Stop the Bleed in Rural Sierra Leone: One Year of Interventions and Outcomes by Nursing Trainees

This research is a follow up of a Breast Week which was organized in Freetown, Sierra Leone. The specific objective of this study was to assess the effectiveness of the knowledge and teachings given to the women who participated in this project. A quantitative approach with an exploratory descriptive design was adopted and an observational checklist guided the data collection process. A sample size of 120 women (10%) who participated in the Breast Week was obtained through systematic sampling. During the Breast Week women were taught how to examine their breasts using breast self-examination (BSE) to detect abnormalities of the breasts. This study was undertaken one year later by the researcher to ascertain whether the information on breast self-examination provided during the Breast Week was being utilised and whether what was taught was being put into use. Data were analyzed using SPSS version 11.5. Reliability and validity were ensured through the use of a structured observational checklist and a pilot study was undertaken. The observations were all observed and recorded by the same researcher. The majority of the 120 women (91.7%) stated that they had never practiced BSE before the Breast Week. After receiving health education on BSE, 95% were able to demonstrate an effective method of undertaking BSE. It is thus recommended that every opportunity should be utilized in health care settings to teach BSE and to reinforce the practice, especially in poverty stricken countries where other forms of screening methods are unavailable.

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Sierra Leone may use COVID-19 to centralise control

Emerald Expert Briefings ◽

10.1108/oxan-db252049 ◽

2020 ◽

Keyword(s):

Sierra Leone ◽

Gender Based Violence ◽

State Of Emergency ◽

Content Type ◽

States Of Emergency ◽

Gender Based ◽

One Year ◽

National Emergency

Subject Sierra Leone's COVID-19 response. Significance Sierra Leone has recorded 35 confirmed COVID-19 cases, as of yesterday. President Julius Maada Bio last month declared a one-year state of emergency to help combat the COVID-19 outbreak. While states of emergency are not new in Sierra Leone, the latest is seen as part of a broader centralisation of control by Maada Bio’s government as it seeks to consolidate its power and stifle domestic opposition. Impacts A stalled 2-billion-dollar bridge to join the capital Freetown with Lungi airport will likely be put on hold or scrapped. Relations between Maada Bio and senior military officials will be strained if a former defence minister is prosecuted on treason charges. Fears will grow over a spike in gender-based violence; a ‘national emergency’ was declared over the crisis last year.

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The seasonality of bacterial quality of water in a tropical developing country (Sierra Leone)

Journal of Hygiene ◽

10.1017/s0022172400062550 ◽

1986 ◽

Vol 96 (1) ◽

pp. 75-82 ◽

Cited By ~ 34

Author(s):

R. C. Wright

Keyword(s):

Drinking Water ◽

Sierra Leone ◽

Natural Water ◽

Indicator Bacteria ◽

Rural Settlements ◽

Wet Season ◽

Faecal Indicator Bacteria ◽

Quality Of Water ◽

One Year

SUMMARYNatural water sources used as drinking-water supplies by rural settlements in Sierra Leone were examined monthly over a one-year period to detect any seasonal variations in bacterial quality. The 37 °C colony count, levels of selected faecal indicator bacteria and the incidence of Salmonella spp. were monitored. A seasonality was demonstrated for all the variables, counts generally increasing with the progression of the dry season, culminating in peaks at the transition from dry to wet season. Some complications with respect to the interpretation of counts of faecal indicator bacteria from raw tropical waters are noted.

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Experiences of the United Nations Peacebuilding Commission in Sierra Leone and Burundi

Journal of Peacebuilding & Development ◽

10.1080/15423166.2008.938822409973 ◽

2008 ◽

Vol 4 (2) ◽

pp. 33-46 ◽

Cited By ~ 7

Author(s):

Anne M. Street ◽

Howard Mollett ◽

Jennifer Smith

Keyword(s):

United Nations ◽

Sierra Leone ◽

Positive Impact ◽

Unique Role ◽

Post Conflict ◽

The Creation ◽

The United Nations ◽

One Year ◽

True Measure ◽

Initial Research

The creation of the United Nations Peacebuilding Commission in 2005 was a landmark event for the UN as an institution. However, the true measure of success for any institution is not found in its lofty ideals, but in its ability to deliver a positive impact on people's lives. In mid-2007, ActionAid, CAFOD and CARE researched the Peacebuilding Commission's work in Sierra Leone and Burundi to try to capture local opinions and experiences of interacting with this nascent institution one year after its establishment. What they found was an institution whose impact was largely positive, but which faced important challenges and lessons to be learned. Now, one year on from that initial research, the Peacebuilding Commission has had time to overcome many of the initial teething problems common to new organisations and has become better placed to articulate its unique role in post-conflict contexts.

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Between ‘Savage Man’ and ‘Most Faithful Englishman’ Manteo and the Early Anglo-Indian Exchange, 1584–1590

Itinerario ◽

10.1017/s0165115300044545 ◽

2000 ◽

Vol 24 (2) ◽

pp. 146-169 ◽

Cited By ~ 1

Author(s):

Michael Leroy Oberg

Keyword(s):

North Carolina ◽

Chesapeake Bay ◽

One Year ◽

Anglo Indian

In August of 1587 Manteo, an Indian from Croatoan Island, joined a group of English settlers in an attack on the native village of Dasemunkepeuc, located on the coast of present-day North Carolina. These colonists, amongst whom Manteo lived, had landed on Roanoke Island less than a month before, dumped there by a pilot more interested in hunting Spanish prize ships than in carrying colonists to their intended place of settlement along the Chesapeake Bay. The colonists had hoped to re-establish peaceful relations with area natives, and for that reason they relied upon Manteo to act as an interpreter, broker, and intercultural diplomat. The legacy of Anglo-Indian bitterness remaining from Ralph Lane's military settlement, however, which had hastily abandoned the island one year before, was too great for Manteo to overcome. The settlers found themselves that summer in the midst of hostile Indians.

