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Papers by Francis Ozoemena

Annals of Bioanthropology, 2014

ABSTRACT

Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria, 2012

OBJECTIVE To determine the relationship between prostate volume and international prostate sympto... more OBJECTIVE To determine the relationship between prostate volume and international prostate symptom score (IPSS) in Africans with benign prostatic hyperplasia (BPH). PATIENTS AND METHOD This was a prospective study of 120 men aged between 45 to 85 years, who were referred to the urology outpatient facility for treatment of clinical BPH between July 2007 and October 2008 in Jos University Teaching Hospital. These patients were properly evaluated; a digital rectal examination was done to estimate the prostate size. The pre-treatment IPSS of the patient was also obtained. The prostate volume of each patient was then estimated by transabdominal ultrasound. RESULTS The mean prostate volume was 72.79 +/- 44.38cm3. The mean values for the different diameters of the prostate were 5.63 +/- 1.17cm (longitudinal diameter), 4.48 +/- 0.95cm (anterior posterior diameter), 4.97 +/- 1.06cm (transverse diameter). The Pearson's correlation between pre-treatment International prostate symptom score...

North American Journal of Medical Sciences, 2013

Context: Kaposi's sarcoma (KS) is the most common neoplasm in patients with acquired immune defic... more Context: Kaposi's sarcoma (KS) is the most common neoplasm in patients with acquired immune deficiency syndrome (AIDS). Gastrointestinal (GI) involvement with KS commonly occurs in association with cutaneous lesions or lymph node involvement, with GI tract involvement alone occurring in only 3.5% of cases. There are several case reports described in the literature about asymptomatic intestinal KS with skin manifestations. Although GI KS is usually asymptomatic, hemorrhages from the oral cavity, esophagus, stomach, and large bowel have been reported in this disease. Case Report: Our case is unique, in a way that the patient does not have skin manifestation, and also is that the first manifestation presented as acute intestinal intussusception and obstruction with nodular mass lesions of the stomach and GI tract due to GI KS. Conclusion: As a differential diagnosis of KS, nonHodgkin lymphomas frequently involve the gut in AIDS patients. Furthermore, tumors of the gut with spindle-shaped cells such as leiomyomas, rhabdomyosarcomas, high-grade pleomorphic sarcomas, or GI stromal tumors have to be considered in the differential diagnosis. Overall, the visceral involvement of the KS is usually associated with poor prognosis. Our case illustrates the importance of physicians to recognize GI KS as a differential diagnosis for HIV positive patients with recurrent abdominal pain. It is commonly occurs in association with cutaneous lesions or lymph node involvement and rarely presents with GI involvement alone, which is makes it a challenge to the physician.

TAJ: Journal of Teachers Association, 2009

This study was aimed to find out the variations of the femoral head diameters in relation to sex ... more This study was aimed to find out the variations of the femoral head diameters in relation to sex in Bangladeshi people. The study was based on 123 paired human femurs (radiological view) of which 52 were male and 71were female. It was observed that the mean vertical and transverse diameters of the head of the male femur were significantly greater than that of female (P<0.001).No statistical significant difference was present between the measurement of the right and left side of the same sixth identification points that were derived from the vertical and transverse diameters of the head of the femur were higher in males than in females. The results showed that diameters of the femoral head as well as the identification points that are derived from them are of use in sex identification. The present study is of value to the forensic experts, orthopaedicians and prosthetists as it gives the idea about the dimensions of the femoral head in the present area. doi: 10.3329/taj.v18i2.31...

Clinical Pharmacology & Therapeutics, 2012

582 VOLUME 91 NUMBER 4 | APRIL 2012 | www.nature.com/cpt clinical trial nature publishing group

International Journal of Medicine and Health Development, 2001

International Journal of Medicine and Health Development, 2008

Acute urinary retention (AUR) is a urological emergency characterized by a sudden and painful ina... more Acute urinary retention (AUR) is a urological emergency characterized by a sudden and painful inability to pass urine. Early care usually consists of urethral catheterization, or suprapubic catheterization when the urethral approach fails or earlier attempts have resulted in significant urethral trauma. Following these initial steps significant difference had existed in the secondary management of AUR, between the different units regarding issues such as indications for and duration of admission, antibiotic use, alpha adrenergic blocker use and trial without catheter (TWOC). These differences led to a consensus meeting that produced a management protocol for AUR at the University of Nigeria Teaching Hospital, Enugu, that suits our peculiar conditions. This paper reviews the AUR in general and highlights our management protocol. Keywords : AUR, BPH, Review, Management Policy, UNTH. Journal of College of Medicine Vol. 13 (2) 2008: pp. 138-141

Objective: To describe our experience in the management of and the results of treatment of trauma... more Objective: To describe our experience in the management of and the results of treatment of traumatic injuries to the urogenital system/organs. Methods: This is a retrospective patient record review of the records of 225 patients treated of posttraumatic injuries to the urogenital system in our unit over a period of ten years, i.e. between January 1995 and December 31 2004. Results: The total number of patients treated within 10 years was 225. Only 65 of these patients were women; the remaining were men, majority of them were aged between 30 and 50 years. The male female ratio was 2.5:1 made up as follows, 160 (71.1%) males, and 65 females, (28.9%). A total of 73 patients (32.4%) had definitive treatment as emergency, while 152 patients (67.1%) were operated on as elective cases. Road Traffic Accidents (RTA) accounted for 119 (52.9%), of the cases. One hundred and thirty nine (139) of the patients recovered fully and were discharged. There was improvement with treatment or rehabilitation continued on outpatient basis in 63 (28%) cases. Seven of the patients were lost to follow up and so no definite opinion could be given. There was a mortality of 7.1 %. Only 27 of the patients reported to UNTH as their first port of call after their injury; And all the 27 cases survived. The rest of them came as referrals from various hospitals where they had received some forms of treatment after their injuries before being referred for further management. The commonest cause of trauma was Road Traffic Accident and the kidneys were the organ most frequently injured. Conclusions: Our experience compares favorably with other reports world-wide. However there was a high incidence of nephrectomy in the series. A mortality of 7.1 % for posttraumatic injuries to the urogenital system was quite unacceptably higher than most reports reviewed. To reduce the magnitude of mortality in posttraumatic uro-genital system injuries peripheral hospitals should be encouraged to refer cases early enough rather than delay these patients to the point of death before referring them for “expert management.” Keywords : Urogenital injuries, treatment, outcome. Nigerian Medical Journal Vol. 48 (3) 2007: pp. 62-64