B. Tuyishimire, H. Irere, N. Dukuze, B. Iradukunda, C. Muhizi, A. Ndatinya, O. Karangwa, F. Rutagarama, C. Nsanzabaganwa, L. Mutesa
INTRODUCTION: While Beckwith-Wiedemann syndrome is among rare genomic imprinting disorders, its diagnosis still presents challenges in clinical settings. Therefore, the aim of this work is to present different phenotypic features of this syndrome. CASE PRESENTATION: We reviewed two-month-old patient referred to the genetic unit at Rwanda military hospital, Kigali, Rwanda. Physical examinations indicated severe larger birth length (macrosomia), Overgrowth of the right side of lower limbs (hemihypertrophy/hemihyperplasia), larger tongue (macroglossia) and bigger abdomen. We performed karyotype and revealed a normal male chromosomal formula: 46,XY. CONCLUSION: Based on the phenotypic clinical features, the patient was diagnosed with Beckwith-Wiedemann Syndrome. However, cytogenetic tests performed were not advanced and should not rule out epigenetic abnormalities that should account for phenotypic features of this syndrome in our patient.
{"title":"The diagnosis of Beckwith-Wiedemann syndrome in a child and psychological implications to parents – A case report","authors":"B. Tuyishimire, H. Irere, N. Dukuze, B. Iradukunda, C. Muhizi, A. Ndatinya, O. Karangwa, F. Rutagarama, C. Nsanzabaganwa, L. Mutesa","doi":"10.4314/rmj.v80i1.16","DOIUrl":"https://doi.org/10.4314/rmj.v80i1.16","url":null,"abstract":"INTRODUCTION: While Beckwith-Wiedemann syndrome is among rare genomic imprinting disorders, its diagnosis still presents challenges in clinical settings. Therefore, the aim of this work is to present different phenotypic features of this syndrome. CASE PRESENTATION: We reviewed two-month-old patient referred to the genetic unit at Rwanda military hospital, Kigali, Rwanda. Physical examinations indicated severe larger birth length (macrosomia), Overgrowth of the right side of lower limbs (hemihypertrophy/hemihyperplasia), larger tongue (macroglossia) and bigger abdomen. We performed karyotype and revealed a normal male chromosomal formula: 46,XY. CONCLUSION: Based on the phenotypic clinical features, the patient was diagnosed with Beckwith-Wiedemann Syndrome. However, cytogenetic tests performed were not advanced and should not rule out epigenetic abnormalities that should account for phenotypic features of this syndrome in our patient.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43141646","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}
A. Omodan, T. Ndayishimiye, E. Muhawenimana, J. Gashegu
INTRODUCTION: The term ectopic kidney is used to describe a kidney that is found in a place that is not its normal anatomic position while malrotation refers to the abnormal orientation of the kidney. These two are some of the congenital malformations that the kidney is predisposed to in its embryogenesis.CASE: The current findings were discovered during routine dissections in the Gross lab of the Human Anatomy Department of the University of RwandaA left ectopic kidney with a relatively larger than normal size (10.5cm × 5.2cm) was found with the main blood supply arising from the median sacral artery and two other accessory arterial supplies arising from the abdominal aorta. The kidney was mal-rotated, facing laterally, with the ureter on both sides dilated. CONCLUSION: Knowing kidney variations is ever more important with the rate of increase in renal transplantations and vascular surgeries
{"title":"Ectopic and Mal-rotated kidney with bilateral hydronephrosis – Case report","authors":"A. Omodan, T. Ndayishimiye, E. Muhawenimana, J. Gashegu","doi":"10.4314/rmj.v80i1.9","DOIUrl":"https://doi.org/10.4314/rmj.v80i1.9","url":null,"abstract":"INTRODUCTION: The term ectopic kidney is used to describe a kidney that is found in a place that is not its normal anatomic position while malrotation refers to the abnormal orientation of the kidney. These two are some of the congenital malformations that the kidney is predisposed to in its embryogenesis.CASE: The current findings were discovered during routine dissections in the Gross lab of the Human Anatomy Department of the University of RwandaA left ectopic kidney with a relatively larger than normal size (10.5cm × 5.2cm) was found with the main blood supply arising from the median sacral artery and two other accessory arterial supplies arising from the abdominal aorta. The kidney was mal-rotated, facing laterally, with the ureter on both sides dilated. CONCLUSION: Knowing kidney variations is ever more important with the rate of increase in renal transplantations and vascular surgeries","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135950189","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}
