Digital Commons Network^™

Outcomes Of Surgical Tracheostomy On Mechanically Ventilated Covid-19 Patients Admitted To A Private Tertiary Hospital In Tanzania, Nadeem Kassam, Ally Zain, Sajida Panjwani, Kamran Hameed, Samina Somji, Hanifa Mbithe, Fatma Bakshi, Bonvetura Mtega, Gloria Kinasa, Blessing Mathew, Harrison Chuwa

Internal Medicine, East Africa

Objectives: The coronavirus disease 2019 (COVID-19) pandemic has resulted in an increase in the number of patients necessitating prolonged mechanical ventilation. Data on patients with COVID-19 undergoing tracheostomy indicating timing and outcomes are very limited. Our study illustrates outcomes for surgical tracheotomies performed on COVID-19 patients in Tanzania.

Methods: This was a retrospective observational study conducted at the Aga Khan Hospital in Dar es Salaam, Tanzania.

Results: Nineteen patients with COVID-19 underwent surgical tracheotomy between 16 th March and 31st December 2021. All surgical tracheostomies were performed in the operating theatre. The average duration of intubation prior to tracheotomy …

Some Reflections On The Fourth Chilean-German-Tanzanian Legal Talk, James M. Cooper

Faculty Scholarship

On December 3, 2021, the Heidelberg Center for Latin America convened a group of academicians from around the world to explore the way legal pluralism contests values (including the protection of universal human rights), disrupts our national legal systems, and provides for self-determination. The transnational webinar was co-sponsored by the University of Heidelberg and University of Bayreuth of Germany, Universidad de Chile, University of Dar Es Salaam in Tanzania, Faculdades de Campinas in Brasil, as well as California Western School of Law/Proyecto ACCESO in the United States, and the German Academic Exchange Service (DAAD).

The webinar brought together participants with …

Medical Records Management To Support Evidence-Based Medical Practice At Kisii Teaching And Referral Hospital, Kenya, Robert Nyakundi Gisemba Mr, Emily Ngeno Dr, Emily Bosire Dr

Library Philosophy and Practice (e-journal)

This paper presents findings of a Master of Philosophy Degree in Information Sciences undertaken to assess medical records management (MRM) in support of evidence-based medical practices at Kisii Teaching and Referral Hospital (KTRH) with a view of proposing strategies to improve MRM in the hospital. Data was collected through interviews conducted with health records management officers, a system administrator, admission clerks, doctors, clinical officers, and nurses drawn from four departments that create; use; and manage medical records (MR). Findings indicated that KTRH faced several challenges in MRM that impact the provision of health care based on reliable evidence. These challenges …

Effects Of Perpetrator Types And Gender-Based Violence On Condom Use Among Tanzanian Female Sex Workers, Lashonda Hall

Walden Dissertations and Doctoral Studies

HIV status among female sex workers (FSWs) continues to be a significant public health concern. Condom use is associated with HIV cases among FSWs. Gender-based violence (GBV) plays a role in FSWs HIV status. While studies have investigated the relationship between GBV and condom use, little is known about the impact of factors such as perpetrator type and substance use. I aimed to examine whether perpetrator type and substance use affect the relationship between GBV and condom use among FSWs in Tanzania. Secondary data analysis was performed on 1,502 FSWs extracted from the 2020 Tanzanian, John Hopkins Program for International …

Examining Factors Influencing Intention To Use M-Health Applications For Promoting Healthier Life Among Smartphone Users In Tanzania, Herman Mandari, Mahija Yahaya

Journal of International Technology and Information Management

Deaths related with Non-Communicable Diseases (NCDs) have recently increases, similarly, development of mobile technologies have paved a way in which Smartphone users can use m-health applications to address high level of sedentary behaviours that relates to negative health consequences. Therefore, this study was conducted to examine factors which may influence generation Y who are Smartphone users to adopt m-health applications in controlling NCDs in Tanzania. TAM theory was extended with awareness, trust and perceived cost to develop a research conceptual model of this study. Google form was used to developed online questionnaire which was distributed through social media platforms to …

