Showing papers by "Mohamed F Jalloh published in 2016"
TL;DR: Addressing survivor concerns, including the discrimination they face, could facilitate their reintegration into communities and their contributions to future Ebola responses, as they face myriad economic, social and health challenges.
Abstract: Background In Sierra Leone, over 4000 individuals survived Ebola since the outbreak began in 2014. Because Ebola survivorship was largely unprecedented prior to this outbreak, little is known about survivor experiences during and post illness. Methods To assess survivors9 experiences and attitudes related to Ebola, 28 in-depth interviews and short quantitative surveys with survivors from all four geographic regions of Sierra Leone were conducted in May 2015. Results Survivor experiences, emotions and attitudes changed over time as they moved from disease onset to treatment, discharge and life post-discharge. Survivors mentioned experiencing acute fear and depression when they fell ill. Only half reported positive experiences in holding centres but nearly all were positive about their treatment centre experiences. Survivor euphoria on discharge was followed by concerns about their financial situation and future. While all reported supportive attitudes from family members, about a third described discrimination and stigma from their communities. Over a third became unemployed, especially those previously engaged in petty trade. Survivor knowledge about sexual transmission risk reflected counselling messages. Many expressed altruistic motivations for abstinence or condom use. In addition, survivors were strongly motivated to help end Ebola and to improve the healthcare system. Key recommendations from survivors included improved counselling in holding centres and long-term government support for survivors, including opportunities for participation in Ebola response efforts. Conclusions Survivors face myriad economic, social and health challenges. Addressing survivor concerns, including the discrimination they face, could facilitate their reintegration into communities and their contributions to future Ebola responses.
30 citations
TL;DR: A national multistage cluster-sampled household survey to assess knowledge, attitudes, and practices related to Sierra Leone's health care system was conducted in July 2015, and respondents ranked Ebola and malaria as the country's most important health issues.
Abstract: Ensuring confidence in the health care system has been a challenge to Ebola virus disease (Ebola) response and recovery efforts in Sierra Leone (1). A national multistage cluster-sampled household survey to assess knowledge, attitudes, and practices (KAP) related to Sierra Leone's health care system was conducted in July 2015. Among 3,564 respondents, 93% were confident that a health care facility could treat suspected Ebola cases, and approximately 90% had confidence in the health system's ability to provide non-Ebola services, including immunizations, antenatal care, and maternity care. Respondents in districts with ongoing Ebola transmission ("active districts") and respondents with higher educational levels reported more confidence in the health care system than did respondents in nonactive districts and respondents with less education. Active districts were the focus of the Ebola response; these districts implemented intensified social mobilization and communication efforts, and established district response centers, Ebola-specific health care facilities, and ambulances. Greater infrastructure and response capacity might have resulted in higher confidence in the health care system in these areas. Respondents ranked Ebola and malaria as the country's most important health issues. Health system recovery efforts in Sierra Leone can build on existing public confidence in the health system.
15 citations
TL;DR: A descriptive study of 91 ureteroscopy procedures performed at the Urology department of Grand Yoff General Hospital from January 2012 to December 2013 finds the effectiveness and lesser morbidity of laser lithotripsy has made it the treatment of choice for upper urinary tract stones.
5 citations
TL;DR: Circumcision is safe when performed in hospitals but serious complications may occur if it is performed by non-experts, Hence there is a necessity to raise people’s awareness on the importance of the medicalization of circumcision.
Abstract: Aim: This study aimed at describing the
various aspects of complications of circumcision and their management in
patients referred to N’Djamena Mother & Child Hospital (Chad). Material and
Methods: All patients referred for complications of circumcision reported on a
3-year period (July 2011-May 2014) were included. Demographic data,
circumstances of the circumcision, clinical presentation and management were
computed. Results: Thirty-one cases of complications from traditionally
performed circumcisions (n = 19) or circumcisions were performed by paramedics
(n = 12). The average age was 7.5 ± 2 years. More than 60% of the patients were
between 6 and 10 years old. The complications reported included: urethral
fistula in the balano preputial sulcus in 10 cases (32%), entire amputation of
the glans in 2 cases (6.5%), amputation of the penis in one case (3.5%),
stenosis of the urethral meatus in 8 cases (26%), bleeding in 5 cases (16%) and
infections in 5 cases (16%). A surgical treatment was performed according to
clinical cases. Conclusion: Circumcision is safe when performed in hospitals.
Unfortunately, serious complications may occur if it is performed by
non-experts. Hence there is a necessity to raise people’s awareness on the
importance of the medicalization of circumcision.
3 citations
TL;DR: The authors report of diphallia in a 54 year old man who was received in consultation for the management of inguinal hernia and did not undergo plastic surgery.
Abstract: Penile duplication or diphallia is a rare congenital anomaly. The authors report of diphallia in a 54 year old man who was received in consultation for the management of inguinal hernia. A review of the literature describes the clinical presentations and associated malformations and the therapeutic options ranging from a simple excision of the supernumerary penis to a complex reconstruction when associated with severe malformations. This case report did not undergo plastic surgery.
1 citations
TL;DR: The characteristics of patients undergoing urethrocystoscopy, the indications and results of the examination and the additional procedures performed are described and analysis of data on demographic characteristics, indications, results and additionnal procedures were collected and analyzed.
1 citations
TL;DR: Double J Catheters remain important in the preservation of renal function in case of obstruction and its use requires a mastery of these indications and a rigorous follow-up.
Abstract: Goals: The goals are to assess the use of Double Jendo-prostheses in urinary obstructions in the Hospital General de Grand Yoff of Dakar (HOGGY). Patients and methods: This is a 4-year retrospective study (1st January 2009-31st December 2012). The study included all patients with obstruction of the upper urinary tract, and with a reversing type Double Jendo-prostheses. Findings: A total of 82 patients were chosen for this study, including 41 males. Patient’s average age was 45 years. Kidney failure accounted for 11.5% of the causes of consultations. Lithiasic obstacles (34.2%) and tumours (21.5%) were the most recurrent. Catheter was successfully placed in 78% of cases, and highly contributed to improve renal function in 69% of cases. The frequently complications found in patients with Double J Catheters were back pain and urinary tract infections. Four cases of catheters calcifications were reported. Catheter was replaced in 62.2% of patients within an average period of 6.9 months. Conclusion: Double J Catheters remain important in the preservation of renal function in case of obstruction. Its use requires a mastery of these indications and a rigorous follow-up.