المؤلفون: Muñoz-Mas, Rafael, Sánchez-Hernández, Javier, Martinez-Capel, Francisco, Tamatamah, Rashid, Mohamedi, Shafi, Massinde, Richard, McClain, Michael E.

المساهمون: Universitat Politècnica de València. Departamento de Ingeniería Hidráulica y Medio Ambiente - Departament d'Enginyeria Hidràulica i Medi Ambient, Universitat Politècnica de València. Instituto de Investigación para la Gestión Integral de Zonas Costeras - Institut d'Investigació per a la Gestió Integral de Zones Costaneres, Xunta de Galicia, IHE Delft Institute for Water Education, Generalitat de Catalunya, United States Agency for International Development, Agencia Estatal de Investigación, Ministerio de Economía y Competitividad

مصطلحات موضوعية: Constrained additive ordination, Environmental drivers, Environmental flow assessment, Fish communities, Fuzzy rule-based system, Stream-dwelling fish, TECNOLOGIA DEL MEDIO AMBIENTE

الوصف: [EN] Environmental flow assessment (EFA) involving microhabitat preference models is a common approach to set ecologically friendly flow regimes in territories with ongoing or planned projects to develop river basins, such as many rivers of Eastern Africa. However, habitat requirements of many African fish species are poorly studied, which may impair EFAs. This study investigated habitat preferences of fish assemblages, based on species presence-absence data from 300 microhabitats collected in two tributaries of the Kilombero River (Tanzania), aiming to disentangle differences in habitat preferences of African species at two levels: assemblage (i.e. between tributaries) and species (i.e. species-specific habitat preferences). Overall, flow velocity, which implies coarser substrates and shallower microhabitats, emerged as the most important driver responsible of the changes in stream-dwelling assemblages at the microhabitat scale. At the assemblage level, we identified two important groups of species according to habitat preferences: (a) cover-orientated and limnophilic species, including Barbus spp., Mormyridae and Chiloglanis deckenii, and (b) rheophilic species, including Labeo cylindricus, Amphilius uranoscopus and Parakneria spekii. Rheophilic species preferred boulders, fast flow velocity and deeper microhabitats. At the species level, we identified species-specific habitat preferences. For instance, Barbus spp. preferred low flow velocity shallow depth and fine-to-medium substratum, whereas L. cylindricus and P. spekii mainly selected shallow microhabitats with coarse substrata. Knowledge of habitat preferences of these assemblages and species should enhance the implementation of ongoing and future EFA studies of the region. ; We thank C. Alexander and an anonymous referee for constructive comments on the submitted manuscript. This study was financed by the United States Agency for International Development (USAID) as part of the Technical Assistance to Support the Development of Irrigation and Rural Roads ...

العلاقة: info:eu-repo/grantAgreement/USAID//IRRIP2; info:eu-repo/grantAgreement/USAID//I2C; Ecology Of Freshwater Fish; info:eu-repo/grantAgreement/Generalitat de Catalunya//2017 SGR 548/; info:eu-repo/grantAgreement/MINECO//FJCI-2016-30829/; info:eu-repo/grantAgreement/MINECO//CGL2016-80820-R/; info:eu-repo/grantAgreement/AEI//PCIN-2016-168/ES/ODYSSEUS/; https://doi.org/10.1111/eff.12469Test; urn:issn:0906-6691; http://hdl.handle.net/10251/155699Test

الإتاحة: https://doi.org/10.1111/eff.12469Test
http://hdl.handle.net/10251/155699Test

