Publications by authors named "Ajayi I"

Background: Informal Healthcare Providers (IHCPs), including Proprietary Patent Medicine Vendors (PPMVs), drug peddlers, traditional healers, and herbal drug sellers are often the first choice for malaria treatment, especially in urban slums. Unplanned urbanization significantly impacts malaria transmission by creating cities with inadequate safety nets and healthcare access, increasing reliance on IHCPs. While the World Health Organization recognizes IHCP's crucial role and emphasizes integrating them into formal healthcare for improved malaria care, they lack requisite training in malaria management and operate outside official regulations, raising concerns about the quality of care they provide.

View Article and Find Full Text PDF

Background: Unplanned and rapid urbanization within Nigerian cities with the attendant environmental consequences may hinder achieving malaria elimination goal. Presently, there are limited qualitative studies on malaria case management and care-seeking patterns by settlement type in urban areas in Nigeria. This study, investigated malaria-related health seeking behaviours among different settlement types in Ibadan and Kano metropolises, Nigeria.

View Article and Find Full Text PDF

Introduction: hypertension is a major public health problem globally. The occurrence has been associated with unhealthy lifestyles (such as high salt consumption, physical inactivity, excessive intake of alcohol and unhealthy diet), which are very critical for hypertension control. The study was conducted to assess the lifestyle practices and their determinants among adults with hypertension in Nigeria.

View Article and Find Full Text PDF
Article Synopsis
  • Polycystic ovary syndrome (PCOS) is a common hormonal disorder in women of reproductive age, influenced by genetics, hormones, and environmental factors.* -
  • Serum kisspeptin is highlighted as a potential biomarker for PCOS due to its role in regulating the hypothalamic-pituitary-gonadal (HPG) axis, but there are challenges in utilizing it effectively for diagnosis.* -
  • The review stresses the need for standardized research methods and further investigation into genetic variations to improve the reliability of kisspeptin as a diagnostic tool for PCOS.*
View Article and Find Full Text PDF

Background And Objectives: Prevalence of prediabetes and undiagnosed diabetes are different in rural and urban dwellings, with varying driving factors. This study aimed to determine the differences in risk factors of prediabetes and undiagnosed diabetes among Yoruba speaking adult dwellers in selected rural and urban communities in Nigeria using haemoglobin A1c.

Methods: A cross-sectional study was conducted in five selected states in Southwestern Nigeria.

View Article and Find Full Text PDF

Chronic exposure to elevated levels of manganese (Mn) may cause a neurological disorder referred to as manganism. The transcription factor REST is dysregulated in several neurodegenerative diseases, such as Alzheimer's disease and Parkinson's disease. REST upregulated tyrosine hydroxylase and induced protection against Mn toxicity in neuronal cultures.

View Article and Find Full Text PDF

Background: High-quality prescription (HQP) which is a key player in optimal blood pressure control reflects good prescribing process and thus quality health care.

Aims: To determine quality of prescription and its correlates in patients with hypertension attending a secondary health facility in Ibadan, Nigeria.

Methodology: A cross-sectional hospital-based study among 347 known hypertensive patients attending the Medical Outpatient clinic of Jericho Specialist hospital, Ibadan.

View Article and Find Full Text PDF
Article Synopsis
  • Gestational Diabetes Mellitus (GDM) poses health risks, making early prediction and effective management essential, with machine learning proving to be a useful tool in this area.*
  • A review of fourteen studies published from 2000 to September 2023 focused on machine learning techniques for predicting GDM, highlighting key themes such as the need for early risk prediction and tailored models for different populations.*
  • The findings suggest integrating clinical data into GDM prediction models enhances treatment delivery, but complexities in model selection and variable weighting remain challenges for researchers seeking to improve healthcare outcomes for at-risk pregnant individuals.*
View Article and Find Full Text PDF

Chronic exposure to elevated levels of manganese (Mn) causes a neurological disorder referred to as manganism, presenting symptoms similar to those of Parkinson's disease (PD), yet the mechanisms by which Mn induces its neurotoxicity are not completely understood. 17β-estradiol (E2) affords neuroprotection against Mn toxicity in various neural cell types including microglia. Our previous studies have shown that leucine-rich repeat kinase 2 (LRRK2) mediates Mn-induced inflammatory toxicity in microglia.

View Article and Find Full Text PDF

Oral habits such as nail biting, thumb/digit sucking and teeth grinding could be harmful, and may lead to teeth misalignment, anterior open bite, protruded or flared upper anterior teeth especially if they persist into adolescence. Such orofacial dysfunction may result to impairment of the Oral Health Related Quality of Life (OHRQoL) of an individual. The extent to which oral habits affect the major domains of the self-reported outcomes remains understudied especially during adolescence, a unique period of growth, where there is increased aesthetic desire, increased self-awareness, and unique social and psychological needs.

View Article and Find Full Text PDF

Management of hypertension is challenging in multi-cultural and multi-ethnic sub-Saharan African countries like Nigeria. This diversity calls for multi-dimensional interventional approaches for hypertension control. This study assessed the treatment seeking behaviour and associated factors among adults with high blood pressure from three ethnic groups in Nigeria.

View Article and Find Full Text PDF
Article Synopsis
  • - Group B streptococcus (GBS) poses serious risks to newborns, prompting research into maternal vaccination as a preventative measure due to limitations of current intrapartum antibiotics.
  • - A review of five studies indicated that maternal GBS vaccines are effective and generally safe, though varying immune responses highlight the need for personalized vaccination strategies.
  • - Successful integration of GBS vaccination into maternal health programs faces challenges, particularly in resource-limited settings, necessitating efforts to address cultural barriers and improve healthcare provider knowledge.
View Article and Find Full Text PDF

Promoting the intake of foods rich in vitamin A is key to combating the increase in vitamin A deficiency. This research focused on the utilization of orange-fleshed sweet potatoes (a tuber-based food), cowpea (a pulse), and ripe bananas (a fruit) for the production of flour mix as a means to reduce Vitamin A deficiency in children. Different ratios of sweet potato-cowpea-banana (PCB) mix, resulting in 8 different blended samples, were optimized.

