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Malawi Medical Journal: the Journal of Medical Association of Malawi

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https://www.readbyqxmd.com/read/28955438/profile-interview-prof-rob-moodie
#1
Fanuel Bickton
No abstract text is available yet for this article.
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955437/improving-the-screening-and-treatment-of-hypertension-in-people-living-with-hiv-an-evidence-based-policy-brief-by-malawi-s-knowledge-translation-platform
#2
Collins Mitambo, Shiraz Khan, Beatrice L Matanje-Mwagomba, Chiyembekezo Kachimanga, Emily Wroe, Dalitso Segula, Alemayehu Amberbir, Daniela Garone, Peter Ra Malik, Austrida Gondwe, Josh Berman
No abstract text is available yet for this article.
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955436/the-challenge-of-diabetic-foot-care-review-of-the-literature-and-experience-at-queen-elizabeth-central-hospital-in-blantyre-malawi
#3
REVIEW
Marianne M Kasiya, Grieves D Mang'anda, Sue Heyes, Rejoice Kachapila, Lydia Kaduya, Joy Chilamba, Patrick Goodson, Kondwani Chalulu, Theresa J Allain
No abstract text is available yet for this article.
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955435/exposure-to-biomass-smoke-as-a-risk-factor-for-oesophageal-and-gastric-cancer-in-low-income-populations-a-systematic-review
#4
REVIEW
Violet Kayamba, Douglas C Heimburger, Douglas R Morgan, Masharip Atadzhanov, Paul Kelly
BACKGROUND: Upper gastrointestinal cancers contribute significantly to cancer-related morbidity and mortality in sub-Saharan Africa, but they continue to receive limited attention. The high incidence in young adults remains unexplained, and the risk factors have not been fully described. METHODS: A literature search was conducted using the electronic database PubMed. Beginning from January 1980 to February 2016, all articles evaluating biomass smoke exposure with oesophageal and gastric cancer were reviewed...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955434/the-epidemiology-of-noncommunicable-respiratory-disease-in-sub-saharan-africa-the-middle-east-and-north-africa
#5
REVIEW
Rana Ahmed, Ryan Robinson, Kevin Mortimer
Noncommunicable diseases (NCDs) are a major and increasing global health issue. The World Health Organization (WHO) estimates that NCDs represent 63% of all global deaths of which 3.9 million are due to chronic respiratory diseases (CRDs) and Chronic Obstructive Pulmonary Disease (COPD) in particular. COPD is now the third most common cause of death globally; 90% of these deaths occur in Low and Middle Income Countries (LMICs). COPD affects 329 million people, almost 5% of the world's population. In addition, asthma affects 334 million people, again representing almost 5% of the world's population...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955433/trauma-care-in-malawi-a-call-to-action
#6
Wakisa Mulwafu, Linda Chokotho, Nyengo Mkandawire, Hemant Pandit, Dan L Deckelbaum, Chris Lavy, Kathryn H Jacobsen
Injuries are a global public health concern because most are preventable yet they continue to be a major cause of death and disability, especially among children, adolescents, and young adults. This enormous loss of human potential has numerous negative social and economic consequences. Malawi has no formal system of prehospital trauma care, and there is limited access to hospital-based trauma care, orthopaedic surgery, and rehabilitation. While some hospitals and research teams have established local trauma registries and quantified the burden of injuries in parts of Malawi, there is no national injury surveillance database compiling the data needed in order to develop and implement evidence-based prevention initiatives and guidelines to improve the quality of clinical care...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955432/reframing-noncommunicable-diseases-and-injuries-for-the-poorest-malawians-the-malawi-national-ncdi-poverty-commission
#7
Katie Cundale, Emily Wroe, Beatrice L Matanje-Mwagomba, Adamson S Muula, Neil Gupta, Josh Berman, Noel Kasomekera, Jones Masiye
Noncommunicable diseases and injuries (NCDIs) account for nearly 70% of deaths worldwide, with an estimated 75% of these deaths occurring in low- and middle-income countries. Globally, the burden of disease from noncommunicable diseases (NCDs) is most often caused by the "big 4," namely: diabetes, cardiovascular diseases, cancer, and chronic lung diseases. However, in Malawi, these 4 conditions account for only 29% of the NCDI disease burden. The Malawi National NCDI Poverty Commission was launched in November 2016 and will describe and evaluate the current NCDI situation in Malawi, with a focus on the poorest populations...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955431/challenges-of-stroke-management-in-resource-limited-settings-a-case-based-reflection
#8
Yohane G Gadama, Gloria Mwangalika, Louis B Kinley, Beth Jackson, Henry C Mwandumba, Jane Mallewa, Tom Solomon, Rob Simister, Laura A Benjamin, Maria I Vargas, Joseph Kamtchum-Tatuene, Tamara Phiri
