Necrotizing soft tissue infection (NSTI) is an aggressive and rapidly spreading soft tissue infection that could be associated with high mortality. Early diagnosis can be challenging and so a high index of suspicion is needed. Bedside ultrasonography (USG) and computed tomography (CT) scan could be employed to aid in diagnosis. The objective of this report is to describe the diagnostic process in a resource challenged setting and review the literature. We present an elderly patient with necro...
Abstract/Overview Invasive cervical cancer (ICC) is common in areas where human immunodeficiency virus (HIV) is also prevalent. Currently, HIV seroprevalence as well as acceptability of HIV testing in ICC patients in Kenya is unknown. The objective of this study was to determine the acceptability of HIV testing among patients with ICC. Women with histologically verified ICC at Kenyatta National Hospital participated in the study. A structured questionnaire was administered to patients who...
Abstract/Overview Invasive cervical cancer (ICC) is the leading cause of cancer-related death among women in developing countries. Population-based cyto-logic screening and early treatment does reduce morbidity and mortality associated with cervical cancer. Some of the factors related to the success of such a program include awareness about cervical cancer and its screening. The objective of this study was to assess knowledge and practice about cervical cancer and Pap smear testing among ...
Abstract/Overview Cervical cancer is the second most common cause of cancer mortality among women worldwide (Franco et al, 2003). Epidemiological studies have shown a strong link between human papilloma virus (HPV) infection and the development of cervical cancer (Franco et al, carcinogenic process (Chan et al, 2005). Most HPV infections are transient and regress spontaneously and only a minority of women develops persistent infection that with time may evolve into cervical intraepithelia...
Abstract/Overview Data on the prevalence of human papillomavirus (HPV) types in cervical carcinoma in women with HIV are scarce but are essential to elucidate the influence of immunity on the carcinogenicity of different HPV types, and the potential impact of prophylactic HPV vaccines in populations with high HIV prevalence. We conducted a multicentre case–case study in Kenya and South Africa. During 2007–2009, frozen tissue biopsies from women with cervical carcinoma were tested for ...
ABSTRACT Background: Post-caesarean wound sepsis is among the most common problem for patients who undergo caesarean section. It remains a common and widespread problem contributing to morbidity and mortality; this could be due to an increase in antimicrobial resistant bacterial pathogens. Therefore, a study to identify and document the factors associated with wound sepsis and common bacterial pathogens can provide solution to prevent incidence and establish microbiological mapping, and this ...
Table of contents Declaratiori .•..................................................................................................................................... i Approval ......................................................................................................................................... ii Dedication ...................................................................................................................................... iii Acknowledgement .............
ABSTRACT Background: Outcomes of surgical versus medical management of first trimester incomplete abortion are poorly documented in Uganda and it is important to guide clinical practice. Objectives: To compare the effectiveness, secondary outcomes and satisfaction level between surgical and medical management of first trimçster incomplete abortion among women admitted at Kampala International University Teachng Hospital. Methodology: Prospective open labelled randomized clinical trial of 100...
Abstract Introduction: Primary Caesarean Section (CS) is an operation that is performed for the first time on a pregnant woman. Primary CS is of particular interest because it has an influence on future modes of delivery. There is also an issue about the original indication for the procedure both in a woman who has never tried her pelvis for vaginal delivery and a woman who has delivered vaginally in the past. Objectives: To determine the prevalence, indications, and outcomes of primary CS de...
ABSTRACT Background Premalignant cervical lesions that precede cervical cancers are the highest in low income countries. However, in 2007 Tanzania had reported to have as high as 17 % with 9972 incident cases and 6695 deaths of cervical cancer. There is limited documented close association between individual risk factor(s) and prevalence of the pre-malignant cervical cancer. Objectives: This study was conducted to determine prevalence of premalignant cervical lesions and associated risks fac...
ABSTRACT Background: Cervical dilation at the onset of the active phase of labor determines the rate of cervical dilatation, duration of the active phase of labor and the needs of intervention. Identifying the abnormality toward the natural progress of the active phase of labor is important because timely intervention has been observed to be controversial among developing countries during the current practice among health care providers due to different opinion on the onset of the active pha...
Abstract Introduction. Maternal and perinatal mortality is still a major public health challenge in Tanzania, despite the ongoing government efforts to improve maternal and newborn care. Among the contributors to these problems is the high magnitude of severe maternal outcomes (maternal near-miss). ,e current study, therefore, aimed to identify the magnitude and predictors of maternal and perinatal mortality among women with severe maternal outcomes admitted to Dodoma Regional Referral Hospit...
Abstract The objective of this study was to determine the knowledge and perception of Nigerian Obstetricians and Gynaecologists towards human papilloma virus vaccine use in Nigeria. A cross sectional study was conducted amongst participants that attended the 42nd Society of Gynaecology and Obstetrics of Nigeria. The findings revealed that 44.5% knew the correct HPV vaccine schedule. Regarding implementation in Nigeria, 87.4% suggested its incorporation into the national immunization progra...
Abstract Objectives: Our goals were to train health professionals in Nigeria using the text, "Planning and Implementing Cervical Cancer Prevention and Control Programs: A Manual for Managers", and then evaluate the knowledge dissemination process using a pre- and post-test assessment. The manual was developed by the ACCP, WHO, TARC, PATT-T,Engender Health, TI-TPTEGO, and PAT-TO with funding from the Gates Foundation. It is an inclusive guide to implementation and maintenance of screen-and-tre...
ABSTRACT The HIV epidemic in children parallels that among women on account of perinatal transmission. A combination of antiretroviral therapy and elective caesarean section reduces the rate of vertical transmission to