Editor ’s choice: COVID-19 and other infections in Africa
NIL (Source: African Health Sciences)
Source: African Health Sciences - April 12, 2023 Category: African Health Authors: James K Tumwine Source Type: research

Vitamin D deficiency in rheumatoid arthritis patients of India – a single-arm meta-analysis
Conclusions: The results demonstrate significant low levels of serum vitamin D levels in patients with RA and established a negative correlation of Vitamin D with RA disease activity. The current evidence suggests a rationale for Vitamin D supplementation in the management of RA.Keywords: Vitamin D level; disease activity score; Vitamin D supplementation; Vitamin D insufficiency. (Source: African Health Sciences)
Source: African Health Sciences - April 12, 2023 Category: African Health Authors: Debdipta Bose, Renju Ravi, Miteshkumar Maurya, R Legha, Mahanjit Konwar Source Type: research

The role of clinical and sonographic assessments in pre-operative evaluation of patients with splenic injuries in a resource-limited economy
Conclusions: Majority of splenic injuries were due to blunt abdominal trauma. The two diagnostic methods showed high sensitivity, but performed poorly for other validity tests.Keywords: Preoperative evaluation; laparotomy; spleen. (Source: African Health Sciences)
Source: African Health Sciences - April 12, 2023 Category: African Health Authors: Aloysius U Ogbuanya, Stanley Nnamdi Chinedu Anyanwu Source Type: research

Takayasu arteritis, an atypical presentation as chronic kidney disease
Takayasu arteritis, also known as “pulseless disease” usually affects major vessels like aorta and its branches, pulmonary arteries, and renal arteries. Hypertension is the common presentation. Chronic kidney disease involvement is less common. Only a few chronic kidney disease cases are reported so far in Takayasu arteritis. We discuss a case of a young female who presented with accelerated hypertension with chronic kidney disease with preserved peripheral pulses. The diagnosis was confirmed by Computed tomography aortic angiogram, which showed diffuse circumferential thickening, multifocal ectasia, and aneurysmal dil...
Source: African Health Sciences - April 12, 2023 Category: African Health Authors: Vijayan Neeraja, Vihari Nakka, Meena Mahadev, Midha Naresh, Yadav Taruna, Sakthivadivel Varatharajan Source Type: research

Studies on plasmids of multidrug resistant uropathogens isolated from patients with urinary tract infection in a tertiary hospital in Calabar, Nigeria
Conclusion: The reduction in percentage resistance due to plasmid curing observed in this study suggests that the resistance of the isolates to antibiotics were plasmid-mediated. Antibiogram and monitoring of plasmid mediated resistance are necessary for proper management of urinary tract infections.Keywords: Resistance; plasmid; UTI; uropathogens; curing. (Source: African Health Sciences)
Source: African Health Sciences - April 12, 2023 Category: African Health Authors: Juliet Nnedinma Iheanacho, Sylvester Peter Antai Source Type: research

Genetic diversity of Plasmodium falciparum among asymptomatic pregnant women on intermittent preventive treatment with sulfadoxine-pyrimethamine in Nigeria
This study investigated the genetic diversity ofPlasmodium falciparum among asymptomatic pregnant women on intermittent preventive treatment with sulfadoxine-pyrimethamine (IPTp-Sp) in Osogbo, southwest Nigeria. Blood sample was obtained from consenting pregnant women attending antenatal clinics. Microscopy and Polymerase chain reaction (PCR) were employed to diagnose and analyse genetic diversity. Of the 301 samples, 53 (18%) and 83 (28%) were positive forP. falciparum by microscopy and PCR, respectively. Using the merozoite surface protein (msp)-1, msp-2, and glutamate-rich protein (glurp) genes ofP.falciparum as polymor...
Source: African Health Sciences - April 12, 2023 Category: African Health Authors: Rita A Olowe, Johnson A Ojo, Roland I Funwei, Segun I Oyedeji, Olugbenga A Olowe, Bolaji N Thomas, Olusola Ojurongbe Source Type: research

Health managers and community representatives ’ views of a system-wide intervention to strengthen public healthcare in the Free State, South Africa
Conclusion: From the perspectives of HMs and CRs, the implementation of the intervention was viewed as a step forward in strengthe ning public healthcare to respond to system deficiencies in the Free State province. Earlier engagement of especially operational-level HMs during reforms may be beneficial in successfully implementing HSS interventions. Keywords: Public health managers; district health system; community representat ives; leadership and governance; health system strengthening; integration. (Source: African Health Sciences)
Source: African Health Sciences - April 12, 2023 Category: African Health Authors: Benjamin Malakoane, Perpetual Chikobvu, Christo Heunis, Gladys Kigozi, Willem Kruger Source Type: research

