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Physicians' clinical experience and perspectives following a pilot, blended learning, point of care ultrasound course in Ghana- a mixed methods analysis.
BMC Med Educ
December 2024
Worldwide Radiology, Liverpool, UK.
Article Synopsis
- Point of Care ultrasound (POCUS) is increasingly being used in resource-limited areas like Ghana, and training physicians properly is essential for its effective implementation.* -
- A pilot blended learning program was developed for physicians in acute care, and participants reported using POCUS techniques frequently, benefitting many patients who otherwise couldn't afford tests.* -
- Challenges included access to equipment and lack of a formal evaluation system, but participants saw the value in ongoing support, further training, and felt that POCUS improved their clinical decision-making.*
Assessment of descending aortic blood flow velocities with continuous wave Doppler echocardiography among healthy Children in South East Nigeria.
Malawi Med J
March 2024
Department of Community Medicine, ESUCOM, Parklane Enugu, Enugu State, Nigeria.
Background: The descending aorta velocity is important predictor of aortic disease in children and can be very helpful in some clinical and surgical decision making.
Aim: The purpose of this study is to assess the normative values of descending aorta velocity among children from South-East Nigeria. It also aimed to assess the correlation between age, body surface area and mean velocity across the descending aorta.
Clinical features and Surgical Outcomes of Thyroid Goitre Presenting to Ear, Nose and Throat Department of Queen Elizabeth Central Hospital, Blantyre, Malawi.
Malawi Med J
March 2024
Department of surgery, Queen Elizabeth Central Hospital, Blantyre, Malawi.
Introduction: In Malawi there is a perception that goitre is common and causes significant public health and economic burdens. The purpose of this study was to assess the demographic distribution, clinical presentation, investigations, management, outcomes and complications of goitre seen at Queen Elizabeth Central Hospital (QECH), Blantyre, Malawi.
Method: A single hospital-based descriptive retrospective study from January 2017 to December 2018 for all patients presenting with goitre.
Subtle Sonographic Signs of Disseminated Tuberculosis: A Case Report and Narrative Literature Review.
Am J Trop Med Hyg
September 2024
Lighthouse Clinic Trust, Lilongwe, Malawi.
Miliary tuberculosis is a form of disseminated tuberculosis that can be difficult to detect when the classic pattern is absent on chest radiograph and advanced cross-sectional imaging is not readily available. While the focused assessment with sonography for HIV-associated tuberculosis (FASH) protocol for extrapulmonary tuberculosis emphasizes easy-to-teach findings, experienced sonographers may detect additional, subtler signs that can aid in diagnosis. We report a case of a 20-year-old man with miliary tuberculosis diagnosed on computed tomography of the chest.
View Article and Find Full Text PDFThe diagnostic performance of Xpert MTB/RIF Ultra on Pericardial, Pleural and Ascitic cohort study fluids for diagnosis of extra-pulmonary Tuberculosis at a referral hospital in Malawi.
Malawi Med J
December 2023
Department of Medicine, Kamuzu University of Health Sciences, Blantyre, Malawi.
Background: Extra-pulmonary tuberculosis (EPTB) accounts for 15% of the 1.4 million patients with TB notified in 2019. EPTB carries a high risk of mortality and so early diagnosis and treatment are important to reduce this risk.
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