SSMJ May 2013


Editorial: 'Collaboration between SSMJ and its readers'

All of us in the healthcare professions throughout the world can learn much from each other. This has been demonstrated so well by the collaboration between the editors, authors, medical experts and readers of the South Sudan Medical Journal.

News, Reports and Policy

The potential of telemedicine in South Sudan

The aim of this article is to introduce the concept of telemedicine in South Sudan, as part of routine healthcare delivery.

Extract from: Report of a Visit to UK on Clinical Attachment at Poole Hospital and St Mary's Hospital, Isle Of Wight 6 October - 28 November 2012

I visited UK on a 7- week clinical attachment to Poole hospital, mainly working in the department of diagnostic imaging (Ultrasound). The grant for my visit was secured from Gordon Memorial College Trust Fund (GMCTF) with the help of Dr. Frankie Dormon, a Consultant Anaesthetist at Poole Hospital and the Medical Lead of Poole Africa link (which is the link with Wau hospital).

The life of Professor Giuseppe Meo

Professor Meo graduated in Turin in 1962, and specialized in emergency and thoracic surgery. In 1968 he and his colleagues founded Comitato Collaborazione Medica (CCM), an NGO dedicated to health development in emerging countries


Unique Opportunity! Would you like to visit South Sudan to help train nurses and midwives? Experienced nurses and midwives needed to help with clinical teaching programe

Clinical Guidance

Rare abdominal wall hernias in South Sudan

The repair of abdominal wall hernias (AWH’s) is the most common surgical procedure in the world. In South Sudan there are two unusual aspects. As elsewhere, the most frequent types of AWH are inguinal and umbilical in adults and femoral and epigastric in children and babies. However in South Sudan there is a high incidence of what the Western medical literature describes as ‘rare AWH’s’

How I improvised an external fixator to manage open fractures

Orthopaedic surgery is a technical specialty. In Nigeria, as in most developing countries, insufficient funding is available for technological advancement [1]. Indigenous hospital technology can reduce cost of managing injuries needing surgery, many of which are caused by an epidemic of road traffic accidents [2]. This paper explains how to make and use an improvised external fixator for the management of open fractures and instruments used for its clinical application. This is an improved version of an earlier external fixator [3].

Viewpoint: Self directed learning is NOT an easy way out for the teacher

The practice of medicine changes so rapidly that it is essential for health care professionals to continue to learn throughout their career. Self directed learning helps the learner to remain up-to-date on developments that occur in their profession. Therefore, the new learning technologies have placed an increasing emphasis on self directed learning


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Case Reports

Cookery demonstrations in GOAL supported clinics

Malnutrition is a major health problem in South Sudan, especially in young children and pregnant-lactating women (PLW). It is often compounded by other illnesses, contributing to high mortality rates in pre-school children.

Photo Quiz

A Facial lesion … the face of Cutaneous Tuberculosis

Lesions of the facial skin can be difficult to diagnose in the absence of laboratory facilities. The patient described below is such an example where the clinician initially diagnosed facial kala-azar. It was only after the lack of therapeutic benefit and photographs were shared with international colleagues that the true diagnosis of cutaneous tuberculosis (TB) became apparent.

Case Study – Central Pontine Myelinolysis

Decompensated alcoholic liver disease and hyponatraemia. Relatively sudden onset of complex neurological symptoms including weakness, dysphagia, diplopia, disturbed consciousness and gait changes.



HIV therapy and dyslipidemia in Tanzania. Comparison of Stopping vs Continuing Cotrimoxazole Prophylaxis among HIV+ Children on Long-term ART.