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  1. Article ; Online: Authors' reply to Goodyear, Merli and colleagues, and Waters and Dewsnap.

    Gana, Tabitha / Hunt, Lesley M

    BMJ (Clinical research ed.)

    2022  Volume 378, Page(s) o2356

    Language English
    Publishing date 2022-09-30
    Publishing country England
    Document type Letter
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.o2356
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Young women and anal sex.

    Gana, Tabitha / Hunt, Lesley M

    BMJ (Clinical research ed.)

    2022  Volume 378, Page(s) o1975

    MeSH term(s) Female ; HIV Infections ; Heterosexuality ; Humans ; Prevalence ; Sexual Behavior ; Sexual Partners
    Language English
    Publishing date 2022-08-11
    Publishing country England
    Document type Editorial
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.o1975
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Flatus: An aerosol generating concern during the COVID-19 pandemic.

    Gana, Tabitha / Narula, Harjeet Singh

    The British journal of surgery

    2020  Volume 107, Issue 11, Page(s) e465

    MeSH term(s) COVID-19/prevention & control ; COVID-19/transmission ; Endoscopy, Gastrointestinal ; Feces/virology ; Flatulence/virology ; Humans ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Pandemics ; Personal Protective Equipment ; Virus Shedding
    Keywords covid19
    Language English
    Publishing date 2020-08-12
    Publishing country England
    Document type Letter
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1002/bjs.11920
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Flatus

    Gana, Tabitha / Narula, Harjeet Singh

    British Journal of Surgery ; ISSN 0007-1323

    An aerosol generating concern during the COVID-19 pandemic ; Flatus: An aerosol generating concern during the COVID-19 pandemic

    2020  

    Keywords Surgery ; covid19
    Language English
    Publisher Wiley
    Publishing country us
    Document type Article ; Online
    DOI 10.1002/bjs.11920
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Is early bowel resection better than medical therapy for ileocolonic Crohn's disease? A systematic review and meta-analysis.

    Husnoo, Nilofer / Gana, Tabitha / Hague, Adam Gary / Khan, Zarnigar / Morgan, Jenna L / Wyld, Lynda / Brown, Steven R

    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

    2023  Volume 25, Issue 6, Page(s) 1090–1101

    Abstract: Aim: There is emerging evidence supporting early bowel resection (EBR) for ileocaecal Crohn's disease (CD) as an alternative to conventional escalation of medical therapy (MT). Here, we present a systematic review and meta-analysis of studies comparing ... ...

    Abstract Aim: There is emerging evidence supporting early bowel resection (EBR) for ileocaecal Crohn's disease (CD) as an alternative to conventional escalation of medical therapy (MT). Here, we present a systematic review and meta-analysis of studies comparing the outcomes of EBR with those of MT in ileocolonic CD, with a focus on ileocaecal disease.
    Methodology: The MEDLINE, Embase, CINAHL and Cochrane Central Register of Controlled Trials databases were searched for studies reporting the outcomes of EBR versus MT for ileocolonic CD. The Cochrane tools for assessment of risk of bias were used to assess the methodological quality of studies.
    Results: Nine records (from 8 studies, with a total of 1867 patients) were included in the analysis. Six studies were observational and two were randomised controlled trials. There was a reduced need for drug therapy in the EBR arm. The rate of intestinal resection at 5 years was 7.8% in the EBR arm and 25.4% in the MT group with a pooled OR of 0.32 (95% CI 0.19, 0.54; p < 0.0001). The EBR group had a longer resection-free survival (HR 0.56, 95% CI 0.38, 0.83; p = 0.004). These outcomes were consistent in a subgroup analysis of patients with ileocaecal disease. Morbidity and quality of life scores were similar across the two groups.
    Conclusion: EBR is associated with a more stable remission compared to initial MT for ileocolonic Crohn's disease. There is enough evidence to support EBR as an alternative to escalation of MT in selected patients with limited ileocaecal disease.
    MeSH term(s) Humans ; Crohn Disease/drug therapy ; Crohn Disease/surgery ; Quality of Life ; Intestine, Small ; Digestive System Surgical Procedures ; Remission Induction
    Language English
    Publishing date 2023-02-28
    Publishing country England
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 1440017-0
    ISSN 1463-1318 ; 1462-8910
    ISSN (online) 1463-1318
    ISSN 1462-8910
    DOI 10.1111/codi.16502
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  7. Article: Streptococcus milleri and Recurrent Intra-Abdominal Abscesses: A Case Report and Literature Review.

