African health sciences
-
African health sciences · Dec 2023
Maxillofacial trauma and cerebrospinal fluid leak: a retrospective clinical study.
To determine the prevalence of maxillofacial fractures associated with persistent CSF leak, and to assess its bearing on clinical outcomes of consecutive patients managed at our centre. ⋯ This study shows that the prevalence of maxillofacial fractures associated with persistent CSF leak was low, which was 4.5% of patients that presented with persistent CSF leak and 84.9% of the cases resolved after treatment of the various maxillofacial fractures.
-
African health sciences · Dec 2023
Total intravenous anaesthesia in rural sub-Saharan Africa: report of 25 cases.
Total intravenous anesthesia (TIVA) is a potential solution for safe and effective anesthesia administration in rural regions of sub-Saharan Africa, where access to inhalational anesthesia may be limited. However, challenges such as equipment and medication availability, as well as a shortage of trained anesthesiologists, can limit the use of TIVA. In this study, the safety and efficacy of TIVA were evaluated in a case series of 25 female patients undergoing thyroid surgery in a rural area of sub-Saharan Africa. ⋯ The use of TIVA may offer advantages such as faster recovery times, reduced incidence of postoperative nausea and vomiting, and reduced risk of environmental pollution compared to inhalational anesthesia. However, the cost and monitoring requirements of TIVA may pose challenges in resource-limited settings. Further research is needed to determine the optimal use of TIVA in this context.
-
African health sciences · Dec 2023
Comparative StudyA comparative analysis of two national tuberculosis reporting systems and their impact on tuberculosis case notification in Uganda.
Before 2018, the use of parallel tuberculosis (TB) reporting systems was resource intensive with duplication of efforts and hence the need to select one that contributed to better TB case notification at the National TB and Leprosy Program (NLTP) in Uganda. We sought to analyse the difference in reporting rates between the two systems in order to improve NTLP TB case notification rates, logistics management, and planning for better health service delivery initiatives. ⋯ The web-based integrated DHIS2 system was more effective in reporting missing TB cases. It presents an opportunity for better planning and allocation of resources for improved service delivery in a low-income setting.
-
African health sciences · Dec 2023
Prevalence and associated factors of hypertension among type 2 diabetes mellitus patients in Lautech teaching hospital, Osogbo, Nigeria.
We assessed the prevalence and risk factors of hypertension among type-2 Diabetes Mellitus (DM) patients attending Ladoke Akintola University of Technology (LAUTECH) Teaching Hospital, Osogbo, Osun State Nigeria. ⋯ This study identified the age group 45-64 years, not being in a union and engagement in low physical activity as associated factors for hypertension among Diabetes Mellitus participants. Hypertension prevention/treatment should be considered in type-2 Diabetes Mellitus routine treatment.
-
African health sciences · Dec 2023
Risky sexual behaviour among students of a Nigerian tertiary institution.
While initiation of sexual activity is a part of a normal behaviour and development, it may also be associated with negative outcomes when sexual activity is initiated at too early an age, or without due attention to involved risks. These risky behaviours expose to different kinds of sexuality and reproductive health problems like STIs, HIV, unwanted and unplanned pregnancy, abortion and psychological distress. ⋯ Risky sexual behaviour exist among the respondents though with varying patterns.