ABSTRACT Background: Antenatal care is an important aspect of preventive medicine directed at detecting and reducing the risk of complications among pregnant women. Clients' satisfaction indicates patients' judgement about the strengths and weaknesses of a health facility. It is a means of quality assessment in many areas of healthcare delivery Aims: This study compared clients' perception, preference and satisfaction with antenatal care services in selected public and private hospitals i...
ABSTRACT Diabetes Mellitus Foot Syndrome (DMFS) occurs against a background infection, neuropathy and peripheral arterial disease (PAD). Clinical assessment often under diagnoses PAD. However, the use of a hand held Doppler 10 calculate the ankle brachial index (ABI) is an inexpensive, non- invasive and quantitative method of determining the presence of PAD. A retrospective analysis of patients with DMFS who had PAD assessment with a hand held Doppler was done. Data retrieved from the doppler...
ABSTRACT A comprehensive review of the origin of cowpea, (Vigna unquiculata) its place in the diet of the people of West Merion and in particular Nigeria, its nutritive value and the inherent anti-nutritional factors, together with the biological mechanisms affecting protein digestion is given. The search revealed that there are about 39 varieties of cowpea in circulation within West Africa, of which 4 with average protein content of 26.7 per cent) are major in the diet of the people. These a...
Abstract Introduction: Pregnant women living with HIV are at high risk of transmitting HIV to their infants during pregnancy, birth or through breastfeeding and without any interventions, between 20% and 45% of infants may become infected with an estimated risk of 5- 10% during pregnancy, 10-20% during labour and delivery, and 5-20% through breastfeeding. Objective: This study assessed the prevention of mother to child transmission PMTCT programmes in Enugu hospitals. Method: This was a cross...
Abstract Background: iron deficiency is the commonest cause of nutritional anaemia in children worldwide particularly in developing countries. Infants and toddlers are prone to developing iron deficiency anaemia (IDA). This study was carried out to determine the prevalence of IDA and some factors associated with it in this group of children. Study Design: In a study, haemoglobin concentration and mean corpuscular volume (MCV) estimations done in 282 apparently well children aged 6-24 months...
Abstract Hansen´s disease (leprosy) is caused by a slow-growing type of bacteria called Mycobacterium leprae (M. leprae). It is an age-old disease that has been around since biblical times yet cases still occur especially in Asia and Africa, despite concerted global efforts to eradicate the disease. Chemotherapeutic agents are available and effective once administered appropriately and adequately. We report an elusive case of Hansen´s disease wherein the only symptom was a nodule on the na...
ABSTRACT Quality medical care at emergency departments(EDs) is an international mandate. In Kenya the services are mainly offered in the outpatient departments whose quality of care has not been evaluated. This study investigated quality of care at EDs of public hospital in Bungoma County by evaluating availability of infrastructure, equipment, supplies and personnel. The study assessed processes, protocols and outcomes of care at the EDs. A cross-sectional study design was employed, with a s...
ABSTRACT Justification for the requests for homologous blood that accompany major elective maxillofacial surgical procedures is difficult to establish in most cases. This attitude of ordering for cross-matched blood is understandable in today's legal climate, but has led to serious problems in terms of laboratory inefficiency which can no longer be ignored. To evaluate the pattern of ordering and use of homologous blood, and transfusion ratios for major elective maxillofacial surgeries at th...
ABSTRACT Background: Benign prostate hypertrophy (BPH) is a prostatic enlargement associated with the presence of voiding symptoms and/or histological evidence of hyperplasia on biopsy. Transurethral resection of the prostate (TURP) is considered the gold standard management for BPH. Despite being one of the common urological procedures in Tanzania, complications of TURP have not been well explored. There was limited published information on the incidence and prevalence of Benign Prostate Hy...
ABSTRACT Background: Children with surgical needs represent a high burden of disease, and lack of access to surgical care continues to threaten the health of millions of children worldwide and limit economic growth and development. Despite these outstanding efforts, failure to notice the need for surgical care for children continues within the global health agenda. Methods: A Hospital-based descriptive cross-sectional study in determining the Predictors of Poor Outcome in Emergency Pediatric...
ABSTRACT Background: Chest injuries are among the commonest injuries worldwide, of which the most associated injuries are haemothorax, pneumothorax and haemopneumothorax mostly due to RTC, the productive age male being the most victims. This agrees with my study. In my study, unemployment and low education level have been the most causes. Though some respondents died but a few patients were saved by tube thoracostomy and the use of steroid drugs. Objectives: The aim of the study was to determ...
ABSTRACT Introduction. Burn injury is a highly prevalent problem globally, nationally and locally, burn occurs when hot liquids, hot solids or flames destroy part or all of the cells in the skin or other tissues. With advancements in management of burn, over the last 50 years, infection is now the leading cause of death after extensive burn injuries. Objectives. To determine prevalence, body pattern and bacteriological susceptibility of chronic burn wound at UDOM affiliated teaching hospitals...
ABSTRACT Background: Postoperative pain is the most common complaint by patients after recovery from anesthesia. Several factors cause postoperative pain; it could be preoperative factors, demographic factors, anesthesiologic factors, intraoperative and postoperative factors. The prevalence of postoperative pain is very high in most of the developing countries and the strategies put forward for management have not been very promising. Objective: This study aimed to determine the prevalence, p...
ABSTRACT Background: Fluid resuscitation is an extremely important part of patients’ management in clinical settings. Different common surgical conditions e.g. excessive vomiting and acute severe hemorrhage can lead to an increased fluid loss and disturb the patients’ ph ysiological status leading to worse outc omes. Proper fluid administration to a surgica l patient, can lead to patients’ improvement from their illness, and hence reducing morbidity and mortality which are the main prob...
ABSTRACT Background: Anastomotic leak following gastrointestinal surgery is the most postoperative complication that causes significant morbidity and mortality. Its burden is high in low and middle income countries likes Tanzania with lack of supportive data on incidence of Anastomotic leak, predictors and outcome. Objective: This study aims to determine the predictors and early outcomes of anastomotic leak among patients who underwent primary bowel resection and anastomosis at Iringa Regio...