Fazleh Mahomed

Fazleh Mahomed
Madadeni Hospital · Internal Medicine

BSc, MBChB, FCP(SA), FRCP(Lond), Cert Endocrinology

About

52
Publications
87,842
Reads
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152
Citations
Introduction
Fazleh Mahomed currently works as the Head of Internal Medicine at Madadeni Hospital in Newcastle, South Africa. He worked before as the Head of Endocrinology, University of the Free State. Fazleh does research in Diabetology and Internal Medicine (General Medicine). Their current projects include Editorials for SAJDVD and reviewing processes and education at a Regional Hospital in South Africa
Additional affiliations
June 2019 - present
Madadeni Hospital
Position
  • Head of Department
January 2016 - May 2019
University of the Free State
Position
  • Head of Department
April 2002 - April 2002
The Cochrane Collaboration
Position
  • Researcher

Publications

Publications (52)
Article
Full-text available
Background: The burden and management of primary adrenal insufficiency (PAI) in Africa have not been well documented. We aimed to identify specific disease characteristics, patient demographics and patterns of clinical management in established PAI in Africa. Methods: An online survey of physicians’ experience relating to PAI. Results: There were 1...
Research
Full-text available
Editorial Diabetes
Research
Full-text available
Editorial Diabetes Journal
Presentation
Full-text available
Blood products Regional Hospital South Africa Utilization Madadeni Hospital
Presentation
Full-text available
HbA1C diabetes control regional hospital diabetes clinic South Africa
Presentation
Full-text available
renal radiology costs in regional hospital in south africa
Presentation
Full-text available
admission and mortality statistics in a regional hospital in south africa
Presentation
Full-text available
admission diagnoses in a regional hospital in south africa
Presentation
Full-text available
renal causes of mortality in a regional hospital renal unit in south africa. Peritoneal dialysis
Presentation
Full-text available
Mortality and Causes in a regional hospital ICU in South Africa
Article
Full-text available
http://www.diabetesjournal.co.za/onlinejournal/vol14/vol14_issue1/files/assets/basic-html/page-5.html#
Conference Paper
Perceptions of medical practitioners’ management of addison’s disease across Africa: an on-line survey Ian Louis Ross1, Thabiso RP Mofokeng2, Fazleh Mahomed2 & Salem Beshyah3 1University of Cape Town, Cape Town, South Africa; 2University of the Free State, Bloemfontein, South Africa; 3Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates. O...
Conference Paper
Background: The burden and management of Addison’s disease (AD) in South Africa (RSA) have not been well document. We aimed to identify the disease attributes, patients’ characteristics and patterns of clinical management patients with established AD in RSA “through the eyes of the practicing physicians”. Methods: An online survey of a large pool o...
Research
Full-text available
Editorial for the South African Journal of Diabetes and Vascular Disease
Research
Full-text available
Editorial for the South African Journal of Diabetes and Vascular Disease
Research
Full-text available
Editorial for the South African Journal of Diabetes and Vascular Disease
Research
Full-text available
Editorial for the South African Journal of Diabetes and Vascular Disease
Research
Full-text available
Editorial for the South African Journal of Diabetes and Vascular Disease
Research
Full-text available
Editorial for the South African Journal of Diabetes and Vascular Disease
Article
Full-text available
Background: The combination of HIV infection and diabetes mellitus (DM) represents a collision of two chronic conditions. Both HIV and DM increase the risk of developing tuberculosis (TB). Health resources in developing countries are already under strain as a result of the TB epidemic and poor diabetic control would further worsen this epidemic. O...
Article
Full-text available
Background: Optimal control of diabetes mellitus remains elusive, especially in developing countries. A comprehensive and standardised approach, coupled with intensive patient and clinician education, may provide the solution.Methods: Comprehensive datasheets accompanied by patient education from a multidisciplinary team and clinician retraining on...
Article
Full-text available
Objectives: We describe the demographics, diabetic characteristics, diabetic control and complications in the diabetes service in Edendale Regional Hospital, Pietermaritzburg, in this study. Diabetes mellitus, together with its complications, is increasing at an alarming rate worldwide. Good glycaemic control translates into lower long-term complic...
Article
Full-text available
Objectives: To gather baseline information on the knowledge, attitudes and practices regarding iodine and iodised salt among patients with hyperthyroidism in the Free State. Subjects and Setting: The study was part of a large cohort study that included the first 96 patients aged 13 years or older diagnosed with hyperthyroidism and referred to Unive...
Article
Full-text available
Objectives: To gather baseline information on the knowledge, attitudes and practices regarding iodine and iodised salt among patients with hyperthyroidism in the Free State. Subjects and Setting: The study was part of a large cohort study that included the first 96 patients aged 13 years or older diagnosed with hyperthyroidism and referred to Unive...
Article
Full-text available
Background: A favourable regimen for people infected with HIV/AIDS is one that provides optimal efficacy, durability of antiretroviral activity, tolerability, and has low adverse effects and drug-drug interactions. The combination of the non-nucleoside reverse transcriptase inhibitor nevirapine (NVP), and two nucleoside reverse transcriptase inhib...
Conference Paper
Full-text available
As Attached
Conference Paper
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As attached
Raw Data
Full-text available
2 Cases of Portal vein thrombosis
Article
Full-text available