المؤلفون: Shakur, H, Roberts, I, Fawole, B, Chaudhri, R, El-Sheikh, M, Akintan, A, Qureshi, Z, Kidanto, H, Vwalika, B, Abdulkadir, A, Etuk, S, Noor, S, Asonganyi, E, Alfirevic, Z, Beaumont, D, Ronsmans, C, Arulkumaran, S, Grant, A, Afsana, K, Gulmezoglu, M, Hunt, B, Olayemi, O, Chalmers, I, Lumbiganon, P, Piaggio, G, Brady, T, Elbourne, D, Balogun, E, Pepple, T, Prowse, D, Quashi, N, Barneston, L, Barrow, C, Cook, L, Frimley, L, Gilbert, D, Gilliam, C, Jackson, R, Kawahara, T, Miah, H, Kostrov, S, Ramos, M, Edwards, P, Godec, T, Huque, S, Okunade, O, Adetayo, O, Kayani, A, Javaid, K, Biryabarema, C, Tchounzou, R, Regmi, M, Dallaku, K, Sahani, M, Akhter, S, Meda, N, Dah, AK, Odekunle, O, Monehin, O, Ojo, A, Akinbinu, G, Offiah, I, Akpan, U, Udofia, U, Okon, U, Omoronyia, E, James, O, Bello, N, Adeyemi, B, Aimakhu, C, Akinsanya, O, Adeleye, B, Adeyemi, O, Oluwatosin, K, Aboyeji, A, Adeniran, A, Adewale, A, Olaomo, N, Omo-Aghoja, L, Okpako, E, Oyeye, L, Alu, F, Ogudu, J, Ladan, E, Habib, I, Okusanya, B, Onafowokan, O, Isah, D, Aye, A, Okogbo, F, Aigere, E, Ogbiti, M, Onile, T, Salau, O, Amode, Y, Shoretire, K, Owodunni, A, Ologunde, K, Ayinde, A, Alao, M, Awonuga, O, Awolaja, B, Adegbola, O, Habeebu-Adeyemi, F, Okunowo, A, Idris, H, Okike, O, Madueke, N, Mutihir, J, Joseph, N, Adebudo, B, Fasanu, A, Akintunde, O, Abidoye, O, Opreh, O, Udonwa, S, Dibia, G, Bazuaye, S, Ifemeje, A, Umoiyoho, A, Inyang-Etoh, E, Yusuf, S, Olayinka, K, Ajenifuja, O, Ibrahim, U, Adamu, YB, Akinola, O, Adekola-Oni, G, Kua, P, Iheagwam, R, Idrisa, A, Geidam, A, Jogo, A, Agulebe, J, Ikechebelu, J, Udegbunam, O, Awoleke, J, Adelekan, O, Sulayman, H, Ameh, N, Onaolapo, N, Adelodun, A, Golit, W, Audu, D, Adeniji, A, Oyelade, F, Dattijo, L, Henry, P, Loto, O, Umeora, O, Onwe, A, Nzeribe, E, Okorochukwu, B, Adeniyi, A, Gbejegbe, E, Ikpen, A, Nwosu, I, Sambo, A, Ladipo, O, Abubakar, S, Okike, ON, Nduka, EC, Ezenkwele, EP, Onwusulu, D, Irinyenikan, TA, Singh, S, Bariweni, A, Galadanci, H, Achara, P, Gana, M, Jabeen, K, Mobeen, A, Mufti, S, Zafar, M, Ahmad, B, Munawar, M, Gul, J, Usman, N, Shaheen, F, Tariq, M, Sadiq, N, Batool, R, Ali, HS, Jaffer, M, Baloch, A, Mukhtiar, N, Ashraf, T, Asmat, R, Khudaidad, S, Taj, G, Qazi, R, Dars, S, Sardar, F, Ashfaq, S, Majeed, S, Jabeen, S, Karim, R, Burki, F, Bukhari, SR, Gul, F, Jabeen, M, Sherin, A, Ain, Q, Rao, S, Shaheen, U, Manzoor, S, Masood, S, Rizvi, S, Ali, A, Sajid, A, Iftikhar, A, Batool, S, Dar, L, Sohail, S, Rasul, S, Humayun, S, Sultana, R, Mazhar, S, Batool, A, Nazir, A, Tasnim, N, Masood, H, Khero, R, Surhio, N, Aleem, S, Israr, N, Javed, S, Bashir, L, Iqbal, S, Aleem, F, Sohail, R, Dojki, S, Bano, A, Saba, N, Hafeez, M, Akram, N, Shaheen, R, Hashmi, H, Arshad, S, Hussain, R, Khan, S, Shaheen, N, Khalil, S, Sachdev, P, Arain, G, Zarreen, A, Saeed, S, Hanif, S, Tariq, N, Jamil, M, Chaudhry, S, Rajani, H, Wasim, T, Aslam, S, Mustafa, N, Quddusi, H, Karim, S, Sultana, S, Harim, M, Chohan, M, Salman, N, Waqar, F, Sadia, S, Kahloon, L, Amin, S, Akram, U, Ikram, A, Kausar, S, Batool, T, Kyani, BNT, Bulime, R, Akello, R, Lwasa, BN, Ayikoru, J, Namulwasira, C, Komagum, P, Rebecca, I, Annet, N, Nuulu, N, Nionzima, E, Bwotya, R, Nankya, M, Babirye, S, Ngonzi, J, Sanchez, C, Innocent, N, Anitah, K, Jackson, A, Ndagire, E, Drametu, D, Meregurwa, G, Banya, F, Atim, R, Martyrs, U, Byaruhanga, E, Iman, H, Oyiengo, V, Waigi, P, Wangui, R, Nassir, F, Soita, M, Msengeti, R, Zubier, Z, Mabeya, H, Wanjala, A, Mwangi, H, Liyayi, B, Muthoka, E, Osoti, A, Otara, A, Ongwae, V, Wanjohi, V, Musila, B, Wekesa, K, Bosire, AN, Ntem, A, Njoache, A, Ashu, A, Simo, A, Keka, D, Bruno, K, Ndouoya, A, Saadio, M, Tchana, M, Gwan, O, Assomo, P, Mutsu, V, Eric, N, Foumane, P, Nsem, P, Fouedjio, J, Fouelifack, Y, Tebeu, PM, Nabag, W, Desougi, R, Mustafa, H, Eltaib, H, Umbeli, T, Elfadl, K, Ibrahim, M, Mohammed, A, Abdelrahiem, S, Musa, M, Bushra, M, Babiker, O, Abdullahi, H, Ahmed, M, Rayis, D, Abdelgabar, SA, Houghton, G, Sharpe, A, Thornton, J, Grace, N, Smith, C, Hinshaw, K, Edmundson, D, Ayuk, P, Bates, A, Bugg, G, Wilkins, J, Tower, C, Allibone, A, Kazumari, A, Danford, A, Ngarina, M, Abeid, M, Mayumba, K, Zacharia, M, Mtove, G, Madame, L, Massinde, A, Mwambe, B, Ganyaka, SK, Gupta, S, Bhatt, R, Agrawal, A, Pradhan, P, Dhakal, N, Yadav, P, Karki, G, Shrestha, BR, Lubeya, M, Mumba, J, Silwimba, W, Hansingo, I, Bopili, N, Makukula, Z, Kawimbe, A, Lubeya, MK, Mtambo, W, Ng'ambi, M, Cenameri, S, Tasha, I, Kruja, A, Brahimaj, B, Kaza, L, Tshombe, D, Buligho, E, Paluku-Hamuli, R, Kacha, C, Faida, K, Musau, B, Kalyana, H, Simisi, P, Mulyumba, S, Jason, NK, Lubamba, JR, Missumba, W, Islam, F, Begum, N, Chowdhury, F, Begum, R, Basher, F, Nargis, N, Kholdun, A, Jesmin, S, Paul, S, Segni, H, Ayana, G, Haleke, W, Hussien, H, Geremew, F, Bambara, M, Some, A, Ly, A, Pabakba, R, Fletcher, H, Samuels, L, Opare-Addo, H, Larsen-Reindorf, R, Nyarko-Jectey, K, Mola, G, Wai, M, El Rahman, M, Basta, W, Khamis, H, Escobar, MF, Vallecilla, L, Faye, GE, WOMAN Trial Collaborators, Steering Committee, Protocol Committee, Trial Coordinating Team, Nigeria Coordinating Team, Pakistan Coordinating Team, National Coordinators

