Publications by authors named "Okeke L"

Background: Surgeons disagree about whether patients should undertake home physical therapy (HPT) or formal physical therapy (FPT) after undergoing reverse total shoulder arthroplasty (rTSA). Recent studies suggest that HPT is as effective as FPT, but surgeons who perform rTSA may believe that FPT continues to have a role. Our primary purpose was to describe the opinions and self-reported practices of surgeons who perform rTSA regarding prescribing physical therapy (PT) after surgery.

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Background: Hepatitis B virus (HBV) and neonatal tetanus infections remain endemic in Nigeria despite the availability of safe, effective vaccines. We aimed to determine health facilities' capacity for hepatitis B vaccine birth dose (HepB-BD) and maternal tetanus-diphtheria (Td) vaccination and to assess knowledge, attitudes, and practices of HepB-BD and maternal Td vaccine administration among health facility staff in Nigeria.

Materials And Methods: This was a cross-sectional study assessing public primary and secondary health facilities in Adamawa and Enugu States.

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Article Synopsis
  • - The study aimed to determine the rate and risk factors of surgical site infections following mini-open rotator cuff repair (RCR) performed by a single surgeon, hypothesizing that the infection rate would be lower than previously reported.
  • - A review of 925 patient records from 2003 to 2020 revealed that 823 patients (89%) had sufficient follow-up, with a low infection rate of 1.7%, including 1.2% superficial and 0.49% deep infections.
  • - Key risk factors for infection included male sex and diabetes mellitus, with Staphylococcus aureus and Cutibacterium acnes being the most frequently identified bacteria in the infections.
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Internally displaced persons (IDPs) are at high risk for COVID-19 transmission because of congested and unsanitary living conditions. COVID-19 vaccination is essential to build population immunity and prevent severe disease among this population. We determined the prevalence and factors associated with intention to accept COVID-19 vaccine among IDPs in Northeast Nigeria.

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Article Synopsis
  • A study analyzed dog walking-related injuries in children aged 5 to 18 who visited US emergency departments from 2001 to 2020, revealing significant injury data.
  • Approximately 35,611 children suffered injuries while dog walking, primarily affecting girls and resulting mostly in orthopedic issues, especially in the upper body.
  • Younger children (ages 5-11) and boys have a higher likelihood of serious injuries such as traumatic brain injuries and fractures compared to their peers.
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Background: The influence of position of the humeral tray (inlay or onlay) on clinical outcomes in reverse shoulder arthroplasty (RSA) is a topic of debate. The purpose of this study was to compare clinical and radiographic outcomes of patients with cuff tear arthropathy treated with RSA systems with inlay or onlay humeral tray design, similar neck-shaft angles, and lateralized glenospheres.

Methods: This was a retrospective study of prospectively obtained data from 1 tertiary care center.

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  • Internally displaced persons (IDPs) in Northeast Nigeria face heightened COVID-19 infection risks due to unsanitary living conditions, making accurate information and knowledge crucial for effective preventive measures.
  • A study conducted from July to December 2022 surveyed 2,175 IDPs, assessing their COVID-19 knowledge and risk perceptions using a structured tool and statistical analyses.
  • Results showed that only 32% of participants had adequate COVID-19 knowledge, while over half perceived a high risk of infection; higher knowledge and education levels were linked to better risk perception and adherence to preventive measures like vaccination and mask-wearing.
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Article Synopsis
  • - Over two million internally displaced persons (IDPs) in northeastern Nigeria face high health risks due to poor living conditions, prompting a study to analyze their health-seeking behaviors for better disease response strategies.
  • - A study involving 2,373 IDPs showed that most sought care at health facilities (75.7%), while a smaller percentage turned to non-facility options (11.1%) or home remedies/care (13.2%).
  • - Key factors influencing health-seeking included the severity of perceived illness and whether the IDPs lived in officially recognized camps, with those in recognized camps and perceiving severe illness less likely to opt for non-facility care.
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Introduction: Acute flaccid paralysis (AFP) pictorial surveillance reminder cards (AFP cards) could aid AFP case identification during supplementary immunization activities (SIAs). We assessed the availability and utilization of AFP cards among vaccination teams during the December 2014 polio SIAs in Jigawa State, Nigeria.

Methods: We conducted a cross-sectional survey of a convenience sample of 95 vaccination team supervisors.

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Introduction: to support polio eradication activities in Nigeria, in 2012 the National Polio Emergency Operation Center (NEOC) created the Management Support Teams (MST) to address gaps in the quality of supervision of polio vaccination teams. The National Stop Transmission of Polio (NSTOP) Program supported the polio eradication activities by deploying trained supervisors as part of the MST for polio and non-polio immunization campaigns.

Methods: trained MST members were deployed approximately 4 days before the start of the campaign to participate in pre-implementation activities and supervise vaccination teams during campaigns.

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Background And Hypothesis: Arthroscopic rotator cuff repair surgery is one of the most common shoulder procedures performed in the United States. Although several studies have shown considerable symptomatic relief in the short term following surgery, a relatively high rate of recurrent defects has led surgeons to question the long-term durability of this operation. We hypothesized that outcomes at a minimum of 15 years of follow-up in patients who underwent all-arthroscopic rotator cuff repair would be maintained and would remain significantly improved compared with the preoperative status.

