- Dialysis and Renal Disease Management
- HIV/AIDS drug development and treatment
- HIV/AIDS Research and Interventions
- Stroke Rehabilitation and Recovery
- HIV-related health complications and treatments
- Maternal Mental Health During Pregnancy and Postpartum
- Family Caregiving in Mental Illness
- HIV Research and Treatment
- Cerebrovascular and Carotid Artery Diseases
- Pregnancy and preeclampsia studies
- Acute Ischemic Stroke Management
- Central Venous Catheters and Hemodialysis
- Hepatitis B Virus Studies
- Parathyroid Disorders and Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Viral Infections and Outbreaks Research
- Hepatitis C virus research
Catholic University of Health and Allied Sciences
2023-2024
Bugando Medical Centre
2018-2024
Background: Acute kidney injury (AKI) that occurs during pregnancy or in the post-partum period is a serious obstetric complication with significant risk of feto-maternal morbidity and mortality. Although globally there has been an overall decrease burden pregnancy-related (PRAKI) AKI, recent studies show increasing occurrence this disease Low-middle income countries (LMICs). This study was conducted to determine magnitude predictors maternal outcomes pre-eclamptic eclamptic-related acute at...
Introduction: Stroke is a leading cause of morbidity and mortality globally, with Africa bearing disproportionately high burden poor outcomes. In sub-Saharan Africa, acute stroke care remains inconsistent, organized units being either absent or rarely available, contributing to the rates in region. To address this issue, Tanzania Project (TSP) was launched, aimed at establishing services two largest tertiary centers collaboration Tanzanian Ministry Health, World Organization Hospital...
Background: Stroke is a second leading cause of death globally, with an estimated one in four adults suffering stroke their lifetime. We aimed to describe the clinical characteristics, quality care, and outcomes urban Northwestern Tanzania. Methods: analyzed de-identified data from prospective registry Bugando Medical Centre Mwanza, largest city Tanzania, between March 2020 October 2022. This included all ⩾18 years admitted our hospital who met World Health Organization definition stroke....
psychosocial distress such as depression is prevalent among chronic kidney disease (CKD) patients. It often overlooked despite of reducing the patient´s quality life.this was a cross-sectional study aimed to determine prevalence and factors associated with CKD patients, whereby practical sampling technique used patients attending Bugando Medical Centre, tertiary level hospital in Mwanza, Tanzania. A total 376 were recruited interviewed by using patient health questionnaire-9 (PHQ-9).the mean...
In a 2008-10 study, we found pretreatment HIV drug resistance (PDR) prevalence of 18.2% in patients at Bugando Medical Centre (BMC) Mwanza, Tanzania.To determine the PDR and transmitted (TDR) visiting BMC from 2013 to 2015.Adult outpatients were sequentially enrolled into two groups, separated by whether they initiating ART. Previous exposure antiretroviral drugs, except for prevention mother-to-child transmission, was an exclusion criterion. pol sequences analysed according WHO guidelines...
Longitudinal research on chronic kidney disease (CKD) in sub-Saharan Africa is sparse, especially among people living with HIV (PLWH). We evaluated the incidence of CKD PLWH compared HIV-uninfected controls Tanzania. Prospective cohort study. A total 495 newly diagnosed who initiated antiretroviral therapy (ART) and 505 adults enrolled from public clinics followed 2016-2021. The control group was recruited treatment partners same clinics. Untreated (at baseline), ART, sociodemographic...
Introduction: The burden of chronic kidney disease (CKD) is rapidly increasing in Tanzania. There a rapid expansion hemodialysis (HD) services to meet this demand. quality HD services, which usually termed inadequacy, under-reported. Therefore, the objective study was determine prevalence inadequacy using two equations, urea reduction ratio (URR) and Kt/V its associated factors. correlation between URR for diagnosis also determined. Materials Methods: This prospective longitudinal conducted...
Chronic Kidney Disease – Mineral Bone Disorder (CKD-MBD) is a long-term complication of dialysis with abnormal bone chemistry, vascular or soft tissue calcification, and formation. The KIDGO guidelines recommend monitoring serum levels calcium, phosphorus parathyroid hormone inpatients on maintenance hemodialysis (MHD)to prevent morbidity mortality due to CKD-MBD. aim this study determine gaps effective in the management CKD-MBD among end stage renal disease (ESRD) patients MHD from at...