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Malawi Medical Journal: the Journal of Medical Association of Malawi

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https://www.readbyqxmd.com/read/29868162/profile-interview-dr-patrick-dongosolo-kamalo-consultant-neurosurgeon-at-queen-elizabeth-central-hospital
#1
Yohane Gadama
No abstract text is available yet for this article.
March 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29868161/large-penile-plexiform-neurofibroma-in-an-11-year-old-boy
#2
Nwokoro Chingbundu Collins, Emmanuel Ezekiel Ayodeji, Fatungase Oluwabunmi Motunrayo, Salami Babatunde Abayomi, Ogundele Ibukunolu Olufemi, Amosu Lukmon Olusesan
Background: Neurofibromatosis is a genetically inherited disorder of the nervous system (brain and spinal cord) which mainly affects the development of nerve (neural) cell tissues, causing tumors (neurofibromas) to develop on nerves. It is the most common single gene disorder of the nervous system and inheritance is through autosomal dominance. They are usually classified into types 1 and 2, the type 1 is the commoner type and also known as superficial neurofibroma. Plexiform neurofibromas are the next most common type of tumor in individuals with type 1 neurofibroma...
March 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29868160/a-case-of-massive-splenomegaly-due-to-chronic-myeloproliferative-neoplasm
#3
Zachary G Jacobs, Bongani Kaimila, Peter M Wasswa, Thuy Bui
No abstract text is available yet for this article.
March 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29868159/hiv-and-mental-illness-in-malawi-and-the-neuropsychiatric-sequelae-of-efavirenz
#4
Andrew Drury, Selena Gleadow-Ware, Sheila Gilfillan, Jen Ahrens
Introduction: Little is published about mental disorders in Malawi, specifically in relation to Human Immunodeficiency Virus (HIV) and it's treatment. Efavirenz is a medication commonly used as part of triple therapy for HIV treatment. Indeed, in 2013, Malawi introduced 5A with Efavirenz as part of it's 1st line treatment for HIV. There exists some literature documenting known psychiatric side effects of Efavirenz, which include anxiety, mood changes, nightmares, psychosis and suicidal ideation...
March 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29868158/the-effectiveness-of-sustainable-serial-casting-for-clubfoot-deformity-in-a-low-resource-setting
#5
James Turner, Freddie Quiney, John Cashman, Chris Lavy
Aims: Our aim was to assess the effectiveness of the Malawi Clubfoot Programme and comment on such health care strategies in developing countries. Methods: Medical records of 1069 children attending 29 clinics within Malawi were identified between 2007 and 2013. Due to incomplete recording, only 596 patients had adequate data which could be further analysed. Results: The mean age of presentation was 103 days (range 0-8 years) with a sex distribution of M1...
March 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29868157/alcohol-use-and-psychological-wellbeing-of-health-workers-in-a-nigerian-hospital-an-exploratory-study
#6
Adetunji Obadeji, Lateef O Oluwole, Mobolaji U Dada, Michael A Oshatimi
Background: The degree of alcohol use influences one's mental health and psychological wellbeing. Psychological well-being of health workers, however, is crucial to the quality of care their patients receive. Aims: The aim of this study was to determine the pattern of alcohol use and factors associated with psychological well-being of health care workers at a University Teaching Hospital. Methods: This was a cross sectional survey of health workers in the medical and surgical specialties at the State University Teaching Hospital in Nigeria...
March 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29868156/perceptions-of-pregnant-adolescents-on-the-antenatal-care-received-at-ndirande-health-centre-in-blantyre-malawi
#7
Maria Chifuniro Chikalipo, Linda Nyondo-Mipando, Rabecca Chikondi Ngalande, Sadandaula Rose Muheriwa, Ursula Kalimembe Kafulafula
Background: Rates of adolescent pregnancies in Malawi remain high at 29%. Early childbearing is a major health issue because of its increased risk for adverse pregnancy outcomes compared to older women. Although antenatal care is believed not to directly reduce maternal mortality, comprehensive antenatal care, especially in developing countries, may promote safe motherhood as actual and potential problems related to pregnancy are identified and treated in a timely manner. While antenatal services in Malawi are meant to provide antenatal care for adolescents, much of the care provided seems to be limited...