Insights Into The Virulence Of Campylobacter Jejuni Associated With Two-Component Signal Transduction Systems And Single Regulators, Gahamanyi Noel, Dae-Geun Song, Leonard E. G. Mboera, Mecky I. Matee, Dieudonné Mutangana, Raghavendra G. Amachawadi, Erick V. G Komba, Cheol-Ho Pan

All Rsif Scholars' Publications

Abstract

Diagnostic Accuracy Of Computed Tomography In Adults With Suspected Acute Appendicitis At The Emergency Department In A Private Tertiary Hospital In Tanzania, Nyamuryekun'ge Miten, Miten Wr Patel, Ahmed Jusabani, Ali Akbar Zehri, Athar Ali

General Surgery, East Africa

Introduction: The increasing incidence of acute appendicitis in sub-Saharan Africa emphasizes the need for accurate and reliable diagnostic tools. However, the variability in the diagnostic performance of computed tomography for suspected acute appendicitis coupled with comparatively higher negative appendectomy rates in this setting highlight a possible concern regarding the diagnostic accuracy. This study evaluated the diagnostic accuracy of a computed tomography scan for suspected acute appendicitis at the emergency department in Tanzania.

Methods: A retrospective diagnostic accuracy study was conducted from July to October 2020. All patients above 14 years of age who presented at the emergency department with …

Evaluation Of Venous Thromboembolism (Vte) Risk Assessment And Thrombo-Prophylaxis Practices In Hospitalized Medical And Surgical Patients At Aga Khan Hospital Dar Es Salaam: Single-Centre Retrospective Study, Allyzain Ismail, Nikhil Jadawji, Philip Adebayo, Ahmed Jusabani, Kamran Hamid, Ali Akbar Zehri, Willy Kiviri, Authar Ali

General Surgery, East Africa

Introduction: venous thromboembolism is a complication among admitted medical and surgical patients. International guidelines recommend patients are assessed upon admission and appropriate thromboprophylaxis should be initiated. However, studies have shown that thromboprophylaxis for patients at risk of venous thromboembolism is underutilized.

Methods: this was a retrospective study conducted on hospitalized medical and surgical patients at Aga Khan Hospital Dar es salaam from January to June 2019. Patient’s medical records were reviewed and data was collected for analysis of venous thromboembolism assessment and compliance with Caprini risk assessment model. The data was entered into statistical package for the social …

Severe Crohn’S Disease With Intra-Abdominal Fistula: First Reported Case From Tanzania, Nadeem Kassam, Omar Aziz, Eric Aghan, Melchisedeck Mandwa, Caroline Ngimba, Hanifa Mbithe, Salim Surani, Casmir Wambura

Internal Medicine, East Africa

We describe a case of Crohn's disease occurring in a young Tanzanian female. Crohn’s disease is rare in Africa and not encountered normally. The presentation of Crohn’s disease overlaps with many other abdominal disorders that are common in an African setting, such as tuberculosis and schistosomiasis. The disease is probably underdiagnosed in Africa due to limitations in diagnostic testing and rarity.

Delivery Room St Segment Analysis To Predict Short Term Outcomes In Near-Term And Term Newborns, Jørgen Linde, Anne Lee Solevåg, Joar Eilevstjønn, Ladislaus Blacy, Hussein Kidanto, Hege Ersdal, Claus Klingenberg

Obstetrics and Gynaecology, East Africa

Background: ST-segment changes to the fetal electrocardiogram (ECG) may indicate fetal acidosis. No large-scale characterization of ECG morphology immediately after birth has been performed, but ECG is used for heart rate (HR) assessment. We aimed to investigate ECG morphology immediately after birth in asphyxiated infants, using one-lead dry-electrode ECG developed for HR measurement.

