Management of tension gastrothorax: experience from sub-Saharan Africa

2021 ◽  
Vol 14 (11) ◽  
pp. e246101
Author(s):  
Chidiebere Peter Echieh ◽  
Chimaobi I Nwagboso ◽  
Stephen Omirigbe Ogbudu ◽  
Josiah M Njem
Keyword(s):  
Clinical Features ◽  
Emergency Preparedness ◽  
Tension Pneumothorax ◽  
Intrathoracic Pressure ◽  
Sub Saharan Africa ◽  
History Of ◽  
Sub Saharan ◽  
The Tropics ◽  
Tension Gastrothorax ◽  
Obstructive Shock

Tension gastrothorax is a form of obstructive shock resulting from increased intrathoracic pressure due to a distended herniated stomach. The clinical features of tension gastrothorax are similar to the clinical features of the more common tension pneumothorax. Clinical recognition of this trauma has remained difficult especially in the tropics where most responders are not specialists. We managed a 31-year-old male who, in addition to typical features of obstructive shock secondary to increased intrathoracic pressures, had a recent meal prior to the trauma and a scaphoid abdomen at presentation. We argue that a history of a recent meal before trauma and an unusually scaphoid abdomen could be suggestive of tension gastrothorax and may help to differentiate it from tension pneumothorax. We recommend improved emergency preparedness to help recognise and treat this pathology.

Christianity in the Twentieth Century

2019 ◽  
Author(s):  
Brian Stanley
Keyword(s):  
Latin America ◽  
Racial Identity ◽  
Sub Saharan Africa ◽  
Central Importance ◽  
Regional Survey ◽  
History Of Christianity ◽  
The World ◽  
History Of ◽  
Sub Saharan ◽  
Different Parts

This book charts the transformation of one of the world's great religions during an age marked by world wars, genocide, nationalism, decolonization, and powerful ideological currents, many of them hostile to Christianity. The book traces how Christianity evolved from a religion defined by the culture and politics of Europe to the expanding polycentric and multicultural faith it is today—one whose growing popular support is strongest in sub-Saharan Africa, Latin America, China, and other parts of Asia. The book sheds critical light on themes of central importance for understanding the global contours of modern Christianity, illustrating each one with contrasting case studies, usually taken from different parts of the world. Unlike other books on world Christianity, this one is not a regional survey or chronological narrative, nor does it focus on theology or ecclesiastical institutions. The book provides a history of Christianity as a popular faith experienced and lived by its adherents, telling a compelling and multifaceted story of Christendom's fortunes in Europe, North America, and across the rest of the globe. It demonstrates how Christianity has had less to fear from the onslaughts of secularism than from the readiness of Christians themselves to accommodate their faith to ideologies that privilege racial identity or radical individualism.

Survival case of acute and severe respiratory distress due to spontaneous tension gastrothorax

2020 ◽  
Vol 13 (9) ◽  
pp. e235281
Author(s):  
Sanjan Asanaru Kunju ◽  
Prithvishree Ravindra ◽  
Ramya Kumar Madabushi Vijay ◽  
Priya Pattath Sankaran
Keyword(s):  
Tension Pneumothorax ◽  
Emergency Laparotomy ◽  
Severe Respiratory Distress ◽  
Mediastinal Shift ◽  
Breath Sounds ◽  
Chest X Ray ◽  
The Right ◽  
Tension Gastrothorax ◽  
Obstructive Shock ◽  
Survival Case

A 20-year-old woman presented with abdominal pain and shortness of breath. She was in obstructive shock with absent breath sounds on the left haemithorax. Chest X-ray showed a large radiolucent shadow with absent lung markings and mediastinal shift to the right side with concerns for tension pneumothorax. Though tube thoracostomy was done on the left side of the chest, column movement was absent. To confirm the diagnosis CT with contrast was done that revealed a huge left side diaphragmatic defect with abdominal contents in the thorax and mediastinal structures are shifted to left. She underwent emergency laparotomy and postoperative period was uneventful.

Forced Labour in the “Gorgulho Years”: Understanding Reform and Repression in Rural São Tomé e Príncipe, 1945–1953

Itinerario ◽  
2014 ◽  
Vol 38 (1) ◽  
pp. 103-124 ◽  
Author(s):  
Alexander Keese
Keyword(s):  
Economic Change ◽  
Social Conditions ◽  
Sub Saharan Africa ◽  
History Of ◽  
Colonial Policies ◽  
Sub Saharan ◽  
Incomplete Images ◽  
Forced Labour ◽  
Sao Tome E Principe

