Intimate Partner Violence (IPV) is a critical public health issue. In general, the quality of car... more Intimate Partner Violence (IPV) is a critical public health issue. In general, the quality of care for survivors of IPV has been poor worldwide. Academic literature suggests that IPV should be introduced in the preclinical and continued in clinical years, however, few medical schools adequately address IPV contents.
BackgroundThe severity of hypertension has prognostic significance. Previous studies have assesse... more BackgroundThe severity of hypertension has prognostic significance. Previous studies have assessed the relationship between renin-angiotensin-aldosterone system (RAAS) genotype and the severity of hypertension in either treated patients or those who have only recently discontinued treatment.
A country-wide malaria survey in Mozambique. II. Malaria attributable proportion of fever and est... more A country-wide malaria survey in Mozambique. II. Malaria attributable proportion of fever and establishment of malaria case definition in children across different epidemiological settings
Este estudo teve como objetivo analisar os fatores associados à hipertensão arterial em pacientes... more Este estudo teve como objetivo analisar os fatores associados à hipertensão arterial em pacientes com diabetes mellitus tipo 2 atendidos na Associação Moçambicana dos Diabéticos. Foi realizado um estudo transversal analítico, que incluiu a revisão retrospetiva de dados de 1.753 doentes, atendidos na Associação Moçambicana dos Diabéticos entre 2006 e 2016. A relação entre a hipertensão arterial e as variáveis independentes foi estabelecida através do teste de qui-quadrado e da análise de regressão logística binária. Os valores foram considerados estatisticamente significativos se p-value <0.05. A prevalência da hipertensão arterial foi de 48%. Os participantes nas faixas etárias entre 50 e 60 anos e mais de 60 anos e aqueles com excesso de peso e obesidade apresentaram mais chances de serem hipertensos. Recomenda-se assim, o desenho de políticas direcionadas para o controlo do peso nos pacientes com diabetes mellitus tipo 2.
Introduction: The aim of the study described in this paper is to screen medical curricula in rela... more Introduction: The aim of the study described in this paper is to screen medical curricula in relation to the attention paid to intimate partner violence, by applying a framework derived from the international literature.Material and Methods: We screened curricula of five Mozambican medical schools based on a state-of-the-art intimate partner violence curriculum framework. The latter framework was based on a review of the literature.Results: Few medical schools of Mozambique could be identified addressing intimate partner violence in their curriculum. When tackled, intimate partner violence content is mostly dealt within the context of Obstetrics and Gynaecology, Community Health and Forensic Medicine rotations. Intimate partner violence contents are integrated as stand-alone modules in some specific subjects. In none of the schools, specific teachers teaching intimate partner violence could be identified. No time allocation was specified to address the topic; no teaching and learnin...
Introduction There is growing evidence in the literature that the majority of medical doctors do ... more Introduction There is growing evidence in the literature that the majority of medical doctors do not recognize the signs and symptoms of Intimate Partner Violence (IPV) or its impact on women’s as well as men’s health. It is considered by many as a social or cultural issue. Regarding the perceptions of how medical doctors should address IPV, survivors agree that the first thing that physicians should bear in mind is that anyone can be a survivor of IPV and second that IPV is not only sexual assault. Lack of skills and resources to manage IPV, time constraints, discomfort with the subject, limited referral points, sharing the same cultural and gender norms of survivors, are some of the reasons why there is resistance among medical doctors to address IPV. General objective To identify ways to improve curricula on IPV mitigation-content in order to enhance prevention and medical care in Mozambique.
