SSMJ November 2019
The theme for 2019 is “Family and Diabetes”, chosen “to raise awareness of the impact that diabetes has on the family and support network of those affected, as well as promoting the role of the family in the management, care, prevention and education of diabetes”.
News, Reports and Policy
The Gordon Memorial College Trust Fund supports education of Sudanese and South Sudanese, and each year gives awards to a number of individuals and institutions. The website www.gmctf.org gives further details. GMCTF supports education in a number of ways; among other things, support has been given in recent years to a number of individuals from South Sudan to help with medical training.
The 60th issue (July 2019) of the Emergency Nutrition Network (ENN) publication, Field Exchange (FEX), is dedicated to the ‘Continuum of Care (CoC)’ of children with acute malnutrition and includes a special editorial as well as three items on work in South Sudan.
Resources from around the web on public health
Misusing and overusing antibiotics puts us all at risk
Female genital mutilation (FGM) is a problem persisting in Tanzanian culture. The United Nations estimates that over 200 million women in the world have been subjected to FGM/cutting (FGM/C) and 3 million girls are at risk every year. In Tanzania FGM/C overall prevalence is around 15% in girls and women aged 15-49 years. It is estimated that 7.9 million women and girls in the country have undergone FGM. The objective of the study was to assess the association between FGM and perineal injury among women in labour in the Dodoma Region, Tanzania.
Concern Worldwide has been implementing nutrition programmes in the former Northern Bar el Ghazal (NBeG) State in South Sudan since 1998. NBeG is the most rural state in South Sudan and sits on the present-day border with Sudan. It has faced conflict and war in the past. More recently, it has largely escaped the direct effects of the civil war and its population has freedom to move around the region. The objective was to identify and analyse changes in patterns of malnutrition and key factors associated with malnutrition from 2004 to 2016, including seasonal differences where data were available.
The tympanic membrane is an important structure lying obliquely between the external and middle ear. It has three layers: an outer squamous, middle fibrous and inner mucous layer. Causes of tympanic membrane perforation include trauma, infectious agents, neoplasms and iatrogenic causes. The aim of this study was to determine the pattern and causes of tympanic membrane perforations among patients attending an ENT clinic at the private hospital which serves the largest number of ENT clients in Dar es Salaam.
Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycaemia resulting from defects in insulin secretion, insulin action, or both and is a major health problem. The International Diabetes Federation (IDF) estimated that there were 425 million people with diabetes in the world in 2017 with 431,000 in South Sudan. The aim of this study was to assess nurses’ knowledge on management of diabetic patients and the factors associated with it in JTH - the only referral hospital in South Sudan.
The researches were carried out in partial fulfilment of the requirement for the award of Diploma in Midwifery. The complete reports are available from the authors
Gestational choriocarcinoma (GCC) is the most malignant of the four gestational trophoblastic diseases. The others are: invasive mole, placental site trophoblastic tumour, and epithelioid trophoblastic tumour. We report five cases of GCC managed at the Juba Medical Complex and Juba Teaching Hospital since 2011.
Laryngeal trauma is rare compared to other head and neck injuries. It can be life threatening due to associated complications such as aspiration, vocal cord injuries and airway obstruction. Mortality from severe laryngeal trauma has been estimated at about 40% without immediate medical intervention. We report a case of blunt laryngeal trauma and describe types of laryngeal trauma, airway management and surgical approaches.
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