The crossroads of nationalist historiographies in sub-Saharan Africa and of the history of developmentalist attempts that characterise the European late colonial states, have left us with very incomplete images of important trajectories. In the seemingly more “liberal” large colonial empires—notably the French and British—sails were set by 1945 towards a policy of investment and economic change. Some of the scholarly debates question whether this investment was genuine or just a last resort to avoid (rapid) decolonisation; others put the emphasis on inadequate routines of development implemented in these territories, many of which have apparently been continued since decolonisation.In this context, we encounter a clear lack of understanding about how decisions made by individual actors on the administrative level interacted with the larger panorama of social conditions in colonial territories, and of the consequences that these interactions had for the paths towards decolonisation. For a smaller empire such as the Belgian colony of Congo-Léopoldville, these processes are still more obscure; and for the colonies ruled by authoritarian metropoles, as in the cases of territories under Spanish and Portuguese rule, stagnation and absence of change are often taken for granted. In other words, these territories, which were under the rule of metropoles regarded as rather weak in economic terms, are treated as unrepresentative of the broader, European movement towards change in colonial policies. However, the conditions of change towards economic and social modernisation in this latter group of empires, even when inhibited by lack of funding and weak professionalisation of the administration, are frequently very telling for the broader range of challenges that the late colonial states faced.

Women in Gabon

2021 ◽  
Author(s):  
Claire H. Griffiths
Keyword(s):  
Central Africa ◽  
Early Period ◽  
Sub Saharan Africa ◽  
African Women ◽  
Female Population ◽  
History Of ◽  
Sub Saharan ◽  
Tropical Woods ◽  
New Research ◽  
Export Revenue

Gabon, a small oil-rich country straddling the equator on the west coast of Africa, is the wealthiest of France’s former colonies. An early period of colonization in the 19th century resulted in disease, famine, and economic failure. The creation of French Equatorial Africa in 1910 marked the beginning of the sustained lucrative exploitation of Gabon’s natural resources. Gabon began off-shore oil production while still a colony of France. Uranium was also discovered in the last decade of the French Equatorial African empire. Coupled with rich reserves in tropical woods, Gabon has achieved, since independence in 1960, a higher level of export revenue per capita of population than any other country in sub-Saharan Africa in the postcolonial era. However, significant inequality has characterized access to wealth through paid employment throughout the recorded history of monetized labor. While fortunes have been amassed by a minute proportion of the female population of Gabon associated with the ruling regime, and a professional female middle-class has emerged, inequalities of opportunity and reward continue to mark women’s experience of life in this little-known country of West Central Africa. The key challenge facing scholars researching the history of women in Gabon remains the relative lack of historical resources. While significant strides have been made over the past decade, research on women’s history in Francophone Africa published in English or French remains embryonic. French research on African women began to make a mark in the last decade of colonization, notably with the work of Denise Paulme, but then remained a neglected area for decades. The publication in 1994 of Les Africaines by French historian Catherine Coquery-Vidrovitch was hailed at the time as a pioneering work in French historiography. But even this new research contained no analysis of and only a passing reference to women in Gabon.

The History of Romantic Love in Sub-Saharan Africa: between Interest and Emotion

2011 ◽  
Author(s):  
Megan Vaughan
Keyword(s):  
Romantic Love ◽  
Sub Saharan Africa ◽  
Historical Study ◽  
History Of ◽  
Political Project ◽  
Sub Saharan ◽  
Theoretical Issues

This chapter looks at the history of romantic love in Sub-Saharan Africa. This text comes from a lecture given at the British Academy's 2009 Raleigh Lecture on History. This text attempts to explore some of the methodological and theoretical issues involved in an historical study of love in Africa. It argues that romantic love in Africa is not simply an extension of an imperialist cultural and political project and that emotional regimes cannot be divorced from economic circumstances. It explains that though the configurations of interest and emotion take specific forms in African societies, there is nothing peculiarly African about the evident need of individuals to balance realism and idealism in their emotional lives.

Susceptibility Profile of Aedes aegypti L. (Diptera: Culicidae) from Montclair, California, to Commonly Used Pesticides, With Note on Resistance to Pyriproxyfen

2019 ◽  
Vol 56 (4) ◽  
pp. 1047-1054 ◽  
Author(s):  
Tianyun Su ◽  
Jennifer Thieme ◽  
Taylor Lura ◽  
Min-Lee Cheng ◽  
Michelle Q Brown
Keyword(s):  
Aedes Aegypti ◽  
The United States ◽  
Urban Environments ◽  
Sub Saharan Africa ◽  
Modes Of Action ◽  
Breeding Populations ◽  
Laboratory Colony ◽  
Sub Saharan ◽  
The Tropics ◽  
And Control

