The mortality of acutely ill medical patients for up to 60days after admission to a resource poor hospital in sub-Saharan Africa compared with patients of similar illness severity admitted to a Danish Regional Teaching Hospital — An exploratory observational study

2016 ◽  
Vol 27 ◽  
pp. 24-30 ◽  
Author(s):  
Barbara Nabayigga ◽  
John Kellett ◽  
Mikkel Brabrand ◽  
Martin Otyek Opio
Keyword(s):  
Observational Study ◽  
Teaching Hospital ◽  
Illness Severity ◽  
Sub Saharan Africa ◽  
Medical Patients ◽  
Resource Poor ◽  
Sub Saharan

scholarly journals Respiratory rates observed over 15 and 30 s compared with rates measured over 60 s: practice-based evidence from an observational study of acutely ill adult medical patients during hospital admission

QJM ◽  
2019 ◽  
Vol 112 (7) ◽  
pp. 513-517 ◽  
Author(s):  
M Rimbi ◽  
D Dunsmuir ◽  
J M Ansermino ◽  
I Nakitende ◽  
T Namujwiga ◽  
...  
Keyword(s):  
Observational Study ◽  
Respiratory Rate ◽  
Sub Saharan Africa ◽  
Early Warning Score ◽  
Medical Patients ◽  
Rate Measurement ◽  
Limits Of Agreement ◽  
Resource Poor ◽  
Sub Saharan ◽  
Single Center Observational Study

AbstractBackgroundRespiratory rate is often measured over a period shorter than 1 min and then multiplied to produce a rate per minute. There are few reports of the performance of such estimates compared with rates measured over a full minute.AimCompare performance of respiratory rates calculated from 15 and 30 s of observations with measurements over 1 min.DesignA prospective single center observational studyMethodsThe respiratory rates calculated from observations for 15 and 30 s were compared with simultaneous respiratory rates measured for a full minute on acutely ill medical patients during their admission to a resource poor hospital in sub-Saharan Africa using a novel respiratory rate tap counting software app.ResultsThere were 770 respiratory rates recorded on 321 patients while they were in the hospital. The bias (limits of agreement) between the rate derived from 15 s of observations and the full minute was −1.22 breaths per minute (bpm) (−7.16 to 4.72 bpm), and between the rate derived from 30 s and the full minute was −0.46 bpm (–3.89 to 2.97 bpm). Rates observed over 1 min that scored 3 National Early Warning Score points were not identified by half the rates derived from 15 s and a quarter of the rates derived from 30 s.ConclusionPractice-based evidence shows that abnormal respiratory rates are more reliably detected with measurements made over a full minute, and respiratory rate measurement ‘short-cuts’ often fail to identify sick patients.

scholarly journals Pitfalls in Diagnosing Heterotopic Pregnancy in Sub-Saharan Africa: A Case Report at the Yaounde University Teaching Hospital (Cameroon)

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Andre Ngandji Dipanda ◽  
Jovanny Tsuala Fouogue ◽  
Valere Koh Mve ◽  
Bruno Kenfack ◽  
Jean Dupont Ngowa Kemfang
Keyword(s):  
Teaching Hospital ◽  
Clinical Signs ◽  
Sub Saharan Africa ◽  
University Teaching ◽  
Heterotopic Pregnancy ◽  
Resource Poor ◽  
Wrong Diagnosis ◽  
Gestational Sac ◽  
Sub Saharan ◽  
Ectopic Pregnancies

Heterotopic pregnancy (HP) is a dizygotic twin pregnancy in which one gestational sac is intrauterine and the other is extrauterine. The prevalence of HP is unknown in Cameroon where the diagnosis is difficult and usually fortuitous like in other resource-poor settings. We herein depict pitfalls and delays in the diagnosis and management of a ruptured heterotopic pregnancy at the Yaounde University Teaching Hospital. After a wrong diagnosis and inadequate treatment, our patient presented at our emergency unit with severe pelvic pain and clinical signs of hemoperitoneum with shock. She underwent a total left salpingectomy through laparotomy. She had a complete spontaneous abortion five days after the surgery. Given that sonography is not routinely available in emergency departments in resource-poor settings, it may be relevant for practitioners to always bear HP in mind when facing ruptured ectopic pregnancies.

scholarly journals The Basic Surgical Skills Course in Sub-Saharan Africa: An Observational Study of Effectiveness

2017 ◽  
Vol 42 (4) ◽  
pp. 930-936 ◽  
Author(s):  
Stuart J. Fergusson ◽  
David M. Sedgwick ◽  
Georges Ntakiyiruta ◽  
Faustin Ntirenganya
Keyword(s):  
Observational Study ◽  
Surgical Skills ◽  
Sub Saharan Africa ◽  
Sub Saharan

scholarly journals The Scope and Appetite for Technology-Assisted Sensitivity Reviewing of Born-Digital Records in a Resource Poor Environment

2018 ◽  
pp. 175-182 ◽  
Author(s):  
Alistair G. Tough
Keyword(s):  
Effective Means ◽  
Sub Saharan Africa ◽  
Public Records ◽  
Digital Repositories ◽  
Resource Poor ◽  
Preliminary Research ◽  
Sub Saharan ◽  
The University ◽  
Limited Demand ◽  
Assessing Sensitivity

Concerns about sensitive content in born-digital records seem to be a major factor in inhibiting the deposit of public records in dedicated digital repositories in Western countries. These concerns are much exacerbated by the changed nature of the process of reviewing records. The University of Glasgow, working in collaboration with the Foreign and Commonwealth Office, received funding to investigate the technology-assisted sensitivity reviewing of born-digital records. As part of this research, some preliminary research in a commonwealth country in Sub-Saharan Africa was carried out. The research, reported in this chapter, was carried out in Malawi by the late Dr. Mathews J. Phiri. He found that already there is a real, albeit limited, demand for technology-assisted sensitivity reviewing of born-digital records in Malawi. The available evidence suggests that within the next decade there is likely to be an increase in the need for effective means of assessing sensitivity in born-digital records.

E-Service Innovation in Rural Africa Through Value Co-Creation

2017 ◽  
pp. 355-373
Author(s):  
Anna Bon ◽  
Jaap Gordijn ◽  
Hans Akkermans
Keyword(s):  
Business Model ◽  
Service Innovation ◽  
End Users ◽  
Sub Saharan Africa ◽  
Resource Poor ◽  
Local Stakeholders ◽  
Rural Africa ◽  
Sub Saharan ◽  
Electricity Infrastructure

E-Services have great potential, even in resource-poor environments such as in sub-Saharan Africa. However, contextual factors pose significant challenges for development, feasibility, deployment and sustainability of e-services. This chapter presents a case of e-service value co-creation in a rural context, with targeted end users in regions characterized by limited electricity infrastructure and poor or absent internet, strong diversity in languages spoken, high illiteracy rates and limited purchasing power. It offers a methodology to upfront analyze business model sustainability for e-service innovation in severely resource-constrained contexts. This is illustrated by an extensive case study in which a voice-based microblogging e-service was developed and deployed with local stakeholders in rural Mali.

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