Publications by authors named "Harriet N Kisembo"

Introduction: In low resource settings (LRS), utilization of Computed Tomography scan (CTS) for mild traumatic brain injuries (mTBIs) presents unique challenges and considerations given the limited infrastructure, financial resources, and trained personnel. The Theoretical Domains Framework (TDF) offers a comprehensive theoretical lens to explore factors influencing the decision-making to order CTS for mTBI by imaging referrers (IRs).

Objectives: The primary objective was to explore IRs' beliefs about factors influencing CT utilization in mTBIs using TDF in Uganda.

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Article Synopsis
  • Most AI advancements in healthcare have primarily taken place in wealthy countries, creating a gap in low-resource areas like Sub-Saharan Africa, where high perinatal mortality rates could be alleviated with better medical imaging.
  • Deep learning models have been proposed for fetal ultrasound diagnosis, but their effectiveness in resource-poor settings remains unproven due to different equipment and data availability.
  • This research explores ways to adapt high-resource AI models for low-resource environments, demonstrating that transfer learning can improve model performance in African countries by combining small local samples with larger datasets from developed nations.
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Article Synopsis
  • * The paper discusses Africa's current situation regarding imaging quality and safety, factors driving interest in these areas, and how COVID-19 has impacted progress while referencing the Bonn Call for Action framework.
  • * Key achievements in the past decade include enhanced radiation safety awareness and training, but challenges like limited resources, low imaging prioritization, and a developing safety culture remain, necessitating comprehensive solutions across the healthcare system.
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Objectives: To identify, categorize, and develop an aggregated synthesis of evidence using the theoretical domains framework (TDF) on barriers and facilitators that influence implementation of clinical imaging guidelines (CIGs) by healthcare professionals (HCPs) in diagnostic imaging.

Methods: The protocol will be guided by the Joanna Briggs Institute Reviewers' Manual 2014. Methodology for JBI Mixed Methods Systematic Reviews and will adhere to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PRISMA-P).

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Background: Accuracy of fetal weight estimation by ultrasound is essential in making decisions on the time and mode of delivery. There are many proposed formulas for fetal weight estimation such as Hadlock 1, Hadlock 2, Hadlock 3, Hadlock 4 and Shepard. What best applies to the Ugandan population is not known since no verification of any of the formulas has been done before.

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Background: A high prevalence of tuberculosis (TB) in children presenting with severe pneumonia has previously been reported in South Africa. However, little is known about TB among children with pneumonia in Uganda and other resource limited countries. Moreover, TB is associated with high morbidity and mortality among such children.

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