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Search Results: 1 - 10 of 3527 matches for " Jane Nakibuuka "
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National intensive care unit bed capacity and ICU patient characteristics in a low income country
Arthur Kwizera, Martin Dünser, Jane Nakibuuka
BMC Research Notes , 2012, DOI: 10.1186/1756-0500-5-475
Abstract: A retrospective audit was conducted in a general ICU in a university hospital in Uganda. Demographic data, admission diagnosis, and ICU length of stay were recorded for the 1,774 patients who presented to the ICU in the period January 2003 to December 2009. Their mean age was 35.5?years. Males accounted for 56.5% of the study population; 92.8% were indigenous, and 42.9% were referrals from upcountry units. The average mortality rate over the study period was 40.1% (n?=?715). The highest mortality rate (44%) was recorded in 2004 and the lowest (33.2%) in 2005. Children accounted for 11.6% of admissions (40.1% mortality). Sepsis, ARDS, traumatic brain injuries and HIV related conditions were the most frequent admission diagnoses. A telephonic survey determined that there are 33 adult ICU beds in the whole country.Mortality was 40.1%, with sepsis, head injury, acute lung injury and HIV/AIDS the most common admission diagnoses. The country has a very low ICU bed capacity. Prioritising infectious diseases poses a challenge to ensuring that critical care is an essential part of the health care package in Uganda.The prevalence of critical illness in developing countries is disproportionately high in view of the disproportionate burden of diseases such as HIV/AIDS, malaria, tuberculosis and trauma. Sub-Saharan Africa bears 25% of the global burden of disease [1]. Management of critically ill patients requires significant human, infrastructural, and financial resources. These resources are typically limited in low-income countries. Major intensive care units (ICUs) are mostly found in large hospitals in urban or metropolitan areas [2]. The most common admission criteria to these units are post-operative treatment, infectious diseases, trauma and obstetric complications [2,3].A recent review highlighted the paucity of knowledge regarding critical care in the developing world [4]. Knowledge of the characteristics and outcomes of critically ill patients admitted to ICUs in low-
Knowledge and Perception of Stroke: A Population-Based Survey in Uganda
Jane Nakibuuka,Martha Sajatovic,Elly Katabira,Edward Ddumba,Jayne Byakika-Tusiime,Anthony J. Furlan
ISRN Stroke , 2014, DOI: 10.1155/2014/309106
Abstract: Purpose. This study, designed to complement a large population survey on prevalence of stroke risk factors, assessed knowledge and perception of stroke and associated factors. Methods. A population survey was conducted in urban Nansana and rural Busukuma, Wakiso district, central Uganda. Adult participants selected by multistage stratified sampling were interviewed about selected aspects of stroke knowledge and perception in a pretested structured questionnaire. Results. There were 1616 participants (71.8% urban; 68.4% female; mean age: 39.6 years ± 15.3). Nearly 3/4 did not know any stroke risk factors and warning signs or recognize the brain as the organ affected. Going to hospital (85.2%) was their most preferred response to a stroke event. Visiting herbalists/traditional healers was preferred by less than 1%. At multivariable logistic regression, good knowledge of stroke warning signs and risk factors was associated with tertiary level of education (OR 4.29, 95% CI 2.13–8.62 and OR 5.96, 95% CI 2.94–12.06), resp.) and self-reported diabetes (OR 1.97, 95% CI 1.18–3.32 and OR 1.84, 95% CI 1.04–3.25), resp.). Conclusion. Knowledge about stroke in Uganda is poor although the planned response to a stroke event was adequate. Educational strategies to increase stroke knowledge are urgently needed as a prelude to developing preventive programmes. 1. Introduction Stroke is one of the leading causes of mortality and morbidity worldwide [1–4] with developing countries accounting for 85% of global deaths from stroke [1–3]. Lack of information and poor control of stroke risk factors contribute to the rising incidence of stroke amongst Africans [5–7]. The success of primary preventive measures and timely medical attention immediately following a stroke is influenced by the public’s knowledge and perception of stroke and its risk factors [6, 8–10]. The few studies done in Africa to assess the knowledge of stroke among health workers, stroke patients, carers of stroke patients, and the general population have reported low levels of knowledge about recognizing and preventing stroke [6, 8–12]. Published studies from Africa note that stroke-like symptoms may be considered both physical and social conditions resulting from natural or environmental causes and supernatural causes such as demons and witchcraft [13–15]. Health care access is strongly influenced by cultural knowledge and interpretation of disease symptoms [16, 17], structural and gender constraints [17, 18], and trust in providers [19]. In Uganda, public perception and level of knowledge of stroke warning
Perinatal death audits in a peri-urban hospital in Kampala, Uganda
VK Nakibuuka, P Okong, P Waiswa, RN Byaruhanga
African Health Sciences , 2012,
