Progress of labor and obstetric outcome in parturients with combined spinal & #8211;epidural analgesia for labor: A comparative study
Conclusion: CSE analgesia did not affect the duration of labour, mode of delivery with minimal fetomaternal adverse effects and provides rapid onset of pain relief . CSE analgesia can be considered for safe and effective labour analgesia. (Source: Annals of African Medicine)
Source: Annals of African Medicine - December 3, 2021 Category: African Health Authors: Mamatha Shivanagappa Girish Bandigowdanahalli Kumararadhya Srinivas Hebbal Thammaiah Akshay Hiruyur Manjunatha Swamy Nagashree Suhas Source Type: research

Prevalence of congenital heart disease among patients with down syndrome in Southwestern Saudi Arabia
Conclusion: The prevalence of CHD in the study group was consistent with reports from other regions of Saudi Arabia and globally. Participants' sex was not associated with the occurrence of CHD in DS patients in this study. (Source: Annals of African Medicine)
Source: Annals of African Medicine - December 3, 2021 Category: African Health Authors: Magaji Garba Taura Abdullah Mohammed Alshahrani Dhafer Obeid Alqahtani Source Type: research

Menstrual characteristics of sickle cell disease patients seen at a tertiary institution in North Western Nigeria
Conclusion: The mean age at menarche was high at 15.6 years. Most respondents had light menstrual flow and overall abnormal menstrual patterns. Menstrual pain was common but was not significantly associated with the frequency of crisis. (Source: Annals of African Medicine)
Source: Annals of African Medicine - December 3, 2021 Category: African Health Authors: Amina Mohammed-Durosinlorun Halima Bello-Manga Joel Adze Ifeoma P Ijei Bature Stephen Source Type: research

The need and art of establishing skill and simulation centers to strengthen skill-based medical education: Learning insights and experience
Conclusion: It was possible to establish a comprehensive skill and simulation center and achieve best practices in medical education by optimal investment in infrastructure and improving the available human resources. Detailed planning is required, across a variety of domains. We hope our experiences shared in this article will help other medical colleges and hospitals across the region, both nationally and globally, toward establishing similar educational facilities. (Source: Annals of African Medicine)
Source: Annals of African Medicine - December 3, 2021 Category: African Health Authors: S Archana Sathish Raju Nilakantam Basavanagowdappa Hathur Melanahalli Dayananda Source Type: research

Erratum: Perception to hydroxyurea therapy in patients with sickle cell disease: Report from 3 centers
Annals of African Medicine 2021 20(3):245-251 (Source: Annals of African Medicine)
Source: Annals of African Medicine - September 17, 2021 Category: African Health Source Type: research

Platelet-rich fibrin for root coverage: A plausible approach in periodontal plastic and esthetic surgery
Anuj Singh Parihar, Sumit Narang, Shivani Dwivedi, Anu Narang, Sweta SoniAnnals of African Medicine 2021 20(3):241-244 Predictable esthetic root coverage has evolved into conventional treatment modalities making cosmetic procedures an integral part of periodontal treatment. The advent of second-generation platelet concentrates, i.e., platelet-rich fibrin (PRF), has broad clinical application in medical as well as dental field with its recent use for recession defects. The simplicity of PRF procurement and its low cost makes it most suitable for use in daily clinical practice. This particular case report foregrounds the be...
Source: Annals of African Medicine - September 17, 2021 Category: African Health Authors: Anuj Singh Parihar Sumit Narang Shivani Dwivedi Anu Narang Sweta Soni Source Type: research

Rehabilitation protocol after osteotomy of the tibia and varus femur - Case study
Sebastião SantosAnnals of African Medicine 2021 20(3):235-240 The knee rehabilitation in the aquatic environment has been used to start the rehabilitation of the lower limb earlier and improve joint movements, as it reduces pain and allows for earlier weight loading . The aim of the study was to develop and describe the effects of a therapeutic exercise program in an aquatic environment, in a clinical case of osteotomy of the tibia and the varus femur. A 15-year-old girl, submitted to an osteotomy of the tibia and the varus femur, completed a therapeutic exercise program in aquatic environment for a total of 30 ses...
Source: Annals of African Medicine - September 17, 2021 Category: African Health Authors: Sebasti ã o Santos Source Type: research

Fiber-optic-assisted endotracheal intubation complicated by iatrogenic right main bronchus obstruction
Sanjay Kumar, Vaishali Waindeskar, Deepti AggrawalAnnals of African Medicine 2021 20(3):232-234 Several aids have been designed for helping anesthetist in managing the difficult airway. Oral carcinomas often distort the airway anatomy and present as difficult airway usually with restricted mouth opening. In these scenarios, elective nasotracheal intubation with fiberoptic is done to secure the airway as well as to provide the full surgical field to the surgeon. Vertically split nasopharyngeal airway is one of the popular aids used as a conduit to pass fiber-optic bronchoscope. Timely removal of the split nasopharyngeal ai...
Source: Annals of African Medicine - September 17, 2021 Category: African Health Authors: Sanjay Kumar Vaishali Waindeskar Deepti Aggrawal Source Type: research

