African health sciences
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African health sciences · Dec 2023
ReviewMaternal inherited thrombophilia and recurrent pregnancy loss: a Tunisian study and review of literature.
Inherited thrombophilia, mainly the Factor V Leiden (FVL) and Prothrombin mutation (PTM) are the most risk factors for venous thrombosis especially during pregnancy and was strongly associated with recurrent pregnancy loss (RPL), a devastating reproductive problem that affects more than 1% of couples who are trying to conceive. The frequencies also the correlation among these polymorphisms and RPL have been reported controversially in various populations. ⋯ This study emphasizes the importance of testing for FVL and FIIM in women with RPL; mainly in the context of thrombotic events. Multi-center collaboration is necessary to clarify the real impact of thrombotic molecular defects on the pregnancy outcome, to ascertain the effect of inherited thrombophilia on recurrent pregnancy loss and then to evaluate the appropriate therapeutic approach.
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African health sciences · Dec 2023
Risky sexual behaviour among students of a Nigerian tertiary institution.
While initiation of sexual activity is a part of a normal behaviour and development, it may also be associated with negative outcomes when sexual activity is initiated at too early an age, or without due attention to involved risks. These risky behaviours expose to different kinds of sexuality and reproductive health problems like STIs, HIV, unwanted and unplanned pregnancy, abortion and psychological distress. ⋯ Risky sexual behaviour exist among the respondents though with varying patterns.
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African health sciences · Dec 2023
Preferred techniques of hair harvest for medical testing among adult pulmonary TB patients.
Antiretroviral hair drug levels are currently being used to monitor adherence to HIV treatment. There is currently a dearth of literature on the preferred technique(s) of hair harvest for medical testing in the context of African multicultural settings. ⋯ The majority of TB patients were knowledgeable, experienced and flexible about the hair cutting techniques however, efforts are needed to educate the youth that hair for medical testing can be cut by any of the three techniques without changing their cosmetic look.
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African health sciences · Dec 2023
Total intravenous anaesthesia in rural sub-Saharan Africa: report of 25 cases.
Total intravenous anesthesia (TIVA) is a potential solution for safe and effective anesthesia administration in rural regions of sub-Saharan Africa, where access to inhalational anesthesia may be limited. However, challenges such as equipment and medication availability, as well as a shortage of trained anesthesiologists, can limit the use of TIVA. In this study, the safety and efficacy of TIVA were evaluated in a case series of 25 female patients undergoing thyroid surgery in a rural area of sub-Saharan Africa. ⋯ The use of TIVA may offer advantages such as faster recovery times, reduced incidence of postoperative nausea and vomiting, and reduced risk of environmental pollution compared to inhalational anesthesia. However, the cost and monitoring requirements of TIVA may pose challenges in resource-limited settings. Further research is needed to determine the optimal use of TIVA in this context.
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African health sciences · Dec 2023
A plausible hypothesis for the higher Covid-19 mortality in Brazil.
Brazil has high Covid-19 mortality rates, especially among those patients who are intubated. It is hypothetically considered that these rates may be related to the abusive use of medicines by the population. These drugs without scientific evidence are indicated by President Bolsonaro and his supporters but are also prescribed by doctors who follow this line. The text draws attention to the risks of this phenomenon.