Dissertations / Theses on the topic 'Malocclusion in children, Uganda'
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Bataringaya, Aisha. "A survey of the occlusal traits in an adolescent population in Uganda." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&.
Full textdé
ration Dentaire Internationale (FDI) in close collaboration with the World Health Organisation (WHO) developed an objective method for measuring occlusal traits (Baume et al., 1973). This method was used to obtain the epidemiological data on occlusal traits for 14-year-old children Kampala in order to provide baseline data related to malocclusion. A total of 402 subjects were examined. Of these 65% were female and 35% were male. Thirty percent of the sample had at least one dental anomaly. The most commonly extracted teeth were mandibular first molars (43.6%) and maxillary canines (17.3%). The high frequency of extracted permanent canines in this sample is unique. By and large, many of the occlusal traits related to the canine are attributable to the practice of ebinyo, a form of dental mutilation, which still seem to be rife in many communities in Uganda. Similar to other studies (Massler and Frankel, 1951
de MuÅiz, 1986
Ferguson, 1988
Kaka, 1993), mandibular first molars were five times more likely to be missing than maxillary first molars while the ratio of missing maxillary to mandibular canines was found to be 2.5:1. Crowding was most frequently observed in the mandibular incisal segment while spacing was mostly in the maxillary incisal region, thus supporting the view of Brunelle et al., (1996) that although prevalence may vary from study to study, more people have malaligned mandibular incisors than maxillary incisors concurs with these studies. Of the subjects studied, 6.8% had a diastema of 3mm and more. Regarding space measurements, 17.9% of the sample population had at least one segment with crowding, 18.2% had at least one segment with spacing while 33.6% had some degree of incisor malalignment and 54.2% of the sample population had some form of space anomaly. About 70% of the subjects had symmetric molar relationships of which 54.2% were Class I, 9.2% Class II and 3.2% Class III similar to the universal distributional pattern. Crossbites were not a major finding, and were present in only 7% of the sample. The distribution of overjet was relatively symmetrical on the left and right. Negative overjet (anterior open bite) was a rare occurrence in an average of 2.4% of the population. In 77.6% of the population, the overjet ranged from 1 to 4mm, and in 22.4%, the overjet was either edge-to-edge, reverse or 5mm and over. About 7.3% had an overjet of 5-6mm while only 2.1% had an overjet greater than 6mm. Approximately 53.7% of the population had an overbite of 1-3mm. Edge-to-edge and open bite incisor relationships were found in less than 10% of the sample. Although ideal occlusion as described by Angle (1907) in the Ugandan sample is very rare, using the data derived from this study, normal occlusion as defined by statistical distribution can be described.
Chintakanon, Kanoknart. "A prospective study of twin block appliance therapy in children with Class II division 1 malocclusions assessed by MRI, 3D-Cephalometry and muscle testing /." Title page, contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09PH/09phc539.pdf.
Full textFitzgerald, F. C. S. "Microbial translocation in children with HIV in Uganda." Thesis, University College London (University of London), 2017. http://discovery.ucl.ac.uk/1563424/.
Full textLuehe, Ulrike. "Children, youth and transitional justice in Northern Uganda." Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/3738.
Full textPenny, Anne Marie. "School access, children with motor disabilities in rural Uganda." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ62560.pdf.
Full textLindner, Anders. "Unilateral posterior cross-bite in preschool children with special references to sucking habits a clinical and experimental study /." Stockholm : Kongl. Carolinska Medico Chirurgiska Institutet, 1991. http://catalog.hathitrust.org/api/volumes/oclc/23913354.html.
Full textWestaway, Elizabeth Anne. "Growing up in rural Uganda : children negotiating lives and livelihoods." Thesis, University of East Anglia, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.502027.
Full textNanyunja, Miriam. "Risk Factors for Measles among HIV-infected Children in Uganda." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2500.
Full textLeung, Ka-wai David. "Electromyographic investigation in adolescents being treated with progressive jumping of the mandible." [Hong Kong] : Faculty of Dentistry, The University of Hong Kong, 1996. http://sunzi.lib.hku.hk/HKUTO/record/B38628193.
Full textAchen, Jasinta H. "Evaluation of the nutritional correlates of growth of early and middle stage HIV-infected children in Uganda and zinc content of Ugandan food plants." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=83957.