Abstract: Background: The perinatal mortality of 70 deaths per 1,000 total births in Uganda is unacceptably high. Perinatal death audits are important for improvement of perinatal care and reduction of perinatal morality. We integrated perinatal death audits in routine care, and describe its effect on perinatal mortality rate at Nsambya Hospital. Methods: This was a retrospective descriptive study conducted from March – November 2008. An interdisciplinary hospital team conducted weekly perinatal death reviews. Each case was summarized and discussed, identifying gaps and cause of death. Local solutions were implemented according to the gaps identified from the audit process. Results: Of the 350 perinatal deaths which occurred, 120 perinatal deaths were audited. 34.2% were macerated still births, 31.7% fresh still births and 34.2% early neonatal deaths. Avoidable factors included: poor neonatal resuscitation skills, incorrect use of the partographs and delay in performing caesarean sections. Activities implemented included: three skills sessions of neonatal resuscitation, introduction of Continuous positive airway pressure (CPAP) for babies with respiratory distress, updates on use of partographs. Perinatal mortality rate was 47.9 deaths per 1000 total births in 2008 after introduction of the audits compared to 52.8 per 1,000 total births in 2007. Conclusion: Conducting routine perinatal audits is feasible and contributes to reduction of facility perinatal mortality rate.
A Preliminary Study of Barriers to Bank Financing of Ethnic Chinese Entrepreneurs in the UK  [PDF]
Jane Zhang
Open Journal of Social Sciences (JSS) , 2015, DOI: 10.4236/jss.2015.37018
Abstract:

Ethnic minority entrepreneurship has been a growing research interest, however, little has been known about financial barriers to start up and run a business venture from the perspectives of UK ethnic Chinese entrepreneurs. The aim of this study is to explore the financial barriers of ethnic Chinese entrepreneurs in starting up and running a business in the UK. Through semi-structured interviews with 12 ethnic Chinese entrepreneurs who run businesses in the UK, this study has preliminarily found: 1) ethnic Chinese businesses in the UK have increasingly faced difficulties to get access to bank finance since the global financial crisis; 2) the difficulties are largely caused by a lack of communication and understanding between the entrepreneurs and financial institutions; 3) the traditional perceptions of Chinese businesses have disadvantaged ethnic Chinese entrepreneurs in the UK when they apply for bank credits. This study offers a number of implications. For policy-makers, an understanding of the characteristics of ethnic Chinese businesses and financing barriers to ethnic Chinese in business start-ups and running is important for the development of policy that encourages and supports ethnic Chinese businesses. For banks in the UK to expand their business, there is a need to develop tailored products and services specifically for ethnic Chinese entrepreneurs.

Presumptive treatment with sulphadoxine-pyrimethamine versus weekly chloroquine for malaria prophylaxis in children with sickle cell anaemia in Uganda: a randomized controlled trial
Victoria Nakibuuka, Grace Ndeezi, Deborah Nakiboneka, Christopher M Ndugwa, James K Tumwine
Malaria Journal , 2009, DOI: 10.1186/1475-2875-8-237
Abstract: To compare the efficacy of monthly SP presumptive treatment, versus weekly chloroquine for malaria prophylaxis in children attending the Sickle Cell Clinic, Mulago Hospital.Two hundred and forty two children with sickle cell anaemia were randomized to presumptive treatment with SP or weekly chloroquine for malaria prophylaxis. Active detection of malaria was made at each weekly visit to the clinic over one month. The primary outcome measure was the proportion of children with one malaria episode at one month follow-up. The secondary outcome measures included malaria-related admissions and adverse effects of the drugs.Ninety-three percent (114/122) of the children in the chloroquine group and 94% (113/120) in the SP group completed one month follow up. SP reduced prevalence of malaria by 50% compared to chloroquine [OR = 0.50, (95% CI 0.26-0.97)]; p = 0.042. Six percent (7/122) of the children receiving weekly chloroquine had malaria related admissions compared to 2.5% (3/120) on presumptive treatment with SP. No serious drug effects were reported in both treatment groupsPresumptive treatment with SP was more efficacious than weekly chloroquine in reducing prevalence of malaria in children with sickle cell anaemia. Continued use of chloroquine for malaria chemoprophylaxis in children with sickle cell anaemia in Uganda does not seem to be justified.ClinicalTrials.gov Identifier: NCTOO124267Sickle cell anaemia (SCA) is a major health problem in Uganda with an average of 25,000 babies born annually [1,2]. Eighty percent of these may die of malaria before two years of age [3]. In Africa, an average of 200,000 babies are born with SCA annually and 50% die before five years of age secondary to anaemia, pneumonia and malaria [3,4].Persons with SCA are four times more susceptible to malaria than those with sickle cell trait. Malaria is a major contributor to morbidity and mortality in these children [3-7]. It precipitates both anaemia and painful crises and increases the ris
Assessing the Graham’s Formula for Stock Selection: Too Good to Be True?  [PDF]
Jason Lin, Jane Sung
Open Journal of Social Sciences (JSS) , 2014, DOI: 10.4236/jss.2014.23001
Abstract:

Benjamin Graham offered a straightforward and simple formula to evaluate stocks’ intrinsic value. Many regard the Graham Formula is a very simplistic way of measuring an individual company’s intrinsic value. Graham and Warren Buffet however felt that the simplicity of the model allowed them to quickly and accurately identify undervalued companies, and stay away from overvalued ones. In this paper, we wanted to explore the effectiveness of the Graham’s formula. We wanted to see if using the Graham’s formula, investors can achieve excess returns above the market over a period of 17 years.

