Publisher: African Journals Online   (Total: 263 journals)

 A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z  

        1 2 | Last   [Sort by number of followers]   [Restore default list]

Showing 1 - 200 of 263 Journals sorted alphabetically
Abia State University Medical Students' Association J.     Full-text available via subscription   (Followers: 3)
Acta Structilia : J. for the Physical and Development Sciences     Open Access   (Followers: 3)
Acta Theologica     Open Access   (Followers: 12, SJR: 0.282, CiteScore: 0)
Africa Development     Open Access   (Followers: 34, SJR: 0.155, CiteScore: 0)
Africa Sanguine     Full-text available via subscription   (Followers: 1)
African Anthropologist     Open Access   (Followers: 16)
African Crop Science J.     Open Access   (Followers: 4)
African Health Sciences     Open Access   (Followers: 5, SJR: 0.446, CiteScore: 1)
African J. of Anaesthesia and Intensive Care     Full-text available via subscription   (Followers: 9)
African J. of Biomedical Research     Open Access   (Followers: 1, SJR: 0.145, CiteScore: 0)
African J. of Chemical Education     Open Access   (Followers: 5)
African J. of Clinical and Experimental Microbiology     Open Access   (Followers: 4, SJR: 0.192, CiteScore: 0)
African J. of Cross-Cultural Psychology and Sport Facilitation     Full-text available via subscription   (Followers: 6)
African J. of Drug and Alcohol Studies     Full-text available via subscription   (Followers: 6, SJR: 0.168, CiteScore: 0)
African J. of Economic Policy     Full-text available via subscription   (Followers: 3)
African J. of Educational Studies in Mathematics and Sciences     Full-text available via subscription   (Followers: 9)
African J. of Food, Agriculture, Nutrition and Development     Open Access   (Followers: 26, SJR: 0.115, CiteScore: 0)
African J. of Governance and Development     Full-text available via subscription   (Followers: 6)
African J. of Health Professions Education     Open Access   (Followers: 6)
African J. of Infectious Diseases     Full-text available via subscription   (SJR: 0.243, CiteScore: 0)
African J. of Livestock Extension     Full-text available via subscription   (Followers: 2)
African J. of Neurological Sciences     Open Access  
African J. of Physiotherapy and Rehabilitation Sciences     Open Access   (Followers: 10)
African J. of Reproductive Health     Open Access   (Followers: 8, SJR: 0.381, CiteScore: 1)
African J. of Rheumatology     Full-text available via subscription   (Followers: 1)
African J. of Social Work     Open Access   (Followers: 1)
African J. of Sustainable Development     Full-text available via subscription   (Followers: 9)
African J. of Traditional, Complementary and Alternative Medicines     Open Access   (Followers: 6)
African J. on Conflict Resolution     Open Access   (Followers: 27)
African Research Review     Open Access   (Followers: 9)
African Review of Economics and Finance     Open Access   (Followers: 9)
African Sociological Review : Revue Africaine de Sociologie     Open Access   (Followers: 3)
Afrika Statistika     Open Access   (Followers: 1)
Afrimedic J.     Open Access   (Followers: 3)
Afrique Science : Revue Intl.e des Sciences et Technologie     Open Access   (Followers: 2)
AFRREV IJAH : An Intl. J. of Arts and Humanities     Open Access   (Followers: 6)
AFRREV LALIGENS : An Intl. J. of Language, Literature and Gender Studies     Open Access   (Followers: 6)
AFRREV STECH : An Intl. J. of Science and Technology     Open Access   (Followers: 3)
Agro-Science     Full-text available via subscription   (Followers: 2)
Agronomie Africaine     Full-text available via subscription  
Agrosearch     Open Access   (Followers: 2)
Animal Research Intl.     Full-text available via subscription   (Followers: 8)
Annales des Sciences Agronomiques     Full-text available via subscription  
Annals of African Surgery     Open Access  
Annals of Biomedical Sciences     Full-text available via subscription   (Followers: 4)
Annals of Humanities and Development Studies     Open Access   (Followers: 7)
Annals of Ibadan Postgraduate Medicine     Open Access  
