SSMJ November 2016


Editorial - All children should enjoy the benefits of immunization

Immunization is one of the most beneficial public health interventions of our time, protecting the population from preventable diseases (like poliomyelitis, diphtheria, measles, whooping cough, and pneumonia) and death. In 2008, the World Health Organization estimated that 17% of deaths in children aged under 5 years were due to preventable diseases , representing 1.5 million deaths. This is a colossal yet avoidable loss.

News, Reports and Policy

Obituary: Professor Amos Boul Riak

Clinical Guidance

How to interpret an unenhanced CT Brain scan. Part 2: Clinical cases

The aim of this article is to illustrate common pathological findings involving the brain encountered in every day practice. This builds upon our first article titled "How to interpret an unenhanced CT Brain scan.

How to perform a Lumbar Puncture

The first reports of a lumbar puncture (LP) being undertaken are from the late 19th century [1]. Heinrich Irenaeus Quince (with whom the Lumbar Puncture is commonly associated with) reported to the tenth congress of Internal Medicine in April 1891¬¬ that he had performed in one case 3 lumbar punctures in a patient with suspected tuberculous meningitis who was comatose [1,2].

How to set up and run a nurse led diabetes clinic in a resource poor country: Focus on South Sudan

Although this paper draws on the author’s experience of a NLDC in the UK, the generic ideas in the process of developing a NLDC in a developing country are similar. The author has not been to South Sudan but has had discussions with Dr Hakim whose knowledge of South Sudan has helped to inform the writing of this paper.

Managing Epilepsy in South Sudan

Epilepsy is the most common serious chronic disorder of the brain. According to estimates, at least 50 million people and their families are affected worldwide across different socio-economic groups, of which one in five is resident in Africa [1].


Comparison of manual vacuum aspiration and misoprostol in the management of incomplete abortion

Incomplete abortion contributes disproportionately to maternal morbidity and mortality in developing countries [1]. According to the World Health Organization 87,000 maternal deaths due to incomplete abortion are recorded yearly in developing countries [2]. Incomplete abortions can be managed expectantly, surgically and medically (using misoprostol with or without mifeprostone).

Case Reports

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