Abstract The peridomestic anthropophilic Aedes aegypti L. (Diptera: Culicidae) is originated from the wild zoophilic subspecies Aedes aegypti formosus in sub-Saharan Africa, and currently has a broad distribution in human-modified environments of the tropics and subtropics worldwide. In California, breeding populations were initially detected in 2013 in the cities of Fresno, Madera, and San Mateo, and now can be found in 188 cities of 12 counties in the state. Recent genetic studies suggest that this species invaded California on multiple occasions from several regions of the United States and northern Mexico prior to initial detection. As an invasive species and vector for numerous arboviruses, Ae. aegypti is a primary target of surveillance and control in California. In southern California city of Montclair, a population was identified in September 2015, from which a short-term colony was established in an insectary. The susceptibility of this field population to commonly used pesticides with various modes of action, including 15 formulations against larvae and four against adults, was determined, in reference to a susceptible laboratory colony of the same species. No resistance was shown to most pesticides tested. However, tolerance or reduced susceptibility to spinosad, spinetoram, diflubezuron, and fipronil was detected, and modest levels of resistance to pyriproxyfen (resistance ratio = 38.7-fold at IE50 and 81.5-fold at IE90) was observed. Results are discussed based on the field usage and modes of action of the pesticides tested. Strategic selection and application of pesticides against this population of Ae. aegypti in the urban environments should be taken into consideration.

scholarly journals Recurrent Collection of Drosophila melanogaster from Wild African Environments and Genomic Insights into Species History

2019 ◽  
Vol 37 (3) ◽  
pp. 627-638 ◽  
Author(s):  
Quentin D Sprengelmeyer ◽  
Suzan Mansourian ◽  
Jeremy D Lange ◽  
Daniel R Matute ◽  
Brandon S Cooper ◽  
...  
Keyword(s):  
Drosophila Melanogaster ◽  
Demographic History ◽  
Central Africa ◽  
Model Organism ◽  
Sub Saharan Africa ◽  
Wilderness Areas ◽  
Southern Central ◽  
History Of ◽  
Sub Saharan ◽  
Improved Model

Abstract A long-standing enigma concerns the geographic and ecological origins of the intensively studied vinegar fly, Drosophila melanogaster. This globally distributed human commensal is thought to originate from sub-Saharan Africa, yet until recently, it had never been reported from undisturbed wilderness environments that could reflect its precommensal niche. Here, we document the collection of 288 D. melanogaster individuals from multiple African wilderness areas in Zambia, Zimbabwe, and Namibia. The presence of D. melanogaster in these remote woodland environments is consistent with an ancestral range in southern-central Africa, as opposed to equatorial regions. After sequencing the genomes of 17 wilderness-collected flies collected from Kafue National Park in Zambia, we found reduced genetic diversity relative to town populations, elevated chromosomal inversion frequencies, and strong differences at specific genes including known insecticide targets. Combining these genomes with existing data, we probed the history of this species’ geographic expansion. Demographic estimates indicated that expansion from southern-central Africa began ∼13,000 years ago, with a Saharan crossing soon after, but expansion from the Middle East into Europe did not begin until roughly 1,800 years ago. This improved model of demographic history will provide an important resource for future evolutionary and genomic studies of this key model organism. Our findings add context to the history of D. melanogaster, while opening the door for future studies on the biological basis of adaptation to human environments.

scholarly journals Glimmering Utopias: 50 Years of African Film

2010 ◽  
Vol 45 (3) ◽  
pp. 147-159 ◽  
Author(s):  
Cassis Kilian
Keyword(s):  
Sub Saharan Africa ◽  
Post Colonial ◽  
African Film ◽  
Feature Films ◽  
History Of ◽  
Sub Saharan ◽  
The 1960S

The history of African film began in the 1960s with the independence of the colonies. Despite all kinds of political and economic difficulties, numerous films have been made since then, featuring wide-ranging processes of consolidation, differentiation and transformation which were characteristic of post-colonial sub-Saharan Africa. However, these feature films should not merely be viewed as back references to specifically African problems. The glimmering fictions are imagination spaces. They preserve ideas about how the post-colonial circumstances should be approached. Seen from this perspective, the history of African film may be studied as a history of African utopias.

scholarly journals Life History of the Golden Puddle Frog, Phrynobatrachus auritus Boulenger 1900 (Anura: Phrynobatrachidae)

2016 ◽  
Vol 8 (3) ◽  
pp. 77
Author(s):  
Geraud Canis Tasse Taboue ◽  
Eric Bertrand Fokam
Keyword(s):  
Life History ◽  
Development Time ◽  
Captive Breeding ◽  
Sub Saharan Africa ◽  
Advertisement Call ◽  
Calling Behaviour ◽  
Number Of Factors ◽  
History Of ◽  
Sub Saharan

Frogs of the genus <em>Phrynobatrachus </em>Günther, 1862 are endemic to sub-Saharan Africa. These are increasingly threatened by a number of factors and are believed to be declining. We report on captive breeding experiments involving <em>Phrynobatrachus auritus</em> Boulenger, 1900. We provide a comprehensive life history for this frog with emphasize on tadpole development time, as well as a description of both the advertisement call and calling behaviour of the adult.

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