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https://www.readbyqxmd.com/read/28339598/high-postdischarge-morbidity-in-ugandan-children-with-severe-malarial-anemia-or-cerebral-malaria
#1
Robert O Opoka, Karen E S Hamre, Nathan Brand, Paul Bangirana, Richard Idro, Chandy C John
Summary: Postdischarge readmission and outpatient illnesses are frequent in children with severe malarial anemia or cerebral malaria. Trials of postdischarge malaria prophylaxis in children with severe malaria should be considered. Background: Cerebral malaria (CM) and severe malarial anemia (SMA) account for a substantial proportion of malaria-related deaths in sub-Saharan Africa. However, postdischarge morbidity in children with CM or SMA has not been well established...
October 7, 2016: Journal of the Pediatric Infectious Diseases Society
https://www.readbyqxmd.com/read/28329368/intermittent-preventive-treatment-with-dihydroartemisinin-piperaquine-for-the-prevention-of-malaria-among-hiv-infected-pregnant-women
#2
Paul Natureeba, Abel Kakuru, Mary Muhindo, Eric Littmann, Teddy Ochieng, John Ategeka, Catherine A Koss, Albert Plenty, Edwin D Charlebois, Tamara D Clark, Bridget Nzarubara, Miriam Nakalembe, Deborah Cohan, Gabrielle Rizzuto, Atis Muehlenbachs, Theodore Ruel, Prasanna Jagannathan, Diane V Havlir, Moses R Kamya, Grant Dorsey
Background.: Daily trimethoprim-sulfamethoxazole (TMP-SMX) and insecticide treated nets (ITNs) remain the main interventions for prevention of malaria in HIV-infected pregnant women in Africa. However, antifolate and pyrethroid resistance threaten the effectiveness of these intervention and new ones are needed. Methods.: We conducted a double-blind randomized placebo-controlled trial comparing daily TMP-SMX plus monthly dihydroartemisinin-piperaquine (DP) to daily TMP-SMX alone in HIV-infected pregnant women in an area of Uganda where indoor residual spraying of insecticide (IRS) had recently been implemented...
February 22, 2017: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/28329184/the-causal-effect-of-tracing-by-peer-health-workers-on-return-to-clinic-among-patients-who-were-lost-to-follow-up-from-antiretroviral-therapy-in-eastern-africa-a-randomized-natural-experiment-arising-from-surveillance-of-lost-patients
#3
Anna Bershetyn, Thomas A Odeny, Rita Lyamuya, Alice Nakiwogga-Muwanga, Lameck Diero, Mwebesa Bwana, Paula Braitstein, Geoffrey Somi, Andrew Kambugu, Elizabeth Bukusi, Wendy Hartogensis, David V Glidden, Kara Wools-Kaloustian, Constantin Yiannoutsos, Jeffrey Martin, Elvin H Geng
Background: The effect of tracing HIV patients who are lost to follow-up (LTFU) on re-engagement has not been rigorously assessed. We carried out an ex-post analysis of a surveillance study in which LTFU patients were randomly selected for tracing to identify the effect of tracing on re-engagement. Methods: We evaluated HIV-infected adults on antiretroviral therapy who were LTFU (> 90 days late for last visit) at 14 clinics in Uganda, Kenya, and Tanzania. A random sample of LTFU patients was selected for tracing by peer health workers...
March 17, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28328795/hepatitis-b-serological-markers-and-plasma-dna-concentrations-baseline-results-from-the-dart-trial
#4
Huw Price, David Dunn, Tamale Zachary, Tobias Vudriko, Michael Chirara, Cissy Kityo, Paula Munderi, Moira Spyer, James Hakim, Charles Gilks, Pontiano Kaleebu, Deenan Pillay, Richard Gilson
OBJECTIVES: To examine hepatitis B serological markers and plasma DNA concentrations in a large group of untreated HIV-HBV co-infected individuals in two sub-Saharan settings. DESIGN: Baseline analysis of a randomised controlled trial. METHODS: DART was a large trial of treatment monitoring practices in HIV-infected adults with advanced disease starting antiretroviral therapy at centres in Kampala or Entebbe, Uganda (n = 2,317) and Harare, Zimbabwe (n = 999)...
