scholarly journals Prevalence and Correlates of Depression among Bugando Medical Centre and Catholic University of Health and Allied Sciences staff – Mwanza Tanzania, A Cross Sectional Study

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Mwita M ◽  
Beda M ◽  
Kidenya B ◽  
Magwiza C
Keyword(s):  
Cross Sectional Study ◽  
Medical Centre ◽  
Sectional Study ◽  
Cross Sectional ◽  
Catholic University ◽  
Bugando Medical ◽  
Bugando Medical Centre

scholarly journals Predictors of foeto-maternal outcome of patients with abruptio placenta at Bugando Medical Centre, Tanzania

2015 ◽  
Vol 18 (1) ◽  
Author(s):  
Dismas Matovelo ◽  
Kelvin Nandonde ◽  
Anthony Massinde ◽  
Richard Rumanyika
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Birth Asphyxia ◽  
Cross Sectional Study ◽  
Adverse Outcomes ◽  
Medical Centre ◽  
Cross Sectional ◽  
Bugando Medical ◽  
Abruptio Placenta ◽  
Bugando Medical Centre

Background: Abruptio placenta (AP) is one of the life-threatening obstetric complications for both the foetus and mother. We conducted this study to determine the incidence and predictors of adverse outcomes of abruptio placenta at Bugando Medical Centre (BMC) in northwest Tanzania.Methods: This descriptive cross-sectional study was conducted from October 2012 to April 2013. Women with clinical features of abruptio placenta attending BMC were recruited. Data were collected using a structured checklist and analysed with STATA 11.Results: A total of 3,800 deliveries occurred during study period. The incidence of AP was 2.5% (95/3800). Among patients with AP, 49 (51.6%) delivered by Caesarean section. Three (3.2%) maternal deaths occurred. These deaths were strongly associated with the presence of maternal anaemia (p<0.05), and postpartum haemorrhage (p<0.05). The foetal adverse outcomes were prematurity 78 (82.1%), foetal distress 65 (68.4%), low birth weight 46 (48.4%) and intrauterine foetal deaths 30 (31.6%). Perinatal deaths occurred in 52 (54.7 %) of the cases, and were predicted by low birth weight (p<0.001), vaginal delivery (p=0.001), birth asphyxia (p<0.001), and retroplacental clot (>700ml) (p<0.001).Conclusion: The incidence of AP at BMC is high and characterised by poor maternal and foetal outcomes. Patients with AP should be delivered promptly to improve their survival.

scholarly journals Risk factors for mortality among tuberculosis patients on treatment at Bugando Medical Centre in north-western Tanzania: a retrospective cross-sectional study

2016 ◽  
Vol 18 (4) ◽  
Author(s):  
Daniel W. Gunda ◽  
Semvua B. Kilonzo ◽  
Salum M. Bulegesi ◽  
Bonaventura C.T. Mpondo ◽  
Elichilia R. Shao
Keyword(s):  
Risk Factors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Risk Of Death ◽  
Tb Treatment ◽  
Bugando Medical ◽  
Increased Risk ◽  
Bugando Medical Centre ◽  
North Western

 Background: Tuberculosis (TB) is still an important cause of morbidity and mortality worldwide. Though it can effectively be treated, still a significant proportion of patients die on the course of their treatment. The objective of this study was to determine the outcome and risk factors of mortality among patients diagnosed with TB in a tertiary hospital in north-western Tanzania.Methods: A retrospective cross sectional study was done among all patients diagnosed with TB between January and December 2015 at Bugando Medical Centre. Information of demographic characteristics, smear positivity, haemoglobin concentration, HIV status, CD4 counts for HIV positive patients and treatment outcomes were collected and analysed. TB treatment outcomes as dead or alive were calculated and logistic regression was done to determine the factors associated with increased risk of death of patients on anti-TB treatment.Results: In total 701 patients were diagnosed with TB during the study period. Of these, 361 (51.5%) were males with a median age of 38 (IQR 27- 47) and 421 (60.06%) were younger than 40 years. Majority of the participants 409 (58.35%) had smear positive pulmonary tuberculosis and about half of patients (51.07%) tested positive for HIV. Of the enrolled patients 610 (87.02%) were alive at the end of TB treatment while 91 (12.98%) died in the course of treatment. The odds of deaths of patients on anti-TB treatment were strongly associated with male sex, HIV co infection and severe anaemia.Conclusion: The proportion of patients who die from TB treatment at BMC is high, with an increased risk of death among HIV co-infected, older than 40 years and severely anaemic patients. Improvement of strategies for early diagnosis and prompt treatment of TB patients will potentially improve treatment outcome.

scholarly journals Blood transfusion practice in surgery at Bugando Medical Centre in northwestern Tanzania

