South Sudan Medical Journal - August 2026

Dear Reader,

The August 2026 issue is online here; we thank all the copyeditors and reviewers who helped prepare these papers. If you are submitting a manuscript, remember to read our Author’s Guidelines first.

We are looking for volunteers to join the Editorial team. Email us if you have time and editing skills.

Editorial

Can the Ebola Zaire vaccine stop Bundigunyo virus? Edward Kenyi

RESEARCH ARTICLES
Assessment of airborne fungi in the emergency and traumatology departments of University Hospital Centre, Sidi Bel-Abbes, Algeria Derouicha Matmour, Samia Merad, Yassine Merad, Achwak Bendouida, Zoubir Belmokhtar, Zakaria Merad, Mohamed Amine Boumelik, Benali Beghdadli, Othmane Ghomari 

Maternal and nutritional factors associated with early childhood development in rural Indonesia Hadi Ashar, Mohammad Zen Rahfiludin, Sri Achadi Nugraheni, Dwi Hapsari Tjandrarini

Observed outcomes and costs of laparoscopic versus open cholecystectomy in Juba, South Sudan Mayen Achiek, Jingo Faride, Mohamed Ibrahim, Abraham Mafair Kezekia, Chep C. Chep, Garang D. Nyuol, Ajak M. Dhel, George Lefteri

Stakeholders’ perspectives on determinants of health financing in South Sudan: a qualitative assessment Jonathan Majok, Gabriel Loi, Solomon Dut, Aluel Ayom, Thiey Kuethpiny, David Ngor, Sarah Nyannyot

Predictors of unsuccessful treatment outcomes among adults with pulmonary tuberculosis in a resource-limited setting Tri Agus Yuarsa, Malehah Mohd Noh, Richard Avoi, Meryl Grace Lansing, Putra Agina Widyaswara Suwaryo 

Assessment of the understanding of evidence-based medicine among undergraduate medical students in Gadarif University, Sudan Khalid Mohammed Ali, Ozaz Yagoub, Inshirah Mustafa, Tarig Fadelelmoula
 
Environmental health risks associated with open dumping practices in Central Kalimantan, Indonesia: an observational study Nawan, Septi Handayani 

Assessing the quality of health facilities providing antenatal care services in Bor, South Sudan John Thon Pandak Kuot, Shalini Ninan Cherian

Prostate cancer awareness and factors influencing screening among men at St. Francis Referral Hospital, Tanzania Theresia A. Karuhanga, Zeinabu Awardh Sharif, Antony Magoda, Philbert Madoshi 

CASE REPORTS 
Long-standing aspirated foreign body in a child complicated by pneumothorax and empyema Gawar Gel, Juma Deng, Justin Rubena

Clinical rabies in an HIV-positive pregnant mother with surviving newborn Ayol Mac Ayol

BACKCOVER: WHO: Guidelines for the management of pregnant and breastfeeding women in the context of Ebola virus disease

FRONT COVER IMAGE: The grown fungal colonies on SDA media collected from different types of samples. (Article on page 149)

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South Sudan Medical Journal
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South Sudan
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Medicine - Mathematics & History

'We now come to the input of mathematics into medical history, and to the related questions of arithmetic and quantification, ratio and proportion, geometrical argument and diagrams, and probability. Mathematics (consisting in arithmetic, geometry, astrology and music) had an established place in the quadrivium of the medieval arts course; its application to medicine is demonstrated in such textbooks as the Articella, which include treatises on weights and measures, and in studies of proportion and ratio such as those of the medieval Oxford calculators which Italian doctors among others caused to be revived at the beginning of our period. In the sixteenth century, it was a vigorously debated subject; there is a well-documented discussion of the certainty of mathematics, concerning its status in respect to the logical adequacy of its proofs, in which some natural philosophers and doctors (notably Cardano) take part. It will come therefore as no surprise that it was prescribed for doctors by most Renaissance pedagogical writers;  this prescription is often specifically linked to Galen's geometrical (axiomatic) method whose operations are the constitution of objects from elements, the comparison of existing objects and their reduction into their constitutive elements.

