Articles published in MJZ are Open Access and distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0)
To evaluate factors associated with
Pregnancy-related Kidney Injury (PRAKI) in
women admitted to high dependency care unit at
Women and Newborn Hospital in Lusaka, Zambia
ceral artery aneurysms are uncommon especially
in children. One of the main complications before
surgery is rupture.
This 12-year-old child presented with a large, fast
growing, mycotic superior mesenteric aneurysm
that had all the favourable conditions for rupture.
There was spontaneous dissection of the weakened
media with partial erosion of the aneurysm into the
wall of the third part of the duodenum. However, this
aneurysm formed a thrombus that gradually
occluded the lumen. This led to formation of
collateral vessels for the continued vascular supply
of the midgut.
The uniqueness of this case report has been
highlighted from several points (the rarity of the
condition in children, the favorability of the
conditions to rupture, the gradual but complete
luminal occlusion with the eventual formation of
collaterals to supply the midgut, and the
spontaneous medial dissection with partial duodenal
wall erosion without causing rupture).
Although there is no standard surgical approach,
early elective surgery is recommended. Nonoperative
approach is an option that should aim at
reducing the risk for rupture. Control of blood
pressure is key.
This child underwent surgery. Under total vascular
exclusion, the aneurysm was opened. After total
luminal occlusion and collateral blood supply to
midgut was noted, infected thrombus was evacuated
and the aneurysm walls debrided.
Rectal prolapse (RP) is a protrusion of
the rectum through the anus. In the literature.
Sclerotherapy is the best second line minimally
invasive method. The purpose of this work is to
review the effectiveness of this technique in a
context where surgical procedures still seem to be
very used.
While violence against women is
increasing globally, its prevention and evaluation in
pregnancy has not receiving adequate attention.
On 23t May 2022, Zambia will join the global
community in commemorating the International Day to End Obstetric Fistula (DEOF). The day, s by the United Nations, aims to recognize the struggles of women living with fistula, a devastating health condition caused primarily by prolonged/obstructed labor and, increasingly, by unsafe obstetric or gynecological surgery. IDEOF also recognizes the efforts of governments, maternal health stakeholders, and health care workers to prevent and treat fistula, making progress towards a global goal of ending fistula by 2030.0bstetric Fistula (OF) leads to chronic incontinence of urine and feaces and, in most cases, significant physical and emotional suffering. Women who suffer from OF live in shame as they are constantly soiled and wet, and that they smell. Their pain and shame may e further complicated by infertility, damage to their vaginal tissue that makes sexual activity difficult or impossible and paralysis of muscles in their lower limbs which may require the use of crutches. In most cases, it also tragically leads to delivery ofa stillborn neonate.
Background: Burn wounds are a global public
health concern and Zambia has not been spared.
Burn wounds account for 6% of surgical admissions
yearly and yet are amongst the common causes of
mortality at University Teaching Hospital (UTH).
Burn wounds seen at UTH affect children more than
adults and the common size is £20 per cent and
partial superficial thickness in depth. The hospital
has no burns unit and as such patients are admitted in
general wards where cross infection is not
uncommon. With high infection and mortality rates
at UTH this study is of importance as it examined the
effects of Actilite® honey and Silver sulfadiazine on
bacteria wound colonisation and wound healing in
paediatric partial superficial burn wounds of £20 per
cent total body surface area.
Radiographers aim at always
improving the quality of imaging services through
the production of high-quality diagnostic images,
whilst minimising the radiation doses to patients and
reducing healthcare costs. One strategy used in
achieving this is conducting periodical reject and
repeat image analysis.
The huge relevance of Information
and Communications Technology (ICT) in
healthcare cannot be overemphasized. Despite the
huge benefits associated with the use of ICT in
healthcare, many medical schools (especially in the
developing countries) are yet to incorporate ICT
education as an academic course in their school
curricula. This study aims to assess the opinions of
medical students on the incorporation of ICT as an
academic course into undergraduate medical
curriculum.
The determine the prevalence of stillbirth
and identify associated factors among parturients in
a faith-based secondary health centre.
Cerebrospinal fluid ascites following ventriculoperitoneal
shunting for hydrocephalus is a very rare
complication. We present the first case at our
hospital. A 3year old female with communicating
hydrocephalus presented with massive ascites. It
recurred with 2-3weeks of ascitic tap to dryness.
