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OBJECTIVE To establish the pattern and results of interventions in patients with abdominal injuries requiring admission. DESIGN A descriptive, prospective, hospital-based study involving observation of patients from admission to final outcome of management as either discharged or deceased. SETTING Kenyatta National Hospital, a tertiary teaching and(More)
BACKGROUND The level of interest in general surgery among US seniors has been declining; however, it may be perceived as a more attractive career outside the United States. METHODS A survey was developed and distributed to students at medical schools in 8 countries. Results were analyzed to determine whether interest in general surgery was related to sex(More)
On behalf of the supporting organisations and all participants of the international symposium ‘Surgery in Low Resource Settings’, November 2014, in Amsterdam, we present the ‘Amsterdam Declaration on Essential Surgical Care’. The situation with regard to a lack of surgical capacity in LMICs is untenable, and urgent action is required to alleviate the(More)
  • P G Jani
  • 2001
This is a case report of an elderly woman who presented with a history of epigastric pain and persistent vomiting diagnosed initially as a duodenal ulcer, later as a pyloric stenosis and at laparotomy was found to have an anterior diaphragmatic hernia with gastric volvulus. Hernia of Morgagni occurs through a congenital defect in the diaphragm but usually(More)
OBJECTIVE To determine the local aetiological spectrum of surgically relevant causes of abdominal pain. DESIGN A prospective descriptive study was carried out. SETTING Kenyatta National Hospital, Nairobi, Kenya during the month of October 2002. SUBJECTS Patients aged 13 years and older presenting to the casualty department with abdominal pain were(More)
  • P G Jani
  • 2001
Plummer Vinson syndrome is characterised by dysphagia, iron deficiency, anaemia and oesophageal web or webs. This is a case report of a 33 year old Asian female who presented with slowly progressive dysphagia and a long history of iron deficiency anaemia. The anaemia was confirmed on repeated haemograms and a barium swallow revealed an upper oesophageal(More)
IMPORTANCE Surgical conditions are an important component of global disease burden, due in part to critical shortages of adequately trained surgical providers in low- and middle-income countries. OBJECTIVES To assess the use of Internet-based educational platforms as a feasible approach to augmenting the education and training of surgical providers in(More)
In East, Central and Southern Africa accurate data on the current surgeon workforce have previously been limited. In order to ensure that the workforce required for sustainable delivery of surgical care is put in place, accurate data on the number, specialty and distribution of specialist-trained surgeons are crucial for all stakeholders in surgery and(More)