{"title":"A medical survey among the Twi Dinka in 1930","authors":"Arthur Pring Farmer","doi":"10.4314/ssmj.v16i3.7","DOIUrl":"https://doi.org/10.4314/ssmj.v16i3.7","url":null,"abstract":"No Abstract.","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":"135735313","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}
The evaluation of any medical education programme is an important and continuous task. The information gathered will inform strategic decision making and programme improvement. Using an established and widely recognised evaluation model helps structure and support the process.
{"title":"How to evaluate and improve a medical education programme","authors":"Gwyndaf Roberts, Rich Bregazzi","doi":"10.4314/ssmj.v16i3.6","DOIUrl":"https://doi.org/10.4314/ssmj.v16i3.6","url":null,"abstract":"The evaluation of any medical education programme is an important and continuous task. The information gathered will inform strategic decision making and programme improvement. Using an established and widely recognised evaluation model helps structure and support the process.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"22 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":"135735069","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":"Spontaneous staphylococcal peritonitis: A case report","authors":"Aaron Osman, Kennedy Obonyoh, J. McIntosh","doi":"10.4314/ssmj.v16i2.9","DOIUrl":"https://doi.org/10.4314/ssmj.v16i2.9","url":null,"abstract":"No Abstract","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42643431","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 case report of a 35-year-old female with a large low-grade chondrosarcoma of the left humerus. Resection was performed under regional anaesthesia (interscalene brachial plexus block): this is a useful technique where there are limited resources and during the COVID-19 pandemic.
{"title":"Brachial plexus block for the resection of a chondrosarcoma during COVID-19: A case report","authors":"Ehssan Mohamed, Hassan Elbahri","doi":"10.4314/ssmj.v16i2.7","DOIUrl":"https://doi.org/10.4314/ssmj.v16i2.7","url":null,"abstract":"A case report of a 35-year-old female with a large low-grade chondrosarcoma of the left humerus. Resection was performed under regional anaesthesia (interscalene brachial plexus block): this is a useful technique where there are limited resources and during the COVID-19 pandemic.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48916259","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}
Tamirat Bugie, Zinabu Abraham, Louis Marko, Sewnet Ejigu
A congenital mesenteric defect in an adult is very rare, but can cause an internal hernia with small bowel obstruction. Awareness of congenital mesenteric defects is important to the general surgeon when faced with an acute abdominal condition. We report a case of a congenital mesenteric defect in a 40-year-old man who presented to the emergency department with acute abdominal pain. An X-ray revealed multiple air fluid levels with dilatation of small and large bowels suggestive of bowel obstruction or bowel ischaemia, or bowel perforations. He underwent an emergency laparotomy through a midline incision. A large mesenteric defect was discovered with viable small and large bowel. A primary repair of the defect was carried out. The patient had an uneventful recovery. Early diagnosis and treatment are essential to avoid bowel ischaemia and decrease the mortality and morbidity.
{"title":"Congenital mesenteric defects in an adult: A case report","authors":"Tamirat Bugie, Zinabu Abraham, Louis Marko, Sewnet Ejigu","doi":"10.4314/ssmj.v16i2.8","DOIUrl":"https://doi.org/10.4314/ssmj.v16i2.8","url":null,"abstract":"A congenital mesenteric defect in an adult is very rare, but can cause an internal hernia with small bowel obstruction. Awareness of congenital mesenteric defects is important to the general surgeon when faced with an acute abdominal condition. We report a case of a congenital mesenteric defect in a 40-year-old man who presented to the emergency department with acute abdominal pain. An X-ray revealed multiple air fluid levels with dilatation of small and large bowels suggestive of bowel obstruction or bowel ischaemia, or bowel perforations. He underwent an emergency laparotomy through a midline incision. A large mesenteric defect was discovered with viable small and large bowel. A primary repair of the defect was carried out. The patient had an uneventful recovery. Early diagnosis and treatment are essential to avoid bowel ischaemia and decrease the mortality and morbidity. ","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47199271","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}
Dhal T. Ajingdit, P. Karimi, Kashi Carasso, F. Niragire
Introduction: The availability of essential medicines in health facilities in Jur River County (JRC), South Sudan, is below expectations. This is despite the requirement that all citizens should be provided with adequate quality health care services. The objective of the study was to assess the availability of essential medicines and inventory management practices in JRC.Method: This was a cross sectional study conducted in 31 of the 51 health facilities in JRC. These were 23 primary health care units (PHCUs) and eight primary health care centres (PHCCs). Data were collected using a structured questionnaire, logistics management information system (LMIS) data reports and checklist forms. All the completed checklists and questionnaires were analysed using IBM SPSS statistics version 20.0 and LMIS data was analysed using excel spreadsheet.Results: The main findings were stockouts and overstocking of essential medicines, low skilled health workers (HWs) and ineffective rotation of medicines in the health facilities. From January – August 2021, the stockouts of essential medicines in PHCUs and PHCCs were 44% and 34% respectively, whereas the incidences of over stockings were 22% and 31% respectively. Almost all (97%) of the health facilities kept records of essential medicines, revealing stockouts of 90.3% on the day of the visit. Of the 31 HWs interviewed 23 (74.9%) were community health workers (CHWs), four (12.9%) nurses and four (12.9%) pharmacy technicians; most (87.1%) had attained secondary education.Conclusion: The quantities of essential medicines were inadequate and able to cover only two months. The major reasons were inadequate supply of essential medicines; recruitment of CHWs and nurses, instead of pharmacy technicians in the management of supplies; ineffective rotation of medicines within and other health facilities. More research is needed on the factors affecting the availability of medicines at the health facilities in JRC.
