The epidemiology and management of tibia and fibula fractures at Kilimanjaro Christian Medical Centre (KCMC) in Northern Tanzania

Abstract Background: Cesarean delivery is the commonest obstetric surgery and surgical intervention to save lives of the mother and/or the new-borns. It has been accepted as safe procedure, yet it has increased risk of adverse maternal and fetal outcomes. The rise in rate of cesarean delivery has been a major public health concern worldwide. Previous caesarean section has been associated with repeated cesarean delivery, causing potential adverse maternal-fetal outcomes in the subsequent pregnancy. We aimed to examine the relationship between first birth cesarean delivery and adverse maternal-fetal outcomes in the subsequent pregnancy among women who delivered at Kilimanjaro Christian Medical Centre in Northern Tanzania. Methods: A retrospective cohort study was conducted using maternally-linked data from Kilimanjaro Christian Medical Centre. All women who had singleton second delivery between the years 2011 to 2015 were studied. A total of 5,984 women with singleton second delivery were analysed. Multivariable log-binomial regression was used to determine the association between first cesarean delivery and maternal-fetal outcome in subsequent pregnancy. Results: Cesarean delivery in the first birth was associated with an increased risk of adverse maternal and fetal outcomes in the subsequent pregnancy. These included repeated cesarean delivery (ARR 1.19; 95% CI: 1.05-1.34), pre/eclampsia (ARR 1.38; 95% CI: 1.06-1.78), gestational diabetes Mellitus (ARR 2.80; 95% CI: 1.07-7.36), uterine rupture (ARR 1.56; CI: 1.05-2.32), peri-partum hysterectomy (ARR 2.28; CI: 1.04-5.02) and preterm birth (ARR 1.21; CI: 1.05-1.38). Conclusion: Women with CD in their first pregnancy had an increased risk of repeated CD and other adverse maternal-fetal outcomes. Findings from a present study highlight the importance of devising regional specific measures to mitigate unnecessary primary caesarean delivery. Additionally, this information may serve as a basis to guide mode of delivery counselling prior to Trial of labour after caesarean delivery.

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Correction to: Day case laparoscopic cholecystectomy at Kilimanjaro Christian Medical Centre, Tanzania

Surgical Endoscopy ◽

10.1007/s00464-021-08324-1 ◽

2021 ◽

Author(s):

Imogen Cullen ◽

Fadlo Shaban ◽

Oroog Ali ◽

Matthew Breckons ◽

Kondo Chilonga ◽

...

Keyword(s):

Laparoscopic Cholecystectomy ◽

Medical Centre ◽

Day Case ◽

Kilimanjaro Christian Medical Centre

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Herpes zoster and HIV infection in Tanzania

International Journal of STD & AIDS ◽

10.1258/0956462001915804 ◽

2000 ◽

Vol 11 (4) ◽

pp. 254-256 ◽

Cited By ~ 12

Author(s):

A E Naburi ◽

Barbara Leppard

Keyword(s):

Herpes Zoster ◽

Hiv Infection ◽

Medical Centre ◽

Hiv Positive ◽

Age Group ◽

Very Elderly ◽

Kilimanjaro Christian Medical Centre ◽

Disseminated Disease

Two hundred consecutive patients with herpes zoster attending the skin clinic at the Kilimanjaro Christian Medical Centre (KCMC) were examined and checked for HIV infection. They ranged in age from 10 months to 86 years with the majority in their 20s and 30s. The dermatomes involved were thoracic (97), trigeminal (50), cervical (37), lumbar (19) and sacral (3). Six (3%) had more than one dermatome involved and 2 (1%) had disseminated disease. Only 2 (1%) had severe ulceration of the skin and all healed in less than 4 weeks. In children under the age of 10 years and in adults between the ages of 20 and 49 years virtually 100% were HIV positive; even in the age group 50-59 more than three-quarters were HIV positive. We conclude that the presence of herpes zoster at any site is a good indication that the patient is HIV positive except in the teens and the very elderly.

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AWARENESS OF CHEMOTHERAPY SIDE EFFECTS AND ATTITUDE TOWARDS CHEMOTHERAPY USE AMONG CANCER PATIENTS ATTENDING ONCOLOGY CLINIC AT BUGANDO MEDICAL CENTRE, IN MWANZA, NORTHERN TANZANIA

Journal of Drug Delivery and Therapeutics ◽

10.22270/jddt.v8i5.1900 ◽

2018 ◽

Vol 8 (5) ◽

pp. 448-454 ◽

Cited By ~ 1

Author(s):

Deogratias M Katabalo ◽

Raphael Matinde ◽

Stanley Mwita ◽

Karoli Marwa ◽

Nestory Masalu

Keyword(s):

Side Effects ◽

Cancer Cells ◽

Cancer Patients ◽

Cross Section ◽

Positive Attitude ◽

Medical Centre ◽

Bugando Medical ◽

Northern Tanzania ◽

Chemotherapy Side Effects ◽

Bugando Medical Centre

Background: Chemotherapy is the use of drugs to kill cancer cells. Because cancer cells generally grow and divide faster than normal cells, they are more susceptible to the action of these drugs. However, damage to healthy cells is unavoidable, and this damage accounts for the side effects linked to these drugs. Methodology: A cross section study was conducted at oncology department in Bugando Medical Centre. A sample of 216 people was recruited into the study. The data was collected by using the pre-constructed questionnaire. After data collection, the data was transferred into SPSS version 20 and analyzed. Results: The study found that 88 (40.7%) of the respondents were aware of the chemotherapy side effects whereby majority, 68 (77.3%) of these had been informed by the doctor. Most of the respondents, 197 (92.1%) had a positive attitude towards the use of chemotherapy. Conclusion: There is still poor awareness of the chemotherapy side effects among the cancer patients attending and receiving chemotherapy in oncology department at Bugando Medical Centre. However, most of the respondents had positive attitude towards the use of chemotherapy Keywords: Awareness, attitude, chemotherapy, side effects and Tanzania.

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