Full textDrummond, Robert John. "Orthodontic status and treatment need of 12-year-old children in South Africa an epidemiological study using the dental aesthetic index /." Thesis, Pretoria : [s.n.], 2003. http://upetd.up.ac.za/thesis/available/etd-10102003-165609.
Full textAthanasopoulos, Magdalene. ""I am the Mother and the Father" : the experiences of orphaned children caring for children in Uganda." Thesis, University of British Columbia, 2009. http://hdl.handle.net/2429/6663.
Full textTibenderana, James. "The neurological sequelae of cerebral malaria in children and adults in Uganda." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.416428.
Full text梁家偉 and Ka-wai David Leung. "Electromyographic investigation in adolescents being treated with progressive jumping of the mandible." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B38628193.
Full textPsiwa, Nathan Kitio. "Perception of occlusal appearance in 11 to 12 year-old school children in Nairobi, Kenya." Thesis, University of the Western Cape, 2004. http://etd.uwc.ac.za/index.php?module=etd&.
Full texts perception of their occlusal appearance, categorise the occlusal appearance using the AC scale, by both the children and researcher
and to compare the children&rsquo
s&rsquo
perception and the AC of the IOTN.
Zhang, Man. "Changes in children's oral health related quality of life following orthodontic treatment." Click to view the E-thesis via HKUTO, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38938546.
Full textSundell, Nina, and Dahlgren Ann-Sophie. "Activity limitations and participation in activities among children with disabilities in western Uganda." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för rehabilitering, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-45714.
Full textTophill, Church. "Quality of Nutrition Services for Children and Pregnant Women in Ntungamo District, Uganda." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5426.
Full textSeruwagi, Gloria K. "Examining the agency and construction of 'Orphans and Vulnerable Children' in rural Uganda." Thesis, University of Huddersfield, 2012. http://eprints.hud.ac.uk/id/eprint/17506/.
Full textHeikinheimo, Kaisa. "Need of orthodontic treatment and prevalence of craniomandibular dysfunction in Finnish children." Turku : Institute of Dentistry, University of Turku, 1989. http://catalog.hathitrust.org/api/volumes/oclc/20905142.html.
Full textMwang'ombe, Fiona Githua. "Orthodontic treatment need in children aged 12-14 years in Mombasa, Kenya." University of the Western Cape, 2016. http://hdl.handle.net/11394/5610.
Full textA public orthodontic system generally is designed to prioritize patients so that those who have the greatest need receive treatment. The aim of this study was to compare the subjective perceptions of the occlusal appearance of 11 to 12 year-old schoolchildren of Nairobi with the modified Aesthetic Component (AC) scale of the Index of Orthodontic Treatment Need (IOTN). The objectives were to assess the children's perception of their occlusal appearance, categorise the occlusal appearance using the AC scale, by both the children and researcher; and to compare the children's' perception and the AC of the IOTN. Satisfaction with appearance of teeth and occlusion as well as peer comparison was investigated. The treatment need and demand was assessed using the modified AC photographs of the IOTN. Altogether, 488 school children (249 girls and 239 boys) assessed their perception of the anterior teeth using a Verbal Descriptor Scale (VDS) and a Visual Analog Scale (VAS) questionnaire. The researcher examined the anterior teeth of the participants and categorised them using the AC of the IOTN. The following results were reported: about two-thirds of the respondents were satisfied with the appearance of their teeth, with the gender difference being statistically significant. About 35% were dissatisfied or very dissatisfied, but reasons for it varied. More than half of the respondents rated their teeth as better than those of their peers and three-quarters were satisfied with their occlusion, the two responses elicited no gender difference. Treatment need was assessed by use of the AC indicated that there was a moderate agreement between researcher and respondents’ in treatment need assessment. The researcher found 36.3% needed treatment against self-perceived need of 30.9%. One-third of the respondents determined by the researcher to 'need treatment', felt 'no need'. There was no statistical gender difference in perceived need for treatment. The selection of ranked photographs of the AC by both researcher and respondents demonstrated skewed distributions towards the 'low ranked' or attractive end of the ranking order irrespective of the state of occlusion. Statistical comparison of the two methods used, namely the VDS and VAS, indicated that the responses were significantly different. Therefore it is suggested that any treatment priority assessment should take perceptions of occlusal appearance. into consideration.