INTRODUCTION: Anterior jugular veins are a paired structure found on either side of the neck and are responsible for other veins in draining the head and neck regions.CASE: The variations reported here are from two male cadavers about 45 and 50 years of age who were being dissected routinely in the dissecting room. The first cadaver, which was the 50-year-old, had the normal formation of both anterior jugular veins (AVJ), but down in its course, the left and the AJVs join around the cricoid cartilage and continue down as a single vein running in the mid-line of the neck but ending by piercing deep to drain into the external jugular vein. The second cadaver was 45 years old. After forming the left AJV, the vein immediately crosses over to the right to run parallel to the right AJV before both joining to form a common vein and then piercing to drain in the external jugular vein (EJV).CONCLUSION: The knowledge of these variations has become very important for all health workers dealing with the neck surgically, radiologically or otherwise.
{"title":"Anterior jugular vein variations in two cadavers and clinical implications: A case report","authors":"A. Omodan, E. Sindikubwabo, J. Gashegu","doi":"10.4314/rmj.v80i1.11","DOIUrl":"https://doi.org/10.4314/rmj.v80i1.11","url":null,"abstract":"INTRODUCTION: Anterior jugular veins are a paired structure found on either side of the neck and are responsible for other veins in draining the head and neck regions.CASE: The variations reported here are from two male cadavers about 45 and 50 years of age who were being dissected routinely in the dissecting room. The first cadaver, which was the 50-year-old, had the normal formation of both anterior jugular veins (AVJ), but down in its course, the left and the AJVs join around the cricoid cartilage and continue down as a single vein running in the mid-line of the neck but ending by piercing deep to drain into the external jugular vein. The second cadaver was 45 years old. After forming the left AJV, the vein immediately crosses over to the right to run parallel to the right AJV before both joining to form a common vein and then piercing to drain in the external jugular vein (EJV).CONCLUSION: The knowledge of these variations has become very important for all health workers dealing with the neck surgically, radiologically or otherwise.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49176148","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}
INTRODUCTION: In East Africa, the estimated incidence of breast cancer is second only to cervical cancer. Supraclavicular irradiation post-modified mastectomy is crucial to breast cancer management, as it improves local control and overall survival. However, this is associated with adverse effects, including hypothyroidism (HT), which is usually under-reported. This study aim was to evaluate radiation-induced thyroid gland functional changes following treatment of supraclavicular lymph nodes in breast cancer patients.METHODS: This was a prospective descriptive study of patients with breast cancer from May 1, 2017, to May 30, 2018. Pre and post-treatment TSH, fT4, and fT3 values were compared using a Wilcoxon signed-rank test.RESULTS: A total of 42 patients were recruited for this study, with a mean age of 55.7 years (32-71). The mean baseline TSH level was 2.90 (±6.37), with a normal range of 0.27-4.2 uIU/mL. The mean T4 and T3 level were 15.77 (±4.83), with normal ranges of 10.16-22 pmol/l for T4, and 3.46 (±6.22), with a normal range of 1.06-3.3 nmol/l for T3. A Wilcoxon signed-rank test indicated that there was a statistically significant increase in mean TSH levels over baseline when measured at three, six-, and nine-months post-treatment, with p-values of 0.0047, 0.0002, and <0.0001, respectively. In total, four patients (10%) had thyroid function tests outside the normal ranges. Zero patients developed clinical HT during the time period studied.CONCLUSION: As hypothesized, supraclavicular radiation led to subclinical HT, but the incidence of clinical HT over time remains unknown.
