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Malawi Medical Journal: the Journal of Medical Association of Malawi

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https://read.qxmd.com/read/30627359/successful-open-surgical-repair-of-an-infrarenal-abdominal-aortic-aneurysm-aaa-in-a-young-malawian-female-a-case-report
#1
Geoffrey Elihu Manda, Peter Chaziya, Waluza Mwafulirwa, Stephen Kasenda, Eric Borgstein
No abstract text is available yet for this article.
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627358/early-experiences-in-integrating-cervical-cancer-screening-and-treatment-into-hiv-services-in-zomba-central-hospital-malawi
#2
Colin Pfaff, Victor Singano, Harriet Akello, Alemayehu Amberbir, Josh Berman, Aunex Kwekwesa, Alfred Matengeni, Victor Banda, Jack Msonko, Colin Speight, Biselele M Kabeya, Joep J van Oosterhout
Background: Malawi has the highest rate of cervical cancer globally and cervical cancer is six to eight times more common in women with HIV. HIV programmes provide an ideal setting to integrate cervical cancer screening. Methods: Tisungane HIV clinic at Zomba Central Hospital has around 3,700 adult women receiving treatment. In October 2015, a model of integrated cervical cancer screening using visual inspection with acetic acid (VIA) was adopted. All women aged 20 and above in the HIV clinic were asked if they had cervical cancer screening in the past three years and, if not, were referred for screening...
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627357/implementation-of-postpartum-intrauterine-device-ppiud-services-across-10-districts-in-malawi
#3
Jennifer H Tang, Nenani Kamtuwanje, Prisca Masepuka, Jane Zgambo, Phillimon Kashanga, Caitlin Goggin, Nicky Matthews, Olive Mtema, Ndidza Chisanu, Mary Phiri, Modesta Kasawala, Fannie Kachale
Background: Malawi has a high maternal mortality and unmet need for family planning, which could be reduced by improving access to postpartum intrauterine device (PPIUD) insertion. Our objective is to describe the implementation of PPIUD services by 4 local organizations at 14 government health services across 10 districts in Malawi. Methods: This program was a collaborative effort between the Malawi Ministry of Health's Reproductive Health Directorate and 4 supporting organizations...
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627356/factors-associated-with-the-use-of-seclusion-in-an-inpatient-psychiatric-unit-in-lilongwe-malawi
#4
Brian S Barnett, Veronica Kusunzi, Lucy Magola, Christina Pc Borba, Michael Udedi, Kazione Kulisewa, Mina C Hosseinipour
Background: Data on the use of seclusion for psychiatric inpatients in sub-Saharan Africa are extremely limited. Though seclusion is sometimes necessary for patients that pose a threat to themselves or others, adverse physical and psychological sequelae from the experience are increasingly being recognized, leading to efforts to reduce its use. The purpose of this study was to calculate the frequency of seclusion in patients hospitalized in an inpatient psychiatric unit in Lilongwe, Malawi, and to identify factors associated with its use...
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627355/isn-t-pregnancy-supposed-to-be-a-joyful-time-a-cross-sectional-study-on-the-types-of-domestic-violence-women-experience-during-pregnancy-in-malawi
#5
Robert Chasweka, Angela Chimwaza, Alfred Maluwa
Background: Domestic violence against pregnant women exists in Malawi but its magnitude and types were, until recently published data, unknown due to scanty published data on the subject. This study aimed at identifying types of abuse women experience during pregnancy. Methods: The study design was cross-sectional descriptive quantitative using a random sample of 292 pregnant women attending an antenatal clinic at Nsanje District Hospital, southern region of Malawi...
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627354/performance-of-the-3-item-screener-the-edinburgh-postnatal-depression-scale-the-hopkins-symptoms-checklist-15-and-the-self-reporting-questionnaire-and-pregnancy-risk-questionnaire-in-screening-of-depression-in-antenatal-clinics-in-the-blantyre-district-of-malawi
#6
Genesis Chorwe-Sungani, Jennifer Chipps
Background: Screening instruments for antenatal depression vary in performance. This study aimed at assessing the performance of a range of screening instruments in detecting depressive symptoms in antenatal clinics in Blantyre district, Malawi. Methods: A cross-sectional study was conducted to screen for depression among women attending 8 selected antenatal clinics in Blantyre district using 3-item screener, Edinburgh Postnatal Depression Scale (EPDS), Hopkins Symptoms Checklist-15 (HSCL-15), Self-Reporting Questionnaire (SRQ) and Pregnancy Risk Questionnaire (PRQ)...