Williams, Tyne Ashley. "Children as Neglected Agents in Theory and Post-Conflict Reintegration." Diss., University of Pretoria, 2020. http://hdl.handle.net/2263/78144.
Full textMini Dissertation (MSS)--University of Pretoria, 2020.
Political Sciences
MSS
Unrestricted
Herman, Kazibwe. "Barriers experienced by parents/caregivers of children with clubfoot deformity attending specific clinics in Uganda." Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_9901_1194348551.
Full textClubfoot is the most common congenital structural deformity that leads to physical impairments in children in many poor developing countries. Inadequately treated or neglected clubfoot has been found to be a common cause of ohysical disability globally among children and young growing adults. Many children are referred to the clinics for treatment but some parents do not comply with the treatment regimen whcih requires attending for consecutive treatment sessions. The purpose of this study was to investigate barriers to treatment attendance parents/caregivers of children with clubfoot encounter in complying with clubfoot treatment during the plaster csting phase in Uganda.
Obika, Juliana. "A study of the reintergration of former child soldiers : the case study of Gusco Northern Uganda." Thesis, Nelson Mandela Metropolitan University, 2008. http://hdl.handle.net/10948/786.
Full text彭莉 and Li Jasmine Peng. "Effects of the headgear-activator appliance: a prospective study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B3124466X.
Full textGullstrand, Erika. "Challenges for all- Education in the young nation of Uganda." Thesis, Malmö högskola, Lärarutbildningen (LUT), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-32865.
Full textSsendi, Anna Nanjobe. "Abandoned New-Born Babies In Kampala-Uganda." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25767.
Full textAduba, Nkeiruka Adaobi. "Million flickering embers : a multidisciplinary analysis of child mortality in Uganda." Diss., University of Pretoria, 2011. http://hdl.handle.net/2263/18617.
Full textThesis (LLM (Human Rights and Democratisation in Africa))--University of Pretoria, 2012.
http://www.chr.up.ac.za/
nf2012
Centre for Human Rights
LLM
Gustavsson, Ellinor. "How Ugandan children deal with emotions concerning local environmental problems." Thesis, Uppsala universitet, Institutionen för pedagogik, didaktik och utbildningsstudier, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-217363.
Full textEspinós, Solans María. "Symptoms and signs of temporomandibular disorders in children and adolescents, before and after orthodontic treatment." Doctoral thesis, Universitat Internacional de Catalunya, 2017. http://hdl.handle.net/10803/461773.
Full textJönsson, Anna, and Josefin Olsson. "Reading culture and literacy in Uganda. The case of the “Children’s Reading Tent”." Thesis, Högskolan i Borås, Institutionen Biblioteks- och informationsvetenskap / Bibliotekshögskolan, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-18740.
Full textUppsatsnivå: D
Acirokop, Prudence. "Pitied and then ignored : international response to the plight of children in armed conflict: the case of Uganda." Diss., University of Pretoria, 2005. http://hdl.handle.net/2263/1134.
Full textMini Dissertation (LLM)--University of Pretoria, 2005.
http://www.chr.up.ac.za/academic_pro/llm1/dissertations.html
Centre for Human Rights
LLM
Almeida, Valério Landim de 1979. "Correlação entre padrão esquelético, espaço aéreo faríngeo, altura do palato e áreas dos seios maxilar e frontal de crianças e adolescentes = Correlation between skeletal pattern, pharyngeal airway space, height of the palate and areas of the maxillary and frontal sinuses of children and teenagers." [s.n.], 2013. http://repositorio.unicamp.br/jspui/handle/REPOSIP/288437.
