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item.listelement.badge100-bed rural hospitals, 1965-1967( 1965) Buganda Government
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item.listelement.badgeThe 14-day incidence and risk factors of gastrointestinal anastomotic leak among adult patients in Mulago Hospital, a prospective cohort study(Makerere University, 2025) Omare, IsaacBackground: Anastomotic leak is one of the most feared complications following gastrointestinal (GI) anastomotic surgery. It increases morbidity and mortality of patients undergoing GI surgery. Globally, the frequency of anastomotic leak varies depending upon the tissue that is being anastomosed. Higher incidences of anastomotic leak up to 36.5% have been reported in Low- and Middle-income countries compared to the lower rates of less than 10% in Higher income countries for small and large bowel anastomoses. Despite the burden, the incidence and risk factors of anastomotic leak following gastrointestinal surgery are not well defined in Uganda. Objective: We aimed to determine the incidence and risk factors of anastomotic leak following gastrointestinal surgery at Mulago National Referral Hospital (MNRH). Methods: In this prospective cohort study, we recruited 85 adult patients admitted to the general surgery wards of MNRH 24 hours following gastrointestinal surgery. Independent variables including preoperative anemia, preoperative albumin level, and ASA status were recorded on entry, while the dependent variable (anastomotic leak) was obtained upon 14 day’s follow- up. Data was analysed using SPSS version 26. Multivariate logistic regression was used to determine the independent risk factors for anastomotic leak, p< 0.05 was considered statistically significant. Results: Out of the 85 participants recruited, 7 (8.2%) developed anastomotic leak during the 14 day follow up. Hemoglobin level less than 10 g/dl (RR, 8.15; 95% C.I, 1.16 - 57.48; p=0.035) was identified as independent risk factor for anastomotic leak after multivariate logistic regression adjusted for confounders. Conclusion: The incidence of anastomotic leak in Mulago National Referral Hospital was low, (8.2%). Low Hb (Hb<10g/dl) was the only statistically significant predictor variable of gastrointestinal anastomotic leak in this study.
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item.listelement.badge1890 Captain (Later Load) Lugard a representative of the chartered Company.( 1890) Makerere University.It is a photograph taken of 1890 Captain (later Load) Lugard, a representative of the chartered Company, the I.B.E.A. Co., set up a camp and built a fort on the Small hill called Kampala.
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item.listelement.badge30 day in-hospital patient mortality after ICU discharge and associated factors : a retrospective cohort study in selected tertiary hospitals in Kampala(Makerere University, 2021-01-25) Nantongo, BettyBackground: Intensive care medicine is rapidly growing because critical illness is a major component of the global burden of disease especially in LMICs. We retrospectively evaluated the 30 day In-hospital patient mortality after ICU discharge and associated factors. Methods: We conducted a retrospective multicentre Cohort study on all patients that were discharged alive from the ICU at three tertiary hospitals in Kampala- Uganda, patient records discharged between January 2018 to December 2019 were reviewed during their hospital stay to fill the data extraction tool and followed up. In-hospital mortality after ICU discharge as primary outcome. Results: In total 711 patients were included with mean age of 42 years and 56.4% were male. A total of 106/711 patients died after ICU discharge giving a mortality of 14.9% (95% CI: 12.4-17.7). Most (86/711) patients died within the first 20 days with a 0.802 survival probability and were mostly above 40 years. The median number of hospital stay after ICU discharge 7 days (IQR: 5-11). Multivariate analysis identified presence of comorbidities, Respiratory disorder at ICU admission and GIT disorder at ICU admission and inotropic/vasopressor support to be associated with patient mortality after ICU discharge while Tracheostomy placement was found to be protective. Conclusion: The 30-day in hospital patient mortality rate after ICU discharge was high compared to that in high income countries. Most in-hospital patient deaths after ICU discharge occurred during the first 20 days. A prospective study is needed to further explore In-hospital patient mortality after ICU discharge and associated factors.