Environmental Lead and Nickel Contamination of Tank Rainwater in Esperance, Western Australia: An Evaluation of the Cleaning Program  [PDF]
Jane S HEYWORTH, Narelle MULLAN
Journal of Water Resource and Protection (JWARP) , 2009, DOI: 10.4236/jwarp.2009.11001
Abstract: A significant number of birds in the port town of Esperance, Western Australia died in the summer of 2006/2007 and elevated lead levels were found in the kidneys, livers and brains of autopsied birds. These elevated lead levels alerted Government authorities to investigate the public health impacts of potential lead contamination in the community resulting from transport of lead carbonate from the Esperance Port. Water samples from domestic rainwater collection systems were collected to determine the extent of heavy metal contamination; 19% and 24% of tanks had lead and nickel levels above the Australian Drinking Water Guidelines. The aim of this study was to evaluate whether cleaning of rainwater tanks had reduced exposure to lead and nickel contamination in the community. Follow-up sampling of 176 tanks across Esperance indi-cated that that there had been reductions in both lead and nickel concentrations, but that the reduction has been greater for nickel concentrations. The reduction in nickel concentration was significantly associated with cleaning status, whereas this was not the case for lead. Proximity to the Esperance Port was an impor-tant determinant of lead concentration. Tank and roof characteristics did not significantly influence the fol-low-up lead concentrations. The results suggested that there was ongoing contamination of rainwater tanks from the environment.
Parental Awareness and Perception of Their Children’s Body Size  [PDF]
Jane Allen, Glenda C. Prkachin
Open Journal of Medical Psychology (OJMP) , 2013, DOI: 10.4236/ojmp.2013.22012
Abstract: Objective: To investigate parents’ misperception of their active children’s size. Subjects: One hundred and forty male or female parents and their children from a youth soccer league participated. Actual Child Body Mass Index (BMI) percentiles and BMI categories were compared to the results of a Body Size Estimation Task and lifestyles questionnaire results. Results: Parents underestimated the body size of their children and placed them in a lower BMI category than the children actually belonged in. As was the case in other studies children in the unhealthy or at risk to become overweight category where seen as a healthy weight. Unlike other studies, many healthy weight children were seen as underweight. Conclusions: An explanation of body size misperception and underestimation of body size may be change blindness. The growing prevalence of obesity in children may be better addressed by focusing on the parents’ apparent lack of concern about excess childhood weight and the parents’ identification of excess childhood weight as just normal rather than seeing excess weight as a potential problem.
Self-Esteem’s Moderation of Self-Congruity Effects on Brand Loyalty  [PDF]
Jane Brannen, Cynthia M. Frisby
Theoretical Economics Letters (TEL) , 2017, DOI: 10.4236/tel.2017.76126
Abstract: This research set out to find how consumer self-esteem moderates the relative importance of actual self-congruity vs. ideal self-congruity on women’s brand loyalty to fitness brands. College-aged women were the primary focus for this research because this demography represents an emerging consumer group and because the literature suggests women score significantly lower than men on self-esteem scales in physical appearance, athletic self, personal self, and self-satisfaction self-esteem. A survey of 151 women of 18 - 24 ages was conducted supporting prior research findings that actual and ideal self-congruity are both positively correlated with brand loyalty.
Scientist Citizen: An Interview with Bruce Alberts
Jane Gitschier
PLOS Genetics , 2012, DOI: 10.1371/journal.pgen.1002743
Abstract:
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