A rare case report of malignant peripheral nerve sheath tumor involving both the small bowel and large bowel
We present this unique and rare case of metastatic MPNST of the small and large bowel with bone, pulmonary, liver, and splenic metastases. The patient subsequently developed hemorrhagic brain metastases and died 6 months after THE initial diagnosis. (Source: Annals of African Medicine)
Source: Annals of African Medicine - September 17, 2021 Category: African Health Authors: Nazia Khan Irma Hashmi Liana Atallah Hamid Shaaban Gunwant Guron Andre Fedida Source Type: research

Diabetes-related knowledge, attitude, and practice among outpatients of a tertiary hospital in North-western Nigeria
Conclusion: The study has demonstrated poor diabetes-related KAP. The patient's level of education and income plays a major role in the management of diabetes. (Source: Annals of African Medicine)
Source: Annals of African Medicine - September 17, 2021 Category: African Health Authors: Fakhraddeen Yahya Muhammad Garba Iliyasu Andrew E Uloko Ibrahim D Gezawa Enikuomehin Adenike Christiana Source Type: research

Cervical cytopathological changes in pregnancy: An experience from a low resource setting
Conclusion: Advanced maternal age, increasing number of sexual partners, high parity, and positive HIV status stood out to be independent predictors of premalignant lesions of the cervix in the study. Routine cervical cytology screening using LBC should be offered to all antenatal clients in our setting to increase coverage and detection rate of preinvasive lesions of the cervix, and/or pregnant women with increased risk of abnormal cervical cytology from this study. (Source: Annals of African Medicine)
Source: Annals of African Medicine - September 17, 2021 Category: African Health Authors: Fatima Abubakar Rasheed Ibrahim Adamu Yakasai Idris Usman Takai Ibrahim Yusuf Usman Muhammad Ibrahim Source Type: research

Prevalence of obstructive sleep apnea in diabetic patients
Conclusions: OSA has a high prevalence in patients with type 2 diabetes mellitus. Patients with type 2 diabetes should be screened for OSA, even in the absence of symptoms, especially in individuals with higher waist circumference and BMI. (Source: Annals of African Medicine)
Source: Annals of African Medicine - September 17, 2021 Category: African Health Authors: Ankita Singh Shyam Chand Chaudhary Kamlesh K Gupta Kamal K Sawlani Abhishek Singh Abhishek B Singh Ajay K Verma Source Type: research

Quality improvement project to assess patient satisfaction towards outpatient services of a tertiary care teaching hospital, South India & #8211; A cross-sectional study
Conclusion: Patient satisfaction survey may be a good audit tool and it should be used to improve the standard of services. According to the patient's opinion, the study showed good satisfaction with respect to reception and registration services, physical facilities, doctor's services, nursing services, laboratory services, and pharmacy services. Few deficient areas are identified in terms of service delivery and the same will be bridged as early as possible to achieve universal patient satisfaction. (Source: Annals of African Medicine)
Source: Annals of African Medicine - September 17, 2021 Category: African Health Authors: Sathish Raju Nilakantam B Madhu MC Prasad M Dayananda Hathur Basavanagowdappa Jayati Bahuguna Jagiri Narotham Rao Source Type: research

The relationship between body weight and dietary habits with respect to the timing of puberty among saudi children and adolescents
Conclusion: Efforts should be directed to increase public and community awareness that fast food consumption, inorganic poultry, and higher body weight are important modifiable factors that lead to an earlier onset of female puberty across different parameters: breast development, adrenarche, and menstruation. (Source: Annals of African Medicine)
Source: Annals of African Medicine - September 17, 2021 Category: African Health Authors: Mashael AbdulAziz Shahatah Alaa Mubarak Jadkarim Revan Zeiny Banjar Yousof O Kabli Asmaa A Milyani Abdulmoein E Al-Agha Source Type: research

Tuberculosis stigma: Assessing tuberculosis knowledge, attitude and preventive practices in surulere, Lagos, Nigeria
Conclusions: Most participants were aware of TB, although knowledge, attitude, and practice levels were poor. Knowledge was found to reduce TB stigma, reinforcing the need for improved community literacy regrading TB. This has the potential to influence health-seeking behavior and promote better TB prevention, detection, and treatment outcomes. (Source: Annals of African Medicine)
Source: Annals of African Medicine - September 17, 2021 Category: African Health Authors: Salamah Abimbola Junaid Oluchi Joan Kanma-Okafor Tolulope Florence Olufunlayo Babatunde A Odugbemi Obianuju Beatrice Ozoh Source Type: research