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COVID-19 pandemic and the global economic situation: a year on 新冠肺炎大流行与全球经济形势:一年过去了
Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.56.35920
Kwame Adjei-Mantey, Anthony Amoah, Benjamin Amoah, Rexford Kwaku Asiama
A year after the World Health Organization´s declaration of the novel COVID-19 as a pandemic, the global macro-economic landscape has experienced severe shocks. As a result, developed and developing countries have been saddled with intense economic uncertainties. In this study, we discuss the global macro-economic environment during the pandemic declaration period and juxtapose it with the one-year post-pandemic declaration. The evidence shows significant negative impacts on macro-economic variables in the year of the declaration. However, signs of recovery are evident a year on, albeit slowly. To sustain and accelerate the recovery gains, we suggest that strategic macro-management policies are designed and strictly implemented. Anything short of this will see especially fragile countries plunged into an “economic abyss” with severe sociopolitical implications.
在世界卫生组织宣布新型冠状病毒病为大流行一年后,全球宏观经济格局遭受了严重冲击。因此,发达国家和发展中国家都承受着巨大的经济不确定性。在本研究中,我们讨论了大流行宣布期间的全球宏观经济环境,并将其与大流行宣布后的一年并置。证据显示,在宣言当年,对宏观经济变量产生了显著的负向影响。然而,一年过去了,复苏的迹象是明显的,尽管缓慢。为保持和加速复苏成果,我们建议制定并严格执行战略性宏观管理政策。如果做不到这一点,特别脆弱的国家就会陷入“经济深渊”,并产生严重的社会政治影响。
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引用次数: 0
Knowledge, attitude, and practice towards hepatitis B virus among healthcare workers: a cross-sectional, hospital-based study in Montserrado County, Liberia 医护人员对乙型肝炎病毒的知识、态度和做法:利比里亚蒙特塞拉多县一项以医院为基础的横断面研究
Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.77.27949
Bluefin Masell Freeman, Sampson Chea, Bode Ireti Shobayo
Prevention is critical in safeguarding against the spread of hepatitis B virus (HBV) infection. The knowledge, attitudes, and practices of healthcare workers (HCWs) regarding the disease play an important role in its prevention or spread, yet in this regard, data in Liberia remains scarce. Hence, determining the Knowledge, Attitude, and Practices (KAP) level of HCWs toward HBV infection becomes necessary. A descriptive cross-sectional hospital-based study was conducted among 251 HCWs at two major health facilities in Monrovia. KAP regarding HBV was assessed using a standardized structured questionnaire. Results were analyzed using descriptive statistics for demographic characteristics, percentages for categorical variables, and mean ± standard deviation for continuous variables. Kruskal Wallis test, p < 0.05, was used to derive statistical inferences. Complete data from 248 respondents showed a mean age of 36.3 ± 8.9 years with most respondents were within 30-39 age range (45.82%). While poor knowledge was observed in responses to all categories of questions, correct response rates to questions range from 41.93 - 99.19% for transmission of HBV, to 98.79 - 100% for preventive measures of HBV. About 77.8% and 90.32% of study respondents strongly agreed that hepatitis B is a major public health threat and that following infection control guidelines will protect them from being infected with HBV at work respectively. More than half of the participants (60.08%) had a history of needle-stick injury (NSI), and washing the injury site with water and soap, sterilizing the wound, and checking whether the patient has a blood-borne disease was done by 48.79%, 53.62% and 27.01% of the respondents respectively. Findings from this study show that there is an inadequate level of KAP regarding HBV infection among the HCWs. It therefore is expedient to conduct regular awareness campaigns for HCWs on preventive measures against HBV infection in hospitals, in addition to workshops and in-service trainings on infection prevention and control (IPC) best practices.
