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The Pan African Medical Journal(PAMJ) - Better health through knowledge sharing and information dissemination - The mission of the PAMJ is to create, stimulate and perpetuate a culture of information sharing and publishing amongst researchers and other health actors of the African health scene in ways that will contribute to improve availability of health information, a better understanding of Africa specificities,and overall, to improve health outcomes in the continent

  • http://panafrican-med-journal.com/content/article/25/112/full/ Kidney transplant in Nigeria: a single centre experience - INTRODUCTION: kidney transplant is the preferred renal replacement therapy for patients with end stage kidney disease. However management of patients with kidney transplant in resource poor countries is evolving and groaning under several mental, financial and infrastructural challenges. The objective of the study is to evaluate the management of patients with kidney transplant in a kidney care Centre in Nigeria. METHODS: this was a non-randomized prospective study. The study population were post-transplant patients presenting between 1st August 2010 and 31st December 2014.The biodata, pre and post-transplant details of these patients were documented. The data was analysed using SPSS Vs 17. RESULTS: a total of 47 patients were studied with M: F ratio of 4:1, the mean age was 45.4 ± 13.6 years. Chronic glomerulonephritis, hypertension, diabetes mellitus and HIV related kidney disease were the commonest cause of CKD. Financial constraint delayed transplant in 66% and non-availability of donor in 17.2%. About 90% of the transplants were in India and 81% either financed the transplant either directly or through a relation. There was no cadaveric transplant and about 70% of the donors were not related. Tacrolimus, mycophenolate and prednisolone were most frequently used immunosuppressive combination. The one and three years graft survival were 95.3% and 67.6% respectively while corresponding patients survival were 97.7% and 82.4% respectively. Septicaemia, acute rejection and urinary tract infection were most common complications. CONCLUSION: management of patients with kidney transplant has good prospect despite the challenges.
  • http://panafrican-med-journal.com/content/article/25/113/full/ Torsion d’annexe au second trimestre de la grossesse, à propos de deux cas - Les douleurs pelviennes aigues pendant la grossesse peuvent poser un problème de diagnostic différentiel.Nous rapportons deux cas de torsion d'annexes au deuxième trimestre de la grossesse afin d'attirer l'attention sur ce diagnostic, dont seule une prise en charge précoce permet d'éviter des lésions irréversibles dues à l'ischémie, pouvant mettre en jeu le pronostic ultérieur de fertilité. La première patiente, G1P0, enceinte à 20 SA, s'est présenté initialement pour un syndrome appendiculaire. Une incision de Mac Burney, au cours de l'exploration, a montré un ovaire droit nécrosé et une ovariectomie a été faite. Les suites post opératoires étaient simples. La seconde patiente, G2P2, s'est présenté aux urgences avec des douleurs aigues de la fosse iliaque gauche à 26 SA. La laparotomie a mis en évidence une torsion d'une hydatide de Morgani, dont l'aspect nécrosé dû à une torsion, a orienté vers une ablation de l'hydatide. Pour les deux patientes, aucune complication postopératoire n'a été relevée. La torsion d'annexe est une urgence à ne pas méconnaître devant toute douleur pelvienne aigue chez la femme enceinte. Le traitement conservateur est actuellement le gold standard et une prise en charge appropriée est nécessaire pour éviter d'éventuelles complications maternelles et fœtales.

    Country: 208.113.207.38, North America, US

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  • Howie Isaacks - Great monitor. Get a DisplayPort to mini DisplayPort cable if you have a Mac.

    I bought this monitor for my late 2012 Mac mini. To get the full 2560 x 1440 resolution, I needed to buy a DisplayPort to mini DisplayPort cable. It's almost like having a retina display. The text and icons are nearly as sharp as they are on my retina MacBook Pro. The colors are accurate. The display is very bright. I'm impressed that such a low cost monitor is made out of aluminum rather than silver colored plastic. Only the back is made of plastic. I was considering buying an Apple Thunderbolt display, but this may have been a better choice. This monitor is two inches smaller than the Apple display, but it has the same number of pixels. When you pack the same number of pixels into a smaller display, you end up with a sharper picture. I'm running OS X El Capitan on my Mac, and the new split screen feature in OS X works great on this monitor.

  • Jamie Perna - Best floor liners for RAM 1500 CREW CAB with floor console

    Absolutely love these floor liners for my 2016 RAM 1500 SPORT CREW CAB. They fit perfect. Front and back (1st and 2nd) row with full floor center console.

  • Kpyrhdp0912 - Very unreliable, ineffective, and 2 hours wasted time from start to finish.

    After following directions to t, hair was unchanged other than drier. I have thick, wavy hair. I left the treatment on for 10 minutes for double processed as I had bleached hair in April '16. This isn't a reliable product based on mine & other users. It just does not work when following directions and needs revision or clarification on hair types this will work on. Instead, the company fails to do this so tons of unsuspecting people buy it but it will never work on their hair. I was attempting to avoid the keratin treatment I normally do because it is so time consuming and dislike heat on hair but after wasting 2 hours on trying this product, will not recommend or buy again.

  • Sammig - A good Dummies Book for the QB Newbie

    I am great with Quicken, but hadn't ever used QuickBooks. I am also not on the list of the first 50 people you'd ever ask for bookkeeping help. Recently I had occasion to help a family member figure out what she'd done to mess up her recently acquired QuickBooks program. My first step was to order this book.

  • Ali Thomas - ''NO High Yield images'' in ebook version

    I purchased the ebook version of the book and I would not advised anyone to buy the ebook but the actual book. Here is why?

  • Steve - Elegant Looking Router System

    This elegant looking router system is definitely a piece of tech you don’t need to hide above the ceiling tiles in the basement. I placed my router component on a glass wall shelf in the downstairs family room. It is nearly dead center of our home’s lower level. The satellite component is centrally located on the main floor of the home sitting on the desk in the foyer. It looks very nice sitting there next to some porcelain figurines, almost like a piece of art itself.

  • timothy a kinney - Cozmo sick!

    I preordered this little guy and received it two days early. The setup instructions are simple and easy to follow. I played with Cozmo the first day which was a lot of fun. However, the second day I could not get Cozmo to connect to WiFi. I contacted customer service and they determined that the power adapter was defective and would mail me a replacement. In the interim they told me to plug the USB power cable directly to a computer which would charge Cozmo but take longer than the ten minutes using the charger. After several hours charging Cozmo still was not charged. My second call to customer service resulted in several holds on the phone and suggestions by them which did not solve the problem. I then requested authorization to return for replacement and was told they would call me back in 24 hours. I have spend over $600 on their other product (race cars) and have been completely satisfied with the product and customer service but was a little let down this time. Hopefully they will have a solution when they call back today!