scholarly journals Hysterosalpingographic patterns and relevance in the management of infertility in a Nigerian tertiary health Institution

2016 ◽  
Vol 7 (5) ◽  
pp. 70-74 ◽  
Author(s):  
D U Eduwem ◽  
A O Akintomide ◽  
D E Bassey ◽  
M I Ekott
Keyword(s):  
Imaging Modality ◽  
Demographic Data ◽  
Uterine Fibroids ◽  
Sub Saharan Africa ◽  
Medical Sciences ◽  
Non Invasive ◽  
Sub Saharan ◽  
Diagnostic Modalities ◽  
The University ◽  
Age Range

Background: Infertility is a major clinico-social problem not only in Nigeria; but the whole of the sub-saharan Africa and other parts of the world. In Nigeria it accounts for over 50% of attendance in Gynaecological clinics. Hysterosalpingography (HSG) is still a very valuable imaging modality in the work-up of women with infertility; especially in some communities in Nigeria where modern non-invasive diagnostic modalities are not readily available in most of the health institutions.Aims and Objectives: The study aims at evaluating the HSG findings among women with infertility to further highlight the relevance of this imaging modality in the management of infertility.Materials and Methods: A retrospective review of 205 consecutive Hysterosalpingograms from the University of Calabar Teaching Hospital between October 2013 and September 2015 was done. The Radiological findings and demographic data of the patients were documented and analyzed.Results: Pathologies were reported on 176 (85.8%) Hysterosalpingograms while 29 (14.14%) were normal. The age range of the patients was between 21 and 55 years and the commonest age group was 31 – 35 years. The commonest pathological findings were in the uterus; namely uterine fibroids, 86 (41.95%), uterine synaechiae, 19 (9.26%), Asherman syndrome and congenital abnormalities, 5 each (2.43%). The next commonest pathologies were those associated with tubal occlusionsConclusion: Hysterosalpingography still plays a major investigative role in the evaluation and management of women with infertility. The commonest abnormalities seen in this study were in the uterus.Asian Journal of Medical Sciences Vol.7(5) 2016 70-74

scholarly journals The BabySaver: Design of a New Device for Neonatal Resuscitation at Birth with Intact Placental Circulation

Children ◽  
2021 ◽  
Vol 8 (6) ◽  
pp. 526
Author(s):  
James Ditai ◽  
Aisling Barry ◽  
Kathy Burgoine ◽  
Anthony K. Mbonye ◽  
Julius N. Wandabwa ◽  
...  
Keyword(s):  
Low Cost ◽  
Neonatal Resuscitation ◽  
Sub Saharan Africa ◽  
Skilled Birth Attendants ◽  
New Device ◽  
Birth Attendants ◽  
Premature Babies ◽  
Sub Saharan ◽  
The Uk ◽  
The University

The initial bedside care of premature babies with an intact cord has been shown to reduce mortality; there is evidence that resuscitation of term babies with an intact cord may also improve outcomes. This process has been facilitated by the development of bedside resuscitation surfaces. These new devices are unaffordable, however, in most of sub-Saharan Africa, where 42% of the world’s 2.4 million annual newborn deaths occur. This paper describes the rationale and design of BabySaver, an innovative low-cost mobile resuscitation unit, which was developed iteratively over five years in a collaboration between the Sanyu Africa Research Institute (SAfRI) in Uganda and the University of Liverpool in the UK. The final BabySaver design comprises two compartments; a tray to provide a firm resuscitation surface, and a base to store resuscitation equipment. The design was formed while considering contextual factors, using the views of individual women from the community served by the local hospitals, medical staff, and skilled birth attendants in both Uganda and the UK.

scholarly journals Development and launch of the first obstetrics and gynaecology master of medicine residency training programme in Botswana

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
R. Luckett ◽  
M. Nassali ◽  
T. Melese ◽  
B. Moreri-Ntshabele ◽  
T. Moloi ◽  
...  
Keyword(s):  
Training Programme ◽  
International Standards ◽  
Sub Saharan Africa ◽  
Subspecialty Training ◽  
Continuous Assessment ◽  
Curricular Development ◽  
Apprenticeship Training ◽  
University Of Botswana ◽  
Sub Saharan ◽  
The University