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item.listelement.badgeA 3d basin modelling approach to the assessment of hydrocarbon potential of Lake Edward basin, western Uganda(Makerere University., 2023-09-06) Atwebembeire, ConscentLake Edward basin is a rift basin located in the extreme south of the Ugandan portion of the western arm of the East African Rift System (EARS), popularly known as the Albertine Graben. 3D basin modelling approach was applied to Lake Edward basin with the objective of gaining an understanding of its hydrocarbon potential. The approach utilized 2D Seismic data, well data, geochemical data and well completion reports from Lake Edward basin. 2D seismic data were integrated with well log data to define stratigraphic framework of the basin, onto which heat flow and geochemical characterization was undertaken to establish the possible potential source rocks of the basin. The integrated 3D basin modelling revealed the burial history, including the development of potential entrapment and source rock maturation. The major structures responsible for the hydrocarbon migration and entrapment in the field as interpreted are fault structures especially tilted faults blocks and normal faults. PetroMod software (version 2018.2) produced hydrocarbon maturation and generation model of the Lake Edward basin. The model shows that the source rock, Lower Ngaji Formation is currently at temperatures between 50oC-80oC. According to the model, the source rock, Lower Ngaji with typical characteristics of a mixture of Type II and III kerogen is immature with respect to petroleum generation. The research has provided a better understanding of key controls on hydrocarbon potential of Lake Edward basin and has enhanced the understanding of the timing and extent of hydrocarbon generation in Lake Edward basin and so the petroleum exploration risk can be potentially reduced This is useful for the oil and gas industry in the country as the findings are helpful in setting the next drilling phase of future exploration activities.
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item.listelement.badgeA.I. and the African woman(Suigeneris Publishing House, 2025-01) Lubogo, Zion Margaret ; Lubogo, Mulungi AgathaAI and the African Woman: Pioneering Economic Empowerment for a Brighter Future" is a groundbreaking exploration of the transformative power of artificial intelligence (AI) in reshaping the lives of Africa’s most marginalized women. Authored by Zion Margaret Lubogo and Agatha Lubogo, this visionary work challenges traditional narratives, positioning AI not as a privilege of the elite but as a force of empowerment capable of dismantling poverty and driving sustainable development. At its core, the book weaves compelling stories of resilience with cutting-edge technological insights. It highlights real-world applications of AI, from mobile-based microcredit systems that extend financial services to unbanked women, to predictive agricultural models optimizing harvests and minimizing risks for small-scale farmers. In healthcare, AI-driven maternal health innovations are showcased as life-saving tools in areas with scarce medical resources, while personalized education technologies are breaking down literacy barriers and creating new learning pathways tailored to the unique needs of women and girls. This book goes beyond technology; it delves into the ethical, cultural, and societal implications of AI adoption. It poses profound questions about inclusivity, governance, and the potential risks of deepening inequality if AI is not deployed responsibly. The authors offer actionable recommendations for policymakers, educators, technology developers, and financial institutions, advocating for a collaborative approach to AI that places humanity and equality at the center. "AI and the African Woman" is a call to action—a beacon of possibility for a future where every woman, regardless of her socioeconomic background, can harness technology to build a life of dignity, independence, and opportunity. Rich in research, captivating in narrative, and profound in its vision, this book is an essential read for anyone committed to a more inclusive, equitable, and empowered Africa.
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item.listelement.badgeAbaana bato turi ndangaro( 2010-06-04) Tusasirwe, MollyThe song talks about Ndangaro Primary School.
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item.listelement.badgeAbafumbo mwebare( 2010-08-17) Tibenderana, FrankThe song congratulates the married people for the perseverance within their relationships.
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item.listelement.badgeAbakristo Mwena Musiime Ruranga( 2010-06-12) Mugisha, AllenThe song is about Christians and how they should trust in God.
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item.listelement.badgeAbakunda Yesu Nimwite( 2010-06-16) Milton, OwakubarihoThe song talks about the life of Jesus from birth to resurrection.
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item.listelement.badgeAbakyala B'Entunguka( 2010-06-05) Korutaro, ElivaldaThe song talks about encouraging women to work hard.
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item.listelement.badgeAbakyala Tmimukire Hamwe( 2010-06-05) Korutaro, ElivaidaThe song says "Let all women rise up and develop our group".
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item.listelement.badgeAbakyara twine entunguuka( 2010-08-12) Ruhotora, JoyThis song hails the development of women in Rubaya.
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item.listelement.badgeAbarungi Nimwerugireyo( 2010-06-05) Nyabutono, JulietThe song talks about Kashenyi village as a place where they welcome beautiful people.
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item.listelement.badgeAbarungi nimwerugireyo( 2012-01-02) Nyabutono, JulietIt is a welcome song performed when welcoming visitors at social functions.