Annals of Modern Education     Full-text available via subscription   (Followers: 6)
Arab J. of Nephrology and Transplantation     Open Access   (Followers: 1)
Archives of Medical and Biomedical Research     Open Access   (Followers: 3)
ATBU J. of Environmental Technology     Open Access   (Followers: 5)
Bayero J. of Pure and Applied Sciences     Open Access   (Followers: 3)
Bio-Research     Full-text available via subscription   (Followers: 5)
Biokemistri     Open Access  
Botswana J. of Economics     Open Access   (Followers: 1)
Botswana J. of Technology     Full-text available via subscription   (Followers: 1)
Bulletin of Animal Health and Production in Africa     Full-text available via subscription   (Followers: 3)
Bulletin of the Chemical Society of Ethiopia     Open Access   (Followers: 1, SJR: 0.24, CiteScore: 1)
Cameroon J. of Experimental Biology     Open Access  
Central African J. of Medicine     Full-text available via subscription  
Communicate : J. of Library and Information Science     Full-text available via subscription   (Followers: 68)
Contemporary J. of African Studies     Full-text available via subscription   (Followers: 4)
Counsellor (The)     Full-text available via subscription   (Followers: 3)
Creative Artist : A J. of Theatre and Media Studies     Open Access   (Followers: 11)
Critical Studies in Teaching and Learning (CriSTaL)     Open Access   (Followers: 17)
Dar Es Salaam Medical Students' J.     Open Access  
East African J. of Public Health     Full-text available via subscription   (Followers: 4)
East African Medical J.     Full-text available via subscription   (Followers: 2, SJR: 0.122, CiteScore: 0)
East African Orthopaedic J.     Full-text available via subscription   (Followers: 1)
East and Central African J. of Pharmaceutical Sciences     Open Access   (Followers: 3)
East and Central African J. of Surgery     Open Access  
Eastern Africa Social Science Research Review     Full-text available via subscription   (Followers: 7)
Ebonyi Medical J.     Full-text available via subscription  
Egyptian J. of Biochemistry and Molecular Biology     Full-text available via subscription  
Egyptian J. of Biology     Open Access  
Egyptian J. of Natural History     Open Access   (Followers: 1)
Egyptian J. of Pediatric Allergy and Immunology     Open Access   (Followers: 2)
ESARBICA J. : J. of the Eastern and Southern Africa Regional Branch of the Intl. Council on Archives     Full-text available via subscription   (Followers: 6)
Ethiopian J. of Agricultural Sciences     Open Access  
Ethiopian J. of Biological Sciences     Open Access   (Followers: 4)
Ethiopian J. of Business and Economics     Full-text available via subscription   (Followers: 1)
Ethiopian J. of Economics     Full-text available via subscription   (Followers: 4)
Ethiopian J. of Education and Sciences     Open Access   (Followers: 6)
Ethiopian J. of Environmental Studies and Management     Open Access   (Followers: 4)
Ethiopian J. of Health Development     Open Access   (Followers: 7, SJR: 0.131, CiteScore: 0)
Ethiopian J. of Health Sciences     Open Access   (Followers: 8, SJR: 0.418, CiteScore: 1)
Ethiopian J. of Science and Technology     Open Access  
Ethiopian J. of the Social Sciences and Humanities     Full-text available via subscription   (Followers: 8, SJR: 0.101, CiteScore: 0)
Ethiopian Pharmaceutical J.     Full-text available via subscription   (Followers: 2)
Ethiopian Veterinary J.     Open Access   (Followers: 4)
Filosofia Theoretica : J. of African Philosophy, Culture and Religions     Open Access   (Followers: 1, SJR: 0.123, CiteScore: 0)
FUTY J. of the Environment     Full-text available via subscription   (Followers: 1)
Ghana J. of Agricultural Science     Full-text available via subscription   (Followers: 2)
Ghana J. of Development Studies     Full-text available via subscription   (Followers: 8)
Ghana J. of Forestry     Full-text available via subscription   (Followers: 3)
Ghana J. of Geography     Open Access   (Followers: 10)
Ghana J. of Linguistics     Open Access   (Followers: 1)
Ghana Library J.     Full-text available via subscription   (Followers: 15)