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627353/prevalence-and-clinical-spectrum-of-hypertensive-retinopathy-among-hypertension-clinic-patients-at-queen-elizabeth-central-hospital-in-malawi
#7
Petros Cyrus Kayange, Markus Schulze Schwering, Chatonda Stephen Manda, Isaac Singini, Vincent Verson Phillip Moyo, Johnstone Kumwenda
Background: Prevalence and spectrum of hypertensive retinopathy in the population reflects the status of hypertension control and the associated risks for cardiovascular events. We investigated the prevalence and clinical spectrum of hypertensive retinopathy among patients attending hypertension clinic at a tertiary hospital in Malawi. Methods: This was a cross-sectional study of systematically selected patients attending hypertension clinic at Queen Elizabeth Central Hospital...
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627352/clients-with-stroke-and-non-stroke-and-their-guardians-views-on-community-reintegration-status-after-in-patient-rehabilitation
#8
Leslie B Glickman, George Chimatiro
Aim: The aim of this study was to compare client community reintegration status following discharge from the Kachere Rehabilitation Centre (KRC), Blantyre, Malawi, in 2 consecutive years with client versus guardian perspectives on reintegration status. Methods: Using quantitative methods, 35 clients with stroke and non-stroke diagnoses (spinal cord dysfunction and neuropathic conditions) and 32 client guardians (the family caregivers in Malawi) were separately interviewed using the WHO Disability Assessment Schedule (DAS) 2...
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627351/perceptions-and-experiences-of-caregivers-of-severely-malnourished-children-receiving-inpatient-care-in-malawi-an-exploratory-study
#9
Selena Gleadow Ware, Allison I Daniel, Chiwoza Bandawe, Yohane Paulo Mulaheya, Sylvester Nkunika, Dumisani Nkhoma, Demoubly Kokota, Robert C Stewart, Wieger Voskuijl
Background: Severe acute malnutrition (SAM) affects approximately 18 million children under the age of five and is associated with more than 500 thousand deaths per year. Existing research has indicated that a high number of caregivers of children admitted for inpatient treatment of SAM experience psychological distress, depressive symptoms, and suicidality. However, no published studies in Malawi have been undertaken to qualitatively explore caregivers' perceptions and experiences regarding their children's malnutrition and inpatient treatment...
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627350/evaluating-the-use-of-pathology-in-improving-diagnosis-in-rural-malawi
#10
Chiyembekezo Kachimanga, Atupere Phiri, Fatsani Manase, Katie Cundale, George Talama, Steve Kamiza, Lawrence Nazimera, Arnold Jumbe, Noel Kalanga, Nedson Fosiko, Leo Masamba, Emily B Wroe
Introduction: Limited data exists on histologically confirmed cancers and tuberculosis in rural Malawi, despite the high burden of both conditions. One of the main reasons for the limited data is the lack of access to pathology services for diagnosis. We reviewed histopathology results of patients in Neno District, one of the poorest rural districts in Malawi, from May 2011 to July 2017, with an emphasis on cancers and tuberculosis. Methods: This is a retrospective descriptive study reviewing pathology results of samples collected at Neno health facilities and processed at Kamiza Pathology Laboratory...
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627349/a-preliminary-investigation-of-the-effects-of-labour-inducing-plant-cissampelos-mucronata-on-the-outcomes-of-pregnancy-using-rat-models
#11
Fanuel Lampiao, Cecilia Maliwichi-Nyirenda, John Mponda, Lackson Tembo, Carol Clements
Background: The use of traditional remedies in pregnancy has been associated with bad obstetric outcomes including uterine rupture and foetal distress. These outcomes may ultimately lead to maternal and child mortality or morbidity. Few studies have been done to measure the effects of various herbs in pregnant women or a developing fetus. This study investigated the effects of the commonly used labour inducing plant, Cissampelos mucronata , on pregnancy outcomes using a rat model. Methods: Pregnant female rats were divided into 3 groups of 10 each...
