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Assessment of neurodisability and malnutrition in children in Africa

GLADSTONE, Melissa
MALLEWA, Mac
ALUSINE JALLOH, Alhaji
VOSJUIKL, Wieger
POSTELS, Douglas
GROCE, Nora
KERAC, Marco
MOLYNEUX, Elizabeth
March 2014

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Neurodevelopmental delay, neurodisability, and malnutrition interact to contribute a significant burden of disease in global settings. Assessments which are well integrated with plans of management or advice are most likely to improve outcomes. Assessment tools used in clinical research and programming to evaluate outcomes include developmental and cognitive tools that vary in complexity, sensitivity, and validity as well as the target age of assessment. Few tools have been used to measure socioemotional outcomes and fewer to assess the disabled child with malnutrition. There is a paucity of tools used clinically which actually provide families and professionals with advice to improve outcomes. Brain imaging, electroencephalography, audiology, and visual assessment can also be used to assess the effect of malnutrition on brain structure and function. The interaction of neurodisability and malnutrition is powerful, and both need to be considered when assessing children.

Seminars in Pediatric Neurology, Child Neurology in Africa, Volume 21, Issue 1, March 2014, Pages 50–57

Packages of care for epilepsy in low- and middle-income countries

MBUBA, Caroline K
NEWTON, Charles R
October 2009

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This article focuses on the management of epilepsy in low- and middle-income countries and recommends a package of care - a combination of interventions aimed at improving the recognition and management of conditions to achieve optimal outcomes - for epilepsy, that is sustainable

Approaches to treating malaria anaemia

BATES, Imelda
July 2004

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This article forms part of the research conducted by the Malaria Knowledge Programme at the Liverpool School of Tropical Medicine. The article considers the prevalence and causes of anaemia in patients with malaria. It looks at diagnosis, treatment and blood transfusions and the prevention of anaemia through clinical detection and the use of bednets to prevent malaria

Information and communication technology in cardiovascular disease prevention in developing countries : hype and hope. Report of the International Collaboration on Information Use in Cardiovascular Health Promotion in Developing Countries

JABBOUR, S
et al
2003

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This article reviews the developments relating to the use of information and communication technology for the dissemination of information about cardiovascular disease prevention in developing countries. The experience of these initiatives suggests that, while information technology holds great potential, there are many potential perils, such as the widening global information gap, inequitable access, and irrelevant information

Children with hydrocephalus and spina bifida in East Africa : can family and community resources improve the odds?

MILES, M
2002

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Hydrocephalus and spina bifida are life threatening conditions that often result in severe dsabilities. Risks are much reduced by immediate surgery and careful managment, but neither has been available for most of the sub-Saharan African population. This paper traces the growth of solutions and some socio-cultural resources that historically have supported family and community care for children with severe disabilities, mainly in Tanzania, and nearby countries. Some community-based rehabilitation (CBR) work with children with spina bifida and hydrocephalus is described, and challenges to the CBR approach are noted from the increased survival of people with disabilities requiring complex care. More appropriate information, recognition of indigenous knowledge, enlistment of community resources and financial assistance are needed to enhance the lives of East Africans with hydrocephalus, spina bifida and other severely disabling conditions

Breast cancer in south-east Republic of Yemen

ABDUL HAMID, G
TAYEB, M S
BAWAZIR, A A
November 2001

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This retrospective study of breast cancer was carried out using the treatment registry of Aden Health Office and archives of Al-Gamhoria Teaching Hospital. It advocates for a comprehensive national approach to increase research funding in this area

Insecticide-treated curtains reduce the prevalence and intensity of malaria infection in Burkina Faso

HABLUETZEL, A
et al
August 1999

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Describes a large, randomized controlled trial to investigate the impact of insecticide-treated curtains (ITC) on child mortality that was conducted in an area of seasonal, holoendemic malaria in Burkina Faso. Concludes that widespread implementation of ITC in this area of high malaria transmission led to a modest reduction in the prevalence of malaria infection and to a more substantial reduction in the intensity of these infections which caused increased Hb levels

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