Ghana Medical J.     Open Access   (Followers: 1, SJR: 0.301, CiteScore: 1)
Ghana Mining J.     Full-text available via subscription   (Followers: 3)
Global Approaches to Extension Practice : A J. of Agricultural Extension     Full-text available via subscription   (Followers: 1)
Global J. of Agricultural Sciences     Full-text available via subscription  
Global J. of Educational Research     Full-text available via subscription   (Followers: 2)
Global J. of Engineering Research     Full-text available via subscription   (SJR: 0.109, CiteScore: 0)
Global J. of Environmental Sciences     Full-text available via subscription  
Global J. of Geological Sciences     Full-text available via subscription   (Followers: 1)
Global J. of Mathematical Sciences     Full-text available via subscription  
Global J. of Pure and Applied Sciences     Full-text available via subscription  
Global J. of Social Sciences     Full-text available via subscription   (Followers: 3)
Haramaya Law Review     Open Access   (Followers: 1)
Highland Medical Research J.     Full-text available via subscription  
Huria : J. of the Open University of Tanzania     Full-text available via subscription   (Followers: 2)
Ibadan J. of Humanistic Studies     Full-text available via subscription  
IMTU Medical J.     Full-text available via subscription  
Information Manager (The)     Open Access   (Followers: 30)
Information Technologist (The)     Full-text available via subscription   (Followers: 19)
Inkanyiso : J. of Humanities and Social Sciences     Open Access   (Followers: 1)
Internet J. of Medical Update     Open Access   (Followers: 1)
Intl. J. of Applied Agriculture and Apiculture Research     Open Access   (Followers: 3)
Intl. J. of Basic, Applied and Innovative Research     Open Access  
Intl. J. of Community Research     Open Access   (Followers: 2)
Intl. J. of Engineering, Science and Technology     Open Access  
Intl. J. of Health Research     Open Access   (Followers: 4, SJR: 0.101, CiteScore: 0)
Intl. J. of Herbs and Pharmacological Research     Open Access   (Followers: 1)
Intl. J. of Medicine and Biomedical Research     Open Access   (Followers: 1, SJR: 0.104, CiteScore: 0)
Intl. J. of Modern Anthropology     Open Access   (Followers: 2)
Intl. J. of Pedagogy, Policy and ICT in Education     Full-text available via subscription   (Followers: 3)
Italian Studies in Southern Africa : Studi d’Italianistica nell’Africa Australe     Full-text available via subscription   (Followers: 2)
J. de la Recherche Scientifique de l'Universite de Lome     Full-text available via subscription   (Followers: 2)
J. for the Study of Religion     Full-text available via subscription   (Followers: 23)
J. of Agricultural Extension     Open Access   (Followers: 2, SJR: 0.188, CiteScore: 0)
J. of Agricultural Research and Development     Full-text available via subscription  
J. of Agriculture and Food Sciences     Full-text available via subscription   (Followers: 2)
J. of Agriculture and Social Research (JASR)     Open Access   (Followers: 5)
J. of Agriculture, Forestry and the Social Sciences     Full-text available via subscription   (Followers: 5)
J. of Applied Biosciences     Open Access   (Followers: 2)
J. of Applied Science and Technology     Full-text available via subscription   (Followers: 1)
J. of Applied Sciences and Environmental Management     Open Access   (Followers: 3)
J. of Aquatic Sciences     Full-text available via subscription   (Followers: 3)
J. of Community Medicine and Primary Health Care     Open Access   (Followers: 5)
J. of Computer Science and Its Application     Full-text available via subscription   (Followers: 2)
J. of Development and Communication Studies     Open Access   (Followers: 5)
J. of Endocrinology, Metabolism and Diabetes of South Africa     Open Access   (Followers: 8, SJR: 0.174, CiteScore: 0)
J. of Environmental Extension     Full-text available via subscription  
J. of Family Ecology and Consumer Sciences :Tydskrif vir Gesinsekologie en Verbruikerswetenskappe     Open Access  
J. of Health and Visual Sciences     Full-text available via subscription   (Followers: 1)
J. of History and Diplomatic Studies     Full-text available via subscription   (Followers: 8)
