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A survey of tonsillectomy care patterns in Tanzania 坦桑尼亚扁桃体切除术护理模式调查
Pub Date : 2022-09-06 DOI: 10.4314/ssmj.v15i3.5
D. Ntunaguzi, Christopher Mwansasu, A. Kahinga, Z. Abraham
Introduction: Tonsillectomy is one of the commonest surgical procedures performed worldwide and has implications for reducing morbidity for patients. There has been variability in tonsillectomy care patterns but we are unaware of any study conducted in Tanzania to survey such variable patterns. The objective of this study is to assess the current patterns of peri-operative care, techniques used and outcome of tonsillectomy by otorhinolaryngologists in Tanzania. Methods: This was a descriptive cross-sectional study in which a structured 18-item questionnaire was used to obtain information on tonsillectomy care patterns. Data were analyzed using Statistical Package for Social Sciences Version 20. Results: Among 26 (78.8%) of 33 otorhinolaryngologists practicing in Tanzania who responded to the questionnaire, three (11.5%) were females and 23 (88.4%) were males. Regarding intraoperatively use of steroids, eight (30.8%) otorhinolaryngologists do not use intraoperative steroids while four (15.4%) always used steroids. Twenty-four (92.3%) routinely prescribed postoperative antibiotics. Among the otorhinolaryngologists, 34.6% reported to have never performed same day tonsillectomy while 65.4% sometimes performed same day tonsillectomy. Conclusion: This study has shown a similar diversity as compared elsewhere in the world of the practice of tonsillectomy care patterns, technique used and outcome among otorhinolaryngologists.
引言:扁桃体切除术是世界范围内最常见的外科手术之一,对降低患者发病率具有重要意义。扁桃体切除术的护理模式存在差异,但我们不知道在坦桑尼亚进行了任何研究来调查这种变化的模式。本研究的目的是评估坦桑尼亚耳鼻喉科医生目前的围手术期护理模式、使用的技术和扁桃体切除术的结果。方法:这是一项描述性的横断面研究,采用结构化的18项问卷来获得有关扁桃体切除术护理模式的信息。使用社会科学统计软件包第20版对数据进行分析。结果:在坦桑尼亚执业的33名耳鼻喉科医生中,26名(78.8%)对问卷进行了回答,其中3名(11.5%)为女性,23名(88.4%)为男性。关于术中使用类固醇,8名(30.8%)耳鼻喉科医生术中不使用类固醇,4名(15.4%)始终使用类固醇。24例(92.3%)常规开具术后抗生素处方。在耳鼻喉科医生中,34.6%的人报告从未在同一天进行过扁桃体切除术,而65.4%的人有时在同一天行了扁桃体切除术。结论:与世界其他地方相比,这项研究显示了耳鼻喉科医生在扁桃体切除术护理模式、使用的技术和结果方面的相似多样性。
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引用次数: 1
Prevalence of glaucoma among patients attending Buluk Eye Centre, Juba, South Sudan: a one-year study 在南苏丹朱巴Buluk眼科中心就诊的患者中青光眼的患病率:一项为期一年的研究
Pub Date : 2022-09-06 DOI: 10.4314/ssmj.v15i3.2
K. Sube, J. M. Lawrence, Subek John Lado, Karlin Aleso Sule, Mabeny Thiik Awan, Catherine Virmo Oduh, Howzer Ingoro Angelo, Namoun James Monjok, Peter Makuac Manyuat, J. Tongun, J. Lako, Akway M. Cham
Introduction: Glaucoma remains the second leading cause of blindness worldwide. Early detection and treatment play a key role in glaucoma management. The aim of this study was to determine the prevalence of glaucoma among patients attending the eye clinic at Buluk Eye Centre from 1st January to 31st December 2017. Method: This study was a cross-sectional retrospective study using data extracted from the registration cards of patients at Buluk Eye Centre from 1st of January 2017 to 31st of December 2017. A datasheet was used to collect the relevant variables including demographic variables. Data were entered, organized and analysed using SPSS version 21 [IBM SPSS Statistics] and p<0.05 was considered statistically significant. Results: The studied population was 16,727 patients (33,454 eyes) seen, age range from 7 months to 90 years, (mean 56.7, SD 14.7). There were 63% females and 37% males, ratio of 1.7:1 (p<0.05). Glaucoma accounted for 2.3% of diseases seen with p<0.05. Females (58%) were more affected than males (42%), with age group 46-60 years being the most affected (36.9% p<0.05). Most of the patients (71.9%) had visual acuity of less than 3/60 in both eyes (p<0.05). The highest proportion of glaucoma cases (29.4%) presented in July to September, with the least (21.2%) from January to March. Most of the glaucoma cases (39%) originated from Central Equatoria and the least (1%) from Abyei. Conclusion: Glaucoma remains a significant cause of severe sight loss in South Sudan, particularly affecting females and those aged 45-60 years.
