Makerere Medical Journal (MMJ), 48Th Edition
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MMJ MMJ MAKEREREMEDICAL JOURNAL 48TH VOLUME chs.mak.ac.ug/studentjournals 1 5 31 51 CONTENTS CASE REPORTS 27 NEUROINTENSIVE MANAGEMENT OF ACUTE BACTERIAL MENINGITIS IN RESOURCE LIMITED 27 Foreword MMJ Editor in Chief / MUMSA president / Patron MMJ 3 SETTINGS MMJ Editors & Reviewers 4 NON-EDEMATOUS SEVERE ACUTE MALNUTRITION (SAM) COMPLICATED WITH 31 ACUTE WATERY DIARRHEA PERFORATED PEPTIC ULCER PRESENTING AFTER ORIGINAL RESEARCH 5 AN ACUTE SEVERE ILLNESS 37 KNOWLEDGE, ATTITUDES AND PRACTICES OF MAKERERE UNIVERSITY STUDENTS TOWARDS 5 VOLUNTARY BLOOD DONATION HEPATITIS B VACCINATION STATUS AMONG STUDENTS AT THE COLLEGE OF HEALTH SCIENCES, 15 PROJECT REPORTS 40 MAKERERE UNIVERSITY, UGANDA INCIDENCE OF CANCER AMONG CHILDREN AND THE HEARTSTRINGS’ PROJECT’ 40 ADOLESCENTS IN KYADONDO COUNTY, UGANDA 18 IMPROVING MENSTRUAL HYGIENE AMONG BETWEEN 2009 AND 2014 ADOLESCENTS IN FOUR SELECTED SCHOOLS IN 43 FORMULATION AND EVALUATION OF AN AMOLATAR DISTRICT ANTIDERMATOPHYTIC OINTMENT FROM 23 THE TOTO PROJECT: MAKING MATERNAL AND Eucalyptus Citriodora ESSENTIAL OIL CHILD HEALTH A COMMUNITY OBJECTIVE 46 EDITORIALS 50 DEPRESSION: SEEK HELP 49/53 POLLUTION CONTROL, A STRATEGY NOT TO FORGET! 50 THE EVOLUTION OF EMERGENCY MEDICINE AT MAKERERE UNIVERSITY 51 MEDICAL TRANSLATION: A NEGLECTED YET VITAL IN UGANDAN MEDICINE FIELD OFTEN 52 2 chs.mak.ac.ug/studentjournals Forewords MMJ elcome to the 48th Edition of the Makerere Medical Journal (MMJ). It is such a great milestone to which we shall always look back medical research and publication to renew medical practices Wand technologies in our academic and clinical lives. cutting edge research and publication is what we all call for. Therefore, as medical students, we need to build to it day by day starting at the smallest point of impact. I would like to thank and extend my gratitude to my co-editors, editorial board members, reviewers as well as the contributing authors for creating this edition. In this edition, readers will find a diverse group of manuscripts. Ahimbisibwe P et al, explores the knowledge, attitudes and practices of Makerere University students towards voluntary blood donation, Apio P et al, shows the hepatitis B vaccination status among students at the College Of Health Sciences, Makerere University, Walusimbi D et al, shows the formulation and evaluation of an antidermatophytic ointment from Eucalyptus Citriodora essential oil while Kigozi Enos Abila D et al provides insight to the incidence of cancer among children and (MBChB IV) adolescents. Editor in chief In our case reports section, we appreciated the impact of individual cases building up to medical information relevant to fine tune medical practice as Kigozi Enos is a 4th year medical student, observed in Saba I et al, Oriba D et al and Ssenyondwa Jet al. renowned for his medical research and In our project reports, Wafula M et al describes the TOTO project that made scientific writing aspirations. He has passion for media, publications, community maternal and child health a community objective, she also goes ahead to development and transformational describe the need to improving menstrual hygiene among adolescents. Menyo leadership. He has risen through the ranks in I et al describes the heartstrings project under the drive, run for the hearts. the Research and writers’ club to the position of Editor-in-chief of the 48th edition of the Additionally, in our editorials section, Sauya K et al writes about depression: MMJ currently. He is the former publications seek for help, Businge O et al shares about pullution control: a strategy not to director at FUMSA. He has presented papers forget, Ndyabawe I et al writes about medical translation: a neglected yet vital at JISSC and participated in mentoring fellow in ugandan medicine field often and Kalanzi Jet al writes about the evolution of colleagues. emergency medicine at Makerere university. MMJ Editorial team... Reviewers... Dr. Kenneth Ssebambulidde Medical officer, Infectious Diseases Institute, College of Health Sciences Makerere University P.O.box22418 kampala uganda Dr.Sabrina Bakeera-Kitaka Senior Lecturer; Paediatric & Adolescent Health Specialist Department of Paediatrics Makerere University College of Health Sciences Mulago National Referral Hospital SAUYA KAUMA ANNE AGOE ACAN INNOCENT P.0.BOX 9782 Kampala Uganda Editor Editor Editor MS Olivia Kituuka Sauya Kauma is a Biomedical Anne Agoe is a 4th year Acan Innocent Immaculate is Consultant surgeon and Senior Lecturer Scientist currently pursuing student pursuing a Bachelor's a third year student pursuing Department of surgery MBChB at Makerere Degree of Science in Nursing. a Bachelor’s Degree in Makerere University College of Health Sciences University. Away from the She is the case reports editor Medicine and a Bachelor’s P.O Box 7072, Kampala Uganda medical field, she is a creative for the 48th MMJ edition. Degree in Surgery. She writer who has recently She is also the Organizing dabbles in writing in