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Wasting among Uganda men with pulmonary tuberculosis is associated with linear regain in lean tissue mass during and after treatment in contrast to women with wasting who regain fat tissue mass: prospective cohort study
Get PDFNutritional changes during and after tuberculosis treatment have not been well described. We therefore determined the effect of wasting on rate of mean change in lean tissue and fat mass as measured by bioelectrical impedance analysis (BIA), and mean change in body mass index (BMI) during and after tuberculosis treatment.Background: Nutritional changes during and after tuberculosis treatment have not been well described. We
therefore determined the effect of wasting on rate of mean change in lean tissue and fat mass as measured by
bioelectrical impedance analysis (BIA), and mean change in body mass index (BMI) during and after tuberculosis
treatment.
Methods: In a prospective cohort study of 717 adult patients, BMI and height-normalized indices of lean tissue
(LMI) and fat mass (FMI) as measured by BIA were assessed at baseline, 3, 12, and 24 months.
Results: Men with wasting at baseline regained LMI at a greater rate than FMI (4.55 kg/m2 (95% confidence interval (CI): 1.26, 7.83 versus 3.16 (95% CI: 0.80, 5.52)) per month, respectively during initial tuberculosis therapy. In contrast, women with wasting regained FMI at greater rate than LMI (3.55 kg/m2 (95% CI: 0.40, 6.70) versus 2.07 (95% CI: -0.74,4.88)), respectively. Men with wasting regained BMI at a rate of 6.45 kg/m2 (95% CI: 3.02, 9.87) in the first three months whereas women, had a rate of 3.30 kg/m2 (95% CI: -0.11, 6.72). There were minimal changes in body composition after month 3 and during months 12 to 24.
Conclusion: Wasted tuberculosis patients regain weight with treatment but the type of gain differs by gender
and patients may remain underweight after the initial phase of treatment
Bibyaano
Get PDFThis book narrates a story of a young girl who was so beautiful in the village and she loved to take care of herselfThis book narrates a story of a young girl who was so beautiful in the village and she loved to take care of hersel
Health-related quality of life in epilepsy patients receiving anti-epileptic drugs at National Referral Hospitals in Uganda: a cross-sectional study
Get PDFThis study estimates the health-related quality of life (HRQOL) and its associated predictors among epilepsy patients receiving AEDs.Background: Epilepsy is a devastating disorder that impacts on patients’ quality of life, irrespective of use of anti-epileptic drugs (AEDs). This study estimates the health-related quality of life (HRQOL) and its associated predictors among epilepsy patients receiving AEDs.
Methods: A total of 175 epilepsy patients already receiving AED for at least 3 months were randomly selected and interviewed from mental clinics at Mulago and Butabika national referral hospitals in Uganda between May - July
2011. A HRQOL index, the primary outcome, was constructed using items from Quality Of Life in Epilepsy Inventory
(QOLIE-31) and the Hospital Anxiety and Depression Scale (HADS) questionnaires. The internal consistency and adequacy of these items was also computed using Cronbach's alpha and Kaiser-Meyer-Olkin tests. Partial correlations were used to evaluate the contribution of the health dimensions (mental, psychological, social, physical functioning and emotional wellbeing) and, multiple linear regressions to determine factors independently associated with HRQOL.
Results: Just about half of the respondents (54%) were males, and nearly two thirds (62%) had received AEDs for at least 12 months. The average age was 26.6 years (SD = 11.1). The overall HRQOL mean score was 58 (SD = 13) on a scale of 0–100. The average scores of different dimensions or subscales ranged from 41 (physical) to 65 (psychological).
At least three quarters (75%) of all subscales had good internal consistency and adequacy. The largest variations in the overall HRQOL were explained by social and mental functioning; each accounting for about 30% of the difference in the HRQOL but seizure control features explained a little (6%) variation. Factors negatively associated with HRQOL were poly-therapy (−1.16, p = 0.01) and frequency of seizures (−2.29, p = 0.00). Other factors associated with overall HRQOL included drug side effects, sex, marital status and education. Duration on AEDs was not a significant predictor of HRQOL.
