scholarly journals Establishment of a pediatric surgical unit at a university hospital in Eastern Africa

2020 ◽  
Author(s):  
Jochen Hubertus ◽  
Gersam Abera ◽  
Abraham Haileamlak ◽  
Matthias Siebeck ◽  
Dietrich von Schweinitz ◽  
...  
Keyword(s):  
Pediatric Surgery ◽  
Addis Ababa ◽  
University Hospital ◽  
Eastern Africa ◽  
Existing Structures ◽  
External Monitoring ◽  
Program Flow ◽  
Close Cooperation ◽  
Set Up ◽  
Surgical Unit

Abstract Background Ethiopia is a rapidly developing country in Eastern Africa. 43.2% of the population is younger than 15. In contrast, until a few years ago, pediatric surgery was only available in Addis Ababa. Now, Ethiopia is making great efforts to improve the care of surgical ill children. JimmaChild was established to set up a pediatric surgery in Jimma. Methods JimmaChild developed from a scientific collaboration between Jimma University (JU) and Ludwig-Maximilians-University. The project was developed and realized by Ethiopian and German colleagues. A curriculum was written for this purpose. The pediatric surgical training of the fellows was carried out on-site by German pediatric surgeons. Results A new pediatric surgery was established at JU with its own operating room, ward, and staff. After two and a half years, two fellows completed their final examinations as pediatric surgeons. Among others, 850 elective surgeries were performed, 82% assisted by the German colleagues. The German colleagues rated the preparation for the trip, the on-site support, and the professional progress of the fellows mostly as good to very good. Reported problems in the program flow were also recognized and solved in part. Conclusions Best possible integration of the project into existing structures was achieved by close cooperation of Ethiopian and German colleagues during the project development. Problems were identified and addressed early on by external monitoring. As the project responsibility was mainly with the Ethiopian colleagues, a department was created that now exists independent of external funding and trains its own fellows.

scholarly journals Establishment of a Pediatric Surgical Unit at a University Hospital in Eastern Africa

Children ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 244
Author(s):  
Jochen Hubertus ◽  
Gersam Abera ◽  
Abraham Haileamlak ◽  
Matthias Siebeck ◽  
Dietrich von Schweinitz ◽  
...  
Keyword(s):  
Pediatric Surgery ◽  
Addis Ababa ◽  
University Hospital ◽  
Eastern Africa ◽  
Existing Structures ◽  
External Monitoring ◽  
Program Flow ◽  
Close Cooperation ◽  
Set Up ◽  
Surgical Unit

Introduction: Ethiopia is a rapidly developing country in Eastern Africa. In total, 43.2% of the population are younger than 15. In contrast, until a few years ago, pediatric surgery was only available in Addis Ababa. Now, Ethiopia is making great efforts to improve the care of children who require surgery. JimmaChild was established to set up a pediatric surgery in Jimma. Material and methods: JimmaChild developed from a scientific collaboration between Jimma University (JU) and Ludwig-Maximilians-University. The project was developed and realized by Ethiopian and German colleagues. A curriculum was written for this purpose. The pediatric surgical training of the fellows was carried out on-site by German pediatric surgeons. Results: A new pediatric surgery was established at JU with its own operating room, ward, and staff. After two and a half years, two fellows completed their final examinations as pediatric surgeons. Among others, 850 elective surgeries were performed, 82% assisted by the German colleagues. The German colleagues rated the preparation for the trip, the on-site support, and the professional progress of the fellows mostly as good to very good. Reported problems in the program flow were also recognized and solved in part. Conclusions: The best possible integration of the project into existing structures was achieved by close cooperation of Ethiopian and German colleagues during the project development. Problems were identified and addressed early on by external monitoring. As the project responsibility was mainly with the Ethiopian colleagues, a department was created that now exists independently of external funding and trains its own fellows.

scholarly journals COVID-19 does not stop obstetrics: what we need to change to go on safely birthing. The experience of a University Obstetrics and Gynecology Department in Milan

2020 ◽  
Vol 48 (9) ◽  
pp. 997-1000
Author(s):  
Nikita Alfieri ◽  
Stefano Manodoro ◽  
Anna Maria Marconi
Keyword(s):  
Health System ◽  
University Hospital ◽  
Obstetrics And Gynecology ◽  
Daily Routine ◽  
Clinical Services ◽  
Wuhan City ◽  
Set Up

AbstractSince SARS-COV-2 appeared in Wuhan City, China and rapidly spread throughout Europe, a real revolution occurred in the daily routine and in the organization of the entire health system. While non-urgent clinical services have been reduced as far as possible, all kind of specialists turned into COVID-19 specialists. Obstetric assistance cannot be suspended and, at the same time, safety must be guaranteed. In addition, as COVID-19 positive pregnant patients require additional care, some of the clinical habits need to be changed to face emerging needs for a vulnerable but unstoppable kind of patients. We report the management set up in an Obstetrics and Gynecology Unit during the COVID-19 era in a University Hospital in Milan, Italy.

scholarly journals Computer-aided design of multi-purpose steel headframes for mines with a new technical level

2020 ◽  
Vol 174 ◽  
pp. 01048
Author(s):  
Elena Kassikhina ◽  
Vladimir Pershin ◽  
Nina Rusakova
Keyword(s):  
Cross Sections ◽  
Computer Aided Design ◽  
Information Technologies ◽  
Three Dimensional ◽  
Numerical Control ◽  
Technical Level ◽  
Resource Saving ◽  
Existing Structures ◽  
Set Up ◽  
Aided Design