    Gana, Tabitha M / Awolaran, Olugbenga / Akhtar, Sobia

    Case reports in surgery

    2016  Volume 2016, Page(s) 6297953

    Abstract: We report a case of recurrent intra-abdominal abscesses as a postoperative complication following diverticular perforation in which Streptococcus milleri (SM) was isolated. SM is evaluated here as a potent pyogenic organism commonly associated with intra- ...

    Abstract We report a case of recurrent intra-abdominal abscesses as a postoperative complication following diverticular perforation in which Streptococcus milleri (SM) was isolated. SM is evaluated here as a potent pyogenic organism commonly associated with intra-abdominal abscess especially in the postoperative setting. With the commonly adopted conservative management, the challenges of recurrence and prolonged hospital stay experienced in the indexed case as well as many other previous reports are highlighted. We also present a recommendation of the need for a more intensive approach of SM-related abscess drainage along with areas that would benefit further research.
    Language English
    Publishing date 2016-05-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2657697-1
    ISSN 2090-6919 ; 2090-6900
    ISSN (online) 2090-6919
    ISSN 2090-6900
    DOI 10.1155/2016/6297953
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Readmissions after laparoscopic cholecystectomy in a UK District General Hospital.

    Awolaran, Olugbenga / Gana, Tabitha / Samuel, Nehemiah / Oaikhinan, Kenneth

    Surgical endoscopy

    2016  Volume 31, Issue 9, Page(s) 3534–3538

    Abstract: Introduction: Laparoscopic cholecystectomy is the gold standard for the treatment of symptomatic gallstones and its practice as day case where possible is considered the standard over the last decade. However, readmission after surgery is recognised as ... ...

    Abstract Introduction: Laparoscopic cholecystectomy is the gold standard for the treatment of symptomatic gallstones and its practice as day case where possible is considered the standard over the last decade. However, readmission after surgery is recognised as a new problem.
    Aim: The aim of this cohort observational study was to investigate the readmission rate in a district general hospital and identify the causes of readmission in order to explore ways by which this can be reduced or managed more cost effectively.
    Method: Records of patients who had laparoscopic cholecystectomy over 6 months were retrospectively searched. Patients returning to hospital due to symptoms within 30 days of elective and emergency laparoscopic cholecystectomy were included.
    Results: Three hundred and twenty-eight laparoscopic cholecystectomies were performed within the 6-month period. Twenty-two patients returned within 30 days of surgery making a readmission rate of 6.7%. Reasons for inpatient admission were abdominal pain without any underlying cause 10 (45.5%), wound infection 5 (22.7%), leg swelling 2 (9%), retained stone 1 (4.5%), bile leak 1 (4.5%), pneumonia 1 (4.5%), iatrogenic bowel injury 1 (4.5%) and back pain 1 (4.5%). Readmission rate decreased with longer duration of stay in hospital during primary admission, and 64% of patients returned to the hospital within 7 days of procedure. 50% of patients who returned with abdominal pain without any identifiable cause had a longstanding history of conditions involving chronic pain.
    Conclusion: While the feared intra-abdominal complications of cholecystectomy often come to mind when assessing patients presenting with abdominal pain after surgery, non-specific abdominal pain is consistently shown to be several times more likely. A combination of patient factors and pain control techniques account for this pain. Effective multimodal pain management approach and community primary health care support in the early post-operative period could reduce readmission, save cost and improve patient experience.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Cholecystectomy, Laparoscopic ; Female ; Follow-Up Studies ; Hospitals, District ; Hospitals, General ; Humans ; Male ; Middle Aged ; Patient Readmission/statistics & numerical data ; Postoperative Complications/epidemiology ; Retrospective Studies ; United Kingdom
    Language English
    Publishing date 2016-12-23
    Publishing country Germany
    Document type Journal Article ; Observational Study
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-016-5380-1
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    Zs.A 2214: Show issues Location:
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  9. Article ; Online: Use of Supervision Data to Improve Quality of Care for Malaria in Pregnancy: Experience in Six African Countries.

