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Blantyre Coma Scale
The Blantyre coma scale is a modification of the Pediatric Glasgow Coma Scale, designed to assess malarial coma in children. It was designed by Terrie Taylor and Malcolm Molyneux in 1987, and named for the Malawi Malawi, officially the Republic of Malawi, is a landlocked country in Southeastern Africa. It is bordered by Zambia to the west, Tanzania to the north and northeast, and Mozambique to the east, south, and southwest. Malawi spans over and ...an city of Blantyre, site of the Blantyre Malaria Project.Taylor, T. (2009) Caring for children with cerebral malaria: insights gleaned from 20 years on a research ward in Malawi. Transactions of the Royal Society of Tropical Medicine and Hygiene 103 (Suppl 1): S6-S10 DoI: 10.1016/j.trstmh.2008.10.049 Using the scale The score assigned by the Blantyre coma scale is a number from 0 to 5. The score is determined by adding the results from three groups: Motor response, verbal response, and eye movement. The minimum score i ...
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Pediatric Glasgow Coma Scale
The Paediatric Glasgow Coma Scale (British English) or the Pediatric Glasgow Coma Score (American English) or simply PGCS is the equivalent of the Glasgow Coma Scale (GCS) used to assess the level of consciousness of child patients. As many of the assessments for an adult patient would not be appropriate for infants, the Glasgow Coma Scale was modified slightly to form the PGCS. As with the GCS, the PGCS comprises three tests: eye, verbal and motor responses. The three values separately as well as their sum are considered. The lowest possible PGCS (the sum) is 3 (deep coma or death) whilst the highest is 15 (fully awake and aware person). The pediatric GCS is commonly used in emergency medical services. In patients who are intubated, unconscious, or preverbal, the motor response is considered the most important component of the scale. Coma scale Any combined score of less than eight represents a significant risk of mortality. A score of 12 or below indicates a severe head ...
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Malaria
Malaria is a Mosquito-borne disease, mosquito-borne infectious disease that affects vertebrates and ''Anopheles'' mosquitoes. Human malaria causes Signs and symptoms, symptoms that typically include fever, Fatigue (medical), fatigue, vomiting, and headaches. In severe cases, it can cause jaundice, Epileptic seizure, seizures, coma, or death. Symptoms usually begin 10 to 15 days after being bitten by an infected ''Anopheles'' mosquito. If not properly treated, people may have recurrences of the disease months later. In those who have recently survived an infection, reinfection usually causes milder symptoms. This partial Immunity (medical), resistance disappears over months to years if the person has no continuing exposure to malaria. The mosquitoes themselves are harmed by malaria, causing reduced lifespans in those infected by it. Malaria is caused by protozoa, single-celled microorganisms of the genus ''Plasmodium''. It is spread exclusively through bites of infected female ...
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Coma
A coma is a deep state of prolonged unconsciousness in which a person cannot be awakened, fails to Nociception, respond normally to Pain, painful stimuli, light, or sound, lacks a normal Circadian rhythm, sleep-wake cycle and does not initiate voluntary actions. The person may experience respiratory and circulatory problems due to the body's inability to maintain normal bodily functions. People in a coma often require extensive medical care to maintain their health and prevent complications such as pneumonia or blood clots. Coma patients exhibit a complete absence of wakefulness and are unable to consciously feel, speak or move. Comas can be the result of natural causes, or can be Induced coma, medically induced, for example, during General anaesthesia, general anesthesia. Clinically, a coma can be defined as the consistent inability to follow a one-step command. For a patient to maintain consciousness, the components of ''wakefulness'' and ''awareness'' must be maintained. Wak ...
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Children
A child () is a human being between the stages of childbirth, birth and puberty, or between the Development of the human body, developmental period of infancy and puberty. The term may also refer to an unborn human being. In English-speaking countries, the legal definition of ''child'' generally refers to a minor (law), minor, in this case as a person younger than the local age of majority (there are exceptions such as, for example, the consume and purchase of alcoholic beverage even after said age of majority), regardless of their physical, mental and sexual development as biological adults. Children generally have fewer Children's rights, rights and responsibilities than adults. They are generally classed as unable to make serious decisions. ''Child'' may also describe a relationship with a parent (such as sons and daughters of any age) or, Metaphor, metaphorically, an authority figure, or signify group membership in a clan, tribe, or religion; it can also signify being str ...
