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Malawi Medical Journal: the Journal of Medical Association of Malawi

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https://www.readbyqxmd.com/read/28567208/they-are-people-too-an-ob-gyn-intern-s-perspective
#1
Chikondi Chapuma
No abstract text is available yet for this article.
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567207/fanuel-bickton-talks-to-desiree-witte-on-her-clinical-research-experience-with-vaccines-in-malawi
#2
(no author information available yet)
No abstract text is available yet for this article.
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567206/an-ethicist-s-thoughts-on-the-termination-of-pregnancy-bill-debate-in-malawi
#3
Joseph Mfutso-Bengo
No abstract text is available yet for this article.
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567205/the-proposed-legislation-on-termination-of-pregnancy-does-not-protect-women-or-children-in-malawi-and-is-not-fit-for-the-intended-purpose-christian-medical-and-dental-fellowship-position
#4
Beatrice Mwagomba, M Jane Bates, Reynier G Ter Haar, Martha Masamba, Sekeleghe Kayuni, Isaac Chirwa
No abstract text is available yet for this article.
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567204/proposed-termination-of-pregnancy-bill-in-malawi-doctors-use-the-best-of-what-they-have
#5
Chisale Mhango
No abstract text is available yet for this article.
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567203/background-on-the-termination-of-pregnancy-bill-debate-in-malawi
#6
EDITORIAL
Fanuel Bickton, Thengo Kavinya
No abstract text is available yet for this article.
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567202/adherence-to-iron-supplementation-in-pregnancy
#7
Mohammed El Amine Ghembaza, Ali Louinici
No abstract text is available yet for this article.
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567201/discrepancy-between-statistical-analysis-method-and-study-design-in-medical-research-examples-implications-and-potential-solutions
#8
John Mbotwa, Isaac Singini, Mavuto Mukaka
No abstract text is available yet for this article.
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567200/thoracic-epidural-for-modified-radical-mastectomy-in-a-high-risk-patient
#9
Otu E Etta, Nsese Udeme
No abstract text is available yet for this article.
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567199/frequent-malaria-illness-episodes-in-two-malawian-patients-on-antiretroviral-therapy-soon-after-stopping-cotrimoxazole-preventive-therapy
#10
Wongani Js Nyangulu, Edson Mwinjiwa, Titus H Divala, Randy G Mungwira, Osward Nyirenda, Maxwell Kanjala, Gillian Mbambo, Jane Mallewa, Terrie E Taylor, Matthew B Laurens, Miriam K Laufer, Joep J van Oosterhout
We describe two Malawian adults on successful antiretroviral therapy who experienced frequent malaria episodes after stopping cotrimoxazole prophylaxis. We argue that, in addition to stopping cotrimoxazole, diminished malaria immunity and drug interactions between efavirenz and artemether-lumefantrine may have played a causative role in the recurrent malaria our patients experienced.
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567198/biochemical-derangements-prior-to-emergency-laparotomy-at-queen-elizabeth-central-hospital-blantyre-malawi-a-cross-sectional-pilot-study
#11
Mark G Williams
BACKGROUND: The aim of this study was to examine biochemical investigations not routinely performed prior to emergency laparotomy in patients at Queen Elizabeth Central Hospital, a low-resource public hospital in Blantyre, Malawi. METHODS: A prospective cross-sectional study of adults (N = 15) needing emergency laparotomy over a 4-week period were studied at Queen Elizabeth Central Hospital. Biochemical investigations, not routinely performed for economic reasons, were performed preoperatively; these included sodium, potassium, chloride, carbon dioxide, urea, and calcium levels...
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567197/assessing-the-feasibility-of-mobile-phones-for-follow-up-of-acutely-unwell-children-presenting-to-village-clinics-in-rural-northern-malawi
#12
Victoria Hardy, Jenny Hsieh, Baxter Chirambo, Tsung-Shu Joseph Wu, John O'Donoghue, Adamson S Muula, Matthew Thompson
BACKGROUND: Patient follow-up is a routine component of clinical practice and valuable for evaluating the effectiveness of interventions, but because of the broad dispersion of health facilities and lack of standardised medical reporting in Malawi, collecting patient outcome data can be challenging. Increasing accessibility and affordability of mobile technology in resource-poor settings may facilitate patient follow-up in the community. The objective of this study was to evaluate the potential utility of mobile phones for collecting follow-up clinical data from parents or caregivers of acutely unwell under-5 children, for intervention evaluation purposes...
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567196/cytopenias-among-art-naive-patients-with-advanced-hiv-disease-on-enrolment-to-care-and-treatment-services-at-a-tertiary-hospital-in-tanzania-a-cross-sectional-study
#13
Daniel W Gunda, Kahamba G Godfrey, Semvua B Kilonzo, Bonaventura C Mpondo
BACKGROUND: HIV/AIDS causes high morbidity and mortality through both immunosuppression and complications not directly related to immunosuppression. Haematological abnormalities, including various cytopenias, occur commonly in HIV through immune and non-immune pathways. Though these complications could potentially cause serious clinical implications, published literature on the magnitude of this problem and its associated factors in Tanzania is scarce. This study aimed at determining the prevalence and risk factors of HIV-associated cytopenias among ART-naive patients enrolling for care and treatment services at Bugando Care and Treatment Centre (CTC) in Mwanza, Tanzania...