Other possible causes of ascites were excluded by
normal renal and liver function tests and clinically
normal cardiac function. Tests done on the ascitic
fluid showed that it was consistent with
cerebrospinal fluid with no signs of infection. CT
abdomen excluded abdominal masses and CSF
pseudo-cyst. A ventriculo-Atrial shunt was done and
the ascites slowly regressed over the next 2-3 weeks
with no recurrence. The reason why the peritoneum
failed to absorb the CSF was not established.
Squamous cell carcinoma (SCC) of the bladder is a rare and devastating malignancy, usually associated with Schistosoma haematobium, particularly in bilharzia-endemic regions of sub-Saharan Africa. Little is written about the condition in pregnancy.
A21-year-old Gravida 2 Para 1 at 28 weeks gestation presented with worsening symptoms of dysuria, increased frequency of micturition, backache, a painful suprapubic mass and haematuria of over a period of 3 weeks. On examination, vital signs were normal, height of fundus 26cm, with a tender suprapubic mass. Extra peritoneal laparotomy revealed multiple signs of a bladder malignancy which were confirmed by histopathology as Schistosoma haematobium ova and invasive keratinising SCC of the bladder, grade 1. Intraoperatively, T4 carcinoma staging was confirmed. Patient was delivered prematurely by caesarean section due to worsening symptoms. Palliative care was instituted as the functional status of the patient did not allow for definitive management. Subclinical urinary schistosomiasis can progress to a SCC of the bladder, presenting with symptoms implicated in conditions such as bladder lithiasis, Urinary tract infections and pregnancy. Urine cytology and mass drug administration should be enforced as means of early detection and prevention, respectively in endemic regions.
Dental aesthetics is a major
determinant of good psychosocial well-being.
Individuals with good dental aesthetic appearance
tend to enjoy better social interactions and quality of
life than those with poor dental aesthetic
appearance. This study aims to assess the
psychosocial impact of dental aesthetics among
secondary school students in Birnin Kebbi
metropolis, Kebbi State, Northern Nigeria.
The objective of the study was to
describe the maternal outcomes and mode of
delivery among women with Severe pre-eclampsia
(SPE) admitted to the University teaching
Hospitals- Women and Newborn Hospital (UTHWNH).
Previous self-harm has been reported as an important risk factor for future attempts and death by suicide, therefore understanding the psychosocial characteristics of people with a history of self-harm may help in developing models for reduction of suicide. The objective of this study was to present the psychosocial characteristics of patients who presented with self-harm and recorded them in our suicidality register
Screening of contacts of tuberculosis
(TB) patients is not routinely done in resourcelimited
countries like Zambia despite the World
Health Organization (WHO) recommendations,
leading to missed opportunities for prevention,
early diagnosis and high mortality.
The aim was to determine the prevalence of psychiatric disorders, mental health problems and mental health care service provisions in Zambian correctional facilities
Myositis has been reported to be
associated or triggered by viruses. Genetic and
environmental factors are documented risk for
myopathies. Viruses have also been shown to
modify the clinical course of auto-immune diseases.
We therefore report a case of SARS-Cov-2 infection
in a 26-year-old female black Zambian patient with
proximal myopathy.
Tonsillitis is a common infectious
disease contributing to significant social-economic
impact worldwide. Like other infectious diseases,
the determination of the pathogenic agents is
important in antibiotic selection for the medical
treatment of tonsillitis. Data on bacteriology of
tonsillitis in Tanzania is scarce. The aim of this study
was thus to determine the prevalence and
bacteriology of tonsillitis in
Adequate intrapartum care is important in modulating pregnancy outcome through prevention, early recognition and appropriate treatment of intrapartum complications
The vegetarians form one-fifth of the global
population. The vegetarians are a peculiar group of
people; existing body of scientific evidence shows
that they are a highly vulnerable group of people
when it comes to oral diseases. The oral health of
vegetarians is a critical aspect of dentistry; however,
current evidence—based on PubMed database
search—shows a dearth of literature on this thematic
area. It appears this aspect is being neglected in the
field of stomatological research.
Articles published in MJZ are Open Access and distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0)
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