Methods: Observational study in Tanzania, between 2013-2018. Near-term and term infants that received bag-mask ventilation (BMV), and healthy controls, were monitored with one-lead dry-electrode ECG with a non-diagnostic bandwidth. ECGs were classified as normal, with ST-elevations or other ST-segment abnormalities including a biphasic ST-segment. We analyzed ECG …

Strategies To Mitigate Voluntary Employee Turnover, Mutale Chilangwa Chisela

Walden Dissertations and Doctoral Studies

AbstractBanking leaders are negatively affected when employees voluntarily leave their employment. Banking leaders who implement strategies can enhance employee satisfaction to mitigate voluntary employee turnover. Grounded in the transformational leadership theory, the purpose of this qualitative multiple-case study was to explore strategies some banking leaders use to mitigate voluntary employee turnover. Participants were five banking leaders from local and international banks, four banks in Lusaka, Zambia, and one bank in Dar es Salaam, Tanzania, who successfully implemented strategies to mitigate voluntary employee turnover. Data were collected from semistructured interviews and company documents and analyzed using Yin’s five phases. Three themes …

Resource Development For Mission Achievement In Tanzania’S Rural Ngos, Aine Onesmo Robert Mushi

Walden Dissertations and Doctoral Studies

Failure of most rural-based nongovernmental organizations (NGOs) in Tanzania to accomplish their mission objectives effectively is a challenge that impacts most of the rural population. Researchers have yet been able to establish what resource development strategies could help rural-based NGOs accomplish their mission objectives. The purpose of this study was to examine resource development measures and management activities currently implemented by local NGOs in a rural district of Tanzania for mission achievement. The resource dependence perspective was applied to frame the research questions on what resource development measures and management activities support the local rural-based NGOs to achieve their mission …

Strategies To Mitigate Voluntary Employee Turnover, Mutale Chilangwa Chisela

Walden Dissertations and Doctoral Studies

AbstractBanking leaders are negatively affected when employees voluntarily leave their employment. Banking leaders who implement strategies can enhance employee satisfaction to mitigate voluntary employee turnover. Grounded in the transformational leadership theory, the purpose of this qualitative multiple-case study was to explore strategies some banking leaders use to mitigate voluntary employee turnover. Participants were five banking leaders from local and international banks, four banks in Lusaka, Zambia, and one bank in Dar es Salaam, Tanzania, who successfully implemented strategies to mitigate voluntary employee turnover. Data were collected from semistructured interviews and company documents and analyzed using Yin’s five phases. Three themes …

Resource Development For Mission Achievement In Tanzania’S Rural Ngos, Aine Onesmo Robert Mushi

Walden Dissertations and Doctoral Studies

Failure of most rural-based nongovernmental organizations (NGOs) in Tanzania to accomplish their mission objectives effectively is a challenge that impacts most of the rural population. Researchers have yet been able to establish what resource development strategies could help rural-based NGOs accomplish their mission objectives. The purpose of this study was to examine resource development measures and management activities currently implemented by local NGOs in a rural district of Tanzania for mission achievement. The resource dependence perspective was applied to frame the research questions on what resource development measures and management activities support the local rural-based NGOs to achieve their mission …

A Language For The World: The Standardization Of Swahili, Morgan J. Robinson

Ohio University Press Open Access Books

This intellectual history of Standard Swahili explores the long-term, intertwined processes of standard making and community creation in the historical, political, and cultural contexts of East Africa and beyond.

Morgan J. Robinson argues that the portability of Standard Swahili has contributed to its wide use not only across the African continent but also around the globe. The book pivots on the question of whether standardized versions of African languages have empowered or oppressed. It is inevitable that the selection and promotion of one version of a language as standard—a move typically associated with missionaries and colonial regimes—negatively affected those …

Effects Of Annealing Ambient On The Structural, Optical And Electrical Properties Of Tio2:Ge Thin Films, Lilian A. Owino, Sebastian Waita, Robinson J. Musembi, Francis W. Nyongesa

All Grantees Publications

TiO2, a semiconducting material with a wide energy band gap, has been researched intensively due to its interesting properties and many potential applications. The films properties can as well be modified by preparing the films under diverse ambient to suit diverse applications. In this work, the effects of the annealing atmosphere on the structural, optical and electrical properties of pure TiO2 and TiO2:Ge composite thin films deposited by sputtering from commercially available pure TiO2 and TiO2:Ge (85:15) targets respectively were studied. The films were deposited on fluorine doped tin oxide glass substrates by radio frequency magnetron sputtering technique at room …

Library Newsletter : Issue 3 - 2022, Office Of The University Librarian

Office of the University Librarian Reports

CONTENT:

- Message by Peter Gatiti Associate Vice Provost & University Librarian

- Reading for Children

- Gilgit-Biltistan School Digital Library

- When Writing Hurts

- Library and CHS Collaborate with WHO on SHRH

- What to Read?