Full textDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
Made available in DSpace on 2018-08-22T17:13:00Z (GMT). No. of bitstreams: 1 Almeida_ValerioLandimde_M.pdf: 879968 bytes, checksum: c3b0a49773d53169b265d18bb451dcf0 (MD5) Previous issue date: 2013
Resumo: A morfologia de tecidos moles pode interferir no crescimento e no desenvolvimento das estruturas craniofaciais causando maloclusões. As avaliações dessas alterações durante o crescimento são importantes para a restauração do padrão do crescimento. O objetivo deste estudo foi correlacionar o padrão esquelético com o espaço aéreo faríngeo, a altura do palato e as áreas dos seios maxilar e frontal de crianças e adolescentes. Para isso, foram selecionadas 116 telerradiografias laterais, 55 do gênero feminino, com idade média de 12,04 (DP ±3,04) anos e 61 do gênero masculino com média de idade de 11,91 (DP ±2,92) anos. As telerradiografias foram digitalizadas e as aferições realizadas por um mesmo pesquisador com o software Image J. Para avaliação do padrão esquelético utilizou-se a análise de Wits. Em seguida, a altura do palato, o espaço aéreo faríngeo, as áreas do seio maxilar esquerdo e do seio frontal foram aferidas. Os grupos se distribuíram conforme o gênero e as classes esqueléticas I, II ou III. O coeficiente de correlação intraclasse para todas as medidas foi > 0,99. Adotaram-se modelos de análise de variância apropriados para cada uma das variáveis e houve comparação das médias pelo teste de Tukey a 5% de probabilidade. O espaço aéreo faríngeo foi significativamente maior para o grupo masculino III quando comparado com o feminino de mesma classe. O gênero masculino classe III apresentou maior altura do palato, havendo diferença significativa entre masculino III e masculino I. Não houve diferença entre as médias do seio maxilar. Para o seio frontal houve diferença estatística para as classes II e III e entre os gêneros, exceto para classe I. A análise de correlação de Pearson não comprovou associação entre o padrão esquelético e as demais variáveis, entretanto, sugeriu associação positiva entre seio frontal e seio maxilar (p<0,0001); seio frontal e espaço aéreo faríngeo (p=0,025); seio frontal e altura do palato (p<0,0001); seio maxilar e altura do palato (p<0,0001). Os resultados indicam que o crescimento da face sofre influência da tensão mastigatória e que o padrão esquelético não é o principal determinante das dimensões das variáveis estudadas nesse estágio de crescimento. As correlações positivas encontradas entre as outras variáveis indicam uma relação de dependência e sugere interação biomecânica entre essas estruturas
Abstract: Morphology of the soft tissues interferes with growth and development of craniofacial structures causing malocclusions. Evaluation and diagnostic of musculoskeletal discrepancies in growing patients are especially important for the re-establishment of craniofacial growth pattern. The aim of this study was to correlate the skeletal patterns with the pharyngeal airway space, height of the palate, and areas of the maxillary and frontal sinuses of children and teenagers. Sample included 116 lateral cephalometric radiographs of 55 females with a mean age of 12.04 (SD ±3.04) and 61 males with a mean age of 11.91 (SD ±2.92). Cephalometric radiographs were digitized and all measurements performed by the same examiner using the software Image J. In each radiograph were measured the height of palate, pharyngeal airway space, area of the left maxillary sinus and area of the frontal sinus. Sample was divided in groups (I, II and III) according to gender and skeletal patterns defined by Wits appraisal. Intra-examiner reliability test showed ICC>0.99. Variables were summarized using basic statistics and subsequently by appropriated models of analysis of variance (ANOVA) for each variable. The means were compared by Tukey test at 5%. Pharyngeal airway space revealed a significant difference between the genders for class III group (p<0.001). The height of the palate showed a significant difference between the genders for classes I and III (p<0.001). To maxillary sinus there was no significant difference between the groups. The area of the frontal sinus showed a significant difference between genders for classes II and III (p<0.001). Data indicates that skeletal patterns was not related to the other variables, however a positive correlation was found between the area of the frontal sinus and the area of the maxillary sinus (p<0.0001); area of the frontal sinus and pharyngeal airway space (p=0.025); area of the frontal sinus and the height of the palate (p<0.0001); area of the maxillary sinus and the height of the palate (p<0.0001). The skeletal pattern is not the main factor to determine the pharyngeal airway space size, height of the palate and area of the maxillary and frontal sinuses in those stages of growth. However, the positive interactions found among other variables indicate a correlation of dependence and suggests biomechanical interaction between these structures
Mestrado
Anatomia
Mestre em Biologia Buco-Dental
Nyakwezi, Sheila. "The use of anthropometric indices as an alternative guide to initiating antiretroviral therapy (ART) in children at the Mildmay Centre in Uganda." Thesis, Stellenbosch : Stellenbosch University, 2008. http://hdl.handle.net/10019.1/2434.
