African health sciences
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African health sciences · Mar 2021
Risk factors of multidrug-resistant bacteria in community-acquired urinary tract infections.
Urinary tract infections (UTIs) are one of the most seen infection among community. ⋯ Doctors should consider prescribing broad-spectrum antibiotics in patients with severe UTIs with a history of UTI, advanced age, male gender, and multiple antibiotic usage, even if they have a CA-UTI.
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African health sciences · Mar 2021
Multicenter StudyCharacteristics and outcomes of patients with multiple myeloma at the Uganda Cancer Institute.
Data on multiple myeloma (MM) in sub-Sahara Africa is scarce. In Uganda, there is a progressively increasing incidence of MM over the years. ⋯ Most patients with multiple myeloma at the UCI were diagnosed at a relatively young age, presented with late stage disease and bone pain, and had a shorter survival time. Factors associated with worse survival were Durie-Salmon stage III and LDH >225 U/L.
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African health sciences · Mar 2021
Clustering time trends of breast cancer incidence in Africa: a 27-year longitudinal study in 53 countries.
Breast cancer is the most common, frequently diagnosed cancer with the highest incidence among female worldwide. Although the incidence is decreasing in developed countries, it is on increase in most of the African countries. ⋯ Providing health education programs is essential in African countries with rising trend of breast cancer during the last decades.
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African health sciences · Mar 2021
Patient patronage and perspectives of traditional bone setting at an outpatient orthopaedic clinic in Northern Tanzania.
Much of Sub-Saharan Africa meets the rising rates of musculoskeletal injury with traditional bone setting, especially given limitations in access to allopathic orthopaedic care. Concern for the safety of bone setter practices as well as recognition of their advantages have spurred research to understand the impact of these healers on public health. ⋯ Our study found lower bone setting utilization than expected considering the reliance of Tanzanians on traditional care reported in the literature. This suggests patients utilizing traditional care for musculoskeletal injury are not seeking allopathic care; therefore, collaboration with bone setters could expand allopathic access to these patients. Patients were less likely to report bone setter utilization to a physician revealing the stigma of seeking traditional care, which may present an obstacle for collaboration.
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African health sciences · Mar 2021
Case ReportsNeurological manifestations following cured malaria: don't forget post-malaria neurological syndrome.
Cerebral malaria which occurs during the active infection is the most common neurological complication of malaria. Other complications including post-malaria neurological syndrome (PMNS) can rarely occur following complete recovery from the disease. We report a case of post-malaria neurological syndrome in a Tunisian patient. ⋯ PMNS should be considered in patients with neurological symptoms occurring within two months of cured acute disease in which blood smears for malaria are negative and other etiologies have been ruled out. In most cases, the disease is self-limited while in severe cases corticosteroid therapy should be prescribed with favorable outcome.