Abstract Background Sub-Saharan Africa (SSA) faces a severe shortage of Obstetrician Gynaecologists (OBGYNs). While the Lancet Commission for Global Surgery recommends 20 OBGYNs per 100,000 population, Botswana has only 40 OBGYNs for a population of 2.3 million. We describe the development of the first OBGYN Master of Medicine (MMed) training programme in Botswana to address this human resource shortage. Methods We developed a 4-year OBGYN MMed programme at the University of Botswana (UB) using the Kern’s approach. In-line with UB MMed standards, the programme includes clinical apprenticeship training complemented by didactic and research requirements. We benchmarked curriculum content, learning outcomes, competencies, assessment strategies and research requirements with regional and international programmes. We engaged relevant local stakeholders and developed international collaborations to support in-country subspecialty training. Results The OBGYN MMed curriculum was completed and approved by all relevant UB bodies within ten months during which time additional staff were recruited and programme financing was assured. The programme was advertised immediately; 26 candidates applied for four positions, and all selected candidates accepted. The programme was launched in January 2020 with government salary support of all residents. The clinical rotations and curricular development have been rolled out successfully. The first round of continuous assessment of residents was performed and internal programme evaluation was conducted. The national accreditation process was initiated. Conclusion Training OBGYNs in-country has many benefits to health systems in SSA. Curricula can be adjusted to local resource context yet achieve international standards through thoughtful design and purposeful collaborations.

The Relationship between Theatre and Ritual in the Sogo bò of the Bamana from Mali

2009 ◽  
Vol 25 (3) ◽  
pp. 233-240
Author(s):  
Marie Kruger
Keyword(s):  
Oral Tradition ◽  
Associate Professor ◽  
Sub Saharan Africa ◽  
Structural Elements ◽  
Repetitive Nature ◽  
Sub Saharan ◽  
Metaphorical Expression ◽  
The University ◽  
Shifting Boundaries ◽  
The Relationship

The Sogo bò, primarily an animal masquerade, can be distinguished from Western theatre through its use of a fluid space with shifting boundaries between spectator and performer. An oral tradition dictates the characterization, scenario, and content. The resemblance to ritual can be found in structural elements such as its repetitive nature and the use of non-realistic performance objects and motions. As in ritual, there is a clear sense of order, an evocative presentational style, and a strong collective dimension. The functional resemblance lies in the complex metaphorical expression through which relationships and values are symbolized, objectified, and embodied in a highly artistic way. Marie Kruger is an associate professor and the Chair of the Department of Drama at the University of Stellenbosch, South Africa, where puppetry is offered as a performance and research option. Her research is focused on masquerades in Africa and the various contemporary applications of puppetry in sub-Saharan Africa.

scholarly journals The Scope and Appetite for Technology-Assisted Sensitivity Reviewing of Born-Digital Records in a Resource Poor Environment

2018 ◽  
pp. 175-182 ◽  
Author(s):  
Alistair G. Tough
Keyword(s):  
Effective Means ◽  
Sub Saharan Africa ◽  
Public Records ◽  
Digital Repositories ◽  
Resource Poor ◽  
Preliminary Research ◽  
Sub Saharan ◽  
The University ◽  
Limited Demand ◽  
Assessing Sensitivity

Concerns about sensitive content in born-digital records seem to be a major factor in inhibiting the deposit of public records in dedicated digital repositories in Western countries. These concerns are much exacerbated by the changed nature of the process of reviewing records. The University of Glasgow, working in collaboration with the Foreign and Commonwealth Office, received funding to investigate the technology-assisted sensitivity reviewing of born-digital records. As part of this research, some preliminary research in a commonwealth country in Sub-Saharan Africa was carried out. The research, reported in this chapter, was carried out in Malawi by the late Dr. Mathews J. Phiri. He found that already there is a real, albeit limited, demand for technology-assisted sensitivity reviewing of born-digital records in Malawi. The available evidence suggests that within the next decade there is likely to be an increase in the need for effective means of assessing sensitivity in born-digital records.

Embedding Indigenous Knowledge in Library and Information Science Education in Anglophone Eastern and Southern Africa

2017 ◽  
pp. 92-115 ◽  
Author(s):  
Patrick Ngulube
Keyword(s):  
Indigenous Knowledge ◽  
Southern Africa ◽  
Information Science ◽  
Sub Saharan Africa ◽  
Library And Information Science ◽  
Potential Contribution ◽  
University Curriculum ◽  
Sub Saharan ◽  
Eastern And Southern Africa ◽  
The University

There is need to re-examine the inclusion or exclusion of indigenous knowledge (IK) in the university curriculum in sub Saharan Africa (SSA). Western scientific knowledge on which the university curriculum in SSA is mainly based has proved to be inadequate in addressing developmental challenges. Using the curriculum of library and information science (LIS) departments in Anglophone east and southern Africa (AESA) as a case study, this chapter focuses on factors that influence the inclusion of IK in higher education in SSA. IK is recognised for its potential contribution to development by organisations such as the World Bank and African Union. Its inclusive ethos and accommodation of multiple realities also accounts for its popularity. In spite of that, IK has not established a stronghold in LIS curriculum in AESA. This study investigates the factors that influence its integration into the curriculum and makes recommendations based on the findings.