{"title":"Cross-sectional study on the availability of essential medicines at public health facilities in Jur River County, South Sudan","authors":"Dhal T. Ajingdit, P. Karimi, Kashi Carasso, F. Niragire","doi":"10.4314/ssmj.v16i2.2","DOIUrl":"https://doi.org/10.4314/ssmj.v16i2.2","url":null,"abstract":"Introduction: The availability of essential medicines in health facilities in Jur River County (JRC), South Sudan, is below expectations. This is despite the requirement that all citizens should be provided with adequate quality health care services. The objective of the study was to assess the availability of essential medicines and inventory management practices in JRC.Method: This was a cross sectional study conducted in 31 of the 51 health facilities in JRC. These were 23 primary health care units (PHCUs) and eight primary health care centres (PHCCs). Data were collected using a structured questionnaire, logistics management information system (LMIS) data reports and checklist forms. All the completed checklists and questionnaires were analysed using IBM SPSS statistics version 20.0 and LMIS data was analysed using excel spreadsheet.Results: The main findings were stockouts and overstocking of essential medicines, low skilled health workers (HWs) and ineffective rotation of medicines in the health facilities. From January – August 2021, the stockouts of essential medicines in PHCUs and PHCCs were 44% and 34% respectively, whereas the incidences of over stockings were 22% and 31% respectively. Almost all (97%) of the health facilities kept records of essential medicines, revealing stockouts of 90.3% on the day of the visit. Of the 31 HWs interviewed 23 (74.9%) were community health workers (CHWs), four (12.9%) nurses and four (12.9%) pharmacy technicians; most (87.1%) had attained secondary education.Conclusion: The quantities of essential medicines were inadequate and able to cover only two months. The major reasons were inadequate supply of essential medicines; recruitment of CHWs and nurses, instead of pharmacy technicians in the management of supplies; ineffective rotation of medicines within and other health facilities. More research is needed on the factors affecting the availability of medicines at the health facilities in JRC. ","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48040163","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}
Malong A. Aguer, K. Sube, Garang Nyuol, J. Lako, I. Rial, J. Tongun
Introduction: Prostate cancer carries a high morbidity and mortality especially when not diagnosed early. Patients in resource limited countries tend to be diagnosed late and hence delayed surgery for benign prostate hypertrophy (BPH).Method: This was a retrospective study, from 1st January 2019 to 31st December 2020, on patients who underwent prostatectomy. Demographic and clinical data were extracted from their medical records.Results: This study involved 101 patients who had had simple open prostatectomy. Ages ranged from 49 to 98 years, mean 68 +/- 8.98 years. The largest group (37.6%) was aged 71- 80 years, p=0.001. Two thirds (66%), presented with urinary retention, p=0.03. Histopathological examination showed that 49.5% had BPH. Prostate cancer was found in 28.8%, p=0.082. Almost half (49.5%) were diagnosed histopathologically as having BPH. Prostate cancer made up 28.8% with most patients in the age range 61-80 years, p= 0.456. Conclusion: The prevalence of prostate cancer remains high among patients undergoing prostatectomy for suspected BPH. A national awareness campaign coupled with targeted screening of patients above 40 years could increase early detection of prostate cancer and reduce morbidity and mortality .