March 21, 2017: AIDS
https://www.readbyqxmd.com/read/28327148/drug-resistance-mediating-plasmodium-falciparum-polymorphisms-and-clinical-presentations-of-parasitaemic-children-in-uganda
#5
Stephen Tukwasibwe, Patrick Tumwebaze, Melissa Conrad, Emmanuel Arinaitwe, Moses R Kamya, Grant Dorsey, Samuel L Nsobya, Bryan Greenhouse, Philip J Rosenthal
BACKGROUND: Plasmodium falciparum genetic polymorphisms that mediate altered drug sensitivity may impact upon virulence. In a cross-sectional study, Ugandan children with infections mutant at pfcrt K76T, pfmdr1 N86Y, or pfmdr1 D1246Y had about one-fourth the odds of symptomatic malaria compared to those with infections with wild type (WT) sequences. However, results may have been confounded by greater likelihood in those with symptomatic disease of higher density mixed infections and/or recent prior treatment that selected for WT alleles...
March 21, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28326164/ptsd-symptom-severity-relates-to-cognitive-and-psycho-social-dysfunctioning-a-study-with-congolese-refugees-in-uganda
#6
Herbert E Ainamani, Thomas Elbert, David K Olema, Tobias Hecker
Background: In the ongoing conflict in the Democratic Republic of the Congo (DRC), civilians have been heavily exposed to traumatic stressors. Traumatizing experiences cumulatively heighten the risk for trauma-related disorders, and with it affect cognitive and psycho-social functioning. Objectives: We aimed at investigating the association between trauma-related disorders and cognitive and psycho-social functioning and hypothesized that PTSD symptom severity would negatively correlate with executive functioning, working memory and psycho-social functioning in everyday life...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/28325965/redescription-of-the-red-striped-soft-scale-pulvinaria-tenuivalvata-newstead-with-a-new-synonymy-hemiptera-coccomorpha-coccidae
#7
Soad I Abdel-Razak, Daniele Matile-Ferrero, Adeline Soulier-Perkins
The soft scale, Pulvinaria tenuivalvata (Newstead, 1911), is a major pest of sugarcane in Egypt. This paper provides a redescription and illustration of the adult female based on a microscopic study of the morphology of several adult female specimens and of the type series illustrated by De Lotto (1965) on citronella grass from Uganda. Two paratypes of Pulvinaria saccharia De Lotto, 1964 are also studied and the name is placed here as a junior synonym of Pulvinaria tenuivalvata.
2017: ZooKeys
https://www.readbyqxmd.com/read/28323754/-it-s-inside-my-body-and-it-s-mine
#8
Elizabeth T Montgomery, Ariane van der Straten, Miria Chitukuta, Krishnaveni Reddy, Kubashni Woeber, Millicent Atujuna, Linda-Gail Bekker, Juliane Etima, Teopista Nakyanzi, Ashley J Mayo, Ariana Katz, Nicole Laborde, Cynthia I Grossman, Lydia Soto-Torres, Thesla Palanee-Phillips, Jared M Baeten
The MTN-020/ASPIRE trial evaluated the safety and effectiveness of the dapivirine vaginal ring for prevention of HIV-1 infection among African women. A nested qualitative component was conducted at 6 of 15 study sites in Uganda, Malawi, Zimbabwe and South Africa to evaluate acceptability of and adherence to the ring. Qualitative study participants (n = 214) were interviewed with one of 3 modalities: single in-depth interview, up to 3 serial interviews, or an exit Focus Group Discussion. Using semi-structured guides administered in local languages, 280 interviews were audio-recorded, transcribed, translated, coded and analyzed...
March 18, 2017: AIDS
https://www.readbyqxmd.com/read/28321251/analgesic-effects-of-preincision-ketamine-on-postspinal-caesarean-delivery-in-uganda-s-tertiary-hospital-a-randomized-clinical-trial
#9
Richard Mwase, Tonny Stone Luggya, John Mark Kasumba, Humphrey Wanzira, Andrew Kintu, Joesph V B Tindimwebwa, Daniel Obua
Background. Good postoperative analgesic management improves maternal satisfaction and care of the neonate. Postoperative pain management is a challenge in Mulago Hospital, yet ketamine is accessible and has proven benefit. We determined ketamine's postoperative analgesic effects. Materials and Methods. We did an RCT among consenting parturients that were randomized to receive either intravenous ketamine (0.25 mg/kg) or placebo after spinal anesthetic. Pain was assessed every 30 mins up to 24 hours postoperatively using the numerical rating scale...
2017: Anesthesiology Research and Practice
https://www.readbyqxmd.com/read/28320497/laboratory-evaluation-of-infants-with-possible-congenital-zika-virus-infection
#10
Susan Givens Bell
Our understanding of the effects of maternal Zika virus infection on the newborn continues to evolve. First discovered in 1947 in the Zika Forest in Uganda, the world became more aware of the virus in 2015, with reports of hundreds of cases of microcephaly in Brazilian newborns whose mothers reported symptoms related to Zika viral infection during pregnancy. This article reviews the current guidelines for laboratory evaluation of newborns with possible congenital Zika virus infection.
