Stab wounds in Bulawayo, Zimbabwe: a four year audit

A CAJM journal article.Outside South Africa the problem of stab wounds has not received much attention in the African medical literature. This problem has not been studied before in Zimbabwe. From a review of the literature, supported by the material in this paper, it is clear, that most stab wounds affect the chest and abdomen. Clinicians should therefore be aware of the various management options of such injuries. This study was carried out to determine the pattern of stab wounds in our practice and to analyze the results of our management of patients with such injuries. The relevant literature is reviewed and suggestions are made to bring our management of stab wounds in line with current management trends

Empowered Empathetic Encounters: Building International Collaborations through researching writing in the context of South African Higher Education and Beyond

Abstract: In this article, the authors propose the idea of ‘empowered empathetic encounters’ as a key success factor in the building of effective international inter-institutional collaboration. By empowered empathetic encounters the authors mean those supported pivotal occasions where researchers meet with colleagues with whom they wish to collaborate in face-to-face settings in order to try to understand, in a meaningful way, each other’s concerns and what it means to live and work in each other’s contexts. In their work, the authors combine their personal and collective experiences with an analysis of these in the context of the existing literature. In this way, they wish to engage in a process of ‘thinking the cultural through the self’ (Probyn 1993) and ‘thinking theory WKURXJK’ researchers’ own experiences (Mann 2008, 10 – emphasis in original). They further suggest that engaged encounters of this nature can provide the bedrock for successful, longterm collaboration

Undecidable properties of self-affine sets and multi-tape automata

We study the decidability of the topological properties of some objects coming from fractal geometry. We prove that having empty interior is undecidable for the sets defined by two-dimensional graph-directed iterated function systems. These results are obtained by studying a particular class of self-affine sets associated with multi-tape automata. We first establish the undecidability of some language-theoretical properties of such automata, which then translate into undecidability results about their associated self-affine sets.Comment: 10 pages, v2 includes some corrections to match the published versio

Admissions to a low resource neonatal unit in Malawi using The NeoTree application: A digital perinatal outcome audit

Background: Mobile-health has increasing potential to address health outcomes in under-resourced settings as smart-phone coverage increases. The NeoTree is a mobile-health application co-developed in Malawi to improve the quality of newborn care at the point of admission to neonatal units. While collecting vital demographic and clinical data this interactive platform provides clinical decision-support, and training for the end-users (health care workers (HCW)), according to evidence based national and international guidelines. Objective: Our aims were to examine one month of data collected using the NeoTree in an outcome audit of babies admitted to a district-level neonatal nursery in Malawi and to demonstrate proof of concept of digital audit data in this setting. Methods: Using a phased approach over one month (21 Nov – 19 Dec, 2016), frontline HCWs were trained and supported to use the NeoTree to admit newborns. Discharge data were collected by the research team using a discharge form within the NeoTree ‘NeoDischarge’. Descriptive analysis was conducted on the exported pseudonomysed data and presented to the newborn care department as a digital audit. Results: Of 191 total admissions, 134 (70%) admissions were completed using the NeoTree and 129 (67%) were exported and analysed. Of these 129, 102 (79%) were discharged alive. Overall case fatality rate was 93 per 1000 admitted babies. Prematurity with respiratory distress syndrome, Birth Asphyxia, and Neonatal sepsis contributed to 41.6%, 58.3% and 16.6% of deaths respectively. Deaths may have been under-reported due to phased implementation and some families of babies with imminent deaths self-discharging home. Detailed characterisation of the data enabled departmental discussion of modifiable factors for quality improvement, for example improved thermoregulation of infants. Conclusions: This digital outcome audit demonstrates that data can be captured digitally at the bedside by HCWs in under-resourced newborn facilities and these data can contribute to meaningful review of quality of care/outcomes and potential modifiable factors. Coverage may be improved during future implementation by streamlining the admission process to be solely via digital format. Our results present a new methodology for newborn audit in low-resource settings and are a proof of concept for a novel newborn data system in these settings