East African medical journal
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A prospective study was undertaken to determine the clinical pattern and outcome among children admitted with acute severe malaria into the emergency paediatric unit (EPU) at the Jos University Teaching Hospital (JUTH) over a 15-month period (between August 1991-October 1992). Five hundred and one (25%) children were admitted with acute severe malaria, out of a total of 2008 admissions into the EPU during the study period. Blood smears for malaria parasites were positive in 287 (57.7%) of the children and P. falciparum was the only species identified in the study. ⋯ Sixteen out of the 501 children died, giving a mortality of 3.2%. Cerebral malaria, which accounted for only 17.6% of the admissions, was responsible for 56.3% of all the deaths. Mortality was also associated with hypoglycaemia, severe anaemia, shock and repeated, prolonged seizures.
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Comparative Study Clinical Trial
Halothane consumption under varying breathing circuit designs.
Thirty one patients at the Eldoret District Hospital, currently being used as a referral and teaching hospital, were anaesthetised and allowed to breathe through any of the three standard Maplesons circuits. The quantity of halothane required to maintain a satisfactory level of anaesthesia was measured and expressed in millilitres per kilogramme body weight, per minute. This value was used to compare the cost-effectiveness of the three circuits under different modes of ventilation.