المؤلفون: Alves, Kristin, Penny, Norgrove, Ekure, John, Olupot, Robert, Kobusingye, Olive, Katz, Jeffrey N, Sabatini, Coleen S

المصدر: BMC Musculoskeletal Disorders. 19(1)

مصطلحات موضوعية: Biomedical and Clinical Sciences, Clinical Sciences, Health Sciences, Clinical Research, Pediatric, Prevention, Buttocks, Child, Child, Preschool, Female, Fibrosis, Humans, Injections, Intramuscular, Male, Paralysis, Prevalence, Retrospective Studies, Rural Health, Uganda, Gluteal fibrosis, Post-injection paralysis, Orthopedics, Clinical sciences, Allied health and rehabilitation science, Sports science and exercise

الوصف: BackgroundThe purpose of this study was to estimate the prevalence of postinjection paralysis (PIP) and gluteal fibrosis (GF) among children treated in a rural Ugandan Hospital.MethodsWe conducted a retrospective cohort study by reviewing the musculoskeletal clinic and community outreach logs for children (age

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/82b3m32wTest

المؤلفون: Alves, Kristin, Penny, Norgrove, Kobusingye, Olive, Olupot, Robert, Katz, Jeffrey N, Sabatini, Coleen S

المصدر: International Orthopaedics. 42(8)

مصطلحات موضوعية: Biomedical and Clinical Sciences, Clinical Sciences, Clinical Research, Pediatric, Brain Disorders, Neurosciences, Rehabilitation, Infection, Musculoskeletal, Adolescent, Child, Child, Preschool, Cohort Studies, Cost of Illness, Cross-Sectional Studies, Female, Humans, Infant, Male, Musculoskeletal Diseases, Prevalence, Retrospective Studies, Surveys and Questionnaires, Uganda, Pediatric musculoskeletal health, Pediatric orthopaedics, Gluteal fibrosis, Post-injection paralysis, MSK burden, Orthopedics, Clinical sciences

الوصف: PurposeThe purpose of this study is to estimate the burden of musculoskeletal disease among children treated in Kumi District, Uganda, to inform training, capacity-building efforts, and resource allocation.MethodsWe conducted a retrospective cohort study by reviewing the musculoskeletal (MSK) clinic and community outreach logs for children (age

وصف الملف: application/pdf

الوصول الحر: https://escholarship.org/uc/item/2253879tTest

المؤلفون: Reilly, Amanda L., Owori, Francis R., Obaikol, Ruth, Asige, Elizabeth, Aluka, Harriet, Penny, Norgrove, Olupot, Robert, Sabatini, Coleen S.

المصدر: Journal of Pediatric Orthopaedics ; volume 41, issue 3, page e240-e245 ; ISSN 0271-6798

الوصف: Background: Gluteal fibrosis (GF) is a fibrotic infiltration of the gluteal muscles resulting in functionally limiting contracture of the hips and is associated with injections of medications into the gluteal muscles. It has been reported in numerous countries throughout the world. This study assesses the 5-year postoperative range of motion (ROM) and functional outcomes for Ugandan children who underwent surgical release of GF. Methods: A retrospective cohort study of children who underwent release of GF in 2013 at Kumi Hospital in Eastern Uganda. Functional outcomes, hip ROM, and scar satisfaction data were collected for all patients residing within 40 km of the hospital. Results: One hundred eighteen children ages 4 to 16 at the time of surgery were treated with surgical release of GF in 2013 at Kumi Hospital. Of those 118, 89 were included in this study (79.5%). The remaining 29 were lost to follow-up or lived outside the study’s radius. Detailed preoperative ROM and functional data were available for 53 of the 89 patients. In comparison with preoperative assessment, all patients postoperatively reported ability to run normally ( P <0.001), sit upright in a chair ( P <0.001), sit while eating ( P <0.001), and attend the entire day of school ( P <0.001). Passive hip flexion ( P <0.001) improved when compared with preoperative measurements. In all, 85.2% (n=75) of patients reported satisfaction with scar appearance as “ok,” “good,” or “excellent” 29.2% (n=26) of patients reported back or hip complaints. Conclusions: Overall, the 5-year postoperative outcomes suggest that surgical release of GF improves ROM and functional quality of life with sustained effect. Level of Evidence: Level IV—case series.

