A5045035131- Trauma and Emergency Care Studies
- Global Health and Surgery
- Spinal Cord Injury Research
- Reconstructive Surgery and Microvascular Techniques
- Musculoskeletal Disorders and Rehabilitation
- Congenital Anomalies and Fetal Surgery
- Esophageal and GI Pathology
- Hip and Femur Fractures
- Trauma Management and Diagnosis
- Global Health Workforce Issues
- Cardiac, Anesthesia and Surgical Outcomes
- Bone health and treatments
- Connective tissue disorders research
- Congenital limb and hand anomalies
- Facial Nerve Paralysis Treatment and Research
- Parasitic infections in humans and animals
- High Altitude and Hypoxia
- Genetic and Kidney Cyst Diseases
- Shoulder and Clavicle Injuries
- Vascular Malformations and Hemangiomas
- Cerebrospinal fluid and hydrocephalus
- Reconstructive Facial Surgery Techniques
- Parasite Biology and Host Interactions
- Nerve Injury and Rehabilitation
- Shoulder Injury and Treatment
Kilimanjaro Christian Medical Centre
2017-2024
Western Cape Department of Health
2023
University of Cape Town
2023
Aga Khan Hospital Dar es Salaam
2020
University of North Texas at Dallas
2020
as road traffic crashes (RTCs) continue to rise in the developing world, current growth rate and true burden of orthopaedic injuries are unknown. In 2015, we characterized at Kilimanjaro Christian Medical Center (KCMC) Tanzania. this study, re-evaluated growth-rate over three years absence any system level changes. Additionally, calculated percentage patients that received definitive fixation for their injury when surgery was indicated.we prospectively collected data 190 admitted ward KCMC...
Access to surgical care in Low- and Middle-Income Countries (LMICs) such as Tanzania is extremely limited. Northern served by a single tertiary referral hospital, Kilimanjaro Christian Medical Centre (KCMC). The volumes, workflow, payment mechanisms this region have not been characterized. Understanding these factors critical expanding access healthcare. authors sought evaluate the operations financing of main operating theaters at KCMC Sub-Saharan Africa.The 2018 case volume specialty...
Introduction: surviving a traumatic cervical Spinal Cord Injury (SCI) has an immense effect on individual's physical function and independence. It also predisposes them to financial, social, psychological several medical complications throughout their life. In high-income countries, improved multidisciplinary care led better long term outcomes, however in low-income the burden of condition its associated mortality remain high. The aim this study was illustrate sociodemographic clinical...
Abstract Background Sub‐Saharan Africa faces the highest relative need for health care workers in world and emigration of physicians significantly contributes to this deficit. Few studies have explored development these patterns during medical education. This study investigates career aspirations students two African nations with similar Human Development Indices, but distinct differences training structure better inform retention strategies. Methods A cross‐sectional survey was administered...
Hydatid (Echinococcal) disease often involves the liver and lungs but in sporadic cases, it can involve cardiac structures. A 24-year-old male was referred with symptoms of cough shortness breath a provisional diagnosis metastatic unknown primary to lung, which based on chest X-ray (CXR). Incidentally, echocardiogram, he found have right ventricular (RV) myocardial multiseptated cysts, were compatible echinococcosis, as patient had multiple bilateral lung cysts well. Imaging ultrasound,...
Abstract We report an African infant with Ellis‐van Creveld (EVC) syndrome. EVC syndrome is a chondral and ectodermal dysplasia autosomal recessive transmission. The baby presented polydactyly, short limbs atrioventricular septal defect, but was withdrawn from clinical follow up for the first year of life. Initial hematological abnormalities could not be explained normalized later. confirmed by genetic analysis that showed two pathogenic mutations in EVC2 gene, c.653_654del, p.Val218Glyfs*12...
Having an estimated level of Hb drop in different orthopedic surgeries would help plan for surgery from pre- to postoperative periods. The aim this study was assess the and associated factors during intraoperative period among elective surgeries.
Introduction: sub-Saharan Africa experiences a significant musculoskeletal trauma burden. Among patients who receive surgical treatment, there have been no reports as to how often care is determined be "adequate" or, if "inadequate",then what hospital and orthopedic specialty-specific systems limitations might prohibitive.
Traumatic anterior shoulder dislocation is a very common injury encountered in emergency rooms as well the primary health care physician's office. This occurs either setting of competitive or recreational sports injuries high-energy during fall road traffic accident. Common complications such recurrent can be predicted, monitored and prevented. Early appropriate treatment associated cuff tears fractures with improved outcomes. There plethora literature on assessment management specialised...
We report a case of 5years old girl who presented with progressive enlarged and fusion the second third toes right foot since birth which impairs shoe wear. After clinical history examination radiological evaluation, diagnosis macrodactyly was established. Following surgical excision patient showed good outcome after 1year follow-up. Numerous treatment options have been suggested without consensus, specific is individualized. The primary goal for pain-free functional that can accommodate...
Since it was first documented in 1948 by Sir William Heneage Ogilvie, numerous cases of Ogilvie syndrome have been described literature due to various medical and surgical causes. Nonetheless, only a handful underlying Acquired Immunodeficiency Syndrome (AIDS). A 41-year-old female admitted with an acute abdomen secondary partial mechanical intestinal obstruction or paralytic ileus based on signs symptoms Abdominal X-Ray (AXR). She known be HIV/AIDS WHO clinical stage II treatment. On...
Lower limb trauma with significant tissue loss poses a great challenge to the surgeons. Cross-leg flaps were first described in 1854 and are still used for limb-salvage surgeries those not suitable free transfer or resource-limited settings. Herein we present case of 16-year-old girl, otherwise well, who sustained burn injury her right leg while cooking exposing anterior aspect tibia. Limb-salvage done including cross-leg 'fascio-cutaneous' flap positive outcome. Herein, share our experience...
Abstract Background As road traffic crashes (RTCs) continue to rise in the developing world, current growth rate and true burden of orthopaedic injuries are unknown. In 2015, we characterized at Kilimanjaro Christian Medical Center (KCMC) Tanzania. this study, re-evaluated growth-rate over three years absence any system level changes. Additionally, calculated percentage patients that received definitive fixation for their injury when surgery was indicated. Methods We prospectively collected...
Osteopetrosis is a rare group of sclerosing bone dysplasia characterized by diminished skeletal resorption.Typical osteopetrosis has the hallmark symptom increased mass with related symptoms resulting from density.The mainstay diagnosis clinical and largely depends on radiographic appearance skeleton.In our case series, three adults were studied, presented history recurrent fractures extremities sustained after low energy injuries, abnormal dentition dental conditions, phenotypic short...
The superficial circumflex iliac artery perforator flap is a widely used and acceptable option of free tissue transfer for small large defects due to its ease dissection adjustable pedicle length.Herein we present our experience with two similar cases hand ulcers differing aetiologies that were managed successfully at tertiary centre by general surgeons cover the in order salvage hand.The groin was first described 1972 still indicated resurfacing. It has shown be reliable minimal...
Kilimanjaro Christian Medical Centre (KCMC) covers major orthopaedic trauma for a catchment population of 12.5 million people in northern Tanzania. Femur fractures, the most common traumatic injury at KCMC (39%), require open reduction and internal fixation (ORIF) definitive treatment. It is unclear whether payment affects care. This study sought to explore associations method with episodes care femur fracture ORIFs KCMC. we performed retrospective review records between February 2018 July...