However several circumstances such as little time, visa restrictions and location of elective hindered the accomplishment of all.
Secondly the location, the elective was based mainly in the referral hospital, where the focus was on adult cases, with some outreach to health centers, not in the district hospital with a more comprehensive care.
The following variables were recorded: demographic characteristics (age and gender), types of patients (medical, trauma, emergency surgery, elective surgery), sources of infection, location at sepsis acquisition (community-acquired or nosocomial infection), and baseline lactate level and organ dysfunction at sepsis diagnosis.
Cameron et al. [6] developed a scoring system to help identify patients requiring an elective tracheostomy based on the tumor location and the types of surgery including mandibulectomy, neck dissection, and reconstruction.
In addition, if the resident develops a sound plan of scholarship, he or she can spend three months of elective during PGY-4 in an overseas location.
The inclusion criteria were: (1) curative and elective surgery; (2) sigmoid adenocarcinoma with tumor location generally 15 to 40 cm above anal verge; (3) American Society of Anesthesiology function class I to class III patients; (4) age between 18 to 65 years.
However, in patients with large tumors (T3-T4), clinically positive neck nodes, or tumors affecting an anatomic location with rich lymphatic drainage, elective nodal irradiation (ENI) of the contralateral neck is essential in optimizing regional control in the contralateral neck [ 12].
Location of tumors, urgency of operation (elective or emergency), depth of tumor invasion, tumor type, tumor grade and lymphovascular permeation were summarized in Table 1.
An additional limitation was that selection criteria for participation was based on a convenience sampling as a number of students who had participated in the UMMS elective had since graduated and were working in decentralized locations around Ghana.
The surgery mode of DC was elective at the frontoparietotemporal region, based on the lesion location and midline shift determined by CT scans [ 7].
