Hematological Indices Among Paediatric Cancer Patients Undergoing Chemotherapy at Bugando Medical Centre in Mwanza, Tanzania. (Record no. 20883)

MARC details
000 -LEADER
fixed length control field 03620nam a22003497a 4500
001 - CONTROL NUMBER
control field CUHAS/BM/1000330/T/16
003 - CONTROL NUMBER IDENTIFIER
control field CUHAS/BM/1000330/T/16
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240305193837.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210809b |||||||| |||| 00| 0 eng d
028 ## - PUBLISHER OR DISTRIBUTOR NUMBER
Source Wurzburg Road 35, BMC Premises, Post Code: 33102:
Source P. O. Box 1464, Mwanza – Tanzania:
Source Phone: +255 28 298 3384:
Source Fax: +255 28 298 3386:
Source Email: vc@bugando.ac.tz :
Source www.bugando.ac.tz
035 ## - SYSTEM CONTROL NUMBER
System control number CUHAS/BM/1000330/T/16
040 ## - CATALOGING SOURCE
Language of cataloging English
Transcribing agency DDC
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
Language code of text/sound track or separate title Kiswahili
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Mrimi, Abraham. Jeremiah
Dates associated with a name CUHAS/BM/1000330/T/16
9 (RLIN) 20854
245 ## - TITLE STATEMENT
Title Hematological Indices Among Paediatric Cancer Patients Undergoing Chemotherapy at Bugando Medical Centre in Mwanza, Tanzania.
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. Catholic University of Health and Allied Sciences [CUHAS – Bugando] :
Date of publication, distribution, etc. ©2019
300 ## - PHYSICAL DESCRIPTION
Extent viii; 27 Pages
Extent Includes References
520 ## - SUMMARY, ETC.
Summary, etc. Abstract:<br/><br/>Background: Chemotherapy is useful in treating malignant diseases. Among pediatric cancer patients in Tanzania, no published data explains their baseline hematological indices and how such indices change over time while on chemotherapy treatment. <br/><br/>Objective: This study aimed to determine the baseline hematological indices among pediatric cancer patients attending Bugando medical centre (BMC) and how such indices change while on chemotherapy.<br/><br/>Methodology: A combined retrospective- prospective cross-sectional study was conducted at Bugando medical centre from January to August 2019. Sixty nine new pediatric cancer cases and 52 healthy controls were tested for baseline hematological indices, then 30/69 cases were prospectively followed after only one cycle of chemotherapy to obtain similar indices using the DH 76 auto hematology analyzer. Data was analyzed using Microsoft Excel.<br/><br/>Results: Participants were aged between 0-18 years old. Out of 52 controls, 28 (53.8%) were female while among cases, 39 (56.5%) were female. The most prevalent cancer type was Wilm’s tumor followed by retinoblastoma. At baseline, control’s mean (SD) Hb and MCV were significantly lower while total WBC count and ANC indices were comparably higher than among cases with the most effect on the highest age group (11.6 (2.1) g/dl, 75 (10.4) µm3 , 3.48 (2.2) x 109 /1 and 8.37 (4.2) x 109/1 versus 9.7 (3.4) g/dl, 69.5 (11) µm3, 5.6 (5.65) x 109/1 and 11.36 (9.22) x 109/1 respectively (p = 0.0072, 0.0091, 0.013 and 0.032 respectively). Microcytosis, leukocytosis, thrombopenia, thrombocytosis and moderate to severe anemia were more prevalent in cases than in controls. After one cycle of chemotherapy, only total WBC count significantly decreased compared to other indices (9.76 (6.65) x 109/1 to 6.67 (3.76) x 109/1, p=0.03) with vincristine and cyclophosphamide based regimens significantly decreasing neutrophils and total WBC respectively (5.02 (34) x 109/1 to 3.16 (2.61) x 109/1, p =0.04 and 11.73 (4.9) x 109/1 to 5.8 (3.66) x 109/1. P =0.03 respectively.<br/><br/>Conclusion: Haematological outcomes were poor among cancer patients compared with healthy controls. Chemotherapy use were significantly associated with a reduction of total leukocyte count, with Vincristine and cyclophosphamide based regimens increasing this effect. <br/>
600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME
General subdivision Medical Laboratory Sciences
General subdivision Public Health
General subdivision Biochemistry and Molecular Biology
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 20853
9 (RLIN) 20827
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type UNDERGRADUATE DISSERTATIONS
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Collection Home library Current library Shelving location Date acquired Total checkouts Barcode Date last seen Price effective from Koha item type
            MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO   08/09/2021   UD0839 08/09/2021 08/09/2021 UNDERGRADUATE DISSERTATIONS
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