- EBSCO Discovery Service

- AKU Athor's Day

Food Security Through Disaster Planning In Tanzania: How Agriculture-Based Disaster Preparedness Can Improve Food Security In Tanzania, Savannah A. Emerich

Masters Theses

In Tanzania, half the population lives below the poverty line and suffers from food insecurity. Of the population, women and children primarily suffer from malnutrition due to food insecurity. For Tanzania, the problem is so severe that some women do not name their newborns for weeks or months due to their unlikely survival. This problem worsens for those who have a significant reliance on agriculture and live in the nation’s rural areas. These rural communities face more traumatic burdens when floods and droughts destroy crops, fields, and tools and ruin livelihoods. A solution has not been implemented thus far due …

Epstein-Barr Virus, But Not Human Papillomavirus, Is Associated With Preinvasive And Invasive Ocular Surface Squamous Neoplasias In Zambian Patients, Peter Julius, Stepfanie N. Siyumbwa, Phyllis Moonga, Fred Maate, Trevor Kaile, Gleb Haynatski, Veenu Minhas, Jazmine Snow, Kerstin Peterson, Patience Gihozo, Sam Streeter, Salan Kaur, Annika Evans, Daniela Gonzalez, Kandali Samwel, Guobin Kang, John T. West

LSU-LCMC Cancer Center Faculty Publications

BACKGROUND: The etiopathogenesis of ocular surface squamous neoplasia (OSSN) is not fully understood. We assessed the frequency of oncogenic viruses in OSSN by immunohistochemistry (IHC) and polymerase chain reaction (PCR) for human papillomavirus (HPV), Epstein-Barr virus (EBV), Merkel cell polyomavirus (MCPyV), Kaposi sarcoma virus, and adenovirus. Cases from Zambia were prospectively enrolled using a cross-sectional study design between November 2017 and March 2020. METHODS: Demographic and clinical data [age, sex, HIV status, antiretroviral therapy (ART) history, CD4 count, plasma viral load] and tumor biopsies were collected from 243 consenting patients. Tumor samples were bisected, and half was used for DNA …

Cervical Cancer In Northern Tanzania–What Do Women Living With Hiv Know, Dorah Mrema, James Samwel Ngocho, Alex Mremi, Maryam Amour, Rogathe Machange, Benjamin C Shayo, Julius P Alloyce, Evaline Ndosi, Beatus T Shirima, Device Fande, Rahma Shehoza, Emmanuel Balandya, Bruno Sunguya, Stephen E Mshana, Alfred K Mteta, Eligius Lyamuya, John Bartlett, Blandina T Mmbaga

Faculty, Staff and Students Publications

BACKGROUND: Cervical cancer (CC) is more prevalent in women living with human immunodeficiency virus (HIV) infection compared to the general population. The magnitude is high among all countries burdened with HIV-Tanzania is no exception. Despite the unprecedented risk, women living with HIV (WLHIV) may not be aware of the risk and might have unfounded beliefs thereof. This study aimed to determine the knowledge, awareness, and beliefs on CC screening among WLHIV attending a clinic at the Kilimanjaro Christian Medical Centre (KCMC) in Northern Tanzania.

METHODS: This hospital-based cross-sectional study was conducted among 327 WLHIV attending care and treatment clinic (CTC) …

The Relationship Between Single-Parent Families And Academic Performance, Hao Yang

Chulalongkorn University Theses and Dissertations (Chula ETD)

No abstract provided.