الإتاحة: https://doi.org/10.1097/bpo.0000000000001735Test

المؤلفون: Barone Mark A, Frajzyngier Vera, Arrowsmith Steven, Ruminjo Joseph, Seuc Armando, Landry Evelyn, Beattie Karen, Barry Thierno, Lewis Alyona, Muleta Mulu, Nembunzu Dolorès, Olupot Robert, Sunday-Adeoye Ileogben, Wakasiaka Weston, Widmer Mariana, Gülmezoglu A Metin

المصدر: BMC Women's Health, Vol 12, Iss 1, p 5 (2012)

مصطلحات موضوعية: Vaginal fistula, Catheter, Non-inferiority randomized controlled trial, Surgery, Gynecology and obstetrics, RG1-991, Public aspects of medicine, RA1-1270

الوصف: Background A vaginal fistula is a devastating condition, affecting an estimated 2 million girls and women across Africa and Asia. There are numerous challenges associated with providing fistula repair services in developing countries, including limited availability of operating rooms, equipment, surgeons with specialized skills, and funding from local or international donors to support surgeries and subsequent post-operative care. Finding ways of providing services in a more efficient and cost-effective manner, without compromising surgical outcomes and the overall health of the patient, is paramount. Shortening the duration of urethral catheterization following fistula repair surgery would increase treatment capacity, lower costs of services, and potentially lower risk of healthcare-associated infections among fistula patients. There is a lack of empirical evidence supporting any particular length of time for urethral catheterization following fistula repair surgery. This study will examine whether short-term (7 day) urethral catheterization is not worse by more than a minimal relevant difference to longer-term (14 day) urethral catheterization in terms of incidence of fistula repair breakdown among women with simple fistula presenting at study sites for fistula repair service. Methods/Design This study is a facility-based, multicenter, non-inferiority randomized controlled trial (RCT) comparing the new proposed short-term (7 day) urethral catheterization to longer-term (14 day) urethral catheterization in terms of predicting fistula repair breakdown. The primary outcome is fistula repair breakdown up to three months following fistula repair surgery as assessed by a urinary dye test. Secondary outcomes will include repair breakdown one week following catheter removal, intermittent catheterization due to urinary retention and the occurrence of septic or febrile episodes, prolonged hospitalization for medical reasons, catheter blockage, and self-reported residual incontinence. This trial will be ...

العلاقة: http://www.biomedcentral.com/1472-6874/12/5Test; https://doaj.org/toc/1472-6874Test; https://doaj.org/article/1f3aa75b5aa74c4a9a8216b76ec5a2beTest

الإتاحة: https://doi.org/10.1186/1472-6874-12-5Test
https://doaj.org/article/1f3aa75b5aa74c4a9a8216b76ec5a2beTest

المؤلفون: Barone, Mark A, Frajzyngier, Vera, Arrowsmith, Steven, Ruminjo, Joseph, Seuc, Armando, Landry, Evelyn, Beattie, Karen, Barry, Thierno, Lewis, Alyona, Muleta, Mulu, Nembunzu, Dolorès, Olupot, Robert, Sunday-Adeoye, Ileogben, Wakasiaka, Weston, Widmer, Mariana, Gülmezoglu, A Metin

مصطلحات موضوعية: Vaginal fistula, Catheter, Non-inferiority randomized controlled trial, Surgery

الوصف: Background A vaginal fistula is a devastating condition, affecting an estimated 2 million girls and women across Africa and Asia. There are numerous challenges associated with providing fistula repair services in developing countries, including limited availability of operating rooms, equipment, surgeons with specialized skills, and funding from local or international donors to support surgeries and subsequent post-operative care. Finding ways of providing services in a more efficient and cost-effective manner, without compromising surgical outcomes and the overall health of the patient, is paramount. Shortening the duration of urethral catheterization following fistula repair surgery would increase treatment capacity, lower costs of services, and potentially lower risk of healthcare-associated infections among fistula patients. There is a lack of empirical evidence supporting any particular length of time for urethral catheterization following fistula repair surgery. This study will examine whether short-term (7 day) urethral catheterization is not worse by more than a minimal relevant difference to longer-term (14 day) urethral catheterization in terms of incidence of fistula repair breakdown among women with simple fistula presenting at study sites for fistula repair service. Methods/Design This study is a facility-based, multicenter, non-inferiority randomized controlled trial (RCT) comparing the new proposed short-term (7 day) urethral catheterization to longer-term (14 day) urethral catheterization in terms of predicting fistula repair breakdown. The primary outcome is fistula repair breakdown up to three months following fistula repair surgery as assessed by a urinary dye test. Secondary outcomes will include repair breakdown one week following catheter removal, intermittent catheterization due to urinary retention and the occurrence of septic or febrile episodes, prolonged hospitalization for medical reasons, catheter blockage, and self-reported residual incontinence. This trial will be ...

