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Amaç: İnfantil hipertrofik pilor stenozu, bebeklerde yaşamın ilk ayında mide çıkışı obstrüksiyonunun en sık nedenidir. Bu çalışmada, Somali, Mogadişu'da infantil hipertrofik pilor stenozu olan hastaların tanı, hastaneye yatış ve ameliyat prosedürlerini detaylandırmayı amaçladık.Gereç ve Yöntemler: Bu araştırmada, Mogadişu’da bulunan Recep Tayyip Erdoğan Eğitim ve Araştırma Hastanesi’nde Mayıs 2019-Temmuz 2021 tarihleri arasında infantil hipertrofik pilor stenozu tanısı ile opere edilen 52 hasta retrospektif olarak değerlendirildi. Tüm hastalara abdominal ultrasonografi yapıldı. Kan gazı parametreleri hasta dosyalarından alındı. Ramstedt piloromiyotomi cerrahi tedavisi 52 çocuğa uygulandı.Bulgular: Çalışma kapsamında değerlendirmeye 18’i (%34.6) kız, 34’ü (%65.4) erkek toplam 52 hasta dahil edildi. Hastaların ortanca yaşı 45 gün (min: 15 gün, maks: 150 gün), ortanca taburculuk günü 6 gündü (min: 3 gün, maks: 9 gün). Sekiz (%15.3) hastada yara enfeksiyonu ve sekiz (%15.3) hastada ameliyat sonrası tekrarlayan kusma görüldü. Kusma şikâyeti olan iki hasta ikinci kez ameliyat edilirken, altı hastada kusma şikayetlerinin postoperatif üçüncü günde düzeldiği gözlendi. Postoperatif dönemde hastalarımızın 4’ü (%7.69) yenidoğan yoğun bakım ünitesinde takip edildi. Ameliyat edilen vakalarda ölüm görülmedi.Sonuç: Safrasız kusmalı infantil hipertrofik pilor stenozu, Somali'deki bebeklerde sık görülen bir durumdur ve tekrarlayan safrasız kusması olan hastalarda dışlanmalıdır. Hastalar hastaneye geç dönemde getirilmiş olsa da ameliyat koşullarının ve ameliyat sonrası bakım standartlarının ortalamanın altında olduğu bu çalışmada mortalite vakasına rastlanmamıştır., Objective: Infantile hypertrophic pyloric stenosis is the most common cause of gastric outlet obstruction in infants within the first month of life. In this study, we aimed to elaborate the diagnosis, hospitalization and surgery procedures of patients with IHPS in Mogadishu, Somalia.Material and Methods: In this research, 52 patients who were diagnosed with infantile hypertrophic pyloric stenosis and operated at the Recep Tayyip Erdoğan Training and Research Hospital in Mogadishu, Somalia between May 2019 and July 2021 were evaluated retrospectively. Abdominal ultrasonography was performed to all patients. Blood gas parameters were taken from the patient files. Ramstedt piloromyotomy surgical treatment was applied to 52 children.Results: A total of 52 patients, 18 (34.6%) female and 34 (65.4%) male, were included in the evaluation within the scope of the study. The median age of the patients was 45 days (min: 15 days, max: 150 days), and the median day of discharge was 6 days (min: 3 days, max: 9 days). Wound infection occurred in eight (15.3%) patients, and postoperative recurrent vomiting occured in eight (15.3%) patients. While two patients with vomiting were operated for the second time, it was observed that the complaints of vomiting in six patients improved on the third postoperative day. Postoperatively, 4 (7.69%) of our patients were followed up in the neonatal intensive care unit. There was no death in the cases we operated on.Conclusion: Infantile hypertrophic pyloric stenosis with non-bilious vomiting is a common condition in infants in Somalia and must be excluded in patients with recurrent non-bilious vomiting. Although the patients were admitted lately, no case of mortality has been observed in this study cohort where surgery conditions and postoperative care standards were below average.

