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https://www.readbyqxmd.com/read/28303431/gender-inequalities-in-remote-settings-analysis-of-105-025-medical-records-of-a-rural-hospital-in-ethiopia-2005-2015
#1
Sandro Accorsi, Edgardo Somigliana, Pasquale Farese, Tsegaye Ademe, Yonas Desta, Giovanni Putoto, Fabio Manenti
Gender inequalities in Sub-Saharan Africa are deemed relevant but data to support this view are scanty. Retrospective analysis of a large dataset of 105,025 patients admitted to an Ethiopian rural private, non-for-profit hospital over a 11 years period (2005-2015). Since 2001, the hospital and the local community are involved in a long-term, comprehensive and externally-supported health care intervention. The total number of admissions was higher for females (61.9% of the total) mainly because of the high frequency of admissions for obstetrics conditions...
March 16, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28202065/alternative-transmission-routes-in-the-malaria-elimination-era-an-overview-of-transfusion-transmitted-malaria-in-the-americas
#2
Regina M Alho, Kim Vinícius Amaral Machado, Fernando F A Val, Nelson A Fraiji, Marcia A A Alexandre, Gisely C Melo, Judith Recht, André M Siqueira, Wuelton M Monteiro, Marcus V G Lacerda
BACKGROUND: Transfusion-transmitted (TT) malaria is an alternative infection route that has gained little attention from authorities, despite representing a life-threatening condition. There has been no systematic review of this health problem in American countries. The aim of this study was to describe the clinical and epidemiological characteristics of TT malaria in the Americas and identify factors associated with lethality based on the studies published in the literature. METHODS: Potentially relevant papers in all languages were retrieved from MEDLINE and LILACS...
February 15, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28164028/the-clinical-spectrum-of-severe-acute-malnutrition-in-children-in-cameroon-a-hospital-based-study-in-yaounde-cameroon
#3
Andreas Chiabi, Berthe Malangue, Seraphin Nguefack, Félicitée Nguefack Dongmo, Florence Fru, Virginie Takou, Fru Angwafo
BACKGROUND: Severe acute malnutrition (SAM) is a major health problem, and the cause of more than half of childhood deaths in children less than 5 years in developing countries. Globally, 20 million children under 5 years of age are severely malnourished according to the World Health Organization (WHO). In Cameroon, the prevalence of SAM remains high and estimated at 1.9% in 2011 and 1.3% in 2014. The aim of this study was to determine the epidemiology, clinical aspects and outcome of SAM at the Yaounde Gynaeco-Obstetric and Pediatric Hospital (YGOPH)...
January 2017: Translational pediatrics
https://www.readbyqxmd.com/read/27965185/risk-factors-for-low-birth-weight-in-lubumbashi-democratic-republic-of-the-congo
#4
P M Ilunga, O Mukuku, P M Mawaw, A M Mutombo, T K Lubala, M Shongo Ya Pongombo, P Kakudji Luhete, S O Wembonyama, A Mutombo Kabamba, O Luboya Numbi
The aim of this study was to identify the risk factors associated with low birth weight (LBW) in the city of Lubumbashi (DR Congo). This case-control study of singleton births took place from July to December 2014 in 3 referral maternity units in Lubumbashi. The mothers' social and demographic characteristics and medical and obstetric history, especially during this pregnancy, as well as the newborns' sex were compared between the case group (< 2500 g) and the control group. The usual statistics and logistic regression were used to analyze the results...
December 12, 2016: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/27921037/acute-kidney-injury-in-western-countries
#5
REVIEW
Josée Bouchard, Ravindra L Mehta
BACKGROUND: Acute kidney injury (AKI) is frequent and is associated with poor outcomes, including increased mortality, higher risk of chronic kidney disease, and prolonged hospital lengths of stay. The epidemiology of AKI mainly derives from studies performed in Western high-income countries. More limited data are available from Western low-income and middle-income countries (LMICs) located in Central and South America. SUMMARY: In this review, we summarize the most recent data on the epidemiology of AKI in Western countries, aiming to contrast results from industrialized high-income countries with LMICs...
