Globally, intrapartum stillbirth accounts for 1 million deaths of babies annually, representing approximately one-third of global stillbirth toll. Intrapartum stillbirth occurs due to causes ranging from maternal medical and obstetric conditions; access to quality obstetric care services during pregnancy; and types, timing and quality of intrapartum care.READ MORE
Molar pregnancy is a benign trophoblastic disease usually discovered in patients with metrorrhagia and early miscarriage. We here report a case of molar pregnancy associated with severe preeclampsia in a 18-year-old primiparous woman presenting with early onset of vulvar swelling occurring in a three-day period. The patient reported metrorrhagias, headaches, vulvar pruritus lasting for a week. READ MORE
A 72-year-old man was referred to a surgical outpatient department because of severe anal pain, bleeding and itching for the last 5 days. Clinical examination revealed severe efflorescence with painful ulcers around the anus. READ MORE
Management of chronic kidney disease remains a challenge in developing countries due to the absence of kidney transplant, limited access to extra-renal purification and the low involvement of health policies particularly for children. PD remains a reliable alternative for renal replacement in pediatrics both in acute and chronic situations. The two PD modalities are represented by continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD) with their variants. READ MORE
Nverted Papilloma (IP) is a benign tumor that develops primarily in the sinonasal tract. Localization in the middle ear, regardless of primary or extension of a sinonasal IP, is exceptional. Only 23 cases of primary inverted papilloma have been reported in the literature. READ MORE
Tuberculosis (TB) is endemic in the Central African Republic (CAR) with an incidence rate of 391 per 100,000 population in 2015. This study aims to analyze current epidemiological and clinical features of TB at the Hôpital de l'Amitié in the Central African Republic. We conducted an analytic retrospective study of patients hospitalized in the Department of Medicine at the Hôpital de l'Amitié from 15 April 2010 to 14 October 2011. READ MORE
Breast cancer is a major global public health problem. About 1,671,149 cases are diagnosed each year, including 521,907 deaths in worldwide. It represents the leading cause of consultation at the Surgical Oncology Unit (SOU) of Donka National Hospital and represents 26% of all cancers. In Sub Saharan countries, the patients are relatively younger and the stages are aggressive. READ MORE
The supplement covers summaries of a surveillance system evaluation, secondary data analyses and several protocol-based studies. The output represents the product of field-based interactions that the residents had in the course of their experiential training in applied epidemiology.This builds up on the first NFELTP supplement published in July 2014 and the progress that the program has made since its inception in 2008.READ MORE
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