Paulmcqueen7279
follow-up period, one case had superficial surgical site infection and there were no cases of dismantling of equipment or pseudarthrosis. No complications after osteosynthesis for olecranon fractures were recorded in our case series. Stiffness at the elbow-joint was defined as bending/extension arc less than 50°; elbow stiffness was found in 25% of patients. Functional results were assessed using the Mayo-Clinic or Mayo-Clinic Elbow Performance Score (MEPS) with an average score of 86. Conclusion based on our results, transolecranon posterior approach is the best option for these fractures, since it allows good joint exposure. This is essential for perfect anatomical restitution and stable osteosynthesis in order to undertake early and adapted rehabilitation.
intimate partner violence (IPV) is a global public health problem of human rights concern. It is a global issue, regardless of social, economic, religious or cultural group. Ever experienced IPV is a risk factor for many acute and chronic diseases and or stress-related conditions among women. This study determined the prevalence and predictors of lifetime IPV among women in an urban community in Lagos, Nigeria.
a descriptive cross-sectional study was conducted among 400 respondents from April to September 2019. An interviewer-administered questionnaire was used to obtain information from respondents. Data analysis was done using SPSS Version 22. Descriptive analyses were performed. Associations were explored with Chi-square test; multivariate analysis was done with logistic regression at p≤5% level of significance (95% CI).
a total of 400 adult women aged 18-73 years who have been in an intimate relationship for at least 1 year participated in this study. The mean ± SD age of the respondents was 36.72 ± 11.74 years. Lifetime prevalence of IPV was 73.3%. The significant predictors for IPV were; being employed (OR=0.461; 95% CI=0.230-0.924); witnessed parental violence (OR=1.909; 95% CI=1.023-3.563); partner consuming alcohol (OR=1.669; 95% CI=0.999-2.788) and partner having other sexual partners (OR=2.104; 95% CI=1.174-3.771).
community-based interventions by government and other stakeholders are needed to empower women, reduce exposure of children to IPV at home and provide enlightenment education on IPV in communities.
community-based interventions by government and other stakeholders are needed to empower women, reduce exposure of children to IPV at home and provide enlightenment education on IPV in communities.Necrotizing fasciitis is a rapidly progressive soft tissue infection characterized by extensive necrosis in the deep and superficial fascia. This is a polymicrobial infection in about 70% of cases. Monomicrobian infection is usually caused by β-hemolytic group A streptococcus. Monomicrobian necrotizing fasciitis due to multidrug-resistant Acinetobacter baumannii is rare and usually occurs in immunocompromised patients with a medical history. In these subjects, the infection is severe and fatal due to the decompensation of the underlying defects and septic shock. The occurrence of this clinical disease in healthy subjects is rare. We report the case of a 54-year-old healthy man with monomicrobian necrotizing fasciitis of the left leg due to multidrug-resistant Acinetobacter baumannii; patient's outcome was favorable after extensive surgical debridement.
sickle cell disease (SCD) has significant pediatric morbidity and mortality in sub-Saharan Africa, where access to therapies such as hydroxyurea and opioids is often limited. Poor disease control and Pain management adversely affects the well-being and mental health of affected children. Questionnaires have been utilized in other regions to report the quality of life (QOL) in children with SCD, but assessments from Africa are lacking.
children age 2-14 years with SCD presenting for routine outpatient consultations at Hospital Central de Maputo from June-August 2017 were offered participation. After informed consent, the Pediatric QOL Inventory (PedsQL) SCD Module was administered to all caregivers and children > 5 years. Responses were scored from 0-100, with higher scores representing better QOL.
a total of 14 children were included, with six (43%), four (29%), two (14%), and two (14%) from the age groups of 2-4, 5-7, 8-12, and 13-14 years, respectively. Mean overall patient QOL was 65.3 and 56.0 in child and caregiver respondents. In patients > 5 years, the difference in mean overall QOL for those on/not on hydroxyurea was 0.6 (66.5-64.9) in child respondents and 15.8 (68.4-52.6) in caregiver respondents. Domains related to worry/emotions and communication scored lower in QOL than Pain-related domains for both patient and caregiver respondents.
SCD has a negative impact on QOL as reported by this cohort of Mozambican pediatric patients and caregivers, with Pain being less of a concern than emotional and interpersonal issues. PP242 A comprehensive, child-focused care approach with robust psychosocial support is needed.
SCD has a negative impact on QOL as reported by this cohort of Mozambican pediatric patients and caregivers, with Pain being less of a concern than emotional and interpersonal issues. A comprehensive, child-focused care approach with robust psychosocial support is needed.Giant cell tumors (GCT) of the bone are uncommon primary bone neoplasms that occur mainly in the epiphyses of long bones. Their incidence in craniofacial skeleton is rare, particularly in the maxilla. We report a case of a 12-year-old patient with a GCT of the left maxilla, who underwent a surgical excision of whole mass, and showed no recurrence one year after intervention.Researchers and practitioners have recently called for greater involvement of school health professionals (SHPs; e.g., school psychologists, nurses, guidance counselors) in interventions to identify and address bullying of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) students. To inform future interventions, this study explored the perspectives of LGBTQ students and SHPs on LGBTQ bullying and SHPs' responses to LGBTQ bullying. Five online, asynchronous focus groups were held in 2018 with 28 LGBTQ students and 19 SHPs recruited from Massachusetts, US. Methods were guided by Rapid Qualitative Inquiry. Results revealed a disconnect in perceptions of LGBTQ bullying among LGBTQ students versus SHPs, with LGBTQ students reporting a range of often significant verbal, social, and physical bullying experiences and SHPs reporting minimal awareness of LGBTQ bullying at their schools. Transgender students reported bullying related to their gender identity, including verbal, physical, and sexual harassment, deadnaming (referred to by their birth name), and misgendering (called an incorrect pronoun).