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African Health Sciences

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https://www.readbyqxmd.com/read/28592966/patient-satisfaction-with-tb-care-clinical-consultations-in-kampala-a-cross-sectional-study
#1
Willy Ssengooba, Bruce Kirenga, Catherine Muwonge, Steven Kyaligonza, Samuel Kasozi, Frank Mugabe, Martin Boeree, Moses Joloba, Alphonse Okwera
BACKGROUND: Patient satisfaction towards care during encounter with clinicians is key for better treatment outcomes. We assessed patient satisfaction with TB clinical care consultations in Kampala, Uganda. METHODS: This was a facility-based cross sectional study done between September 2012 and February 2013 using qualitative method of data collection. Participants consecutively completed a pre-tested structured satisfaction questionnaire. A criteria of the rating as good; >75% was considered acceptable, (50-75%) as more effort is needed and <50 as unacceptable and require immediate action was used to categorize data for analysis using Epi-info 7...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479915/child-reproductive-mental-health-infections-and-ncds-in-the-african-environment
#2
EDITORIAL
James K Tumwine
No abstract text is available yet for this article.
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479914/retinal-nerve-fibre-layer-thickness-values-and-their-associations-with-ocular-and-systemic-parameters-in-black-south-africans
#3
Khathutshelo P Mashige, Olalekan A Oduntan
PURPOSE: To measure the retinal nerve fibre layer (RNFL) thickness values and investigate their associations with other parameters in healthy eyes of Black South Africans. METHODS: 600 participants with healthy eyes, of whom 305 (50.83%) were males and 295 (49.17%) were females, with a mean age of 28.15 ± 13.09 years, underwent a detailed ophthalmic examination. RNFL thickness was measured by iVue SD-OCT. RESULTS: The mean global RNFL thickness was 110...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479913/an-anatomical-and-osteometric-study-of-the-femoral-sulcus-angle-in-adult-malawians
#4
Anthony Mwakikunga, Kondwani Katundu, Boniface Msamati, Anthony Gbenga Adefolaju, Lynne Schepartz
BACKGROUND: Femoral sulcus angle is particularly important in clinical evaluation of patellofemoral joint. Individuals show considerable differences in asymmetrical dimensions of the femur. OBJECTIVES: To determine the size of femoral sulcus angles in adult black Malawians using the skeletal collection in the department of Anatomy, College of Medicine and assess their gender differences; to compare femoral sulcus angles of Malawians with other ethnic groups. METHODS: A cross sectional study was done in which femoral sulcus angles of dry bones were measured using a goniometer...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479912/locally-manufactured-wheelchairs-in-tanzania-are-users-satisfied
#5
Seyi Amosun, Aston Ndosi, Helen Buchanan
BACKGROUND: The government of Tanzania created opportunity for the production of wheelchairs that would be appropriate to the local needs and environment. OBJECTIVES: The study assessed the extent to which the wheelchairs met the activity and participation needs of the users, as well as the users' level of satisfaction with the provision, repair and maintenance of these wheelchairs. METHODS: A descriptive cross-sectional analytical design was utilized to collect data through the administration of a questionnaire among 75 adult wheelchair users...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479911/influence-of-awareness-on-the-usage-of-motor-third-party-insurance-a-case-study-of-kampala-district
#6
Henry Kitunzi, Helen Mirembe, Guma Consolate
BACKGROUND: Motor third party insurance was established in Uganda in 1989 as a social policy to protect motorists and other road users (third parties) in the event of an accident. However, reports show that only a few motorists filed claims to their insurers for compensation despite being involved in road traffic accidents. OBJECTIVE: To establish whether motorists' awareness has an influence on the usage of motor third party insurance. METHODS: This was a cross-sectional using both qualitative and qualitative methods...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479910/sonographic-assessment-of-the-portal-vein-diameter-in-apparently-healthy-adults-in-a-northern-nigerian-population
#7
Geofery Luntsi, Mohammed Sani, Joseph Dlama Zira, Nwobi Chigozie Ivor, Sani H Garba
BACKGROUND: Sonography is a valuable tool in the assessment of porto-systemic pathologies. This study aimed at determining the mean portal vein diameter based on age, gender and anthropometric variables. METHODS: A cross sectional study conducted among 201 apparently healthy adults in Bauchi Metropolis. Participants were recruited from the school of nursing AbubakarTafawa Balewa Teaching Hospital (ATBUTH), Bauchi. Ultrasound machine ALOKA SSD-1000, (IP-1233EV, SN-57324, Japan) with curvilinear transducer with frequency of 3-5MHz was used for a period of four months, (December 2015 to April 2016)...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479909/effect-of-individualized-diabetes-education-for-type-2-diabetes-mellitus-a-single-center-randomized-clinical-trial
#8
Min-Hua Fan, Bing-Tong Huang, Ying-Chun Tang, Xiu-Hua Han, Wei-Wei Dong, Le-Xin Wang