{"title":"Thyroid function post supraclavicular lymph node irradiation in patients with breast cancer","authors":"F. Rubagumya, K. Makori, N. Dharsee, M. Tausi","doi":"10.4314/rmj.v80i1.5","DOIUrl":"https://doi.org/10.4314/rmj.v80i1.5","url":null,"abstract":"INTRODUCTION: In East Africa, the estimated incidence of breast cancer is second only to cervical cancer. Supraclavicular irradiation post-modified mastectomy is crucial to breast cancer management, as it improves local control and overall survival. However, this is associated with adverse effects, including hypothyroidism (HT), which is usually under-reported. This study aim was to evaluate radiation-induced thyroid gland functional changes following treatment of supraclavicular lymph nodes in breast cancer patients.METHODS: This was a prospective descriptive study of patients with breast cancer from May 1, 2017, to May 30, 2018. Pre and post-treatment TSH, fT4, and fT3 values were compared using a Wilcoxon signed-rank test.RESULTS: A total of 42 patients were recruited for this study, with a mean age of 55.7 years (32-71). The mean baseline TSH level was 2.90 (±6.37), with a normal range of 0.27-4.2 uIU/mL. The mean T4 and T3 level were 15.77 (±4.83), with normal ranges of 10.16-22 pmol/l for T4, and 3.46 (±6.22), with a normal range of 1.06-3.3 nmol/l for T3. A Wilcoxon signed-rank test indicated that there was a statistically significant increase in mean TSH levels over baseline when measured at three, six-, and nine-months post-treatment, with p-values of 0.0047, 0.0002, and <0.0001, respectively. In total, four patients (10%) had thyroid function tests outside the normal ranges. Zero patients developed clinical HT during the time period studied.CONCLUSION: As hypothesized, supraclavicular radiation led to subclinical HT, but the incidence of clinical HT over time remains unknown.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":"356 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135950188","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}
N. Dukuze, B. Tuyishimire, H. Irere, B. Iradukunda, J. Ndinkabandi, C. Nsanzabaganwa, J. Mushingantahe, L. Mutesa
INTRODUCTION: Recurrent spontaneous abortion (RSA) is defined as three or more consecutive pregnancy losses before the 20th week of gestation. RSA is often idiopathic, but structural chromosomal abnormality is an important cause. An unbalanced karyotype in the conceptus of a couple when one partner has a structural chromosomal abnormality may result in failure to implant, miscarriage, or pregnancy of a fetus with an unbalanced karyotype.CASE PRESENTATION: We report a rare case of RSA associated with balanced translocation of chromosomes. a woman who had four spontaneous abortions, all pregnancy loss happened before 12 weeks of gestation, no other known chronic diseases reported to the family nor medications taken during pregnancy. The karyotype was 46.XX, t(13p,21p) The abnormal karyotype was not found in any other chromosomes. Further spectral karyotyping was performed to rule out the involvement of any other chromosomal aberrations present in the genome.The cytogenetic analysis of the husband revealed a normal karyotype 46.XY.CONCLUSION: Couples with more than three miscarriages should be referred to the genetist for chromosomal analysis for possible hereditary etiology and chromosomal abnormalities responsible for miscarriages to plan prenatal diagnostics and genetic counseling for subsequent pregnancies.