الوصف: Background Post-partum haemorrhage is the leading cause of maternal death worldwide. Early administration of tranexamic acid reduces deaths due to bleeding in trauma patients. We aimed to assess the effects of early administration of tranexamic acid on death, hysterectomy, and other relevant outcomes in women with post-partum haemorrhage. Methods In this randomised, double-blind, placebo-controlled trial, we recruited women aged 16 years and older with a clinical diagnosis of post-partum haemorrhage after a vaginal birth or caesarean section from 193 hospitals in 21 countries. We randomly assigned women to receive either 1 g intravenous tranexamic acid or matching placebo in addition to usual care. If bleeding continued after 30 min, or stopped and restarted within 24 h of the first dose, a second dose of 1 g of tranexamic acid or placebo could be given. Patients were assigned by selection of a numbered treatment pack from a box containing eight numbered packs that were identical apart from the pack number. Participants, care givers, and those assessing outcomes were masked to allocation. We originally planned to enrol 15 000 women with a composite primary endpoint of death from all-causes or hysterectomy within 42 days of giving birth. However, during the trial it became apparent that the decision to conduct a hysterectomy was often made at the same time as randomisation. Although tranexamic acid could influence the risk of death in these cases, it could not affect the risk of hysterectomy. We therefore increased the sample size from 15 000 to 20 000 women in order to estimate the effect of tranexamic acid on the risk of death from post-partum haemorrhage. All analyses were done on an intention-to-treat basis. This trial is registered with ISRCTN76912190 (Dec 8, 2008); ClinicalTrials.gov, number NCT00872469; and PACTR201007000192283. Findings Between March, 2010, and April, 2016, 20 060 women were enrolled and randomly assigned to receive tranexamic acid (n=10 051) or placebo (n=10 009), of whom 10 036 and ...

