Fournier’s Gangrene is a formidable rare disease characterized by high mortality rates despite optimal medical and surgical management. It is an acute surgical emergency and requires a high degree of suspicion. The mainstay of treatment is swift open drainage and early aggressive surgical debridement of all necrotic tissue, followed by targeted antibiotic therapy. The authors report on two patients who were admitted to the surgical ward. Both presented with initial perianal sepsis complicat...
Spigelian hernia is an uncommon form of abdominal wall hernia. The symptoms can be insidious but the commonest are abdominal pain or a lump on the anterior abdominal wall. Diagnosis can be challenging, but the use of ultrasonography and contrast enhanced CT (CECT) scan is essential to avoid diagnostic delays. In view of a high risk of incarceration and strangulation anticipated, urgent operative intervention is necessary. In this case report, a 42-year old multiparous woman presented with bil...
Most morbidities and mortalities related to clinical, diagnostic, and therapeutic procedures are related to infection and the solution to this is good infection prevention and control (IPC) compliance which is influenced by the right knowledge and positive attitude. Aim. 'is study aimed to assess infection prevention and control (IPC) knowledge and attitude among healthcare workers at the surgical department of Tamale Teaching Hospital (TTH). Methods. 'is study was conducted using a descripti...
Background Surgical site infection (SSI) remains the most common complication of surgery around the world. WHO does not make recommendations for changing gloves and instruments before wound closure owing to a lack of evidence. This study aimed to test whether a routine change of gloves and instruments before wound closure reduced abdominal SSI. Methods ChEETAh was a multicentre, cluster randomised trial in seven low-income and middle-income countries (Benin, Ghana, India, Mexico, Nigeria, Rwa...
Abstract/Overview Resistance to schistosomiasis is associated with increased levels of serum parasite-specific IgE. IgE exerts its functions through its cellular receptors, FcεRI and FcεRII/CD23; however, its functional significance requires further characterization in humans. We previously reported that increased levels of CD23+ B cells correlate with resistance to schistosomiasis in hyper-exposed populations and sought to define their potential function and relationship with IgE. We f...
Abstract Neonates who require treatment and venous drawing of blood samples in the newborn units are subjected to acute and painfully invasive procedures. Several tools to assess pain among newborns have been developed and are widely used in developed countries, but in Africa, there is limited experience in the assessment pain among newborns. This study assessed physiological and behavioral responses to pain among neonates during invasive procedures performed in a newborn unit in Rwanda. A t...
Background and Purpose: The prevalence of myopia is increasing globally at an alarming rate with significant risk of vision impairment. The purpose of this study was to determine the prevalence of myopia among medical students. Subjects: The subjects are the 171 regular third year medical students of Southwestern University PHIMA. Nationalities with less than ten population and irregular students, those who are not enrolled in all four subjects, are excluded from the study. Methods: The study...
In this review, we focus on the hardware and software technologies used for the purpose of gastrointestinal tract monitoring in a safe and comfortable manner. We review the FDA guidelines for ingestible wireless telemetric medical devices, and the features incorporated in capsule systems such as microrobotics, closed-loop feedback, physiological sensing, nerve stimulation, sampling and delivery, panoramic imaging and rapid reading software. Both experimental and commercialized capsule systems...
ABSTRACT Introduction: Postpartum hemorrhage is the most common leading cause of maternal mortality worldwide and most of the death is in developing countries including Ethiopia. Globally, it is responsible for more than 25% of all maternal death and this proportion is higher in sub-Saharan African countries like Uganda (WHO, 2007). Postpartum hemorrhage can be minimized and prevented by application of a protocol known as active management of third stage of labor. Proportion of deliveries ass...
ABSTRACT The aim of the study was to establish the prevalence and impact of Tuberculosis in HIV-infected patients in Bushenyi district; using a case study of HIV clinic at Kampala International University, Teaching Hospital. The specific objectives of the study were to establish the prevalence of Tuberculosis in HIV-infected patients in Bushenyi district; to assess the impact of Tuberculosis in HIV-infected patients in Bushenyi district and to find out the ways of preventing and treating Tube...
ABSTRACT Introduction: Globally, HIV continues to be a major global public health issue. The vast majority of people living with HIV are located in low- and middle- income countries, with an estimated 66% living in sub-Saharan Africa. Among this group 19.6 million are living in East and Southern Africa which saw 800,000 new HIV infections in 2017. There has been a gradual increase in the number of people living with HIV accessing treatment. In 2013, Uganda reached a tipping point whereby the ...
ABSTRACT This was a descriptive cross-sectional study, employing quantitative method of data collection from adult females of Ishaka. The specific objectives of the study was to assess whether female adults of Ishaka residents have the knowledge of breast self-examination and its importance, to establish whether female residents of Ishaka practice breast selfexamination, and to establish the frequency of breast changes or breast masses among the women who practice breast self-examination A ra...
ABSTRACT Back ground: Burn injuries are a global public health problem, accounting for an estimated 195 000 deaths annually. The majority of these occur in low- and middle-income countries and the rate of child deaths from burns is currently over seven times higher in low- and middle income countries than in high-income countries. Burn injuries are largely considered as being preventable. However, one needs to know the patterns, causes and outcomes of burn injuries if intervention measures ...
ABSTRACT Title: Assess challenges faced in the labour ward at Narok District Hospital Broad objective: To determine challenges faced in the labour ward at Narok District Hospital. Methodology: A cross sectional study was done at Narok District hospital on staff and women attended to in labour ward. Convenience sampling patients was used with a sample size of 75, data collected using interviewer administered questionnaires, entered and analyzed on Microsoft excel and presented as tables, pie c...
ABSTRACT The study was carried out in Bushenyi-Ishaka municipality. The purpose of this study was to identify factors which influence mother’s choice of delivery site. The respondents were mothers between the ages of 15-49 years with sane minds. There were 100 mothers in the quantitative data. The research showed that among the women that had delivered before most of them 80% were aware of the common causes of maternal mortality and 30% of those that had never delivered knew the causes of m...