Read by QxMD icon Read


C L Shannon, C C Bristow, N A Hoff, A Wynn, M Nguyen, A Medina-Marino, J Cabeza, A W Rimoin, J D Klausner
BACKGROUND: Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), and Trichomonas vaginalis (TV) infections during pregnancy are linked with adverse birth outcomes. However, few countries have prenatal CT, NG, or TV screening programs. In this study, we aimed to evaluate the acceptability and feasibility of CT, NG, and TV screening and treatment among pregnant women across six low-to-middle income countries. METHODS: A total 1,817 pregnant women were screened for CT, NG, and TV in Botswana, the Democratic Republic of Congo (DRC), Haiti, South Africa, and Vietnam...
March 9, 2018: Sexually Transmitted Diseases
Julius C Mwita, Sajini Souda, Mgaywa Gmd Magafu, Amos Massele, Brian Godman, Michael Mwandri
OBJECTIVES: Antibiotic prophylaxis in surgery is known to reduce the rate of surgical site infections (SSI) as well as shorten hospital stay. However, there is currently a scarcity of data on antibiotic prophylaxis and SSIs among African countries including Botswana. Consequently, this study aimed to address this. METHODS: A prospective study involving 400 patients was carried out at a leading tertiary hospital in Botswana from 2014-2015. Patients' demographic information, type of surgery performed and peri-operative use of antibiotics were documented...
March 9, 2018: Hospital Practice (Minneapolis)
Mohamed A Abouelkhair, Riley Thompson, Matthew C Riley, David A Bemis, Stephen A Kania
We report here the first whole-genome sequences for 3 strains of Staphylococcus pseudintermedius (112N, 113N, and 114N) isolated in Africa. Samples of this opportunistic pathogen were collected from nasal swabs obtained from healthy carrier dogs in Botswana. The sequence information will facilitate spatial phylogenetic comparisons of staphylococcal species and other bacteria at the genome level.
March 8, 2018: Genome Announcements
Motshedisi B Sabone, Keitshokile Dintle Mogobe, Ellah Matshediso, Sheila Shaibu, Esther I Ntsayagae, Inge B Corless, Yvette P Cuca, William L Holzemer, Carol Dawson-Rose, Solymar S Soliz Baez, Marta Rivero-Mendz, Allison R Webel, Lucille Sanzero Eller, Paul Reid, Mallory O Johnson, Jeanne Kemppainen, Darcel Reyes, Kathleen Nokes, Dean Wantland, Patrice K Nicholas, Teri Lingren, Carmen J Portillo, Elizabeth Sefcik, Ellen Long-Middleton
BACKGROUND: Managing HIV treatment is a complex multi-dimensional task because of a combination of factors such as stigma and discrimination of some populations who frequently get infected with HIV. In addition, patient-provider encounters have become increasingly multicultural, making effective communication and provision of ethically sound care a challenge. PURPOSE: This article explores ethical issues that health service providers in the United States and Botswana encountered in their interaction with patients in HIV care...
January 1, 2018: Nursing Ethics
Tafireyi Marukutira, Mark Stoové, Shahin Lockman, Lisa A Mills, Tendani Gaolathe, Refeletswe Lebelonyane, Joseph N Jarvis, Sherrie L Kelly, David P Wilson, Stanley Luchters, Suzanne M Crowe, Margaret Hellard
UNAIDS 90-90-90 targets and Fast-Track commitments are presented as precursors to ending the AIDS epidemic by 2030, through effecting a 90% reduction in new HIV infections and AIDS-related deaths from 2010 levels (HIV epidemic control). Botswana, a low to middle-income country with the third-highest HIV prevalence, and Australia, a low-prevalence high-income country with an epidemic concentrated among men who have sex with men (MSM), have made significant strides towards achieving the UNAIDS 90-90-90 targets...
March 2018: Journal of the International AIDS Society
Christina J Sun, Esther S Seloilwe, Mabel Magowe, Kefalotse S Dithole, Kim S Miller, Janet S St Lawrence
Adolescents in sub-Saharan Africa and in Botswana in particular continue to bear the brunt of the HIV epidemic. This analysis assessed gender differences among theory-based sexual and reproductive health protective and risk factors in a cross-sectional sample of 228 Batswana adolescents. Incongruence between preferred and actual sources of sexual information and several important gender differences in parent-adolescent relationships, psychosocial influences, and adolescent sexual behaviors were identified. Parents were the fourth most common source of information about sex; yet, over three-quarters of adolescents preferred to have parents teach them about sex...