وصف الملف: application/pdf

العلاقة: https://openaccess.sgul.ac.uk/id/eprint/110236/1/WOMAN%20TRIAL.pdfTest; Shakur, H; Roberts, I; Fawole, B; Chaudhri, R; El-Sheikh, M; Akintan, A; Qureshi, Z; Kidanto, H; Vwalika, B; Abdulkadir, A; et al. Shakur, H; Roberts, I; Fawole, B; Chaudhri, R; El-Sheikh, M; Akintan, A; Qureshi, Z; Kidanto, H; Vwalika, B; Abdulkadir, A; Etuk, S; Noor, S; Asonganyi, E; Alfirevic, Z; Beaumont, D; Ronsmans, C; Arulkumaran, S; Grant, A; Afsana, K; Gulmezoglu, M; Hunt, B; Olayemi, O; Roberts, I; Chalmers, I; Lumbiganon, P; Piaggio, G; Brady, T; Shakur, H; Roberts, I; Alfirevic, Z; Elbourne, D; Gulmezoglu, M; Ronsmans, C; Balogun, E; Pepple, T; Prowse, D; Quashi, N; Barneston, L; Barrow, C; Beaumont, D; Cook, L; Frimley, L; Gilbert, D; Gilliam, C; Jackson, R; Kawahara, T; Miah, H; Kostrov, S; Ramos, M; Roberts, I; Shakur, H; Edwards, P; Godec, T; Huque, S; Fawole, B; Okunade, O; Adetayo, O; Chaudhri, R; Kayani, A; Javaid, K; Fawole, B; Chaudhri, R; Biryabarema, C; Qureshi, Z; Tchounzou, R; El-Sheikh, M; Kidanto, H; Regmi, M; Vwalika, B; Dallaku, K; Sahani, M; Akhter, S; Abdulkadir, A; Meda, N; Dah, AK; Akintan, A; Odekunle, O; Monehin, O; Ojo, A; Akinbinu, G; Offiah, I; Etuk, S; Akpan, U; Udofia, U; Okon, U; Omoronyia, E; James, O; Olayemi, O; Bello, N; Adeyemi, B; Aimakhu, C; Akinsanya, O; Adeleye, B; Adeyemi, O; Oluwatosin, K; Aboyeji, A; Adeniran, A; Adewale, A; Olaomo, N; Omo-Aghoja, L; Okpako, E; Oyeye, L; Alu, F; Ogudu, J; Ladan, E; Habib, I; Okusanya, B; Onafowokan, O; Isah, D; Aye, A; Okogbo, F; Aigere, E; Ogbiti, M; Onile, T; Salau, O; Amode, Y; Shoretire, K; Owodunni, A; Ologunde, K; Ayinde, A; Alao, M; Awonuga, O; Awolaja, B; Adegbola, O; Habeebu-Adeyemi, F; Okunowo, A; Idris, H; Okike, O; Madueke, N; Mutihir, J; Joseph, N; Adebudo, B; Fasanu, A; Akintunde, O; Abidoye, O; Opreh, O; Udonwa, S; Dibia, G; Bazuaye, S; Ifemeje, A; Umoiyoho, A; Inyang-Etoh, E; Yusuf, S; Olayinka, K; Adeyemi, B; Ajenifuja, O; Ibrahim, U; Adamu, YB; Akinola, O; Adekola-Oni, G; Kua, P; Iheagwam, R; Idrisa, A; Geidam, A; Jogo, A; Agulebe, J; Ikechebelu, J; Udegbunam, O; Awoleke, J; Adelekan, O; Sulayman, H; Ameh, N; Onaolapo, N; Adelodun, A; Golit, W; Audu, D; Adeniji, A; Oyelade, F; Dattijo, L; Henry, P; Adeyemi, B; Loto, O; Umeora, O; Onwe, A; Nzeribe, E; Okorochukwu, B; Adeniyi, A; Gbejegbe, E; Ikpen, A; Nwosu, I; Sambo, A; Ladipo, O; Abubakar, S; Okike, ON; Nduka, EC; Ezenkwele, EP; Onwusulu, D; Irinyenikan, TA; Singh, S; Bariweni, A; Galadanci, H; Achara, P; Gana, M; Chaudhri, R; Jabeen, K; Mobeen, A; Mufti, S; Zafar, M; Noor, S; Ahmad, B; Munawar, M; Gul, J; Usman, N; Shaheen, F; Tariq, M; Sadiq, N; Batool, R; Ali, HS; Jaffer, M; Baloch, A; Mukhtiar, N; Ashraf, T; Asmat, R; Khudaidad, S; Taj, G; Qazi, R; Dars, S; Sardar, F; Ashfaq, S; Majeed, S; Jabeen, S; Karim, R; Burki, F; Bukhari, SR; Gul, F; Jabeen, M; Sherin, A; Ain, Q; Rao, S; Shaheen, U; Manzoor, S; Masood, S; Rizvi, S; Ali, A; Sajid, A; Iftikhar, A; Batool, S; Dar, L; Sohail, S; Rasul, S; Humayun, S; Sultana, R; Manzoor, S; Mazhar, S; Batool, A; Nazir, A; Tasnim, N; Masood, H; Khero, R; Surhio, N; Aleem, S; Israr, N; Javed, S; Bashir, L; Iqbal, S; Aleem, F; Sohail, R; Iqbal, S; Dojki, S; Bano, A; Saba, N; Hafeez, M; Akram, N; Israr, N; Shaheen, R; Hashmi, H; Arshad, S; Hussain, R; Khan, S; Shaheen, N; Khalil, S; Sachdev, P; Arain, G; Zarreen, A; Saeed, S; Hanif, S; Tariq, N; Jamil, M; Chaudhry, S; Rajani, H; Wasim, T; Aslam, S; Mustafa, N; Quddusi, H; Karim, S; Sultana, S; Harim, M; Chohan, M; Salman, N; Waqar, F; Sadia, S; Kahloon, L; Manzoor, S; Amin, S; Akram, U; Ikram, A; Kausar, S; Batool, T; Kyani, BNT; Biryabarema, C; Bulime, R; Akello, R; Lwasa, BN; Ayikoru, J; Namulwasira, C; Komagum, P; Rebecca, I; Annet, N; Nuulu, N; Nionzima, E; Bwotya, R; Nankya, M; Babirye, S; Ngonzi, J; Sanchez, C; Innocent, N; Anitah, K; Jackson, A; Ndagire, E; Drametu, D; Meregurwa, G; Banya, F; Atim, R; Martyrs, U; Byaruhanga, E; Iman, H; Oyiengo, V; Waigi, P; Wangui, R; Nassir, F; Soita, M; Msengeti, R; Zubier, Z; Mabeya, H; Wanjala, A; Mwangi, H; Liyayi, B; Muthoka, E; Osoti, A; Otara, A; Ongwae, V; Qureshi, Z; Wanjohi, V; Musila, B; Wekesa, K; Bosire, AN; Asonganyi, E; Ntem, A; Njoache, A; Ashu, A; Simo, A; Tchounzou, R; Keka, D; Bruno, K; Ndouoya, A; Saadio, M; Tchana, M; Gwan, O; Assomo, P; Mutsu, V; Eric, N; Foumane, P; Nsem, P; Fouedjio, J; Fouelifack, Y; Tebeu, PM; Nabag, W; Desougi, R; Mustafa, H; Eltaib, H; Umbeli, T; Elfadl, K; Ibrahim, M; Mohammed, A; Ali, A; Abdelrahiem, S; Musa, M; Bushra, M; Babiker, O; Abdullahi, H; Ahmed, M; Rayis, D; Abdelgabar, SA; Alfirevic, Z; Houghton, G; Sharpe, A; Thornton, J; Grace, N; Smith, C; Hinshaw, K; Edmundson, D; Ayuk, P; Bates, A; Bugg, G; Wilkins, J; Tower, C; Allibone, A; Kidanto, H; Kazumari, A; Danford, A; Ngarina, M; Abeid, M; Mayumba, K; Zacharia, M; Mtove, G; Madame, L; Massinde, A; Mwambe, B; Ganyaka, SK; Regmi, M; Gupta, S; Bhatt, R; Agrawal, A; Pradhan, P; Dhakal, N; Yadav, P; Karki, G; Shrestha, BR; Vwalika, B; Lubeya, M; Mumba, J; Silwimba, W; Hansingo, I; Bopili, N; Makukula, Z; Kawimbe, A; Lubeya, MK; Mtambo, W; Ng'ambi, M; Dallaku, K; Cenameri, S; Tasha, I; Kruja, A; Brahimaj, B; Kaza, L; Sahani, M; Tshombe, D; Buligho, E; Paluku-Hamuli, R; Kacha, C; Faida, K; Musau, B; Kalyana, H; Simisi, P; Mulyumba, S; Jason, NK; Lubamba, JR; Missumba, W; Islam, F; Begum, N; Akhter, S; Chowdhury, F; Begum, R; Basher, F; Nargis, N; Kholdun, A; Jesmin, S; Paul, S; Segni, H; Ayana, G; Haleke, W; Abdulkadir, A; Hussien, H; Geremew, F; Bambara, M; Some, A; Ly, A; Pabakba, R; Fletcher, H; Samuels, L; Opare-Addo, H; Larsen-Reindorf, R; Nyarko-Jectey, K; Mola, G; Wai, M; El Rahman, M; Basta, W; Khamis, H; Escobar, MF; Vallecilla, L; Faye, GE; WOMAN Trial Collaborators; Steering Committee; Protocol Committee; Trial Coordinating Team; Nigeria Coordinating Team; Pakistan Coordinating Team; National Coordinators (2017) Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial. LANCET, 389 (10084). pp. 2105-2116. ISSN 0140-6736 https://doi.org/10.1016/S0140-6736Test(17)30638-4 SGUL Authors: Arulkumaran, Sabaratnam