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Malcolm Molyneux
Malcolm Edward Molyneux (20 November 1943 - 16 November 2021) was a British professor tropical medical researcher who specialised in malaria, especially cerebral malaria. He spent much of his career in Malawi, and was partially responsible for the establishment of the University of Malawi College of Medicine. He and other researchers developed the Blantyre coma scale, a scale to assess the severity of comas induced by malaria in children. For his work in the field, he was elected a fellow of the Academy of Medical Sciences in 1998 and appointed an OBE in 2006. During his career he worked at the Queen Elizabeth Central Hospital in Blantyre, Malawi, and the Liverpool School of Tropical Medicine in Liverpool, England, where he was given the title of Emeritus Professor of Tropical Medicine. He also worked as an editor for '' Malawi Medical Journal'' and ''Tropical Doctor.'' Education Malcom Molyneux earnt degrees in natural science and medicine from the University of Cambridge ...
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Malawi
Malawi, officially the Republic of Malawi, is a landlocked country in Southeastern Africa. It is bordered by Zambia to the west, Tanzania to the north and northeast, and Mozambique to the east, south, and southwest. Malawi spans over and has an estimated population of 21,240,689 (as of 2024). Lilongwe is its capital and largest city, while the next three largest cities are Blantyre, Mzuzu, and Zomba, the former capital. The part of Africa now known as Malawi was settled around the 10th century by the Akafula, also known as the Abathwa. Later, the Bantu groups came and drove out the Akafula and formed various kingdoms such as the Maravi and Nkhamanga kingdoms, among others that flourished from the 16th century. In 1891, the area was colonised by the British as the British Central African Protectorate, and it was renamed '' Nyasaland'' in 1907. In 1964, Nyasaland became an independent country as a Commonwealth realm under Prime Minister Hastings Banda, and was rena ...
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Blantyre, Malawi
Blantyre is Malawi's centre of finance and commerce, and its second largest city, with a population of 800,264 . It is sometimes referred to as the commercial and industrial capital of Malawi as opposed to the political capital, Lilongwe. It is the capital of the country's Southern Region, Malawi, Southern Region as well as the Blantyre District. History Blantyre was founded in 1876 through the missionary work of the Church of Scotland. It was named after Blantyre, South Lanarkshire, Scotland, birthplace of the explorer David Livingstone. The site was chosen by Henry Henderson, who was joined there on 23 October 1876 by Dr T. T. Macklin and others. Dr Macklin took over the leadership of the mission and began the work of building; but it was not until 1878 that the first ordained minister, Rev. Duff MacDonald, joined the mission. The original missionaries, for various reasons, faced local opposition and three of them were recalled. From 1881 to 1898, the mission was run by D ...
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Medical Scales
Medicine is the science and practice of caring for patients, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others. Medicine has been practiced since prehistoric times, and for most of this time it was an art (an area of creativity and skill), frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healin ...
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Malaria
Malaria is a Mosquito-borne disease, mosquito-borne infectious disease that affects vertebrates and ''Anopheles'' mosquitoes. Human malaria causes Signs and symptoms, symptoms that typically include fever, Fatigue (medical), fatigue, vomiting, and headaches. In severe cases, it can cause jaundice, Epileptic seizure, seizures, coma, or death. Symptoms usually begin 10 to 15 days after being bitten by an infected ''Anopheles'' mosquito. If not properly treated, people may have recurrences of the disease months later. In those who have recently survived an infection, reinfection usually causes milder symptoms. This partial Immunity (medical), resistance disappears over months to years if the person has no continuing exposure to malaria. The mosquitoes themselves are harmed by malaria, causing reduced lifespans in those infected by it. Malaria is caused by protozoa, single-celled microorganisms of the genus ''Plasmodium''. It is spread exclusively through bites of infected female ...
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Coma
A coma is a deep state of prolonged unconsciousness in which a person cannot be awakened, fails to Nociception, respond normally to Pain, painful stimuli, light, or sound, lacks a normal Circadian rhythm, sleep-wake cycle and does not initiate voluntary actions. The person may experience respiratory and circulatory problems due to the body's inability to maintain normal bodily functions. People in a coma often require extensive medical care to maintain their health and prevent complications such as pneumonia or blood clots. Coma patients exhibit a complete absence of wakefulness and are unable to consciously feel, speak or move. Comas can be the result of natural causes, or can be Induced coma, medically induced, for example, during General anaesthesia, general anesthesia. Clinically, a coma can be defined as the consistent inability to follow a one-step command. For a patient to maintain consciousness, the components of ''wakefulness'' and ''awareness'' must be maintained. Wak ...
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