Maalman Raymond | Nelson Mandela Metripolitan University (original) (raw)

Uploads

Papers by Maalman Raymond

Research paper thumbnail of Knowledge, Attitudes, and Perceptions on Bequeathing of Bodies for Medical Education and Research among Health Science Students of the University of Health and Allied Sciences

Education Research International

Introduction. Cadaveric dissection is an established effective teaching method in anatomical scie... more Introduction. Cadaveric dissection is an established effective teaching method in anatomical science education. Cadaver acquisition for dissection is, however, based on voluntary body bequeathment. As a result of the increasing numbers of medical schools and student intake, the challenges of inadequate bodies for education became obvious in most parts of the world as the main cadaver source remains anonymous corpses in the custody of the state. Cultural and religious beliefs or commercial purposes are among the several factors that influence the decision about body bequeathal. This study investigates the knowledge, attitude, and perceptions of body bequeathing among health science students who benefitted or are potential beneficiaries of cadaveric studies and identified factors influencing the bequest of bodies in Ghana for educational purposes among students in the University of Health and Allied Sciences. Method. This was a cross-sectional descriptive study. The study recruited 51...

Research paper thumbnail of Testicular torsion in a catheterized geriatric 73-year-old patient, making an early diagnosis: a case report

Journal of Surgical Case Reports, 2021

Testicular torsion is a urologic emergency that requires surgical intervention. Its diagnosis is ... more Testicular torsion is a urologic emergency that requires surgical intervention. Its diagnosis is rarely made in elderly men especially the subset of men on urethral catheter. As a result, delayed diagnosis and surgical exploration occur leading to testicular infarction with necrosis, abscess formation and ultimately orchidectomy. We report a 73-year-old urologic patient referred with a 2-month history of transurethral catheterization to relieve retention of urine with subsequent scrotal pains and fever. Physical examination showed left hemi-scrotal swelling and normal right hemi-scrotal findings. A Doppler scan done showed an intratesticular fluid collection with no blood flow in the left testes. This case illustrates the need to include testicular torsion when diagnosing geriatric men with transurethral catheter presenting with any acute scrotal pains. We, therefore, recommend a detailed history and physical examination in addition to a colour Doppler ultrasound scan in making a di...

Research paper thumbnail of Solitary kidney functional damage due to caesarean ureteric injury monitored for 2 years after acute management: A case report

Case Reports in Women's Health

Research paper thumbnail of Complete Penoscrotal Transposition with Other Extragenital Anomalies in a Neonate Delivered at Term

Case Reports in Urology, 2021

A complete penoscrotal transposition (CPST) is a very uncommon congenital maldevelopment that is ... more A complete penoscrotal transposition (CPST) is a very uncommon congenital maldevelopment that is always associated with other abnormal body variations (malformations). We report a rare case of a term neonate delivered with CPST, which had a flaccid penis and an intact scrotum with unilateral limb and digital deformity, imperforate anus, cardiac malformation a facial deformity. Neonate died two hours after delivery. The foetal abnormality was not detected through routine antenatal services received by the mother.

Research paper thumbnail of A six-year retrospective clinical review of iatrogenic injuries repaired in a resource- deprived setting

Introduction: Ureteric injuries resulting from iatrogenic causes is over 70% with about 75% of th... more Introduction: Ureteric injuries resulting from iatrogenic causes is over 70% with about 75% of these cases diagnosed in the post-operative period with complications that increase morbidity and treatment cost.Objective: The purpose of the study is to identify risk factors for iatrogenic ureteric injuries(IUI) from open surgical procedures and the clinical outcome of interventions. Patients and methods: Clinical records of patients with IUI between 2015-2021 who were repaired at the urology units, MMCH and HTH were retrieved. Important data extracted included patients' demographics, clinical presentation, primary surgery details, time from surgery to injury types of ureteric injury, complications, and interventional outcomes data were extracted and analysed using the Statistical package for social scientists (SPSS version 24). Results: Twelve patients with 19-injuries aged between 24 - 54 years were treated. Injuries resulting from hysterectomy 83.3%, Caesarean section, and hernia...

Research paper thumbnail of Debilitating complications of unsuspected urethral stone: Case report and literature review

Urology Case Reports, 2022

Primary anterior urethral calculi account for <0.3% of urinary stones with over 90% resulting ... more Primary anterior urethral calculi account for <0.3% of urinary stones with over 90% resulting from luminal anomalies. These stones are often diagnosed early and treated without clinical problems. Fournier's gangrene (FG), a lethal complication, was diagnosed and managed following a decade-long complaint of voiding lower urinary tract symptoms (LUTS) and clinical workout revelation of giant anterior urethral calculus in a normal lumen. Though multiple interventions resulted in a satisfactory outcome, these feared complications are rare. Hence reporting will significantly shape clinical practice. The perception of LUTS needs re-evaluation to enable early diagnosis of urethral stone and avoid debilitating complications.

