scholarly journals 15-Year-old with neglected recto-vestibular fistula in western Uganda: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Felix Oyania ◽  
Meera Kotagal ◽  
Martin Situma

Abstract Background Teenage and late presentation of anorectal malformations are not uncommon in developing world. Some of the reasons for late presentation include but not limited to illiteracy, poverty, lack of awareness, and limited trained pediatric surgeons. In rural areas, neonates with ARMs are considered cursed and are marginalized. Case 15-Year-old African girl (a munyankole by tribe in Uganda) from western Uganda presented at 15 years of life with colostomy and uncorrected anorectal malformation. Never went to school due to social stigma. Conclusion Due to limited number of trained pediatric surgeons in most of African Countries, many children in addition to living with a colostomy or untreated malformation, may also be undiagnosed with chronic constipation. Improved awareness and advocacy would promote early presentation and treatment.

Author(s):  
Ghislain Mervyl S. J. Kossingou ◽  
Nadege Gladys Ndassimba ◽  
Edgard Ndassimba ◽  
Kéba Gueye ◽  
Samuel Ouya

2001 ◽  
Vol 28 (2) ◽  
pp. 135-149 ◽  
Author(s):  
Karen Archabald ◽  
Lisa Naughton-Treves

Throughout much of the tropics, human-wildlife conflict impedes local support for national parks. By channelling tourism revenue to local residents, conservationists hope to offset wildlife costs and improve local attitudes toward conservation. To date tourism revenue-sharing (TRS) programmes have met mixed success. Local conditions and national policies that shape the success of TRS programmes were identified by comparing the experiences of both implementers and beneficiaries of pilot TRS programmes at three parks in western Uganda. Between 1995 and 1998, communities around these parks used a total of US $83 000 of tourism revenue to build 21 schools, four clinics, one bridge, and one road. In 1996, the Ugandan parliament passed legislation that changed both the amount of money available for TRS and the institutions responsible for sharing the money. The programme was suspended at all three parks while the implementing agency (Uganda Wildlife Authority) struggled to design a programme that complied with the new legislation. TRS funds collected before 1996 were shared through 1998, but since then no revenue has been shared. However, a revised TRS programme is expected to resume in 2001. In semi-structured interviews, both implementers and beneficiaries evaluated local TRS programmes and compared them to other benefit-sharing projects, particularly those promoting sustainable use of non-timber products within park boundaries (n = 44). Both groups of respondents listed revenue-sharing as the most important advantage of living next to a national park. Seventy-two per cent of respondents indicated that they thought TRS had improved attitudes towards the protected areas, and 53% thought TRS was more important then sustainable use of non-timber forest products. Although respondents were generally positive about TRS, in informal discussions respondents repeatedly mentioned four potential obstacles to TRS success, namely poorly defined TRS policies and unsteady implementing institutions, corruption, inadequate funds, and numerous stakeholders with differing priorities. From this survey and literature from experiences in other African countries, there are four key components of successful revenue-sharing programmes: long-term institutional support, appropriate identification of the target community and project type, transparency and accountability, and adequate funding. With firm institutional support and realistic expectations, TRS can play an important role in improving local attitudes towards conservation.


2018 ◽  
Vol 9 (1) ◽  
pp. 179-184
Author(s):  
Ratna Sitompul

Intraocular lens (IOL) dislocation is a rare complication of cataract extraction requiring prompt surgery. This case report aims to raise awareness of such cases and the importance of post-surgery follow-up. A 58-year-old female patient was found with anterior IOL dislocation a week after phacoemulsification surgery in her right eye. Visual acuity of the right eye was 1/60 with ciliary injection and IOL dislocation to the anterior chamber of the right eye. The patient underwent surgery of the right eye and the IOL haptic was found to be broken. In this case report, the factors affecting IOL dislocation are axis length, broken IOL haptic, and patient activity that increased intraocular pressure. Cataract extraction surgery, although common, needs to be conducted carefully, and it is important for ophthalmologists and general practitioners to detect this condition, especially in rural areas where facilities are limited, as IOL dislocation could occur and requires immediate treatment to achieve a better result.


2018 ◽  
Vol 104 (10) ◽  
pp. 953-955 ◽  
Author(s):  
Mike Reidy ◽  
Caitlin Collins ◽  
Jamie G B MacLean ◽  
Donald Campbell

ObjectiveThe ‘GP check’ at 6–8 weeks forms part of the selective surveillance system for developmental dysplasia of the hip (DDH) in the UK. It is imperative to pick up DDH within the first months of life to allow for non-invasive treatment and the avoidance of surgery. We aim to investigate the effectiveness of hip examination at 6–8 weeks.MethodsThis is a longitudinal observational study including all infants born in our region in the 5 years following 2006. Early presentation was defined as diagnosis within 14 weeks of birth and late presentation after 14 weeks. Treatment records for early and late DDH as well as referrals for ultrasound (US) following examination at 6–8 weeks were analysed. Attendance of the examination at 6–8 weeks in those patients who went on to present with a late DDH was also analysed.Results23 112 live births occurred during the study period. There were 141 confirmed cases of DDH. 400 referrals for US were received following examination at 6–8 weeks; 6 of these had a positive finding of DDH. 27 patients presented after 14 weeks and were classified as late presentations. 25 of these patients had attended examination at 6–8 weeks and no abnormality had been identified.ConclusionsThe sensitivity of examination at 6–8 weeks was only 19.4%, its specificity was 98% and it had a positive predictive value of 1.5%. For many years the check at 6–8 weeks has been thought of as a means to identify those children not identified as neonates; however, we found that four out of five children with DDH were not identified by the check at 6–8 weeks. Unfortunately, we conclude that the presumed safety net of the examination in its current form is not reliable.


2017 ◽  
Vol 3 (2) ◽  
pp. 24
Author(s):  
Kwabena Boafo Adom-Opare ◽  
Daniel Kweku Baah Inkoom

The paper uses a range of sustainability-measuring indicators to define and measure sustainable energy in a rural context. The use of fuel wood and charcoal in rural areas has consequences on the environment and human health and ultimately, climate change. Fuel wood and charcoal consumption for example pose threats in through carbon emissions. Though Ghana and most African countries are not heavy carbon emitters, it is important to recognize that fuel wood and charcoal are major sources of residential and industrial energy resource. From the study, it was estimated that household and industrial/commercial fuel wood and charcoal consumption, emitted 24,171 tCO2/year and the net carbon capture was about 112billion tCO2/year. The balance between carbon emitted and capture provides an indication of more room for carbon sequestration in the area and its environs; however high growth in fuel consumption coupled with increasing forest reduction and water evaporation (refer to section 4.6.3 on data on evaporation) presents a case for concern over the years.


2016 ◽  
Vol 2 (1) ◽  
pp. 18-20
Author(s):  
Rahul Peswani ◽  
BL Chandrakar ◽  
Rakesh Thakkar

ABSTRACT Simultaneous bilateral fractures of the femoral neck are rare injuries in patients without underlying pathological conditions. We report a case of a 50-year-old male, who sustained bilateral femoral neck injury resulting from electric shock with 440 V of direct current. Bilateral femoral neck fracture is rare. Bilateral femoral neck fracture due to electric shock is even rarer. This case report highlights bilateral femoral neck fracture without primary and secondary bone disease. Late presentation and unclassified pattern of fracture are the other features. How to cite this article Peswani R, Chandrakar BL, Thakkar R. Bilateral Femoral Neck Fracture due to Electric Shock. J Med Sci 2016;2(1):18-20.


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