Full textIntroduction: More than half a million children worldwide die from the Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) each year. In Uganda, HIV/AIDS is a major cause of infant and childhood mortality. Although the government of Uganda, through various strategies, has increased access to antiretroviral drugs (ARVs), resulting in national scaling up of accessibility to antiretroviral therapy (ART), initiation of ART in resource-limited areas remains a challenge due to constraints such as the absence of or limited number of CD4 machines and related laboratory constraints. Further scaling up of ART for children would be greatly strengthened by increased access to laboratory services for CD4 counts or the introduction of alternative indicators or guidelines for the initiation of ART. Aim: This study therefore set out to investigate, through the analysis of retrospectively collected data, whether anthropometric indices (wasting - weight for height; underweight - weight for age; and stunting - height for age) could provide a useful alternative guide when deciding about initiation of ART in children aged 2-12 years in the absence of sophisticated clinical and laboratory support. Methods: The study was conducted at the Mildmay Centre, an HIV/AIDS specialist centre located in Kampala, Uganda. Parameters such as the age at which children had been initiated onto ART, duration on ART, World Health Organisation (WHO) and Centre for Disease Control (CDC) disease stages at time of initiation, anthropometry at time of initiation, CD4% staging at time of initiation, support received from food aid programmes, referral to other health centres as a result of malnutrition and care-giver nutrition education/counselling were all determined retrospectively from clinical records. Results: It was found, based on CDC (2000) growth reference charts, that of the total number of children who took part in this study (N=125), 98.4% were mildly wasted, 52.8% mildly underweight and 75.2% mildly stunted when they were initiated onto ART. Of the children, who had WHO disease staging documented - 40% (N=50), the majority - 86% (N=43) were in WHO disease staging II and III during initiation of ART. and 96% (N=48) were mildly wasted. However, the relationship between WHO disease staging and wasting, underweight, and stunting at initiation of ART in children at the Mildmay centre was not significant. The relationship between CD4% and underweight or stunted children was also not significant. It was established however, that in the absence of CD4 laboratory parameters (since CD4% is vital in the initiation of ART in children) as is the case in resource limited areas, anthropometric indices (moderate to severe wasting, weight for height -W/H) could be used concurrently with CDC and WHO disease staging to initiate ART in children. However, it is important to note that anthropometric indices on their own cannot be used as a guide for initiating ART in children. Conclusion: Anthropometric status alone cannot be used to accurately determine when to initiate ART in children 2-12 years.
Hoem, Irene Bisasso. "WOMEN AND CHILDREN AT RISK : A CASE STUDY OF INTERNALLY DISPLACED PERSONS FROM WARAFFECTED NORTHERN UGANDA TO KAMPALA CITY." Thesis, Norwegian University of Science and Technology, Department of Geography, 2008. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-5246.
Full textOHCHR (2007) reports that at the international level, no single agency or organization has been designated as the global lead on protection and assistance of internally displaced persons. The case of women and children urban IDPs from war affected northern Uganda to Kampala poses salient questions on the state of their basic human needs, survival strategies and the perception, which all reflects urban IDPs’ rights.
A qualitative approach was used, involving direct observation, interviews (in depth and focused group discussions) and visual materials (photographs and children’s drawings) to gather primary data. Secondary data from various published and unpublished sources were used and acknowledged. The findings to the above questions reveal that women and children identify almost similar basic human needs. Nevertheless, each category has special additional needs depending on age, gender and responsibilities. Most of their basic needs are unmet and the state of such needs show how their basic human rights as per the CRC, CEDAW and the 1995 constitution of Uganda are not uplifted. Women and children are participating in many social and economic activities, despite the fact that survival continues to be a daily struggle and places many women and children at risks. Fortunately some strategies are not only providing survival but empowerment and participation as well.
Urban IDPs and host community have diverse perceptions about each other. The host community is reported to be crucial in determining how urban IDPs survive and access basic human needs. The author concludes that women and children IDPs are unable to claim their rights and are at risk. Recommendations are suggested concerning the provision and access to basic human needs, enhancement of participation and empowerment of women and children urban IDPs, so that they get in position to claim their rights. Finally further research ideas are identified.
