Survey of antiretroviral therapy adherence and predictors of poor adherence among HIV patients in a tertiary institution in Nigeria Adekunle Olatayo Adeoti et al. HIV remains a major pandemic that has claimed more than 35 million lives over the last three decades. In 2017, approximately a million HIV related death and 1.8 million newly infected were reported by the World Health Organization with a major burden in sub-Saharan Africa. Adherence is vital to effective antiretroviral therapy (ART) for reducing viral load and HIV/AIDS-related morbidity and mortality.  READ MORE Adherence to dietary recommendation and associated factors among diabetic patients in Ethiopian teaching hospitals Mohammed Akibu Mohammed et al. Dietary management is considered to be one of the cornerstones of diabetes care. Improvement of dietary practice alone can reduce glycosylated hemoglobin (HbA1c) by an absolute 1 to 2% with the greatest impact at the initial stages of diabetes. READ MORE

IMAGES IN CLINICAL MEDICINE Cyclopia, a rare form of facial expression in a reference health center in Bamako about a case Doumbia Amadou et al. Cyclopia also called "cyclopia" is a rare genetic malformation. It is the most severe form of alobaric holoprosencephaly. It is a rare form of hypotelorism characterized by the fusion of the two orbits and the presence of a single eye in the middle of the forehead hence its name. This malformation is associated with other facial malformations. READ MORE Erysipelas associated with recurrent squamous cell carcinoma of the labium majus after radiochemotherapy Younes Barbach et al. The erysipelas is a bacterial infection most frequently due to (85% of cases) streptococcus β-hemolytic of group A (SGA), resulting in non-necrotizing dermo-hypodermitis. Many factors may play a role in its occurrence such as general factors: diabetes, immunosuppression, chemotherapy, radiotherapy as well as locoregional ports of entry such as leg ulcer, a insect bite, intertrigo.  READ MORE

CASE REPORTS Traumatic right diaphragmatic rupture with hepatothorax in Ghana: two rare cases Isaac Okyere et al. Traumatic injuries of the diaphragm remain an entity of difficult diagnosis despite having been recognised early in the history of surgery. Traumatic diaphragmatic injury may result from a penetrating injury or blunt thoracoabdominal injury and results in communication between the pleural and peritoneal cavities. READ MORE Rare involvement of paranasal sinuses in sarcoidosis: case report and literature review Afnan Rajeh et al. Sarcoidosis is a non-caseating inflammatory chronic systemic disease of unknown etiology, which may affect one or more organs. Paranasal sinuses involvement occurs sporadic in sarcoidosis. We report a patient with a medical history of sarcoidosis involving her lungs, liver, and lymphatic system for four years who now presented with nasal and sinuses symptoms. READ MORE

SHORT COMMUNICATION Ghostwriters in the scientific world Sankalp Yadav et al. The scientific world is facing a constant problem of ghostwriters. These ghostwriters are often attached to the medical publishing houses and are involved in writing an article for a pharmaceutical company which may, in turn, use the name of an established or a famous scientist as an author to the article. Often, such articles are published in well-known journals and are circulating widely. Many a time the adverse effects are overlooked in such papers. This will result in a corrupt practice of prescribing a drug which is not scientifically useful or may have life-threatening side effects  READ MORE

LATEST SUPPLEMENT Case Studies for Public Health in the Eastern Mediterranean Region - 2019 The Eastern Mediterranean Public Health Network (EMPHNET) helped to launch and establish several Field Epidemiology Training Programs (FETPs) in the Eastern Mediterranean Region (EMR). EMPHNET continues to provide ongoing technical and programmatic support for these program in an effort to assist countries to strengthen their public health workforce.  READ MORE