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  1. Epidemiologic factors associated with neonatal bowel perforations in Uganda: experience from a single tertiary referral hospital

    Background

    Neonatal bowel perforations pose a significant disease burden for pediatric surgeons around the world. However, very little is known about...

    Innocent Okello, Nasser Kakembo, ... John Sekabira in Annals of Pediatric Surgery
    Article Open access 05 December 2023
  2. Pericardial effusion in children at tertiary national referral hospital, Addis Ababa, Ethiopia: a 7-year institution based review

    Background

    Pericardial effusion (PE) is a rare yet an important cause of child mortality due to collection of excess fluid in pericardial space. The...

    Selamawit Amare, Henok Tadele in BMC Emergency Medicine
    Article Open access 07 January 2024
  3. Risk factors of multidrug-resistant organisms neonatal sepsis in Surabaya tertiary referral hospital: a single-center study

    Background

    Bacterial organisms causing neonatal sepsis have developed increased resistance to commonly used antibiotics. Antimicrobial resistance is a...

    Stefani Miranda, Aminuddin Harahap, ... Fara Nayo Faramarisa in BMC Pediatrics
    Article Open access 29 February 2024
  4. Lost in translation: Telephone referrals to a tertiary neurology referral centre

    Background

    Cork University Hospital acts as the tertiary referral centre for the HSE southern area, with a catchment population of 1.2 million [1]....

    Sarah Fullam, Maeve Bradley, ... Brian Sweeney in Irish Journal of Medical Science (1971 -)
    Article 22 October 2022
  5. Prevalence and factors associated with pre-hospital delay among acute stroke patients at Mulago and Kiruddu national referral hospitals, Kampala: a cross-sectional study

    Background

    Despite advancements in acute stroke care, acute stroke patients present late for care resulting in high mortality and poor functional...

    Keith Twirire Kakame, Jane Nakibuuka, ... Martha Sajatovic in BMC Neurology
    Article Open access 21 October 2023
  6. Use of oxazolidinones (linezolid or tedizolid) for the treatment of breast infections. A case series from a tertiary referral hospital

    Objectives

    Mastitis is mainly caused by Gram-positive bacteria and usually involves treatment with beta-lactam antibiotics and clindamycin....

    Cristina Kirkegaard, Carlos Javier Parramón-Teixidó, ... Nuria Fernández-Hidalgo in Infection
    Article 01 May 2024
  7. The short- and long-term outcome after the surgical management of common bile duct stones in a tertiary referral hospital

    Background

    The removal of common bile duct stones by endoscopic retrograde cholangiopancreatography (ERCP) shows excellent results with low...

    Gabriel F. Hess, Philipp Sedlaczek, ... Savas D. Soysal in Langenbeck's Archives of Surgery
    Article Open access 29 July 2023
  8. Experiences of referral with an obstetric emergency: voices of women admitted at Mbarara Regional Referral Hospital, South Western Uganda

    Background

    Life-threatening obstetric complications usually lead to the need for referral and constitute the commonest direct causes of maternal...

    Harriet Nabulo, Helga Gottfredsdottir, ... Dan K. Kaye in BMC Pregnancy and Childbirth
    Article Open access 06 July 2023
  9. Experiences and satisfaction of video follow up of children with paediatric gastrointestinal conditions linking tertiary centre with guardians and clinicians at the local hospital: a cross-sectional study

    Background

    Children with complicated gastrointestinal conditions are dependent on follow up by tertiary care specialists throughout childhood to...

    Ann-Marie Kassa, Niklas Nyström, ... Helene Engstrand Lilja in BMC Pediatrics
    Article Open access 03 January 2024
  10. Mode of birth in subsequent pregnancy when first birth was vacuum extraction or second stage cesarean section at a tertiary referral hospital in Uganda

    Introduction

    The trends of increasing use of cesarean section (CS) with a decrease in assisted vaginal birth (vacuum extraction or forceps) is a major...