预防对于防止乙型肝炎病毒(HBV)感染的传播至关重要。卫生保健工作者(HCWs)关于该疾病的知识、态度和做法在其预防或传播中发挥着重要作用,但在这方面,利比里亚的数据仍然很少。因此,有必要确定医护人员对HBV感染的知识、态度和实践(KAP)水平。在蒙罗维亚两个主要卫生设施的251名卫生保健员中进行了一项以医院为基础的描述性横断面研究。使用标准化结构化问卷评估HBV的KAP。结果采用人口统计学特征的描述性统计、分类变量的百分比和连续变量的平均值±标准差进行分析。采用Kruskal Wallis检验,p < 0.05进行统计学推断。248人完整资料,平均年龄36.3±8.9岁,年龄在30 ~ 39岁之间的占45.82%。虽然在所有类别问题的回答中都观察到知识不足,但对HBV传播问题的正确回答率为41.93 - 99.19%,对HBV预防措施的正确回答率为98.79 - 100%。约77.8%和90.32%的受访者强烈认为,乙型肝炎是一种主要的公共卫生威胁,遵守感染控制指南将保护他们在工作中免受乙型肝炎病毒感染。超过一半(60.08%)的受访对象有针刺伤史,分别有48.79%、53.62%和27.01%的受访对象使用清水和肥皂清洗损伤部位、对伤口进行消毒、检查患者是否有血源性疾病。本研究结果表明,卫生保健工作者对HBV感染的KAP水平不足。因此,除了举办关于感染预防和控制(IPC)最佳做法的讲习班和在职培训外,还应定期为卫生保健员开展关于在医院预防乙型肝炎病毒感染措施的宣传活动。
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引用次数: 0
Désarticulation scapulo-thoracique, conséquence d'un échec de traitement traditionnel chez une adolescente: à propos d'un cas 肩胛骨胸关节脱节,青少年传统治疗失败的后果:关于一个病例
Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.49.41650
Wendlamita Toussaint, Somkièta Modeste Francis, Bernadette Béré, Saïd Nahl Oumar, Thombiano Koundia, Oliver Zampou, Ouédraogo Isso, Bandré Emile
La désarticulation scapulo-thoracique pour une pathologie traumatique est exceptionnelle. La présentation de ce cas clinique vise à partager notre expérience à propos d'un cas de désarticulation scapulo-thoracique et situer l'intérêt d'une telle indication. Il s'est agi d'une patiente de 12 ans, de latéralité droite, scolarisée, qui a été hospitalisée pour traumatisme fermé du membre thoracique droit compliqué d'une infection après une semaine de traitement traditionnel (massage, bandage avec attelles en roseau). Le diagnostic de fracture du col chirurgical de l'humérus droit compliquée d'une gangrène humide de tout le membre et d'une anémie sévère, a été posé. Une transfusion sanguine, une triple antibiothérapie et une désarticulation scapulo-humérale ont été nécessaires. Une excision progressive de tissus nécrotiques puis une scapulectomie (à J24) pour nécrose scapulaire ont permis d'aseptiser le foyer et de réaliser une greffe cutanée (à J43). La patiente, sortie après 2 mois d'hospitalisation, avec un suivi conjoint en psychologie et en kinésithérapie, a présenté des suites opératoires simples sur un recul de 7 mois. L'échec du traitement traditionnel des fractures de membre peut mettre en jeu le pronostic vital et occasionner de graves séquelles.
外伤性疾病的肩关节-胸部脱位是罕见的。介绍这个临床病例的目的是分享我们在一个肩胛胸脱节病例中的经验,并确定这一适应症的兴趣。这是一名12岁的右侧患者,在接受了一周的传统治疗(按摩、芦苇夹板绷带)后,因右胸肢闭合性创伤并伴有感染而住院。诊断为右肱骨手术颈骨折,并伴有全身湿性坏疽和严重贫血。需要输血、三重抗生素治疗和肩胛骨-肱骨分离。对坏死组织进行渐进式切除,然后对肩胛骨坏死进行肩胛骨切除术(J24),使病灶消毒并进行皮肤移植(J43)成为可能。患者住院2个月后出院,接受心理和物理治疗的联合随访,7个月后出现简单的手术结果。传统的肢体骨折治疗失败可能危及生命预后,并造成严重的后遗症。
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引用次数: 0
Investigation of human tungiasis cases, Sheema District, Uganda, November 2021-February 2022 对2021年11月至2022年2月乌干达希马县人间通热病例的调查
Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.71.41277
Sherry Rita Ahirirwe, Richard Migisha, Patience Mwine, Lilian Bulage, Benon Kwesiga, Daniel Kadobera, Alex Riolexus Ario
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引用次数: 0
La chirurgie laparoscopique de down staging pour cancer colorectal avec métastases hépatiques synchrones : quel intérêt dans les hépatectomies en deux temps? à propos d’une série de 6 cas 同步肝转移的大肠癌下分期腹腔镜手术:两步肝切除术的意义是什么?关于一系列的6个案例
Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.38.35775
Zaki Boudiaf, Chafik Bouzid, Mohamed Rafik Ait-arab, Karim Cherchar, Mohand Kheloufi, Aissam Chibane, Ihsene Hatem Boutekedjiret, Zakia Hattou, Fatiha Gouaref, Kamel Bentabak
Les métastases hépatiques bilobaires des cancers colorectaux posent un problème de prise en charge, la chirurgie curative nécessite souvent plusieurs temps. Le but de notre étude était d´évaluer l´approche laparoscopique avec ligature portale dans le premier temps des hépatectomies en deux temps pour les métastases hépatiques synchrones des cancers colorectaux (MHSCCR). Il s´agissait d´une étude rétrospective monocentrique d´août 2016 à janvier 2020 qui avait inclus les patients présentant des MHSCCR nécessitant une chirurgie curative en deux temps à cause d´une insuffisance du volume du futur foie restant (FFR). L´objectif principal était d´évaluer la morbi-mortalité postopératoire du premier temps laparoscopique à 30 jours. Les objectifs secondaires étaient d´évaluer le taux de conversion, l´hypertrophie du FFR après ligature portale laparoscopique, la morbi-mortalité postopératoire du 2e temps hépatique et enfin d´évaluer le taux d´achèvement de la stratégie thérapeutique. Nous avons inclus six patients (4 hommes et 2 femmes), l´âge moyen était de 64 (44-72) ans, le premier temps opératoire avait consisté en une résection colique laparoscopique associée à une ligature portale droite chez 5 patients et gauche chez un patient. La morbi-mortalité postopératoire était nulle. Le taux de conversion était nul. Après ligature portale, 5 sur les 6 patients avaient hypertrophié le FFR de façon significative, le gain moyen de volume du FFR était de 59,48% (31,02%-68,71%). Deux patients parmi les six avaient présenté une morbidité sévère après le deuxième temps hépatique (Clavien IIIb). La stratégie thérapeutique a été achevée chez tous les malades.
结直肠癌的双室肝转移是一个管理问题,治疗手术通常需要几个时间。我们研究的目的是评估腹腔镜方法与门结扎在两阶段肝切除术的第一步同步肝转移结直肠癌(MHSCCR)。这是一项回顾性单中心研究,从2016年8月至2020年1月,包括由于未来剩余肝容量(FFR)不足而需要两阶段愈合手术的MHSCCR患者。主要目的是评估第一次腹腔镜手术30天的术后发病率和死亡率。次要目标是评估转换率,腹腔镜门结扎后FFR肥大,第二次肝期术后发病率和死亡率,最后评估治疗策略的完成率。我们纳入6例患者(男4例,女2例),平均年龄64岁(44-72岁),第一次手术包括腹腔镜结肠切除术和右门静脉结扎5例,左门静脉结扎1例。术后发病率和死亡率为零。转化率为零。门静脉结扎后,6例患者中有5例FFR显著肥大,平均FFR体积增加59.48%(31.02% - 68.71%)。6例患者中有2例在第二次肝移植后出现严重发病率(Clavien IIIb)。所有患者的治疗策略已经完成。
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引用次数: 0
Quality of life of patients one year after breast conserving surgery versus modified radical mastectomy for early breast cancer: a Kenya tertiary hospital five-year review 早期乳腺癌保乳手术与改良根治性乳房切除术后一年患者的生活质量:肯尼亚三级医院的五年回顾
Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.69.39151
Senoga Andrew, Ronald Wasike, Sitna Ali Mwanzi, Miriam Mutebi
Introduction: Breast conserving surgery (BCS) followed by radiotherapy (BCT) and Modified radical mastectomy (MRM) are the most common surgical techniques utilized in treatment of early breast cancer (EBC) with similar overall survival and recurrence rates. Western literature suggests that these treatments impact the quality of life (QOL) of patients variably. There are no comparison studies on these treatments as per patient’s QOL in East Africa. The objectives were to compare the QOL of patients with EBC at least one year after BCT or MRM and assess the factors that affect this QOL.
简介:保乳手术(BCS)加放疗(BCT)和改良根治性乳房切除术(MRM)是治疗早期乳腺癌(EBC)最常用的手术技术,其总生存率和复发率相似。西方文献表明,这些治疗对患者生活质量(QOL)的影响是不同的。目前还没有针对东非患者生活质量的这些治疗方法的比较研究。目的是比较BCT或MRM后至少一年EBC患者的生活质量,并评估影响其生活质量的因素。
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引用次数: 0
Predictors of cessation of exclusive breastfeeding according to the Cox regression model: survey of mothers of children aged 6-12 months, Thiès, Senegal 根据Cox回归模型停止纯母乳喂养的预测因素:对塞内加尔thi<e:1> 6-12个月儿童母亲的调查
Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.12.39603
Mouhamadou Faly Ba, Oumar Bassoum, Maty Diagne Camara, Adama Faye
Introduction even though exclusive breastfeeding (EBF) for up to six months is recognised as essential infant care, it is still insufficiently practiced. The objective of this study was to identify predictors of EBF cessation in Thiès. Methods this was a survival analysis of data collected using a cross-sectional procedure. Data collection took place from 2nd December 2019 to 21st January 2020. The study population consisted of mothers of children aged 6 to 12 months residing in Thiès and seen at the reference health centre of the Thiès Health District during infant vaccination sessions. The number of subjects was 400 mothers recruited using a systematic survey, with a sampling interval equal to two. Data were collected through a face-to-face interview. Predictive factors were identified using the Cox regression model. The adjusted hazard ratio (AHR) and its 95% confidence interval (95% CI) are calculated. Results the average age of the mothers was 27.08 ± 6.34 years. The proportion of mothers who breastfed their child within one hour of birth was 29.25%. The proportion of those who practiced EBF was 41.50%. The incidence density of EBF cessation was 14 person-months per 100 breastfeeding mothers. The median duration of EBF was 5 months. Lack of advice on EBF during antenatal care (AHR=1.42; 95% CI =1.08-1.85), sources of information other than health professionals (AHR =1.51; 95% CI =1.05-2.19), late initiation of EBF, i.e. breastfeeding beyond 24 hours after birth (AHR =1.53; 95% CI =1.02-2.28) and low level of knowledge about EBF (AHR =1.46; 95% CI =1.11-1.92) were significantly associated with early termination of EBF. Conclusion the promotion of EBF for up to six months will necessarily involve the promotion of prenatal consultations during which professionals should raise awareness among future mothers.