Associated with mathematics are diagrams, that is, abstract quantified spatial representations. There is a modern debate about the contribution of technical innovations in illustration in the Renaissance (most notably perspective) to the scientific revolution: this is only relevant here insofar as some participants in this debate argue for the importance of diagrammatic symbolisation of mental abstractions above those, like perspective, which are still representations of the real world, and see the former as a step on the path to full algebraic notation of geometry. Not all Renaissance thinkers were persuaded of their usefulness: Argenterio describes the diagrams of Manardo and Akakia reproduced below as 'vain and false tables and figures'; but I shall argue here that they were related to the uptake of doctors from the arts course insofar as well-known logical diagrams reproduced above (4.3:3) were adapted by them for their own purposes.' pp.171-172.

Maclean, Ian. 2002. Chapter 5, Beyond logic: geometry, proportion, quantity. In Logic, Signs, and Nature in the Renaissance: The Case of Learned Medicine. Cambridge/New York: Cambridge University Press.

Related to ongoing reading, Maclean provides two (among several) historical illustrations (with apologies for the quality) on pp.174-175, the first is from the Wellcome Collection:

Dubois, Jacques, 1478-1555 (Boe͏̈, Jacques, Bois, J. d., Boë, J., del, Boë, J., Del Boë, J., DelBoe͏̈, J., . . . Sylvius/de Bois). (1548). Methodus sex librorum galeni in differentiis et causis morborum et symptomatum in tabellas sex ordine suo conjecta paulo fusius ne brevitas obscura lectorem remoretur & fallat. de signis omnibus medicis, hoc est salubribus, insalubribus, & neutris, commentarius / ... per jacobum sylvium ..Paris: Retrieved from https://www.proquest.com/books/methodus-sex-librorum-galeni-differentiis-et/docview/2090356749/se-2

Jacobus Sylvius, 1539

Which Maclean then translates / interprets (p.174):

Maclean. Figure 5.1, p.174.

'Manardo goes further, and causes and symptoms adapts the square of contraries to represent not only all the possible combinations of temperaments (combinations of cold and hot and wet and dry are cleverly excluded) but also inserts a mediate point to represent the absolutely temperate body: see fig. 5.2.
This adaptation of the square of contraries (which has precedents in the medieval period) shows the appropriation for their own use by doctors of the logical instruments at their disposal.

As we have seen, it is a feature of medical thinking to take into account many circumstantiae or variables, and, over time, the numbers of variables taken into consideration increases.' p.174-175.

Figure 5.2 Giovanni Manardo, p.175.

individual

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INTERPERSONAL : SCIENCES             

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL   

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group

quality logic	quantity past - present - future diagrams symptoms - signs
subjective	objective

Previously: 'medicine' : 'history' : 'diagram'

Workshop: 'Under Pressure: Character, Certainty, Conspiracy'

How people change (or fail to) under pressure, false certainty and misinformation

Institute for Ethics & Society Workshop - Thursday 3 September 2026

10:00 am – 4:30 pm (AEST)

In an age of outrage, algorithms and information overload, how do we become people of resilient character, humble conviction and wise discernment? Drawing on several funded research projects in Europe and Australia, this workshop explores how pressure exposes the heart and yet shapes the self, how self-righteousness quietly corrupts our capacity for knowledge and understanding of self and others, and how conspiracy theories and AI-generated “slopaganda” shape the way we see the world.

The IES is pleased to host this event on the occasion of Laura Candiotto’s visit to Sydney. Laura is Associate Professor of Moral Philosophy (Universities of Cagliari and Pardubice). She currently leads two research projects, including ‘Vicious Epistemic Cultures’ on the ethics of knowledge with a specific focus on emotional friction in revision responsibility, funded by the Czech Science Foundation. Laura is currently working on a monograph, Emotional Friction, and a co-edited collection entitled Vice Epistemology and the Philosophy of Emotions (Routledge).