J. of Language, Technology & Entrepreneurship in Africa     Open Access   (Followers: 2)
J. of Medical and Biomedical Sciences     Open Access   (Followers: 2, SJR: 0.162, CiteScore: 0)
J. of Medicine and Biomedical Research     Open Access   (Followers: 1)
J. of Meteorology and Climate Science     Full-text available via subscription   (Followers: 13)
J. of Pharmaceutical and Allied Sciences     Full-text available via subscription   (Followers: 1)
J. of Pharmacy & Bioresources     Full-text available via subscription   (Followers: 4, SJR: 0.405, CiteScore: 1)
J. of Religion and Human Relations     Open Access   (Followers: 3)
J. of Research in Forestry, Wildlife and Environment     Open Access   (Followers: 6)
J. of Research in National Development     Full-text available via subscription  
J. of Science and Sustainable Development     Full-text available via subscription  
J. of Science and Technology (Ghana)     Open Access   (Followers: 3)
J. of Social Development in Africa     Full-text available via subscription   (Followers: 8)
J. of the Ghana Science Association     Full-text available via subscription   (Followers: 3)
J. of the South African Society of Archivists     Full-text available via subscription   (Followers: 8)
J. of Tropical Microbiology and Biotechnology     Full-text available via subscription  
Jos J. of Medicine     Open Access  
KCA J. of Business Management     Open Access  
Kenya Veterinarian     Full-text available via subscription   (Followers: 2)
Kioo cha Lugha     Full-text available via subscription  
Lagos Historical Review     Full-text available via subscription  
Lagos Notes and Records     Full-text available via subscription  
Law, Democracy & Development     Open Access   (Followers: 6)
Legon J. of the Humanities     Full-text available via subscription  
Lwati : A J. of Contemporary Research     Full-text available via subscription   (Followers: 2)
Madagascar Conservation & Development     Open Access   (Followers: 3)
Makerere J. of Higher Education     Full-text available via subscription   (Followers: 2)
Malawi J. of Science and Technology     Open Access   (Followers: 6)
Marang : J. of Language and Literature     Full-text available via subscription  
Medical J. of Zambia     Open Access  
Mizan Law Review     Open Access   (Followers: 1)
Momona Ethiopian J. of Science     Open Access   (Followers: 4)
New Agenda : South African J. of Social and Economic Policy     Full-text available via subscription  
New Egyptian J. of Microbiology     Full-text available via subscription  
Nigeria Agricultural J.     Full-text available via subscription   (Followers: 2)
Nigerian Dental J.     Full-text available via subscription   (Followers: 2)
Nigerian Endocrine Practice     Full-text available via subscription  
Nigerian Food J.     Full-text available via subscription   (Followers: 2)
Nigerian Health J.     Open Access   (Followers: 1)
Nigerian Hospital Practice     Full-text available via subscription  
Nigerian J. of Animal Science     Full-text available via subscription   (Followers: 1)
Nigerian J. of Biotechnology     Open Access  
Nigerian J. of Chemical Research     Full-text available via subscription   (Followers: 2)
Nigerian J. of Clinical Medicine     Full-text available via subscription  
Nigerian J. of Family Practice     Full-text available via subscription   (Followers: 1)
Nigerian J. of Gastroenterology and Hepatology     Full-text available via subscription  
Nigerian J. of Guidance and Counselling     Full-text available via subscription   (Followers: 3)
Nigerian J. of Medicine     Full-text available via subscription  
Nigerian J. of Natural Products and Medicine     Full-text available via subscription  
Nigerian J. of Nutritional Sciences     Full-text available via subscription  
Nigerian J. of Paediatrics     Open Access   (Followers: 1)
Nigerian J. of Parasitology     Full-text available via subscription   (Followers: 1)
Nigerian J. of Physiological Sciences     Open Access   (SJR: 0.128, CiteScore: 0)
Nigerian J. of Psychiatry     Full-text available via subscription   (Followers: 3)

