East African medical journal
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Rhinocerebral mucormycosis is a rare, fulminating opportunistic fungal infection caused by a fungus of the order mucorales. These fungi are ubiquitous, subsisting on decaying vegetation and diverse organic material. ⋯ We present a patient with classical presentation of rhinocerebral mucormycosis involving the paranasal sinuses, the orbit and cranial base who, was treated by a combination of aggressive surgical and medical therapy and subsequently had surgical repair of the oral defect. The purpose of this presentation is to draw attention to the clinical presentation and pathogenesis of rhinocerebral mucormycosis and to emphasise the need for high index of suspicion in its diagnosis and management.
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To describe the pattern of surgical admissions to the Rift Valley Provincial General Hospital and in particular the epidemiologic characteristics of trauma admissions. ⋯ Trauma, particularly due to road traffic accidents and violence is a growing public health problem in this region that urgently calls for specific intervention measures. Further studies of disability levels as well as costs of trauma care are recommended.
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Randomized Controlled Trial Comparative Study Clinical Trial
Evaluation of 25-gauge Quincke and 24-gauge Gertie Marx needles for spinal anaesthesia for caesarean section.
To compare the insertion characteristics and rate of complications between 25-gauge Quincke and 24-gauge Gertie Marx needles. ⋯ The ease of insertion and low incidence of PDPH with the Gertie Marx needle may encourage trainee anaesthetists to use this needle for caesarean section.