October 2016: Kidney Diseases
https://www.readbyqxmd.com/read/27921036/acute-kidney-injury-in-asia
#6
REVIEW
Li Yang
BACKGROUND: Acute kidney injury (AKI) is a common disorder and is associated with a high morbidity and mortality worldwide. The diversity of the climate and of the socioeconomic and developmental status in Asia has a great influence on the etiology and presentation of AKI in different regions. In view of the International Society of Nephrology's 0by25 initiative, more and more attention has been paid to AKI in Asian countries. SUMMARY: In this review, we summarize the recent achievements with regard to the prevalence and clinical patterns of AKI in Asian countries...
October 2016: Kidney Diseases
https://www.readbyqxmd.com/read/27704677/clinical-interventions-to-reduce-stillbirths-in-sub-saharan-africa-a-mathematical-model-to-estimate-the-potential-reduction-of-stillbirths-associated-with-specific-obstetric-conditions
#7
R L Goldenberg, J B Griffin, B D Kamath-Rayne, M Harrison, D J Rouse, K Moran, B Hepler, A H Jobe, E M McClure
OBJECTIVE: Stillbirths are among the most common adverse pregnancy outcomes, with 98% occurring in low-income countries. More than one-third occur in sub-Saharan Africa (SSA). However, the medical conditions causing stillbirths and interventions to reduce stillbirths from these conditions are not well documented. We estimated the reductions in stillbirths possible with combinations of interventions. DESIGN: We developed a computerised model to estimate the impact of various interventions on stillbirths caused by the most common conditions...
October 5, 2016: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/27687243/measuring-maternal-mortality-using-a-reproductive-age-mortality-study-ramos
#8
Florence Mgawadere, Regine Unkels, Adetoro Adegoke, Nynke van den Broek
BACKGROUND: Assessing the feasibility of conducting a prospective Reproductive Age Mortality Survey (RAMOS) study in the low-income setting of Mangochi District, Malawi to obtain cotemporaneous estimates of the number, cause of and conditions associated with maternal deaths (MD) in all women of reproductive age (WRA) (n = 207 688). METHODS: MD among all deaths of WRA were identified using the ICD-10 definition. Cause of death and contributing conditions identified by a panel of experts using the classification system for deaths during pregnancy, childbirth and puerperium (ICD-MM)...
September 29, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27495904/puerperal-sepsis-the-leading-cause-of-maternal-deaths-at-a-tertiary-university-teaching-hospital-in-uganda
#9
Joseph Ngonzi, Yarine Fajardo Tornes, Peter Kivunike Mukasa, Wasswa Salongo, Jerome Kabakyenga, Masembe Sezalio, Kristien Wouters, Yves Jacqueym, Jean-Pierre Van Geertruyden
BACKGROUND: Maternal mortality is highest in sub-Saharan Africa. In Uganda, the WHO- MDG 5 (aimed at reducing maternal mortality by 75 % between 1990 and 2015) has not been attained. The current maternal mortality ratio (MMR) in Uganda is 438 per 100,000 live births coming from 550 per 100,000 in 1990. This study sets out to find causes and predictors of maternal deaths in a tertiary University teaching Hospital in Uganda. METHODS: The study was a retrospective unmatched case control study which was carried out at the maternity unit of Mbarara Regional Referral Hospital (MRRH)...
2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27413718/scrub-typhus-masquerading-as-hellp-syndrome-and-puerperal-sepsis-in-an-asymptomatic-malaria-patient
#10
Habib Md Reazaul Karim, Prithwis Bhattacharyya, Sonai Datta Kakati, Tridip Jyoti Borah, Md Yunus
Scrub typhus and malaria can involve multiple organ systems and are notoriously known for varied presentations. However, clinical malaria or scrub typhus is unusual without fever. On the other hand, altered sensorium with or without fever, dehydration, hemorrhage and hemolysis may lead to low blood pressure. Presence of toxic granules and elevated band forms in such patients can even mimic sepsis. When such a patient is in the peripartum period, it creates a strong clinical dilemma for the physician especially in unbooked obstetric cases...
