Mei-Li Hey, Harrison Schmachtenberger, Mikaya LD Lumori
{"title":"Portable pit latrine seats to increase sanitation for disabled individuals in Lira, Uganda","authors":"Mei-Li Hey, Harrison Schmachtenberger, Mikaya LD Lumori","doi":"10.4314/ssmj.v15i1.5","DOIUrl":"https://doi.org/10.4314/ssmj.v15i1.5","url":null,"abstract":"This paper presents a viable solution that evolved over several years of research to mitigate the sanitation problems faced by individuals in rural areas of Uganda, particularly those with disabilities, addressed in our first paper (Schmachtenberger et al.). The solution is based on interviews and contacts with affected individuals in Lira, Northern Uganda, where the most commonly used sanitation facility is a pit latrine. To that end three types of design considerations and requirements for effective pit latrine assistive devices were adopted in the development of the technology discussed in this paper. Ultimately, three different designs were fabricated after synthesizing the requirements, preliminary user feedback, and engineering knowledge of mechanical design. The deliverables from these designs are three different assistive devices whose common feature is a portable seat that can be used safely in a pit latrine. The good results from several field tests engendered the development of more locally reproducible and cost-effective, assistive seat devices over a period of 3-5 years. Results from data collected over the years will be published in another manuscript, subsequently.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70657968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Double uterus in young women delivered by Caesarean Section: five cases from South Sudan and Ethiopia","authors":"Jok Thikuiy Gang, Garang Dakjur Lueth, Onwar Otien Jwodh","doi":"10.4314/ssmj.v15i1.6","DOIUrl":"https://doi.org/10.4314/ssmj.v15i1.6","url":null,"abstract":"Double uterus (uterus didelphys) is the second least common congenital anomaly of the female genital tract resulting from failure of fusion of the two Müllerian ducts during embryological development, leading to duplication of the uterus and the cervix. The condition may be associated with abnormalities of the Wolffian duct such as ipsilateral renal agenesis. Presence of a double uterus increases obstetric complications. We report five cases of young women with uterus didelphys who were delivered by Caesarean Section for obstetric indications.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46984850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Giant ossifying fibroma of the mandible","authors":"E. Fernández","doi":"10.4314/ssmj.v15i1.7","DOIUrl":"https://doi.org/10.4314/ssmj.v15i1.7","url":null,"abstract":"Ossifying fibroma is classified as a benign bone tumour. It is often considered to be a type of fibro-osseous lesion. It can affect both the mandible and the maxilla, particularly the mandible. This bone tumour consists of highly cellular, fibrous tissue that contains varied amounts of bone or cementum resembling calcified tissue. This case report is of an unusual peripheral ossifying fibroma involving the left side of mandible in a 22-year-old female patient, who presented to the dental department with a painless hard swelling which impaired proper breathing and mastication. The lesion was treated by surgical resection.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44992335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Harrison Schmachtenberger, Mei-Li Hey, Mikaya LD Lumori
{"title":"Sanitation resources for disabled individuals in Uganda","authors":"Harrison Schmachtenberger, Mei-Li Hey, Mikaya LD Lumori","doi":"10.4314/ssmj.v15i1.4","DOIUrl":"https://doi.org/10.4314/ssmj.v15i1.4","url":null,"abstract":"The material presented in this paper was derived from research on sources of current literature that address global sanitation problems, especially in Uganda. Information gathered from interviews with Ugandans provided a vital component. The paper presents background information on the sanitation issues faced by Ugandan children in general and by individuals with physical disabilities in particular. It reviews the global progress being made to achieve international goals of sanitation and hygiene and compares them to the situation in Uganda. In particular, the paper sheds light on how, in the past two decades, Uganda has made meaningful strides with regard to equal rights and societal inclusion for individuals with disabilities, including access to improved sanitation facilities as well as regulations to ensure the cleanliness and hygiene of public facilities. However, these achievements do not include assistive technologies that can enable the physically disabled to use the many sanitation resources such as pit latrines in rural areas. Finally, the paper describes research that focuses on a marginalized group of disabled Ugandans who are excluded from the solution landscape.