 

SPEAKERS

Laura Candiotto (Cagliari and Pardubice) ‘Character revision under duress’

 

John Lippitt (Notre Dame IES and Pardubice) ‘Failures of receptivity: self-righteousness as a stealthy vice’

 

Adam Piovarchy (Notre Dame IES) ‘Conspiracy theories are Infohazards’

 

Mark Alfano (Macquarie) ‘Slopaganda’

Event poster: https://url.au.m.mimecastprotect.com/s/NdGNCq712YtRgVKVFXhKphE8bFg?domain=notredame.edu.au

 

Location:

The University of Notre Dame Australia,

NDS23/102 (Wilcox Mofflin Building)

46-52 Mountain Street Ultimo, NSW, 2007

 

Or online via Teams

For enquiries, Teams link and to RSVP:

Professor John Lippitt (john.lippitt AT nd.edu.au)

My source: Philos-L "The Liverpool List" is run by the Department of Philosophy, University of Liverpool https://www.liverpool.ac.uk/philosophy/philos-l/ Messages to the list are archived at http://listserv.liv.ac.uk/archives/philos-l.html. Recent posts can also be read in a Facebook group: https://www.facebook.com/PhilosL/ Follow the list on Twitter @PhilosL. Follow the Department of Philosophy @LiverpoolPhilos

Measuring Behavior 2027

The next Measuring Behavior conference will take place from 28 to 30 April, 2027, in Düsseldorf, Germany. Düsseldorf is in a region with a high concentration of behavioral research across a variety of fields both in universities and industry. It is easy to reach by international trains and flights. It is a city combining innovative modern architecture with a historic city centre. The conference will take place in the Clayton Hotel, which is in the Little Tokyo region of Düsseldorf, with its distinctive Japanese flavor. We will be hosted by the Heinrich Heine Medical University and the location is within easy walking distance of the central station.

The Scientific Program Committee invites you to submit proposals for oral presentations and posters at Measuring Behavior 2027 (Düsseldorf, 28-30 April).

All papers will be refereed through double-blind peer review and the proceedings will be published by the conference (with ISBN and DOI) and available online after the conference. In addition, selected papers will be invited to submit for a special edition of a journal.

Submissions for oral presentations and posters must be written in English following the style guide for Measuring Behavior 2027 publications. Due to the multidisciplinary nature of the conference, we are flexible about the submission length. We accept submissions from at least one to maximum seven pages long for oral papers and about one page for posters. You also need to prepare a short (maximum 1000 characters, preferably shorter) abstract for the website.  
You can submit from the Submission page of the website. The deadline is 6th November 2026.

Tutorials and Demonstration Showcase submissions are free format and also have a later deadline (4 February 2027).

The Call for Symposia is open until October 9^th should you want to organise a series of presentations or an interactive workshop.

If you think a colleague might be interested in this Call for Symposia, you can also send them this PDF.

On behalf of the Measuring Behavior 2027 conference chairs,

Sabine Bischoff, Irena Krüger and Antonella Pomè (Heinrich-Heine-University), Gernot Riedel (University of Aberdeen) & Andrew Spink (Noldus Information Technology).

n.b. Early days, but I hope to attend and participate with a co-presenter.
Please do visit their site for full details. PJ

Re. 'Population mental health in England, 2003–2022: Teasing apart psychological distress, mental illness and activity limitation'

Last month I was struck reading John Burn-Murdoch's regular opinion piece 'Data Points' in the FTWeekend.

This one 'What's really going on with mental health around the world?' concerned a report:

Henking, C. and Baumberg Geiger, B. (2026), 'Population mental health in England, 2003–2022: Teasing apart psychological distress, mental illness and activity limitations'. ESRC Centre for Society and Mental Health, King's College London.
https://osf.io/preprints/socarxiv/8ygrz_v2

Below I have mapped some points to Hodges' model and added others. 