March 1, 2017: Neonatal Network: NN
https://www.readbyqxmd.com/read/28320401/prevalence-of-tuberculous-lesion-in-cattle-slaughtered-in-mubende-district-uganda
#11
Daniel Pakasi Nalapa, Adrian Muwonge, Clovice Kankya, Francisco Olea-Popelka
BACKGROUND: The aim of this study was to estimate the prevalence of gross pathology suggestive of bovine tuberculosis (TB-like lesions) and evaluate animal's characteristics associated with the risk of having bovine TB-like lesions among cattle slaughtered in Mubende district in the Uganda cattle corridor. METHOD: We conducted a cross sectional study in which 1,576 slaughtered cattle in Mubende district municipal abattoir underwent post-mortem inspection between August 2013 and January 2014...
March 21, 2017: BMC Veterinary Research
https://www.readbyqxmd.com/read/28320389/age-and-geographic-patterns-of-plasmodium-falciparum-malaria-infection-in-a-representative-sample-of-children-living-in-burkitt-lymphoma-endemic-areas-of-northern-uganda
#12
Marlena Maziarz, Tobias Kinyera, Isaac Otim, Paul Kagwa, Hadijah Nabalende, Ismail D Legason, Martin D Ogwang, Samuel Kirimunda, Benjamin Emmanuel, Steven J Reynolds, Patrick Kerchan, Moses M Joloba, Andrew W Bergen, Kishor Bhatia, Ambrose O Talisuna, Robert J Biggar, James J Goedert, Ruth M Pfeiffer, Sam M Mbulaiteye
BACKGROUND: Falciparum malaria is an important risk factor for African Burkitt lymphoma (BL), but few studies have evaluated malaria patterns in healthy BL-age children in populations where both diseases are endemic. To obtain accurate current data, patterns of asymptomatic malaria were investigated in northern Uganda, where BL is endemic. METHODS: Between 2011 and 2015, 1150 apparently healthy children under 15 years old were sampled from 100 villages in northern Uganda using a stratified, multi-stage, cluster survey design...
March 20, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28320347/facilitators-and-barriers-to-uptake-and-adherence-to-lifelong-antiretroviral-therapy-among-hiv-infected-pregnant-women-in-uganda-a-qualitative-study
#13
Esther Buregyeya, Rose Naigino, Aggrey Mukose, Fred Makumbi, Godfrey Esiru, Jim Arinaitwe, Joshua Musinguzi, Rhoda K Wanyenze
BACKGROUND: In 2012, Uganda started implementing lifelong antiretroviral therapy (ART) for prevention of mother to child transmission (PMTCT) in line with the WHO 2012 guidelines. This study explored experiences of HIV infected pregnant and breastfeeding women regarding barriers and facilitators to uptake and adherence to lifelong ART. METHODS: This was a cross-sectional qualitative study conducted in three districts (Masaka, Mityana and Luwero) in Uganda, between February and May 2014...
March 21, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28317511/randomized-study-of-assessment-effects-on-alcohol-use-by-persons-with-hiv-in-rural-uganda
#14
Nneka I Emenyonu, Robin Fatch, Winnie R Muyindike, Allen Kekibiina, Sarah Woolf-King, Judith A Hahn
OBJECTIVE: Unhealthy alcohol use is a crucial driver of HIV in sub-Saharan Africa, and interventions are needed. The goal of this study was to assess whether assessment itself (assessment reactivity) causes declines in alcohol use in a research study in persons with HIV in Uganda. METHOD: Study participants were adult patients of the Immune Suppression Syndrome (ISS) Clinic in Mbarara, Uganda, who were new to HIV care and reported any alcohol consumption in the prior year...
March 2017: Journal of Studies on Alcohol and Drugs
https://www.readbyqxmd.com/read/28317086/process-evaluation-of-a-randomized-controlled-trial-of-group-support-psychotherapy-for-depression-treatment-among-people-with-hiv-aids-in-northern-uganda
#15
Etheldreda Nakimuli-Mpungu, Kizito Wamala, James Okello, Sheila Ndyanabangi, Steve Kanters, Ramin Mojtabai, Jean B Nachega, Edward J Mills, Seggane Musisi
We describe the process evaluation for a randomized controlled trial that compared group support psychotherapy (GSP) with group HIV education for treatment of depression among people with HIV. Process data were obtained using mixed methods. Variables evaluated were indicators of feasibility and acceptability; causal mediating processes and contextual influences. GSP was feasible and acceptable. Potential mediating variables between GSP and reduction of depression were improved emotional and social support, better coping strategies, and pursuit of livelihoods...
