1. Dealing with enterocutaneous fistulas at Evangel

We now have four patients in the hospital who have a condition called enterocutaneous fistula. They all had surgery at other hospitals for various problems but developed a leak in their intestines so now they have stool leaking out their abdominal wo...

26/11/2007 | 667 Hits | (0 vote) | Print | Email | Read more...

2. Scientists Show Deadly Bird Flu Strain Is Evolving Toward Human To Human Form

Scientists Show Deadly Bird Flu Strain Is Evolving Toward Human To Human Form. Medical News Today (online). Article Date: 08 Oct 2007. Growth of H5N1 Influenza A Viruses in the Upper Respiratory Tracts of Mice ."Hatta M, Hatta Y, Kim JH, ...

16/11/2007 | 597 Hits | (0 vote) | Print | Email | Read more...

3. Encouraging news on intermittent preventive therapy in infancy (IPTi) for malaria

This study is a meta-analysis, and finds clinically significant effectiveness of IPTi. The study I'm dying to see is the effect of IPT in HIV-infected infants and children. Is it something that should be added to their routine care? Abstra...

14/11/2007 | 616 Hits | (0 vote) | Print | Email | Read more...

4. Epidemiology of congenital malaria in Nigeria: a multi-centre study

An important article to better understand prevalence and significance of congenital malaria. Read the whole article if you can. Abstract Objective To determine the burden of congenital malaria in newborns in Nigeria. Methods In a prosp...

14/11/2007 | 637 Hits | (0 vote) | Print | Email | Read more...

5. A protective antibody against falciparum malaria

"Since these antibodies have been found to achieve parasite killing under in vitro and in vivo conditions, and since they can be readily elicited by immunisation in naïve volunteers, our immunoepidemiological findings support the further de...

14/11/2007 | 598 Hits | (0 vote) | Print | Email | Read more...

6. Jet lag: trends and coping strategies (Lancet Seminar)

"Summary "The number of travellers undertaking long-distance flights has continued to increase. Such flights are associated with travel fatigue and jet lag, the symptoms of which are considered here, along with their similarities, differ...

14/11/2007 | 562 Hits | 2 comments | (0 vote) | Print | Email | Read more...

7. Better first line treatment needed for children with severe pneumonia

This Lancet article reports an important observational study from South Africa. The authors investigated 358 children aged 1–59 months, regardless of HIV status, who presented with WHO-defined severe or very severe pneumonia. Sixty-eight percen...

13/11/2007 | 840 Hits | (0 vote) | Print | Email | Read more...

8. Staff supervision and financial incentives reduce in-hospital mortality in childhood malaria

Bottom line: In this government hospital in Guinea-Bissau, mortality from childhood was reduced by 50% in an intervention that monitored and supervised staff supervision to guidelines, and also provided extra $$ to the staff as an incentive. Thi...

08/11/2007 | 599 Hits | (0 vote) | Print | Email | Read more...

9. Hannah

The two day old baby looked so tiny in the middle of the full-size ICU bed. The whole left side of her head and her left eye were swollen and bruised, with scratches here and there. Now and then she would stiffen and shake—convulsions probably ...

05/11/2007 | 793 Hits | (0 vote) | Print | Email | Read more...

10. Cholera: A New Homeland in Africa?

"The reported incidence of indigenous cholera in sub-Saharan Africa in 2005 ... was 95 times higher than the reported incidence in Asia ... and 16,600 times higher than the reported incidence in Latin America .... In that same year, the cholera...

01/11/2007 | 744 Hits | (0 vote) | Print | Email | Read more...

11. Cholera: A New Homeland in Africa?

"The reported incidence of indigenous cholera in sub-Saharan Africa in 2005 ... was 95 times higher than the reported incidence in Asia ...  and 16,600 times higher than the reported incidence in Latin America .... In that same year, the ch...

01/11/2007 | 360 Hits | (0 vote) | Print | Email | Read more...

12. New Digital X-Ray Machine for Evangel

Evangel hospital last week unveiled its brand new digital x-ray machine. For some time we have been struggling with our old machines, and the last one was starting to give images of rather poor quality. The new machine represents our commitment...

26/10/2007 | 720 Hits | (0 vote) | Print | Email | Read more...

13. Should critically ill patients be routinely transfused to a normal haemoglobin level? (SCQ)

A structured clinical question. Brief answer, no. Should critically ill patients be routinely transfused to a normal haemoglobin level? Archives of Disease in Childhood 2007;92:1038-1039; doi:10.1136/adc.2007.124412

26/10/2007 | 224 Hits | (0 vote) | Print | Email

14. Sepsis: definition, epidemiology, and diagnosis

We sometimes have a little confusion in our teaching program about what sepsis means. This looks like a good review article. Main points include: Sepsis has a broad range of clinical manifestations from minor to extreme Sepsis results m...

26/10/2007 | 287 Hits | (0 vote) | Print | Email | Read more...

15. Examining once daily gentamicin in the treatment of UTI in infants and children

This article not only gives us some answers to the question, "can gentimicin be given once daily in children with UTI?", but it also takes us through the process of how to research and answer the question. A good example to use in teaching....

25/10/2007 | 279 Hits | (0 vote) | Print | Email | Read more...