Apio, Eunice Otuko. "Children born of war in northern Uganda : kinship, marriage, and the politics of post-conflict reintegration in Lango society." Thesis, University of Birmingham, 2016. http://etheses.bham.ac.uk//id/eprint/6926/.
Full textJenkins, Jill. "Influences on the decision-making, beliefs, pedagogy, and practices of a primary grade 3 literacy teacher in Uganda." Fairfax, VA : George Mason University, 2009. http://hdl.handle.net/1920/4575.
Full textVita: p. 255. Thesis director: Elizabeth Sturtevant. Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Education. Title from PDF t.p. (viewed Oct. 12, 2009). Includes bibliographical references (p. 240-254). Also issued in print.
Nyakwezi, Kamugasha Sheila. "The use of anthropometric indices as an alternative guide to initiating antiretroviral therapy (ART) in children at the Mildmay Centre in Uganda /." Link to the online version, 2008. http://hdl.handle.net/10019/1502.
Full textClark, Christina R. "Beyond borders : political marginalisation and lived experiences of Congolese young people in Uganda." Thesis, University of Oxford, 2011. http://ora.ox.ac.uk/objects/uuid:82b25c81-b6ee-4cf4-ad6c-d0dc889eb49e.
Full textMaina, Grace Mukami. "An analytical study of the reintegration experience of the formerly abducted children in Gulu, Northern Uganda: A human security perspective." Thesis, University of Bradford, 2010. http://hdl.handle.net/10454/4860.
Full textNamukanja, Phoebe Monalisa-Mayambala. "Adverse effects on second-line highly active antiretroviral therapy (HAART) among HIV infected adults and children treated at Mildway Uganda." Thesis, University of Limpopo (Medunsa Campus), 2011. http://hdl.handle.net/10386/532.
Full textBackground Available and affordable second-line antiretroviral treatment regimens are a key component of universal access to treatment and its continuation. However, providing second-line ART is affected by a number of factors including infrastructure, skills and cod competency of available personnel, cost and availability of second-line drugs. Like first-line antiretroviral agents, second-line drugs have also inherent toxicities. While these have been described in adults, few studies reported this in children. Hence, the need to conduct this study. The aim of the study was to characterize the adverse effects on second-line antiretroviral therapy among HIV infected adults and adolescents and children treated at Mildmay Uganda (MUg). Method This was a cross-sectional study based on the review of patients' records. Data was extracted from client medical charts of patients on second-line antiretroviral treatment regimens treated at Mildmay Uganda Centre from January 2000 to December 2008. Results In total, 247 cases, the majority (90.7%) of the study participants were aged 13 years and above, female (53.0%), and single (68.0%). With regard to reasons that led to the second-line regimen, the main reason for switching was treatment failure (83%), followed by toxicity (5.7%), and other reasons such as the onset of Kaposi Sarcoma disease, maintaining regimen after transfer, and nevirapine pre-exposure. Overall, 55 out of 247 patients suffered from one or more adverse effects, a prevalence of 22.3%. The mean number of adverse drug reactions (ADR) was 1.3 per patient. Of the 55 who experienced adverse effects, 76.4% experienced one type of adverse effect. The three most common adverse effects were gastro-intestinal, followed by hematological and peripheral neuropathy. Based on age, while adults experienced a broad range of adverse 11 drug reactions including metabolic and hepatic ADRs besides the three cited above; children experienced two types only, gastrointestinal, and hematological ADRs. Hematological ADRs were significantly more prevalent in children than adults (66.7% versus 21.4%); they were also more prevalent in females than males (30.8% versus 15.2%). In contrast, while metabolic ADRs were equally distributed, peripheral neuropathy was more prevalent in males than females (30.3% versus 20.5%). Based on the number of ADRs experienced, more males than females (19.8% versus 14.5%) experienced one type of adverse effect whereas more females than males (6.1% versus 4.3%) experienced two to three adverse drug reactions to second-line regimens. Clinically, the didanosine-based regimens were the most associated with ADRs in both children and adults. In Children, the