        1 2 | Last   [Sort by number of followers]   [Restore default list]

Similar Journals
Journal Cover
East and Central African Journal of Surgery
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2073-9990
Published by African Journals Online Homepage  [263 journals]
  • Mini-craniotomy under local anaesthesia and sedation as a less invasive
           procedure for spontaneous intracerebral haemorrhage in a developing
           country

    • Authors: Amos O. Adeleye
      Abstract: Background: Minimally invasive surgery (MINS) is being viewed as the more practical alternative to the traditional craniotomy for the evacuation of spontaneous intracerebral haemorrhage (sICH). Most such sICH arises as complications of systemic hypertension. The techniques of MINS described are not currently affordable in most developing countries.Methods: An annotated technique of mini-craniotomy under local anaesthesia (LA) is here described as a stop-gap solution to this problem. An outcome study of this surgical technique in a prospective consecutive patient population is also presented.
      Results: Twenty-one patients, 13 males, mean age 41.1 years, underwent this surgical procedure. Clinical presentation of the sICH was generally severe: 48% in coma, 81% critically ill, and many of these cases were complicated with high fever, meningism, and chest morbidity. The Glasgow Coma Scale score was 3/15 to 8/15 and 9/15 to 12/15, respectively, in 9 of 21 cases (42.9%) each. The ICH showed evidence of significant mass effect on brain computed tomography (CT) scan in 95% and was associated with intraventricular haemorrhage in 43%. The bleed was deep-seated in the white matter and basal ganglia in 16 of 21 cases, and superficial-cortical in the rest. The midline shift was at least 5 mm in all of these. The surgical procedure was successfully completed in all cases. The in-hospital results were: mortality of 62% and postoperative survival of 38%, which is well within the range of global outcome statistics related to sICH.
      Conclusions: In well-selected patient groups mini-craniotomy under LA appears effectual in the surgical evacuation of sICH. It has a particular attraction as a low-cost treatment option for developing countries.
      Keywords: spontaneous ICH; surgical evacuation; minimally invasive surgery; surgical technique; mini-craniotomy; local anaesthesia; low-cost procedure; developing country
      PubDate: 2018-02-28
      Issue No: Vol. 22, No. 2 (2018)
       
  • Review of adult head injury admissions into the intensive care unit of a
           tertiary hospital in Nigeria

    • Authors: Afolabi M. Owojuyigbe, Edward O. Komolafe, Olumuyiwa A. Dada, Olufunke F. Dada, Anthony T. Adenekan, Aramide F. Faponle, Ibironke O. Ogunbameru, Oluwafemi F. Owagbemi, Fred S. Ige-Orhionkpaibima, Chiazor U. Onyia, Oluseun A. Olanrewaju
      Abstract: Background: Head injury is frequently associated with death and disability and imposes considerable demands on health services. Outcome after head injury is closely related to prompt management, including prevention of secondary brain injury and intensive care unit (ICU) management. This study aimed at determining the aetiological spectrum, injury characteristics, ICU admission patterns, and treatment outcomes of adult head-injured patients at a sub-Saharan tertiary hospital.Methods: A retrospective study on adult head-injured patients admitted to the ICU of a sub-Saharan tertiary hospital between July 2000 and June 2010.Results: A total of 198 head-injured adult patients were managed in the ICU during the study period. This included 128 males and 70 females witha male-to-female ratio of 1.8:1. The most common mode of injury was road traffic accident. All the patients admitted to ICU had either moderate or severe head injury, with 73.7% having severe head injury. About 26.3% of the patients had associated cervical spine injuries and 50% had various musculoskeletal and soft tissue injuries. Cranial computed tomography findings included brain contusions and intracranial haematomas. Mean duration of ICU stay was 18 days (range 24 hours-42 days), with 89.9% discharged out of ICU care. The overall mortality was 10.1%, although only 36.9% had satisfactory outcomes, as determined by the Glasgow Outcome Scale. Outcome had statistically significant (P < 0.05) relationship with severity of head injury and surgical intervention.Conclusions: Head injury management in the ICU requires an approach to ensure prevention of secondary brain injury; appropriate and early neuroimaging to diagnose lesions that would benefit from timely surgical intervention; as well as management of fluid, electrolyte and haematological derangements.
      Keywords: head injury; admissions; ICU
      PubDate: 2018-02-28
      Issue No: Vol. 22, No. 2 (2018)
       
  • Management of gangrenous sigmoid volvulus at Tenwek Hospital in western
           Kenya

