Influencia de la Autoestima y el Apoyo Familiar en la Prevención del Sexting Adolescente.

Objective: To determine the influence of self-esteem and family support in the prevention of sexting among adolescents in Santo Domingo de los Tsáchilas during the year 2023. Methodological strategies: Quantitative study of correlational scope and cross-sectional design, applied to 384 adolescents between 14 and 19 years old. A survey consisting of 28 questions was used in which psychometric instruments such as the family APGAR, the Rossemberg self-esteem scale and the Chacón sexting behavior scale were used. The analyses were developed with 252 adolescents who determined that they had not had sexual practices, for which Cronbach's Alpha tests were developed to verify the reliability of the instrument and bivariate correlational analyses to identify the correlation of the variables. SPSS21 was used for all analyses. Main results: The study identified that 95% of the adolescents have moderate and high self-esteem, and that 68% live in a family environment with normal functionality. However, it was found that 40.7% of them do not engage in sexting, while 59.3% do so moderately, frequently or always. It was concluded that the greater the family support and the higher the self-esteem, the lower the practice of sexting.Objetivo: Determinar la influencia de la autoestima y el apoyo familiar en la prevención del sexting en los adolescentes de Santo Domingo de los Tsáchilas durante el año 2023. Estrategias metodológicas: Estudio cuantitativo de alcance correlacional y diseño transversal, aplicado a 384 adolescentes entre 14 a 19 años. Se utilizó una encuesta conformada por 28 preguntas en donde se utilizó instrumentos psicométricos como el APGAR familiar, la escala de autoestima de Rossemberg y la escala de conductas sobre sexting de Chacón. Los análisis fueron desarrollados con 252 adolescentes que determinaron que no han tenido prácticas sexuales, para lo cual se desarrolló pruebas Alfa de Cronbach para verificar la fiabilidad del instrumento y análisis correlacionales bivariados para identificar la correlación de las variables. Para todos los análisis se utilizó SPSS21. Principales resultados: El estudio identificó que el 95% de los adolescentes tienen autoestima moderado y alto, y que el 68% vive en un entorno familiar con funcionalidad normal. Sin embargo, se pudo comprobar que el 40,7% de ellos no desarrollan sexting, mientras que el 59,3% lo hace moderadamente, frecuentemente o siempre. Concluyendo que a mayor apoyo familiar y a mayor autoestima menor es la práctica de sexting

Clinical application of circulating cell-free lymphoma DNA for fast and precise diagnosis of Burkitt lymphoma: Precision medicine for sub-Saharan Africa

Burkitt lymphoma (BL) has a cure rate of around 95% when treated with chemo-immunotherapy that is standard of care in high-income countries (Minard-Colin et al., 2020, New England Journal of Medicine 382, 2207–2219), but currently, more than 50% of children and young adults with endemic BL (Epstein Barr virus driven BL) in sub-Saharan Africa (SSA) do not survive. Treatment for BL is largely free of charge, but there is limited access to reliable diagnostic services leading to significant delays and misdiagnoses. Innovations in histopathology such as whole slide imaging and the use of novel diagnostic approaches, in particular using circulating cell-free viral and/or lymphoma DNA (liquid biopsy), could increase access to timely and reliable diagnosis and improve outcomes in SSA

Anaemia in the Hospitalized Elderly in Tanzania: Prevalence, Severity, and Micronutrient Deficiency Status

Introduction. Anaemia is a common problem in sub-Saharan Africa. While most literature has focused on children, women of childbearing age, and pregnant women, data for the elderly population are relatively scarce. Anaemia exhorts negative consequences to functional ability of elderly patients, both physically and cognitively. The purpose of this study was to determine the prevalence of anaemia, severity, and micronutrient deficiency status in the elderly hospitalized patients in Tanzania. Methods. A total of 156 hospitalized adults aged 60 years and above were enrolled in this study. A structured questionnaire was used to capture sociodemographic and clinical characteristics. Blood samples were collected, and a complete blood count, serum cobalamin, serum ferritin, and serum folate levels were measured to assess anaemia and micronutrient deficiency status in all participants who had anaemia. Results. The prevalence of anaemia was 79.5% (124/156) with severe anaemia in 33.9% (42/124) of participants, moderate anaemia in 42.7% (53/124) of participants, and 23.4% (29/124) of all participants had mild anaemia. Micronutrient deficiency was found in 14.5% (18/124) of all participants with anaemia. Combined deficiency (either iron and vitamin B12 deficiency or iron and folate deficiency) was the most common micronutrient deficiency anaemia with a frequency of 33.3% (6/18), followed by isolated iron and folate deficiencies at equal frequency of 27.8% (5/18) and vitamin B12 deficiency at 11.1% (2/18). Conclusion. The prevalence of anaemia in the hospitalized elderly population is high warranting public health attention and mostly present in moderate and severe forms. Micro-nutrient deficiency anaemia is common in this age group and is mostly due to combined micronutrient deficiency