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Introduction: Orchidectomy is the most cost-effective means of hormonal therapy for locally advanced or metastatic prostate cancer (LAMP). However, cost-effectiveness should not detract from health-related quality of life (HRQoL) considerations. Bilateral simple orchidectomy (BSO) has been linked to negative psychometric deficits from an empty scrotum.

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Background: The purpose of this study was to determine whether postoperative patient-reported outcomes improved over time following anatomic total shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (RTSA).

Methods: We performed a retrospective analysis of prospectively collected patient-reported outcomes from our institution's registry between 2008 and 2018 (N = 1899). American Shoulder and Elbow Surgeons (ASES) scores at a minimum of 2 years postoperatively were required.

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Background: Acromial (ASF) and scapular spine (SSF) stress fractures are well-recognized complications of reverse shoulder arthroplasty (RSA), but much of the current data are derived from single-center or single-implant studies with limited generalizability. This study from the American Shoulder and Elbow Surgeons (ASES) Complications of Reverse Shoulder Arthroplasty Multicenter Research Group determined the incidence of ASF/SSF after RSA and identified preoperative patient characteristics associated with their occurrence.

Method: Fifteen institutions including 21 ASES members across the United States participated in this study.

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Introduction: Rabies is a fatal neglected zoonosis killing 55,000 people worldwide annually. It is endemic in Nigeria with 10,000 people exposed annually through dog-bites. To inform adequate intervention due to the rise in reported dog-bite cases, we assessed knowledge, attitudes and practices (KAP).

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Urethral steinstrasse is rare. Only a few cases of spontaneous or postinterventional urethral steinstrasse have been reported in pediatric and adult patients. We report a case of a 52-year-old Nigerian man with a secondary urethral steinstrasse, and the treatment options possible, as day case procedures, under caudal anesthesia.

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Members of the miR-125 family are strongly expressed in several tissues, particularly brain, but may be dysregulated in cancer including adult and pediatric glioma. In this study, miR-125 members were downregulated in pilocytic astrocytoma (PA) as a group compared to non-neoplastic brain in the Agilent platform. In the Nanostring platform, miR-125 members were downregulated primarily in pleomorphic xanthoastrocytomas and gangliogliomas.

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Introduction: Immunization is one of the most effective interventions to prevent disease and early child death. A substantial number of children worldwide do not complete immunization schedules because neither health services nor conventional communication mechanisms regularly reach their communities. Knowledge and perception of mothers/caregivers regarding VPDs influence demand and utilization of immunization services.

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Background: Urethrocutaneous fistula could be a distressing condition to the child and parents alike. Its management could be challenging and requires adequate expertise.

Aim: To review the characteristics and aetiology of urethrocutaneous fistula managed in our division over a ten-year period.

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Introduction: Nigeria has the thirteenth highest burden of human tuberculosis. The current increasing incidence of tuberculosis in humans, particularly in immune-compromised persons, has given interest in the zoonotic importance of Mycobacterium bovis in developing countries like Nigeria. This study determined the prevalence of bovine tuberculosis as a background information for effective control measures in Plateau State in cattle population.

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Background: Erectile dysfunction is becoming a public health issue with high incidences reported in community studies.

Objective: To evaluate the characteristics and outcome of treatment in men with erectile dysfunction in a tertiary center in Ibadan southwestern Nigeria.

Methods: Data of men with erectile dysfunction was retrieved between July 2004 and June 2014 and analyzed using SPSS version 16 statistical software.

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Background: A study from the University College Hospital, Ibadan, Southwest, Nigeria on bladder cancers had described an increase in the frequency of urothelial carcinoma compared to the earlier reported preponderance of squamous-cell carcinoma.

Aim: To provide an update on the histopathologic pattern of bladder cancers in our community and to explore its implications for future health system policies.

Methods: The records of the Ibadan Cancer Registry from January 1997 to December 2014 were reviewed and the data analyzed for the histologic subtypes of bladder cancers diagnosed in the hospital.

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Introduction: Bovine tuberculosis (BTB) is widespread yet poorly controlled in Nigeria hence posing a public health threat. This study determined the prevalence of Mycobacterium tuberculosis complex (MTC) and factors associated with MTC among slaughtered cattle at Jos South Abattoir in Plateau State, Nigeria.

Methods: We conducted a cross sectional study in which we collected 168 lung samples systematically from 485 slaughtered cattle from May-June, 2012, and tested for acid fast bacilli (AFB) using Ziehl-Neelsen test and a duplex polymerase chain reaction technique (PCR) for MTC detection.

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Aims And Objectives: To determine the age group affected by testicular torsion and the relationship with orchidectomy and unilateral orchidopexy. To determine if seasonal variation affects the incidence of torsion of the testis.

Materials And Methods: Data of confirmed patients with testicular torsion from July 1998 to June 2010 were retrieved.

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Background: Linea nigra (LN) is linear hyperpigmentation occurring from the umbilicus to the pubic symphysis. Although commonly associated with pregnancy (when it is known as linea gravidarum), it has been found in normal male and female individuals, particularly in the younger age group where estrogen or lack of sensitivity of androgen receptors has been suggested as a possible factor. From a previous study the incidence of LN varied in different genders, age groups, and certain clinical status such as pregnancy and, in men, benign prostate hyperplasia (BPH)/prostate carcinoma (PC).

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