March 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29868155/investigation-of-the-status-of-occupational-radiation-protection-in-malawian-hospitals
#8
Getrude Chinangwa, Joseph Kwabena Amoako, John Justice Fletcher
Background: The main objective of this study was to explore the occupational radiation protection program in three hospitals in Malawi and discover how radiation protection measures for workers are being implemented in their radiology departments. Method: A questionnaire was administered to heads of X-ray departments for Kamuzu Central Hospital, Bwaila Hospital and Mtengo wa Nthenga Hospital to investigate occupational radiation protection practices in their departments...
March 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29868154/a-seven-year-retrospective-review-of-colonoscopy-records-from-a-single-centre-in-zambia
#9
Violet Kayamba, Kate Nicholls, Catrin Morgan, Paul Kelly
Introduction: Colorectal disease is common throughout the world, but the spectrum of diagnoses across Africa remains largely unexplored. There is anecdotal evidence of changing colorectal disease but this has not been systematically investigated. The aim of this study was to enhance our insight into the spectrum of colonoscopic diagnoses in Zambia. Methods: We retrieved written colonoscopy reports from January 2008 to December 2015. Collected data were coded by experienced endoscopists and analysed by age, sex, referral source, indication and diagnosis...
March 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29868153/relationship-between-tumour-size-and-response-to-neoadjuvant-chemotherapy-among-breast-cancer-patients-in-a-tertiary-center-in-nigeria
#10
Olatoke Samuel, Agodirin Olayide, Rahman Ganiyu, Habeeb Olufemi, Akande Halimat
Background: Tumour biology, physiologic features such as growth fraction and physical features such as size may influence response of breast cancer to neoadjuvant chemotherapy. Molecular biology is an established basis for predicting response and selecting neoadjuvant chemotherapy. Whether physical characteristics such as size should influence chemotherapy regimen is inconclusive and has not been adequately studied in developing countries. Aim: To determine the relationship between breast tumour size and response to neoadjuvant chemotherapy and hence define the role of tumour size during selection of neoadjuvant chemotherapy regimen for locally advanced breast cancer...
March 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29868152/perceptions-of-a-mobile-health-intervention-for-community-case-management-in-malawi-opportunities-and-challenges-for-health-surveillance-assistants-in-a-community-setting
#11
Griphin Baxter Chirambo, Victoria E Hardy, Ciara Heavin, Yvonne O'Connor, John O'Donoghue, Nikolaos Mastellos, Tammy Tran, Jenny Hsieh, Joseph Tsung-Shu Wu, Sven Carlsson, Bo Andersson, Adamson S Muula, Matthew Thompson
Background: Improved availability of mobile phones in low- and middle-income countries (LMICs) offer an opportunity to improve delivery of Community Case Management (CCM). Despite enthusiasm for introducing mHealth into healthcare across LMICs, end-user attitudes towards mHealth solutions for CCM are limited. We aimed to explore Health Surveillance Assistants' (HSAs) perceptions of the Supporting LIFE electronic CCM Application (SL eCCM App) and their experiences incorporating it as part of their clinical practice...
March 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29868151/the-occurrence-and-frequency-of-genomic-mutations-that-mediate-isoniazid-and-rifampicin-resistance-in-mycobacterium-tuberculosis-isolates-from-untreated-pulmonary-tuberculosis-cases-in-urban-blantyre-malawi
#12
Geoffrey P Kumwenda, Geoffrey Chipungu, Derek J Sloan, Yankho Kaimila, Kondwani Chiumya, Harry Pangani
Background: The emergence and spread of drug-resistant Tuberculosis (TB) is a major public health threat. TB resistance originates in the course of treatment due to genomic mutations in Mycobacterium tuberculosis (MTB). An increase in new cases with drug-resistant TB could be an indicator of high levels of circulating resistant strains. This study was conducted to determine the occurrence and frequency of genomic mutations that mediate Isoniazid (INH) and Rifampicin (RIF) resistance among isolates from untreated TB cases in urban Blantyre, Malawi...