Embedding Indigenous Knowledge in Library and Information Science Education in Anglophone Eastern and Southern Africa

2020 ◽  
pp. 255-278
Author(s):  
Patrick Ngulube
Keyword(s):  
Indigenous Knowledge ◽  
Southern Africa ◽  
Information Science ◽  
Sub Saharan Africa ◽  
Library And Information Science ◽  
Potential Contribution ◽  
University Curriculum ◽  
Sub Saharan ◽  
Eastern And Southern Africa ◽  
The University

There is need to re-examine the inclusion or exclusion of indigenous knowledge (IK) in the university curriculum in sub Saharan Africa (SSA). Western scientific knowledge on which the university curriculum in SSA is mainly based has proved to be inadequate in addressing developmental challenges. Using the curriculum of library and information science (LIS) departments in Anglophone east and southern Africa (AESA) as a case study, this chapter focuses on factors that influence the inclusion of IK in higher education in SSA. IK is recognised for its potential contribution to development by organisations such as the World Bank and African Union. Its inclusive ethos and accommodation of multiple realities also accounts for its popularity. In spite of that, IK has not established a stronghold in LIS curriculum in AESA. This study investigates the factors that influence its integration into the curriculum and makes recommendations based on the findings.

Non-invasive fibrosis markers for chronic hepatitis B in sub-Saharan Africa

2017 ◽  
Vol 37 (11) ◽  
pp. 1738-1738 ◽  
Author(s):  
Rui Huang ◽  
Bei Jia ◽  
Guiyang Wang ◽  
Chao Wu
Keyword(s):  
Chronic Hepatitis ◽  
Hepatitis B ◽  
Chronic Hepatitis B ◽  
Sub Saharan Africa ◽  
Non Invasive ◽  
Sub Saharan

Risk Factors and Predictability of Famine in Ethiopia

1991 ◽  
Vol 9 (2) ◽  
pp. 187-203 ◽  
Author(s):  
Theodore M. Vestal
Keyword(s):  
Social Sciences ◽  
Risk Factors ◽  
Sub Saharan Africa ◽  
Complex Phenomenon ◽  
Medical Sciences ◽  
Contributing Factors ◽  
Limited Success ◽  
The Social ◽  
Sub Saharan ◽  
Analytical Tools

Famine, a complex phenomenon with multifactorial causes, produces starvation and associated diseases resulting in unusually high mortality from a lack of food. Devastating famines in sub-Saharan Africa in the 1980s may have provided an impetus for scholars to find additional analytical tools for predicting famines. Two predominant theories of famines causality are (1) food availability decline (FAD), a supply failure; and (2) the entitlement approach based on a demand failure. Findings from both theories are applied to specific examples from Ethiopian famines to analyze the composition and effects of famine. The limited success of contemporary famines studies in anticipating famine suggests the need for improved analytical tools. Risk factor analysis, used successfully in the social sciences and the medical sciences to predict the occurrence of complicated phenomena, is developed to identify controllable, uncontrollable, and contributing factors to famine. Based on the experience of Ethiopia in 1983-86, categorical cutoff values for identifying a high risk of developing famine are formulated.

scholarly journals Nonpaternity and Half-Siblingships as Objective Measures of Extramarital Sex: Mathematical Modeling and Simulations

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Ryosuke Omori ◽  
Nico Nagelkerke ◽  
Laith J. Abu-Raddad
Keyword(s):  
Sexual Behavior ◽  
Pearson Correlation ◽  
Demographic Data ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Sub Saharan Africa ◽  
Objective Measures ◽  
Human Populations ◽  
Extramarital Sex ◽  
Sub Saharan

Background. Understanding the epidemiology of HIV and other sexually transmitted infections (STIs) requires knowledge of sexual behavior, but self-reported behavior has limitations. We explored the reliability and validity of nonpaternity and half-siblings ratios as biomarkers of current and past extramarital sex. Methods. An individual-based Monte Carlo simulation model was constructed to describe partnering and conception in human populations with a focus on Sub-Saharan Africa (SSA). The model was parameterized with representative biological, behavioral, and demographic data. Results. Nonpaternity and half-siblings ratios were strongly correlated with extramarital sex, with Pearson correlation coefficients (PCC) of 0.79 (95% CI: 0.71–0.86) and 0.77 (0.68–0.84), respectively. Age-specific nonpaternity ratios correlated with past extramarital sex at time of conception for different scenarios: for example, PCC, after smoothing by moving averages, was 0.75 (0.52–0.89) in a scenario of steadily decreasing nonmarital sex and 0.39 (0.01–0.73) in a scenario of transient drops in nonmarital sex. Simulations assuming self-reported levels of extramarital sex from Kenya yielded nonpaternity levels lower than global nonpaternity data, suggesting sizable underreporting of extramarital sex. Conclusions. Nonpaternity and half-siblings ratios are useful objective measures of extramarital sex that avoid limitations in self-reported sexual behavior.

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