African health sciences
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African health sciences · Jun 2021
A one-year prospective study on the occurrence of traumatic spinal cord injury and clinical complications during hospitalisation in North-East Tanzania.
Clinical complications following spinal cord injury are a big concern as they account for increased cost of rehabilitation, poor outcomes and mortality. ⋯ The incidence of traumatic spinal cord injury in the Kilimanjaro region is relatively high. In-hospital complications are prevalent and are worth addressing for successful rehabilitation.
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African health sciences · Jun 2021
Randomized Controlled TrialNutrition education improves knowledge and BMI-for-age in Ghanaian school-aged children.
Adequate nutrition is required for growth and development in children. This study tested the effectiveness of nutrition education on knowledge and BMI-for-age (BFA) of school-aged children in the Kumasi Metropolis. ⋯ Nutrition education could improve knowledge and BMI-for-age in school-aged children in Ghana.
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African health sciences · Jun 2021
Virologic suppression and associated factors in HIV infected Ugandan female sex workers: a cross-sectional study.
Key populations have disproportionately higher HIV prevalence rates than the general population. ⋯ Virologic suppression in both groups is similar, however, intensified follow-up is needed to improve treatment outcomes.
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African health sciences · Jun 2021
The threat of persistent bacteria and fungi contamination in tuberculosis sputum cultures.
Tuberculosis (TB) sputum culture contaminants make it difficult to obtain pure TB isolates.We aimed to study and identify persistent TB sputum culture contaminants post the standard laboratory pre-culture sample decontamination techniques. ⋯ None-tuberculous bacteria and fungi dominate the plethora of TB sputum culture contamination and persist beyond the standard laboratory pre-culture decontamination algorithm.
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African health sciences · Jun 2021
Case ReportsTransient bone marrow hypoplasia preceding T-Cell acute lymphoblastic leukemia: a case report.
Acute lymphoblastic leukemia (ALL) is the most common childhood malignancy and is characterised by hyperproliferation of malignant lymphocytes in the bone marrow. Rarely, ALL may be preceded by a period of pancytopenia and bone marrow hypoplasia which spontaneously recovers. This phenomenon, which has not before been described in T-cell ALL, is referred to as transient bone marrow hypoplasia. ⋯ Cases of transient bone marrow hypoplasia or overt aplastic anemia with spontaneous recovery and then followed by B-cell ALL or Acute Myeloid Leukemia have been described previously in the medical literature. This is the first case of transient bone marrow hypoplasia resulting into ALL of T-cell immunophenotype. While marrow hypoplasia preceding ALL remains poorly understood, it suggests an antecedent environmental insult to lymphoid progenitors or a germline abnormality that predisposes to lymphoid dysplasia. This may provide clues to the hitherto unknown pathophysiological process and etiological factors that precede the majority of childhood ALL cases. This case enlightens pediatricians about the existence of such rare cases so as to periodically follow up children with pancytopenia and/or bone marrow hypoplasia for prolonged periods even after apparent recovery.