    • Authors: Philip B. Ooko, Russell White
      Abstract: Background: Bowel gangrene has a negative impact on outcomes of patients with sigmoid volvulus (SV). This study aimed at evaluating the management and outcomes of patients with gangrenous sigmoid volvulus and assessing the utility of primary anastomosis as a management option.
      Methods: An 11-year (January 2006-December 2016) descriptive retrospective chart review of patients managed for SV at Tenwek Hospital in Bomet, Kenya.Results: A total of 46 cases were identified, representing 25.4% of all cases of SV noted during the study period. The group had a mean age of 47.3 years (range 15-81), mean symptom duration of 2.2 days (range 2 hours-7 days) and a male predominance of 87%. Primary anastomosis (PA) without a proximal diverting colostomy was performed in 24 cases and a Hartmann's procedure (HP) was performed in 22 cases. Patients who had a HP were noted to have had a longer duration of symptoms and a higher incidence of peritonitis than those who had a PA (2.7 vs 1.8 days, P = 0.02; and 72% vs 42%, P = 0.04). All patients with concurrent colonic perforation (n = 3) had a HP. Seven patients died, giving an overall mortality of 15.2%. There was an anastomotic leak rate of 4.2% and a mortality rate of 8.3% among the subset of patients who had a PA.Conclusions: Primary anastomosis can be safely performed with good outcomes in patients with gangrenous SV, and the presence of bowel gangrene does not mandate a diverting colostomy. Keywords: sigmoid volvulus; bowel gangrene; primary anastomosis; colostomy; bowel obstruction
      PubDate: 2018-02-28
      Issue No: Vol. 22, No. 2 (2018)
       
  • Clinicopathological guide to malignant bone tumours: A retrospective
           analysis of the cancer registry at Kilimanjaro Christian Medical Centre in
           northern Tanzania

    • Authors: Pamela T.K. Samoyo, Gilbert Z. Nkya, Fred G. Minja, Rogers J. Temu
      Abstract: Background: Primary neoplasms of the skeleton are rare. This study aimed at determining the spectrum of different malignant bone tumours at a tertiary hospital cancer registry in the Northern Zone of Tanzania, along with related symptoms, clinical presentations, and clinical diagnosis accuracy (using histology as the standard).Methods: This retrospective study reviewed bone specimen records in the cancer cegistry at Kilimanjaro Christian Medical Centre (KCMC) in Tanzania, for the period from 1 January 1998-31 December 2012. Patient information for corresponding cancer registry records was traced from hospital files and x-ray reports. Data were analysed using a mixed quantitative and qualitative approach.Results: Two hundred twenty-five malignant bone tumours were recorded at KCMC Cancer Registry over a period of 14 years. Seventy-five with adequate records were analysed. Forty-seven patients (62.7%) were male. Mean age was 34.1 (standard deviation 20) years. The femur was affected in 26 cases (34.7%). Osteosarcoma (22 cases; 29.3%) was the most common malignant bone tumour. Clinicians correctly preliminarily diagnosed multiple myeloma, osteosarcoma, and ameloblastoma, but had inexperience with carcinomas and other types of sarcomas. Chronic osteomyelitis and metastatic lesions were mentioned frequently by radiologists as the diagnosis of some malignant bone tumours that turned out to be carcinomas or sarcomas on histology.Conclusions: Clinician and radiologist training of other types of malignant bone tumours other than multiple myeloma, osteosarcoma, and ameloblastoma is required. An Orthopaedic Biopsy Form (OBF) was developed to address high loss to follow-up (66.7%). Keywords: malignant bone tumours; cancer registry; KCMC
      PubDate: 2018-02-28
      Issue No: Vol. 22, No. 2 (2018)
       