BACKGROUND: To evaluate the effect of individualized education for patients with type 2 diabetes mellitus (T2DM). METHODS: A total of 280 patients (158 males, mean age 63 ± 10 years) with T2DM were randomly divided into study and control group. Eysenck Personality questionnaire was used to assess the personality of the patients in the study group, which was provided us one-on-one counseling and individualized management plan. Group education was provided to the control group...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479908/determinants-of-isolated-systolic-hypertension-among-diabetic-patients-visiting-the-diabetic-clinic-at-the-tamale-teaching-hospital-northern-ghana
#9
Richard Kd Ephraim, Abdul-Razak Saasi, Enoch O Anto, Prince Adoba
BACKGROUND: Hypertension and diabetes mellitus, two of the leading risk factors for atherosclerosis, are associated with numerous complications, including heart attacks and strokes. AIM: This study established the prevalence and determinants of isolated systolic hypertension (ISH) in diabetes mellitus patients visiting the Tamale Teaching Hospital. MATERIALS AND METHODS: In this purposive cross-sectional study, 107 diabetes mellitus patients were recruited from the out-patient diabetes clinic of the Tamale Teaching Hospital (TTH)...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479907/diagnostic-accuracy-of-fine-needle-aspiration-cytology-in-patients-undergoing-thyroidectomy-in-uganda-tertiary-hospital-experience
#10
Robert Masereka, Paul K Okeny, Jane O Fualal, Dan Wamala
BACKGROUND: Thyroid disease affects about 5% of the World's population. Fine Needle Aspiration Cytology (FNAC) helps in planning extent of surgery. In some studies, FNAC has been found to have a low accuracy for malignancy. OBJECTIVES: To estimate the sensitivity and specificity of FNAC in detecting malignancy for thyroid disease using histopathology as the gold standard. METHODS: Patients who underwent clinical and laboratory evaluation and thyroidectomy at Mulago National Referral hospital and the Pathology department of Makerere University College of Health Sciences were consecutively recruited over a four months period...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479906/factors-associated-with-community-acquired-urinary-tract-infections-among-adults-attending-assessment-centre-mulago-hospital-uganda
#11
Deus Kabugo, Samuel Kizito, Dave Dhara Ashok, Kiwanuka Alexander Graham, Ronald Nabimba, Sandra Namunana, M Richard Kabaka, Beatrice Achan, Florence C Najjuka
BACKGROUND: Urinary tract infections (UTI) are a common medical problem affecting the general population and thus commonly encountered in medical practice, with the global burden of UTIs at about 150 million people. Because uropathogens largely originate from colonic flora, they are easy to predict, and this is the rationale for empirical treatment in Community Acquired-UTI (CA-UTIs). With the increasing prevalence of drug-resistant bacteria among adults with CA-UTI in Uganda, it is no longer adequate to manage CA-UTIs on empiric regimen without revising the susceptibility patterns of common CA-UTI causative agents...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479905/concurrent-use-of-antiretroviral-and-african-traditional-medicines-amongst-people-living-with-hiv-aids-plwa-in-the-ethekwini-metropolitan-area-of-kwazulu-natal
#12
Sibanda Mncengeli, Nlooto M Manimbulu, Naidoo Panjasaram
BACKGROUND: People living with HIV/AIDS (PLWA) often use African Traditional Medicines (ATM) either alone or in combination with Western medicines including Antiretrovirals (ARV). OBJECTIVES: To explore the prevalence of concurrent Antiretrovirals (ARV) and African Traditional medicines (ATM) use and determine the effects of any concurrent use on the CD4+ Lymphocyte count and Viral Load (VL) of PLWA in the eThekwini Metropolitan area. METHODS: A descriptive and exploratory study was carried out on 360 patients...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479904/glyceryl-trinitrate-is-a-novel-inhibitor-of-quorum-sensing-in-pseudomonas-aeruginosa
#13
Hisham A Abbas, Moutaz A Shaldam
BACKGROUND: Targeting quorum sensing is an alternative approach to antibiotics.Targeting quorum sensing-regulated virulence will disarm the pathogen without exerting pressure on its growth. As a result, emergence of resistance is avoided and the immune system can easily eradicate bacteria. OBJECTIVES: Investigation of the possible inhibition of quorum sensing-regulated virulence of Pseudomonas aeruginosa by glyceryltrinitrate. METHODS: The quorum sensing inhibiting activity of glyceryl trinitrate was assessed by inhibition of violacein production in Chromobacterium violaceum ATCC 12472...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479903/post-transplant-withdrawal-of-lamivudine-results-in-fatal-hepatitis-flares-in-kidney-transplant-recipients-under-immune-suppression-with-inactive-hepatitis-b-infection
#14
Bin Miao, Xiang-Ming Lao, Guo-Li Lin
OBJECTIVE: To evaluate the consequences of lamivudine withdrawal in kidney transplant recipients, under immunosuppression, with inactive hepatitis B virus (HBV) infection. INTRODUCTION: HBV infection is more frequent in kidney transplant recipients than in the general population mainly due to the high risk of acquisition during dialysis, before kidney transplantation. METHODS: The records of hepatitis B surface antigen (HBsAg)-positive, immunosuppressed kidney transplant recipients, where lamivudine was withdrawn after transplantation along with reduction in immunosuppressant dose, admitted to our hospital between 2005 and 2012, were retrospectively evaluated...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479902/low-sero-prevalence-of-hepatitis-delta-antibodies-in-hiv-hepatitis-b-co-infected-patients-attending-an-urban-hiv-clinic-in-uganda