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item.listelement.badgeAbaryana Mwena Mwije Tuze Owa Yesu( 2010-06-12) Mugisha, AllenThe song is about Jesus' return on earth.
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item.listelement.badgeAbasegu dancing for Omukama.( 1925) Makerere University.It is a Photograph taken of Abasegu dancing for Omukama.
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item.listelement.badgeAbdominal sonographic changes among HIV-TB co-infected adult patients initiating highly active antiretroviral therapy at Mulago Hospital Complex.(Makerere University, 2014) Jabo, Christian Roy ThomasHuman immunodeficiency virus (HIV) infection increases the risk for infection with Mycobacterium tuberculosis (TB). In HIV-TB co-infected patients, abdominal tuberculosis accounts for 11-16% of extra pulmonary cases. Abdominal sonographic changes following initiation of Highly Active Antiretroviral Therapy (HAART) in these patients may be due to the response to anti-Tuberculous drugs and HAART, due to adverse reactions to these treatments or due to other associated co-morbidities. The changes may show improvement of abdominal features during treatment or worsening as a result of paradoxical TB-IRIS. They may also be new findings due to other opportunistic infections. Ultrasound imaging is a useful auxiliary investigative modality in the management of HIV-TB co-infected patients initiating HAART and it can demonstrate these abdominal sonographic changes. However, there is no recent research on its role in the management of HIV-TB co-infection in Uganda. Objective The study aimed at describing the abdominal sonographic findings among HIV-TB co-infected adult patients initiating HAART at Mulago Hospital Complex. Methodology A prospective descriptive study design was used. This study was nested in a prospective observational cohort study whose aim was to determine the incidence and predictors of clinical and immunological outcomes in adult patients co-infected with TB-HIV. It was conducted in the Department of Radiology at Mulago Hospital, the national referral hospital. Adults with HIV-TB co infection eligible for HAART were enrolled in the study. Serial abdominal ultrasound scans using low frequency (2-5MHZ) and high frequency probes (7-12MHZ) were performed. Data were collected on structured questionnaires, entered into a computer using Epi data version 3.1 and analysed using Stata version 11 with the help of a statistician. Results Eighty nine patients were enrolled and had a baseline ultrasound scan, 70 (78.7%) patients had a scheduled follow up scan and 10 (11.2%) had an ultrasound scan during an unscheduled visit. 9 patients (10.1%) were lost to follow up of whom 6 patients died (66.7%) while 3 (33.3%) did not return for the scheduled scan. 65.2% were males and 34.8 % were females giving a male to female ratio of 1.9:1. The age range was from 20-62 years and the median age was 32 years. There was no statistically significant difference in the abdominal sonographic findings at base line and 4 weeks after initiating HAART. Clinical features of abdominal pain and abdominal distention were significantly associated with development of abdominal sonographic changes while abdominal pain was the only symptom significantly associated with worsening of the abdominal sonographic changes (a OR=6.0, 95% CI=1.106-13.552 and a p value=0.038) on follow up or on development of symptoms of TB-IRIS. Fourteen patients had normal abdominal scans while 75 had features suggestive of abdominal TB on baseline scan like lymphadenopathy, hepatosplenomegaly and splenic nodules. Fourteen patients had features suggestive of TB-IRIS on the follow up and unscheduled scans. Co-morbidities like nephropathy, splenic candidiasis and carvenous hemangiomas were diagnosed. Sonographic changes observed in the abdomen were resolution of splenic infarction, regression of splenic abscesses, appendicitis, prostatic abscess, ascites, lymphadenopathy, cholecystitis, splenomegaly and hepatomegaly. Conclusions There is an increased incidence of HIV-TB co-infected patients with sonographic features which may be suggestive of abdominal tuberculosis at baseline scan. Worsening abdominal sonographic changes within 4 weeks of initiating HAART tend to be associated with paradoxical TB-IRIS. Abdominal pain and distention are associated with development of abdominal sonographic changes. Abdominal pain is significantly associated with worsening of abdominal sonographic features on follow up visits. There is no statistically significant difference between abdominal sonographic features at baseline and follow up 4 weeks after initiating HAART. Recommendations A study designed to establish the clinico-sonographic-pathological correlation and the schedule for follow up scans is highly recommended. Follow up abdominal sonography should be delayed beyond 4 weeks unless patients develop new symptoms or worsened symptoms. A screening ultrasound examination for TB-IRIS should be performed in all HIV-TB co-infected on treatment who develop abdominal pain.