الإتاحة: https://doi.org/10.1016/S0140-6736Test(17)30638-4
https://openaccess.sgul.ac.uk/id/eprint/110236Test/
https://openaccess.sgul.ac.uk/id/eprint/110236/1/WOMAN%20TRIAL.pdfTest

المؤلفون: Morabu, Clement, Matovelo, Dismas, Massinde, Anthony, Kihunrwa, Albert, Kidenya, Benson

المصدر: Tanzania Journal of Health Research; Vol. 23 No. 2 (2022); 1-14 ; 1821-9241 ; 1821-6404

مصطلحات موضوعية: Uterine scars, repeat C-section

الوصف: Background: Emergency caesarean section(C-section) for women with two or more uterine scars is documented to be associated with poor fetomaternal outcomes. The World Health Organization recommends elective C-section for women with two or more previous scars. However, in Tanzania there is a paucity of data for women with two or more prior C-sections and how it contributes to increased maternal and perinatal morbidity and mortality when they come in active labour without a planned delivery. The purpose of the study was to determine factors associated with pregnant women with multiple C-section deliveries presenting in labour and their fetomaternal outcomes. Methods: This was a cross-sectional, hospital-based study, involving 275 pregnant women who underwent C-section due to multiple uterine scars in the Mwanza region. Socio-demographic and clinical characteristics were collected serially until the sample size was reached using a structured questionnaire and patients’ files. Data were analyzed using STATA version 13.0 software. Results: All pregnant women with two or more previous uterine scars attended antenatal care (ANC) and the majority, 62.2%, had four or more visits. However, 61.9% were not told of the need for elective C-section. In addition, 26% were not counselled about the obstetric danger signs. Among the study participants, 66.6% presented with labour pain requiring emergency C-section, 13.1% had postpartum hemorrhage and 3.3% had ruptured uterus. There were 3.3% peri-natal deaths and 10.9% required newborn resuscitation. The associated factors for women with two or more C-section scars presenting in active labour were: having the last ANC visit at primary healthcare (PHC) facility (p=0.046), unemployment (p<0.001), visiting ANC <4 visits (p=0.002) or being attended by a non-physician health provider in her last ANC visit(p<0.001). Conclusion: Parturient women with uterine scars, when attending primary health care facilities for their ANC visits, ought to be counselled and referred to high ...

وصف الملف: application/pdf

العلاقة: https://www.ajol.info/index.php/thrb/article/view/188858/216778Test; https://www.ajol.info/index.php/thrb/article/view/188858Test

الإتاحة: https://doi.org/10.4314/thrb.v23i2.2Test
https://www.ajol.info/index.php/thrb/article/view/188858Test

المؤلفون: Ndaboine, Edgar M, Kihunrwa, Albert, Rumanyika, Richard, Im, H Beatrice, Massinde, Anthony N

المصدر: African Journal of Reproductive Health / La Revue Africaine de la Santé Reproductive, 2012 Mar 01. 16(1), 35-41.

الوصول الحر: https://www.jstor.org/stable/23317030Test

المؤلفون: Kamgobe, Emmanuel, Massinde, Anthony, Matovelo, Dismas, Ndaboine, Edgar, Rambau, Peter, Chaula, Tito

المصدر: BMC Clinical Pathology ; volume 16, issue 1 ; ISSN 1472-6890

مصطلحات موضوعية: Histology, Pathology and Forensic Medicine

الإتاحة: https://doi.org/10.1186/s12907-016-0026-8Test

المؤلفون: Chalya, Phillipo L, Massinde, Anthony N, Kihunrwa, Albert, Mabula, Joseph B

مصطلحات موضوعية: Elective midline laparotomy, Abdominal fascial closure, Practices, Postoperative complications, Tanzania