Questions

Questions (155)
Question
Religion and Belief play an important role in people's lives.
The social value of ethics and morals help with the cohesion and development of individuals, families and communities
It is an integral part of human society, through history and in the present and the future
What is your view?
Question
Our research world has become dependant on research output.
Many academic jobs depend on a certain sustained level of research.
Is this unhealthy?
Does it stunt creativity? Does it create pointless research? Does it lead to plagiarism?
Should we have different outcome measures eg a Research Quality Score per article, rather than number of articles?
Question
There was an initial description of Covid 19 that included a Coronavirus component and an HIV like component.
This concept was dispelled at that time.
But, what is becoming evident now, is that the clinical syndrome of Covid 19 has both an acute and a chronic phase.
Chronic elements include ongoing neurological, cognitive and psychological aspects, renal aspects and possibly menstrual dysfunction.
Does this imply that the virus has hybrid composition? Do we need to re-look at the viral structure?
Does a hybrid structure make the idea of Man-made virus more likely?
Should we be setting up for a subsequent, secondary pandemic of Long Covid? That we do not know enough about?
Question
The International Space Station has shown that life in Space is possible. If we can work out a sustainable way of growing food, getting rid of waste and reproducing, the Humanity may find a way of living in Space.
The future of Earth is uncertain. Destruction by Climate change, Human activities, Nuclear war are all real possibilities. Politicians seem unable to work out a feasible solution. Worse case scenario: Humanity may have to flee Earth at some future point.
My impression is that this is a likely future for Humanity.
What do you think?
Question
The ideal is to have both functioning well, but in many medium to low resource countries, this has become an Either/Or decision for Health Administrators.
Primary Health care to reduce the burden of disease and complications of disease and thus reduce the need for specialized care and it's cost.
Specialised care follows all the latest trends and innovations, but usually are very costly. Costs are likely to come down over time, though.
So FOMO medicine: Specialised....
or Affordable rimary Health Care....?
What is your view?
Question
Some countries provide free basic Health Care, but for many countries, health care needs to be funded by citizens [ often very poor countries]
Does this create a Health Care divide in the World? Is This acceptable?
Can we create a global funding model [ eg IMF- style] that will help give poor people access to basic Health Care, as a human right?
Question
Evidence based medicine largely depends on [multiple] Randomised Controlled Trials and Meta- Analyses.
But these can take 5-10 years for each to complete.
Has COVID shown us the clear need for a faster, reliable alternative form of research?
There are urgent, life threatening conditions that need quick, effective results?
What are your thoughts on this?
Question
Covid pneumonia is largely an inflammatory phenomonon.
Does the stage of HIV then have an effect on the patient's response to COVID?
Immune competent HIV patient [ suppressed Viral load and high CD4]- usual Non-HIV response?
Immune compromised [ Low CD4,eg] mild/no pneumonia, but likelihood of prolonged, chronic carriage of COVID? [ and therefore more likely to become a pool for mutants to develop?]
I am just speculating- but what are your thoughts on the matter?
Question
Can SGLT2 inhibitors be safely used in Non-Diabetics, as diuretic therapy?
Do they have other beneficial pleiotropic effects in general, eg in endotheleal function and vascular tone
Question
Many Studies have now shown benefit of SGLT2 inhibitors in heart failure. The outcome measures often include composite cardiac outcome measures that include Ischaemic Heart Disease [IHD] outcomes.
Is the benefit limited to Heart failure alone?
Anybody aware of any study that shows true benefit for Ischaemic Heart Disease alone?
Question
The global nature of the Internet and e-Activities requires a new method of Legislative and Ethical control that includes the many different governments that exist.
Do we need a new International Cyberspace Organization that can lead this process?
To create a framework that is acceptable to all and takes all viewpoints into account.
Are we up to the task?

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Projects

Projects (10)
Project
To describe the type of pathology seen in this setting. This helps guide resource allocation
Project
To collect relevant scientific understanding, data, models, solutions, and certifications for Covid-19 caused by the SARS-CoV-2. Together we can learn more than when working alone.
Project
Create an interactive environment through new electronic devices and technologies, and the presence of a variety of sources of information and experience. Not to attend the same location through distance learning, and this is one of the most important goals of e-learning. In times of corona virus isolation, the educational process should not "suffer" and we should not lack contacts with students and colleagues.