By accident or not, Mr Burn-Murdoch continued this theme last weekend, discussing pandemic lockdowns and how they never ended for some people (citations below):

individual

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INTERPERSONAL : SCIENCES             

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL   

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group

Getting stuck in a psychological minima. Becoming fixed in mindset, lack of self-development through others - empathy, rapport.  Subtle self-harm becoming more serious. What is character in the 21st C? Lack of measures. ^Lack of coherence - parity in health policy. Lack of assertiveness, self-advocacy, prone to self-stigma (non-help seeking!) Qualitative lived experience becomes self-reinforcing (and other - family?)

Getting fixed with a physique, posture - shaped by technology. Physical equivalent-complement  of 'mindset'. Getting stuck in a physical minima 'long-term'. Subtle self-harm becoming more serious. 'Systems medicalisation' PROCESSES Convenience (POLITICAL) of binary responses, e.g.  DISABLED -------- NOT DISABLED Search for 'answers' - diagnosis Search for 'solutions' interventions

Early effect of lack of external play, risk-taking with others, friends - testing - trust. Lack of social skills. Impact of social and other media - reduction of stigma. Social roles models - father-figure?  Lack of 'real' socialisation - meeting peers. Socio-Political Power, hence resort to 'sick role'. Social media - contribution to self-diagnosis.  Support inc. Social prescribing: "You're not listening! How dare you suggest walking, gardening, volunteering, discussion group .. as a way to deal with this!"

'It's life - get on with it!'  The compound effect of 'World News' on young people: cost of living; housing; cost of/access to education; employment options - related to AI; geopolitical events; climate change, state of economics since birth; COVID; housing; and isolation. 'Jobs' for teenagers? (I had a 7-day paper-round)  ^Parity of esteem (see above) Welfare traps -  especially by age xx Realisation of the importance of outdoors play. Streets being protected for children. Early Start Nursery

Imagine four characters called Harlequin meet for dinner. Halfway through another Harlequin gatecrashes the party, called spirit, then add psychiatry, anti-psychiatry, psychology, service users, policy-makers, the pharma-industry and education to the guest list and you are set for a marvellous time.

My source: John Burn-Murdoch, What's really going on with mental health around the world? FTWeekend, 11-12 July 2026, p.10.

John Burn-Murdoch, Pandemic lockdowns never ended for some people. FTWeekend, 15-16 August 2026, p.8.

Previously: 'young people' : 'mental illness' : 'behaviour' : 'Serres'

"Poetics of Relation" by Édouard Glissant

'The Slave Trade came through the cramped doorway of the slave ship, leaving a wake like that of crawling desert caravans. It might be drawn like this:

African countries to the East; the lands of America to the West. This creature is in the image of a fibril.

African languages became deterritorialized, thus contributing to creolization in the West. This is the most completely known confrontation between the powers of the written word and the impulses of orality. The only written thing on slave ships was the account book listing the exchange value of slaves. Within the ship's space the cry of those deported was stifled, as it would be in the realm of the Plantations. This confrontation still reverberates to this day.' p.5.

'Not just a specific knowledge, appetite, suffering, and delight of one particular people, not only that, but knowledge of the Whole, greater from having been at the abyss and freeing knowledge of Relation within the Whole.' p.8.

 
Édouard Glissant. (1990, 2025) The Open Boat. Poetics of Relation. Dublin: Penguin.

The above image runs within the text in the book.

My image source: https://annstreetgallery.org/Nolan-Oswald-Dennis

"Hey Jonesy: Where's the book?"

This prompt from yesterday is far from new. There are outlines for papers on W2tQ.

Seriously though, what would a book outline look like - now?

The introduction is probably already written, it just needs to be pulled-together. But, in truth it (desperately) needs a new perspective. The question of how to update the explanation - short of running a workshop? The model's original purposes 1-4 are a statement of fact. The intro figures that invariably show how the axes 'create' the model's care, or knowledge domains? What if...? Could we also present the inverse? That would be a new slant. Does the model still 'work'? 