A 19-year-old man presented with a 1-year history of headache, generalised body weakness, progressive memory loss, and disorientation. One month prior to admission, there was aggravation of the weakness of the right upper limb, with new-onset difficulty with mastication, speech impairment, apathy, and urinary incontinence. On clinical examination, the patient had a motor aphasia and a right-sided hemiparesis with increased muscle tone and hyperreflexia. A noncontrast computed tomography (CT) scan of the brain revealed large ischaemic strokes extending beyond the classical vascular territories...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955430/identifying-patients-at-high-risk-for-obstructive-sleep-apnoea-syndrome-in-nigeria-a-multicentre-observational-study
#9
Olufemi O Desalu, Cajetan C Onyedum, Adekunle O Adeoti, Joseph O Fadare, Emmanuel O Sanya, Michael B Fawale, Hamzat A Bello
BACKGROUND: Obstructive sleep apnoea is associated with significant health consequences. A significant proportion of hospitalized patients at risk for obstructive sleep apnoea were never identified and referred for polysomnography for diagnosis. The objective of this study was to determine the factors associated with high risk for obstructive sleep apnoea and use it to identify patients at risk for the condition in tertiary hospitals in Nigeria. METHODS: This was a multicentre observational study of adult patients hospitalized in three selected hospitals from 15th January to 17th March 2015...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955429/clinical-characteristics-and-outcomes-of-patients-with-stroke-admitted-to-three-tertiary-hospitals-in-zimbabwe-a-retrospective-one-year-study
#10
Farayi Kaseke, Aimee Stewart, Lovemore Gwanzura, James Hakim, Vasco Chikwasha
BACKGROUND: Epidemiological data on stroke in Zimbabwe are scarce and few clinical studies have been performed to date. METHODS: A retrospective review of the medical records of patients admitted for stroke during the year 2012 was performed at three tertiary hospitals. Sociodemographic data were recorded alongside with comorbidities and outcomes. Scoping over a period of one year using records of patients admitted for stroke helped to quantify and qualify the stroke problem...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955428/factors-associated-with-hospital-arrival-time-after-the-onset-of-stroke-symptoms-a-cross-sectional-study-at-two-teaching-hospitals-in-harare-zimbabwe
#11
Farayi Seremwe, Farayi Kaseke, Theodora M Chikwanha, Vasco Chikwasha
BACKGROUND: Late presentation to hospital after onset of stroke affects management and outcomes of the patients. This study aimed to determine the factors associated with time taken to present to hospital after the onset of acute stroke symptoms. METHODS: A descriptive cross sectional study was conducted at two teaching hospitals in Zimbabwe. Participants included patients admitted with stroke and their relatives. A self-administered questionnaire was used to collect information on history of stroke occurrence and time taken to present to hospital...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955427/risk-factors-for-chronic-kidney-disease-among-patients-at-olabisi-onabanjo-university-teaching-hospital-in-sagamu-nigeria-a-retrospective-cohort-study
#12
Temitope W Ladi-Akinyemi, Ikeoluwa Ajayi
BACKGROUND: Chronic kidney disease (CKD) is common and often goes undetected and undiagnosed until the disease is well advanced and kidney failure is imminent. It is estimated that approximately 36 million Nigerians suffer from different stages of CKD, as one in seven Nigerians has kidney disease. METHODS: This research was a retrospective cohort study of 150 cases and 300 controls. Selection of subjects was by a retrospective review of records of in-patients from 2010-2013 in a state teaching hospital...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955426/maternal-biomass-smoke-exposure-and-birth-weight-in-malawi-analysis-of-data-from-the-2010-malawi-demographic-and-health-survey
#13
Edith B Milanzi, Ndifanji M Namacha
BACKGROUND: Use of biomass fuels has been shown to contribute to ill health and complications in pregnancy outcomes such as low birthweight, neonatal deaths and mortality in developing countries. However, there is insufficient evidence of this association in the Sub-Saharan Africa and the Malawian population. We, therefore, investigated effects of exposure to biomass fuels on reduced birth weight in the Malawian population. METHODS: We conducted a cross-sectional analysis using secondary data from the 2010 Malawi Demographic Health Survey with a total of 9124 respondents...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955425/intra-abdominal-fat-comparison-of-computed-tomography-fat-segmentation-and-bioimpedance-spectroscopy
#14
Peter Finch
BACKGROUND: Intra-abdominal fat is an important factor in determining the metabolic syndrome/insulin resistance, and thus the risk of diabetes and ischaemic heart disease. Computed Tomography (CT) fat segmentation represents a defined method of quantifying intra-abdominal fat, with attendant radiation risks. Bioimpedance spectroscopy may offer a method of assessment without any risks to the patients. A comparison is made of these two methods. METHODS: This was a preliminary study of the utility of multifrequency bioimpedance spectroscopy of the mid abdomen as a measure of intra-abdominal fat, by comparison with fat segmentation of an abdominal CT scan in the -30 to -190 HU range...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955424/first-aid-practices-beliefs-and-sources-of-information-among-caregivers-regarding-paediatric-burn-injuries-in-harare-zimbabwe-a-cross-sectional-study
