The effects of sagittal kyphotic deformities or mechanical stress on the development cervical spondylotic myelopathy, reduction and fusion alignment have not been consistently documented. aim in this study was to determine spine terms neurological morbidity outcome after 2 types surgical intervention.The authors retrospectively reviewed records 476 patients who underwent surgeries for myelopathy between 1993 2006 at their university medical center. Among these were identified 43 patients-30...

Musculoskeletal disorders (MSD) constitute one of the main occupational hazards among health care workers. However, few epidemiological studies on work related MSD nursing professionals have been carried out in Africa. The purpose this study was to assess musculoskeletal and associated risk factors Uganda.This a cross-sectional 880 from five selected hospitals Uganda. Data collected using questionnaire adapted Dutch Nordic questionnaires. Descriptive (mean, standard deviation percentages)...

Abstract Background This article discusses the ethical issues surrounding integration of long-acting injectable antiretroviral therapy (LA-ART) in programmatic management human immunodeficiency virus (HIV). As medical landscape evolves, implementing LA-ART introduces many that should be considered for success scale-up diverse settings. Methods examines key such as bioethical concerns around rollout LA-ART, including regulatory requirements, a person's autonomy, informed consent, privacy and...

Object In this paper the authors' goal was to identify histological and immunohistochemical differences between cervical disc herniation spondylosis. Methods A total of 500 intervertebral discs were excised from 364 patients: 198 patients with 166 We examined en bloc samples endplate-ligament-disc complexes. Types graded degrees degeneration on MR images histologically immunohistochemically. Results The herniated showed granulation tissue, newly developed blood vessels, massive infiltration...

Though seen as a convenient method of carrying books and other scholastic materials including food items, schoolbags are believed to contribute back musculoskeletal problems in school going children. This study set out determine the prevalence low pains describe their relationship with schoolbag use pupils.This was cross-sectional descriptive involving 532 pupils from six primary schools mean age 13.6 years. Analyses included chi- square test, independent t tests, regression analysis test...

The mechanisms responsible for the spontaneous regression of lumbar disc herniation (LDH) were studied by examining herniated tissue collected at operation from patients with LDH.The aim present study was to investigate role neovascularization and macrophages in hernias when LDH occurred.Spontaneous LDHs has already been demonstrated diagnostic imaging tools such as magnetic resonance imaging. However, there have few studies on based pathologic examination tissue. In particular, no detailed...

Informed consent during medical practice is an essential component of comprehensive care and a requirement that should be sought all the time doctor interacts with patients, though very challenging when it comes to implementation. Since magnitude frequency surgery related risk are higher in resource limited setting, informed for such settings more comprehensive. This study set out evaluate patients' experiences perspectives surgery. was survey post-operative patients at three university...

In Brief Study Design. To examine the distribution of apoptotic cells and expression tumor necrosis factor (TNF)-α its receptors in spinal hyperostotic mouse (twy/twy) with chronic cord compression using immunohistochemical methods. Objective. study mechanisms apoptosis, particularly oligodendrocytes, which could contribute to degenerative change demyelination mechanical compression. Summary Background Data. TNF-α acts as an external signal initiating apoptosis neurons oligodendrocytes after...

Informed consent in medical practice is essential and a global standard that should be sought at all the times doctors interact with patients. Its intensity would vary depending on invasiveness risks associated anticipated treatment. To our knowledge there has not been any systematic review of practices to document best identify areas need improvement setting. The objective study was evaluate informed surgeons University teaching Hospitals low resource A cross-sectional conducted three...

Background: The impact of upper limb absence on people's lived experiences is understudied, particularly in African countries, with implications for policy and service design. Objectives: objective this study was to explore the people (PWULA) living Uganda. Method: Informed by preliminary work, we designed a qualitative employing semi-structured interviews understand experience Seventeen adults were individually interviewed their analysed utilising thematic analysis. Results: Seven themes...

Little is known about how people living with HIV should be engaged in the decision-making process for returning individual pharmacogenomic research results. This study explored role want to play making decisions whether and results of presented them. A convergent parallel mixed methods was conducted, comprising a survey 221 participants five deliberative focus group discussions 30 purposively selected participants. Most (122, 55.2%) preferred collaborative role, 67 (30.3%) active 32 (14.5%)...

Introduction Digital mental health (DMH) enhances access to healthcare, particularly in low- and middle-income countries where investment healthcare is low. However, utilization among young people (YP) This study aimed explore YP's perceptions of the barriers using DMH interventions low-resource settings. Methods A qualitative descriptive approach was used. Six face-to-face focus group discussions were conducted with 50 YP from nine universities Uganda. The median age 24 years (range 21–25...

Haulage truck drivers connect distant communities, posing potential disease introduction risks. However, interventions must balance public health protection, economic continuity, and individual rights. This study examines the role of haulage in onward spread Uganda during Delta wave COVID-19. Using 625,422 national surveillance records, we fitted a susceptible-infectious-recovered model to assess whether were "core-risk group." Although they accounted for only 0.036% COVID-19 cases, border...

Genetic results are usually not returned to research participants in Uganda despite their increased demand. We report on researchers' perceptions and experiences of return individual genetic results. The study involved 15 in-depth interviews investigators genetics and/or genomic research. A thematic approach was used interpret the four themes that emerged from data were need for including incidental findings, community engagement consenting process, implications challenges While researchers...

Introduction While there have been several studies examining the understanding and quality of informed consent in clinical trials cancer therapies, is limited empirical research on health practitioners’ experiences process care, especially from low resource settings. This study explored professionals’ perspectives information disclosure during consenting care. Methods A qualitative descriptive approach was used to collect data. Face face interviews were conducted with 10 purposively selected...

Abstract The development of radiculopathy in patients with lumbar canal stenosis is thought to be closely related intraradicular edema resulting from compression. However, there little agreement as question which more essential for intermittent claudication: ischemia or congestion. aim the present experimental investigation was examine effect and congestion on nerve root using dogs. aorta clamped an model inferior vena cava a at sixth costal level 30 min forceps transpleurally. Measurements...

Object The aims of this study were to review the clinicoradiological findings in patients who underwent decompressive surgery for proximal and distal types muscle atrophy caused by cervical spondylosis discuss outcome techniques surgical intervention. Methods Fifty-one (43 men 8 women) with (37, arm drop) (14, wrist decompression (39 anterior decompressions 12 open-door C3–7 laminoplasties microsurgical foraminotomy) weakness upper extremities. clinical course, type spinal cord compression,...

In Brief Study Design. Evaluation of cervical spinal cord (CSC) patients with compressive myelopathy by magnetic resonance imaging (MRI) and high-resolution (18F)fluoro-deoxyglucose (18FDG) positron emission tomography (PET). Objective. To determine changes in morphology, intramedullary signal intensity, glucose metabolic rate CSC after decompression, to assess the utility 18FDG-PET evaluation myelopathy. Summary Background Data. The significance enlargement decompression intensity within...

Introduction: Low and middle income countries have severe nursing staff shortages which is associated with risk of poor quality patient care increased exposure to adverse events. This accompanied musculoskeletal disorders the staff. paper sets out identify compare factors among in 5 different hospitals Uganda.