A critical review of literature on health financing reforms in Uganda – progress, challenges and opportunities for achieving UHC
Conclusion: Health financing policy intentions were aligned with WHO guidance on reforms towards UHC, however actual outputs and outcomes in terms of improvement in health financing functions and financial risk protections remain far from the intentions.Keywords: Uganda; Universal health coverage; health financing. (Source: African Health Sciences)
Source: African Health Sciences - April 12, 2023 Category: African Health Authors: Walter Denis Odoch, Flavia Senkubuge, Ann Bosibori Masese, Charles Hongoro Source Type: research

Occupational therapy assessment and interventions for young autistic children in South Africa
Conclusions: Occupational therapy assessments had diagnostic value. Informal tools such as developmental checklists were found to have clinical utility, whilst standardised tools were most commonly used to assess sensory processing and visual perception. Recommendations included incorporating ASI ® into undergraduate curricula and postgraduate training opportunities with multidisciplinary input to develop ASD professionals in South Africa. It is imperative to advocate for services in under-resourced rural areas and marginalised communities that lack financial and social resources. Occupatio nal therapists need to find new...
Source: African Health Sciences - April 12, 2023 Category: African Health Authors: Aneesa Moosa, Thavanesi Gurayah, Saira Banu Karim, Pragashnie Govender Source Type: research

Nutritional knowledge, dietary habits and nutritional status of adults living in urban Communities in Lagos State
Conclusion: Nutritional knowledge was poor and obesity was relatively high among participants. Improved nutrition education intervention is necessary to increase knowledge and reduce obesity among adults living in urban communities in Lagos, Nigeria.Keywords: Nutritional knowledge; dietary habit; nutritional status of adults. (Source: African Health Sciences)
Source: African Health Sciences - April 12, 2023 Category: African Health Authors: Olatona FA, Adeniyi DB, Obrutu OE, Ogunyemi AO Source Type: research

Prevalence of acute kidney injury and its characteristics among neonates with suspected sepsis in a tertiary hospital in Kenya
Conclusion: Prevalence of AKI was high; those with suspected late onset sepsis were more likely to develop AKI compared to early onset sepsis. Presence of maternal fever preceding delivery and presence of either puerperal sepsis or postpartum hemorrhage were associated with severe forms of AKI.Keywords: Acute Kidney Injury; Neonates; Neonatal Sepsis. (Source: African Health Sciences)
Source: African Health Sciences - April 12, 2023 Category: African Health Authors: Catherine Munyendo, Bashir Admani, Patrick Mburugu, Justus Simba, Bernadine Lusweti, Naomi Gachara, Ahmed Laving Source Type: research

Assessment of knowledge and socioeconomic status of caregivers of children with malnutrition at a district hospital in Ghana
Conclusion: Lower level of caregivers ’ education and large family size were risk factors for developing malnutrition among children.Keywords: Caregivers; knowledge; malnutrition; socioeconomic status. (Source: African Health Sciences)
Source: African Health Sciences - April 12, 2023 Category: African Health Authors: Rita Ameyaw, Emmanuel Ameyaw, Jacob K Agbenorhevi, Charles Kumi Hammond, Benard Arhin, Taiba Jibril Afaa Source Type: research

Imaging of developmental delay in black African children: A hospital-based study in Yaound é-Cameroon
Conclusion: In our context, there is a high prevalence of organic anomalies in the imaging of psychomotor delay, which were dominated by cerebral atrophy secondary to hypoxic ischemic events.Keywords: developmental delay; brain MRI; CT scan; children. (Source: African Health Sciences)
Source: African Health Sciences - April 12, 2023 Category: African Health Authors: Seraphin Nguefack, Nasser Ndongafack Fongue, Daniel Armand Kago Tague, Ulrich Igor Mbessoh Kengne, Jean Roger Mouliom Tapouh, F élicitée Nguefack, Andreas Chiabi, Boniface Moifo Source Type: research

Neonatal pain perception, management and review of practices among medical workers in Nigeria newborn units
Conclusions: Perception of pain was high but did not match knowledge and practice of NPM. Formal education on NPM was lacking in the training of HCW.Keywords: Neonatal pain management; Nigerian newborns; health care workers. (Source: African Health Sciences)
Source: African Health Sciences - April 11, 2023 Category: African Health Authors: Okonkwo Ikechukwu, Okolo Angela, Omoigberale Augustine Source Type: research

Physician perspectives on the DNR order in Turkey: A survey of physicians in Internal Medicine
Conclusions: It is necessary to establish legal regulations on DNR and implement residency training programs that will ensure the continuous professional development of physicians.Keywords: Do not resuscitate (DNR); physicians ' views; legal regulation. (Source: African Health Sciences)
Source: African Health Sciences - April 11, 2023 Category: African Health Authors: G üvercin Cemal Hüseyin, Kurtoğlu Ayşe Pelin, Yazici Güvercin Ayşe Canan Source Type: research