2015 ◽  
Vol 18 (1) ◽  
Author(s):  
Phillipo L Chalya ◽  
Fidelis Mbunda ◽  
Joseph B Mabula ◽  
Anthony N Massinde ◽  
Albert Kihunrwa ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Cross Sectional Study ◽  
Transfusion Practice ◽  
Medical Centre ◽  
Cross Sectional ◽  
Emergency Operations ◽  
Bugando Medical ◽  
Blood Utilization ◽  
Bugando Medical Centre ◽  
Cross Matching

 Background: Preoperative over-ordering of blood for surgical intervention, in excess of the actual and anticipated needs is a common practice in many developing countries. This can be decreased by simple means of changing the blood cross matching and ordering schedule depending upon the type of surgery performed. The aim of this study was to assess the blood transfusion practice in surgery at Bugando Medical Centre in northwestern Tanzania.Methods and Patients: This was a prospective cross sectional study among patients undergoing major operations at Bugando Medical Centre. We evaluated blood ordering and transfusion practices in emergency and elective surgical procedures at our centre and calculated different indices such as cross-match to transfusion ratio (C/T ratio), transfusion probability (% T) and transfusion index (TI). Next Maximal Surgical Blood Ordering System (MSBOS) was estimated for each procedure.Results: The overall blood utilization was only 28.2% at our centre, consisting of 17.1% in the elective operations and 26.9% in the emergency operations. Significant blood utilization was nil in most of the routine elective cases suggesting cross-matching of blood to be a culture than necessity. Generally, the overall blood transfusion of the requested blood as indicated by indices of C/T ratio, %T, TI and MSBOS were 3.5, 28.7%, 0.33 and 0.45, respectively. The overall CT ratio, %T, Ti and MSBOS in the elective operations were 5.8, 15.9%, 0.2 and 0.3, respectively. In the emergency operations, the overall CT ratio, %T, Ti and MSBOS were 3.7, 22%, 0.32 and 0.48, respectively.Conclusion: This study demonstrated that over-ordering of blood in excess of the actual needs is a common practice in our setting.  Blood ordering pattern needs to be revised and over-ordering of blood should be minimized. This can be possible by the estimation of MSBOS for each procedure and requisition as calculated.

scholarly journals Perceptions of Mentors and Mentees towards the Mentoring System at the Universiti Kebangsaan Malaysia Medical Centre

2021 ◽  
Vol 13 (2) ◽  
pp. 55-70
Author(s):  
Mohammad Arif Kamarudin ◽  
Shah-Abas Muhamad Md Shah ◽  
Noor Aisyah Somkam Ismail ◽  
Teh Pui Yen ◽  
Aini Syahirah Shamsul ◽  
...  
Keyword(s):  
Medical Students ◽  
Medical Schools ◽  
Cross Sectional Study ◽  
Assessment Method ◽  
Medical Centre ◽  
Sectional Study ◽  
Cross Sectional ◽  
Validated Questionnaires ◽  
Mentoring System ◽  
Regular Training

Mentoring is a relationship between mentors and mentees focused on the career success and advancement of mentees. It is crucial to review and evaluate the mentoring system in place in any given institution to identify potential issues. This study aimed to ascertain the perception of mentors and mentees towards mentoring system at Universiti Kebangsaan Malaysia Medical Centre (UKMMC). This cross-sectional study involved 382 UKMMC medical students from Year-2 to Year-5, and 35 UKMMC lecturers. Data were collected by sending validated questionnaires through Google Forms to all 819 students via the Facebook groups of UKM medical students. The questionnaires for mentors were distributed to all 78 lecturers through their respective emails. Both mentors and mentees showed positive perceptions towards the mentoring system with a total score of 110/144 (76%) and 51/64 (80%), respectively. Year-2 and Year-3 mentees showed higher perception compared to Year-4. Mentees supervised under pre-clinical mentors and female mentors had higher perceptions compared to clinical mentors and male mentors. Respondents reported suggestions for improving the content and structure of the mentoring system, the need for additional training of mentors (especially on how to approach the mentees), retaining the same mentors and mentees pairing throughout the mentees’ education, and reviewing the assessment method. The study findings may help further in improving the mentoring system of UKMMC. Mentoring is a challenging task. Medical schools must assign mentoring due importance in regular training for all levels of mentors by welltrained trainers. The implementation of awards and incentives for institutional mentors may motivate them further.

scholarly journals Prevalence Of Syphilis, Neurosyphilis And Associated Factors In a Cross-Sectional Analysis Of HIV Infected Patients Attending Bugando Medical Centre Mwanza Tanzania

2020 ◽  
Author(s):  
Adeodatus Richard Haule ◽  
Betrand Msemwa ◽  
Evarista Mgaya ◽  
Peter Masikini ◽  
Samuel Kalluvya
Keyword(s):  
Associated Factors ◽  
Neurological Complications ◽  
Medical Centre ◽  
Rapid Progression ◽  
Cross Sectional ◽  
Early Syphilis ◽  
Bugando Medical ◽  
Sectional Analysis ◽  
Bugando Medical Centre ◽  
Latent Syphilis

