Publications by authors named "A M Toluse"

Article Synopsis
  • - The study investigates the prevalence and reasons behind patients leaving orthopedic departments in Nigerian hospitals against medical advice (DAMA), finding a low rate of 1.9% among 373 patients.
  • - Financial constraints emerge as the leading reason for DAMA, affecting 40.8% of patients, followed by family preference for alternative treatments (18.8%) and dissatisfaction with treatment (7.0%).
  • - The authors suggest that enhancing health insurance and implementing strategies to address financial and educational barriers could help decrease DAMA rates and improve patient outcomes.
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Purpose: Discharge against medical advice (DAMA) is a worldwide phenomenon. It continues to challenge the healthcare system and has profound effects on outcomes of treatment. It is when a patient leaves the hospital against the treating physician's recommendation.

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Tuberculosis of the vertebral column (Pott's disease) accounts for up to one-half of musculoskeletal tuberculous infections. The eradication of the infective organism () is achievable with chemotherapy. However, such patients with spinal tuberculosis are at risk of developing spinal deformity, and 3%-5% of the patients develop severe deformity greater than 60°.

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Introduction And Aim Of Study: Tranexamic acid has been found to be effective in reducing peri-operative blood loss and is widely used across surgical specialties including orthopaedic surgery. However, there is still no consensus on the most appropriate and effective dose regimen. This study therefore compared the efficacy of single versus double dose regimens in patients that had interlocking intramedullary nailing by assessing the volume of drain output with the objective of determining the more effective regimen.

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Background: Spinal cord injuries (SCIs) are devastating consequences of traumatic injuries with far-reaching health and socioeconomic implications. The objectives of this study were to describe the epidemiological characteristics of traumatic SCI and to analyse these epidemiological and clinical characteristics.

Methods: This study was a retrospective observational study.

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