{"title":"Recurrent spontaneous abortion related to balanced translocation of chromosomes – A case report","authors":"N. Dukuze, B. Tuyishimire, H. Irere, B. Iradukunda, J. Ndinkabandi, C. Nsanzabaganwa, J. Mushingantahe, L. Mutesa","doi":"10.4314/rmj.v80i1.17","DOIUrl":"https://doi.org/10.4314/rmj.v80i1.17","url":null,"abstract":"INTRODUCTION: Recurrent spontaneous abortion (RSA) is defined as three or more consecutive pregnancy losses before the 20th week of gestation. RSA is often idiopathic, but structural chromosomal abnormality is an important cause. An unbalanced karyotype in the conceptus of a couple when one partner has a structural chromosomal abnormality may result in failure to implant, miscarriage, or pregnancy of a fetus with an unbalanced karyotype.CASE PRESENTATION: We report a rare case of RSA associated with balanced translocation of chromosomes. a woman who had four spontaneous abortions, all pregnancy loss happened before 12 weeks of gestation, no other known chronic diseases reported to the family nor medications taken during pregnancy. The karyotype was 46.XX, t(13p,21p) The abnormal karyotype was not found in any other chromosomes. Further spectral karyotyping was performed to rule out the involvement of any other chromosomal aberrations present in the genome.The cytogenetic analysis of the husband revealed a normal karyotype 46.XY.CONCLUSION: Couples with more than three miscarriages should be referred to the genetist for chromosomal analysis for possible hereditary etiology and chromosomal abnormalities responsible for miscarriages to plan prenatal diagnostics and genetic counseling for subsequent pregnancies.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42760392","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}
C. Niyibigira, A. Omodan, S. Habumuremyi, G. Ndayegamiye, V. Archibong, J. Gashegu
INTRODUCTION: The brachial artery and its terminal branches are the major arterial supply to the brachium and antebrachium. Variations in the vascular supply in the upper limbs have been previously documented to occur more in the radial artery, followed by the ulnar artery, but less commonly in the brachial arteryCASE: An embalmed cadaver was used for gross dissection during the gross anatomy dissection for postgraduate students at the department of human anatomy of the University of Rwanda.During the dissection of the right upper arm, an accessory brachial artery was found, branching from the axillary artery above the unification of the lateral and medial cords of the brachial plexus (the lateral and medial root of the median nerve).CONCLUSION: In our case, the aberrant brachial artery originated from the axillary artery and gave off a muscular branch in the middle third of the arm, which is of clinical importance.
{"title":"Aberrant brachial artery: case report of an anatomical variation","authors":"C. Niyibigira, A. Omodan, S. Habumuremyi, G. Ndayegamiye, V. Archibong, J. Gashegu","doi":"10.4314/rmj.v80i1.7","DOIUrl":"https://doi.org/10.4314/rmj.v80i1.7","url":null,"abstract":"INTRODUCTION: The brachial artery and its terminal branches are the major arterial supply to the brachium and antebrachium. Variations in the vascular supply in the upper limbs have been previously documented to occur more in the radial artery, followed by the ulnar artery, but less commonly in the brachial arteryCASE: An embalmed cadaver was used for gross dissection during the gross anatomy dissection for postgraduate students at the department of human anatomy of the University of Rwanda.During the dissection of the right upper arm, an accessory brachial artery was found, branching from the axillary artery above the unification of the lateral and medial cords of the brachial plexus (the lateral and medial root of the median nerve).CONCLUSION: In our case, the aberrant brachial artery originated from the axillary artery and gave off a muscular branch in the middle third of the arm, which is of clinical importance.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45974190","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}
INTRODUCTION: Electronic gadgets have become a necessity for modern life, and unstructured use of these devices can result in sleep disturbances among youth in the digital era. This study correlated patterns of nighttime electronic gadget use and quality of sleep among health science students.METHODS: Cross-sectional research study was conducted among 243 health science students of selected colleges in Bangalore. The subjects comprised students from pharmacy 79 (32.6%), physiotherapy 79 (32.6%) and nursing 84 (34.7%). A self-administered questionnaire was used to collect demographic information on nighttime electronic gadget use. Sleep quality was assessed using Pittsburgh Sleep Quality Index (PSQI). RESULTS: Watching movies (43.6%), communicating (36.1%) and academic use (20.3%) were the most reported purposes of nighttime gadget use among the students. 22.8 % of the participants were using the gadgets for 2-4 hours and 7.5 % of the students used them for more than 5 hours at night. Linear regression analysis revealed that the habit of checking one’s phone at night and staying up late at night had an impact on the daytime activity of students. Subjective sleep quality, sleep latency, sleep duration and sleep efficiency were significantly affected by nighttime gadget use.CONCLUSION: Unrestricted gadget use during nighttime can result in sleep-deprived individuals who may not be able to perform as efficiently. Effective measures should be initiated to structure the use of technologies.
