African health sciences
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African health sciences · Jun 2020
Subcutaneous ketamine prolongs the analgesic effect of local infiltration of plain Bupivacaine in children undergoing inguinal herniotomy.
Inguinal herniotomy is one of the commonest paediatric surgical procedures at the University of Benin Teaching Hospital. Incisional infiltration with plain bupivacaine has been used to provide postoperative analgesia for this procedure but with a short duration of action, 4-6 hours. ⋯ The study showed that subcutaneous ketamine prolonged the analgesic effect of plain bupivacaine surgical wound site infiltration in children undergoing unilateral inguinal herniotomy.
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African health sciences · Jun 2020
An audit tool for relicensing inspection for private hospitals in eThekwini district, South Africa.
South Africa is moving towards National Health Insurance (NHI), which aims to provide access to universal health coverage for all South Africans. The NHI will only accredit and contract eligible health facilities that meet nationally approved quality standards in the public and private sector. Detailed tools for measuring compliance with the National Core Standards (NCS) and Batho Pele principles have been developed and implemented in the public sector. To date and since its implementation in the public sector, very little is known about the national audit tool and the method used to evaluate quality and patient safety standards in private hospitals in eThekwini district. ⋯ These findings were significant and denoted the need for a standardised clinical audit tool for private hospitals in eThekwini district.
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African health sciences · Jun 2020
Evaluating HIV/Aids prevalence and sustainable development in sub-Saharan Africa: the role of health expenditure.
The sub-Saharan Africa (SSA) present the highest prevalence of HIV/AIDS worldwide; resulting to a significant development challenges at country, region and global level. The previous studies explain at least in part, the impact of the epidemic, however the impact of HIV/AIDS in long-term economic behavior were not yet clear. There is clearly few or absence of studies on the impact of the impact of the epidemic on sustainable development. ⋯ The main implication of our study is that, achieving a sustainable development in the presence of high prevalence of HIV/AIDS in SSA is very challenging and as such, the responsiveness of HIV/AIDS to sustainable development should be maintained at minimum which would require more efforts on HIV/AIDS control programs and increase health expenditure.
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African health sciences · Jun 2020
Pattern of congenital heart disease among children presenting to the Uganda Heart Institute, Mulago Hospital: a 7-year review.
Congenital heart disease (CHD) is the most common congenital anomaly in children. Over half of the deaths due to CHD occur in the neonatal period. Most children with unrepaired complex heart lesions do not live to celebrate their first birthday. We describe the spectrum of congenital heart disease in Uganda. ⋯ Isolated VSD and Tetralogy of Fallot are the most common acyanotic and cyanotic congenital heart defects. We report an unusually high occurrence of Truncus arteriosus.
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African health sciences · Jun 2020
Case ReportsGlanzmann's thrombasthenia: a rare bleeding disorder in a Nigerian girl.
Glanzmann's Thrombasthenia (GT) is a rare autosomal recessive bleeding disorder due to defective platelet membrane glycoprotein GP IIb/IIIa (integrin αIIbβ3). The prevalence is estimated at 1:1,000,000 and it is commonly seen in areas where consanguinity is high. ⋯ To the best of our knowledge, this is the first documented report of GT in our environment where consanguinity is rarely practised. Our health facilities require adequate diagnostic and treatment facilities for rare diseases like GT.