Sexual violence is a worldwide problem that requires a multipronged approach to provide survivors with the basic needs they require. Healthcare workers must know how to manage rape survivors to provide medical care, psychosocial first aid, and referral for further management and assessment if needed. The eight steps in managing rape are: Preparing to receive and offer medical care to rape survivor, Preparing the survivor for the clinical examination, History taking, Forensic evidence collection, Genital examination, Treatment of infection, Counselling and Follow-up.
{"title":"Clinical management of rape survivors","authors":"Koma Akim","doi":"10.4314/ssmj.v16i4.5","DOIUrl":"https://doi.org/10.4314/ssmj.v16i4.5","url":null,"abstract":"Sexual violence is a worldwide problem that requires a multipronged approach to provide survivors with the basic needs they require. Healthcare workers must know how to manage rape survivors to provide medical care, psychosocial first aid, and referral for further management and assessment if needed. The eight steps in managing rape are: Preparing to receive and offer medical care to rape survivor, Preparing the survivor for the clinical examination, History taking, Forensic evidence collection, Genital examination, Treatment of infection, Counselling and Follow-up.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"91 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600240","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}
{"title":"Ending GBV in South Sudan","authors":"A. P. Lomole","doi":"10.4314/ssmj.v16i4.1","DOIUrl":"https://doi.org/10.4314/ssmj.v16i4.1","url":null,"abstract":"No Abstract","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"121 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599515","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}
{"title":"Gender-Based Violence: How South Sudan is fighting back","authors":"Nyakomi Adwok","doi":"10.4314/ssmj.v16i4.4","DOIUrl":"https://doi.org/10.4314/ssmj.v16i4.4","url":null,"abstract":"No Abstract","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138601177","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}
{"title":"SSMJ talks to Data Gordon about Men4Women","authors":"Ann Burgess, Data Gordon","doi":"10.4314/ssmj.v16i4.7","DOIUrl":"https://doi.org/10.4314/ssmj.v16i4.7","url":null,"abstract":"No Abstract","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"52 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600749","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}
{"title":"One Stop Centre for the survivors of sexual and gender-based violence at Juba Teaching Hospital","authors":"Busiri Julius Korsuk","doi":"10.4314/ssmj.v16i4.6","DOIUrl":"https://doi.org/10.4314/ssmj.v16i4.6","url":null,"abstract":"No Abstract","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"111 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599967","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: Eclampsia, a hypertensive disorder, is one of the leading causes of maternal mortality in developing countries like Nigeria. We evaluated the relationship between the pattern of liver enzymes and maternal mortality in eclamptic women.
Method: A retrospective study of 55 eclamptic women admitted to the Intensive Care Unit (ICU), University College Hospital, Nigeria, was conducted. Data were obtained on their demographic, obstetric, and clinical characteristics, liver enzyme patterns, and maternal outcome. Analysis was by descriptive statistics, univariate analysis, and non-parametric tests with level of significance set at p<0.05.
Results: Maternal deaths occurred in 27.3% and elevation of liver enzymes was observed more among the dead patients compared with those who survived. Alanine aminotransferase (ALT) was the most commonly elevated liver enzyme, occurring in almost all (90.9%) the patients. Maternal mortality was significantly associated with age (p=0.001), saturated oxygen levels (p=0.007), elevated alkaline phosphatase (p=0.008), alanine aminotransferase (p=0.013), aspartate aminotransferase (p=0.016), and total bilirubin (p<0.001).
Conclusion: Maternal mortality due to eclampsia was clinically associated with age, elevated liver enzymes and a lower serum level of total bilirubin. Liver transaminases are therefore important prognostic indicators associated with eclampsia.
{"title":"Pattern of liver enzymes and maternal outcome in eclamptic patients admitted to the Intensive Care Unit, University College Hospital, Nigeria","authors":"Olusola Idowu, Oluwasomidoyin Bello","doi":"10.4314/ssmj.v16i3.3","DOIUrl":"https://doi.org/10.4314/ssmj.v16i3.3","url":null,"abstract":"Introduction: Eclampsia, a hypertensive disorder, is one of the leading causes of maternal mortality in developing countries like Nigeria. We evaluated the relationship between the pattern of liver enzymes and maternal mortality in eclamptic women.