March 19, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28314229/how-did-the-good-school-toolkit-reduce-the-risk-of-past-week-physical-violence-from-teachers-to-students-qualitative-findings-on-pathways-of-change-in-schools-in-luwero-uganda
#16
N Kyegombe, S Namakula, J Mulindwa, J Lwanyaaga, D Naker, S Namy, J Nakuti, J Parkes, L Knight, E Walakira, K M Devries
Violence against children is a serious violation of children's rights with significant impacts on current and future health and well-being. The Good School Toolkit (GST) is designed to prevent violence against children in primary schools through changing schools' operational cultures. Conducted in the Luwero District in Uganda between 2012 and 2014, findings from previous research indicate that the Toolkit reduced the odds of past week physical violence from school staff (OR = 0.40, 95%CI 0.26-0.64, p < 0...
March 7, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28302546/rheumatic-heart-disease-epidemiology-and-health-systems-barriers-and-facilitators-a-systematic-review-of-studies-from-uganda-and-tanzania
#17
Annesinah H Moloi, Sumaya Mall, Mark E Engel, Renae Stafford, Zhang Wan Zhu, Liesl J Zuhlke, David A Watkins
BACKGROUND: Rheumatic heart disease (RHD) is an important and preventable cause of cardiovascular disease. OBJECTIVES: As part of a recent RHD initiative in Uganda and Tanzania, we systematically reviewed group A streptococcal disease (GAS), acute rheumatic fever (ARF), and RHD in these countries. METHODS: Using a systematic review and meta-analysis/meta-synthesis, we searched PubMed, Embase, and grey literature for quantitative and qualitative studies conducted in Uganda and Tanzania that included individuals affected by GAS, ARF, and RHD...
March 14, 2017: Global Heart
https://www.readbyqxmd.com/read/28301527/associations-between-the-severity-of-obstructive-lower-urinary-tract-symptoms-and-care-seeking-behavior-in-rural-africa-a-cross-sectional-survey-from-uganda
#18
Lynn Stothers, Andrew J Macnab, Francis Bajunirwe, Sharif Mutabazi, Jonathan Berkowitz
STUDY TYPE: A cross sectional survey. BACKGROUND: Global estimates indicate that by 2018 2.3 billion individuals worldwide will suffer from lower urinary tract symptoms (LUTS), with 1.1 billion having LUTS related to bladder outlet obstruction (BOO). Left untreated BOO in men causes irreversible changes to the urinary tract leading to urinary retention, the need for catheterization, renal failure and even death. Estimates suggest that Africa will be one of the continents with the greatest increase in (LUTS) by 2018 however direct measures in Africa are lacking...
2017: PloS One
https://www.readbyqxmd.com/read/28300260/concentrations-and-sources-apportionment-of-polycyclic-aromatic-hydrocarbons-in-sediments-from-the-uganda-side-of-lake-victoria
#19
Nasifu Kerebba, Patrick Ssebugere, Justus Kwetegyeka, Kenneth Arinaitwe, John Wasswa
This study presents the levels and possible sources of selected polycyclic aromatic hydrocarbons (PAHs) in surface sediments from the Napoleon Gulf and Murchison Bay of Lake Victoria. Sediment samples were extracted and cleaned up for PAHs using UNEP, 1992, and EPA method 3630C protocols. The analysis of sample extracts was carried out using a gas chromatograph coupled to a mass spectrometer. Fifteen congeners, mostly the high molecular weight PAHs (HPAHs) (4-6 rings) were detected. Total (∑) concentrations varied from 44...
March 16, 2017: Environmental Science. Processes & Impacts
https://www.readbyqxmd.com/read/28299158/a-study-on-strategic-planning-and-procurement-of-medicals-in-uganda-s-regional-referral-hospitals
#20
Ishak Kamaradi Masembe
This study was an analysis of the effect of strategic planning on procurement of medicals in Uganda's regional referral hospitals (RRH's). Medicals were defined as essential medicines, medical devices and medical equipment. The Ministry of Health (MOH) has been carrying out strategic planning for the last 15 years via the Health Sector Strategic Plans. Their assumption was that strategic planning would translate to strategic procurement and consequently, availability of medicals in the RRH's. However, despite the existence of these plans, there have been many complaints about expired drugs and shortages in RRH's...
December 31, 2016: Journal of Public Health in Africa
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