The existing structures of the steel sinking headgear and permanent headframe do not meet the requirements of resource saving (metal consumption and manpower input at installation), and the present methods of the headframe designing do not fully reflect recent possibilities of applying of the advanced information technologies. Technical level of the modern software makes it possible for designers to set up multiple numerical experiments to create a computer simulation that allows solving the problem without field and laboratory experiments, and therefore without special costs. In this regard, a mathematical simulation has been developed and based on it, software to select cross-sections of multi- purpose steel headframe elements and to calculate proper weight of its metal structures depending on the characteristics and hoisting equipment. A headframe drawing is displayed, as the results of the software work, including list of elements, obtained optimal hoisting equipment in accordance with the initial data. The software allows speeding up graphic work and reducing manpower input on calculations and paper work. The software allows developing a three-dimensional image of the structure and its functional blocks, based on the obtained initial parameters, as well as developing control software for units with numerical control (NC) in order to manufacture multi-purpose headframes.

scholarly journals Evaluation of urgent caesarian according to colour code at the Befelatanana University Hospital Centre of Obstetric Gynecology in Antananarivo Madagascar

2019 ◽  
Vol 8 (6) ◽  
pp. 2193
Author(s):  
Randriamahavonjy Romuald ◽  
Rakotozanany Besaina ◽  
Ibrahim Housni ◽  
Rakotonirina Martial ◽  
Rakotoson Koloina Tiphaine ◽  
...  
Keyword(s):  
Analytical Study ◽  
Caesarian Section ◽  
University Hospital ◽  
Background Color ◽  
Color Code ◽  
First Time ◽  
Surgical Unit

Background: Color code was described for the first time in 2003 was described for the first time in 2003 by since and al. The objective of this study was to accomplish urgent caesarian sections according to color code over delays indications-births (DIN) in Motherhood Befelatanana, Antananarivo, Madagascar.Methods: It was about a longitudinal prospective, analytical study of caesarian sections performed in emergency in CHUGOB going from June 1st till December 31st, 2017.Results: Authors took a census 193 caesarian sections of emergency. Among these patients 28 (14.50%) had a caesarian section encode red, 42 (21.76%) an orange code and 123 (63.73%) a green code. The medium age of the patients was of 26.4 years and that of the gestation was of 37SA and 6 days. The delay indication-birth (DIN) medium was of 102.9 minutes for red code, 99.7 minutes for orange code and 75 minutes for green code.Conclusions: Authors could not attain DIN of 30 minutes shape in international recommendations. Authors must improve the delay indication entered in the surgical unit by reinforcing knowledge of the agents of support on the management of emergency obstetrical. The possibility of leading to a very quick birth is an indisputable progress in obstetrics but she should not make forget risks inherent in such procedure.

scholarly journals Clinicopathological Characteristics and Non-Adhesive Organ Culture of Insulinomas

2008 ◽  
Vol 97 (1) ◽  
pp. 42-49 ◽  
Author(s):  
D. Hoem ◽  
D. Jensen ◽  
S. Steine ◽  
T. E. Thorsen ◽  
A. Viste ◽  
...  
Keyword(s):  
Organ Culture ◽  
Ct Scan ◽  
Endoscopic Ultrasonography ◽  
Cell Biology ◽  
Age Of Onset ◽  
Clinicopathological Characteristics ◽  
The Body ◽  
University Hospital ◽  
Rare Type ◽  
Set Up

Background and Aims: Insulinoma is a very rare type of islet cell tumour, but nevertheless the most common endocrine tumour of the pancreas. We aimed at reviewing our clinical experience with this tumour type and to assess whether organ culture could be obtained from surgically resected insulinoma material. Material and Methods: All patients with insulinomas (6 men and 10 women) referred to Haukeland University Hospital between 1986 and 2006 were included in the study. Median age of onset was 53 years (range 21–74). Biochemical diagnosis was established during a 72 h fast test. Imaging and localization of the tumours were performed with intra-operative ultrasonography, endoscopic ultrasonography, CT-scan and/or transcutaneous ultrasonography. For six patients, organ cultures were set up from tumour tissue fragments. Results: The annual incidence of insulinoma was 0.8 per million. The patients generally presented with non-specific, episodic symptoms, which often were mistaken for cardiovascular, neurological or diabetic disease and in some cases delayed the diagnosis with several years. Two patients had diabetes prior to the diagnosis of insulinoma. Patient weight gain was probably due to increased food intake, compensating for the hypoglycemia. Intra-operative ultrasonography detected all tumours correctly, whereas 73% were detected by endoscopic ultrasonography and 38% by CT scan. Five insulinomas were located in the head, eight in the body and three in the tail of the pancreas. All were removed by open-access surgery, eleven cases by resection and five by enucleation. One tumour was malignant with liver metastases and two patients had tumours defined as borderline. Insulinoma tissue fragments developed into spheroids during the first week of culturing and insulin secretion into the media was demonstrated. Conclusions: Insulinomas are rare and diagnostically challenging tumours. Intra-operative ultrasonography was superior to other imaging modalities to locate the lesion. In organ culture, insulinomas readily form spheroids which may be used to yield insight into beta-cell biology.

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