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Retrospective file review shows limited genetic services fail most patients – an argument for the implementation of exome sequencing as a first-tier test in resource-constrained settings
BackgroundExome sequencing is recommended as a first-line investigation for patients with a developmental delay or intellectual disability. This...
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Accuracy and precision of dried urine spot method for the detection of Schistosoma mansoni circulating cathodic antigens in resource-limited settings
BackgroundThe World Health Organization recommends the use of Schisto point-of-care circulating cathodic antigens (Schisto POC-CCA) for screening of S...
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Enhanced recovery pathway in open and minimally invasive colorectal cancer surgery: a prospective study on feasibility, compliance, and outcomes in a high-volume resource limited tertiary cancer center
BackgroundEnhanced recovery program (ERP) has demonstrated improved postoperative outcomes with increased compliance to pathway. However, there is...
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Pediatric shunt failure in a resource limited Lower-Middle Income Country (LMIC) institution in La Paz, Bolivia
BackgroundShunt failure is an undesirable but common occurrence following neurosurgical shunting for pediatric hydrocephalus. Little is known about...
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Two decades of implantable cardioverter defibrillator implantation and follow-up at a South African referral centre: trends, indications and long-term outcomes in a resource-limited setting
BackgroundMore than two-thirds of cardiovascular deaths occur in low- and middle-income countries. Sudden cardiac deaths (SCD) from ventricular...
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Direct Transfer to a Tertiary Care Hospital After Traumatic Injury is Associated with a Survival Benefit in a Resource-Limited Setting
IntroductionTrauma is a leading cause of morbidity and mortality worldwide, and patients in low- and middle-income countries are disproportionately...
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The outcome of nonoperative treatment for adult humeral shaft fractures using a U-shaped slab in resource-limited settings: a prospective cohort study
BackgroundHumeral shaft fractures, constituting 3–5% of musculoskeletal injuries, are commonly managed conservatively using functional braces....
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Application of systems dynamics and group model building to identify barriers and facilitators to acute care delivery in a resource limited setting
BackgroundGroup model building (GMB) is a method to facilitate shared understanding of structures and relationships that determine system behaviors....
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Enhancing surgical education for resource-limited settings: open appendectomy cognitive task analysis
PurposeOpen appendectomy is one of the most common procedures performed globally, especially in low- and middle-income countries (LMICs). In many...
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The accuracy of fatty liver index for the screening of overweight and obese children for non-alcoholic fatty liver disease in resource limited settings
BackgroundNon-alcoholic fatty liver disease (NAFLD) has become the most common liver disease among children with a higher prevalence among obese....
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Significance of Adopting Nucleic Acid Amplification Technique for Blood Donor Screening in a Resource Limited Setting: A Study from a Single Centre in South India
Nucleic acid Amplification testing (NAT) has helped improve blood safety and detect window period and Occult Hepatitis B infections (OBI) This study...
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Focused Cardiac Ultrasound for the Evaluation of Heart Valve Disease in Resource-Limited Settings
Purpose of reviewsThere are many places in the world where comprehensive echocardiography is not available, including remote or rural regions of...
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Pneumodissection-Aided Laparoscopic Cholecystectomy (PDLC) Using Innovative Pneumodissector in a Resource-Limited Setting
The search for an efficient laparoscopic instrument for blunt tissue dissection during laparoscopic cholecystectomy is still on the cards. This...
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Develo** a combined framework for priority setting in integrated health and social care systems
BackgroundThere is an international move towards greater integration of health and social care to cope with the increasing demand on services.. In...
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Age and healthy lifestyle behavior’s disparities and similarities on knowledge of myocardial infarction symptoms and risk factors among public and outpatients in a resource-limited setting, cross-sectional study in greater Gaborone, Botswana
ObjectivesIn this cross-sectional study from Botswana, we investigated knowledge of myocardial infarction (MI) symptoms and risk factors among the...
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Twelve Weeks of Additional Fish Intake Improves the Cognition of Cognitively Intact, Resource-Limited Elderly People: A Randomized Control Trial
IntroductionDietary omega 3 polyunsaturated fatty acids (PUFA) may reduce the risk of dementia. Many studies have investigated PUFA supplementation...
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Teaching Trauma in Resource-Limited Settings: A Sco** Review of Pediatric Trauma Courses
PurposeInjury remains an important cause of death and disability globally, with 95% of all childhood injury deaths occurring in low- and...
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Needs assessment in long-term care: expression of national principles for priority setting in service allocation
BackgroundLong-term care services for older adults are characterised by increasing needs and scarce resources. Political strategies have led to the...
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Day of Surgery Admission (DOSA): Thirteen Years’ Experience in a Resource-Limited Hospital in East Sudan-Kassala
With the growing need for health services, proper bed capacity management is mandatory to avoid patient rejection or cancellation of a procedure....