February 2018: AIDS Education and Prevention: Official Publication of the International Society for AIDS Education
Francis Barchi, Samantha Winter, Danielle Dougherty, Peggie Ramaphane
Factors characterizing intimate partner violence (IPV) against women vary according to setting and must be understood in localized environments if effective interventions are to be identified. This 2009-2010 exploratory study in Maun, Botswana, used semistructured interviews to elicit information from 469 women about their experiences with IPV. Characteristics found to be important included suicide attempts, childhood exposure to familial violence, access to and control over certain tangible assets, number of children, household location and monthly income, controlling behavior by a partner, and alcohol consumption...
February 1, 2018: Violence Against Women
Laura M Bogart, Mosepele Mosepele, Nthabiseng Phaladze, Bright Lekoko, David J Klein, Sarah MacCarthy, Harold D Green
OBJECTIVE: Many national HIV guidelines recommend that healthcare providers encourage patients to identify a treatment partner from their social network to support antiretroviral therapy adherence. The present study examined associations of patient and treatment partner characteristics with patient viral suppression in Botswana. DESIGN: 131 patients [67 (51.1%) virally suppressed, 64 (48.9%) not suppressed] and their treatment partners were recruited for cross-sectional interviews from one HIV clinic...
February 20, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Tadele Melese, Dereje Habte, Billy M Tsima, Keitshokile Dintle Mogobe, Mercy N Nassali
BACKGROUND: Post abortion complications are the third leading cause of maternal death after hemorrhage and hypertension in Botswana where abortion is not legalized. This study aimed at assessing the management of post abortion complications in Botswana. METHODS: A retrospective study was conducted at four hospitals in Botswana in 2014. Socio-demographic, patient management and outcomes data were extracted from patients' medical records. Descriptive statistics and chi-square test were used to analyze and present the data...
2018: PloS One
Michael B Mwandri, Timothy C Hardcastle
BACKGROUND: Botswana is notable among countries with high rates of Road Traffic Collisions (RTC); like many other lower-middle-income countries (LMICs), it lacks trauma systems. The World Health Organization recommends 'Essential Trauma Care' in countries with no formal trauma systems. The proportion of injuries in Emergency Departments and the care process were investigated to gain an overview for enabling the design of a relevant LMICs trauma system. METHOD: Blunt and penetrating trauma patients were included from three major hospitals, examining the proportion of injuries, patient characteristics, the care process and comparing these between pediatrics and adults...
February 15, 2018: World Journal of Surgery
Bunmi S Malau-Aduli, Teresa O'Connor, Robin A Ray, Yolanda van der Kruk, Michelle Bellingan, Peta-Ann Teague
Following publication of the original article [1], one of the authors reported that prior to publication her surname had changed from 'Kerlen' to 'van der Kruk', but that this change had not been incorporated in the final version.
February 12, 2018: BMC Medical Education
T M R Houlton, M Steyn
June 16, 1976, marks the Soweto Youth Student Uprising in South Africa. A harrowing image capturing police brutality from that day comprises of 18-year-old Mbuyisa Makhubu carrying a dying 12-year-old Hector Peterson. This circulated international press and contributed to world pressure against the apartheid government. This elevated Makhubu's profile with the national security police and forced him to flee to Botswana, then Nigeria, before disappearing in 1978. In 1988, Victor Vinnetou illegally entered Canada and was later arrested on immigration charges in 2004...
February 4, 2018: Forensic Science International
Harriet Okatch, Timothy Joseph Sowicz, Helen Teng, Doreen Ramogola-Masire, Alison M Buttenheim
OBJECTIVES: To design and implement a case study on the cervical cancer screening program in Botswana to teach public and global health competencies to undergraduate nursing students. DESIGN AND SAMPLE: The case study was developed following a review of the literature on the epidemiology and health policies of cervical cancer in Botswana, and an interview with an obstetrician/gynecologist engaged in both clinical practice and research in Botswana. The case study has been implemented over seven semesters to students enrolled in the Nursing in the Community course at the University of Pennsylvania...
February 9, 2018: Public Health Nursing
Goabaone Rankgoane-Pono, Jose Gaby Tshikuka, Mgaywa Gilbert Mjungu Damas Magafu, Tiny Masupe, Mooketsi Molefi, Shimeles Genna Hamda, Vincent Setlhare, Roy Tapera, Bontle Mbongwe
OBJECTIVES: Exposure to combination antiretroviral therapy (cART) is associated with the development of diabetes mellitus related comorbidities (DRCs). This study aims to: (i) estimate the incidence of DRCs among cART recipients, (ii) assess the time-to-event (development of DRC) and, (iii) compare survival function between recipients on first-line regimen and those on second-, third-line cART regimen. RESULTS: The incidence of DRCs was 26.8/1000 person-years, with total time of exposure of 3316 person-years...
