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Adding blood to st thomas solution does not improve mortality in pediatric cardiac surgery: a meta-analysis of a homogenous population
(Ann Afr Surg, 2020-05-21)
Background: Cardioplegia is the gold standard for providing ideal operating conditions while effecting myocardial protection. Some studies suggest that adding blood to St Thomas cardioplegia solution improves efficacy; ...
Utility of world society of emergency surgery sepsis severity score in predicting outcomes of intra-abdominal infections
(Ann Afr Surg, 2020-05-21)
Background: Intra-abdominal infections are classified as simple or complicated. Many tools have been studied to predict risk factors and outcomes of patients with intra-abdominal infections. None of these tools has been ...
Objective structured clinical examination tests : comparison with traditional clinical examinations in surgery
(Ann Afr Surg, 2020-05-21)
Background: Examination methods change over time, and audits are useful for quality assurance and improvement. Objective: Comparison of traditional clinical test and objective structured clinical examination (OSCE) in a ...
Dorsal morphology of the calcaneus—an osteological study
(Ann Afr Surg, 2020-09-15)
Background: The calcaneus exhibits variations in articular facets and calcaneal sulcus width. These variations influence occurrence of osteoarthritic conditions, whose prevalence is significant in our setting, and are ...
Inion not a reliable landmark of the torcula in posterior fossa craniotomies
(Ann Afr Surg, 2020-09-15)
Background: Sub-occipital craniotomies are used in surgical approaches into the posterior cranial fossa. The inion is used as an extracranial landmark of the torcula in burr hole placement. However, inadvertent damage to ...
Impact of preconception vaginal microbiota on women's risk of spontaneous preterm birth: protocol for a prospective case-cohort study
(University of Nairobi, 2020)
Introduction: Bacterial vaginosis (BV) and vaginal microbiota disruption during pregnancy are associated with increased risk of spontaneous preterm birth (SPTB), but clinical trials of BV treatment during pregnancy have ...
Growth patterns and their contributing factors among HIV-exposed uninfected infants
(University of Nairobi, 2020)
With expanded HIV treatment and prevention programmes, most infants born to HIV-positive women are uninfected, but the patterns and determinants of their growth are not well described. This study aimed to assess growth ...
Setting priorities for patient-centered surveillance of drug-resistant infections
(University of Nairobi, 2020)
Methods: A priority-setting process (PSP) was launched to define priorities for patient-centered antimicrobial resistance (AMR) surveillance and research in low- and middle-income countries (LMICs). A list of uncertainties ...
What Could "Fair Allocation" during the Covid-19 Crisis Possibly Mean in Sub-Saharan Africa?
(University of Nairobi, 2020)
The Covid-19 pandemic has sparked rapid and voluminous production of bioethics commentary in popular media and academic publications. Many of the discussions are new twists on an old theme: how to fairly allocate scarce ...
Zika Virus Circulates at Low Levels in Western and Coastal Kenya
(University of Nairobi, 2020)
Background: Zika virus (ZIKV) was discovered over 70 years ago in East Africa, but little is known about its circulation and pathogenesis there.
Methods: We screened 327 plasma samples collected 2-12 months after febrile ...