4 research outputs found
Implementation of a bowel management program in the treatment of incontinence in children for primary healthcare providers
- Publication venue
- 'African Journals Online (AJOL)'
- Publication date
- 19/02/2018
- Field of study
Objectives: Our surgical team has devised a bowel management program (BMP) as a basic approach for primary healthcare providers with the least use of resources.Background: Soiling in children is a major problem that has a serious impact on the childâs social and psychological life. Causes vary from idiopathic constipation to postoperative or neuropathic causes as meningomyelocele.Participants and methods: Seventy five children suffering from fecal incontinence were assessed and divided into true incontinence and pseudoincontinence groups. The BMP was applied to both categories in the form of proper diet control, enemas, drugs, and bowel habit alteration. The program was fashioned according to the age, type, severity, and response of each case. A fecal incontinence scoring system was used to assess the results.Results: All cases with pseudoincontinence attained 50% or more improvement in incontinence score whereas the true incontinence cases attained excellent results except in post high anorectal malformation repairs and neurologic groups.Conclusion: Most of the cases suffering from constipation with pseudoincontinence can be treated properly by BMPs, whereas the minority suffering from true incontinence need multidisciplinary work to achieve acceptable results.Keywords: anorectal malformations, bowel management program, chronic idiopathic constipation, fecal incontinence, Hirschsprungâs disea
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
- Author
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- Abbas A.M.
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- Abbott T.
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- Abdelmawgoud S.
- Abdelmohsen S.
- Abdelrahman A.S.
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- Abdulai D.R.
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- ĆœateckĂœ J.
- Publication venue
- Oxford University Press (OUP)
- Publication date
- 01/07/2023
- Field of study
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and lowâmiddle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of âsingle-useâ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for lowâmiddle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both highâ and lowâmiddleâincome countries
The ASOS Surgical Risk Calculator: development and validation of a tool for identifying African surgical patients at risk of severe postoperative complications
- Author
- A. Abd-rouf
- A. Abduljalil
- A. Abdulrahman
- A. Abokris
- A. Abushnaf
- A. Addanfour
- A. Alatresh
- A. Alfari
- A. Alfetore
- A. Algddar
- A. Alghazali
- A. Alhendery Alhendery
- A. Ali
- A. Ali
- A. Alkilani
- A. Alli
- A. Almajbery
- A. Alsayed
- A. Anele
- A. Attia
- A. Basenero
- A. Berhe
- A. Bogoslovskiy
- A. Dasrath
- A. Dodiyi-Manuel
- A. Ehouni
- A. Elmgadmi
- A. Elshikhy
- A. Elwerfelli
- A. Feituri
- A. Gakenia
- A. Ganesh
- A. Garrido Lopez
- A. Ghnain
- A. Hdud
- A. Ibrahim Abdelatif
- A. Issoufou
- A. Jaber
- A. Juwid
- A. Khamajeet
- A. Maharaj
- A. Maharaj
- A. Mallier Peter
- A. Manneh
- A. Mansour
- A. Metali
- A. Mlotshwa
- A. Mohamed
- A. Mohamed
- A. Mohamed
- A. Mohamed
- A. Mohamed
- A. Muturi
- A. Mwale
- A. Nansook
- A. Onyegbule
- A. Prosper
- A. Rabemazava
- A. Sarkin-Pawa
- A. Shubba
- A. Sohoub
- A. Steyn
- A. Swaleh
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- A. Zidan
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- A.A. Alraheem
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- A.A. Kornilov
- A.A. Munyika
- A.A. Sheshe
- A.A. Yahya
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- A.A.G. Gomati
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- Edith Djessouho
- El.-Z. Ahmed
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- Eugene Zoumenou
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- F. Blignaut