引言:青光眼仍然是全球第二大致盲原因。早期发现和治疗在青光眼管理中起着关键作用。本研究的目的是确定2017年1月1日至12月31日在布鲁克眼科中心眼科诊所就诊的患者中青光眼的患病率。方法:本研究是一项横断面回顾性研究,使用从2017年1月1日至2017年12月31日Buluk眼科中心患者登记卡中提取的数据。数据表用于收集相关变量,包括人口统计变量。使用SPSS 21版[IBM SPSS Statistics]输入、组织和分析数据,p<0.05被认为具有统计学意义。结果:研究人群为16727名患者(33454眼),年龄从7个月到90岁,平均56.7,SD 14.7。女性占63%,男性占37%,比例为1.7:1(p<0.05)。青光眼占所见疾病的2.3%,p<0.05。女性(58%)比男性(42%)受影响更大,46-60岁年龄组受影响最大(36.9%,p<0.05)。大多数患者(71.9%)双眼视力低于3/60(p<0.05)。青光眼病例比例最高(29.4%)出现在7-9月,最少(21.2%)出现在1-3月。大多数青光眼病例(39%)来自中赤道州,最少(1%)来自阿卜耶伊。结论:青光眼仍然是南苏丹严重视力丧失的重要原因,尤其影响女性和45-60岁的人群。
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引用次数: 0
Musculoskeletal disorders among patients during a one-day outreach at Juba Military Hospital 朱巴军事医院为期一天的外展活动中患者的肌肉骨骼障碍
Pub Date : 2022-09-06 DOI: 10.4314/ssmj.v15i3.6
M. M. Areu, B. Madison, Akau A. Aguto, James Alphonse, Omojowk J. Bachay, Aguer Warebek, Zecharia P. Ajak
Introduction: The number of patients presenting with musculoskeletal disorders to the outpatient clinic at Juba Military Hospital is increasing. The aim of this study was to determine the proportion and types of musculoskeletal disorders among patients attending the orthopaedic outreach clinic during September 2021. Method: A cross-sectional study designed to determine the proportion and types of musculoskeletal disorders among patients presenting to Juba Military Hospital. One hundred and thirty-three patients were recruited. After informed consent, data were collected using a paper-based Questionnaire and analysed using Statistical Package for the Social Sciences (SPSS) version 22. Result: A total of 327 patients presented to outreach clinic, 133 patients consented and were included in the study. The mean age was 41 years (3 to 73 years, SD 16.9); 52.6% were male and 47% female. The conditions diagnosed were osteoarthritis of major joints, 20.3%, low back pain 18.8%, non-union 15.8% and mal-union 11.3%. Among patients with knee problems, 54% were unilateral knee osteoarthritis and 28% bilateral knee osteoarthritis. Patients with back problems: 80% low back pain of unspecified cause, 16% spondylolisthesis and 4% Pott’s disease of the spine. Also 29% mal-union femur and 25% femoral neck fracture. Tibia condition: 40% Non-union, 20% mal-union Tibia fracture. Conclusion: Musculoskeletal disorders are common among the residents of Juba city. There is high proportion of osteoarthritis and low back pain among other diagnosed conditions.
