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https://www.readbyqxmd.com/read/28203275/diagnostic-profiles-and-predictors-of-treatment-outcome-among-children-and-adolescents-attending-a-national-psychiatric-hospital-in-botswana
#1
Anthony A Olashore, Bechedza Frank-Hatitchki, Olorunfemi Ogunwobi
BACKGROUND: Attention is currently being drawn to child psychiatric care, most especially in the developed countries. This type of care is still rudimentary in the developing countries. Botswana is one of the African countries with good health care services but mental illness is given the low priority. Child and adolescent mental health care (CAMHC) is almost non-existent likely due to the dearth of research which would drive a policy change in this direction. Hence the need for this research as a step towards establishing a well-structured CAMHC...
2017: Child and Adolescent Psychiatry and Mental Health
https://www.readbyqxmd.com/read/28194371/non-tuberculous-mycobacteria-in-south-african-wildlife-neglected-pathogens-and-potential-impediments-for-bovine-tuberculosis-diagnosis
#2
Nomakorinte Gcebe, Tiny M Hlokwe
Non-tuberculous mycobacteria (NTM) are not only emerging and opportunistic pathogens of both humans and animals, but from a veterinary point of view some species induce cross-reactive immune responses that hamper the diagnosis of bovine tuberculosis (bTB) in both livestock and wildlife. Little information is available about NTM species circulating in wildlife species of South Africa. In this study, we determined the diversity of NTM isolated from wildlife species from South Africa as well as Botswana. Thirty known NTM species and subspecies, as well as unidentified NTM, and NTM closely related to Mycobacterium goodii/Mycobacterium smegmatis were identified from 102 isolates cultured between the years 1998 and 2010, using a combination of molecular assays viz PCR and sequencing of different Mycobacterial house-keeping genes as well as single nucleotide polymorphism (SNP) analysis...
2017: Frontiers in Cellular and Infection Microbiology
https://www.readbyqxmd.com/read/28178146/pairwise-diversity-and-tmrca-as-potential-markers-for-hiv-infection-recency
#3
Sikhulile Moyo, Eduan Wilkinson, Alain Vandormael, Rui Wang, Jia Weng, Kenanao P Kotokwe, Simani Gaseitsiwe, Rosemary Musonda, Joseph Makhema, Max Essex, Susan Engelbrecht, Tulio de Oliveira, Vladimir Novitsky
Intrahost human immunodeficiency virus (HIV)-1 diversity increases linearly over time. We assessed the extent to which mean pairwise distances and the time to the most recent common ancestor (tMRCA) inferred from intrahost HIV-1C env sequences were associated with the estimated time of HIV infection. Data from a primary HIV-1C infection study in Botswana were used for this analysis (N = 42). A total of 2540 HIV-1C env gp120 variable loop region 1 to conserved region 5 (V1C5) of the HIV-1 envelope gp120 viral sequences were generated by single genome amplification and sequencing, with an average of 61 viral sequences per participant and 11 sequences per time point per participant...
February 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28167588/prevalence-of-staphylococcus-aureus-nasal-carriage-in-human-immunodeficiency-virus-infected-and-uninfected-children-in-botswana-prevalence-and-risk-factors
#4
Michael J A Reid, Rebecca S B Fischer, Naledi Mannathoko, Charles Muthoga, Erin McHugh, Heather Essigmann, Eric L Brown, Andrew P Steenhoff
Staphylococcus aureus is an important cause of morbidity and mortality in children in sub-Saharan Africa (SSA). A major risk factor for staphylococcal infection is S. aureus colonization of the anterior nares. We sought to define risk factors for S. aureus carriage and characterize antimicrobial resistance patterns in children in Botswana. A cross-sectional study was conducted at two clinical sites in southern Botswana. Patients under 18 years of age underwent two nasal swabs and brief interviews, 4 weeks apart...
February 6, 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28166698/partner-notification-and-treatment-for-sexually-transmitted-infections-among-pregnant-women-in-gaborone-botswana
#5
Ogechukwu A Offorjebe, Adriane Wynn, Neo Moshashane, Dvora Joseph Davey, Kaitlin Arena, Doreen Ramogola-Masire, Ponatshego Gaolebale, Chelsea Morroni, Jeffrey D Klausner
Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) are sexually transmitted infections (STIs) associated with adverse birth outcomes. Untreated partners contribute to high rates of STI reinfection; thus, partner notification and treatment remain important components of STI care and control. A prospective cohort study was conducted among 300 pregnant women presenting to the antenatal clinic at Princess Marina Hospital in Gaborone, Botswana who enrolled in an STI screening study...