2016: Qatar Medical Journal
https://www.readbyqxmd.com/read/27188983/obstetric-benefits-of-health-insurance-a-comparative-analysis-of-obstetric-indices-and-outcome-of-enrollees-and-non-enrollees-in-southeast-nigeria
#11
Lucky Osaheni Lawani, Chukwuemeka Anthony Iyoke, Robinson Chukwudi Onoh, Peter Onubiwe Nkwo, Isa Ayuba Ibrahim, Kenneth Chinedu Ekwedigwe, Atombosoba Adokiye Ekine
This study determined the obstetric benefits and compared the obstetric indices and pregnancy outcome of enrollees and non-enrollees of the national health insurance scheme (NHIS). A prospective cohort study of enrollees and non-enrollees of NHIS was conducted over 2 years. Data was analysed with Epi-info statistical software. Malaria (25.3% versus 8.0%, p value ≤0.001), anaemia (11.3% versus 3.3%, p value ≤0.0001), preterm delivery (8.0% versus 2.7% p value = 0.00001), antenatal default rate (22.7% versus 6...
October 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/26957969/risk-factors-for-placental-malaria-and-associated-adverse-pregnancy-outcomes-in-rufiji-tanzania-a-hospital-based-cross-sectional-study
#12
Rabi Ndeserua, Adinan Juma, Dominic Mosha, Jaffu Chilongola
BACKGROUND: Prevention and treatment of malaria during pregnancy is crucial for reduction of malaria in pregnancy and its adverse outcomes. The spread of parasite resistance to Sulphadoxine-Pyrimethamine (SP) used for Intermittent Preventive Treatment for malaria in pregnancy (IPTp), particularly in East Africa has raised concerns about the usefulness and the reliability of the IPTp regimen. We aimed to assess the effectiveness of two doses of SP in treating and preventing occurrence of adverse pregnancy outcomes...
September 2015: African Health Sciences
https://www.readbyqxmd.com/read/26801466/maternal-death-audit-in-rwanda-2009-2013-a-nationwide-facility-based-retrospective-cohort-study
#13
Felix Sayinzoga, Leon Bijlmakers, Jeroen van Dillen, Victor Mivumbi, Fidèle Ngabo, Koos van der Velden
OBJECTIVE: Presenting the results of 5 years of implementing health facility-based maternal death audits in Rwanda, showing maternal death classification, identification of substandard (care) factors that have contributed to death, and conclusive recommendations for quality improvements in maternal and obstetric care. DESIGN: Nationwide facility-based retrospective cohort study. SETTINGS: All cases of maternal death audited by district hospital-based audit teams between January 2009 and December 2013 were reviewed...
January 22, 2016: BMJ Open
https://www.readbyqxmd.com/read/26686851/associations-of-body-mass-index-and-gestational-weight-gain-with-term-pregnancy-outcomes-in-urban-cameroon-a-retrospective-cohort-study-in-a-tertiary-hospital
#14
Florent Ymele Fouelifack, Jeanne Hortence Fouedjio, Jovanny Tsuala Fouogue, Zacharie Sando, Loic Dongmo Fouelifa, Robinson Enow Mbu
BACKGROUND: Obesity is a rising public health issue worldwide. Guidelines regarding maternal body mass index (BMI) and gestational weight gain (GWG) are missing in Cameroon where maternal mortality rate remains very high. We hypothesized that obesity and inappropriate GWG are associated with poor pregnancy outcomes. We aimed at assessing associations of BMI and GWG with pregnancy outcomes. METHODS: This was a retrospective cohort study at the Yaoundé Central Hospital...
2015: BMC Research Notes
https://www.readbyqxmd.com/read/26639153/wild-medicinal-and-food-plants-used-by-communities-living-in-mopane-woodlands-of-southern-angola-results-of-an-ethnobotanical-field-investigation
#15
Valeria Urso, Maria Adele Signorini, Matteo Tonini, Piero Bruschi
ETHNOPHARMACOLOGICAL RELEVANCE: Mopane woodlands play an important role in the livelihood strategies of local populations; however, they have been scarcely investigated by ethnobiologists and very little is currently known about plants traditionally used by local communities, especially about medicinal plants. AIM OF THE STUDY: Our investigation was aimed to document ethnobotanical knowledge in seven communities living in conditions of extreme poverty in a Mopane area of southern Angola (Namibe province)...