    Assen Kamwesigye, Barbara Nolens, ... Jolly Beyeza-Kashesya in BMC Pregnancy and Childbirth
    Article Open access 01 February 2024
  11. Unlocking timely palliative care: assessing referral practices and barriers at a ghanaian teaching hospital

    Background

    The need for primary care physicians to be heavily involved in the provision of palliative care is growing. International agencies and...

    Tabitha Gyanewaa Quaidoo, Barbara Adu, ... Collins Atta Poku in BMC Palliative Care
    Article Open access 05 April 2024
  12. New horizons in gynecological surgery: first-year experience with HUGO™ robotic-assisted surgery system at two tertiary referral robotic centers

    The HUGO™ robotic-assisted surgery system (RAS, Medtronic, CA) consists of a 3D open console, four independent carts, and an integrated laparoscopic...

    Margarita Afonina, Claudia Collà Ruvolo, ... Alexandre Mottrie in Updates in Surgery
    Article Open access 10 June 2024
  13. The incidence of enlarged vestibular aqueduct among hearing-impaired children: hospital-based tertiary care referral center

    Background

    The most common radiologically detectable congenital inner ear anomaly is an enlarged vestibular aqueduct (EVA), which is associated with...

    Mohamed Mohamed Elmoursy in The Egyptian Journal of Otolaryngology
    Article Open access 29 October 2022
  14. Performance of door-to-CT time of code stroke in Indonesian tertiary referral center hospital

    Background

    This study was aimed to analyze the performance of door-to-CT scan (DTC) time of code stroke at the central referral hospital in Indonesia....

    Al Rasyid, Mohammad Kurniawan, ... Salim Harris in The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
    Article Open access 02 December 2022
  15. Evaluation of the referral system for electrodiagnostic testing in the main Alexandria University hospital

    Background

    Nerve conduction studies and electromyography (NCS/EMG) play a key role in the evaluation of patients with neuromuscular diseases. It...

    Mohammed Elsayed Nassif, Nehad Mohamed Elshatby in The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
    Article Open access 14 September 2023
  16. Inter-hospital Transfer Delays to a Tertiary Referral Center and Postoperative Outcomes in Patients with Abdominal Surgical Emergencies in Malawi

    Background

    In low-income countries (LICs), patients with abdominal surgical emergencies often initially present to primary or district hospitals and...

    Avital Yohann, Chifundo Kajombo, ... Anthony Charles in World Journal of Surgery
    Article 15 May 2022
  17. Development, implementation and evaluation of a seven-day clinical pharmacy service in a tertiary referral teaching hospital during surge-2 of the COVID-19 pandemic

    Background

    Seven-day clinical pharmacy services in the acute sector of the National Health Service are limited. There is a paucity of evidential...

    C. Cheng, A. Walsh, ... C. A. McKenzie in International Journal of Clinical Pharmacy
    Article Open access 11 November 2022
  18. Diagnostic delay in symptomatic uncomplicated diverticular disease: an Italian tertiary referral centre study

    The magnitude of the diagnostic delay of symptomatic uncomplicated diverticular disease (SUDD) is unknown; we aimed to evaluate SUDD diagnostic delay...

    Giovanni Santacroce, Marco Vincenzo Lenti, ... Antonio Di Sabatino in Internal and Emergency Medicine
    Article Open access 27 October 2023
  19. Early myocardial injury in children on doxorubicin for cancer chemotherapy: a cross-sectional study in a tertiary referral centre in Kenya

    Introduction

    Use of doxorubicin, an anthracycline chemotherapeutic agent has been associated with late-occurring cardiac toxicities. Detection of...

    Nyambura Kariuki, Esther Kimani, ... Nchafatso G. Obonyo in BMC Cardiovascular Disorders
    Article Open access 20 May 2024
  20. Otitis media with effusion in children aged 2–12 years attending the paediatric clinic at Mulago National Referral Hospital, a Ugandan tertiary hospital: a cross-sectional study

    Background

    Otitis media with effusion (OME) is common in children aged between 6 months to 4 years, and it is one of the causes of hearing loss (HL)...

    Kabagambe Bamaraki, Justine Namwagala, ... Emma Nsalazi Bambi in BMC Pediatrics
    Article Open access 22 June 2022
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