January 1, 2017: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/28155288/association-between-depression-in-carers-and-malnutrition-in-children-aged-6-months-to-5-years
#6
Keneilwe Motlhatlhedi, Vincent Setlhare, Adewale Ganiyu, Jacqueline Firth
BACKGROUND:  Childhood malnutrition is an important risk factor for child mortality and underlies close to 50% of child deaths worldwide. Previous studies have found an association between maternal depression and child malnutrition, but it is not known whether this association exists in Botswana. In addition, previous studies excluded non-maternal primary caregivers (PCGs). It is unclear whether the association between primary caregiver depression and child malnutrition remains when non-maternal PCGs are included...
January 30, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28132517/genome-wide-analyses-reveal-gene-influence-on-hiv-disease-progression-and-hiv-1c-acquisition-in-southern-africa
#7
Wen Xie, Denis Agniel, Andrey Shevchenko, Sergey V Malov, Anton Svitin, Nikolay Cherkasov, Marianna K Baum, Adriana Campa, Simani Gaseitsiwe, Hermann Bussmann, Joseph Makhema, Richard G Marlink, Vladimir Novitsky, Tun-Hou Lee, Tianxi Cai, Stephen J O'Brien, M Essex
Sub-Saharan Africans infected with HIV-1C make up the largest AIDS-patient population in the world and exhibit large heterogeneity in disease progression before initiating antiretroviral therapy. To identify host variants associated with HIV disease progression, we performed GWAS on a total of 556treatment-naive HIV-infected individuals in Botswana. We characterized the pattern of HIV disease progression using a novel functional principal component analysis (fPCA) which can better capture longitudinal CD4 and viral load (VL)trajectories...
January 28, 2017: AIDS Research and Human Retroviruses
https://www.readbyqxmd.com/read/28127988/staphylococcus-aureus-nasal-colonization-among-hiv-infected-adults-in-botswana-prevalence-and-risk-factors
#8
Michael J A Reid, Andrew P Steenhoff, Naledi Mannathoko, Charles Muthoga, Erin McHugh, Eric L Brown, Rebecca S B Fischer
We sought to determine the clinical and epidemiologic determinants of Staphylococcus aureus nasal colonization in HIV-infected individuals at two outpatient centers in southern Botswana. Standard microbiologic techniques were used to identify S. aureus and methicillin-resistant S. aureus (MRSA). In a sample of 404 HIV-infected adults, prevalence of S. aureus nasal carriage was 36.9% (n = 152) and was associated with domestic overcrowding and lower CD4 cell count. MRSA prevalence was low (n = 13, 3.2%), but more common among individuals with asthma and eczema...
January 27, 2017: AIDS Care
https://www.readbyqxmd.com/read/28060817/high-levels-of-post-abortion-complication-in-a-setting-where-abortion-service-is-not-legalized
#9
Tadele Melese, Dereje Habte, Billy M Tsima, Keitshokile Dintle Mogobe, Kesegofetse Chabaesele, Goabaone Rankgoane, Tshiamo R Keakabetse, Mabole Masweu, Mosidi Mokotedi, Mpho Motana, Badani Moreri-Ntshabele
BACKGROUND: Maternal mortality due to abortion complications stands among the three leading causes of maternal death in Botswana where there is a restrictive abortion law. This study aimed at assessing the patterns and determinants of post-abortion complications. METHODS: A retrospective institution based cross-sectional study was conducted at four hospitals from January to August 2014. Data were extracted from patients' records with regards to their socio-demographic variables, abortion complications and length of hospital stay...