January 11, 2016: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/26552482/the-triple-threat-of-pregnancy-hiv-infection-and-malaria-reported-causes-of-maternal-mortality-in-two-nationwide-health-facility-assessments-in-mozambique-2007-and-2012
#16
Patricia E Bailey, Emily Keyes, Allisyn C Moran, Kavita Singh, Leonardo Chavane, Baltazar Chilundo
BACKGROUND: The paper's primary purpose is to determine changes in magnitude and causes of institutional maternal mortality in Mozambique. We also describe shifts in the location of institutional deaths and changes in availability of prevention and treatment measures for malaria and HIV infection. METHODS: Two national cross-sectional assessments of health facilities with childbirth services were conducted in 2007 and 2012. Each collected retrospective data on deliveries and maternal deaths and their causes...
2015: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/26470700/surgery-and-obstetric-care-are-highly-cost-effective-interventions-in-a-sub-saharan-african-district-hospital-a-three-month-single-institution-study-of-surgical-costs-and-outcomes
#17
Geoffrey Roberts, Charlotte Roberts, Amy Jamieson, Caris Grimes, Gemma Conn, Robert Bleichrodt
BACKGROUND: The Lancet recently sponsored a commission examining the role of surgery in global health. There is a paucity of published information on the cost-effectiveness of surgery in low- and middle-income countries, a key metric in the prioritisation of limited resources. METHODS: All patients undergoing emergency laparotomy, elective and emergency inguinal hernia repair, elective and emergency caesarean section, amputation, fracture manipulation, or fracture fixation over a 3 months period in a single district African hospital were assessed...
January 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/26438342/diagnostics-barriers-and-innovations-in-rural-areas-insights-from-junior-medical-doctors-on-the-frontlines-of-rural-care-in-peru
#18
Cynthia Fiorella Anticona Huaynate, Monica Jehnny Pajuelo Travezaño, Malena Correa, Holger Mayta Malpartida, Richard Oberhelman, Laura L Murphy, Valerie A Paz-Soldan
BACKGROUND: Worldwide, rural communities face barriers when accessing health services. In response, numerous initiatives have focused on fostering technological innovations, new management approaches and health policies. Research suggests that the most successful innovations are those involving stakeholders at all levels. However, there is little evidence exploring the opinions of local health providers that could contribute with further innovation development and research. The aims of this study were to explore the perspectives of medical doctors (MDs) working in rural areas of Peru, regarding the barriers impacting the diagnostic process, and ideas for diagnostic innovations that could assist them...
October 5, 2015: BMC Health Services Research
https://www.readbyqxmd.com/read/26292718/association-of-maternal-anemia-with-other-risk-factors-in-occurrence-of-great-obstetrical-syndromes-at-university-clinics-kinshasa-dr-congo
#19
Barthélémy Tandu-Umba, Andy Muela Mbangama
BACKGROUND: Maternal anemia, a common situation in developing countries, provokes impairment of nutrients/oxygen supply to the placenta-fetus unit that leads to Great obstetrical syndromes (GOS). In our setting, however, occurrence of GOS has been found also depending on variables existing prior to pregnancy such as diabetes in family, hypertension in family, previous macrosomia, stillbirth, SGA and pre-eclampsia as well as overweight/obesity. Our study thus aimed to determine the magnitude of maternal anemia and its association with these pre-pregnancy high-risk variables in occurrence of GOS...
2015: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/26114867/risk-factors-for-low-birthweight-in-zimbabwean-women-a-secondary-data-analysis
#20
Shingairai A Feresu, Siobán D Harlow, Godfrey B Woelk
BACKGROUND: Low birth weight (LBW) remains the main cause of mortality and morbidity in infants, and a problem in the care of pregnant women world-wide particularly in developing countries. The purpose of this study was to describe the socio-demographic, nutritional, reproductive, medical and obstetrical risk factors for delivering a live LBW infant at Harare Maternity Hospital, Zimbabwe. METHODS: A secondary data analysis from data obtained through a questionnaire and delivery records was conducted...
2015: PloS One
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