Research paper thumbnail of Knowledge, Attitudes, and Perceptions on Bequeathing of Bodies for Medical Education and Research among Health Science Students of the University of Health and Allied Sciences

Education Research International

Introduction. Cadaveric dissection is an established effective teaching method in anatomical scie... more Introduction. Cadaveric dissection is an established effective teaching method in anatomical science education. Cadaver acquisition for dissection is, however, based on voluntary body bequeathment. As a result of the increasing numbers of medical schools and student intake, the challenges of inadequate bodies for education became obvious in most parts of the world as the main cadaver source remains anonymous corpses in the custody of the state. Cultural and religious beliefs or commercial purposes are among the several factors that influence the decision about body bequeathal. This study investigates the knowledge, attitude, and perceptions of body bequeathing among health science students who benefitted or are potential beneficiaries of cadaveric studies and identified factors influencing the bequest of bodies in Ghana for educational purposes among students in the University of Health and Allied Sciences. Method. This was a cross-sectional descriptive study. The study recruited 51...

Research paper thumbnail of Testicular torsion in a catheterized geriatric 73-year-old patient, making an early diagnosis: a case report

Journal of Surgical Case Reports, 2021

Testicular torsion is a urologic emergency that requires surgical intervention. Its diagnosis is ... more Testicular torsion is a urologic emergency that requires surgical intervention. Its diagnosis is rarely made in elderly men especially the subset of men on urethral catheter. As a result, delayed diagnosis and surgical exploration occur leading to testicular infarction with necrosis, abscess formation and ultimately orchidectomy. We report a 73-year-old urologic patient referred with a 2-month history of transurethral catheterization to relieve retention of urine with subsequent scrotal pains and fever. Physical examination showed left hemi-scrotal swelling and normal right hemi-scrotal findings. A Doppler scan done showed an intratesticular fluid collection with no blood flow in the left testes. This case illustrates the need to include testicular torsion when diagnosing geriatric men with transurethral catheter presenting with any acute scrotal pains. We, therefore, recommend a detailed history and physical examination in addition to a colour Doppler ultrasound scan in making a di...

Research paper thumbnail of Solitary kidney functional damage due to caesarean ureteric injury monitored for 2 years after acute management: A case report

Case Reports in Women's Health

Research paper thumbnail of Complete Penoscrotal Transposition with Other Extragenital Anomalies in a Neonate Delivered at Term

Case Reports in Urology, 2021

A complete penoscrotal transposition (CPST) is a very uncommon congenital maldevelopment that is ... more A complete penoscrotal transposition (CPST) is a very uncommon congenital maldevelopment that is always associated with other abnormal body variations (malformations). We report a rare case of a term neonate delivered with CPST, which had a flaccid penis and an intact scrotum with unilateral limb and digital deformity, imperforate anus, cardiac malformation a facial deformity. Neonate died two hours after delivery. The foetal abnormality was not detected through routine antenatal services received by the mother.

Research paper thumbnail of A six-year retrospective clinical review of iatrogenic injuries repaired in a resource- deprived setting

Introduction: Ureteric injuries resulting from iatrogenic causes is over 70% with about 75% of th... more Introduction: Ureteric injuries resulting from iatrogenic causes is over 70% with about 75% of these cases diagnosed in the post-operative period with complications that increase morbidity and treatment cost.Objective: The purpose of the study is to identify risk factors for iatrogenic ureteric injuries(IUI) from open surgical procedures and the clinical outcome of interventions. Patients and methods: Clinical records of patients with IUI between 2015-2021 who were repaired at the urology units, MMCH and HTH were retrieved. Important data extracted included patients' demographics, clinical presentation, primary surgery details, time from surgery to injury types of ureteric injury, complications, and interventional outcomes data were extracted and analysed using the Statistical package for social scientists (SPSS version 24). Results: Twelve patients with 19-injuries aged between 24 - 54 years were treated. Injuries resulting from hysterectomy 83.3%, Caesarean section, and hernia...

Research paper thumbnail of Debilitating complications of unsuspected urethral stone: Case report and literature review

Urology Case Reports, 2022

Primary anterior urethral calculi account for <0.3% of urinary stones with over 90% resulting ... more Primary anterior urethral calculi account for <0.3% of urinary stones with over 90% resulting from luminal anomalies. These stones are often diagnosed early and treated without clinical problems. Fournier's gangrene (FG), a lethal complication, was diagnosed and managed following a decade-long complaint of voiding lower urinary tract symptoms (LUTS) and clinical workout revelation of giant anterior urethral calculus in a normal lumen. Though multiple interventions resulted in a satisfactory outcome, these feared complications are rare. Hence reporting will significantly shape clinical practice. The perception of LUTS needs re-evaluation to enable early diagnosis of urethral stone and avoid debilitating complications.