ABSTRACT
To assess patient satisfaction and morbidity associated with 24 hours hospital stay after elective caesarean section. A descriptive study done in Omdurman maternity hospital [OMH] in 2010. All women admitted for elective C/S were counselled for discharge after 24 hours from C/S. Those with medical or obstetrical problems necessitating admission for longer time were excluded. Women who refused to be discharged were included as control after an informed consent. All women were operated on by trained registrars or consultants under similar conditions and were followed till discharge from hospital. The total number of deliveries in OMH during 2010 was 28975. Out of them 21022[72.6%] had spontaneous vaginal delivery and 7953 [27.4%] delivered by caesarean section. Elective C/S comprised 3204[11.1%] while emergency C/S 4749[16.4%]. The study included 1439.716[49.8%] as study group and 723[50.2%] as control. Readmission was needed for 41[2.8%], 15[1.1%] from study group and 26[1.8%] from control group. The reason in 24[1,7%] was wound infection, 5[0.3%] DVT, two with endometritis and eight [0.6%] due to non- pregnancy related infection. Although, there is slight increase in rate of readmission due to wound infection and DVT in control group, there is no significant statistical difference between the two groups. However there is significant statistical difference in the rate of satisfaction between the two groups. In the study group, 613[85.6%] ladies were satisfied with the short hospital stay compared to 269[37.2%] in the control group who were satisfied with longer hospital stay after elective C/S [P = 0.0001]. Short hospital stay after elective C/S was associated with more patients' satisfaction, without increase in maternal mortality or morbidity, compared to control
ABSTRACT
Foreign body aspiration in children is common and usually presents with an initial episode of choking with subsequent respiratory symptoms. There may be cough, wheeze, or strider, with decreased or abnormal breath sounds on examination. However, it can mimic other illnesses and cause difficulty in diagnosis. Radiological investigations may help to confirm aspiration but should not be used to exclude it. This case is a presentation of foreign body aspiration with a delay in diagnosis and misdiagnosed as bronchial asthma. It is believed that delay could have been avoided with a more careful approach to the history and more appropriate use of investigations. This case also demonstrates the use of CT scan with reconstruction in diagnosis of foreign body
Subject(s)
Humans , Female , Respiratory Aspiration , Child , DiagnosisABSTRACT
The finding of fatty liver disease [FLD] has generally been assumed to be a consequence of ethanol ingestion. However, non- alcoholic fatty liver disease [NAFLD] was identified as a specific entity. Although FLD is generally nonprogressive or only slowly progressive, cirrhosis and HCC can develop. The aim of this study is to find out the prevalence, clinical presentation and aetiology of FLD in Sudanese patients This is a descriptive cross sectional study which included 100 patients with FLD detected by ultrasonography at the national center for gastro-intestinal and liver diseases. Data was collected using a well designed questionnaire and results were analyzed by using SPSS computer system. Out of 1800 patients with liver disease, 100 were found to have FLD. These have no sex difference. Their mean age was 49.8 +/- 15.2 years. The main presenting symptoms were upper abdominal pain [60%] and fatigability in [41%]. while [7%] were asymptomatic. Hepatomegaly was clinically detected in [44%]. Ninety out of these 100 patients had non alcoholic fatty liver disease [NAFLD]. In this group [42%] were diabetics and [55%] had hyperlipidemia. A BMI of > 25kg/m2 was detected in 47% of patients. In patients with FLD and a BMI <18kg/m2 underlying diagnoses were made. Six patients had liver biopsy only two of them proved to have NASH. Fatty liver disease is not uncommon in Sudan and most of the patients' diseases are non-alcohol related