Abstract BACKGROUND HIV-syphilis co-infection is a combination that enhances rapid progression of early syphilis or late latent syphilis to neurosyphilis and can cause catastrophic neurological complications. In studies in Mwanza, syphilis affects ~8% of healthy outpatients, and older studies have suggested that up to 23.5% of HIV-syphilis co-infected patients also have neurosyphilis

scholarly journals Prevalence and Intensity of Hookworm Infections in Ekiti, Nigeria; A Cross Sectional Study in State Specialist Hospital and Federal Medical Centre

1970 ◽  
Vol 44 (4) ◽  
pp. 399-402
Author(s):  
SO Adewole ◽  
IA Akingbolu
Keyword(s):  
Ascaris Lumbricoides ◽  
Cross Sectional Study ◽  
The State ◽  
Medical Centre ◽  
Sectional Study ◽  
Cross Sectional ◽  
Key Words Prevalence ◽  
Significant Difference ◽  
Males And Females ◽  
Hookworm Infections

Prevalence of hookworm and other helminthes infections from year 2004 till May, 2007 was carried out in both the State Specialist Hospital and Federal Medical Centre, in Ekiti State. Of the 2,686 recorded and examined, 1,246 persons representing 46.3% were infected with helminthes while 53.7% were infected with other helminthes like Ascaris lumbricoides and Trichuris trichura. At State Specialist Hospital (Ado-Ekiti), 646 persons representing 47.1% were infected with hookworm while 600 persons representing 45.5% were infected with hookworm at Federal Medical Centre, (Ido-Ekiti). There is a significant difference (X2=8.9; P< 0.05) in the prevalence and susceptibility of males and females to infections in the State Specialist hospital, Ado-Ekiti. Also, there is no significant difference (X2=3.82; P > 0.05) in the prevalence and susceptibility of males and females to hookworm infections. Key words: Prevalence; Epidemiology; Helminthes; Infections Hospital.   DOI: 10.3329/bjsir.v44i4.4588 Bangladesh J. Sci. Ind. Res. 44(4), 399-402, 2009  

Nine-Year Cross-Sectional Study of Change in Self-Concepts of College Freshmen

1976 ◽  
Vol 38 (2) ◽  
pp. 675-678 ◽  
Author(s):  
Dennis O. Vidoni
Keyword(s):  
College Freshmen ◽  
Cross Sectional Study ◽  
Self Concept ◽  
Sectional Study ◽  
Check List ◽  
Cross Sectional ◽  
Adjective Check List ◽  
Catholic University ◽  
Random Samples ◽  
Yearly Means

Entering freshman classes at a midwest Catholic university were administered Gough's Adjective Check List (1965) each year from 1965 to 1973. Random samples from each class were drawn and compared on five constructed scales of self-concept. The N for each of the years was 75. Significant year-to-year differences were found on 2 of the 5 scales. In addition, a significant “wave-like” trend in the yearly means of one scale was observed. These differences indicated a change for groups in sociability and contemplative independence areas of self-concept.

scholarly journals PRIMARY PPH;

2008 ◽  
Vol 15 (03) ◽  
pp. 335-340
Author(s):  
SAMIA SHUJA ◽  
AFIA ANSAR ◽  
NAGINA FATIMA LIAQUAT
Keyword(s):  
Blood Pressure ◽  
Study Design ◽  
Placenta Previa ◽  
Cross Sectional Study ◽  
Uterine Atony ◽  
Medical Centre ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Difference ◽  
Uterine Fundus

. Objective: To determine the effectiveness and safety of uterine packing in selected cases of primarypostpartum haemorrhage. Study Design: Cross-sectional study. Place and Duration: The study was conducted atJinnah Postgraduate Medical Centre, Karachi, From September 2003 to April 2008. Patients and Methods: Womendeveloping primary PPH due to uterine atony, placenta previa and coagulation failure were selected for uterine packing.Firm packing was done with enormous length of sterile ribbon gauze, using ‘layering technique’ under prophylacticantibiotic cover. Vagina was also packed to give additional pressure. Pack was removed after 12 - 36 hours or earlyin case of failure to control haemorrhage. Pulse, blood pressure, soakage of pads, height of uterine fundus andtemperature were monitored to assess effectiveness and safety. Results: 39 women were included in the study. Causeof PPH was uterine atony in 30 (76.9%), coagulation failure in 5 (12.8%) and placenta previa in 4 (10.3%) cases.Packing was successful in arresting haemorrhage in 32 (82.1%) and failed in 7 (17.9%) cases; 95% Confidence Interval67-91. There was no case of concealed haemorrhage, four patients developed emdometritis and none had delayedhaemorrhage. 13 laparotomies were prevented. The difference between the causes of haemorrhage in successful andfailed cases did not show a definite trend. Conclusion: If employed early, uterine packing is a quick, effective and safemethod for controlling primary PPH in carefully selected cases.

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