 Method: A retrospective study of 55 eclamptic women admitted to the Intensive Care Unit (ICU), University College Hospital, Nigeria, was conducted. Data were obtained on their demographic, obstetric, and clinical characteristics, liver enzyme patterns, and maternal outcome. Analysis was by descriptive statistics, univariate analysis, and non-parametric tests with level of significance set at p<0.05. 
 Results: Maternal deaths occurred in 27.3% and elevation of liver enzymes was observed more among the dead patients compared with those who survived. Alanine aminotransferase (ALT) was the most commonly elevated liver enzyme, occurring in almost all (90.9%) the patients. Maternal mortality was significantly associated with age (p=0.001), saturated oxygen levels (p=0.007), elevated alkaline phosphatase (p=0.008), alanine aminotransferase (p=0.013), aspartate aminotransferase (p=0.016), and total bilirubin (p<0.001). 
 Conclusion: Maternal mortality due to eclampsia was clinically associated with age, elevated liver enzymes and a lower serum level of total bilirubin. Liver transaminases are therefore important prognostic indicators associated with eclampsia.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135735303","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: Hoarseness of voice is a common complaint in otolaryngological practice and is an early manifestation of a large variety of conditions directly or indirectly affecting the larynx, ranging from inflammatory to malignant. Hoarseness has a prevalence of 6% in the general population, rising to 11% for professional voice users (30% of the patients whose work requires excessive voice use). Despite the high prevalence many people are unaware that persistent hoarseness may be a red flag indicating cancer. Any patient with hoarseness lasting longer than two weeks, in the absence of an apparent benign cause, requires a thorough evaluation of the larynx by direct or indirect laryngoscopy. The purpose of this study was to determine the prevalence of hoarseness among patients attending otorhinolaryngology services at a tertiary hospital in Tanzania.
Method: A descriptive cross-sectional study was conducted. A total of 427 patients were recruited. Standard questionnaires were used to collect clinical and socio-demographic information. If hoarseness was identified, further evaluation was carried out including indirect and direct laryngoscopy. Biopsies were taken from the patients with laryngeal mass after direct laryngoscopy under general anaesthesia. Data were analysed using SPSS version 20.0. Confidentiality was maintained.
Results: The prevalence of hoarseness was 65 (15.2%), which was more common in males 40 (17%) and the age group above 60 years. Common laryngoscopic findings among patients with hoarseness were laryngeal mass 47 (63%) and the leading accompanying symptom was difficulty in breathing 25(32%).
Conclusion: Hoarseness of voice is a common complaint and accompanies various symptoms. It can also be a red flag for upper aero-digestive malignancies. Therefore, these patients should be evaluated with a high degree of suspicion.
{"title":"Hoarseness of voice and accompanying symptoms among patients at a tertiary hospital, Tanzania","authors":"Enica Richard, Jonas William Ndasika","doi":"10.4314/ssmj.v16i3.4","DOIUrl":"https://doi.org/10.4314/ssmj.v16i3.4","url":null,"abstract":"Introduction: Hoarseness of voice is a common complaint in otolaryngological practice and is an early manifestation of a large variety of conditions directly or indirectly affecting the larynx, ranging from inflammatory to malignant. Hoarseness has a prevalence of 6% in the general population, rising to 11% for professional voice users (30% of the patients whose work requires excessive voice use). Despite the high prevalence many people are unaware that persistent hoarseness may be a red flag indicating cancer. Any patient with hoarseness lasting longer than two weeks, in the absence of an apparent benign cause, requires a thorough evaluation of the larynx by direct or indirect laryngoscopy. The purpose of this study was to determine the prevalence of hoarseness among patients attending otorhinolaryngology services at a tertiary hospital in Tanzania.
 Method: A descriptive cross-sectional study was conducted. A total of 427 patients were recruited. Standard questionnaires were used to collect clinical and socio-demographic information. If hoarseness was identified, further evaluation was carried out including indirect and direct laryngoscopy. Biopsies were taken from the patients with laryngeal mass after direct laryngoscopy under general anaesthesia. Data were analysed using SPSS version 20.0. Confidentiality was maintained.
