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Medicina Internacia Revuo
|
2013
|
vol. 25
|
issue 101
237- 242
EN
The article presents the work of St. Joseph’s Eye Hospital, a young hospital in the Mgbirichi Ohaji / Egbeme LGA Imo State of Nigeria. The hospital is run by the catholic order of the Congegration of the Daughters of Mary and provides basic eye care in a rural part of Africa. The article highlights the potentials of the hospital, that also offers collaboration with neighbouring health care institutions and the limitations due to lack of personnel and the equipment for more special interventions.
EN
Objectives: Human bites of the face are a frequent and serious health issue as they often compromise patients function and aesthetics as well as lead to further complications. The aim of the study is to review human bites of the face referred to our team during 112 short-term medical missions (STMMs) in Sub-Saharan Africa over the past 20 years and to discuss the epidemiology, appearance, management and outcome, including the most common complications. Methods: A retrospective medical documentation review was carried out examining all human bites of the face operated by our team during 112 STMMs from 2000 to 2019 in different countries of Sub-Saharan Africa. Results: Out of about 5500 patients medical charts 51 patients were selected due to history of human bite. Patients’ age range was 15–65 years, female to male ratio was 1, 55:1, the most often involved parts were: lips, ear and nose. Various surgical procedures were carried out including local flaps and free grafts. Infection and graft necrosis were the most common reported complication (n = 4; 9.3%). Conclusion: Human bites injuries are a serious health problem in some African populations because of their frequency and possible severity. The treatment is particularly challenging due to their potential to cause local infections, the risk they pose for transmission of systemic diseases as well as their demanding surgical management.
EN
Availability of surgical care in Africa is severely limited. This is due to the lack of surgeons and a small number of public hospitals. Only 25 out of 100,000 patients with inguinal hernia undergo a surgical treatment. As many as 65% of inguinal hernia repairs are performed urgently because of incarceration. Among patients with incarceration who do not reach the hospital there is recorded as many as 87 deaths per 100 cases. In order to improve the availability of treatment of inguinal hernia in Africa, humanitarian medical missions involving surgeons from Europe are organized. During regular visits to selected centers in Africa, they also carry out intensified treatment of patients and training of the local staff. The aim of the study was to present the experience of Polish surgeons from the humanitarian medical mission in Tamale in northern Ghana undertaken in fall of 2014. Material and methods. Surgical repair was performed in 87 patients (74 men – 85% and 13 women – 15%) between the ages of 26 to 70 years (mean 52.8 years; SD 10.3), who underwent a total of 98 inguinal hernia repairs under local anesthesia. Results. Lichtenstein procedure was performed in 93 and Desarda technique in 5 patients. Patients reported the long-term presence of hernia symptoms - from one to 7 years (mean 3.4 years, SD 1.4). In most patients, hernia occurred more than 3 years earlier (61 patients; 70%). There were no intraoperative complications. All patients were discharged the next day after surgery. There was one wound infection in postoperative period which required mesh explantation. Conclusions. Inguinal hernia commonly found in Ghana is a major issue for the inefficient health care system. Humanitarian medical missions can help to improve the treatment results, as long as they are carried out periodically and allow for training of local personnel. Scarce equipment of medical facilities in Ghana is not a significant difficulty in performing the Lichtenstein repair under the local anesthesia.
EN
Objectives: Human bites of the face are a frequent and serious health issue as they often compromise patients function and aesthetics as well as lead to further complications. The aim of the study is to review human bites of the face referred to our team during 112 short-term medical missions (STMMs) in Sub-Saharan Africa over the past 20 years and to discuss the epidemiology, appearance, management and outcome, including the most common complications. Methods: A retrospective medical documentation review was carried out examining all human bites of the face operated by our team during 112 STMMs from 2000 to 2019 in different countries of Sub-Saharan Africa. Results: Out of about 5500 patients medical charts 51 patients were selected due to history of human bite. Patients’ age range was 15–65 years, female to male ratio was 1, 55:1, the most often involved parts were: lips, ear and nose. Various surgical procedures were carried out including local flaps and free grafts. Infection and graft necrosis were the most common reported complication (n = 4; 9.3%). Conclusion: Human bites injuries are a serious health problem in some African populations because of their frequency and possible severity. The treatment is particularly challenging due to their potential to cause local infections, the risk they pose for transmission of systemic diseases as well as their demanding surgical management.
EN
Being injured is inherent to participating in football activities; therefore, prevention of injuries is crucial. This requires that the risk factors for injury be established. However, such studies are rarely conducted in women athletes in Africa. The study’s aim was to explore intrinsic risk factors for injury among African women football players using functional and musculoskeletal assessments. Participants (n=40) completed demographic questionnaires; upper and lower limb active range of motion (AROM); muscle endurance and functional movement screening (FMS™) assessed. Median age [Q1; Q3] was 24 [20; 27] years. Participants performed 20.5 [0; 30.5] push-ups and 28 squats [30; 38] in 60s; and held the prone elbow plank for 46.2s [30.6; 64.5]. Median FMS™ score was 12 [10; 13]; most players (n=27, 68%) could not execute a proper deep squat. Most players (70%; n=28), were able to properly perform the in line lunge but scored poorly in the shoulder mobility domain of the FMS™, with 73% (n=29) scoring ≤1. Players with a history of injury had lower FMS™ total (p=0.02). Overall, participants presented with low muscle endurance and movement imbalances, which might predispose them to injury. Hence, strength and conditioning measures should be instituted in this population to prevent injuries.
