scholarly journals High burden of Carbapenem-resistant Enterobacteriaceae (CRE) fecal carriage at a teaching hospital: cost-effectiveness of screening in low-resource setting

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Abdul Rahman Zaidah ◽  
Nurul Izzah Mohammad ◽  
Siti Suraiya ◽  
Azian Harun
Keyword(s):  
Cost Effectiveness ◽  
Teaching Hospital ◽  
Hospital Cost ◽  
High Burden ◽  
Low Resource ◽  
Carbapenem Resistant ◽  
Fecal Carriage ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Carbapenem Resistant Enterobacteriaceae

scholarly journals Uterine Artery Doppler Velocimetry for the Prediction of Preeclampsia among High-risk Pregnancies in Low-resource Setting: Our Experience at Aminu Kano Teaching Hospital, Kano, Nigeria

2017 ◽  
Vol 11 (3) ◽  
pp. 197-202
Author(s):  
Aliyu L Dayyabu ◽  
Murtala Yusuf ◽  
Hadiza Galadanci ◽  
Anas Ismail ◽  
Abdu H Danbatta
Keyword(s):  
High Risk ◽  
Teaching Hospital ◽  
Uterine Artery ◽  
Doppler Velocimetry ◽  
Uterine Artery Doppler ◽  
Low Resource ◽  
Uterine Arteries ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Second Trimester Screening

ABSTRACT Several Doppler studies have demonstrated an association between increased impedance to flow in uterine arteries and subsequent development of preeclampsia. This study evaluated the usefulness of uterine artery Doppler velocimetry in the prediction of preeclampsia in high-risk pregnancies. The study was a prospective cohort study carried out on 138 pregnant women attending antenatal clinic in Aminu Kano Teaching Hospital, a tertiary center in Northern Nigeria. Assessment of uterine artery blood flow by Doppler ultrasound was carried out at 20 to 24 weeks of gestation. The test was considered abnormal when the mean resistance index (RI) in the uterine arteries was .0.58 with or without diastolic notch (DN). The women were then followed up to determine those who developed preeclampsia. The prevalence of preeclampsia in this study was found to be 12.3%. Twenty one of the patients (15.2%) had high uterine artery RI (. 0.58), while 117 (84.8%) had normal RI (<0.58). The prevalence of preeclampsia was significantly higher (p < 0.05) in the group with high RI than in the group with normal RI (57.1 compared with 4.2%). Nine of the patients (6.5%) had DN, while 129 (93.5%) had no DN. The prevalence of preeclampsia was also significantly higher (p < 0.05) in the group with DN than in the group with no DN (55 compared with 9.3%). Both the sensitivity (70.5%) and specificity (92.6%) of abnormal RI in the prediction of preeclampsia were found to be high. This study confirmed the efficacy of second trimester screening for preeclampsia in high-risk pregnancies using a combination of maternal characteristics and uterine artery Doppler. How to cite this article Yusuf M, Galadanci H, Ismail A, Aliyu LD, Danbatta AH. Uterine Artery Doppler Velocimetry for the Prediction of Preeclampsia among High-risk Pregnancies in Low-resource Setting: Our Experience at Aminu Kano Teaching Hospital, Kano, Nigeria. Donald School J Ultrasound Obstet Gynecol 2017;11(3):197-202.

Evaluation of a New Protocol of Insulin Dose Adjustment in a Low-Resource Setting

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 93-LB
Author(s):  
EDDY JEAN BAPTISTE ◽  
PHILIPPE LARCO ◽  
MARIE-NANCY CHARLES LARCO ◽  
JULIA E. VON OETTINGEN ◽  
EDDLYS DUBOIS ◽  
...  
Keyword(s):  
Dose Adjustment ◽  
Insulin Dose ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting

scholarly journals Right paraduodenal hernia with extensive bowel gangrene treated with staged surgery: a Bogota bag followed by resection in a low-resource setting

2021 ◽  
Vol 14 (4) ◽  
pp. e239250
Author(s):  
Vijay Anand Ismavel ◽  
Moloti Kichu ◽  
David Paul Hechhula ◽  
Rebecca Yanadi
Keyword(s):  
Plastic Material ◽  
Successful Outcome ◽  
Paraduodenal Hernia ◽  
Transparent Plastic ◽  
Low Resource ◽  
Entire Small Bowel ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Right Paraduodenal Hernia ◽  
Bowel Gangrene

We report a case of right paraduodenal hernia with strangulation of almost the entire small bowel at presentation. Since resection of all bowel of doubtful viability would have resulted in too little residual length to sustain life, a Bogota bag was fashioned using transparent plastic material from an urine drainage bag and the patient monitored intensively for 18 hours. At re-laparotomy, clear demarcation lines had formed with adequate length of viable bowel (100 cm) and resection with anastomosis was done with a good outcome on follow-up, 9 months after surgery. Our description of a rare cause of strangulated intestinal obstruction and a novel method of maximising length of viable bowel is reported for its successful outcome in a low-resource setting.

scholarly journals Humanitarian Surgical Missions in Times of COVID-19: Recommendations to Safely Return to a Sub-Saharan Africa Low-Resource Setting

2021 ◽  
Author(s):  
Víctor Lopez-Lopez ◽  
Ana Morales ◽  
Elisa García-Vazquez ◽  
Miguel González ◽  
Quiteria Hernandez ◽  
...  
Keyword(s):  
Sub Saharan Africa ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Sub Saharan
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