العلاقة: http://www.biomedcentral.com/1472-6874/12/5Test

الإتاحة: http://www.biomedcentral.com/1472-6874/12/5Test

المؤلفون: Barone, Mark A, Widmer, Mariana, Arrowsmith, Steven, Ruminjo, Joseph, Seuc, Armando, Landry, Evelyn, Barry, Thierno Hamidou, Danladi, Dantani, Djangnikpo, Lucien, Gbawuru-Mansaray, Tagie, Harou, Issoufa, Lewis, Alyona, Muleta, Mulu, Nembunzu, Dolorès, Olupot, Robert, Sunday-Adeoye, Ileogben, Wakasiaka, Weston Khisa, Landoulsi, Sihem, Delamou, Alexandre, Were, Lilian, Frajzyngier, Vera, Beattie, Karen, Gülmezoglu, A Metin

المصدر: The Lancet ; volume 386, issue 9988, page 56-62 ; ISSN 0140-6736

مصطلحات موضوعية: General Medicine

الإتاحة: https://doi.org/10.1016/s0140-6736Test(14)62337-0
https://api.elsevier.com/content/article/PII:S0140673614623370?httpAccept=text/plainTest
https://api.elsevier.com/content/article/PII:S0140673614623370?httpAccept=text/xmlTest

المؤلفون: Olupot, Robert

مصطلحات موضوعية: Chronic anal fissure, Manual Dilation of the Anus (MDA), Lateral Internal Sphincterotomy (LIS), Anal sphincter Anal tone

الوصف: A dissertation submitted to the School of Graduate Studies in partial fulfillment of the requirements for the degree of Master of Medicine in Surgery of Makerere University ; Background: The modern treatment of chronic anal fissure is aimed at reducing the resting anal pressure. This can be achieved either by a conservative approach as the first line of clinical management or surgery, if the conservative approach is unsuccessful. Manual Dilation of the Anus (MDA) has been the mainstay of treatment for this condition for the last 160 years. It has its proponents and critics. To date there has been a variation in practice with some authorities still practicing MDA and others preferring Lateral Internal Sphincterotomy (LIS) as the treatment of choice. Both surgical options mechanically relax the internal anal sphincter, reduce the resting anal tone, improve or restore perfusion in the anoderm resulting into healing. A scientific analysis of manual anal dilation however has not been made in this population. The aim of this prospective descriptive study was to determine the outcome of standardized gentle MDA in the management of chronic fissure in this setting, and to identify the complications and the overall patient satisfaction as regards the final result. Methods: Data was prospectively collected from patients aged between 18-61 years. Recruitment, clinical evaluation and HIV screening were done and a surgical intervention (MDA) offered. Recruitment was done concurrently with follow up lasting four weeks. Postoperative status was assessed at weekly intervals for complications or improvement. Symptomatic assessment and overall patient satisfaction was then assessed on a scale at the end of the follow up period. Results: A total of forty eight (48) patients were recruited and underwent surgery, three were lost to follow up and forty five (15) were followed up. The results of 45 patients are presented. The male to female ratio was 1:2:5 The mean duration of symptoms was 30 weeks and ranged between 6-60 weeks. Over ...

العلاقة: Olupot, R. (2005). Clinical outcome of manual dilation of the anus (MDA), for anal fissure at Mulago Hospital. Unpublished master's thesis, Makerere University, Kampala, Uganda; http://hdl.handle.net/10570/1098Test

الإتاحة: http://hdl.handle.net/10570/1098Test