A5065147632- Diabetes, Cardiovascular Risks, and Lipoproteins
- Lipoproteins and Cardiovascular Health
- Global Maternal and Child Health
- COVID-19 Clinical Research Studies
- Adipokines, Inflammation, and Metabolic Diseases
- SARS-CoV-2 and COVID-19 Research
- Disaster Response and Management
- HIV-related health complications and treatments
- Adolescent Sexual and Reproductive Health
- Poverty, Education, and Child Welfare
- Child Nutrition and Water Access
- COVID-19 epidemiological studies
- HIV/AIDS Research and Interventions
- Acute Ischemic Stroke Management
- Long-Term Effects of COVID-19
- COVID-19 and Mental Health
- COVID-19 and healthcare impacts
- Antifungal resistance and susceptibility
- Diagnosis and treatment of tuberculosis
- Family and Patient Care in Intensive Care Units
- Obesity, Physical Activity, Diet
- Global Public Health Policies and Epidemiology
- Cardiac Arrhythmias and Treatments
- Otolaryngology and Infectious Diseases
- Radiology practices and education
Mzuzu University
2018-2024
Invictus Medical (United States)
2024
Queen Elizabeth Central Hospital
2017-2023
Kamuzu University of Health Sciences
2022-2023
Kamuzu Central Hospital
2022-2023
University of Health Science
2022-2023
University of Malawi
2013-2022
Groote Schuur Hospital
2015
University of Cape Town
2015
For years, Malawi remained at the bottom of league tables on maternal, neonatal and child health. Although maternal mortality ratios have reduced significant progress has been made in reducing morality, many challenges achieving universal access to newborn health care still exist Malawi. In Malawi, there is minimal, though increasing, male involvement ANC/PMTCT/MNCH services, but little understanding why this case. The aim paper explore role men MNCH as part broader those community system...
Abstract Background Compared to the abundance of clinical and genomic information available on patients hospitalised with COVID-19 disease from high-income countries, there is a paucity data low-income countries. Our aim was explore relationship between viral lineage patient outcome. Methods We enrolled prospective observational cohort adult PCR-confirmed July 2020 March 2022 Blantyre, Malawi, covering four waves SARS-CoV-2 infections. Clinical diagnostic were collected using an adapted...
Traditional leaders play a prominent role at the community level in Malawi, yet limited research has been undertaken on their relation to policy implementation. This article seeks analyse of traditional implementing national maternal, newborn and child health (MNCH) programmes level. We consider whether chief embodies top-down (utilitarian) or bottom-up (empowerment) approach MNCH Primary data were collected 2014/15, through 85 in-depth interviews 20 focus group discussions two districts...
Although the COVID-19 pandemic has left no country untouched there been limited research to understand clinical and immunological responses in African populations. Here we characterise patients hospitalised with suspected (PCR-negative/IgG-positive) or confirmed (PCR-positive) COVID-19, healthy community controls (PCR-negative/IgG-negative). PCR-positive participants were more likely receive dexamethasone a beta-lactam antibiotic, survive hospital discharge than PCR-negative/IgG-positive...
Compared to the abundance of clinical and genomic information available on patients hospitalised with COVID-19 disease from high-income countries, there is a paucity data low-income countries. Our aim was explore relationship between viral lineage patient outcome.
Abstract Background Dyslipidaemia drives the process of atherosclerosis, and hence a significant modifiable risk factor complicating hypertension diabetes. In Malawi, prevalence, screening management dyslipidaemia among persons with diabetes mellitus have not been reported. This study aimed to investigate biochemical characteristics, practices for mellitus, hypertension, comorbidity at Queen Elizabeth Central hospital in Blantyre, Malawi. Methods was cross-sectional conducted 2021. A total...
There are an estimated 19.4 million sepsis cases every year, many of them in low-income countries. The newly adopted definition uses Sequential Organ Failure Assessment Score (SOFA), a score which is not feasible low-resource settings. A simpler quick-SOFA (qSOFA) based solely on vital signs has been devised for identification suspected sepsis. This study aimed to determine in-hospital prevalence and outcomes sepsis, as defined infection qSOFA 2 or more, two hospitals Malawi. secondary aim...