March 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29963292/profile-interview-prof-stephen-gordon
#13
(no author information available yet)
No abstract text is available yet for this article.
December 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29963291/evaluating-mobile-solutions-of-integrated-community-case-management-iccm-making-the-final-connection
#14
Victoria Hardy, Matthew Thompson, Adamson S Muula
No abstract text is available yet for this article.
December 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29963290/cryptococcal-meningitis-in-a-previously-healthy-child
#15
Takondwa Chimowa, Isobel King, Pui-Ying Iroh Tam, Carmen Gonzalez-Martinez
An 8-year-old previously healthy female presented with a 3 weeks history of headache, neck stiffness, deafness, fever and vomiting and was diagnosed with cryptococcal meningitis. She had documented hearing loss and was referred to tertiary-level care after treatment with fluconazole did not improve her neurological signs and symptoms. Her symptoms slowly resolved over two months. This case report illustrates the occurrence of cryptococcal meningitis in a non-immunocompromised patient, as well as the challenges of providing effective care in resource-limited settings...
December 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29963289/north-african-physicians-perspectives-on-the-challenges-facing-medical-research
#16
LETTER
Jamal Zekri, Jalil U Rehman
No abstract text is available yet for this article.
December 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29963288/use-of-an-electronic-medical-record-to-monitor-efficacy-of-diabetes-care-in-out-patients-in-a-central-hospital-in-malawi-patterns-of-glycaemic-control-and-lessons-learned
#17
Theresa J Allain, Grieves Mang'anda, Marrianne Kasiya, Patricia Khomani, Ndaziona P Banda, Andrew Gonani, Ingrid Peterson, Gavin Dreyer
The Malawian health sector has a strong tradition of systematic data collection for monitoring and evaluation of large-scale services. A highly successful adapted Directly Observed Treatment, Short course "DOTS" framework, based on patient registers and paper-based mastercards was introduced to facilitate the management and monitoring of the scale up of antiretroviral therapy. Subsequently, a simple, touch-screen based electronic medical record system (EMRs) was effectively introduced at high burden ART sites...
December 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29963287/proposing-the-legs-framework-to-complement-the-who-building-blocks-for-strengthening-health-systems-one-needs-a-leg-to-run-an-ethical-resilient-system-for-implementing-health-rights
#18
Joseph Mfutso-Bengo, Noel Kalanga, Eva Maria Mfutso-Bengo
The aim of this paper is to present a new framework to design and run a responsive and resilient health system. It can be used by both private and public, profit and non-profit organizations in order to translate strategic goals of an organization into desirable and intended best practice, and results. This includes the health sector. The framework is based on the four pillars of leadership, ethics, governance and systems, hence called LEGS framework. It can complement the six World Health Organization building blocks that guide inputs to help a health system achieve the intended goals...
December 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29963286/family-medicine-training-and-practice-in-malawi-history-progress-and-the-anticipated-role-of-the-family-physician-in-the-malawian-health-system
#19
Martha Makwero, Prosper Lutala, Anna McDonald
This article analyses the development and implementation of family medicine training and practice in Malawi, with special attention given to its current status and the projected role the trained family physician will be expected to play in the future. The general aim of the paper is to briefly review the role of family physicians in rural areas, as well as to discuss the history of family medicine training in Malawi. The idea of formal family medicine training and practice in Malawi started as early as 2001 but did not come to fruition until 2011, with the start of the undergraduate clerkship in the fourth year of medical school at the University Of Malawi College Of Medicine...
December 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/29963285/information-management-in-malawi-s-prevention-of-mother-to-child-transmission-pmtct-program-health-workers-perspectives
#20
Wiza Kumwenda, Gregory Kunyenje, Jimmie Gama, Jacqueline Chinkonde, Francis Martinson, Irving Hoffman, Mina Hosseinipour, Nora Rosenberg
Aim: Health workers are the key drivers for strengthening Prevention of Mother-to-Child Transmission (PMTCT) program information management in the health facilities. Thus understanding how health workers perceive information management can enlighten areas that require interventions to improve information management processes in the health facilities. The purpose is to assess health workers' perceptions toward PMTCT program information management and factors affecting information management in the health facilities...
December 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
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