{"title":"Prostate cancer in patients with suspected benign prostate hypertrophy in Juba, South Sudan: A retrospective study","authors":"Malong A. Aguer, K. Sube, Garang Nyuol, J. Lako, I. Rial, J. Tongun","doi":"10.4314/ssmj.v16i2.4","DOIUrl":"https://doi.org/10.4314/ssmj.v16i2.4","url":null,"abstract":"Introduction: Prostate cancer carries a high morbidity and mortality especially when not diagnosed early. Patients in resource limited countries tend to be diagnosed late and hence delayed surgery for benign prostate hypertrophy (BPH).Method: This was a retrospective study, from 1st January 2019 to 31st December 2020, on patients who underwent prostatectomy. Demographic and clinical data were extracted from their medical records.Results: This study involved 101 patients who had had simple open prostatectomy. Ages ranged from 49 to 98 years, mean 68 +/- 8.98 years. The largest group (37.6%) was aged 71- 80 years, p=0.001. Two thirds (66%), presented with urinary retention, p=0.03. Histopathological examination showed that 49.5% had BPH. Prostate cancer was found in 28.8%, p=0.082. Almost half (49.5%) were diagnosed histopathologically as having BPH. Prostate cancer made up 28.8% with most patients in the age range 61-80 years, p= 0.456. Conclusion: The prevalence of prostate cancer remains high among patients undergoing prostatectomy for suspected BPH. A national awareness campaign coupled with targeted screening of patients above 40 years could increase early detection of prostate cancer and reduce morbidity and mortality .","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49551885","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: Systemic hypertension (SH) contributes the highest number of deaths from cardiovascular diseases worldwide. Patients with resistant hypertension (RH) are more prone to hypertension-mediated organ damage. RH has not been well-studied in Africa, despite the fact that the prevalence of SH is highest in Africa. The aim of the study was to establish the prevalence and predictors of RH among out-patients managed in the cardiology unit of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Method: A cross-sectional study of 201 patients selected via systematic random sampling between April and September 2019. Results: Mean age of the participants was 59.6 (SD 13.8) years, females 58.7%, 32.3% were non-obese, 17 (8.5%) consumed alcohol and three (1.5%) smoked tobacco. 30 participants (14.9%) had co-morbid diabetes mellitus. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were significantly higher among patients with RH 152.5 (SD 18) mmHg vs 131.9 (SD 18.4) mmHg (p<0.001) and 89.43 (SD 13.8) mmHg vs 79.46 (SD 10.5) mmHg (p=0.008). Eighteen patients (8.96%, 95% CI: 5.5-14%) had RH. The predictors of RH were obesity (OR= 3.754; p=0.009), SBP at patients’ first clinic visit, (OR=1.029, p=0.032), DBP at patients’ first clinic visit, (OR=1.048, p=0.014), and serum phosphorus, (OR=1.047, p=0.047). Conclusion: The prevalence of RH among our patients is low and is similar to that in studies with similar blood pressure cut-off values and case definition.
{"title":"Prevalence and predictors of resistant hypertension among out-patients in Ilorin, Nigeria","authors":"J. Ogunmodede, O. Agede","doi":"10.4314/ssmj.v16i2.3","DOIUrl":"https://doi.org/10.4314/ssmj.v16i2.3","url":null,"abstract":"Introduction: Systemic hypertension (SH) contributes the highest number of deaths from cardiovascular diseases worldwide. Patients with resistant hypertension (RH) are more prone to hypertension-mediated organ damage. RH has not been well-studied in Africa, despite the fact that the prevalence of SH is highest in Africa. The aim of the study was to establish the prevalence and predictors of RH among out-patients managed in the cardiology unit of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Method: A cross-sectional study of 201 patients selected via systematic random sampling between April and September 2019. Results: Mean age of the participants was 59.6 (SD 13.8) years, females 58.7%, 32.3% were non-obese, 17 (8.5%) consumed alcohol and three (1.5%) smoked tobacco. 30 participants (14.9%) had co-morbid diabetes mellitus. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were significantly higher among patients with RH 152.5 (SD 18) mmHg vs 131.9 (SD 18.4) mmHg (p<0.001) and 89.43 (SD 13.8) mmHg vs 79.46 (SD 10.5) mmHg (p=0.008). Eighteen patients (8.96%, 95% CI: 5.5-14%) had RH. The predictors of RH were obesity (OR= 3.754; p=0.009), SBP at patients’ first clinic visit, (OR=1.029, p=0.032), DBP at patients’ first clinic visit, (OR=1.048, p=0.014), and serum phosphorus, (OR=1.047, p=0.047). Conclusion: The prevalence of RH among our patients is low and is similar to that in studies with similar blood pressure cut-off values and case definition.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42518364","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}
Infections and rheumatic diseases have shared a close relationship since time immemorial. Some rheumatic diseases are a direct consequence of infections while others have been associated with certain microbes without an established causal link. The above relationship is becoming more and more complex due to rapid advances in therapeutics, and also because of factors such as climate change and worldwide travel. This is a brief review of the major facets of this relationship and demonstrates that clinicians not only have to keep up with all the advances in management of rheumatic diseases but also must remain vigilant about both common as well as opportunistic and unfamiliar infections and their consequences.
{"title":"Infections and rheumatic diseases","authors":"S. Mukherjee","doi":"10.4314/ssmj.v16i2.5","DOIUrl":"https://doi.org/10.4314/ssmj.v16i2.5","url":null,"abstract":"Infections and rheumatic diseases have shared a close relationship since time immemorial. Some rheumatic diseases are a direct consequence of infections while others have been associated with certain microbes without an established causal link. The above relationship is becoming more and more complex due to rapid advances in therapeutics, and also because of factors such as climate change and worldwide travel. This is a brief review of the major facets of this relationship and demonstrates that clinicians not only have to keep up with all the advances in management of rheumatic diseases but also must remain vigilant about both common as well as opportunistic and unfamiliar infections and their consequences.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46817064","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":"Post-COVID-19: How to prepare for the next pandemic","authors":"E. Kenyi","doi":"10.4314/ssmj.v16i2.1","DOIUrl":"https://doi.org/10.4314/ssmj.v16i2.1","url":null,"abstract":"No Abstract","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47715648","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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