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 the weakness right upper limb, new-onset difficulty mastication, speech impairment, apathy, urinary incontinence. On clinical examination, patient had motor aphasia right-sided hemiparesis increased muscle tone hyperreflexia. noncontrast computed tomography (CT) scan brain revealed large ischaemic strokes...
<title>Abstract</title> Background The emergence of COVID-19, caused by the novel SARS-CoV-2 virus, has posed profound challenges to healthcare delivery system worldwide. This pandemic not only resulted in severe illness and high mortality rates but also significantly impacted management patients affected disease. study aimed at exploring impact Covid-19 on patient care among nurses, focusing concepts Person, Environment, Health, Nursing, Adaptation within framework Model Nursing. Method...
<ns4:p>Background </ns4:p><ns4:p> COVID-19 is currently a global health threat. Healthcare workers are on the front-line of outbreak response and therefore at heightened risk infection. There dearth evidence from Sub-Saharan Africa about healthcare worker experiences in managing COVID-19. We have reported responses, experiences, perspectives epidemic strategies Queen Elizabeth Central Hospital, Malawi’s largest referral hospital. Methods conducted 39 face-to-face in-depth interviews with...
In less well-resourced settings, where access to radiology services is limited, point-of-care ultrasound (POCUS) can be used assess patients and guide clinical management. The aim of this study was describe practice in the assessment medical inpatients at Queen Elizabeth Central Hospital, Blantyre, Malawi, evaluate uptake impact POCUS following introduction a training programme college Medicine, Malawi.: A weekly prospective record review sequential adult who had received an examination...
Abstract Although the COVID-19 pandemic has left no country untouched there been limited research to understand clinical and immunological responses in African populations. Here we comprehensively characterise patients hospitalised with suspected or confirmed COVID-19, healthy community controls. PCR-confirmed participants were more likely receive dexamethasone a beta-lactam antibiotic, survive hospital discharge than PCR-/IgG+ PCR-/IgG-participants. exhibited nasal systemic cytokine...
Dyslipidaemia among individuals with diabetes is a significant modifiable risk factor for atherosclerotic cardiovascular diseases (ASCVDs). ASCVDs are major cause of mortality and morbidity globally, especially in people diabetes. In Malawi, limited data exist on the prevalence biochemical characteristics diabetic dyslipidaemia. This study investigated dyslipidaemia attending clinic at Kamuzu Central Hospital, largest tertiary referral hospital Malawi.
Dyslipidaemia among individuals with diabetes is a significant modifiable risk factor for atherosclerotic cardiovascular diseases (ASCVDs). ASCVDs are major cause of mortality and morbidity globally, especially in people diabetes. In Malawi, limited data exist on the prevalence biochemical characteristics diabetic dyslipidaemia. This study investigated dyslipidaemia attending clinic at Kamuzu Central Hospital, largest tertiary referral hospital Malawi.Using cross-sectional design,...
<h3>Background</h3> Stroke incidence and mortality is increasing in low-to-middle income countries. This trend translates locally to Queen Elizabeth Central Hospital (QECH) Blantyre Malawi; where stroke already the third highest cause of fifth most common presentation hospital. <h3>Aim</h3> To develop an international partnership improve care, primarily by setting up a unit; through this, we hope clinical services, training research platform. <h3>Findings</h3> Potential areas for UK-Malawi...
Abstract Aims This study aimed to establish the prevalence of gestational diabetes mellitus (GDM) among urban women in Blantyre where was previously unknown. A comparison made between determined using WHO criteria and that recent International Association Diabetes Pregnancy Study Group (IADPSG) criteria. Methods 2274 consecutive presenting five antenatal clinic sites had a screening random blood glucose (RBG). Of these, subsample 250 were randomly selected for an oral tolerance test (OGTT)....
CASE PRESENTATIONA 34-year-old man presented to Queen Elizabeth Central Hospital in Blantyre, Malawi with multiple enlarged right cervical lymph nodes. He had no associated constitutional symptoms. Fine-needle aspirate (FNA) of one the nodes was negative for acid-fast bacilli (AFB) by smear microscopy. The FNA specimen not sent histological examination. Mycobacterial culture and Xpert MTB/RIF were available at time. tested positive HIV but CD4 T-cell count requested time diagnosis, he did...