February 1, 2018: BMC Research Notes
Lucy Mupfumi, Sikhulile Moyo, Kesaobaka Molebatsi, Prisca K Thami, Motswedi Anderson, Tuelo Mogashoa, Thato Iketleng, Joseph Makhema, Ric Marlink, Ishmael Kasvosve, Max Essex, Rosemary M Musonda, Simani Gaseitsiwe
BACKGROUND: There is a high burden of tuberculosis (TB) in HIV antiretroviral programmes in Africa. However, few studies have looked at predictors of incident TB while on Truvada-based combination antiretroviral therapy (cART) regimens. METHODS: We estimated TB incidence among individuals enrolled into an observational cohort evaluating the efficacy and tolerability of Truvada-based cART in Gaborone, Botswana between 2008 and 2011. We used Cox proportional hazards regressions to determine predictors of incident TB...
2018: PloS One
Alan M Wilson, Tatjana Y Hubel, Simon D Wilshin, John C Lowe, Maja Lorenc, Oliver P Dewhirst, Hattie L A Bartlam-Brooks, Rebecca Diack, Emily Bennitt, Krystyna A Golabek, Roger C Woledge, J Weldon McNutt, Nancy A Curtin, Timothy G West
The fastest and most manoeuvrable terrestrial animals are found in savannah habitats, where predators chase and capture running prey. Hunt outcome and success rate are critical to survival, so both predator and prey should evolve to be faster and/or more manoeuvrable. Here we compare locomotor characteristics in two pursuit predator-prey pairs, lion-zebra and cheetah-impala, in their natural savannah habitat in Botswana. We show that although cheetahs and impalas were universally more athletic than lions and zebras in terms of speed, acceleration and turning, within each predator-prey pair, the predators had 20% higher muscle fibre power than prey, 37% greater acceleration and 72% greater deceleration capacity than their prey...
February 8, 2018: Nature
Maureen A Kelley, Sydney A Spangler, Laura I Tison, Carla M Johnson, Tegan L Callahan, Jill Iliffe, Kenneth W Hepburn, Jessica M Gross
As countries across sub-Saharan Africa work towards universal health coverage and HIV epidemic control, investments seek to bolster the quality and relevance of the health workforce. The African Health Profession Regulatory Collaborative (ARC) partnered with 17 countries across East, Central, and Southern Africa to ensure nurses and midwives were authorized and equipped to provide essential HIV services to pregnant women and children with HIV. Through ARC, nursing leadership teams representing each country identify a priority regulatory function and develop a proposal to strengthen that regulation over a 1-year period...
October 2017: Journal of Nursing Regulation
Delphine Perriat, Laura Balzer, Richard Hayes, Shahin Lockman, Fiona Walsh, Helen Ayles, Sian Floyd, Diane Havlir, Moses Kamya, Refeletswe Lebelonyane, Lisa A Mills, Velephi Okello, Maya Petersen, Deenan Pillay, Kalpana Sabapathy, Kathleen Wirth, Joanna Orne-Gliemann, François Dabis
DESIGN: Universal voluntary HIV counselling and testing followed by prompt initiation of antiretroviral therapy (ART) for all those diagnosed HIV-infected (universal test and treat, UTT) is now a global health standard. However, its population-level impact, feasibility and cost remain unknown. Five community-based trials have been implemented in sub-Saharan Africa to measure the effects of various UTT strategies at population level: BCPP/YaTsie in Botswana, MaxART in Swaziland, HPTN 071 (PopART) in South Africa and Zambia, SEARCH in Uganda and Kenya and ANRS 12249 TasP in South Africa...
January 2018: Journal of the International AIDS Society
Bazghina-Werq Semo, Kathleen E Wirth, Conrad Ntsuape, Scott Barnhart, Nora J Kleinman, Nankie Ramabu, Jessica Broz, Jenny H Ledikwe
Background: In 2007, the World Health Organization and the Joint United Nations Programme on HIV/AIDS endorsed voluntary medical male circumcision (VMMC) as an add-on HIV-prevention strategy. Similar to many other sub-Saharan countries, VMMC uptake in Botswana has been low; as of February 2016, only 42.7% of the program target had been achieved. Previous work has examined how individual-level factors, such as knowledge and attitudes, influence the update of VMMC. This paper examines how factors related to the health system can be leveraged to maximize uptake of circumcision services, with a focus on demand creation, access to services, and service delivery...
2018: HIV/AIDS: Research and Palliative Care
Salome Nduku Kasimba, Boitumelo Stokie Motswagole, Namukolo Margaret Covic, Nicole Claasen
OBJECTIVE: To determine access to traditional and indigenous foods (TIF) and the association with household food security, dietary diversity and women's BMI in low socio-economic households. DESIGN: Sequential explanatory mixed-methods design, including a random household cross-sectional survey on household food insecurity access (HFIA), household dietary diversity (HDD) and women's BMI, followed by focus group discussions. SETTING: Two rural and two urban areas of Botswana...
December 26, 2017: Public Health Nutrition
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"