RESUMO : O artigo apresenta resultados de um estudo cujo objectivo era determinar o peso da Diabe... more RESUMO : O artigo apresenta resultados de um estudo cujo objectivo era determinar o peso da Diabetes Mellitus (DM) tipo 1 entre os doentes com patologia endocrina e a prevalencia de hipertensao arterial e complicacoes oculares no Hospital Central de Maputo (HCM). Do ponto de vista metodologico, a populacao de estudo foi constituida por cerca de 191 doentes consecutivos com diabetes mellitus tipo 1, observados na consulta de endocrinologia do HCM e na Associacao Mocambicana dos Diabeticos, no periodo de Marco de 2006 e Marco 2011. A analise estatistica dos dados foi feita com recurso ao pacote estatistico SPSS for windows 17.0 . Como Resultado, observa-se que a DM tipo 1 representou cerca de 10% dos casos de DM observados no HCM durante o periodo em referencia. Observa-se ainda uma prevalencia relativamente elevada da hipertensao arterial (9,9% sistolica e 8,9% diastolica); diferentes tipos de complicacoes oculares em 14,7% dos doentes de estudo. Tambem conclui-se que os principais f...
AIM The roles of the atrial natriuretic peptide (ANP) gene and the clearance receptor of the ANP ... more AIM The roles of the atrial natriuretic peptide (ANP) gene and the clearance receptor of the ANP (NPRC) gene in hypertensive groups of African ancestry are unclear. The aim of the present study was to assess the relationship between both ANP and NPRC gene polymorphisms and hypertension in Black South Africans. METHODS 298 patients, diagnosed as having essential hypertension according to 24-hour ambulatory blood pressure (BP) measurements (mean daytime diastolic BP> 90 mm Hg) whilst off medication, and 278 normotensive control subjects of a similar African ancestry, were genotyped for polymorphic markers in intron 2 (which is in complete linkage disequilibrium with a potentially functional exon 1 variant) and exon 3 (which leads to the extension of ANP by two additional arginines) of the ANP gene. Moreover, 64 hypertensives and 63 control from the same groups were genotyped for the cis-acting promoter/enhancer element of the NPRC gene. RESULTS No relationship between the exon 3 va...
Intimate Partner Violence (IPV) is a critical public health issue. In general, the quality of car... more Intimate Partner Violence (IPV) is a critical public health issue. In general, the quality of care for survivors of IPV has been poor worldwide. Academic literature suggests that IPV should be introduced in the preclinical and continued in clinical years, however, few medical schools adequately address IPV contents.
BackgroundThe severity of hypertension has prognostic significance. Previous studies have assesse... more BackgroundThe severity of hypertension has prognostic significance. Previous studies have assessed the relationship between renin-angiotensin-aldosterone system (RAAS) genotype and the severity of hypertension in either treated patients or those who have only recently discontinued treatment.
A country-wide malaria survey in Mozambique. II. Malaria attributable proportion of fever and est... more A country-wide malaria survey in Mozambique. II. Malaria attributable proportion of fever and establishment of malaria case definition in children across different epidemiological settings
Este estudo teve como objetivo analisar os fatores associados à hipertensão arterial em pacientes... more Este estudo teve como objetivo analisar os fatores associados à hipertensão arterial em pacientes com diabetes mellitus tipo 2 atendidos na Associação Moçambicana dos Diabéticos. Foi realizado um estudo transversal analítico, que incluiu a revisão retrospetiva de dados de 1.753 doentes, atendidos na Associação Moçambicana dos Diabéticos entre 2006 e 2016. A relação entre a hipertensão arterial e as variáveis independentes foi estabelecida através do teste de qui-quadrado e da análise de regressão logística binária. Os valores foram considerados estatisticamente significativos se p-value <0.05. A prevalência da hipertensão arterial foi de 48%. Os participantes nas faixas etárias entre 50 e 60 anos e mais de 60 anos e aqueles com excesso de peso e obesidade apresentaram mais chances de serem hipertensos. Recomenda-se assim, o desenho de políticas direcionadas para o controlo do peso nos pacientes com diabetes mellitus tipo 2.
Introduction: The aim of the study described in this paper is to screen medical curricula in rela... more Introduction: The aim of the study described in this paper is to screen medical curricula in relation to the attention paid to intimate partner violence, by applying a framework derived from the international literature.Material and Methods: We screened curricula of five Mozambican medical schools based on a state-of-the-art intimate partner violence curriculum framework. The latter framework was based on a review of the literature.Results: Few medical schools of Mozambique could be identified addressing intimate partner violence in their curriculum. When tackled, intimate partner violence content is mostly dealt within the context of Obstetrics and Gynaecology, Community Health and Forensic Medicine rotations. Intimate partner violence contents are integrated as stand-alone modules in some specific subjects. In none of the schools, specific teachers teaching intimate partner violence could be identified. No time allocation was specified to address the topic; no teaching and learnin...