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Some Biological Applications of High Voltage Electron Microscopy

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100051505 ◽

1974 ◽

Vol 32 ◽

pp. 298-299

Author(s):

Hans Ris

Keyword(s):

High Voltage ◽

Chromosome Structure ◽

Nerve Fibers ◽

Good Resolution ◽

High Voltage Electron Microscopy ◽

Voltage Electron ◽

University Of Wisconsin ◽

High Voltage Electron ◽

One Year ◽

The University

The High Voltage Electron Microscope Laboratory at the University of Wisconsin has been in operation a little over one year. I would like to give a progress report about our experience with this new technique. The achievement of good resolution with thick specimens has been mainly exploited so far. A cold stage which will allow us to look at frozen specimens and a hydration stage are now being installed in our microscope. This will soon make it possible to study undehydrated specimens, a particularly exciting application of the high voltage microscope.Some of the problems studied at the Madison facility are: Structure of kinetoplast and flagella in trypanosomes (J. Paulin, U. of Georgia); growth cones of nerve fibers (R. Hannah, U. of Georgia Medical School); spiny dendrites in cerebellum of mouse (Scott and Guillery, Anatomy, U. of Wis.); spindle of baker's yeast (Joan Peterson, Madison) spindle of Haemanthus (A. Bajer, U. of Oregon, Eugene) chromosome structure (Hans Ris, U. of Wisconsin, Madison). Dr. Paulin and Dr. Hanna are reporting their work separately at this meeting and I shall therefore not discuss it here.

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Osseointegration interface of calcified bone and endosseous implants

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100130110 ◽

1992 ◽

Vol 50 (2) ◽

pp. 1096-1097

Author(s):

K.E. Krizan ◽

J.E. Laffoon ◽

M.J. Buckley

Keyword(s):

Structure And Function ◽

Titanium Implants ◽

En Bloc ◽

Endosseous Implants ◽

Ultrastructural Studies ◽

The Past ◽

Cacodylate Buffer ◽

One Year ◽

And Function

With increase use of tissue-integrated prostheses in recent years it is a goal to understand what is happening at the interface between haversion bone and bulk metal. This study uses electron microscopy (EM) techniques to establish parameters for osseointegration (structure and function between bone and nonload-carrying implants) in an animal model. In the past the interface has been evaluated extensively with light microscopy methods. Today researchers are using the EM for ultrastructural studies of the bone tissue and implant responses to an in vivo environment. Under general anesthesia nine adult mongrel dogs received three Brånemark (Nobelpharma) 3.75 × 7 mm titanium implants surgical placed in their left zygomatic arch. After a one year healing period the animals were injected with a routine bone marker (oxytetracycline), euthanized and perfused via aortic cannulation with 3% glutaraldehyde in 0.1M cacodylate buffer pH 7.2. Implants were retrieved en bloc, harvest radiographs made (Fig. 1), and routinely embedded in plastic. Tissue and implants were cut into 300 micron thick wafers, longitudinally to the implant with an Isomet saw and diamond wafering blade [Beuhler] until the center of the implant was reached.

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Effectiveness of a 24-hour nicotine patch in conjunction with a cognitive behavioural programme: one year outcome transdermal

Addiction ◽

10.1046/j.1360-0443.1997.921274.x ◽

1997 ◽

Vol 92 (1) ◽

pp. 27-31

Author(s):

Robyn L. Richmond ◽

Linda Kehoe ◽

Abilio Cesar De Almeida Neto

Keyword(s):

Nicotine Patch ◽

Cognitive Behavioural ◽

One Year

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Resources: Internet Resources for the Independent Medical Evaluator – 2007

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2007.julaug02 ◽

2007 ◽

Vol 12 (4) ◽

pp. 4-7

Author(s):

Christopher R. Brigham ◽

Jenny Walker

Keyword(s):

Head Trauma ◽

Clonic Seizure ◽

Acute Subdural Hematoma ◽

Orbital Fracture ◽

Orbital Wall ◽

First Occurrence ◽

One Year ◽

The One ◽

Neurological Injuries ◽

Medial Orbital Wall

Abstract Rating patients with head trauma and multiple neurological injuries can be challenging. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, Section 13.2, Criteria for Rating Impairment Due to Central Nervous System Disorders, outlines the process to rate impairment due to head trauma. This article summarizes the case of a 57-year-old male security guard who presents with headache, decreased sensation on the left cheek, loss of sense of smell, and problems with memory, among other symptoms. One year ago the patient was assaulted while on the job: his Glasgow Coma Score was 14; he had left periorbital ecchymosis and a 2.5 cm laceration over the left eyelid; a small right temporoparietal acute subdural hematoma; left inferior and medial orbital wall fractures; and, four hours after admission to the hospital, he experienced a generalized tonic-clonic seizure. This patient's impairment must include the following components: single seizure, orbital fracture, infraorbital neuropathy, anosmia, headache, and memory complaints. The article shows how the ratable impairments are combined using the Combining Impairment Ratings section. Because this patient has not experienced any seizures since the first occurrence, according to the AMA Guides he is not experiencing the “episodic neurological impairments” required for disability. Complex cases such as the one presented here highlight the need to use the criteria and estimates that are located in several sections of the AMA Guides.

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