#15
Farai Chirongoma, Samson Chengetanai, Cathrine Tadyanemhandu
BACKGROUND: While burns take seconds to occur, injuries incurred result in pain and undesirable long term effects that might take a lifetime to overcome. The study was carried out to determine the measures of first aid delivered by caregivers after a burn injury and sources of the information. METHODS: A cross- sectional study was carried out over a period of 3 months at two central hospitals in Harare. A questionnaire was administered to the caregivers of children within the age group of 0-60 months admitted in burns wards to elicit information on the circumstances of the burn injury and the first aid methods which were administered...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955423/variations-in-injury-characteristics-among-paediatric-patients-following-trauma-a-retrospective-descriptive-analysis-comparing-pre-hospital-and-in-hospital-deaths-at-kamuzu-central-hospital-lilongwe-malawi
#16
Laura Purcell, Charles E Mabedi, Jared Gallaher, Steven Mjuweni, Sean McLean, Bruce Cairns, Anthony Charles
BACKGROUND: Trauma is a major cause of paediatric mortality in sub-Saharan Africa. In absence of pre-hospital care, the injury mechanism and cause of death is difficult to characterise. Injury characteristics of pre-hospital deaths (PHD) versus in-hospital deaths (IHD) were compared. METHODS: Using our trauma surveillance database, a retrospective, descriptive analysis of children (<18 years) presenting to Kamuzu Central Hospital in Lilongwe, Malawi from 2008 to 2013 was performed...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955422/human-papillomavirus-in-head-and-neck-squamous-cell-carcinoma-a-descriptive-study-of-histologically-confirmed-cases-at-kamuzu-central-hospital-in-lilongwe-malawi
#17
Claire E Faggons, Charles E Mabedi, N George Liomba, William K Funkhouser, Fred Chimzimu, Coxcilly Kampani, Robert Krysiak, Nelson Msiska, Carol G Shores, Satish Gopal
BACKGROUND: Head and neck squamous cell carcinoma (HNSCC) is common in sub-Saharan Africa, but the aetiologic contribution of human papillomavirus (HPV) is not well established. METHODS: We assessed HNSCC cases for HPV using p16 immunohistochemistry (IHC) in Malawi. Associations between p16 IHC and tumour site, behavioural risk factors, demographic characteristics, and HIV status were examined. RESULTS: From 2010 to 2014, 77 HNSCC cases were identified...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955421/risk-factors-for-common-cancers-among-patients-at-kamuzu-central-hospital-in-lilongwe-malawi-a-retrospective-cohort-study
#18
Agnes Moses, Albert Mwafongo, Maria Chikasema, Laureen Kafantenganji, Christopher Stanely, Emma Chimzukira, Coxcilly Kampani, Robert Krysiak, Satish Gopal, Nora E Rosenberg, Carol G Shores, Mina C Hosseinipour
BACKGROUND: Little is known about risk factors for different cancers in Malawi. This study aimed to assess risk factors for and epidemiologic patterns of common cancers among patients treated at Kamuzu Central Hospital (KCH) in Lilongwe, and to determine the prevalence of Human Immunodeficiency Virus (HIV) infection in the same population. METHODS: We analysed data from the hospital-based KCH cancer registry, from June 2009 to September 2012, including data from a nested substudy on coinfections among cancer patients...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955420/characterising-cancer-burden-and-quality-of-care-at-two-palliative-care-clinics-in-malawi
#19
Victoria Mukhula, Daisy Sibale, Lubna Tarmahomed, Charles Dzamalala, Kelias Msyamboza, Steady Chasimpha
BACKGROUND: This paper describes cancer burden and compares characteristics of cancer patients enrolled at 2 palliative care facilities of contrasting resources and geographical locations in Malawi. It also assesses the extent of differences in service delivery and the impact these might have on outcomes. METHODS: Data on all cancer patients registered between October 2010 and October 2015 at Tiyanjane Clinic (at Queen Elizabeth Central Hospital, Blantyre) and Mzuzu Central Hospital (MCH) palliative care clinics were extracted and analysed...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28955419/cervical-cancer-in-southern-malawi-a-prospective-analysis-of-presentation-management-and-outcomes
#20
Pandora Rudd, Dermot Gorman, Samuel Meja, Petani Mtonga, Yankho Jere, Irene Chidothe, Ausbert T Msusa, M Jane Bates, Ewan Brown, Leo Masamba
BACKGROUND: Malawi has the highest age standardised rate of cervical cancer in the world. This study describes the presentation, management and short-term outcomes of patients with newly diagnosed cervical cancer at Queen Elizabeth Central Hospital (QECH), in Southern Malawi. METHODS: All patients with a new diagnosis of cervical cancer presenting to QECH between 1st January-1st July 2015 had demographic data, referral pathway, stage, histology and management prospectively recorded at presentation, and at two months after initial presentation...
June 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
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