African health sciences
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African health sciences · Jun 2022
Outcome and prognostic markers of cirrhotic and non-cirrhotic patients admitted to a hepatology ICU in a tertiary care university hospital.
Patients with decompensated liver cirrhosis are not given priority for ICU admission in the settings of limited place availability. Recently, advances in medical care led to improvement in their survival. Our aim is to study the outcome of patients admitted to our hepatology ICU. ⋯ The mortality of cirrhotic patients admitted to ICU is not higher than non-cirrhotic patients. SOFA score is a good prognostic indicator in patients with cirrhosis.
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African health sciences · Jun 2022
The diagnostic upper GI endoscopy camp: a pilot for enhancing service provision and training in eastern Uganda.
Upper gastrointestinal (UGI) symptoms are common in East Africa but there is limited diagnostic endoscopy availability. Surgical camps are a recognised method of providing intensive service provision and training. We describe a novel application of the camp model for diagnostic UGI endoscopy in eastern Uganda. ⋯ Our pilot has illustrated that camps are a safe and efficient way of providing intense endoscopy service and training in an established department. Camps can be utilised for scaling up much needed endoscopy services and training in low- and middle-income countries.
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African health sciences · Jun 2022
Factors impacting sustainability of community health worker programming in rural Uganda: a qualitative study.
Despite significant global progress towards decreased child mortality in past decades, maternal and child mortality continues to be high, especially in sub Saharan Africa. Most of these deaths are preventable with known interventions. Community health workers (CHWs) are well-positioned to promote these life-saving interventions; however, sustaining CHW programs remains a challenge. ⋯ To sustain CHW programs in rural Uganda and globally, planners, policymakers and funders should maximize community engagement in establishing CHW networks and strengthen accountability, supply chains and linkages with communities and health facilities.
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African health sciences · Jun 2022
Ultrasonographically detected hepatosteatosis independently predicts the presence and severity of coronary artery disease.
Nonalcoholic fatty liver disease (NAFLD) has shown to be associated with coronary artery disease (CAD). ⋯ Ultrasonographically detected hepatosteatosis independently predicts the presence and severity of CAD.
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African health sciences · Jun 2022
Predictors of exclusive breastfeeding practice among nursing mothers attending a health care facility in a peri-urban setting in Lagos State, Nigeria.
The Nigerian government initiated various national infant and young child feeding programmes (1992-2005) to improve juveniles well-being. Despite these efforts, under-five children feeding related diseases and mortality still escalate. Investigating the drivers of exclusive breastfeeding (EBF) is exigent in tackling this menace. ⋯ Age of index child, marriage type, maternal education, marital status and nature of delivery independently predicted EBF practice.