{"title":"Night Time Gadget Use and Quality of Sleep among Health Science Students in Bangalore, India","authors":"P. Lis Thomas, R. Gurung, M. Mahalakshmi","doi":"10.4314/rmj.v79i4.2","DOIUrl":"https://doi.org/10.4314/rmj.v79i4.2","url":null,"abstract":"INTRODUCTION: Electronic gadgets have become a necessity for modern life, and unstructured use of these devices can result in sleep disturbances among youth in the digital era. This study correlated patterns of nighttime electronic gadget use and quality of sleep among health science students.METHODS: Cross-sectional research study was conducted among 243 health science students of selected colleges in Bangalore. The subjects comprised students from pharmacy 79 (32.6%), physiotherapy 79 (32.6%) and nursing 84 (34.7%). A self-administered questionnaire was used to collect demographic information on nighttime electronic gadget use. Sleep quality was assessed using Pittsburgh Sleep Quality Index (PSQI). RESULTS: Watching movies (43.6%), communicating (36.1%) and academic use (20.3%) were the most reported purposes of nighttime gadget use among the students. 22.8 % of the participants were using the gadgets for 2-4 hours and 7.5 % of the students used them for more than 5 hours at night. Linear regression analysis revealed that the habit of checking one’s phone at night and staying up late at night had an impact on the daytime activity of students. Subjective sleep quality, sleep latency, sleep duration and sleep efficiency were significantly affected by nighttime gadget use.CONCLUSION: Unrestricted gadget use during nighttime can result in sleep-deprived individuals who may not be able to perform as efficiently. Effective measures should be initiated to structure the use of technologies.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43553757","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}
A. Bonane, A. Nshimiyimana, I. Nzeyimana, A. Nyirimodoka, A. Muhawenimana, T. Hategekimana, J. Rickard
INTRODUCTION: Delayed management of undescended testes (UDT) is associated with an increased risk of malignancy and impaired fertility. To identify causes of delayed consultation of patients with UDT at a Rwandan referral hospitalMETHODS: This was a retrospective study of patients with delayed UDT presentations from 2012 to 2016. A delayed UDT presentation was defined as any patient presenting with UDT at >1 year of age. RESULTS: There were 44 cases of delayed UDT presentations. Most patients (n = 35, 79.5%) were born at a hospital; the rest (n = 9, 20.5%) were born at home. The patient’s parent with higher education in the family was considered. Most of the patients’ parents (n = 29, 65.9%) had a primary education, 6 (13.6%) had a secondary education (high school graduate), 1 (2.3%) had a university education, and 8 (18.2%) never went to school. The reported reasons for delays as they appear in the patient chart were 16 (36.4%) patients due to ignorance, 12 (27.3%) due to poor physical examination at birth, 7 (15.9%) due to poor guidance, 4 (9.0%) due to poverty and 5 (11.4%) due to long appointments. There were no overlapping reasons for delay reported. Patients born at home were more likely to identify ignorance as a reason for the delay (p = 0.007). Of the 16 patients who reported a delay due to ignorance, 12 of their parents had primary education, and 3 had no education. Most (n = 34, 77.3%) patients were fertile in adulthood, but 9 (20.4%) presented with infertility and 1 (2.3%) presented with testicular torsion. CONCLUSION: A number of reasons are responsible for delayed consultation in patients with UDT, including ignorance, poor physical examination, poor guidance, and poverty. Most of the causes are preventable. The urgent need for awareness of UDT and collaboration between physicians is paramount for early consult and management.