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567195/abdominal-myomectomy-a-retrospective-review-of-determinants-and-outcomes-of-complications-at-the-university-of-ilorin-teaching-hospital-ilorin-nigeria
#14
Kikelomo T Adesina, Beatrice O Owolabi, Hadijat O Raji, Adebunmi O Olarinoye
BACKGROUND: The aim of this study was to describe the pattern, outcomes, and determinants of perioperative complications of abdominal myomectomy at the University of Ilorin Teaching Hospital, Ilorin, Nigeria. METHODS: This was a retrospective review of cases of abdominal myomectomy between January 2010 and December 2013. Data were obtained from ward and operating theatre case records and analysed using SPSS version 20. The continuous variables were analysed with Student's t-test...
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567194/prevalence-of-antibody-to-hepatitis-b-core-antigen-among-hepatitis-b-surface-antigen-negative-blood-donors-in-ilorin-nigeria-a-cross-sectional-study
#15
Mutiat K Ogunfemi, Hannah O Olawumi, Abdulfatai B Olokoba, Modu B Kagu, Sikiru A Biliaminu, Kabir A Durowade, Idayat A Durotoye, Akeem O Shittu
BACKGROUND: Post-transfusion hepatitis occurs even with stringent donor selection criteria and screening for hepatitis B surface antigen (HBsAg). The objective of this study was to determine the prevalence of antibody to hepatitis B core antigen (anti-HBc) in HBsAg-negative blood donors. METHODS: This was a cross-sectional study in which 200 HBsAg-negative blood donors were recruited. Screening for viral markers was done using both a rapid test kit and enzyme-linked immunosorbent assay (ELISA) for anti-HBc IgM...
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567193/hepatitis-b-virus-seroprevalence-among-malawian-medical-students-a-cross-sectional-study
#16
Froid Chipetah, Aaron Chirambo, Ednas Billiat, Isaac Thom Shawa
BACKGROUND: Hepatitis B virus (HBV) predominantly spreads through contact with infected blood or other body fluids and causes liver disease. HBV vaccination for students at the College of Medicine, University of Malawi, is done without screening for the virus. It is important to assess the prevalence of HBV antigens among foundation-year students in order to consolidate evidence in support of HBV screening before vaccination. The aim of this study was to determine the seroprevalence of HBV antigens among 2013-2014 foundation-year students at the University of Malawi College of Medicine...
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567192/rotavirus-antigen-cytokine-and-neutralising-antibody-profiles-in-sera-of-children-with-and-without-hiv-infection-in-blantyre-malawi
#17
Jennifer J Hull, Nigel Cunliffe, Khuzwayo C Jere, Sung-Sil Moon, Yuhuan Wang, Umesh Parashar, Baoming Jiang
BACKGROUND: Rotavirus and HIV infection are major causes of death among children in sub-Saharan Africa. A previous study reported no association between concomitant HIV infection and rotavirus disease severity among hospitalised children in Malawi. This study examined rotavirus antigenaemia and broader immune responses among HIV-infected and uninfected children. METHODS: Stored (-80°C), paired sera from acute and convalescent phases of Malawian children less than 5 years old, hospitalised for acute gastroenteritis in the primary study, collected from July 1997 to June 1999, were utilised...
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567191/prevalence-and-distribution-of-schistosoma-haematobium-infection-among-school-children-living-in-southwestern-shores-of-lake-malawi
#18
Sekeleghe Kayuni, Rosanna Peeling, Peter Makaula
BACKGROUND: The prevalence of Schistosoma haematobium infection has been shown to be about 23.7% among children living in the lakeshore areas of Malawi, with reinfection rates of about 30% to 40%. This study aimed to determine the current prevalence and distribution of S. haematobium infection in school children along the southwestern shores of Lake Malawi and examine the control interventions present in the area. METHODS: This prospective cross-sectional study was conducted in primary schools...
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567190/experiences-of-caregivers-of-infants-who-have-been-on-bubble-continuous-positive-airway-pressure-at-queen-elizabeth-central-hospital-malawi-a-descriptive-qualitative-study
#19
Mtisunge Joshua Gondwe, Belinda Gombachika, Maureen D Majamanda
BACKGROUND: An innovative, low-cost bubble continuous positive airway pressure (bCPAP) device has recently been introduced in Malawi for the treatment of respiratory distress in infants. While this novel bCPAP system has been shown to be safe and effective in reducing infant mortality, caregivers' experiences have not been investigated. The purpose of this study was to explore experiences of parents and guardians of infants who had been on bCPAP at Queen Elizabeth Central Hospital (QECH) in Blantyre, Malawi...
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/28567189/polymerase-chain-reaction-identification-of-trypanosoma-brucei-rhodesiense-in-wild-tsetse-flies-from-nkhotakota-wildlife-reserve-malawi
#20
Janelisa Musaya, John Chisi, Edward Senga, Peter Nambala, Emmanuel Maganga, Enock Matovu, John Enyaru
BACKGROUND: Trypanosoma brucei rhodesiense is the causative agent of acute human African trypanosomiasis. Identification of T. b. rhodesiense in tsetse populations is essential for understanding transmission dynamics, assessng human disease risk, and monitoring spatiotemporal trends and impact of control interventions. Accurate detection and characterisation of trypanosomes in vectors relies on molecular techniques. For the first time in Malawi, a molecular technique has been used to detect trypanosomes in tsetse flies in Nkhotakota Wildlife Reserve...
March 2017: Malawi Medical Journal: the Journal of Medical Association of Malawi
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