View Article and Find Full Text PDF

African locust bean () is a multipurpose leguminous tree species of nutritional and pharmacological value. The plant is widely distributed in Africa and across Nigeria's major agroecological areas (AEAs). Amidst declining cultivation and production, is genetically threatened in its natural habitats due to overexploitation, deforestation, wildfires and lack of improved tree management practices.

View Article and Find Full Text PDF

Context And Aim: Given the challenges of microscopy, we compared its performance with SD-Bioline malaria rapid diagnostic test (MRDT) and polymerase chain reaction (PCR) and evaluated the time it took for positive results to become negative after treatment of children with acute uncomplicated malaria.

Subjects And Methods: We present the report of 485 participants with complete MRDT, microscopy, and PCR data out of 511 febrile children aged 3-59 months who participated in a cohort study over a 12-month period in rural and urban areas of Ibadan, Nigeria. MRDT-positive children received antimalaria and tested at every visit over 28 days.

View Article and Find Full Text PDF

Background: Rates of cardiovascular (CV) disease mortality is usually higher in men but this equalizes with that of women following menopause.

Objectives: This was to determine the contribution of abdominal obesity and estradiol to cardiovascular risk in postmenopausal women (PMW) as well as estimate their CV risk profile.

Methods: 271 consenting PMW were recruited consecutively into this cross-sectional hospital-based study.

View Article and Find Full Text PDF

Introduction: One of the unexpected outcomes of the COVID-19 pandemic was the relatively low levels of morbidity and mortality in Africa compared to the rest of the world. Nigeria, Africa's most populous nation, accounted for less than 0.01% of the global COVID-19 fatalities.

View Article and Find Full Text PDF
Article Synopsis
  • Ovarian cancer poses a significant challenge in sub-Saharan Africa due to late-stage diagnoses caused by limited resources and poor healthcare infrastructure.
  • The lack of awareness about the disease and socioeconomic factors further complicates early detection and treatment.
  • Liquid biopsy (LB) emerges as a promising, cost-effective, and adaptable diagnostic method that could improve access to ovarian cancer diagnosis, thus paving the way for better healthcare outcomes in the region.
View Article and Find Full Text PDF

Introduction: Humans acquire cystic echinococcosis through accidental ingestion of Echinococcus granulosus (EG) eggs released into the environment by infected dogs. This study aimed to determine the presence of EG antibodies and their determinants in owned dogs in Ibadan, Nigeria.

Methodology: Sera from 185 dogs on routine visits to veterinary clinics were analysed by indirect ELISA.

View Article and Find Full Text PDF

Purpose: To examine the association between benign breast disease (BBD) and breast cancer (BC) in a heterogeneous population of African women.

Methods: BC cases and controls were enrolled in three sub-Saharan African countries, Nigeria, Cameroon, and Uganda, between 1998 and 2018. Multivariable logistic regression was used to test the association between BBD and BC.

View Article and Find Full Text PDF

Objective: Hexane-acetyl acetate (HAAF) and acetyl acetate-methanol fractions (AAMF) but not aqueous methanol (AQMF) and aqueous fractions (AQF) of Adansonia digitata Linn root bark induce reproductive effects in female Wistar rats. The current study investigated the exclusive components of HAAF, AAMF, AQMF, and AQF of Adansonia digitata Linn root bark and the effect of AAMF on the female Wistar rat's oestrous cycle progression, and hormone and lipid profiles.

Methodology: Gas chromatography and mass spectrometry explored the components of HAAF, AAMF, AQMF, and AQF.

View Article and Find Full Text PDF

Purpose: To examine the association between benign breast disease (BBD) and breast cancer (BC) in a heterogeneous population of African women.

Methods: BC cases and matched controls were enrolled in three sub-Saharan African countries, Nigeria Cameroon, and Uganda, between 1998-2018. Multivariable logistic regression was used to test the association between BBD and BC.

View Article and Find Full Text PDF

Background: Rapid urbanization in Nigerian cities may lead to localized variations in malaria transmission, particularly with a higher burden in informal settlements and slums. However, there is a lack of available data to quantify the variations in transmission risk at the city level and inform the selection of appropriate interventions. To bridge this gap, field studies will be undertaken in Ibadan and Kano, two major Nigerian cities.

View Article and Find Full Text PDF

Background: Type 2 diabetes mellitus (T2DM) is a disease of public health importance globally with an increasing burden of undiagnosed pre-diabetes and diabetes in low- and middle-income countries, Nigeria in particular. Pre-diabetes and diabetes are established risk factors for cardiovascular complications. However, data are scanty on the current prevalence of these conditions in Nigeria, based on haemoglobin A1c (HbA1c) diagnosis as recommended by the WHO in 2009.

View Article and Find Full Text PDF

Objective: Radiofrequency-electromagnetic radiation (RF-EMR) exposure during gestational and neonatal development may interact with the foetus and neonate considered hypersensitive to RF-EMR, consequently resulting in developmental defects associated with neuropsychological and neurobehavioral disorders, including learning and memory impairment. This study assessed the potential of Myrtenal (Myrt) to improve memory deficits in C57BL/6 mice exposed to RF-EMR during gestational and neonatal development.

Method: Thirty-five male mice were randomly allocated into 5 cohorts, each comprising of 7 mice.

View Article and Find Full Text PDF