African health sciences
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African health sciences · Jun 2018
Fibroadenoma of the breast in a South African population -a pilot study of the diagnostic accuracy of fine needle aspirate cytology and breast ultrasonography.
The triple assessment of clinical breast exam (CBE), fine needle aspirate cytology (FNAC) and breast ultrasonography (US) is used in many settings for the diagnosis of fibroadenoma (FA). The diagnostic accuracy of FNAC and US for FA in South African (SA) women with palpable breast masses (PBM) is unknown. ⋯ The yield of interpretable test results for FNAC was poor in our study. The diagnostic accuracy of US for FA appears to be superior to that of FNAC. Omission of FNAC from the triple assessment in our setting should be considered.
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African health sciences · Jun 2018
Problems encountered in conventional HIV 1/2 Algorithms: lack of necessity for immunoblot assays to confirm repeated ELISA reactive results.
The use of conventional (serologically based) HIV 1/2 diagnostic algorithms has become controversial in recent years. ⋯ Our findings highlight the need to exclude confirmatory tests like the LIA test from the current diagnostic HIV algorithm and replace it with rapid HIV-1 and HIV-2 confirmatory immunochromotographic tests.
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African health sciences · Jun 2018
Non-adherence to anti-retroviral medication in Shiraz, 2014: a cross sectional study.
Medication adherence is a dynamic and complex behavioral process, which is strongly influenced by personal, social and environmental factors. ⋯ The prevalence of medication adherence was similar to other regions with limited financial resources. To increase patient's medication adherence, they should be exposed to motivational interventions to promote their drug consumption, social and occupational support.
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African health sciences · Jun 2018
Peer pressure and home environment as predictors of disruptive and risky sexual behaviours of secondary school adolescents.
Not much is understood about the predictive power of home environment and peer pressure on disruptive behaviour and risky sexual behaviour of adolescents. ⋯ Unstimulated home environment and negative peer group could consequently interact to predispose these adolescents to disruptive behaviour and risky sexual behaviour.
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African health sciences · Jun 2018
Infant oral mutilation (IOM) related to traditional practices among inner city pre-school children in Sudan.
The term Infant Oral Mutilation (IOM) refers to the aggressive cultural rituals where primary canine tooth germs of infants are enucleated for therapeutic reasons. ⋯ The present study showed that the practice of IOM is common among inner city children. Certain teething-related symptoms especially diarrhea and maternal education could be strong determinants of the malpractice of IOM.