regimen, ABC/DDI/LPV/R, was responsible of 66.7% of ADRs documented; while in adults it was involved in 60.3% of ADRs. Similarly, TDF-, zidovudine-, and stavudine-based regimens were also involved respectively in 52.9%, 17.8%, and 14.7% of ADRs. Based on gender, didanosine-containing regimen, with either TDF or stavudine with lopinavir/r were responsible of 66.7% of ADRs reported in males; while TDF-based regimen with lamivudine or FTC were involved in 21.1% of ADRs also in males. In females, didanosine-, TDF-, zidovudine-, and stavudine-based regimens were also involved respectively in 57.9%, 36.9%, 23.7%, and 7.9% of ADRs. The regimen, TDF/DDI/LPV/R, was also the most associated with the occurrence of ADRs in females as it was in males. Moreover, although no difference was found among patients whose bodyweights increased significantly and those whose did not, patients whose CD4 counts increased significantly experienced more ADRs than those whose had not (8.8% versus 1.3%, p= 0.03). Conclusion Overall, second-line regimens seem to be well tolerated as the overall prevalence of adverse effects was 22.37%. The didanosine-containing regimens were most associated with the occurrence of ADRs. Hematological ADRs were more prevalent in children than 12 adults; and more in females than males. In contrast, while metabolic ADRs were equally distributed, peripheral neuropathy was more prevalent in males than females. These findings emphasize the need to individualize treatment based on the characteristics of the patient.
Leme, Marina Severi 1986. "Malocclusion, orofacial dysfunction, deleterious oral habits and anxiety symptoms assessment in children and adolescents = Avaliação de maloclusão, disfunção orofacial, hábitos orais deletérios e sintomas de ansiedade em crianças e adolescentes." [s.n.], 2014. http://repositorio.unicamp.br/jspui/handle/REPOSIP/287940.
Full textTese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: Essa tese foi dividida em dois capítulos. Capítulo 1: O desenvolvimento da maloclusão é o resultado de interações entre fatores genéticos e ambientais, e a função orofacial é considerada um fator ambiental. Dessa forma, o presente estudo objetivou determinar a prevalência de disfunção orofacial e maloclusão, e estabelecer a interrelação entre disfunção orofacial e maloclusão em crianças e adolescentes de 4 a 14 anos de idade. A amostra consistiu de 1561 sujeitos divididos em quatro grupos: Dentição decídua (DD), Dentição mista 1º período transitório (DM1), Dentição mista 2º período transitório (DM2) e Dentição permanente (DP). A disfunção orofacial foi avaliada usando o Nordic Orofacial Test ¿ Screening (NOT-S) e a maloclusão foi avaliada utilizando critérios sugeridos por Grabowski et al. 2007, e, a partir disso a amostra foi subdividida em grupos sem maloclusão e com os tipos de maloclusão. A análise estatística consistiu de análise descritiva dos dados, e aplicação dos testes Qui-quadrado, Mann-Whitney e Kruskal-Wallis. A prevalência da maloclusão encontrada foi de 64.9% na DD, 83.2% na DM1, 80.4% na DM2 e 90.7% na DP, sendo a sobressaliência aumentada a maloclusão mais frequente. A frequência de disfunção orofacial encontrada foi de 86.6% na DD, 88.1% na DM1, 91.3% na DM2 e 89.6% na DP, sendo a presença de hábitos a disfunção mais frequente. Os grupos de maloclusão Classe II bilateral (no grupo DD), mordida aberta anterior (nos grupos DD e DP), classe III unilateral, mordida cruzada posterior unilateral e bilateral (no grupo DD e DP) apresentaram mais disfunção orofacial quando comparados ao grupo sem maloclusão. Como conclusão, a prevalência de maloclusão e disfunção orofacial na população avaliada é alta, e verificou-se uma relação positiva entre maiores impactos de fisfunção orofacial e presença de maloclusão. Capítulo 2: Os hábitos orais deletérios (HOD) são disfunção orofacial cujo possível fator etiológico é a ansiedade. Dessa forma, o objetivo deste capítulo foi avaliar a relação entre HOD e sintomas de ansiedade em crianças e adolescentes de 7 a 14 anos. A amostra (n=1174) foi dividida em 3 grupos : Dentição mista 1º período transitório (DM1), Dentição mista 2º período transitório (DM2) e Dentição permanente (DP). A avaliação dos HOD foi realizada usando-se o domínio III (hábitos) do NOT-S e os sintomas de ansiedade foram avaliados utilizando o Multidimensional Anxiety Scale for Children (MASC). A prevalência de HOD encontrada foi de 69.5% na DM1, 78.9% na DM2, 77.1 na DP. O HOD mais frequente foi a onicofagia. Os escores do MASC foram maiores em meninas nos grupos DM2 e DP. Os grupos de hábito apresentaram mais sintomas de ansiedade quando comparados ao grupo sem hábito nos grupos DM1, DM2 e DP. Conclui-se que crianças e adolescentes com HOD apresentaram, significativamente, mais sintomas de ansiedade