[eng] Introduction: Occupational health and safety (OHS) is concerned with workers’ health, safety, and well-being. Over 59 million people worldwide work in health care facilities (HCFs), which are hazardous and high-risk workplaces. Like other high-risk workplaces, healthcare institutions expose workers to harmful agents, endangering their health and lives. Method: This study was conducted in Mogadishu, Somalia’s capital. It’s the country’s only teaching hospital. This study was descriptive cross-sectional. All consenting healthcare personnel participated. Due to the study’s purpose, administrative healthcare staffs were excluded. Results: 124 (59.0%) of the respondents were male, aged 25-35 (73.3%), with a mean age (SD) of 28.31 4.11 years. Most participants (48.6%) were nurses, followed by doctors (43.3%) and medical technicians (17%). (8.1 percent ). Most respondents were unmarried, with 51.9% working in the medical service and 35.7% having fewer than five years of professional experience (80.5%). 96% of respondents knew that all patients, healthcare personnel, and communities are at risk of healthcare-related infection. 95% of respondents recognized Universal Precautions and Standard Precautions protect health staff and patients from infection. Similarly, 94.3% recognized there must be an occupational safety and health policy authorized by management with regular talks between management and workers in the hospital, and 93.8% said it’s common to train and educate personnel about occupational safety and health. Conclusion: All employees should have sufficient safety kits, timely replacement of worn-out ones, and current job aids based on their assigned jobs. Pre-employment, continuous, and preventive safety training for health care workers should be institutionalized. Government, employers, company management, and employees work together to handle OHS. National policy must govern occupational health and safety to keep unwanted aspects from the workplace. Management and employers must be committed to workplace health and safety to provide a decent place to work. Employees must obey safety rules., [spa] Introducción: La salud y la seguridad en el trabajo (SST) se ocupan de la salud, la seguridad y el bienestar de los trabajadores. Más de 59 millones de personas en todo el mundo trabajan en centros sanitarios, que son lugares de trabajo peligrosos y de alto riesgo. Al igual que otros lugares de trabajo de alto riesgo, los centros sanitarios exponen a los trabajadores a agentes nocivos, poniendo en peligro su salud y su vida. Método: Este estudio se realizó en Mogadiscio, la capital de Somalia. Es el único hospital universitario del país. Este estudio fue descriptivo transversal. Participó todo el personal sanitario que dio su consentimiento. Debido a la finalidad del estudio, se excluyó al personal sanitario administrativo. Resultados: 124 (59,0%) de los encuestados eran hombres, con edades comprendidas entre los 25 y los 35 años (73,3%), con una edad media (DE) de 28,31 4,11 años. La mayoría de los participantes (48,6%) eran enfermeros, seguidos de médicos (43,3%) y técnicos médicos (17%). (8,1% ). La mayoría de los encuestados eran solteros, el 51,9% trabajaba en el servicio médico y el 35,7% tenía menos de cinco años de experiencia profesional (80,5%). El 96% de los encuestados sabía que todos los pacientes, el personal sanitario y las comunidades corren el riesgo de contraer una infección relacionada con la atención sanitaria. El 95% de los encuestados reconoció que las Precauciones Universales y las Precauciones Estándar protegen al personal sanitario y a los pacientes de las infecciones. Asimismo, el 94,3% reconoció que debe existir una política de seguridad y salud en el trabajo autorizada por la dirección con charlas periódicas entre ésta y los trabajadores del hospital, y el 93,8% dijo que es habitual formar y educar al personal en materia de seguridad y salud en el trabajo. Conclusión: Todos los empleados deben disponer de kits de seguridad suficientes, sustituir a tiempo los que estén desgastados y disponer de ayudas de trabajo actualizadas en función de los trabajos asignados. Debe institucionalizarse la formación en seguridad previa al empleo, continua y preventiva para los trabajadores sanitarios. El gobierno, los empleadores, la dirección de la empresa y los empleados trabajan juntos para gestionar la salud y la seguridad en el trabajo. La política nacional debe regir la seguridad y la salud en el trabajo para alejar los aspectos no deseados del lugar de trabajo. La dirección y los empresarios deben comprometerse con la salud y la seguridad en el trabajo para ofrecer un lugar de trabajo decente. Los empleados deben obedecer las normas de seguridad.

Preduodenal portal vein (PDPV) is a rare cause of duodenal obstruction. While half of PDPV cases present with obstructive findings in the neonatal period, the other half are diagnosed incidentally at advanced ages. In half of the obstructed PDPV cases, the cause of obstruction is another congenital anomaly. In our case, the aberrant ventral extension of the pancreas with PDPV caused incomplete duodenal obstruction by compressing the duodenum externally. Özet Preduodenal portal ven (PDPV), duodenal tıkanıklığın nadir bir nedenidir. Yenidoğan döneminde PDPV olgularının yarısı obstrüktif bulgularla ortaya çıkarken, diğer yarısı ileri yaşlarda rastlantısal olarak teşhis edilmektedir. Tıkanmış PDPV vakalarının yarısında, tıkanıklığın nedeni başka bir konjenital anomalidir. Bizim olgumuzda PDPV’ye eşlik eden pankreasın anormal ventral uzantısı duodenuma dıştan bası yaparak inkomplet tıkanıklığa neden olmuştu., Nadir Görülen bir Konjenital Duodenal Obstrüksiyon Nedeni: Preduodenal Portal Ven. [ High resolution figures, metrics, and more: http://lifemedsci.com/a/2022/1/oz/7.htm ] [ This article previously published as: "Somalia Turkey Journal of Medical Science 2020; 1(1): 17-19." Currently, Somalia Turkey Journal of Medical Science was merged with Life and Medical Sciences. ], {"references":["1. Knight HO. An anomalous portal vein with its surgical dangers. Ann Surg 1921; 74(6): 697-9.","2. Georgacopulo P, Vigi V. Duodenal obstruction due to a preduodenal portal vein in a newborn. J Pediatr Surg 1980; 15(3): 339-40.","3. Grosfeld JL, Rescorla FJ. Duodenal atresia and stenosis: reassessment of treatment and outcome based on antenatal diagnosis, pathologic variance, and long-term follow-up. World J Surg 1993; 17(3): 301-9.","4. 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Preduodenal portal vein: A recipe for disaster during laparoscopic cholecystectomy. J Minim Access Surg 2019; 15(1): 63-4.","20. Kato H, Usui M, Iizawa Y, Tanemura A, Murata Y, Kuriyama N, et al. Living Donor Liver Transplantation for Biliary Atresia With Severe Preduodenal Portal Vein Stricture: Success and Pitfall of Portal Vein Reconstruction. Transplant Proc 2016; 48(4): 1218-20."]}