SSMJ May 2009


Editorial: The St Mary’s Hospital, Isle of Wight, UK – Juba Teaching Hospital, Southern Sudan Link

The St Mary’s Hospital, IW-JTH Link was established in November 2007 by healthcare professionals at the respective hospitals with the overall objective “To promote understanding of the needs and to support the Government of Southern Sudan in order to improve clinical services through the development of education and training.”

News, Reports and Policy

News and Reports from Southern Sudan - May 2009

Outbreak of Acute Watery Diarrhoea (AWD) in Northern Bahar El Ghazal State. Polio outbreak in Southern Sudan.

Clinical Guidance

Diabetes Part 1. Definition, Diagnosis and Prevention

Western countries are experiencing an explosion in the prevalence of type 2 diabetes (T2DM) linked to increasing obesity and a steady year on year rise in the incidence of type 1 diabetes (T1DM) in children. However, for reasons that are not currently understood, the situation in Sub-Saharan Africa is less clear. Many factors contribute to this. Problems reported in other African countries include:

Feeding infants whose mothers are HIV-positive

Feeding from birth to 6 months: The way a HIV+ mother feeds her baby affects the child's risk of: Becoming infected with HIV, dying from other infections. Table 1 shows that the risks to the baby of exclusive breastfeeding...

Eye Complications of Acquired Immune Deficiency Syndrome (AIDS) Part 1. Ocular surface and anterior segment manifestations

Acquired Immune Deficiency Syndrome (AIDS) is the leading cause of sickness and death among young adults in developing countries. The introduction of highly active anti-retroretroviral therapy (HAART) has changed the epidemiology of AIDS from being a universally fatal illness to a chronic debilitating infection attended by multi-organ complications. Improved survival as a result of HAART has lead to increase in systemic and ocular complications...

How to Manage Post Partum Haemorrhage (PPH) A PPH text book in 9 lines!

1. Use oxytocin 10 iu im alone for prophylaxis, with delayed cord clamping (especially in settings with high anaemia rates) 2. If oxytocin is not available, use misoprostol 600mcg orally.


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Case Reports

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Extracts from Journals / For your Resource Centre - May 2009

Untreated HIV depletes CD4 cells in semen - renders men more vulnerable to STIs. HIV treatment during pregnancy does not increase risk of birth abnormalities - even when efavirenz is included. Optimal testing strategy for infants at risk for MTCT in the late postnatal period...