scholarly journals Fetal Congenital Anomalies in Africa: Diagnostic and Management Challenges

2021 ◽  
Author(s):  
Labaran Dayyabu Aliyu
Keyword(s):  
Perinatal Mortality ◽  
Collaborative Care ◽  
Congenital Anomalies ◽  
Fetal Anomalies ◽  
Resource Constrained ◽  
Black Point ◽  
Mortality And Morbidity ◽  
Diagnosis And Management ◽  
Resource Limited ◽  
Specific Factors

There is paucity of knowledge on the causes, diagnosis, management and prevention of fetal congenital anomalies in Africa. The chapter will highlight on the general causes and specific factors concerning congenital anomalies in Africa. The problems of diagnosis and management of congenital anomalies will be extensively discussed. There is also going to be a discussion on how fetal anomalies contribute to maternal and perinatal mortality and morbidity. Screening of congenital anomalies is another black point and will be discussed emphasizing on simple strategies applicable in resource constrained environment. A section will be dedicated on prevention of fetal congenital anomalies, particularly prevention of specific factors that increase the risk of fetal anomalies in Africa. Finally, there will also be discussion on collaborative care as a panacea in the management of fetal congenital fetal anomalies, including my experience in this area. Specific examples will be given to illustrate the utility of collaborative in resource limited countries.

A Review of Five Cases of Fetal Congenital Anomalies Diagnosed during Prenatal Ultrasound: Management Problems and Limitations

2016 ◽  
Vol 10 (2) ◽  
pp. 136-142
Author(s):  
Aliyu L Dayyabu ◽  
Dattijo L Makama ◽  
Attah R Avidime ◽  
Murtala Yusuf
Keyword(s):  
Developing Countries ◽  
Prenatal Diagnosis ◽  
Perinatal Mortality ◽  
Congenital Anomalies ◽  
Developed Countries ◽  
Prenatal Ultrasound ◽  
Fetal Anomalies ◽  
Obstructed Labor ◽  
Low Resource ◽  
Management Problems

ABSTRACT Congenital/fetal anomalies are structural, functional, and/or biochemical–molecular defects present at birth whether detected at that time or not. Prevalence of congenital fetal anomalies in developing countries especially in Africa is underestimated. They are seen in 2 to 3% of newborns and about 94% of severe birth defects are seen in low-resource countries. Currently, they account for 20 to 30% of perinatal mortality in developed countries. Their contribution to perinatal mortality may be much higher in developing countries. They are also an important cause of maternal mortality in developing countries because they cause prolonged obstructed labor, ruptured uterus, postpartum hemorrhage, and sepsis. Ultrasound is a very important tool in prenatal diagnosis, but ultrasound usage faces a lot of challenges in Africa. When congenital anomalies are diagnosed in Africa, management becomes a challenge as patients may not even accept the diagnosis or the line of management and this leads to catastrophic complications for the mother and her unborn infant. To overcome these challenges, various measures must be taken, such as training for practitioners, provision of equipments, community enlightenments concerning causes, possible management, and prevention. This review is meant to highlight some of the challenges facing prenatal diagnosis and management of prenatally diagnosed congenital fetal anomalies in low-resource environments and suggest the way forward. How to cite this article Dayyabu AL, Makama DL, Avidime AR, Yusuf M. A Review of Five Cases of Fetal Congenital Anomalies Diagnosed during Prenatal Ultrasound: Management Problems and Limitations. Donald School J Ultrasound Obstet Gynecol 2016;10(2):136-142.

scholarly journals Impact of sex on perinatal mortality and morbidity in twins

2014 ◽  
Vol 42 (2) ◽  
Author(s):  
Emma Elsmén Steen ◽  
Karin Källén ◽  
Karel Maršál ◽  
Mikael Norman ◽  
Lena Hellström-Westas
Keyword(s):  
Perinatal Mortality ◽  
Mortality And Morbidity

DYNAMICS OF PERINATAL LOSSES IN ALMATY

Vestnik ◽  
2021 ◽  
pp. 19-22
Author(s):  
Г.Ж. Бодыков ◽  
А.М. Курманова ◽  
С.М. Оспангалиева ◽  
Ж.Р. Жаналиева ◽  
Б.К. Аманжолова ◽  
...  
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Perinatal Mortality ◽  
Congenital Anomalies ◽  
Perinatal Care ◽  
Cardiovascular Disorders ◽  
Fetal Health ◽  
Early Neonatal Mortality ◽  
The Past ◽  
Steady Decrease

Динамика и уровень перинатальной смертности за последние десятилетие свидетельствовали о том, что в г. Алматы имеет устойчивую тенденцию к снижению до 8,8‰ к 2019 году. В структуре перинатальной смертности большая часть приходится на антенатальную (5,5-6,5‰); около трети - на раннюю неонатальную смертность (3,2 до 2,3‰). В структуре причин неонатальных потерь наблюдалось устойчивое снижение дыхательных и сердечно-сосудистых нарушений в 2,3-3,8 раза - с 5 до 1,3‰, врожденных аномалий с 4,4 до 0,9‰, неонатальные потери от инфекционных болезней остаются стабильными. Сохраняющие риски инфекционной патологии, особенно в беспрецедентной ситуации в период пандемии диктуют необходимость пересмотра подходов к оказанию перинатальной помощи населению и разработкой новой концепции перинатальной помощи с существенными изменениями в подходах инфекционного контроля, развития превентивной перинатологии с более эффективной антенатальной охраной здоровья плода. The dynamics and level of perinatal mortality over the past decade testified to the fact that in Almaty it has a steady downward trend to 8.8 ‰ by 2019. In the structure of perinatal mortality, most of it falls on antenatal (5.5-6.5 ‰); about a third - for early neonatal mortality (3.2 to 2.3 ‰). In the structure of the causes of neonatal losses, there was a steady decrease in respiratory and cardiovascular disorders by 2.3-3.8 times - from 5 to 1.3 ‰, congenital anomalies from 4.4 to 0.9 ‰, neonatal losses from infectious diseases remain stable. The persisting risks of infectious pathology, especially in an unprecedented situation during a pandemic, dictate the need to revise approaches to providing perinatal care to the population and develop a new concept of perinatal care with significant changes in approaches to infection control, thedevelopment of preventive perinatology with more effective antenatal fetal health care.