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627348/stroke-patients-outcomes-and-satisfaction-with-care-at-discharge-from-four-referral-hospitals-in-malawi-a-cross-sectional-descriptive-study-in-limited-resource
#12
George Lameck Chimatiro, Anthea J Rhoda, Liesbet De Wit
Background: Stroke is the fourth leading cause of mortality and disability in Malawi. There is paucity of studies reporting on acute stroke functional outcomes, quality of life and satisfaction with care among patients with stroke. This study aimed to determine stroke outcomes and satisfaction with care in the country's central hospitals. Methods: A descriptive cross-sectional study, recruiting 114 adult patients with stroke and their caregivers, was done. FIM, EQ-5D-5L, SASC and C-SASC were used to collect data...
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627347/acceptability-of-couple-antenatal-education-a-qualitative-study-of-expectant-couples-attending-antenatal-clinics-in-blantyre-malawi
#13
Maria Chifuniro Chikalipo, Ellen Mbweza Chirwa, Adamson Sinjani Muula
Background: Few studies have assessed the effectiveness and acceptability of male partner involvement in antenatal education. Yet, male involvement in antenatal care including antenatal education has been proposed as a strategy to improve maternal and neonatal outcomes. We conducted this study to add to the body of knowledge on acceptability of male partner involvement in antenatal education following an intervention. Methods: This was a cross sectional qualitative study using 18 in-depth interviews with 10 couples, 5 women from the couples group and 3 nurse-midwife technicians...
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627346/access-to-antenatal-blood-pressure-measurement-in-malawi-findings-from-a-national-census-of-health-facilities
#14
William Stones, William Wayne Peno
Aim: To identify service side factors associated with access to antenatal blood pressure measurement at health facilities in Malawi. Methods: Secondary data analysis of 1499 observations of antenatal consultations undertaken in the Service Provision Assessment survey 2013-14, a census of all formal health facilities in the country. Results: Differentials in access to antenatal blood pressure measurements by client age or educational status and provider gender or in-service training did not reach statistical significance although clinically important effects cannot be excluded...
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627345/malaria-vaccines-as-prevention-strategies-for-more-studies-on-community-perception
#15
EDITORIAL
Camila H Coelho
No abstract text is available yet for this article.
September 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627344/profile-interview-prof-terrie-taylor
#16
(no author information available yet)
No abstract text is available yet for this article.
June 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627343/equipping-leaders-in-health-in-malawi-some-personal-reflections-from-a-leadership-skills-building-workshop-held-at-the-college-of-medicine-blantyre-malawi
#17
Maya Jane Bates, Yohane Gadama, Jessie Mbamba, Lucinda Manda-Taylor
No abstract text is available yet for this article.
June 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627342/road-traffic-collisions-in-malawi-trends-and-patterns-of-mortality-on-scene
#18
Steven Manyozo, Rob Moodie
No abstract text is available yet for this article.
June 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627341/grisel-syndrome-presenting-as-hemiplegia-in-a-patient-with-multifocal-staphylococcal-sepsis
#19
Vincent L Mkochi, Nyengo Mkandawire
Introduction: Grisel syndrome is a non-traumatic rotary subluxation of C1 on C2 (atlantoaxial subluxation). It is a rare condition predominantly described in paediatric population with previous history of upper respiratory infections orotolaryngeal procedures. The diagnosis is established by the association of clinical and radiologic findings4,6.We report a case of 15-year old boy with Grisel syndrome accompanying multifocal sepsis (pericarditis, septic polyarthritis, pneumonia and pharangytis ), treated surgically - occipital cervical fusion using struts of iliac crest tri-cortical graft wired to the occiput and C3 and C4...
June 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://read.qxmd.com/read/30627340/mobile-instant-messaging-mim-to-support-teaching-practice-insights-from-a-nurse-tutor-program-in-nigeria
#20
Ademola Ajuwon, Christoph Pimmer, Titilayo Odetola, Urs Gröhbiel, Olusola Oluwasola, Oladipupo Olaleye
Aim: To determine the feasibility of using the Mobile Instant Messaging (MIM) platform, WhatsApp, to provide supervision and support for student nurse tutors during a teaching practice placement in Nigeria. Methods: A descriptive qualitative method was used to design and evaluate a six-week WhatsApp group discussion intervention among 19 student nurse tutors. Two pre-intervention focus group sessions (n=9 and n=10) and a workshop were conducted to assess the students' content needs and media usage, and to develop a short online supervisory curriculum...
June 2018: Malawi Medical Journal: the Journal of Medical Association of Malawi
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