African health sciences
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African health sciences · Jun 2022
Observational StudyEffect of low-dose lanthanum carbonate on calcium and phosphorus metabolism in Asian Patients with end-stage renal disease, maintenance hemodialysis and hyperphosphatemia.
This study aimed to examine whether a 12-week small-dose lanthanum carbonate (LaCO3; 500 mg/d) treatment could improve calcium and phosphorus metabolism and parathyroid function in Asian patients with end-stage renal disease (ESRD) under hemodialysis. ⋯ Far below the 1.5-3.0g/d required by the drug instructions, LaCO3 500 mg/d for 12 weeks can still reduce serum phosphorus level and calcium × phosphorus product, without serum calcium and iPTH levels increase.
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African health sciences · Jun 2022
Crude extracts activity of three selected medicinal plants from the Venda region against some pathogenic organisms.
The emerging of antimicrobial resistance has become a problem as it is threatening public health worldwide. ⋯ The results from this study show that the selected medicinal plants are active against Mycobacterium smegmatis and Staphylococcus aureus and their pharmacological properties can be further analyzed for the development of new drugs.
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African health sciences · Jun 2022
Renal cyst mimicking hydronephrosis after uterine artery ligation for postpartum haemorrhage.
The proximity of the uterus and the cervix to the urinary tract predisposes the latter to injury during obstetrical and gynaecological surgical procedures. Following a difficult surgical procedure on the lower uterine segment and or adnexa, urinary tract injury should be excluded. ⋯ Renal cyst is a differential diagnosis of hydronephrosis. Delayed availability of the final result of medical investigations jeopardises patients' safety. A preliminary imaging report is prone to error and its use to determine the indication for an invasive procedure should be limited to emergencies.
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African health sciences · Jun 2022
Meta AnalysisThe comparison of remimazolam and midazolam for the sedation of gastrointestinal endoscopy: a meta-analysis of randomized controlled studies.
Remimazolam and midazolam are used for the sedation of gastrointestinal endoscopy, but their efficacy remains controversial. We conduct a systematic review and meta-analysis to compare the sedation of remimazolam with midazolam for gastrointestinal endoscopy. ⋯ Remimazolam demonstrated better efficacy and safety for the sedation of gastrointestinal endoscopy compared to midazolam.
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African health sciences · Jun 2022
ReviewA five-year retrospective review of the maternal and feotal outcome of obstructed labour and its determinants in a tertiary hospital in Nigeria.
Obstructed labour is one of the common obstetric emergencies in Nigeria which is associated with an increased maternal and foetal complications. ⋯ The commonest cause of obstructed labour in our review is cephalopelvic disproportion occurring more in primiparous women. Wound infection is the commonest maternal complication with majority of the neonates having a good outcome. Provision of free antenatal care services, education of women on the importance of antenatal care, early presentation in the hospital and early use of broad spectrum antibiotics would help to reduce the associated complications.