الوصف: Background The optimal strategy of abdominal wall closure after midline laparotomy has remained an issue of ongoing debate. This study was undertaken to describe our own experiences with abdominal fascial closure following elective midline laparotomy and compare with what is described in literature. Methods This was a descriptive prospective study of patients who underwent elective midline laparotomy at Bugando Medical Centre between March 2009 and February 2014. Results A total of 872 patients (M:F = 2.8:1) were studied. The median age was 38 years. The fascia closure was performed with a continuous and interrupted sutures in 804 (92.2%) and 68 (7.8%) patients, respectively. Mass closure and layered closure were performed in 842 (96.6%) and 30 (3.4%) patients, respectively. Monofilament sutures were applied for fascia closure in 366 (42.0%) patients, multifilament sutures in 506 (58.0%) patients. Non-absorbable sutures were chosen in 304 (34.9%) patients, slowly absorbable sutures in 506 (58.0%), and moderately absorbable sutures in 62 (7.1%) patients. Sutures used for fascial closure were vicryl 464 (53.2%), nylon 250 (28.7%), prolene 62 (7.1%), PDSII 54 (6.2%) and silk 42 (4.8%). Sutures with the strength of 0 were used in 214 (24.4%) patients, with strength of 1 in 524 (60.1%) patients, and with strength of 2 in 134 (15.4%) patients. The mean time required for massive closure of the midline incision was 8.20 ± 6.12 min whereas in layered closure, the mean time required for closure was 12.22 ± 7.11 min and this was statistically significant (p = 0.002). Mass closure was significantly associated with low incidence of wound dehiscence and incisional hernia (p < 0.001). Continuous suture was significantly associated with low incidence of wound dehiscence and incisional hernia as compared to interrupted suture (p < 0.001). Non-absorbable sutures were significantly associated with increased incidence of persistent wound pain and stitch sinus as compared to absorbable sutures (p < 0.001). The use ...

العلاقة: http://www.biomedcentral.com/1756-0500/8/281Test

الإتاحة: http://www.biomedcentral.com/1756-0500/8/281Test

المؤلفون: Chalya, Phillipo L, Massinde, Anthony N, Kihunrwa, Albert, Simbila, Samson

مصطلحات موضوعية: Ureteric injuries, Iatrogenic, Abdomino-pelvic operations, Management, Outcome, Tanzania

الوصف: Background Iatrogenic ureteric injuries are rare complications of abdomino-pelvic surgery but associated with high morbidity and even mortality. There is paucity of data regarding iatrogenic ureteric injuries in Tanzania and Bugando Medical Centre in particular. This study describes our experience in the management and outcome of ureteric injuries following abdomino-pelvic operations outlining the causes, clinical presentation and outcome of management of this condition in our local setting. Methods This was a retrospective descriptive study of patients with iatrogenic ureteric injuries following abdomino-pelvic operations that were managed in Bugando Medical Centre between July 2004 and June 2014. Results A total of 164 patients (M: F = 1: 1.6) were studied. Of these, 154 (93.9%) were referred to Bugando Medical Centre having had their initial surgeries performed at other hospitals, whereas 10 (6.1%) patients sustained ureteric injuries during abdomino-pelvic surgery at Bugando Medical Centre. The median age at presentation was 36 years. The most common cause of iatrogenic ureteric injuries was total abdominal hysterectomy occurring in 69.2% of cases. The distal ureter was more frequently injured in 75.6% of cases. Suture ligation was the commonest type of injury accounting for 36.6% of patients. One hundred and sixteen (70.7%) patients had delayed diagnosis but underwent immediate repair. Ureteroneocystostomy was the most frequent reconstructive surgery performed in 58.0% of cases. Of the 164 patients, 152 (92.7%) were treated successfully. Twelve (7.3%) patients died in hospital. The main predictors of deaths were delayed presentation, deranged renal function tests on admission, missed ureteric injuries and surgical site infections (P < 0.001). The overall median length of hospital stay was 12 days. Follow up of patients was generally poor as more than half of patients were lost to follow up. Conclusion Total abdominal hysterectomy still accounts for most cases of iatrogenic ureteric injuries in ...