2017: PloS One
https://www.readbyqxmd.com/read/28051898/high-proportion-of-deaths-attributable-to-hiv-among-postpartum-women-in-botswana-despite-widespread-uptake-of-antiretroviral-therapy
#10
Rebecca Marie Zash, Sajini Souda, Jean Leidner, Kelebogile Binda, Chazha Hick, Kathleen Powis, Joseph Makhema, Mompati Mmalane, Max Essex, Shahin Lockman, Roger L Shapiro
Mortality in the postpartum period may be impacted by antiretroviral therapy (ART) received in pregnancy, and whether ART is continued in the postpartum period. HIV-infected and HIV-uninfected mothers were enrolled within 48 h of delivery at five public hospital maternity wards throughout Botswana and followed for 24 months. Maternal deaths were reported by one of the approved contacts given by the mother at enrollment. Detailed information on the cause of death was not available. Risk factors for 24-month mortality were assessed using Cox proportional hazard models...
January 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/28047638/su-f-p-09-a-global-medical-physics-collaboration-for-implementation-of-modern-radiotherapy-in-botswana
#11
R Makufa, M Bvochora-Nsingo, T Karumekayi, R J Schneider, J A Efstathiou, S Dryden-Peterson, A Odom, A Shulman, Y Pipman, D P Gierga
PURPOSE: The global burden of cancer is considerable, particularly in low and middle-income countries. Massachusetts General Hospital (MGH) and Botswana-Harvard AIDS Institute have partnered with the oncology community and government of Botswana to form BOTSOGO (BOTSwana Oncology Global Outreach) to address the rising burden of cancer in Botswana. Currently, radiation therapy (RT) is only available at a single linear accelerator (LINAC) in Gaborone Private Hospital (GPH). BOTSOGO worked to limit the absence of RT during a LINAC upgrade and ensure a safe transition to modern radiotherapy techniques...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28038332/evidence-based-practice-translated-through-global-nurse-partnerships
#12
EDITORIAL
Sara Holland, Mmule Magama
This paper highlights the impact of translating evidence into practice between two nursing leaders, one from the United States and one from Botswana, Africa to strengthen global nurse partnerships, and to propose a plan to enhance nursing knowledge and skills. One of the challenges nurses face in under-resourced countries is the ability to collaborate with nurses who have access to professional development, evidence based practice, and nursing education resources.
December 23, 2016: Nurse Education in Practice
https://www.readbyqxmd.com/read/28018673/caregivers-lack-of-disclosure-skills-delays-disclosure-to-children-with-perinatal-hiv-in-resource-limited-communities-multicenter-qualitative-data-from-south-africa-and-botswana
#13
Sphiwe Madiba
To promote the appropriate implementation of procedures for health disclosure to children, it is important to understand the reasons why caregivers delay the disclosure of healthcare information to children. This paper explored the views of caregivers on what makes disclosure to children with perinatal acquired HIV (PAH) difficult and what could make disclosure in these cases easier. Data were collected using focus group interviews with caregivers who were purposely selected from a multicenter study conducted in Botswana and South Africa...
2016: Nursing Research and Practice
https://www.readbyqxmd.com/read/28005550/analysing-the-stewardship-function-in-botswana-s-health-system-reflecting-on-the-past-looking-to-the-future
#14
Onalenna Seitio-Kgokgwe, Robin Dc Gauld, Philip C Hill, Pauline Barnett
BACKGROUND: In many parts of the world, ongoing deficiencies in health systems compromise the delivery of health interventions. The World Health Organization (WHO) identified four functions that health systems need to perform to achieve their goals: Efforts to strengthen health systems focus on the way these functions are carried out. While a number of studies on health systems functions have been conducted, the stewardship function has received limited attention. In this article, we evaluate the extent to which the Botswana Ministry of Health (MoH) undertook its stewardship role...
June 6, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/27940479/prevalence-and-correlates-of-self-reported-chronic-non-communicable-diseases-in-botswana-a-cross-sectional-study
#15
Gobopamang Letamo, Mpho Keetile, Kannan Navaneetham, Mpho Phatsimo
BACKGROUND: The purpose of this paper is to estimate the prevalence of self-reported chronic non-communicable diseases and their correlates in Botswana. This is a nationally representative, cross-sectional survey. METHODS: This is a cross-sectional study of respondents aged 10-64 years using data from the Botswana AIDS Impact Survey IV conducted in 2013. Three self-reported non-communicable diseases, namely, hypertension, diabetes and asthma were used. Multivariate logistic regression models were used to identify their correlates...
