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Adaptation and Coping among East African Immigrants in North America
Get PDFThis study investigated cross-cultural adaptation and coping among East African immigrants in North America.Immigrants are faced with the challenge of adapting to a culture different from their own.
Successful adaptation includes socio-cultural adaptation, psychological adjustment, and coping.
This study investigated cross-cultural adaptation and coping among East African immigrants in
North America. Participants in this study were 51 individuals of East African origin who were over 20 years of age, residing in North America and recruited through a snowballing procedure.
Participants completed the Acculturation Index, Socio-Cultural Adaptation Scale, and Center for Epidemiologic Studies Depression Scale, Ways of Coping Checklist (Revised), and a demographic questionnaire using Survey Monkey. Data analysis utilized SPSS. Independent samples-t- tests and Pearson product-moment correlations were conducted. Results indicated that there was no statistically significant difference in socio-cultural adaptation by: acculturation, coping, and migration with family. Additionally, there was no statistically significant difference in psychological adjustment by acculturation and participation in a faith community. Results revealed a positive correlation between psychological adjustment and socio-cultural adaptation, and a statistically significant difference in socio-cultural adaptation by participation in faith community. Further research into adaptation and coping among East African immigrants is recommende
Transition from F-75 to ready-to-use therapeutic food in children with severe acute malnutrition, an observational study in Uganda
Get PDFAn observational study was conducted among children aged 6–59 months treated for SAM at Mulago hospital, Kampala, Uganda.Background
World Health Organization now recommends the transition from F-75 to ready-to-use therapeutic foods (RUTF) in the management of severe acute malnutrition (SAM). We described the transition from F-75 to RUTF and identified correlates of failed transition.
Methods
We conducted an observational study among children aged 6–59 months treated for SAM at Mulago hospital, Kampala, Uganda. Therapeutic feeding during transition phase was provided by first offering half of the energy requirements from RUTF and the other half from F-75 and then increasing gradually to RUTF as only energy source. The child was considered to have successfully transitioned to RUTF if child was able to gradually consume up to 135 kcal/kg/day of RUTF in the transition phase on first attempt. Failed transition to RUTF included children who failed the acceptance test or those who had progressively reduced RUTF intake during the subsequent days. Failure also included those who developed profuse diarrhoea or vomiting when RUTF was ingested.
Results
Among 341 of 400 children that reached the transition period, 65% successfully transitioned from F-75 to RUTF on first attempt while 35% failed. The median (IQR) duration of the transition period was 4 (3–8) days. The age of the child, mid-upper arm circumference, weight-for-height z-score and weight at transition negatively predicted failure. Each month increase in age reflected a 4% lower likelihood of failure (OR 0.96 (95% CI 0.93; 0.99). Children with HIV (OR 2.73, 95% CI 1.27; 5.85) and those rated as severely ill by caregiver (OR 1.16, 95% CI: 1.02; 1.32) were more likely to fail. At the beginning of the rehabilitation phase, the majority (95%) of the children eventually accepted RUTF while only 5% completed rehabilitation in hospital on F-100.
Conclusion
Transition from F-75 to RUTF for hospitalized children with SAM by gradual increase of RUTF was possible on first attempt in 65% of cases. Younger children, severely wasted, HIV infected and those with severe illness as rated by the caregiver were more likely to fail to transit from F-75 to RUTF on first attempt
Ekituli mu linnyo
Get PDFThis book demonstrates a very painful toothThis book demonstrates a very painful toot
Uganda should not liberalize abortion laws
Get PDFThis is a white paper on liberalization of abortion in UgandaThis paper explains the solid grounds on which Uganda should stand to refuse the push to liberalize its laws regarding abortions. The first section traces the construction of the ‘Right to Abortion’ in order to provide context. It also discusses the linguistic shift that is taking place in reference to abortion which is purposefully used to gradually change the conventional Ugandan paradigm on abortion. The second section explains the misguided understanding of human rights that underlies the basic push for the liberalization. The third one deals with international and domestic legal provisions on abortion. It explains why Uganda is not legally required to change its abortion laws under the governing domestic or international law. The next section adds more logical and factual evidence why Uganda should not liberalize it abortion laws, presenting viable and serious reasons for this position. There is also a section that discusses the long-term national security threat and human resource problems that may emerge from a liberalized abortion climate. The last section sets out suggestions and recommendations that the Ugandan government could take in order to make its society stronger. Overall, the paper presents the position that Uganda should take regarding the liberalization of its abortion laws. Liberalizing would be counter to the protection of its national interests, values and its cultural norms, as well as being unacceptable for medical, social, economic, and other reasons
