More than three years have passed since the publication of the Lancet Commission on Global Surgery and its recommendations on scaling up surgery in sub-Saharan Africa (SSA). An important gap, the voice of the districts as well as lack of contextualized research, has been noted in its support of national surgical plans that run the risk of being at best, aspirational. Moreover, a ‘one-size-fits-...

National level experiences, lessons learnt from the Millennium Development Goal (MDG) era coupled with the academic evidence and proposals generated by the Lancet Commission on Global Surgery (LCoGS) together with the economic arguments and recommendations from the World Bank Group’s “Essential Surgery” Disease Control Priorities (DCP3) publication, provided the impetus for political commitment...

to evaluate the clinical results of endoscopic endonasal surgical dacryocystorhinostomy (ees-dcr) as team work by an ophthalmologist and an ear-nose-throat (ent) surgeon and the appropriate selection of the patients this study performed.all candidates for dcr underwent computed tomography (ct) scan of the paranasal sinuses (pns). patients who did not want a scar on the medial canthus skin or wh...

OBJECTIVE To document the resolution of oscillatory head movements following surgical realignment of the eyes in children with infantile esotropia and nystagmus. METHOD Retrospective review of 3 children who had infantile esotropia, nystagmus, and unexplained head shaking or head nodding. RESULTS Strabismus surgery restored ocular alignment and produced resolution of the head shaking in all...

BACKGROUND Present guidelines for the diagnosis of idiopathic pulmonary fibrosis require histological confirmation of surgical lung biopsy samples when high-resolution CT images are not definitive for usual interstitial pneumonia. We aimed to assess the predictive value of high-resolution CT in a cohort of patients with suspected idiopathic pulmonary fibrosis from a previous randomised trial. ...

background: one of the most important goals of health care organizations is measuring and improving the quality of health care and reduction of adverse events. objectives: the aim of this study was to evaluate the degree of observance of the who surgical safety checklist at two hospitals in tehran. materials and methods: during this analytic cross-sectional study the degree of observance and th...

Spinal epidural haemorrhage may present as back pain associated with radicular symptoms and can be a catastrophic clinical scenario with progression to paraplegia or even sudden death. Being a rare entity, it needs a high index ofclinical suspicion to diagnose it. Fractures have been documented as a cause of hematorrachis but such hematomas only extend to one or two vertebral segments. Large ep...

background small bowel obstruction is one of the most common surgical emergencies and main causes of hospital admissions. diatrizoate meglumine gastrografin, a hyperosmolar water-soluble contrast agent, has been used to triage patients with small bowel obstruction for an operative or a non-operative management. it can also have a therapeutic effect by increasing the pressure gradient across obs...