ผลกระทบของโครงการเงินโอนอย่างมีเงื่อนไขต่อผลลัพธ์ทางสุขภาพและการศึกษา: กรณีศึกษาของกองทุนเพื่อสังคมของประเทศแทนซาเนีย, พีรวัช สุริยบูรพกูล

Chulalongkorn University Theses and Dissertations (Chula ETD)

วิทยานิพนธ์ฉบับนี้มีวัตถุประสงค์ในการประเมินผลกระทบของโครงการนำร่องเงินโอนอย่างมีเงื่อนไขแบบชุมชนของประเทศแทนซาเนียต่อผลลัพธ์ทางด้านสุขภาพของครัวเรือน 5 ด้าน ผลลัพธ์ด้านสุขภาพของเด็กแรกคลอด 7 ด้าน ผลลัพธ์ด้านการศึกษา 4 ด้าน และผลลัพธ์ที่เกี่ยวข้องกับชุมชน 4 ด้าน โดยใช้ชุดข้อมูลทุติยภูมิที่ทำการสำรวจในช่วงปี พ.ศ. 2552 – 2555 ทั้งหมด 3 รอบสำรวจ สำหรับกลุ่มตัวอย่างในวิทยานิพนธ์นี้ คือ ครัวเรือนที่ให้สัมภาษณ์ครบทั้ง 3 รอบสำรวจ ประกอบไปด้วยกลุ่มได้รับประโยชน์จากโครงการ 1,510 คนจาก 795 ครัวเรือน และกลุ่มไม่ได้รับประโยชน์จากโครงการ 3,093 คนจาก 828 ครัวเรือน รวมเป็นจำนวน 4,603 คน จาก 1,689 ครัวเรือน วิทยานิพนธ์นี้ใช้ทฤษฎีฟังก์ชั่นการผลิตในการอธิบายปัจจัยที่ส่งผลต่อผลลัพธ์ที่ต้องการศึกษา และประมาณการผลลัพธ์ด้วยแบบจำลอง Difference-in-Differences ผลการศึกษา พบว่า ในด้านสุขภาพ กลุ่มได้รับประโยชน์ในภาพรวมมีการรับประทานยาขณะป่วยและเต็มใจจ่ายค่ารักษาพยาบาลเพิ่มขึ้น และเด็กแรกคลอดมีดัชนีส่วนสูงเทียบอายุ และส่วนสูงเพิ่มขึ้น ในด้านการศึกษา ผู้ปกครองของเด็กนักเรียนมีความเต็มใจจ่ายค่าธรรมเนียมการศึกษาเพิ่มขึ้น อย่างไรก็ตามโครงการไม่มีผลกระทบต่อผลลัพธ์ที่เกี่ยวข้องกับชุมชนอย่างมีนัยสำคัญทางสถิติ นอกจากนี้ ยังพบว่า การประกอบอาชีพ การศึกษาที่โรงเรียน ระดับฐานะทางการเงิน และคุณภาพของศูนย์สุขภาพในชุมชน ส่งผลเชิงบวกต่อสุขภาพของกลุ่มตัวอย่าง ในขณะที่สุขภาพของเด็กแรกคลอดมีความสัมพันธ์เชิงบวกกับการมีชีวิตอยู่ของแม่ การได้รับวัคซีนในสัปดาห์แรก และการไม่มีภาวะบวมน้ำ ส่วนการศึกษาของเด็กนักเรียนมีความสัมพันธ์เชิงบวกต่อสินทรัพย์ของเด็กนักเรียน และการมีบัญชีธนาคาร ผลการศึกษาในวิทยานิพนธ์นี้ชี้ให้เห็นว่าโครงการ TASAF ช่วยเพิ่มพูนทุนมนุษย์ทั้งในมิติสุขภาพ และมิติการศึกษา รวมถึงช่วยลดความเหลื่อมล้ำในกระบวนการสะสมทุนมนุษย์ อันเกิดจากความแตกต่างในระดับฐานะทางเศรษฐกิจและสังคมของแต่ละครัวเรือนได้ ผลการศึกษานี้มีนัยต่อการออกแบบโครงการเงินโอนอย่างมีเงื่อนไขในประเทศที่มีทรัพยากรจำกัดอื่น ๆ