    Wolf, Katherine / Mostel, Jadmin / Oseni, Lolade / Gomez, Patricia / Kibuka, Tabitha / Emerson, Courtney / Gutman, Julie R / Malpass, Ashley / Youll, Susan / Mukamba, Jean Yves / Tchinda Meli, Eric / Achu, Dorothy / Tjek, Paul / Assa, Jean Louis / Silue, Mamadou / Tanoh, Méa Antoine / Kokrasset-Yah, Colette / Babanawo, Felicia / Asiedu, Amos /
    Komey, Mildred / Boateng, Paul / Mabiria, Maureen / Ngindu, Augustine / Njiru, Peter / Omar, Ahmeddin Hassan / Sidibe, Fatoumata A / Diallo, Chebou / Kamate, Beh / Kone, Aissata / Elisha, Sanoussi / Maiga, Arouna Djibrilla / Mayaki, Alzouma Ibrahim / Tidjani Issa Gana, Fati / Tetteh, Gladys

    The American journal of tropical medicine and hygiene

    2023  Volume 110, Issue 3_Suppl, Page(s) 42–49

    Abstract: Malaria in pregnancy (MiP) intervention coverage, especially intermittent preventive treatment in pregnancy (IPTp), lags behind other global malaria indicators. In 2020, across Africa, only 32% of eligible pregnant women received at least three IPTp ... ...

    Abstract Malaria in pregnancy (MiP) intervention coverage, especially intermittent preventive treatment in pregnancy (IPTp), lags behind other global malaria indicators. In 2020, across Africa, only 32% of eligible pregnant women received at least three IPTp doses, despite high antenatal care attendance. We conducted a secondary analysis of data collected during Outreach Training and Supportive Supervision visits from 2019 to 2020 to assess quality of care and explore factors contributing to providers' competence in providing IPTp, insecticide-treated nets, malaria case management, and respectful maternity care. Data were collected during observations of provider-patient interactions in six countries (Cameroon, Cote d'Ivoire, Ghana, Kenya, Mali, and Niger). Competency scores (i.e., composite scores of supervisory checklist observations) were calculated across three domains: MiP prevention, MiP treatment, and respectful maternity care. Scores are used to understand drivers of competency, rather than to assess individual health worker performance. Country-specific multilinear regressions were used to assess how competency score was influenced by commodity availability, training, provider gender and cadre, job aid availability, and facility type. Average competency scores varied across countries: prevention (44-90%), treatment (78-90%), and respectful maternity care (53-93%). The relative association of each factor with competency score varied. Commodity availability, training, and access to job aids correlated positively with competency in multiple countries. To improve MiP service quality, equitable access to training opportunities for different cadres, targeted training, and access to job aids and guidelines should be available for providers. Collection and analysis of routine supervision data can support tailored actions to improve quality MiP services.
    MeSH term(s) Female ; Pregnancy ; Humans ; Antimalarials/therapeutic use ; Pyrimethamine/therapeutic use ; Sulfadoxine/therapeutic use ; Maternal Health Services ; Malaria/drug therapy ; Malaria/prevention & control ; Prenatal Care ; Pregnancy Complications, Parasitic/prevention & control ; Pregnancy Complications, Parasitic/drug therapy ; Kenya ; Quality of Health Care ; Drug Combinations
    Chemical Substances Antimalarials ; Pyrimethamine (Z3614QOX8W) ; Sulfadoxine (88463U4SM5) ; Drug Combinations
    Language English
    Publishing date 2023-12-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2942-7
    ISSN 1476-1645 ; 0002-9637
    ISSN (online) 1476-1645
    ISSN 0002-9637
    DOI 10.4269/ajtmh.23-0206
    Database MEDical Literature Analysis and Retrieval System OnLINE

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