Haematopoietic stem cell transplantation in Tanzania

Haematopoietic stem cell transplantation (HSCT) is a much‐needed service in Tanzania, to provide curative therapy for sickle cell disease (SCD), aplastic anaemia and haematological malignancies. The experience of other countries with limited resources has demonstrated that it is possible to set up such a service within similar economic and healthcare settings. This article summarises the current progress that has been made towards setting up an HSCT service in Tanzania and highlights the areas that require more work and investment to make the service a reality

Acute chest syndrome and COVID‐19 in hydroxyurea naïve sickle cell disease patient in a low resource setting

Abstract Acute chest syndrome (ACS) is a severe complication of sickle cell disease (SCD) and one of the leading causes of mortality in SCD patients. The management of ACS is challenging and requires prompt intervention to halt clinical deterioration. With the outbreak of the Coronavirus Disease 2019 (COVID‐19) pandemic, which also primarily results in acute respiratory illness, the clinical picture and treatment outcome in SCD patients with ACS remain unknown. We present a case of a 30‐year‐old male who came in with features of painful vaso‐occlusive episode and haemolysis that later evolved to acute chest syndrome. Chest X‐ray showed pneumonic changes and mild bilateral pleural effusion, and nasal Reverse Transcription‐Polymerase Chain Reaction (RT‐PCR) for COVID‐19 test came out positive. He was managed supportively with simple transfusion, antibiotics, dexamethasone and oxygen support with a good clinical outcome. Presenting with non‐specific symptoms and similar respiratory symptoms and signs, the clinical picture of COVID‐19 can prove difficult to discern from that of ACS due to other causes. This report emphasizes a need for a higher index of suspicion whenever a SCD patient presents with symptoms of acute respiratory distress

Abstracts of Tanzania Health Summit 2020

This book contains the abstracts of the papers/posters presented at the Tanzania Health Summit 2020 (THS-2020) Organized by the Ministry of Health Community Development, Gender, Elderly and Children (MoHCDGEC); President Office Regional Administration and Local Government (PORALG); Ministry of Health, Social Welfare, Elderly, Gender, and Children Zanzibar; Association of Private Health Facilities in Tanzania (APHFTA); National Muslim Council of Tanzania (BAKWATA); Christian Social Services Commission (CSSC); & Tindwa Medical and Health Services (TMHS) held on 25–26 November 2020. The Tanzania Health Summit is the annual largest healthcare platform in Tanzania that attracts more than 1000 participants, national and international experts, from policymakers, health researchers, public health professionals, health insurers, medical doctors, nurses, pharmacists, private health investors, supply chain experts, and the civil society. During the three-day summit, stakeholders and decision-makers from every field in healthcare work together to find solutions to the country’s and regional health challenges and set the agenda for a healthier future. Summit Title: Tanzania Health SummitSummit Acronym: THS-2020Summit Date: 25–26 November 2020Summit Location: St. Gasper Hotel and Conference Centre in Dodoma, TanzaniaSummit Organizers: Ministry of Health Community Development, Gender, Elderly and Children (MoHCDGEC); President Office Regional Administration and Local Government (PORALG); Ministry of Health, Social Welfare, Elderly, Gender and Children Zanzibar; Association of Private Health Facilities in Tanzania (APHFTA); National Muslim Council of Tanzania (BAKWATA); Christian Social Services Commission (CSSC); & Tindwa Medical and Health Services (TMHS)