Introduction There is growing evidence in the literature that the majority of medical doctors do ... more Introduction There is growing evidence in the literature that the majority of medical doctors do not recognize the signs and symptoms of Intimate Partner Violence (IPV) or its impact on women’s as well as men’s health. It is considered by many as a social or cultural issue. Regarding the perceptions of how medical doctors should address IPV, survivors agree that the first thing that physicians should bear in mind is that anyone can be a survivor of IPV and second that IPV is not only sexual assault. Lack of skills and resources to manage IPV, time constraints, discomfort with the subject, limited referral points, sharing the same cultural and gender norms of survivors, are some of the reasons why there is resistance among medical doctors to address IPV. General objective To identify ways to improve curricula on IPV mitigation-content in order to enhance prevention and medical care in Mozambique.
RESUMO : O artigo apresenta resultados de um estudo cujo objectivo era determinar o peso da Diabe... more RESUMO : O artigo apresenta resultados de um estudo cujo objectivo era determinar o peso da Diabetes Mellitus (DM) tipo 1 entre os doentes com patologia endocrina e a prevalencia de hipertensao arterial e complicacoes oculares no Hospital Central de Maputo (HCM). Do ponto de vista metodologico, a populacao de estudo foi constituida por cerca de 191 doentes consecutivos com diabetes mellitus tipo 1, observados na consulta de endocrinologia do HCM e na Associacao Mocambicana dos Diabeticos, no periodo de Marco de 2006 e Marco 2011. A analise estatistica dos dados foi feita com recurso ao pacote estatistico SPSS for windows 17.0 . Como Resultado, observa-se que a DM tipo 1 representou cerca de 10% dos casos de DM observados no HCM durante o periodo em referencia. Observa-se ainda uma prevalencia relativamente elevada da hipertensao arterial (9,9% sistolica e 8,9% diastolica); diferentes tipos de complicacoes oculares em 14,7% dos doentes de estudo. Tambem conclui-se que os principais f...
AIM The roles of the atrial natriuretic peptide (ANP) gene and the clearance receptor of the ANP ... more AIM The roles of the atrial natriuretic peptide (ANP) gene and the clearance receptor of the ANP (NPRC) gene in hypertensive groups of African ancestry are unclear. The aim of the present study was to assess the relationship between both ANP and NPRC gene polymorphisms and hypertension in Black South Africans. METHODS 298 patients, diagnosed as having essential hypertension according to 24-hour ambulatory blood pressure (BP) measurements (mean daytime diastolic BP> 90 mm Hg) whilst off medication, and 278 normotensive control subjects of a similar African ancestry, were genotyped for polymorphic markers in intron 2 (which is in complete linkage disequilibrium with a potentially functional exon 1 variant) and exon 3 (which leads to the extension of ANP by two additional arginines) of the ANP gene. Moreover, 64 hypertensives and 63 control from the same groups were genotyped for the cis-acting promoter/enhancer element of the NPRC gene. RESULTS No relationship between the exon 3 va...
Introduction: The aim of the study described in this paper is to screen medical curricula in rela... more Introduction: The aim of the study described in this paper is to screen medical curricula in relation to the attention paid to intimate partner violence, by applying a framework derived from the international literature. Material and Methods: We screened curricula of five Mozambican medical schools based on a state-of-the-art intimate partner violence curriculum framework. The latter framework was based on a review of the literature. Results: Few medical schools of Mozambique could be identified addressing intimate partner violence in their curriculum. When tackled, intimate partner violence content is mostly dealt within the context of Obstetrics and Gynaecology, Community Health and Forensic Medicine rotations. Intimate partner violence contents are integrated as stand-alone modules in some specific subjects. In none of the schools, specific teachers teaching intimate partner violence could be identified. No time allocation was specified to address the topic; no teaching and learn...
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