介绍:到朱巴军事医院门诊就诊的肌肉骨骼疾病患者人数正在增加。本研究的目的是确定2021年9月骨科外展诊所就诊的患者中肌肉骨骼疾病的比例和类型。方法:一项横断面研究,旨在确定在朱巴军事医院就诊的患者中肌肉骨骼疾病的比例和类型。共招募了133名患者。在知情同意后,使用纸质问卷收集数据,并使用社会科学统计软件包(SPSS)第22版进行分析。结果:共有327例患者到外展诊所就诊,133例患者同意并纳入研究。平均年龄41岁(3 ~ 73岁,SD 16.9);男性占52.6%,女性占47%。主要关节骨关节炎占20.3%,腰痛18.8%,骨不连15.8%,骨不连11.3%。在有膝关节问题的患者中,54%为单侧膝骨关节炎,28%为双侧膝骨关节炎。有背部问题的患者:80%原因不明的腰痛,16%脊柱滑脱,4%脊柱波特病。29%股骨不愈合25%股骨颈骨折。胫骨情况:40%胫骨不愈合,20%胫骨骨折不愈合。结论:肌肉骨骼疾病在朱巴市居民中较为常见。在其他诊断条件中,骨关节炎和腰痛的比例很高。
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引用次数: 0
Role of the community pharmacy in the control of pandemics in South Sudan 社区药房在南苏丹流行病控制中的作用
Pub Date : 2022-09-06 DOI: 10.4314/ssmj.v15i3.10
Oliver Batista Ugoro
Recently, special attention has been given to the community pharmacy and how ready it is to meet the growing demand for health care at times of pandemics. Several studies have discussed the roles and contributions of the community pharmacy amid COVID-19. An online assessment among pharmacy personnel in South Sudan showed that 57.5% of respondents had answered correctly to at least 60% of knowledge questions on the COVID-19 pandemic. The attitudes were a mix of neutral and positive. Physical distance (“social distancing”) and hand hygiene practices (95%) were the most often preventive measures used at the community pharmacy. In conclusion, the pharmacy is the first and, often, the last point of contact for patients. Therefore, it can play a role in identifying suspected infectious diseases and advising and instructing the public against any health emergency.
最近,人们特别关注社区药房,以及它在疫情期间如何满足日益增长的医疗保健需求。几项研究讨论了社区药房在新冠肺炎中的作用和贡献。一项针对南苏丹药房人员的在线评估显示,57.5%的受访者对至少60%的新冠肺炎疫情知识问题做出了正确回答。他们的态度是中立和积极的混合。物理距离(“社交距离”)和手部卫生习惯(95%)是社区药房最常用的预防措施。总之,药房是患者的第一个联系点,通常也是最后一个联系点。因此,它可以在识别疑似传染病、建议和指导公众应对任何卫生紧急情况方面发挥作用。
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引用次数: 0
Prevalence of HIV among pregnant mothers receiving antenatal care at Kator Primary Health Care Centre, Juba, South Sudan 南苏丹朱巴Kator初级卫生保健中心接受产前护理的孕妇中艾滋病毒的流行情况
Pub Date : 2022-09-06 DOI: 10.4314/ssmj.v15i3.4
Kon Paul Alier, Akway M. Cham, John Ofere Oliwa, Pean Mayang Chelieny, Hilary Haswani Oroto, Madut Marko Mathiang, Athiei Majak Lual
Introduction: The HIV/AIDS scourge remains a major public health threat in South Sudan particularly to the unborn children due to vertical transmission. Objective: This study aimed to assess the prevalence of HIV among pregnant mothers receiving antenatal care (ANC) services at Kator Primary Healthcare Centre in Juba. Method: The study used a cross-sectional design in which systematically selected ANC records of January to June 2021 were collected and analyzed using SPSS Version 16.0. Fisher’s exact values were obtained to test for significance. Results: The HIV prevalence rate among pregnant mothers receiving ANC services at Kator PHCC was 2.25%. The modal age group was 21-25 years. HIV prevalence was highest among mothers who attained primary education or less, urban dwellers and married mothers in their 3rd trimester of pregnancy. Conclusion: HIV prevalence among pregnant mothers receiving ANC services at Kator PHCC in Juba is comparable to the national average.
引言:艾滋病毒/艾滋病祸害仍然是南苏丹的一个主要公共卫生威胁,特别是由于垂直传播而对未出生的儿童造成的威胁。目的:本研究旨在评估在朱巴Kator初级保健中心接受产前护理(ANC)服务的孕妇中艾滋病毒的流行率。方法:本研究采用横断面设计,系统选择2021年1月至6月的ANC记录,并使用SPSS 16.0版进行分析。获得Fisher精确值以检验显著性。结果:在Kator PHCC接受ANC服务的孕妇中,HIV患病率为2.25%。模式年龄组为21-25岁。艾滋病毒的流行率在受过初等教育或以下的母亲、城市居民和怀孕晚期的已婚母亲中最高。结论:在朱巴Kator初级保健中心接受ANC服务的孕妇中,艾滋病毒感染率与全国平均水平相当。
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引用次数: 0
Profile of the Department of Paediatrics and Child Health, Al-Sabbah Children’s Hospital, Juba, South Sudan 南苏丹朱巴Al-Sabbah儿童医院儿科和儿童保健部简介
Pub Date : 2022-09-06 DOI: 10.4314/ssmj.v15i3.11
Amanda Billy Berto Madison
No abstract.
