scholarly journals Household costs and time to treatment for children with severe febrile illness in rural Burkina Faso: the role of rectal artesunate

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Joëlle Castellani ◽  
Borislava Mihaylova ◽  
Mohamadou Siribié ◽  
Zakaria Gansane ◽  
Amidou Z. Ouedraogo ◽  
...  
2018 ◽  
Vol 18 (1) ◽  
pp. 59-80 ◽  
Author(s):  
Janine Hauer ◽  
Jonas Østergaard Nielsen ◽  
Jörg Niewöhner

Hope is much discussed as a future-oriented affect emerging from uncertain living conditions. While this conceptualisation illuminates the role that hope plays in shaping life trajectories, hope itself remains largely unaddressed. In this paper, we approach hope ethnographically as practice through the lens of material-semiotics. We draw on fieldwork in Ouagadougou, Burkina Faso, where hoping turns out to be co-constitutive of peri-urban life and landscape. We challenge person-centred understandings of hope in order to bring materiality back in two ways: first, hoping in its various modes and forms is always situated in particular settings, thus, its enactment has to be reflected; and second, hoping “takes place”, it is co-constitutive of the transformation of urban life. Additionally, we consider the temporality of hoping and highlight how hoping persists through urban space. We conclude that a more profound and thoroughly materialised understanding of hoping’s generative and stabilising potential may strengthen the role of anthropology in current research on socio-ecological transformations.


2021 ◽  
pp. 213-244
Author(s):  
Leonardo R. Arriola ◽  
Martha C. Johnson ◽  
Melanie L. Phillips

The concluding chapter revisits the main hypotheses regarding women’s experiences as aspirants, candidates, and legislators. Complemented by tables summarizing key findings, the chapter identifies where and how the book’s studies of Benin, Burkina Faso, Ghana, Kenya, Malawi, Namibia, Uganda, and Zambia either uphold or contradict hypotheses from the existing literature. Building on this summary, the chapter presents an agenda for future research on women’s political participation in African countries focused on the importance of financial constraints for women’s candidacies, the role of violence in shaping women’s political options, and the impact women in power have on gendered institutions. The book ends on an optimistic note, arguing that despite these barriers, the case studies clearly demonstrate that women are adept at securing a place for themselves, and asserting their voice, in local and national politics.


2020 ◽  
pp. bmjmilitary-2020-001448 ◽  
Author(s):  
Leanne Jane Eveson ◽  
W Nevin ◽  
N Cordingley ◽  
M Almond

IntroductionAeromedical Evacuation (AE) is a vital role of the Defence Medical Services (DMS). With a far-reaching defence global footprint, an AE capability is crucial to enable movement of patients in the fastest, safest and least stressful way that meets or exceeds the level of care an injured or ill person may expect to receive in the UK. Operation (Op) TRENTON is a UK military humanitarian operation in support of the United Nations (UN) Mission in South Sudan.MethodsA retrospective analysis was carried out of all patients who underwent AE from the UK level 2 hospital at Bentiu during Op TRENTON over a 17-month period from June 2017 to October 2018.Results14 patients underwent AE. The median age was 36 (22–64) years and all patients were male. 21% of AEs were for UK personnel and 79% were for UN personnel. 29% of AEs were due to non-battle injury with the remainder due to disease. Musculoskeletal was the largest diagnostic group (n=4) followed by respiratory (n=3), cardiovascular (n=2), undifferentiated febrile illness (n=2), neurology (n=1), renal medicine (n=1) and psychiatry (n=1).ConclusionsPatients requiring AE from the level 2 hospital at Bentiu mostly had musculoskeletal and medical pathology, a stark contrast to the trauma patient cohort from operations in the past. The majority of patients had definitive care under the medical team highlighting the requirement for DMS physicians and the AE team, to be trained in acute, general and aviation medicine. The majority of AE moves were for UN personnel and on UN airframes, highlighting the importance of a sound understanding of the nations we are working with.


Author(s):  
Pulkit Agarwal ◽  
Jyotindra Narayan Goswami

AbstractA 2 years 3 months male toddler with motor delay and his female sibling with history of marked global developmental regression following an intercurrent febrile illness were both noted to have phospholipase A2G6 (PLA2G6) mutation, confirming the diagnosis of infantile neuroaxonal dystrophy (INAD). This case report attempts to familiarize readers with the pleomorphic presentation of INAD and the role of early clinical identification, examination, and prompt genetic testing in establishing a diagnosis.


Neurosurgery ◽  
2007 ◽  
Vol 60 (5) ◽  
pp. 837-843 ◽  
Author(s):  
Sonia V. Eden ◽  
Lewis B. Morgenstern ◽  
Padmini Sekar ◽  
Charles J. Moomaw ◽  
Mary Haverbusch ◽  
...  

Abstract OBJECTIVE Blacks have higher mortality rates from aneurysmal subarachnoid hemorrhage (SAH) than Caucasians. The time to treatment for aneurysmal SAH has been found to correlate with mortality and outcome. Therefore, we examined racial differences in the time to treatment of aneurysmal SAH among patients from the Greater Cincinnati area. METHODS We evaluated data from 439 adult aneurysmal SAH patients prospectively identified from May 1997 to August 2001 and July 2002 to March 2005. The primary outcome measure was time to treatment, defined as elapsed time from arrival in the emergency department to aneurysm treatment. A multivariable model was constructed to determine the role of potential variables, including race, on time to treatment for SAH. RESULTS In univariate analysis, Caucasian patients were significantly older than black patients (P < 0.0001) and were more likely to be male (P = 0.014), insured (P < 0.0001), and transferred from emergency departments of presentation to other hospitals (P < 0.0001). Black patients were more likely to have anterior circulation aneurysms (P = 0.009) and preexisting hypertension (P < 0.001). In univariate analysis, anterior circulation aneurysms showed a trend toward earlier treatment than posterior circulation aneurysms (P = 0.07). In multivariable models, race was not associated with time to treatment or case-fatality rate. Patients transferred from other facilities were treated more expeditiously than patients who presented directly to the emergency department (P = 0.003), and a history of diabetes mellitus was associated with delay in treatment (P = 0.05). CONCLUSION Race was not associated with time to treatment after aneurysmal SAH in the Greater Cincinnati area. Reducing the increased burden of SAH mortality among blacks must be addressed at the prevention stage.


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