Conclusion: The HRQOL for epilepsy patients on AEDs is very low. The predictors of low HRQOL were socio factors (marital status, education) and drug side effects, frequency of seizure, and type of therapy
Mulongo Ni Wanasilikhe
Get PDFThis is story of a wild animals which forced itself to associate with human beings and it went a head to eat their food.This is story of a wild animals which forced itself to associate with human beings and it went a head to eat their food
‘‘Men are always scared to test with their partners . . . it is like taking them to the Police’’: Motivations for and barriers to couples’ HIV counselling and testing in Rakai, Uganda: a qualitative study
Get PDFThis study discusses the uptake of couples’ HIV counselling and testing (couples’ HCT) can positively influence sexual risk behaviours and improve linkage to HIV care among HIV-positive couples.Introduction: Uptake of couples’ HIV counselling and testing (couples’ HCT) can positively influence sexual risk behaviours and improve linkage to HIV care among HIV-positive couples. However, less than 30% of married couples have ever tested for HIV together with their partners. We explored the motivations for and barriers to couples’ HCT among married couples in Rakai,
Uganda.
Methods: This was a qualitative study conducted among married individuals and selected key informants between August and October 2013. Married individuals were categorized by prior HCT status as: 1) both partners never tested; 2) only one or both partners ever tested separately; and 3) both partners ever tested together. Data were collected on the motivations for and barriers to couples’ HCT, decision-making processes from tested couples and suggestions for improving couples’ HCT uptake.
Eighteen focus group discussions with married individuals, nine key informant interviews with selected key informants and six in depth interviews with married individuals that had ever tested together were conducted. All interviews were audio-recorded, translated and transcribed verbatim and analyzed using Nvivo (version 9), following a thematic framework approach.
Results: Motivations for couples’ HCT included the need to know each other’s HIV status, to get a treatment companion or seek
HIV treatment together _ if one or both partners were HIV-positive _ and to reduce mistrust between partners. Barriers to couples’ HCT included fears of the negative consequences associated with couples’ HCT (e.g. fear of marital dissolution), mistrust between partners and conflicting work schedules. Couples’ HCT was negotiated through a process that started off with one of the partners testing alone initially and then convincing the other partner to test together. Suggestions for improving couples’
HCT uptake included the need for couple- and male-partner-specific sensitization, and the use of testimonies from tested couples.
Conclusions: Couples’ HCT is largely driven by individual and relationship-based factors while fear of the negative consequences associated with couples’ HCT appears to be the main barrier to couples’ HCT uptake in this setting. Interventions to increase the uptake of couples’ HCT should build on the motivations for couples’ HCT while dealing with the negative consequences associated with couples’ HCT
Umukhasi We Mu Kusaala
Get PDFThis is a story narrating the creatures created by God including human beings.This is a story narrating the creatures created by God including human beings
Population structure and regeneration status of prunus Africana (Hoof.f.) Kalkm. after selective and clear felling in Kibale National Park, Uganda.
Get PDFIn this study, we determined the population density, population structure and regeneration status of P. Africana in the former clear felled, selectively logged and primary forests of kibale National Park, and assessed the effects of dense cover of Acanthus pubescens on its regeneration.Prunus Africana is aglobally threatened indigenous medicinal tree species, and food for many primates. Its population has declined in sub-Saharan Africa due to unsustainable harvest and poor protection. In this study, we determined the population density, population structure and regeneration status of P. Africana in the former clear felled, selectively logged and primary forests of kibale National Park, and assessed the effects of dense cover of Acanthus pubescens on its regeneration. Trees were measured from 180 randomly established plots. The densities of P. Africana seedlings and saplings differed significantly among the three forests while that of poles and mature trees did not. The density of seedlings was significantly higher in the selectively logged than in primary forests. The density of saplings was higher in clear felled than selectively logged forests. Tree density was not negatively affected by A. pubescens cover. Clear felled areas had a more stable population structure with better regeneration, while selectively logged and primary forests had unstable population structures with poor recruitment potential. Our results show that P. Africana regenerates more in intensively disturbed forest areas than less disturbed or primary forests, highlighting the importance of regenerating forests in the conservation of P. Africana
Lwashiina Wanaasi Nabubi Ali Ni Buukyele Shinaane Buunyelele
Get PDFThis book is story telling Insects who lived together and shared responsibilities.This book is story telling Insects who lived together and shared responsibilities
Omusaadha Omugezigezi
Get PDFThis is a children story book.This is a children's story is narrating the leaving habits of one of the wise man and his wife in the villag
Munansi Omunafu
Get PDFThis is a children's story book.This is a children's story narrated on an insect called a spider which was so lazy out of the rest of its fellow insects