  • Total hip replacement surgery in Ethiopia

    • Authors: Eric C. Gokcen, Biruk L. Wamisho
      Abstract: Background: Total hip replacement (THR) surgery has evolved over years to the point that it has been considered as "the operation of the century". For developed countries, arthroplasty is well established for the management of various joint disorders and has completely revolutionised the treatment of the arthritic hip. The story is different in developing nations. Expensive implant costs and lack of trained orthopaedic surgeons are the main constraints; poverty has caused African countries to remain behind from enjoying the benefits of this medical breakthrough. In this study, we report our first and largest series of 50 such surgeries performed at the CURE Hospital in Addis Ababa. We believe that this is the first consecutive case series from Ethiopia and wanted to share our experience.
      Methods: Prospectively, all consecutive patients that underwent THR at CURE Hospital from October 2009 to October 2013 were followed for over 3 years using clinical assessments and hip scores. The hip implant used was a Stryker Omnfit Uncemented HA-coated prosthesis. The Visual Analog Scale (VAS) for pain and the Modified Oxford Hip Score were used to assess outcomes. Variables recorded for each patient included sociodemographic information, diagnosis, comorbidity, surgical approach, duration of surgery, estimated blood loss, implant sizes for Ethiopian hips, complications, sequelae, hip scores, and final patient satisfaction. These were analysed using SPSS version 16. Patterns and learning points were observed.Results: Of the 50 consecutive THR patients, 26 were male. Mean age was 48 years (range 14-85). In 30 hips, the right side was operated on, and 2 were bilaterally treated. Primary osteoarthritis (OA) and avascular necrosis (AVN) were the leading diagnoses requiring THR. Previous partial hip replacement (PHR, hemiarthroplasty) was converted to THR in 6 patients. The commonest comorbidities were dibetes mellitus and hypertension. There were 4 hips that dislocated after THR and 1 needed revision surgery. There was 1 persistent infection, 1 case of deep vein thrombosis (DVT), and 1 death. Mean EBL was approximately 1 L and only 5 patients needed transfusion. The most common sizes for Ethiopian hips were a 28 mm+0 head, 52 mm acetabular shell, and 140 mm #8 stem. The VAS and Modified Oxford Hip scores both improved significantly, and the results were comparable with international standards.Conclusions: THR is a viable, safe, and effective option in Ethiopia. Appropriate staff training, careful patient selection, continuous supply chain of implants, and establishing a dedicated joint replacement centre will reliably sustain THR surgery.Keywords: THR; total hip arthroplasty; osteoarthritis; hip surgery; implants; arthritis; hip prosthesis
      PubDate: 2018-02-28
      Issue No: Vol. 22, No. 2 (2018)
       
  • Epidemiology and clinical profile of common musculoskeletal diseases in
           patients with diabetes mellitus at Tikur Anbessa Specialized Hospital in
           Addis Ababa, Ethiopia

    • Authors: Biruk L. Wamisho, Yeweyenhareg Feleke
      Abstract: Background: Diabetes mellitus (DM) affects connective tissues in many ways and causes different alterations in periarticular and skeletal systems.
      Methods: A cross-sectional study was conducted by interviewing and examining 402 consecutive diabetic patients followed at Tikur Anbessa Hospital OPD. Evaluation was performed according to the Short Musculoskeletal Function Assessment Questionnaire (SMFA). The diagnoses were established by Consultant Orthopedic Surgeon.
      Results: Average duration of diabetes is 143 months (12 Years) and majority, 66.7% (268/402) of them are currently on insulin therapy. Mean current FBS is 245mg%. Excluding OA (47, 11.7%) and CLBP (78, 19.4%), overall prevalence of 1 or more of musculoskeletal Diseases (MSD) is 41.5 %. Hands were the most affected (74, 18.5 %). Five had amputation. Hand involvement and sex of the patient and Type of diabetes is significantly associated, Duration of DM and shoulder involvement are significantly related.Conclusions: Musculoskeletal manifestations are very high in adult diabetic patients at the centre and need multidisciplinary clinical attention. Physicians should always consider examining the periarticular region of the joints in the hands feet. Duration of diabetes is associated to development of shoulder complications.Recommendations: Routine MSD screening, establishing a foot care clinic and strengthening diabetic education may prevent development or worsening of MSD Keywords: musculoskeletal complications; diabetic foot; foot care; trigger finger; Dupuytren's contracture; stiff frozen shoulder
      PubDate: 2018-02-28
      Issue No: Vol. 22, No. 2 (2018)
       
  • Radiological diagnosis of pneumoperitoneum in children with typhoid
           intestinal perforation