(Colour – in) Lumasaba P—Ts
No full textThis book demonstrates colouring different pictures in Lumasaba language.This book is on mainly colouring different pictures in Lumasaba language from Letter P to T
7. Omukwano gwa maama
No full textThis book demonstrates a mother’s love to her ChildrenThis book demonstrates a mother’s love to her Childre
Pediatric Inpatient Antibiotic Prescription Practices in the Chain Network Hospitals at Baseline
Get PDFThis analysis describes adherence to antibiotic guidelines during the first 48 hours of admission. Adherence was defined as a regimen consistent with institutional, national, or international recommendations.Antimicrobial resistance (AMR) is a growing global concern. Antibiotic stewardship is being promoted to reduce AMR. However, few studies have documented inpatient antibiotic prescription practices in low resource settings. We audited the 240 clinical notes of 2-23 month-old inpatient children in Bangladesh (2), Kenya (3), Malawi (1), Pakistan (1) and Uganda (1) as part of a baseline assessment in a study to identify risk factors for mortality in acutely ill inpatients, particularly in undernourished children. This analysis describes adherence to antibiotic guidelines during the first 48 hours of admission. Adherence was defined as a regimen consistent with institutional, national, or international recommendations.
The cases reviewed included diagnoses of diarrhea (n:107), severe acute malnutrition (n:101), pneumonia (n:76), malaria (n:35), sepsis (n:25), meningitis (n:12), and shock (n:8). Antibiotics were prescribed to 98% with at least one documented indication for antibiotics (n:173); 80% of these were consistent with recommended regimens. Antibiotics were prescribed in 93% of admitted diarrhea cases, 85% of whom had a comorbidity warranting antimicrobials (n:85) or dysentery (n:1). Among children with malaria noted as a diagnosis and without a documented indication for antibiotics (n:22), those who did not receive a malaria test (n:6) were all prescribed antibiotics. In comparison, 63% of those with a documented positive malaria test (n:16) were prescribed antibiotics without indication. Among those with diarrhea (n:15) and malaria (n:16) without a documented indication for antibiotics, 58% were prescribed an antimicrobial regimen consistent with treatment for a severe bacterial infection. Antibiotics were almost universally prescribed when indicated and adherence to a recommend regimen was comparable to other studie
Omukwano
Get PDFThis is a children story book.This is a children's story about a man who had no hope that he would feed his own animals, due to the breakdown of the drought in the village
Omukyala
No full textThis book demonstrates what is so special about womenThis book demonstrates what is so special about womenThis book demonstrates what is so special about wome
Delaying the start of iron until 28 days after antimalarial treatment is associated with lower incidence of subsequent illness in children with malaria and iron deficiency
Get PDFThe study determined whether delaying iron until 28 days after antimalarial treatment in children with coexisting iron deficiency and malaria is associated with a difference in the risk of subsequent illness compared to the standard of care concurrent iron therapy, we analyzed morbidity data from our previous trial to investigate the frequency and incidence of physician-diagnosed episodes of illness over the 56-day follow-up period.We evaluated the incidence of all-cause and malaria-specific clinic visits during follow-up of a recent trial of iron therapy. In the main trial, Ugandan children 6–59 months with smear-confirmed malaria and iron deficiency [zinc protoporphyrin (ZPP > = 80 μmol/mol heme)] were treated for malaria and randomized to start a 27-day course of oral iron concurrently with (immediate group) or 28 days after (delayed group) antimalarial treatment. All children were followed for the same 56-day period starting at the time of antimalarial treatment (Day 0) and underwent passive and active surveillance for malaria and other morbidity for the entire follow-up period. All ill children were examined and treated by the study physician. In this secondary analysis of morbidity data from the main trial, we report that although the incidence of malaria-specific visits did not differ between the groups, children in the immediate group had a higher incidence rate ratio of all-cause sick-child visits to the clinic during the follow-up period (Incidence Rate Ratio (IRR) immediate/delayed = 1.76; 95%CI: 1.05–3.03, p = 0.033). Although these findings need to be tested in a larger trial powered for malaria-specific morbidity, these preliminary results suggest that delaying iron by 28 days in children with coexisting malaria and iron deficiency is associated with a reduced risk of subsequent all-cause illness