Browsing by Author "Odwee, Ambrose"
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- ItemMalnutrition and Its Associated Factors among Adults Attending Anti-Retroviral Therapy at Three Selected Hospitals In Bushenyj District, Uganda(Kampala International University, School of Health Sciences, 2018-11) Odwee, AmbroseBackground: Malnutrition is a life-threatening condition among HIV positive adults and little is known about its patterns and associated factors in Southwestern Uganda. The aim of the study was to assess malnutrition and associated factors among HIV-positive adults in Bushenyi district, Uganda Materials and Methods: This was a cross sectional study conducted at three selected hospitals handling HIV patients in Bushenyi district. A total of 253 participants were enrolled in the study and a semi-structured questionnaire was used to collect data while a review of patient records was conducted on CD4 count. Malnutrition was diagnosed by using the body mass index (BMI) and multiple logistic regression was conducted using SPSS Version 20 and significance was reported at 95% confidence interval in the presence of under and over nutrition to identify risk ~actors. Results and Discussion: The mean age of the study participants was 33.4 years (range: 23.6- 57.6 years: median: 30 years), 48.6% of the participants had their age in the range of18— 54 yrs. The study established an overall malnutrition prevalence of 34.8%, and this mainly due to over malnutrition. Socio-economic factors associated with under nutrition were being illiterate, alcoholic and unemployed while over nutrition was associated with the educated, employed in females. In addition, under nutrition was associated with having opportunistic infections, due to one liability to pay for medications, low adherence to HAART and in stage 1 of HIV/AIDS while very nutrition was associated with employed patients, and those who would afford to pay for the reeducation. Nutritional factors associated with under nutrition were eating fewer meals and carbohydrates while over nutrition were associated with eating three meals a day and mainly protein. ~conclusions Malnutrition is a threat in adult HIV patients in rural communities of Uganda. Under nutrition was associated with low socio-economic status which leads to poor nutritional and health options, while over nutrition was associated with a higher socio-economic status lowing a need to improve on HIV community extension activities to improve on patient outcomes in this community
- ItemPrevalence and characterisation of dyspepsia among college students of Kampala International University Western Campus(Kampala International University, School of Health Sciences, 2014-10) Odwee, AmbroseDyspepsia is relatively non-specific, and includes general abdominal discomfort, early satiety and bloating. Patients often ignore the condition and not present to clinic until more severe symptoms manifest, such as belching, heartburn, nausea, vomiting, and pain (Mahadvera , 2010). With a global prevalence of uninvestigated dyspepsia tending to be as low as 7% and as high as 45% (Shaib, 2004). This was a cross sectional study, which was exploratory and descriptive in nature, and employed majorly quantitative methods conducted among 130 medical students in Kampala International University Western Campus, located at Ishaka Bushenyi in Western Uganda between July 2014 and October 2014 to determine the prevalence and characterization of dyspepsia among college students at Kampala International University Western Campus . Simple questionnaires were developed with the structured sets of questions which were administered to an appropriate respondent to find out the prevalence and characterization of dyspepsia. All the students who consented to participate in the study were included in the study and those who declined to participate as well as those who were absent were excluded from the study. In this study 125 participated, out of which 30 respondents reported symptoms of dyspepsia and found that the prevalence of dyspepsia among medical student at KIU Western Campus was at 24% and majorly characterized by the epigastric pain and epigastric burning. The study concluded that the prevalence of dyspepsia among college students in KIU Western Campus was high and mostly characterized by epigastric pain and epigastric burning. And made a recommendation that, while the reasons for the relatively high prevalence rate of dyspepsia among college students from the KIU Western Campus remain to be fully determined, the data indicate that this condition is frequent among this population and deserves attention to promote both diagnosis and clinical management that may prevent potential damage caused by a chronic condition.