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47122228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neuroscience education in Africa, prospects and challenges","authors":"Ekerin Olabode, Okechukwu K. Calistus","doi":"10.4314/ssmj.v14i4.5","DOIUrl":"https://doi.org/10.4314/ssmj.v14i4.5","url":null,"abstract":"This review explores the scope of neuroscience education, the current and future trends and evaluates the limitations hindering the evolution of neuroscientific studies and research in Africa. Neuroscience is one of the most poorly addressed fields of study in Africa evidenced by the paucity of available data. Africa has a lot to do to improve neuroscience research. More government financing is needed if the continent’s research sector is to continue to expand. International scientific collaborations are an important part of integrating into the global research community. African neuroscientists must also participate in policy and decision-making to urge governments to finance research into Africa’s specific requirements.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42235413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Possible acetaminophen poisoning complicated by puerperal sepsis","authors":"Arop M. D. Kual","doi":"10.4314/ssmj.v14i4.8","DOIUrl":"https://doi.org/10.4314/ssmj.v14i4.8","url":null,"abstract":"Acetaminophen (paracetamol) toxicity is an important cause of morbidity and mortality worldwide. It is estimated that poisoning contributes to more than 1 million poisonings and up to half a million deaths each year, yet it is preventable and treatable. Acetaminophen toxicity is the second most common cause of liver transplantation worldwide. However, studies concerning poisoning in Botswana are scant, although it has been reported that poisoning contributes 6.7% of the total injuries and is ranked third next to falls and automobile accidents among external causes of mortality. This case report reviews the aetiology, evaluation, and treatment of acetaminophen overdose.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48502614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The South Sudan Medical Journal: Keep it up","authors":"P. Newman","doi":"10.4314/ssmj.v14i4.2","DOIUrl":"https://doi.org/10.4314/ssmj.v14i4.2","url":null,"abstract":"No Abstract","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47608302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Malaria vaccine: a new tool in the fight against malaria","authors":"E. Kenyi","doi":"10.4314/ssmj.v14i4.1","DOIUrl":"https://doi.org/10.4314/ssmj.v14i4.1","url":null,"abstract":"No Abstract.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70657958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emmanuel Imani Ngadaya, M. Rweyemamu, I. Mwampagatwa, Athanase Lilungulu
{"title":"Predictors of fetal macrosomia in Iringa, Tanzania: a case-control study","authors":"Emmanuel Imani Ngadaya, M. Rweyemamu, I. Mwampagatwa, Athanase Lilungulu","doi":"10.4314/ssmj.v14i4.3","DOIUrl":"https://doi.org/10.4314/ssmj.v14i4.3","url":null,"abstract":"Introduction: It is challenging to predict fetal macrosomia before delivery. This study aimed at assessing predictors of fetal macrosomia at Iringa Regional Referral Hospital in Tanzania from June to December 2020. Method: An unmatched case-control study with 216 participants of whom 72 were cases - women who delivered babies weighing ≥ 4000g - and 144 were controls - women who delivered babies weighing 2500g to 3499g. The purposive sampling technique described below was employed to recruit both controls and cases. SPSS version 25 software program was used for data entry and analysis.Results: Of the 216 participants, 116 (53.7%) were aged between 25 – 34 years (standard deviation 6.0). The majority of 132 (61.1%) delivered at a gestational age of 37 – 39 weeks + 6 days of whom 17 (23.6%) were cases and 115 (79.86%) were controls. The predictors of fetal macrosomia were advanced gestation age (AOR=8.10, 95% CI 3.66-17.91, p=<0.0001) and diabetes mellitus during pregnancy (AOR =14.94, 95% CI 1.60 -39.91, p= 0.0178).Conclusion: Women with higher gestational age and gestational diabetes mellitus are at an increased risk of delivering a baby with macrosomia at Iringa Regional Referral Hospital. An early plan for the mode of delivery, such as labour induction, will aid the prevention of advanced gestational age. Ensuring a healthy diet and physical exercises in our communities will help to reduce diabetes mellitus and hence fetal macrosomia.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46824970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How training is encouraging mothers to deliver in health facilities in Ulang, South Sudan","authors":"Panom Puok Duoth Kier","doi":"10.4314/ssmj.v14i4.7","DOIUrl":"https://doi.org/10.4314/ssmj.v14i4.7","url":null,"abstract":"In South Sudan, health facility delivery coverage is very low despite the presence of health facilities with staff that can conduct deliveries. Some factors like inaccessibility, insecurity, low knowledge of benefits of health facility delivery, poor services, financial challenges, family influence and cultural practices might be some of the reasons that prevent some mothers from delivering in the health facilities. This paper describes how UNICEF with other partners has started training master trainers with Basic Emergency Obstetrics and New Born Care modules in Greater Upper Nile, and includes a case of one mother who benefited from the training.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45100219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}