{"title":"Predictors of delayed consultation in undescended testis patients at a Rwandan referral hospital","authors":"A. Bonane, A. Nshimiyimana, I. Nzeyimana, A. Nyirimodoka, A. Muhawenimana, T. Hategekimana, J. Rickard","doi":"10.4314/rmj.v79i4.8","DOIUrl":"https://doi.org/10.4314/rmj.v79i4.8","url":null,"abstract":"INTRODUCTION: Delayed management of undescended testes (UDT) is associated with an increased risk of malignancy and impaired fertility. To identify causes of delayed consultation of patients with UDT at a Rwandan referral hospitalMETHODS: This was a retrospective study of patients with delayed UDT presentations from 2012 to 2016. A delayed UDT presentation was defined as any patient presenting with UDT at >1 year of age. RESULTS: There were 44 cases of delayed UDT presentations. Most patients (n = 35, 79.5%) were born at a hospital; the rest (n = 9, 20.5%) were born at home. The patient’s parent with higher education in the family was considered. Most of the patients’ parents (n = 29, 65.9%) had a primary education, 6 (13.6%) had a secondary education (high school graduate), 1 (2.3%) had a university education, and 8 (18.2%) never went to school. The reported reasons for delays as they appear in the patient chart were 16 (36.4%) patients due to ignorance, 12 (27.3%) due to poor physical examination at birth, 7 (15.9%) due to poor guidance, 4 (9.0%) due to poverty and 5 (11.4%) due to long appointments. There were no overlapping reasons for delay reported. Patients born at home were more likely to identify ignorance as a reason for the delay (p = 0.007). Of the 16 patients who reported a delay due to ignorance, 12 of their parents had primary education, and 3 had no education. Most (n = 34, 77.3%) patients were fertile in adulthood, but 9 (20.4%) presented with infertility and 1 (2.3%) presented with testicular torsion. CONCLUSION: A number of reasons are responsible for delayed consultation in patients with UDT, including ignorance, poor physical examination, poor guidance, and poverty. Most of the causes are preventable. The urgent need for awareness of UDT and collaboration between physicians is paramount for early consult and management.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46432447","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}
O. Ogidan, A. Olowokere, A. Olajubu, O. Olatunya, O. Irinoye
INTRODUCTION: The global burden of Sexual and Reproductive Health (SRH) problems has remained a significant challenge to the wellbeing of men and limits the effectiveness of SRH interventions for females. This study explored men and healthcare providers’ perception of ideal male-oriented Sexual and Reproductive Health (SRH) services.METHODS: This was an exploratory qualitative study involving three focus group discussions among men in selected communities and eight interviews among healthcare service providers in Ekiti State, Nigeria. Focus Group Discussion (FGD) and Key Informant Interview (KII) guides were used to collect qualitative data from twenty-six men and eight healthcare service providers, respectively. Participants for the study were selected from three different units of the selected hospital and twelve communities. Data were sorted, transcribed, and analyzed using Atlas ti software. Inductive-deductive thematic analysis was performed.RESULTS: Three main themes emerged from the study: (a) ideal men-oriented SRH service provision within a unit specially made and named after men, (b) 24-hour daily SRH clinic and (c) locating SRH Clinic in the healthcare institutions with outlets in the communities and schools. The participants identified primary needs as SRH organs assessments; screening services; family planning services; and education and counselling on prevention and treatment of male SRH problems.CONCLUSION: Men have SRH service preferences that focused on preventive and therapeutic sexual and reproductive health needs that are desired to be male-oriented, dedicated and provided in health facilities with public outlets.
