A5030595757- Global Health and Surgery
- Cardiac, Anesthesia and Surgical Outcomes
- Global Health Workforce Issues
- Trauma and Emergency Care Studies
- Appendicitis Diagnosis and Management
- Innovations in Medical Education
- Delphi Technique in Research
- COVID-19 and healthcare impacts
- Surgical Simulation and Training
- Pelvic and Acetabular Injuries
- Diverticular Disease and Complications
- Travel-related health issues
- Urological Disorders and Treatments
- Gastrointestinal disorders and treatments
- Intestinal Malrotation and Obstruction Disorders
- Gallbladder and Bile Duct Disorders
- Congenital gastrointestinal and neural anomalies
- Primary Care and Health Outcomes
- HIV-related health complications and treatments
- Liver Diseases and Immunity
- Ear and Head Tumors
- Intraperitoneal and Appendiceal Malignancies
- Clinical Laboratory Practices and Quality Control
- HIV/AIDS Research and Interventions
- Surgical site infection prevention
Jimma University
2025
University of Botswana
2017-2024
World Cancer Research Fund International
2023
Bristol-Myers Squibb (Germany)
2023
Botswana Harvard AIDS Institute Partnership
2011-2022
National Institute for Health Research
2022
University of Birmingham
2022
University of Göttingen
2022
Hospital for Sick Children
2022
Royal Columbian Hospital
2022
Background80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative breast, colorectal, gastric surgery hospitals worldwide, focusing the effect disease stage complications mortality.MethodsThis was multicentre, international prospective cohort study consecutive adult patients undergoing for primary or requiring skin incision done under general neuraxial...
Critical illness represents a major global health-care burden and critical care is an essential component of hospital care. There are few data describing the prevalence, treatment, outcomes critically ill patients in African hospitals. This was international, prospective, point prevalence study acute hospitals across Africa. Investigators examined all inpatients aged 18 years or older, regardless location, to assess coprimary 7-day mortality. Patients were classified as if at least one vital...
Abstract Background Microscopic diagnosis using stained blood films is usually regarded as the gold standard and most acceptable method of diagnosis. There no clinical audit performed at Clinical Laboratory Jimma University Medical Center, which aims to malaria diagnosis; therefore, this assesses pre-analytic, analytic, post-analytic processes that can affect accuracy quality in laboratory against established standards Method We conducted a Center from January 2-20, 2025, direct observation...
Academic global surgery is a rapidly growing field that aims to improve access safe surgical care worldwide. However, no universally accepted competencies exist inform this developing field. A consensus-based approach, with input from diverse group of experts, needed identify essential will lead standardization in task force was set up using snowball sampling recruit broad content and context experts perioperative care. draft revised through the modified Delphi process two rounds anonymous...
In Brief Objective: Differences in opinion exist as to the feasibility of establishing sustainable laparoscopic programs resource-restricted environments. At request local surgeons and Ministry Health Botswana, a training program was established assist colleagues with surgery. We reviewed our multifaceted evolving international collaboration highlighted those factors that have helped or hindered this program. Methods: From 2006 2012, consisting didactic teaching, telesimulation, Fundamentals...
Traumatic brain injury (TBI) prevalence in Botswana is high and this, coupled with a small population, may reduce productivity. There no previous study on the association between mortality from TBI Glasgow Coma Scale (GCS) score although global literature supports its existence.Our primary aim was to determine initial GCS time of adults admitted at Princess Marina Hospital, Gaborone, Botswana, 2014 2019. Secondary aims were assess risk factors associated estimate rate TBI.This retrospective...
The improvement of existing medical training programmes in resource-constrained settings is seen as key to addressing the challenge retaining graduates trained at considerable cost both in-country and abroad. In Botswana, establishment national Medical Internship Training Programme (MIT) 2014 was a first step efforts promote retention through expansion standardization internship training, but MIT faces major related variability between incoming trainees due factors such their completion...
PURPOSE To evaluate the scope and types of cancer research projects in sub-Saharan Africa (SSA) to identify gaps inform future efforts. METHODS This retrospective observational study summarized information on SSA from International Cancer Research Partnership (ICRP) between 2015 2020, alongside 2020 incidence mortality data Global Observatory. were identified as led by investigators countries, or non-SSA countries with collaborators SSA, database keyword searches. Projects Coalition for...
Traumatic injuries are proportionally higher in low- and middle-income countries (LMICs) than high-income counties. Data on trauma epidemiology patients' outcomes limited LMICs.A retrospective review of medical records was performed for admissions to the Princess Marina Hospital general surgical (GS) wards from August 2017 July 2018. demographics, mechanisms injury, body parts injured, Revised Trauma Score, procedures, hospital stay, were analysed.During study period, 2610 patients admitted...
Background. Teaching undergraduate surgical skills using plain models without detailed anatomy and text presentations lacks detail, there is a need to explore other teaching methods. Objective. To establish whether difference in the satisfaction level understanding between students taught 3D animation v. traditional Methods. This was randomised comparative study conducted over 1 year. Participants were third- fifth-year medical who provided informed consent. They randomly assigned groups....
Takayasu's arteritis (TA) is a rare chronic inflammatory disease affecting mainly the aorta and its main branches. We report case of 24-year-old primigravida, an African patient, with TA planned for caesarean section at 37 weeks gestation. Clinically, she has involvement aortic arch branches abdominal aorta. She underwent delivered alive baby boy under successful spinal anaesthesia insignificant complications. Although it in continent, anesthesiologists should be up-to-date knowledge...
Documentation on the spectrum, comorbidities, profile, and outcomes of adult surgical admissions in Botswana is limited. This information may guide manpower distribution for proposed rotations new general surgery training programmes.
Malignant nodular hidradenoma (MNH) is a rare invasive tumour arising from eccrine sweat glands, with significant risk for local recurrence and distant metastases.Hidradenoma papilliferum reported in pregnancy.To our knowledge this the first MNH human immunodeficiency virus (HIV) infected pregnant woman.The patient presented painless perianal growth.Wide excision was performed wound left to heal by secondary intension.The pathology report confirmed MNH.The has been followed 14 months without...
Although rare, it is not unheard of to encounter patients whose anorectal malformations have been ignored until adulthood in resource-limited environments. However, extremely uncommon be faced with early primary management was directed toward a permanent stoma. In cases where the proximal rectum all but sacrificed, for definitive repair and reconstitution intestinal continuity challenge. Little information exists literature. The two adult female born rectovestibular fistulas environment...