    • Authors: Lofty-John C. Anyanwu, Aminu M. Mohammad, Mohammed K. Saleh, Lawal B. Abdullahi, Aliyu U. Farinyaro, Stephen K. Obaro
      Abstract: Background: Typhoid fever is a severe systemic illness caused by the gram-negative bacillus Salmonella typhi and transmitted by the faecal-oral route. This study sought to determine the value of plain abdominal and chest radiographs in detecting pneumoperitoneum in children with typhoid intestinal perforation (TIP).Methods: A retrospective review of plain abdominal and chest radiographs of children who had surgery for TIP between June 2009 and December 2011 in our unit. All the films were reviewed by the same radiologist who was blinded to the intraoperative findings, for the presence or absence of various signs of pneumoperitoneum. Data were collected on a structured questionnaire and analysed using SPSS version 15.0.Results: Radiographs of 54 children were reviewed. Their ages ranged from 3 years to 13 years (median 7 years). Thirty-three of them were boys and 21 were girls (male-to-female ratio 1.57:1). Pneumoperitoneum was detected in 47 patients (87%). In the erect abdominothoracic films, air under the right hemidiaphragm was detected in 16 of 41 cases (39%), and extraluminal or intraperitoneal air-fluid levels in 31 of 41 cases (75.6%). In the supine abdominal films, the commonest sign of pneumoperitoneum was the right upper quadrant gas sign (23 of 50 cases; 46%).Conclusions: A careful interpretation of plain abdominal and chest radiographs in the child suspected to have TIP, would lead to more accurate diagnosis of pneumoperitoneum.Keywords: pneumoperitoneum; typhoid intestinal perforation; radiographs; children; air–fluid levels
      PubDate: 2018-02-28
      Issue No: Vol. 22, No. 2 (2018)
       
  • Iatrogenic tube jejunostomy complicating suprapubic cystostomy: A case
           report

    • Authors: A. Sadiq Muhammad, Ahmed Bello, Muhammed Ahmed, Maitama H. Yusuf
      Abstract: Suprapubic cystostomy (SPC) can be done by open or percutaneous technique. The procedure is considered simple and generally safe even in less experienced hands. However, some complications may arise occasionally, including bowel injury. We report a 60-year-old man who presented with acute-on-chronic urinary retention 6 months after a SPC in a peripheral hospital for chronic urinary retention. The catheter was draining scanty turbid fluid and was changed regularly. Abdominal exploration revealed an intact full bladder with the supposed suprapubic catheter passing through a small perforation into the jejunum. He had repair of the perforation and proper SPC was inserted. The recovery was uneventful, and he was discharged home after a week.Keywords: suprapubic cystostomy; complications; bowel injury; tube jejunostomy
      PubDate: 2018-02-28
      Issue No: Vol. 22, No. 2 (2018)
       
  • Ileosigmoid knotting in pregnancy: A case report from Zimbabwe

    • Authors: Busisiwe R. Mlambo, Simbarashe G. Mungazi, Aspect J.V. Maunganidze
      Abstract: Ileosigmoid knotting (ISK), also known as compound volvulus, is a rare cause of intestinal obstruction wherein the ileum wraps around the base of the sigmoid colon and forms a knot with rapid progression to gangrene. The worldwide incidence of ISK ranges from 1 in 1500 to 1 in 66,431. ISK is particularly rare in pregnancy, with the majority of cases occurring in the third trimester. The preoperative diagnosis of ISK in pregnancy is challenging because the condition is often mistaken for other obstructive or nonobstructive emergencies and delayed because of concerns regarding imaging in pregnancy. We report a case of a gravid woman presenting at 13 weeks' gestation with features suggestive of intestinal obstruction and who underwent an emergency laparotomy during which a diagnosis of ISK was made. Her recovery was uneventful, and she was able to carry the pregnancy to term.Keywords: ileosigmod knotting; pregnancy; intestinal obstruction
      PubDate: 2018-02-28
      Issue No: Vol. 22, No. 2 (2018)
       
 
JournalTOCs
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Email: journaltocs@hw.ac.uk
Tel: +00 44 (0)131 4513762
 


Your IP address: 3.233.229.90
 
Home (Search)
API
About JournalTOCs
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-