#15
Elizabeth Katwesigye, Emmanuel Seremba, Fred Semitala, Ponsiano Ocama
BACKGROUND: Co-infection with hepatitis B (HBV) and hepatitis D (HDV) is common among human immunodeficiency virus (HIV) infected individuals in developing countries and it aggressively accelerates progression of liver disease to cirrhosis and other complications. There is scarcity of data on HDV in sub-Saharan Africa .We investigated the sero-prevalence and factors associated with HDV antibody among HIV/HBV co-infected patients attending a large urban HIV clinic in Uganda. METHODS: We screened 189 HIV/HBV co-infected individuals for anti-HDV immunoglobulin G (IgG) and performed logistic regression to determine the associated factors...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479901/exercise-alleviates-depression-related-systemic-inflammation-in-chronic-obstructive-pulmonary-disease-patients
#16
Shehab M Abd El-Kader, Osama H Al-Jiffri
BACKGROUND: Depression is a highly prevalent co-morbidity in Chronic Obstructive Pulmonary Disease (COPD) which was shown to be associated with a worse course of disease, including reduced quality of life and increased symptoms burden, healthcare use, and even mortality. It has been speculated that systemic inflammation may play a role in the presence of depression. Currently, physical activity is an important lifestyle factor that has the potential to modify inflammatory cytokines and depression, however our understanding of how to use exercise effectively in COPD patients to alleviate depression related systemic inflammation is incomplete and has prompted our interest to identify the type and intensities of effective exercise...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479900/opiate-withdrawal-syndrome-in-buprenorphine-abusers-admitted-to-a-rehabilitation-center-in-tunisia
#17
Ines Derbel, Asma Ghorbel, Férièle Messadi Akrout, Abdelmajid Zahaf
BACKGROUND: Illicit use of high dosage buprenorphine has been well documented in several countries, including Tunisia. OBJECTIVES: The aim of this survey is to assess the buprenorphine withdrawal syndrome time course, and how it may be affected by the population characteristics among subjects admitted to a rehabilitation center in Tunisia. METHODS: A prospective research has permitted study of the socio-demographic characteristics and assessment of buprenorphine withdrawal syndrome among 32 subjects admitted for buprenorphine dependence by using the clinical opiate withdrawal scale...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479899/effects-of-vasodilator-and-esmolol-induced-hemodynamic-stability-on-early-post-operative-cognitive-dysfunction-in-elderly-patients-a-randomized-trial
#18
Sheng-Hui Sun, Lin Yang, De-Feng Sun, Yue Wu, Jun Han, Ruo-Chuan Liu, Li-Jie Wang
OBJECTIVE: To investigate the effect of continuous intravenous injection of nicardipine and/or nitroglycerin with or without esmolol on the occurrence of early post-operative cognitive dysfunction (POCD) in elderly patients. METHODS: Elderly patients (n=340) who underwent radiofrequency ablation for atrial fibrillation were randomized into five groups: A, nicardipine; B nicardipine+esmolol; C, (nitroglycerin) group; D nitroglycerin+esmolol; E (control) groups. The hemodynamic parameters were recorded, and Mini Mental State Examination was used to assess cognitive function...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479898/aerobic-exercise-improves-quality-of-life-psychological-well-being-and-systemic-inflammation-in-subjects-with-alzheimer-s-disease
#19
Shehab M Abd El-Kader, Osama H Al-Jiffri
BACKGROUND: Alzheimer's disease has a destructive drawbacks on the patient and his/her entire family as this disease badly af fects the behavior, cognition and abilities to do activities of daily living (ADL). The physical and mental benefits of exercise are widely known but seldom available to persons suffering from Alzheimer's disease. OBJECTIVE: The aim of this study was to measure quality of life, systemic inflammation and psychological well-being response to aerobic exercises in Alzheimer's...
December 2016: African Health Sciences
https://www.readbyqxmd.com/read/28479897/socio-demographic-correlates-of-treatment-response-among-patients-with-schizophrenia-in-a-tertiary-hospital-in-south-east-nigeria
#20
Mark S Ezeme, Richard Uwakwe, Appolos C Ndukuba, Monday N Igwe, Paul C Odinka, Kennedy Amadi, Nichodemus O Obayi
BACKGROUND: Many patients with schizophrenia respond poorly to antipsychotic medication. Few studies have systematically examined the relationship of social and demographic characteristics of these patients to treatment response in our environment. OBJECTIVE: To identify the social and demographic variables associated with treatment response in patients with schizophrenia. METHOD: A total of 172 participants with a diagnosis of schizophrenia receiving antipsychotics took part in the study...
December 2016: African Health Sciences
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