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Biomedical subjects

N Tafari

Publications and source records attributed to N Tafari.

32 records · Page 2Linked to original sources
PubMed1977

Epidemiological features of perinatal death due to obstructed labour in Addis Ababa.

Obstructed labour was the second most common cause of perinatal death in Addis Ababa, Ethiopia, being responsible for 9.1 perinatal deaths/1000 births. Most obstructed labours were due to cephalopelvic disporportion. There was a ninefold increase in the perinatal death rate when the patients were anaemic but most perinatal deaths were due to delays in seeking available obstetrical care. Formal education of the patients had little influence on the death rates but the informal education that comes with prolonged urban residence had a markedly favourable effect. Use of prenatal medical services and adequate income also had a favourable influence.

Anemia↗
PubMed1977

Causes of perinatal mortality in an African city.

Little has been published about the causes of most of the deaths responsible for the high perinatal mortality rates characteristic of preindustrial, urban societies. The present study searched for answers in one such society by identifying the causes of death in a large-scale analysis of perinatal mortality in Addis Ababa, Ethiopia. A 72% autopsy rate was achieved when 1019 postmortem examinations were performed for 1424 consecutive perinatal deaths. The overall perinatal mortality rate was 65.3 per thousand live births. The ratio of stillbirths to neonatal deaths was 2.7:1, indicating that maternal factors were dominant in causing the deaths. One-third of the deaths were due to amniotic fluid infections, 15% to obstructed labour, 8% to abruptio placentae, and the rest to more than 20 other specific disorders.

Ethiopia↗
PubMed1976

Mycoplasma T strains and perinatal death.

In 23 out of 290 perinatal deaths in Addis Ababa, mycoplasma T strains were the only organisms responsible for congenital pneumonia and death. All but 2 of the infants were stillborn, 16 dying during the last six weeks of gestation. Infections apparently occurred through intact fetal membranes.

Animals↗
PubMedDate not supplied

Transient, asymptomatic colonisation of newborn, Ethiopian infants by Salmonella.

We performed faecal cultures from 71 Addis Ababa infants. Salmonella spp. were found in 12 of 61 hospitalised infants. None had diarrhoea. Colonisation was most common (8/21) during the second week of life. There was no correlation to mode of delivery, breast feeding, type of ward or antibiotic treatment in this small sample.

Ethiopia↗
PubMedDate not supplied

A national survey on the pediatric cardiologist's clinical approach for patients with Kawasaki disease.

In 1994, the American Heart Association (AHA) published the most recent guidelines for long-term cardiovascular management of Kawasaki disease. Since then, recent publications have shed new light on different diagnostic, prognostic, and management issues. We sought the opinion of pediatric cardiologists practicing in U.S. fellowship programs on the subject by means of a multiple-choice survey. Two questions addressed therapy in the acute phase, each preceded by a statement from related literature. Ten duplicate questions addressed the long-term cardiovascular management in five sets of paired questions; each question was first given in reminiscence of a clinical situation and then preceded by a statement from particular publications representative of new information that has become available since the publication of the 1994 AHA guidelines. All questions were provided in the same mailing. Replies were received from 97 participants practicing at 29 institutions. For the acute illness, 21% of respondents do not use high-dose aspirin, and 50% support reassessment of current guidelines. Universal intravenous immune globulin (IVIG) administration is followed by 97%, among whom 20% agree that evaluation of selection criteria is needed. For long-term management, 60-75% advocate regular follow-up of risk level I patients, and 80% favor periodic follow-up, with stress imaging (34-40%), for risk level II. For risk level IV more respondents favor stress echocardiography as opposed to nuclear imaging, in consonance with recent literature. For risk levels III and IV, 36-40% perform coronary angiography on a regular basis, whereas 60% do so when coronary symptoms are present or when stress imaging suggests myocardial ischemia. Finally, 19-25% of respondents do not routinely advise healthy lifestyle to patients free of coronary artery lesions. In conclusion, the guidelines for conventional therapy in the acute phase and long-term cardiovascular management need to be revised.

Anti-Inflammatory Agents, Non-Steroidal↗