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Search Results: 1 - 10 of 239 matches for " Harriet Kisembo "
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Abdominal Sonographic Findings in Severely Immunosuppressed Human Immunodeficiency Virus-Infected Patients Treated for Tuberculosis  [PDF]
Harriet Nalubega Kisembo, Michael Grace Kawooya, Chris Kenyon, William Worodria, Robert Colebunders
Journal of Tuberculosis Research (JTR) , 2014, DOI: 10.4236/jtr.2014.22008
Abstract: Objective: We describe the abdominal sonographic findings among patients with HIV-tuberculosis (TB) co-infection with advanced immune suppression before initiation of ART and relate these findings to the patients’ abdominal symptoms and CD4 T-cell count. Methods: Consecutive HIV-TB co-infected patients, qualifying for ART, were prospectively enrolled in a cohort study at the Mulago National Tuberculosis and Leprosy Programme clinic in Kampala, Uganda. An abdominal ultrasound was performed at enrolment. Results: A total of 209 HIV-TB co-infected patients (76% with pulmonary, 19% with extrapulmonary TB and 5% with extrapulmonary and pulmonary TB) underwent an abdominal ultrasound scan. Only 49 patients (23.4%) had a normal abdominal ultrasound. The following sonographic abnormalities were found: multiple lymphadenopathy (38%), splenomegaly (18%), renal abnormalities (14%), gastro-intestinal tract abnormalities (thickened bowel loops, appendicitis) (13%), splenic abscesses (13%) and ascites (6%). The commonest groups of enlarged lymph nodes were in the porta-hepatis (19%) and peripancreatic (17%) area and 80% of the enlarged lymph nodes were hypoechoic. Conclusion: Most patients with advanced immune suppression and HIV-TB co-infection have sonographic evidence of generalized TB with abdominal involvement, therefore Ultrasound may assist in the early diagnosis of disseminated TB.
High incidence of pulmonary tuberculosis in children admitted with severe pneumonia in Uganda
Josephine M Nantongo, Eric Wobudeya, Ezekiel Mupere, Moses Joloba, Willy Ssengooba, Harriet N Kisembo, Irene R Lubega, Philippa M Musoke
BMC Pediatrics , 2013, DOI: 10.1186/1471-2431-13-16
Abstract: A cross-sectional study was conducted at Mulago, a National Referral and teaching hospital in Uganda. Hospitalised children 2 months to 12 years of age with severe pneumonia based on WHO case definition were enrolledfrom February to June 2011. Children with a previous TB diagnosis or receiving anti-TB treatment were excluded. Each child was screened for TB using Tuberculin skin test, Chest X-ray, induced sputum samples and blood culture for mycobacterium. Sputum smears were examined using fluorescent microscopy, and cultured on both Lowenstein Jensen media (LJ) and Mycobacterial Growth Indicator Tubes (MGIT).Of the 270 children with severe pneumonia who were recruited over a 5-month period in 2011, the incidence ratio of pulmonary TB in children admitted with severe pneumonia was 18.9% (95% CI 14.6 -- 23.9). The proportion of culture confirmed PTB was 6.3% (95% CI 3.8 -- 9.7). Age group under 1 year and 1 to 5 years (OR 2.8 (95%CI 1.7 -- 7.4) and OR 2.4 (95%CI 1.05 -- 5.9) respectively) were more likely to be associated with pulmonary TB compared to those children over 5 years of age. A history of TB smear positive contact was associated with pulmonary TB (OR 3.0 (95% CI 1.3--6.5).We found a high burden of pulmonary TB in children admitted with severe pneumonia. These data highlight the need for TB screening in children admitted with severe pneumonia so as to improve TB case finding and child survival.
Clinical and Radiographic Factors Do Not Accurately Diagnose Smear-Negative Tuberculosis in HIV-infected Inpatients in Uganda: A Cross-Sectional Study
J. Lucian Davis,William Worodria,Harriet Kisembo,John Z. Metcalfe,Adithya Cattamanchi,Michael Kawooya,Rachel Kyeyune,Saskia den Boon,Krista Powell,Richard Okello,Samuel Yoo,Laurence Huang
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0009859
Abstract: Although World Health Organization guidelines recommend clinical judgment and chest radiography for diagnosing tuberculosis in HIV-infected adults with unexplained cough and negative sputum smears for acid-fast bacilli, the diagnostic performance of this approach is unknown. Therefore, we sought to assess the accuracy of symptoms, physical signs, and radiographic findings for diagnosing tuberculosis in this population in a low-income country with a high incidence of tuberculosis.
A Thermodynamic Model for the Global Economy and Its Implications for Macroeconomic Theory and Policy Formulation  [PDF]
Stephen J. Palmer, Harriet Alford
Theoretical Economics Letters (TEL) , 2018, DOI: 10.4236/tel.2018.812173
Abstract: Over recent decades the share of income produced by global the economy has increased for capital and decreased for labour. Picketty’s analysis of wealth and income data implies that there is increasing inequality in income share developing in economies including advanced economies. Further investigation by the International Monetary Fund (IMF), International Labour Organization (ILO) and the Organization for Economic Cooperation and Development (OECD) confirms that capital’s share of income is increasing versus labour’s share but the data does not fit with Picketty’s r > g growth model, instead indicating that technology is involved. This paper presents a physical model concept for an economy and the global economy that explains how and why capital’s share of income is increasing at the expense of labour and what policymakers need to do to adjust this trend. The macroeconomic policies that correct this trend have also significant concomitant benefits—they address strategic risks such as global warming which are physically linked by the way the economy currently functions through technology. Current policy is driving and increasing income inequality. Physical evidence based macroeconomic policymaking such as that advocated in this paper, can manage these long term risks.
Bernardo Atxaga, Obabakoak
Harriet Hulme
Opticon1826 , 2011, DOI: 10.5334/opt.101110
Abstract: In 1992, Bernardo Atxaga’s Obabakoak, a collection of short stories about a mythical village in the Basque Country, was translated into English, to great acclaim. Nearly twenty years later, in January 2011, the announcement of a ceasefire by Basque Separatist group ETA has led to a number of articles, each accompanied by a picture of three masked figures, fists raised, in front of a poster emblazoned with ETA’s motto, Bietan Jarrai (“Keep up on both”). While the ‘mythology’ of this image concentrates and accentuates elements of violence and hostility, Obabakoak offers a different perspective, one which encourages us, as readers, to look beyond the masks.
Year Zero for the Archaeology of Iraq: Some Additional Comments
Harriet Crawford
Papers from the Institute of Archaeology , 2003, DOI: 10.5334/pia.210
Abstract:
New and Little Known Species of Tegenaria (Araneida Agelenidae)
Harriet Exline
Psyche , 1936, DOI: 10.1155/1936/14909
Abstract:
Book review: "Connecting through Music with People with Dementia: A Guide for Caregivers" (R. Rio)
Harriet Powell
Approaches : Music Therapy & Special Music Education , 2011,
Abstract:
The Challenge of Religion After Modernity: Beyond Disenchantment
Harris, Harriet
Ars Disputandi : the Online Journal for Philosophy of Religion , 2003,
Abstract:
Dilmun revisited: excavations at Saar, Bahrain
Harriet Crawford
Archaeology International , 1997, DOI: 10.5334/ai.0111
Abstract: About 2000 BC the island of Bahrain was at the centre of a prosperous trading community - the Early Dilmun civilization - that stretched from Mesopotamia to the Indus Valley. Excavations at the site of Saar have, since 1989, recovered much new information about the layout of the settlement and its local economy and social system.
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