没有抽象的。
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引用次数: 0
“How-to” Teaching Videos – inspired by work in South Sudan “如何”教学视频-灵感来自南苏丹的工作
Pub Date : 2022-09-06 DOI: 10.4314/ssmj.v15i3.9
Deborah Van Dyke
Global Health Media Project creates teaching videos on basic health care practices for providers and people in low-resource settings. The organization was founded by Deborah Van Dyke, whose work and experience in South Sudan helped her see that practical, “how-to” videos would be an effective way to teach health workers at scale. Their live-action videos—filmed in developing world clinics—feature “best-practice” care with real patients. They have now produced more than 200 videos that fill an important gap in health care education worldwide.
全球卫生媒体项目为资源匮乏地区的提供者和人民制作关于基本卫生保健做法的教学视频。该组织由黛博拉·范·戴克(Deborah Van Dyke)创立,她在南苏丹的工作和经历使她认识到,实用的“操作”视频将是大规模教育卫生工作者的有效方式。他们的真人视频是在发展中国家的诊所拍摄的,以真实病人的“最佳实践”护理为特色。他们现在已经制作了200多个视频,填补了全世界卫生保健教育的重要空白。
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引用次数: 0
How to use experience to improve teaching practice 如何利用经验改进教学实践
Pub Date : 2022-09-06 DOI: 10.4314/ssmj.v15i3.7
R. Bregazzi
No abstract.
没有摘要。
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引用次数: 0
Social demographic determinants of male participation in antenatal care in Nyamagana District, Tanzania 坦桑尼亚尼亚马加纳地区男性参与产前保健的社会人口决定因素
Pub Date : 2022-09-06 DOI: 10.4314/ssmj.v15i3.3
Sarah Chamos, Alen Kinyina, Harrieth G. Mtae
Introduction: Globally, poor male participation in antenatal care (ANC) and reproductive health issues is still a challenge towards improvement of maternal and child health. Quality antenatal care and birth outcomes depend on the shared responsibility between men and women. Objectives: The aim of this study was to assess the level of male participation in ANC and the associated social demographic determinants. Method: The study was cross-sectional and was based in the community in the Nyamagana district, Tanzania. Male partners aged 18-49 years were interviewed using the four dichotomized (yes or no) variables to determine the level of male participation in ANC. The data were analyzed by using the Statistical Package for Social Sciences (SPSS Version 24). Chi-square test was used to determine the association between demographic characteristics and the level of male involvement in ANC. Results: The level of male participation was high in this study (76.3%). Men with a primary level of education were twice (AOR 2.15, 95% CI [1.15– 4.02], p-value 0.01) as likely to participate in ANC compared to men with no formal education. If the number of children was more than two, there was a significant association with male participation in ANC (OR 1.57, 95% CI [1.12–1.77], p =0.02). Conclusion: The level of male participation in ANC is high in Nyamagana district. The number of children and level of education are social demographic determinants of male participation in ANC.  
导言:在全球范围内,男性对产前保健和生殖健康问题的参与不足,仍然是改善孕产妇和儿童健康的一个挑战。高质量的产前保健和分娩结果取决于男女之间的共同责任。目的:本研究的目的是评估男性参与ANC的水平和相关的社会人口统计学决定因素。方法:本研究采用横断面方法,以坦桑尼亚尼亚马加纳地区的社区为基础。对年龄在18-49岁的男性伴侣进行访谈,使用四种二分法(是或否)变量来确定男性参与ANC的水平。使用社会科学统计软件包(SPSS Version 24)对数据进行分析。采用卡方检验确定人口统计学特征与男性参与ANC水平之间的关系。结果:本研究男性参照率较高(76.3%)。与未接受过正规教育的男性相比,接受过初级教育的男性参加ANC的可能性是前者的两倍(AOR 2.15, 95% CI [1.15 - 4.02], p值0.01)。如果儿童数量大于2个,则与男性参与ANC有显著相关性(OR 1.57, 95% CI [1.12-1.77], p =0.02)。结论:Nyamagana区ANC的男性参与率较高。儿童人数和教育水平是男性参加非国大的社会人口决定因素。
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引用次数: 1
Eye care in South Sudan 南苏丹的眼部护理
Pub Date : 2022-09-06 DOI: 10.4314/ssmj.v15i3.1
K. Sube
No abstract.
没有摘要。
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引用次数: 0
期刊
South Sudan Medical Journal
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