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- Samantha Kransingh
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- Sanogo Zimogo Zié
- Sarah. R. Rayne
- Serge Mewanou
- Shaaban Nsalamba
- Simbo D. Amanor-Boadu
- Steyerberg
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- Sudha Bechan
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- Sylvia R. Rakotoarison
- SÚhivÚ Valéry Adjignon
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- T.W. Munyaradzi
- T.W.A. Anabah
- Thandinkosi E. Madiba
- Theroshnie K. Kisten
- Thiam Souleymane
- Thomas Allaye
- Thuli Biyase
- Tim C. Hardcastle
- Tonya M. Esterhuizen
- Traoré Abdoulaye
- Traoré Ibrahim
- U.V. Jaganath
- Usha Singh
- Ushmaben Patel
- V. Athanse
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- V.L. Koller
- V.L. Moses
- V.M. Gacii
- V.M. Mtongwe
- V.M.K. Kissoon
- V.N. Nziene
- V.T. Manzini
- Veekash Gobin
- W. Abozaid
- W. Conradie
- W. Kibochi
- W. Kuhn
- W. Mathangani
- W. Njuguna
- W. Rois
- W. Sam-Awortwi
- W.A.G. Simo
- W.A.P. Ras
- W.D. Mbombo
- W.M. du Plessis
- W.M.S. Mbuyi
- W.P. Kuhn
- W.P. Makhaye
- W.V.J. Koperski
- Wong
- Y. Baitchu
- Y. Coulibaly
- Y. le Manach
- Y. Mampangula
- Y. Najm
- Y. Yakubu
- Y.A. Ali
- Y.B. Adamu
- Y.B. Bwambale
- Y.B.M. Freeman
- Y.G. Gandy
- Y.M. Yangazov
- Y.Y. Kutor
- Yannick Le Manach
- Youssouf Coulibaly
- Z. Farina
- Z. Imessaoudene
- Z. Nibe
- Z. Nyatela-Akinrinmade
- Z. Rakhda
- Z.S. Elghazal
- Z.S. Jamal
- Zipporah W.W. Ngumi
- Publication venue
- 'Elsevier BV'
- Publication date
- 17/09/2018
- Field of study
Background:
The African Surgical Outcomes Study (ASOS) showed that surgical patients in Africa have a mortality twice the global average. Existing risk assessment tools are not valid for use in this population because the pattern of risk for poor outcomes differs from high-income countries. The objective of this study was to derive and validate a simple, preoperative risk stratification tool to identify African surgical patients at risk for in-hospital postoperative mortality and severe complications.
Methods:
ASOS was a 7-day prospective cohort study of adult patients undergoing surgery in Africa. The ASOS Surgical Risk Calculator was constructed with a multivariable logistic regression model for the outcome of in-hospital mortality and severe postoperative complications. The following preoperative risk factors were entered into the model; age, sex, smoking status, ASA physical status, preoperative chronic comorbid conditions, indication for surgery, urgency, severity, and type of surgery.
Results:
The model was derived from 8799 patients from 168 African hospitals. The composite outcome of severe postoperative complications and death occurred in 423/8799 (4.8%) patients. The ASOS Surgical Risk Calculator includes the following risk factors: age, ASA physical status, indication for surgery, urgency, severity, and type of surgery. The model showed good discrimination with an area under the receiver operating characteristic curve of 0.805 and good calibration with c-statistic corrected for optimism of 0.784.
Conclusions:
This simple preoperative risk calculator could be used to identify high-risk surgical patients in African hospitals and facilitate increased postoperative surveillance.
© 2018 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.Medical Research Council of South Africa gran
Elective Cancer Surgery in COVID-19âFree Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study
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- Abdallah M
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- Abdel Jalil R
- Abdeldayem H
- Abdelkader Salama I
- Abdelkarem MM
- Abdelkarim M
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- on behalf of the COVIDSurg Collaborative
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- Ăolak E
- Ăfner D
- Ăhlberger L
- ĂÄĂŒcĂŒ H
- ĂberrĂŒck L
- Äoza I
- Ć imko K
- Ć ÄepanoviÄ V
- ĆœateckĂœ J
- ĐĐ°ĐŒĐ°Đ»ĐŸĐČ Đ
- Publication venue
- American Society of Clinical Oncology
- Publication date
- 01/01/2021
- Field of study