Details aside, here is a quick outline:

Part 1

Introduction and Background 

1.1 Brian E. Hodges and Post-Registration Nurse Education

1.2 Peter Jones - Primed to mind-map

1.3 Web presence: Initial website 1998-2015 - Blog 'Welcome to the QUAD' 2006 ...

1.4 Brian's original lecture notes

1.5 Looking back and forward: Models of care for the 21^st Century

1.6 Confessions: So, where is the new site / platform? 

Part 2

 The Four (Five) Care Domains 

2.1 Science

2.2 Interpersonal (& Intrapersonal)

2.3 Sociology

2.4 Political

2.5 Spiritual

Part 3

Hodges' model in Practice - Applications

3.1 Self care

3.2 Clinical

3.3 Social Care - Community 

3.4 Management

3.5 Informatics

3.6 Policy 

3.7 Education

3.8 Workforce: Local - Global 

Part 4

The Legacies (still) in Our Midst

4.1 Person-centredness

4.2 Integrated Care

4.3 Holistic Care

4.4 Parity of Esteem

4.5 The Theory-Practice Gap

4.6 Change - Transformation: When? Disease to Prevention

Part 5

It's Tomorrow Now

5.1 Health Promotion

5.2 Public (Mental) Health & Protection

5.3 Citizenship

5.4 Global Health

5.5 Planetary Health

Part 6

Research

6.1 Hodges' model as a Research Tool

6.2 Climate change

6.3 Planetary Health

6.4 Beyond the Bio-Psycho-Social Model: The Political Domain

6.5 The Literacies 

6.6 InterDisciplinary, Multi- and Transdisciplinary

6.7 Hodges' model as a Mathematical Object?

Part 7

Philosophy

 

7.1 Revisiting the Original Purposes

 

7.2 AI - The Elephant in Mind

 

7.3 Value & Values  

...?

Much to add, revise ... 'Education as Part X'. Political and Literacy too - a specific part - and with AI (in every part!)?

STOP!!

OK. It's a minefield. Even a proposal is a 'non-trivial' task.

Who's writing this? Not me! Not all of it, and for me; not AI either.

It would be marvellous to be one of several editors: one day? 

Clearly, a great project for students and early career researchers and current practitioners. 

An inoculation to help new cohorts deal with the realities, ravages and rewards of 'care' in its entirety*. 

P.S. With the start of a title right there? PJ

Two one-day events in September: BCS SPECIALIST GROUP ON AI

BCS SPECIALIST GROUP ON ARTIFICIAL INTELLIGENCE (BCS-SGAI)

 

There are two one-day SGAI events arranged for September, both at the British Computer Society London office (near Moorgate underground station).

 

Trustworthiness and Safety in Generative AI - Friday September 11th 2026

https://www.bcs-sgai.org/genai2026/

 

Real AI 2026 - Friday September 25th 2026

https://www.bcs-sgai.org/realai2026/

 

There are online registration forms available from the event websites.

 

Trustworthiness and Safety in Generative AI - Friday September 11th 2026

Despite impressive breakthroughs in capabilities across text, vision, audio, and multimodal reasoning, current generative models remain prone to unpredictable failures and exhibit unresolved challenges in alignment, grounding, and robustness techniques, including hallucinations, instability under distribution shift, hidden internal representations, and limited theoretical understanding of how large‑scale models encode and propagate knowledge. This colloquium aims to create a forum for discussing cutting edge advances and emerging challenges in the trustworthiness and safety of generative AI.

 

The talks will include:

• Beyond the Pixel: Trustworthy and Safe Generative AI for Medical Image Quality Transfer
• Spoofing Deep Leakage Attacks in Federated Learning
• Can We Trust the Voice on the Line? Robust Audio Deepfake Detection from Real-World Calls to the First “Hi”
• The Scenic Route to Deception: Dark Patterns and Explainability Pitfalls in Conversational Navigation
• Differential Adjusted Parity for Learning Fair Representations
• Decision-theoretic uncertainty quantification in generative deep learning
• Zero Trust Architectures for Secure Multi-Agent AI Systems: From Identity to Collaboration Integrity

Registration fee: £50 (plus VAT) for BCS and SGAI members and £90 (plus VAT) for others. This includes attendance at the event, lunch and refreshments.