Abstract: This thesis was divided in two chapters. Chapter 1: The development of maloclusion is the result of interactions of genetically and environmental factors. The orofacial function is considered an environmental factor. In this way, the present study aimed to determine the prevalence of orofacial dysfunction and malocclusions and to establish the interrelation between orofacial dysfunction and malocclusion in children and adolescents aged 4 to 14 year-old. Sample was constituted by 1561 subjects divided in four groups: Primary dentition (PRD), Intermediate mixed dentition (IMD), Late mixed dentition (LMD) and Permanent dentition (PD). The orofacial dysfunction was assessed using the Nordic orofacial test-screening (NOT-S) and malocclusion was assessed using the criteria of Grabowski et al., 2007, by this the sample was subdivided in malocclusion and no malocclusion groups. Statistical analysis constituted of descriptive analysis, chi-squared partition and independence tests, and Mann-Whitney and Kruskal-Wallis tests. Rates from malocclusion prevalence was 64.9% in PRD, 83.2% in IMD, 80.4% in LMD and 90.7% in PD, being increased overjet the most common malocclusion found. The frequency for orofacial dysfunction observed was 86.6% in PRD, 88.1% in IMD, 91.3% in LMD and 89.6% in PD, being the presence of deleterious oral habits the most frequent one. Malocclusion groups of bilateral class II (in PRD), frontal open bite (in PRD and PD), unilateral class III and unilateral and bilateral posterior crossbite (in PD) presented significant more orofacial dysfunction compared to no malocclusion group. As conclusion, the prevalence of malocclusion and orofacial dysfunction in assessed sample were high and it was detected a positive interrelation between higher impacts on orofacial dysfunction and the presence of malocclusion. Chapter 2: Deleterious oral habits (DOH) are orofacial dysfunction whit anxiety as a possible etiological factor. In this way, this chapter objective to evaluate the relationship between DOH and symptoms of anxiety in children and adolescents aged from 7 to 14 year-old. Subjects (n=1174) were divided in 3 groups: Intermediate mixed dentition (IMD), Late mixed dentition (LMD) and Permanent dentition (PD). The assessment of DOH was done using the domain III (Habits) of the NOT-S and anxious symptoms were assessed using the Multidimensional Anxiety Scale for Children (MASC). Data were analysed descriptivaly and with Chi-squared, Mann-Whitney and Kruskal-Wallis tests. The prevalence of DOH was 69.5 % in IMD, 78.9% in LMD and 77.1% in PD. The most frequent one in the assessed groups was nail biting. MASC scores were higher in females in LMD and PD. Habit groups presented more symptoms of anxiety when compared to Habit free group in IMD, LMD and PD. As conclusion children and adolescents with DOH presented significant more symptoms of anxiety
Doutorado
Odontopediatria
Doutora em Odontologia
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Full textThe extent to which customers are satified with the care they receive from the health professionals has been an important area of interest for researchers, managers and health care workers. The physiotherapy cerebral palsy clinic at Mulago Hospital in Kampala Uganda provides physiotherapy services for parents caregivers of children with cerebral palsy. The parents caregivers visit the clinic seeking physiotherapy services that will address their problems and those of the child. The purpose of this study was to explore the satisfaction that the parents caregivers of children with cerebral palsy get from utilising the physiotherapy services at the clinic and to identify the barriers problems that they encounter that might affect their attendance.
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http://www.chr.up.ac.za/academic_pro/llm1/dissertations.html
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http://www.chr.up.ac.za/
Centre for Human Rights
LLM
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