The Pan African medical journal
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Menstrual problems are the most common gynecologic complaints. The prevalence is highest in the 20 to 24-year-old age group and decreases progressively thereafter. They affect not only the woman, but also family, social and national economics as well. However, Population studies on Menstrual problems and associated factors were very little for university students in Ethiopia. ⋯ The prevalence of menstrual problems among students of Bahir Dar University was very high. Menstrual cycle length, family history of dysmenorrhea and circumcision were the most contributing factors associated with dysmenorrhea while educational status of mothers, regularity of menstruation, and family history of premenstrual syndrome were for premenstrual syndrome. Health education, appropriate medical treatment and counseling, should be accessible and persistently provided to the affected students by Bahir Dar University. Maximum effort is needed to eliminate circumcision by all levels and further steps that would enable females to join their college education should be applied.
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Comparative Study
Acceptance of temporal artery thermometry by Nigerian mothers: a comparison with the traditional methods.
Temporal artery thermometry may be viewed as a suitable alternative to the traditional thermometry because of its safety and time efficiency. However, it is yet to gain wide acceptance in African settings because it is relatively new. The aim of this study was to compare the choices of Nigerian mothers between the traditional methods (axillary and rectal thermometry) and the temporal artery thermometry. ⋯ Nigerian mothers do not have any particular thermometry preference between the temporal artery thermometry and the traditional methods, so medical personnel in our environment may resort to any method that is convenient, accurate, fast and cost effective.
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Observational Study
Acid-base disorders as predictors of early outcomes in major trauma in a resource limited setting: An observational prospective study.
Mortality from trauma remains a major challenge despite recent substantial improvements in acute trauma care. In trauma care patient resuscitation to correct hypotension from volume loss still majorly relies on use of physiological parameters such as blood pressure, pulse rate, respiratory rate, urine output and oxygen saturation. In resource limited settings these methods may not be sufficient to detect occult tissue hypoxia and the accompanying metabolic derangements. ⋯ Metabolic acidosis is common among major trauma patients, its severity may be related to delay in initiating care. Acid base derangements were predictors of mortality among major trauma patients in this resource limited setting.
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Gas production as a part of disc degeneration can occur but rarely causes nerve compression syndromes. The clinical features are similar to those of common sciatica. CT is very useful in the detection of epidural gas accumulation and nerve root compression. ⋯ The condition worsened in recent days. Computed tomography (CT) demonstrated intradiscal vacuum phenomenon, and accumulation of gas in the lumbar epidural space compressing the dural sac and S1 nerve root. After evacuation of the gas, her pain resolved without recurrence.
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Case Reports
Retropharyngeal abscess revealing a migrant foreign body complicated by mediastinitis: a case report.
Pharyngeal foreign bodies are quite common. Their diagnosis is usually easy. The risk of complications including retropharyngeal abscess and mediastinitis is rare and it depends mainly on the nature of the foreign body and the period of the therapeutic management. ⋯ The outcome was favorable clinically and biologically. Pharyngeal foreign bodies are common and favorable when the diagnosis and extraction are made on time. The occurrence of complications, especially retropharyngeal abscess and mediastinitis is rare and burdened with a high morbidity and mortality.