العلاقة: http://www.wjes.org/content/10/1/17Test

الإتاحة: http://www.wjes.org/content/10/1/17Test

المؤلفون: Magoma, Moke, Massinde, Antony, Majinge, Charles, Rumanyika, Richard, Kihunrwa, Albert, Gomodoka, Balthazar

المصدر: BMC Pregnancy and Childbirth ; volume 15, issue 1 ; ISSN 1471-2393

مصطلحات موضوعية: Obstetrics and Gynecology

الإتاحة: https://doi.org/10.1186/s12884-015-0781-zTest

المؤلفون: Mwambe, Berno, Mirambo, Mariam M., Mshana, Stephen E., Massinde, Anthony N., Kidenya, Benson R., Michael, Denna, Morona, Domenica, Majinge, Charles, Groß, Uwe

الوصف: Background Sero-positivity rates of the rubella virus among pregnant women vary widely throughout the world. In Tanzania, rubella vaccination is not included in the national immunization schedule and there is therefore no antenatal screening for this viral disease. So far, there are no reports on the sero-prevalence of rubella among pregnant women in Tanzania. As a result, this study was undertaken to establish the sero-positivity rate of rubella and rubella risk factors among pregnant women attending antenatal care clinics in Mwanza, Tanzania. Methods From November 2012 to May 2013 a total of 350 pregnant women were enrolled and their serum samples collected and analyzed using the AXSYM anti-rubella virus IgG/IgM-MEIA test. Demographic and clinical data were collected using a standardized data collection tool. Data analysis was done using STATA version 12. Results Of 342 pregnant women tested for rubella antibodies, 317 (92.6%) were positive for anti-rubella IgG while only 1 (0.3%) was positive for IgM. Higher sero-positivity rates were found in the age group of 25–44 years. Furthermore, it was observed that with each year increase in age, the risk of contracting rubella increases by 12% (OR = 1.12, 95% CI: 1.02-1.22, P = 0.019). Women involved in farming and business women were at a higher risk of contracting rubella infection compared to formally employed women (OR: 4.9, P = 0.011; OR 7.1, p = 0.003 respectively). In univariate analysis, the risk of contracting rubella virus infection was found to increase with gestational age with a statistical significance. Conclusions Sero-positivity rates of rubella are high in Mwanza and are significantly associated with an increase in age and being a farmer or a business woman. Screening of rubella and immunization of women at risk are highly recommended in this area with a high non-immune rate against rubella virus.

العلاقة: https://resolver.sub.uni-goettingen.de/purl?gro-2/58022Test; 610962; https://resolver.sub.uni-goettingen.de/purl?gs-1/10040Test

الإتاحة: https://doi.org/10.1186/1471-2393-14-95Test
https://resolver.sub.uni-goettingen.de/purl?gro-2/58022Test
https://resolver.sub.uni-goettingen.de/purl?gs-1/10040Test

المؤلفون: Mwambe, Berno, Mshana, Stephen E., Kidenya, Benson R., Massinde, Anthony N., Mazigo, Humphrey D., Michael, Denna, Majinge, Charles, Gross, Uwe

الوصف: Background: Serological screening of pregnant women for Toxoplasma gondii-specific antibodies is not practiced as an antenatal care in Tanzania; and there is a limited data about sero-prevalence of T. gondii infection in developing countries. We therefore conducted this study to determine the sero-prevalence and factors associated with T. gondii infection among pregnant women attending antenatal care clinics in Mwanza, Tanzania. Methods: Between 1st November 2012 and 31st May 2013 a total of 350 pregnant women attending antenatal care clinics in Mwanza were enrolled and screened for IgG and IgM antibodies against T. gondii using the ELISA technique. Results: Of 350 pregnant women, 108 (30.9%) were sero-positive for T. gondii-specific antibodies. The risk of contracting T. gondii infection increases by 7% with each yearly increase in a woman's age (OR=1.07, 95% CI: 1.02 - 1.11, p=0.002). The sero-positivity rate of T. gondii-specific antibodies was higher among pregnant women from the urban than those from rural communities (41.5% versus 22.0%); [OR=2.2, 95% CI; 1.4 - 3.7, p=0.001]. Likewise employed/business women were more likely to get T. gondii infection than peasants (40.0% versus 25.9%) [OR=1.9, 95% CI: 1.2 - 3.0, p=0.006]. Conclusions: Sero-prevalence of T. gondii-specific antibodies is high among pregnant women in Mwanza with a significant proportion of women at risk of contracting primary T. gondii infections. Screening of T. gondii infections during antenatal care should be considered in Tanzania as the main strategy to minimize congenital toxoplasmosis.

العلاقة: https://resolver.sub.uni-goettingen.de/purl?gro-2/29093Test; 000322895200001; https://resolver.sub.uni-goettingen.de/purl?gs-1/9214Test

الإتاحة: https://doi.org/10.1186/1756-3305-6-222Test
https://resolver.sub.uni-goettingen.de/purl?gro-2/29093Test
https://resolver.sub.uni-goettingen.de/purl?gs-1/9214Test