January 2017: International Health
https://www.readbyqxmd.com/read/27939493/hypertensive-disease-in-pregnancy-in-botswana-prevalence-and-impact-on-perinatal-outcomes
#16
Katherine M Johnson, Rebecca Zash, Miriam J Haviland, Michele R Hacker, Rebecca Luckett, Modiegi Diseko, Gloria Mayondi, Roger Shapiro
OBJECTIVES: Perinatal morbidity in sub-Saharan Africa has been attributed to infection, obstetric emergencies, and preterm birth, but less is known about hypertension in pregnancy. Our objective was to characterize the prevalence of hypertension in pregnancy and the impact of hypertension on perinatal outcomes in sub-Saharan Africa. STUDY DESIGN: We performed surveillance of obstetric records at eight of the largest public hospitals in Botswana. Women were included in this analysis if they were HIV-uninfected and had singleton gestations and at least one prenatal blood pressure measurement...
October 2016: Pregnancy Hypertension
https://www.readbyqxmd.com/read/27923385/field-effectiveness-of-microbial-larvicides-on-mosquito-larvae-in-malaria-areas-of-botswana-and-zimbabwe
#17
Mulamuli Mpofu, Piet Becker, Kaka Mudambo, Christiaan de Jager
BACKGROUND: The successful control of malaria vectors requires the control of both the larval and adult stages. The adult control methods through indoor residual spraying (IRS) and use of long-lasting insecticidal nets (LLINs) continue to be widely used with some high measure of success. Larval control methods are also being used by a number of National Malaria Control Programmes (NMCPs) with limited understanding of its contribution. Larval control might be needed in some areas to move from malaria control to elimination...
December 6, 2016: Malaria Journal
https://www.readbyqxmd.com/read/27919654/american-brachytherapy-society-brachytherapy-treatment-recommendations-for-locally-advanced-cervix-cancer-for-low-income-and%C3%A2-middle-income-countries
#18
Gita Suneja, Derek Brown, Amy Chang, Beth Erickson, Elena Fidarova, Surbhi Grover, Umesh Mahantshetty, Subir Nag, Kailash Narayan, Memory Bvochora-Nsingo, Celia Viegas, Akila N Viswanathan, Ming Yin Lin, David Gaffney
PURPOSE: Most cervix cancer cases occur in low-income and middle-income countries (LMIC), and outcomes are suboptimal, even for early stage disease. Brachytherapy plays a central role in the treatment paradigm, improving both local control and overall survival. The American Brachytherapy Society (ABS) aims to provide guidelines for brachytherapy delivery in resource-limited settings. METHODS AND MATERIALS: A panel of clinicians and physicists with expertise in brachytherapy administration in LMIC was convened...
January 2017: Brachytherapy
https://www.readbyqxmd.com/read/27917215/prevalence-of-asthma-among-school-children-in-gaborone-botswana
#19
Andrew Kiboneka, Michael Levin, Thembisile Mosalakatane, Ishmael Makone, Eric Wobudeya, Boikanyo Makubate, Russell Hopp, Loeto Mazhani, Shiang-Ju Kung
BACKGROUND: Asthma prevalence is high (>10%) in developed countries and although data is still missing for most of Africa, rates are increasing in developing regions as they become more westernized. We investigated the prevalence of asthma in school children in Gaborone, Botswana. METHODS: This was a cross sectional descriptive study. ISAAC methodology was used. A representative proportionate size random sample of two age groups of children (13-14 year olds and 6-7 year olds) was consecutively enrolled from 10 schools...
September 2016: African Health Sciences
https://www.readbyqxmd.com/read/27913453/movement-patterns-of-cheetahs-acinonyx-jubatus-in-farmlands-in-botswana
#20
L K Van der Weyde, T Y Hubel, J Horgan, J Shotton, R McKenna, A M Wilson
Botswana has the second highest population of cheetah (Acinonyx jubatus) with most living outside protected areas. As a result, many cheetahs are found in farming areas which occasionally results in human-wildlife conflict. This study aimed to look at movement patterns of cheetahs in farming environments to determine whether cheetahs have adapted their movements in these human-dominated landscapes. We fitted high-time resolution GPS collars to cheetahs in the Ghanzi farmlands of Botswana. GPS locations were used to calculate home range sizes as well as number and duration of visits to landscape features using a time-based local convex hull method...
January 15, 2017: Biology Open
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