 Results: The prevalence of hoarseness was 65 (15.2%), which was more common in males 40 (17%) and the age group above 60 years. Common laryngoscopic findings among patients with hoarseness were laryngeal mass 47 (63%) and the leading accompanying symptom was difficulty in breathing 25(32%).
 Conclusion: Hoarseness of voice is a common complaint and accompanies various symptoms. It can also be a red flag for upper aero-digestive malignancies. Therefore, these patients should be evaluated with a high degree of suspicion.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135735304","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}
{"title":"South Sudan Doctors’ Union calls for increased health sector budget","authors":"Anthony Garang","doi":"10.4314/ssmj.v16i3.1","DOIUrl":"https://doi.org/10.4314/ssmj.v16i3.1","url":null,"abstract":"No Abstract.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135735070","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: Middle ear effusion (MEE) is a common childhood disorder that causes hearing impairment due to the presence of fluid in the middle ear which reduces the middle ear’s ability to conduct sound. Temporary or persistent hearing loss as a result of MEE causes speech, language and learning delays in children. There are few studies on MEE in Tanzania despite the huge burden of hearing loss among children with adenoid hypertrophy which is a known risk factor for MEE.
Method: A cross-sectional study was conducted among 420 children aged nine years and below having adenoid hypertrophy with or without MEE. The diagnosis of adenoid hypertrophy was confirmed with a lateral view x-ray of the nasopharynx and tympanometry for cases with MEE. The primary objective of the study was to assess the prevalence of MEE among children with adenoid hypertrophy.
Results: The prevalence of MEE among children with adenoid hypertrophy was 61.7%, with 218 (51.9%) males and 202 (48.1%) females. The most affected age group was 2-4 years with an incidence 193 (46%) and in this age group, males (53.9%) were more affected than females (46.1%). Generally, males, 134 (51.7%) were more affected by MEE than females, 125 (48.3%) of all 259 children with MEE. In terms of age group predominance by MEE, children aged 3-4 years, 107(41.3%) were more affected than all other age groups. Additionally, 4 (1.5%) children with MEE presented with hearing loss.
Conclusion: There is a high prevalence of MEE among children with adenoid hypertrophy but no significant association with hearing loss.
{"title":"Prevalence of middle ear effusion among children with adenoid hypertrophy at a national referral hospital in Tanzania","authors":"Zephania Saitabau Abraham, Aveline Aloyce Kahinga, Enica Richard Massawe, Faustine Bukanu","doi":"10.4314/ssmj.v16i3.5","DOIUrl":"https://doi.org/10.4314/ssmj.v16i3.5","url":null,"abstract":"Introduction: Middle ear effusion (MEE) is a common childhood disorder that causes hearing impairment due to the presence of fluid in the middle ear which reduces the middle ear’s ability to conduct sound. Temporary or persistent hearing loss as a result of MEE causes speech, language and learning delays in children. There are few studies on MEE in Tanzania despite the huge burden of hearing loss among children with adenoid hypertrophy which is a known risk factor for MEE.
 Method: A cross-sectional study was conducted among 420 children aged nine years and below having adenoid hypertrophy with or without MEE. The diagnosis of adenoid hypertrophy was confirmed with a lateral view x-ray of the nasopharynx and tympanometry for cases with MEE. The primary objective of the study was to assess the prevalence of MEE among children with adenoid hypertrophy.
 Results: The prevalence of MEE among children with adenoid hypertrophy was 61.7%, with 218 (51.9%) males and 202 (48.1%) females. The most affected age group was 2-4 years with an incidence 193 (46%) and in this age group, males (53.9%) were more affected than females (46.1%). Generally, males, 134 (51.7%) were more affected by MEE than females, 125 (48.3%) of all 259 children with MEE. In terms of age group predominance by MEE, children aged 3-4 years, 107(41.3%) were more affected than all other age groups. Additionally, 4 (1.5%) children with MEE presented with hearing loss.
 Conclusion: There is a high prevalence of MEE among children with adenoid hypertrophy but no significant association with hearing loss.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135735309","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：