{"title":"Predictors of cessation of exclusive breastfeeding according to the Cox regression model: survey of mothers of children aged 6-12 months, Thiès, Senegal","authors":"Mouhamadou Faly Ba, Oumar Bassoum, Maty Diagne Camara, Adama Faye","doi":"10.11604/pamj.2023.46.12.39603","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.12.39603","url":null,"abstract":"Introduction even though exclusive breastfeeding (EBF) for up to six months is recognised as essential infant care, it is still insufficiently practiced. The objective of this study was to identify predictors of EBF cessation in Thiès. Methods this was a survival analysis of data collected using a cross-sectional procedure. Data collection took place from 2nd December 2019 to 21st January 2020. The study population consisted of mothers of children aged 6 to 12 months residing in Thiès and seen at the reference health centre of the Thiès Health District during infant vaccination sessions. The number of subjects was 400 mothers recruited using a systematic survey, with a sampling interval equal to two. Data were collected through a face-to-face interview. Predictive factors were identified using the Cox regression model. The adjusted hazard ratio (AHR) and its 95% confidence interval (95% CI) are calculated. Results the average age of the mothers was 27.08 ± 6.34 years. The proportion of mothers who breastfed their child within one hour of birth was 29.25%. The proportion of those who practiced EBF was 41.50%. The incidence density of EBF cessation was 14 person-months per 100 breastfeeding mothers. The median duration of EBF was 5 months. Lack of advice on EBF during antenatal care (AHR=1.42; 95% CI =1.08-1.85), sources of information other than health professionals (AHR =1.51; 95% CI =1.05-2.19), late initiation of EBF, i.e. breastfeeding beyond 24 hours after birth (AHR =1.53; 95% CI =1.02-2.28) and low level of knowledge about EBF (AHR =1.46; 95% CI =1.11-1.92) were significantly associated with early termination of EBF. Conclusion the promotion of EBF for up to six months will necessarily involve the promotion of prenatal consultations during which professionals should raise awareness among future mothers.","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135358062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A rare case of alopecia universalis 罕见的全身性脱发1例
Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.44.41181
Amol Deshpande, Mayuri Deshpande
{"title":"A rare case of alopecia universalis","authors":"Amol Deshpande, Mayuri Deshpande","doi":"10.11604/pamj.2023.46.44.41181","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.44.41181","url":null,"abstract":"","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135840727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spinal muscular atrophy in Ghanaian children confirmed by molecular genetic testing: a case series 经分子基因检测证实的加纳儿童脊髓性肌萎缩:一个病例系列
Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.78.32240
Charles Kumi Hammond, Emmanuel Oppong, Emmanuel Ameyaw, Joslin Alexei Dogbe
{"title":"Spinal muscular atrophy in Ghanaian children confirmed by molecular genetic testing: a case series","authors":"Charles Kumi Hammond, Emmanuel Oppong, Emmanuel Ameyaw, Joslin Alexei Dogbe","doi":"10.11604/pamj.2023.46.78.32240","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.78.32240","url":null,"abstract":"","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135561099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A palpable change in medical education post-COVID-19 pandemic 新冠肺炎大流行后医学教育发生明显变化
Pub Date : 2023-01-01 DOI: 10.11604/pamj.2023.46.70.37676
Haitham Mohamed El Bingawi, Salah Eldin Abdel Hag Abdel Haleem
{"title":"A palpable change in medical education post-COVID-19 pandemic","authors":"Haitham Mohamed El Bingawi, Salah Eldin Abdel Hag Abdel Haleem","doi":"10.11604/pamj.2023.46.70.37676","DOIUrl":"https://doi.org/10.11604/pamj.2023.46.70.37676","url":null,"abstract":"","PeriodicalId":131455,"journal":{"name":"The Pan African Medical Journal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134883188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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The Pan African Medical Journal
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