis or regular equipment maintenance should be enforced in radiodiagnostic centers.
    Language English
    Publishing date 2012-02-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2426513-5
    ISSN 1876-7982 ; 1939-8654
    ISSN (online) 1876-7982
    ISSN 1939-8654
    DOI 10.1016/j.jmir.2011.11.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 2541: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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