Students and unwaged: £35 (plus VAT).  Group discounts are also available.

 

Real AI 2026 - Friday September 25th 2026

This event is aimed less at deep AI specialists and more at those who may be interested in understanding what AI can offer, and what it is doing right now. The event will feature talks from leading exponents and case studies outlining practical applications of AI from a wide range of application domains. Plenty of time has been allowed in the programme for discussion.

 

The talks will include:

• Evolving the SDLC: Our Journey Towards Agentic Software Engineering
• Robotics in the Age of AI: Adoption, Illusion and Direction of Travel
• Is Judgement Uniquely Human?
• Agent Trust and Coordination in Autonomous Multi-Agent Cyber Defence Systems
• Agentic AI: The Good, the Bad, and the Ugly – Three Real-World Use Cases

Registration fee: £90 (plus VAT) for BCS and SGAI members and £110 (plus VAT) for others. This includes attendance at the event, lunch and refreshments.

Students and unwaged: £50 (plus VAT).  Group discounts are also available.

 

Max Bramer, Chair, BCS-SGAI 

bcs-sgai.org

[And my source.]

'Becoming family with place' - Wooltorton et al. (2020)

The second R&E piece 'spoke' immediately of distance, peoples - their societies, culture, heritage and communities, plus place and connection to land, landscape, water, fauna, flora and sky.

individual

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INTERPERSONAL : SCIENCES             

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL   

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group

Spirit Sense of Belonging	PLACE
PEOPLE family	Place and Planet  are lost here. Look at what 'country'  means and does here.

Wooltorton, Sandra, Collard, Len, Horwitz, Pierre, Poelina, Anne & Palmer, David. (2020). Sharing a place-based indigenous methodology and learnings. Environmental Education Research. 26. 1-18. 10.1080/13504622.2020.1773407. 
https://www.tandfonline.com/doi/full/10.1080/13504622.2020.1773407.

My source: Wooltorton et al. (2020) 'Becoming family with place'. Resurgence & Ecology,  Issue 322. 2020. pp.34-35.

See also:

Jones, P. (2008) Exploring Serres’ Atlas, Hodges’ Knowledge Domains and the Fusion of Informatics and Cultural Horizons, IN Kidd, T., Chen, I. (Eds.) Social Information Technology Connecting Society and Cultural Issues, Idea Group Publishing, Inc. Chap. 7, pp. 96-109.

Hayward, B.A. (2020), Mental health nursing in bushfire‐affected communities: An autoethnographic insight. Int J Mental Health Nurs. doi:10.1111/inm.12765 

Previously: 'Australia' : 'Indigenous' : 'South' : 'landscape'

Well-being of Future Generations (Wales) Act 2015

I do remember reading about the Well-being of Future Generations (Wales) Act 2015 in Resurgence & Ecology, Russell Warfield, Acting for the future. Issue 322. 2020. pp.20-24 [with another gem to follow]. Belatedly, here it is:

The Well-being of Future Generations Act

There are 7 connected well-being goals for Wales. They are:

• A prosperous Wales
• A resilient Wales
• A healthier Wales
• A more equal Wales
• A Wales of more cohesive communities
• A Wales of vibrant culture and thriving Welsh language
• A globally responsible Wales

 ...

This is about ensuring that future generations have at least the same quality of life as we do now. The act provides for better decision-making by ensuring that public bodies:

• take account of the long term
• help to prevent problems occurring or getting worse
• take an integrated approach
• take a collaborative approach, and
• consider and involve people of all ages and diversity.

Text source, video below with a 10th Anniversary video also:
 https://www.gov.wales/well-being-of-future-generations-wales

 

I wonder what tools they use to help the integration?