Showing posts from November, 2014

Ebola: Poorer Economies Lose Out

Medic-ALL (23:11:2014) by Kayode Kuku

Having devoted a good percentage of posts on this blog to news on the ravaging impact of the Ebola virus epidemic over the last couple of months, the varying degrees of successes achieved in containing the deadly disease in different parts of the world seems to point indispuatably but not entirely to the inequality in healthcare systems.

Now we know that Ebola had been in existence as early as nearly 4 decades ago, with outbreaks in Sudan and Zaire occurring between June and November 1976. But asides from laymen hearing of "Ebola" in some Hollywood movies or medical students reading a few lines about the disease in their medicine notes, not even the March 2014 outbreak in Guinea  reported by the World Health Organization attracted any real attention either from the media or the World's biggest economies. It can easily be inferred by the closest observers that Ebola in Africa was not taken seriously until it entered into the commercial …

Sadly, Doctor loses Ebola Battle, Dies in Omaha

Medic-ALL (17:11:2014) Courtesy New York Times WASHINGTON — This time, the challenge of Ebola was much steeper for the doctors and nurses at Nebraska Medical Center, one of a handful of hospitals specially designated to handle cases of the deadly virus in the United States. Unlike the two Ebola patients they had successfully treated earlier this year at the hospital’s biocontainment unit in Omaha, the man who arrived from Sierra Leoneon Saturday, Dr. Martin Salia, was in extremely critical condition. Dr. Salia, a legal permanent resident of the United States who had been working as a surgeon in Sierra Leone, died early Monday morning, barely into his second day of treatment, but almost two weeks into his illness.
The Late Dr Martin Saila
“Even the most modern techniques that we have at our disposal are not enough to help these patients once they reach a critical threshold,” said Dr. Jeffrey P. Gold, chancellor of the University of the Nebraska Medical Center, the hospital’s academic partn…

Victory over Ebola-Like Virus in Uganda!

Medic-ALL (14:11:2014)

In what can be regarded as another "win" for humans over the recently "more popular" viral haemorragic diseases, authorities in the east African country of Uganda reported that the country was now free of Marburg, a virus similar to Ebola in many respects, after no new cases had been reported for more than a month after a hospital worker died of the disease in the capital, Kampala. The declaration by the United Nations Health Agency comes after a 42-day Surveillance period.

The virus is transmitted through bodily fluids or by handling infected wild animals, Marburg starts with a severe headache followed by hemorrhaging and kills in 80 percent or more cases within about a week. There is no vaccine or specific treatment for the virus.

A total of 197 people were in contact with the healthcare worker, but none of them were found to have been infected, Junior health minister Sarah Opendi told a news conference. Opendi said 42 days was the minimum per…

U.S free of Ebola case as New York Doctor is Cleared!

Washington Post (10:11:2014) by Mark Berman

The doctor who contracted Ebola in West Africa before returning to New York City has been declared free of the virus, hospital officials announced Monday. This news means that 41 days after the first Ebola diagnosis in the United States, there are no known cases of the virus in the country. Craig Spencer, 33, who had been treating Ebola patients in Guinea, was diagnosed with Ebola on Oct. 23. Bellevue Hospital Center in New York City, where Spencer was being treated, confirmed in a statement Monday that he “has been declared free of the virus.” Spencer will be discharged on Tuesday, according to the hospital. (News of his release was first reported Monday by theNew York Times.) Spencer’s diagnosis created concerns in New York, as the news of his illness was followed by the revelation that he visited a popular restaurant and coffee shop, rode multiple subway lines and went to a bowling alley and bar in Brooklyn. As city officials preached cautio…

Heart Failure: A Matter of The Heart

Medic-ALL (07:11:2014) by Kayode Kuku MB;BS

Each day of our lives almost 2,000 gallons of oxygen-rich blood is supplied to every living cell in our body to ensure their nourishment and continued living. This is made possible by a strategically located "pump of an organ" in the body called the Heart. The heart is truly an amazing organ, beating almost a 100,000 times every 24 hours, to deliver almost 65 million gallons in a lifetime.

The Heart provides the power needed for life. When it fails to pump blood at a rate sufficient to meet the body's requirements, the result is "heart failure". Heart failure does not mean that the heart has stopped working, it simply means that the heart is pumping less effective than normal. Hence, with heart failure, blood flows through the heart and body at a slower rate, there is an increase in pressure in the heart, the heart muscles stretch and/or thicken in order to accommodate more blood and the heart attempts to pump faster a…

India Performs First Fetal Heart Surgery!

Medic-ALL (01:11:2014) A team of 12 specialists  led by K. Nageshwar Rao, chief pediatric cardiologist at  Care Hospital in Hyderabad performed India’s first successful fetal heart surgery. The baby in the womb of a 25-year old Sirisha was diagnosed with  severe aortic valve obstruction that was causing failure of blood supply sue to interrupted pumping of left ventricle. It was also resulting in further damage in the form of leakage of mitral valve and shrinkage of left sided heart chambers.

The surgery was performed in the 27th week of pregnancy after a failed attempt at 26 weeks due to unfavourable fetal positioning. The blockage according to Dr. Rao , is said to have been reduced from 99percent to 60percent which is sufficient to allow normal development of the left ventricle.Further surgery such as balloon dilatation may however be carried out after birth.
The history of fetal heart surgery dates back to April 1981, when the  first human open fetal heart surgery was carried out in t…