{"title":"Ideal Male-Oriented Sexual and Reproductive Health Services Delivery: A Qualitative Study of Men and Healthcare Providers’ Perspective from Nigeria","authors":"O. Ogidan, A. Olowokere, A. Olajubu, O. Olatunya, O. Irinoye","doi":"10.4314/rmj.v79i4.6","DOIUrl":"https://doi.org/10.4314/rmj.v79i4.6","url":null,"abstract":"INTRODUCTION: The global burden of Sexual and Reproductive Health (SRH) problems has remained a significant challenge to the wellbeing of men and limits the effectiveness of SRH interventions for females. This study explored men and healthcare providers’ perception of ideal male-oriented Sexual and Reproductive Health (SRH) services.METHODS: This was an exploratory qualitative study involving three focus group discussions among men in selected communities and eight interviews among healthcare service providers in Ekiti State, Nigeria. Focus Group Discussion (FGD) and Key Informant Interview (KII) guides were used to collect qualitative data from twenty-six men and eight healthcare service providers, respectively. Participants for the study were selected from three different units of the selected hospital and twelve communities. Data were sorted, transcribed, and analyzed using Atlas ti software. Inductive-deductive thematic analysis was performed.RESULTS: Three main themes emerged from the study: (a) ideal men-oriented SRH service provision within a unit specially made and named after men, (b) 24-hour daily SRH clinic and (c) locating SRH Clinic in the healthcare institutions with outlets in the communities and schools. The participants identified primary needs as SRH organs assessments; screening services; family planning services; and education and counselling on prevention and treatment of male SRH problems.CONCLUSION: Men have SRH service preferences that focused on preventive and therapeutic sexual and reproductive health needs that are desired to be male-oriented, dedicated and provided in health facilities with public outlets.","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41363872","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}
INTRODUCTION: The incidence of neonatal sepsis in developing countries is still high, reaching 170 out of 1000 births. An increased premature birth rate has become the leading cause of death in children under five years old. Studies examining the correlation between prematurity and neonatal sepsis onset have not been widely reported. Therefore, we assessed the correlation between gestational age and the onset of sepsis in neonatal patients.METHODS: Hospital-based cross-sectional study was performed on all neonates diagnosed with neonatal sepsis in the NICU of a tertiary referral hospital in East Java between 1 January 2019 – 31 December 2019. Logistic regression was used to analyze the obtained data. P-value <0.05 was considered statistically significant. RESULTS: Of the 241 patients identified with neonatal sepsis at Dr. Soetomo General Hospital in 2019, we found that 161 patients met the inclusion criteria, with most patients being early-onset sepsis patients (67.7%), low birth weight (75.8%), premature (65.2%), singleton deliveries (92.5%), and cesarean section births (65.2%). Statistical analysis showed a non-significant correlation between prematurity and the onset of neonatal sepsis (p>0.05).CONCLUSION: Although preterm birth is often reported as one of the most important risk factors of neonatal sepsis, prematurity does not appear to be an independent risk factor of neonatal sepsis onset
{"title":"Correlation Between Prematurity and The Onset of Neonatal Sepsis: A Cross-Sectional Study in NICU of a Tertiary Hospital in East Java, Indonesia","authors":"K. Nurrosyida, N. Annisa Harum, M. Tri Utomo","doi":"10.4314/rmj.v79i4.3","DOIUrl":"https://doi.org/10.4314/rmj.v79i4.3","url":null,"abstract":"INTRODUCTION: The incidence of neonatal sepsis in developing countries is still high, reaching 170 out of 1000 births. An increased premature birth rate has become the leading cause of death in children under five years old. Studies examining the correlation between prematurity and neonatal sepsis onset have not been widely reported. Therefore, we assessed the correlation between gestational age and the onset of sepsis in neonatal patients.METHODS: Hospital-based cross-sectional study was performed on all neonates diagnosed with neonatal sepsis in the NICU of a tertiary referral hospital in East Java between 1 January 2019 – 31 December 2019. Logistic regression was used to analyze the obtained data. P-value <0.05 was considered statistically significant. RESULTS: Of the 241 patients identified with neonatal sepsis at Dr. Soetomo General Hospital in 2019, we found that 161 patients met the inclusion criteria, with most patients being early-onset sepsis patients (67.7%), low birth weight (75.8%), premature (65.2%), singleton deliveries (92.5%), and cesarean section births (65.2%). Statistical analysis showed a non-significant correlation between prematurity and the onset of neonatal sepsis (p>0.05).CONCLUSION: Although preterm birth is often reported as one of the most important risk factors of neonatal sepsis, prematurity does not appear to be an independent risk factor of neonatal sepsis onset","PeriodicalId":38181,"journal":{"name":"Rwanda Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42991191","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}
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