Publications by authors named "Kayode Olusegun Ajenifuja"

Background And Objectives: The study aimed to analyze the prevalence, trends, and outcomes of twin pregnancies in Ile-Ife, Nigeria, over two distinct periods.

Materials And Methods: This research, based on a 14-year retrospective cohort study, scrutinized twin births occurring in two-time frames: recent years (2012-2018; Period II) and the recent past (2005-2011; Period I) at a University Teaching Hospital in Ile-Ife, Nigeria. The inclusion criteria were limited to twin births, excluding singleton and higher-order gestations.

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Article Synopsis
  • - The study compares the effectiveness of different devices (curette, brush, and a combination of both) in collecting samples during endocervical curettage (ECC) following inadequate colposcopy or abnormal Pap results.
  • - A total of 300 women participated, with results showing that the curette and combined methods produced more adequate samples than the brush alone, but all methods were equally effective in detecting cervical precancer (CIN2+).
  • - The findings suggested that while curette and combination methods are more efficient in sample collection, factors like age and parity did not significantly impact the sample quality or the ability to detect CIN2+.
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Objective: Our aim was to evaluate the trend of effect of prior caesarean delivery (CD) on obstetric outcomes; and to investigate the existence of a threshold for order of CD associated with geometrical increase in complications.

Materials And Methods: We performed a retrospective cohort study of 942 parturients who undergone CD between June 2012 and May 2015 in a teaching hospital in Nigeria. The participants were stratified by the order of caesarean deliveries.

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Image quality control is a critical element in the process of data collection and cleaning. Both manual and automated analyses alike are adversely impacted by bad quality data. There are several factors that can degrade image quality and, correspondingly, there are many approaches to mitigate their negative impact.

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Background: Cervical cancer is the fourth most common cancer in women. It is a major public health problem in developing countries. Effective cervical cancer screening requires that women adhere to the screening program.

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Article Synopsis
  • Ovarian cancer is more prevalent among Black women in West Africa compared to those in North America, and survival rates are lower for Black women than White women, with factors like histotype and age at diagnosis affecting outcomes.
  • The study analyzed data from Nigerian patients, Caribbean-born Blacks, and US-born Blacks, revealing that Nigerians had a higher percentage of germ cell and sex-cord stromal tumors, whereas Caribbean and US-born blacks had more cases of serous ovarian cancer.
  • Nigerians were diagnosed with epithelial ovarian cancers at a younger age compared to their Caribbean and US counterparts, with all Black women showing earlier diagnosis of germ cell and sex-cord stromal tumors than White women.
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Background: There is no consensus on the preferred time to remove urethral catheter post caesarean section.

Aim: To compare rate of significant bacteriuria and urinary retention following 8-h (study) and 24-h urethral catheter removal (control) post elective caesarean section.

Methods: A randomized controlled trial of eligible participants that underwent elective caesarean section under spinal anaesthesia between March 2019 and November 2019 was conducted.

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Background: We propose an economical cervical screening research and implementation strategy designed to take into account the typically slow natural history of cervical cancer and the severe but hopefully temporary impact of COVID-19. The commentary introduces the practical validation of some critical components of the strategy, described in three manuscripts detailing recent project results in Asia and Africa.The main phases of a cervical screening program are 1) primary screening of women in the general population, 2) triage testing of the small minority of women that screen positive to determine need for treatment, and 3) treatment of triage-positive women thought to be at highest risk of precancer or even cancer.

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Background: Reduced ovarian reserve predicts poor ovarian response and poor suc- cess rates in infertile women who undergo assisted reproductive technology (ART). Ovarian reserve also decreases with age but the rate of decline varies from one woman to another. This study aims to detect differences in ovarian reserve as measured by basal serum follicle stimulating hormone (FSH) and anti-Müllerian hormone (AMH) between a matched cohort of fertile and infertile regularly menstruating women, 18-45 years of age.

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Urethra mucosa prolapse is a benign condition in which there is a circular protrusion of the distal urethra through the external urethra meatus. It is more commonly seen in prepubertal black girls and postmenopausal white women. It is rare in the reproductive age group.

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Aim: This study was undertaken to determine the prevalence of post-partum urinary retention after vaginal delivery and to examine the associated risk factors.

Material And Methods: This was a prospective observational study carried out over a 2-month period at the major university teaching hospital in southwestern Nigeria.

Results: Prevalence of post-partum urinary retention was 29.

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Objective: Cervical cancer is the most common gynecological cancer in developing countries. Visual inspection with acetic acid (VIA) was introduced to screen for cervical premalignant lesions in developing countries owing to the inability of many countries to implement high-quality cytologic services. We sought to compare VIA performance among different health workers in Nigeria.

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