her spare Prof. Henry Wabinga picked particular interest in secretary for Makerere time and looks forward to Senior pathologist & lecturer mental health, an editor and University Nursing Students' pursuing both careers in the Department of pathology Makerere University College of Health Sciences a proof reader. Some of her Association (MUNSA). One future. P.O Box 7072, Kampala Uganda work is published on her blog, of the most avid readers you'll theprant.wordpress.com. ever meet, she wishes you all a wonderful read through the Mr. Kiiza Daniel Pharmacist, Infectious Diseases Institute, College beloved journal. of Health Sciences Makerere University P.O.box22418 kampala uganda chs.mak.ac.ug/studentjournals 3 Forewords AHIMBISIBWE PROSPER KINTU MOSES GRACE Dr. SABRINA KITAKA President Research & Writers club MUMSA president Patron MMJ 2016-2017 2016-2017 2016-2017 Dear reader, Welcome yet again to another edition It gives me absolute pride to be Any great piece of writing deserves an of the prestigious Makerere Medical associated with the 48th Edition of the equivalent pair of eyes to take a read Journal. Work on the journal has Makerere Medical Journal (MMJ) which and appreciate. I welcome you the been ongoing for quite a while and is produced as a tradition and culture 48th Edition of the Makerere University much effort has been made towards by the Makerere University Medical Journal (MMJ). The MMJ is the improving the quality of articles. As Student’s Association (MUMSA).As an celebration of the gifts of research and with each new edition, we bring you Alumnus of the Makerere University writing among the medical fraternity at more fascinating clinical case reports, Medical School,I am humbled by the Makerere University College of Health original research articles, project great strides made by this reader and Sciences particularly undergraduate reports to mention but a few, all done the meticulous efforts of the Editorial students. and designed by medical students at Team and each and every one of the Makerere University. All the articles contributing. Scientific information As the Research & Writers Club of included here have been meticulously is of no value without dissemination, Makerere University, our mission is reviewed by senior faculty to ensure and the MMJ continues to offer a to improve on the competence of quality. We are greatly indebted to worthy platform for original and undergraduates, tomorrow’s iconic them for the reviews. community projects conducted by the scientists , through research, scientific students. Readers will, of course, make and creative writing. Our vision is to Reading through this edition, you’ll their own judgments regarding the be a fountain for an African generation appreciate the extra brilliance exhibited importance of a published article, but that prides in research and publishing and the mammoth of knowledge that judgment will be informed by a scientific materials. entailed in it. There is a lot of potential among the authors of this journal and rigorous, overarching editorial process As 2017 marks the sixth year of the the editors of the articles published helping guide the field. In addition and existence of the Research Writers Club, here. I encourage you all to take your importantly, the published article will we are glad to be at the forefront of this time and read through each article, serve as a portal to an array of related piece of work with beautiful content digesting all the information there in. resources that inform, amplify, and from our dear authors. Due appreciation enrich the readers’ experience. I have I extend my sincere gratitude to goes out to the Research & Writers Club had the opportunity to read the details the editorial team that has worked executive, I served alongside, who put in of many of the articles which are clearly tirelessly to avail this edition of MMJ heart and soul all year around. A team a true reflection of scientific rigor to all the eager readers. I congratulate of faculty staff and practising health and disposition. The articles herein the Research and Writers’ club of personnel did a nice job in reviewing dwell on ‘hot topics’ like Hepatis B, to Makerere University College of Health all the articles. A hand of applause for developmental and social issues like Sciences and the MUMSA executive the editorial team for their meticulous malnutrition, menstrual hygiene and a that have seen this work through. work. And finally, I take this opportunity community project which raised funds Finally, in a special way, I appreciate to our sponsors and partners for their for some cardiac patients. To ALL the our sponsors who have supported us generous contribution that enabled the funders, and reviewers of this specific and made publication of this journal publication of the 48th Edition of the issue, we are truly grateful. This issue possible, the College administration for Makerere Medical Journal possible. is a ‘must read’, and I say this with the relentless support and the entire Buckle your seat belt as you take the a lot of confidence.