EN
Forestry has a significant role to play in green economy transformation process of African Continent. It is important to provide strong rationale that will link the forest to economic development. This paper therefore provides useful information on the potential of forest resources for socio-economic improvement with emphasize on the status of African forest. The paper reviewed the role of forest in climate change mitigation and achievement of Sustainable Development Goals as well as the role of forest in attaining industrialization. It was revealed that Central Africa has highest forest area with North Africa having lowest forest area. However, in terms of planted forest North Africa has highest area while Central Africa has lowest area. More so through sustainable management of forest some SDGs can be achieved. Forest is found to be useful approach in climate change mitigation through carbon sequestration. The strategies that can be adopted to improve the status of African forest include sustainable management of forest resources, afforestation and improved agroforestry practices. The paper recommends policy strategy that will re-position forestry subsector in order to achieve its primary roles in the climate change mitigation, economy and promote agroforestry to increase forest cover.
EN
Objective: To determine the subjects and content of publications produced by oral and maxillofacial surgeons practicing daily in less resourced countries in sub-Saharan Africa (SSA).  Materials and methods: We used two databases, PubMed and African online journals, for this literature review. We limited our research to the years 2000-2022. We have chosen the articles with the abstract and only in English or French. For each article we looked for the country of origin, the language of the article, the accessibility of the articles; the name of the newspaper, the number and type of illustrations. For each open access article, we looked for the method of payment for publication and the assignment of copyright. We found 1761 articles and finally retained 47 articles. Results: Publications from SSA countries are very rare among all publications from the African continent (47/1761= 2.6%). All selected articles were published in 33 different newspapers. 46.8% of articles were written by authors from Tanzania and Sudan. Open access articles represent the majority of published articles (59%). Closed access articles are related to Noma and articles in French. We identified only two scientific journals, African Health Sciences and South Sudan Medical Journal, which were free to readers and authors. The English language was predominant (85%). 53 images were freely accessible to illustrate all the subjects of oral and maxillofacial surgery in SSA countries. We also presented the conclusions of the articles by classifying them by subject: 1) Tumors (13 articles), 2) Traumas/maxillofacial fractures (11 articles), 3) Clefts (4 articles), 4) Infectious diseases (5 articles), 5) Cultural practices (4 articles), 6) Noma (2 articles), 7) Syndromes (5 articles), and miscellaneous subjects (3 articles). Conclusions: We presented the system of current scientific publications, the place of scientific publications and the particular aspects of publications on maxillofacial surgery in SSA countries, we proposed possible directions of publication for authors maxillofacial surgeons in SSA countries, as well as the potential place of the journal Nemesis in this African context.
FR
Objectif: Déterminer quels étaient les sujets et le contenu des publications réalisées par des chirurgiens oro-et maxillo-faciaux pratiquant quotidiennement dans les pays à moindre ressources d’Afrique sub-saharienne (ASS). Matériel et méthodes: Nous avons utilisé deux bases de données, PubMed et African online journals, pour cette revue de littérature. Nous avons limité notre recherche aux années 2000-2022. Nous avons choisi les articles avec le résumé et uniquement en langue anglaise ou française. Pour chaque article nous avons cherché le pays d’origine, la langue de l’article, l’accessibilité des articles ; le nom du journal, le nombre et le type d’illustrations. Pour chaque article en accès libre, nous avons cherché le mode de payement de la publication et la cession les droits d’auteur. Nous avons trouvé 1761 articles et retenu finalement 47 articles. Résultats: Les publications issues des pays ASS sont très rares parmi toutes les publications du continent africain (47/1761= 2,6%). Tous les articles retenus étaient publiés dans 33 journaux différents. 46,8% des articles ont été écrits par les auteurs de Tanzanie et de Soudan. Les articles en accès libre représentent la majorité des articles publiés (59%). Les articles en accès fermé sont liés au Noma et aux articles en langue française. Nous avons identifié uniquement deux journaux scientifiques African Health Sciences et South Sudan Medical Journal, qui étaient gratuits pour les lecteurs et les auteurs. La langue anglaise était prédominante (85%). 53 images étaient accessibles gratuitement pour illustrer l’ensemble des sujets de la chirurgie orale et maxillo-faciale dans les pays ASS. Nous avons également présenté les conclusions des articles en les classant par sujets : 1) Tumeurs (13 articles), 2) Traumatismes/fractures maxillo-faciales (11 articles), 3) Fentes (4 articles), 4) Pathologies infectieuses (5 articles), 5) Pratiques culturelles (4 articles), 6) Noma (2 articles), 7) Syndromes (5 articles), et les sujets divers (3 articles). Conclusions: Nous avons présenté le système de publications scientifiques actuelles, la place des publications scientifiques et les aspects particuliers des publications sur la chirurgie maxillofaciale dans les pays ASS, nous avons proposé de possibles directions de publication pour les auteurs chirurgiens maxillo-faciaux des pays ASS, ainsi que la place potentielle de la revue Nemesis dans ce contexte africain.
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