Registration of cancer in girls remains lower than expected in countries with low/middle incomes and low female education rates.

BACKGROUND: A decade ago it was reported that childhood cancer incidence was higher in boys than girls in many countries, particularly those with low gross domestic product (GDP) and high infant mortality rate. Research suggests that socio-economic and cultural factors are likely to be responsible. This study aimed to investigate the association between cancer registration rate sex ratios and economic, social and healthcare-related factors using recent data (1998-2002). METHODS: For 62 countries, childhood (0-15 years) cancer registration rate sex ratios were calculated from Cancer Incidence in Five Continents Vol IX, and economic, social and healthcare indicator data were collated. RESULTS: Increased age standardised cancer registration rate sex ratio (M:F) was significantly associated with decreasing life expectancy (P=0.05), physician density (P=0.05), per capita health expenditure (P=0.05), GDP (P=0.01), education sex ratios (primary school enrolment sex ratio (P<0.01); secondary school enrolment sex ratio (P<0.01); adult literacy sex ratio (P<0.01)) and increasing proportion living on less than Int$1 per day (P=0.03). CONCLUSION: The previously described cancer registration sex disparity remains, particularly, in countries with poor health system indicators and low female education rates. We suggest that girls with cancer continue to go undiagnosed and that incidence data, particularly in low- and middle-income countries, should continue to be interpreted with caution

Squamous cell carcinoma of the conjunctiva in Sagamu, Nigeria- A review and 2 case reports

No Abstract

Recurrent Dermatofibrosarcoma Protuberans in An African Male

Key words: Inadequate tumour resection, Recurrent Dermatofibrosarcoma Protuberans Nig. Medical Practitioner Vol. 44(5/6) 2003: 105-10

Medico-Legal Deaths From Road Traffic Accidents In Sagamu, Nigeria

Background: Road Traffic Accidents (RTA's) are a leading cause of death worldwide. Deaths that occur after the first hour of trauma are regarded as preventable deaths. Objectives: To evaluate the pattern and causes of death in the first 24hrs after RTA's. Design: Retrospective study. Setting: Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. Participants: Patients that died within 24hours from RTA's, including those brought in dead between January 1st 1998 and December 31st 2002. Main Outcome Measure: Deaths within the first 24hours. Results: A total of 411 cases were identified in the 5-yr period comprising 316 males and 95 females, with a male:female ratio of 3.3:1. The ages ranged from 8months to 97years with mean age of 34.0 + 14.7years. Motor vehicle drivers with their passengers accounted for 346 (84.2%). Three hundred and four patients (74%) were BID from accident scene. The most common causes of death in those patients BID and those who died within an hour of presentation were skull fractures with intracranial haemorrhages followed by hemoperitoneum. Deaths after 1hour after presentation resulted commonly from hemoperitoneum and splenic rupture. Conclusion: Head injury and internal visceral lacerations remain important preventable causes of death in the first 24hours following road traffic accidents. A re-organisation of trauma care may be essential in order to prevent these deaths. Nig. Medical Practitioner Vol. 45(1/2) 2004: 3-

Incomplete and Inaccurate Death Certification by Medical Students in Nigeria, the Need for Guidance

The study aimed to find out the level of knowledge of medical death certification of final year medical students, Objective - (1) To assess their knowledge of death certification (2) find out at what level of their training they came in contact with death certificates (3) who normally fills death certificate (4) if they can fill death certificate correctly (5) if there is need for formalized training session on death certificate in the medical school. Materials and Methods - This was a cross sectional survey of 50 final year medical students of Obafemi Awolowo College of Health Science, Olabisi Onabanjo University, (O.A.C.H.S. O.O.U.) who had completed their rotations in pathology and clinical posting and these students were chosen at random. This was carried out by administering self-structured 15 item questionnaires to the students and they were also given death certificate to fill out on a clinical scenario. Results – About 63% students had no formal teaching in the filling of death certificate and over 55% of them had never seen a death certificate filled. Among the 45% of student who had seen death certificate filled, less than 25% of them did so at various levels of their pathological and clinical postings. The students saw more house offices filling death certificate than other cadre of doctors. 50% of them would want to be trained on death certification at morbid anatomy postings. Over 80% of the students were aware of the importance and indications for death certification. Conclusion – The inclusion of formal training in death certificate completion in the medical school curriculum of the Obafemi Awolowo College of health Science, Olabisi Onabanjo University Ogun State, would be desirable. Key Words: Death Certification, Medical Students, School Curriculum Nigerian Medical Practitioner Vol.46(4) 2004: 84-8

An audit of Autopsy practice - Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu Experience

No Abstracts.Nigerian Medical Practitioner Vol.49(4)2006: pp.88-9

Pattern of malignancies in OOUTH Sagamu

No Abstract