Current practice of diagnosis and management of acute kidney injury in intensive care unit in resource limited settings

2018 ◽  
Vol 46 ◽  
pp. 44-49 ◽  
Author(s):  
Nattachai Srisawat ◽  
Nattaya Sintawichai ◽  
Win Kulvichit ◽  
Nuttha Lumlertgul ◽  
Patita Sitticharoenchai ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Current Practice ◽  
Kidney Injury ◽  
Resource Limited Settings ◽  
Diagnosis And Management ◽  
Resource Limited

scholarly journals Integrated Image Sensor and Light Convolutional Neural Network for Image Classification

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Cheng-Jian Lin ◽  
Chun-Hui Lin ◽  
Shyh-Hau Wang
Keyword(s):  
Neural Network ◽  
Convolutional Neural Network ◽  
Autonomous Vehicles ◽  
Model Performance ◽  
Image Sensor ◽  
Model Complexity ◽  
Resource Constrained ◽  
Smart Cameras ◽  
Resource Limited ◽  
Constrained Environments

Deep learning has accomplished huge success in computer vision applications such as self-driving vehicles, facial recognition, and controlling robots. A growing need for deploying systems on resource-limited or resource-constrained environments such as smart cameras, autonomous vehicles, robots, smartphones, and smart wearable devices drives one of the current mainstream developments of convolutional neural networks: reducing model complexity but maintaining fine accuracy. In this study, the proposed efficient light convolutional neural network (ELNet) comprises three convolutional modules which perform ELNet using fewer computations, which is able to be implemented in resource-constrained hardware equipment. The classification task using CIFAR-10 and CIFAR-100 datasets was used to verify the model performance. According to the experimental results, ELNet reached 92.3% and 69%, respectively, in CIFAR-10 and CIFAR-100 datasets; moreover, ELNet effectively lowered the computational complexity and parameters required in comparison with other CNN architectures.

scholarly journals Perinatal Mortality and Morbidity at Dr. Pirngadi Hospital Medan 1985-1986

2018 ◽  
Vol 29 (5-6) ◽  
pp. 97-104
Author(s):  
Guslihan D. Tjipta ◽  
Dachrul Aldy ◽  
Noersida Raid ◽  
Baren Ratur Sembiring
Keyword(s):  
Mortality Rate ◽  
Perinatal Mortality ◽  
Causes Of Death ◽  
Age Groups ◽  
Public Health Education ◽  
Hospital Quality ◽  
Mortality And Morbidity ◽  
Respiratory Problems ◽  
The Subject

A retrospective study was conducted on babies born during January 1985 to December 1986 at Dr. Pirngadi Hospital Medan. The aim of this study was to evaluate perinatal mortality and morbidity, and various possible factors related to the subject matter.The main results can be summarized as follows : There were 7102 deliveries during the study period consisting of 999 babies weighing less than 2500 gram and 6103 with body weight of 2500 gram or more. Perinatal mortality rate was 563.56 o/oo in the first group and 78.49 o/oo in the second while the avera/ mortality rate was 146.72 o/oo.Rate of perinatal demise was high in babies born from mothers in the age groups of below 20 and above 35 years, namely 681 .82 o/oo and 202.19 o/oo. It was also high among primiparae (165.67 o/oo) and more so among grandmultiparae (246.46 o/oo).There were 1966 (30.49%) ill newborn babies with asphyxia neonatorum accounting for 44.91%, infection 30.42% and respiratory problems 9.21% of the main causes of illness, while respiratory problems (40.05%) and injection (28.68%) constituted the main causes of death .We concluded that the rate of perinatal mortality and morbidity is still high at this hospital. Quality of prenatal and neonatal care with extensive public health education is necessary to be enhanced for the reduction of perinatal mortality and morbidity.

scholarly journals The emergence of Kawasaki disease in India and China

2018 ◽  
Vol 2017 (3) ◽  
Author(s):  
Ankur Kumar Jindal ◽  
Vingesh Pandiarajan ◽  
Raju Khubchandani ◽  
Nutan Kamath ◽  
Tapas Sabui ◽  
...  
Keyword(s):  
Developing Countries ◽  
Heart Disease ◽  
Kawasaki Disease ◽  
Developed Countries ◽  
Resource Constrained ◽  
Diagnosis And Management ◽  
China And India ◽  
The World ◽  
Acquired Heart Disease ◽  
India And China

Kawasaki disease (KD) is recognized as a leading cause of acquired heart disease in children in developed countries. Although global in distribution, Japan records the highest incidence of KD in the world. Epidemiological reports from the two most populous countries in the world, namely China and India, indicate that KD is now being increasingly recognized. Whether this increased reporting is due to increased ascertainment, or is due to a true increase in incidence, remains a matter of conjecture. The diagnosis and management of KD in developing countries is a challenging proposition. In this review we highlight some of the difficulties faced by physicians in managing children with KD in resource-constrained settings. 

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