Masukume G. A 54 year analysis of articles from Mpilo Central Hospital, Bulawayo, Zimbabwe - 168 articles cited 999 times:A short report. Malawi Med J, 2012 June 24(2):40-42. Available http://www.medcol.mw/mmj/?p=1113

Saturday 22nd September 2012 – ZiMA CME DAYTheme: “CAUSES OF CONCERN AND SOLUTIONS IN PRACTICE”

The contribution of Africa to global biomedical research is restricted. Why?• limited scientific writing technical ability• English not being a primary language• minimal or no funding of research by local and national bodies• overwhelming teaching burden• bias from high income country editors, editorial boards, publishers against LMICs

researchers, journals• LMICs journals not being indexed in global databases, etc.

Scientific publications provide a key linkage between knowledge production and use

Introduction

• a teaching hospital,• opened in August 1958 (Mpilo African Hospital) to cater predominantly for the

indigenous population• the designation ‘African’ denoted the prevailing racial notions during the colonial

era• nowadays Mpilo Central Hospital is the largest among public or private hospitals in

the city of Bulawayo• the word Mpilo originates from the Ndebele language word for life – Mpilo is a

public hospital

• 1 000 bedded hospital*• > 1 500 workers• busy maternity > 8 000 deliveries per year

Introduction…

*Ndebele W. Mpilo Central Hospital, Current Challenges. Zimbabwe Health Training Support Annual General Meeting 2009, London, 18 April 2009, Available http://www.zhts.org.uk/images/stories/Presentations/AGM2009/agm%202009%20-%20dr%20wedu%20ndebele.pdf

Satellite image of Mpilo Central Hospital: circa 2011 – Google Earth

Rank Publication avenue (n = 61) Number of

articles (n = 168)Percentage of total articles*

1 Central African Medical Journal 65 39%

2 Journal of the Royal College of Surgeons of Edinburgh 9 5%

3 Archives of Disease in Childhood 6 4%

3 British Medical Journal 6 4%

5 Clinical Radiology 5 3%

TOTAL 91 54%

Table 1. Top five publications in which articles from Mpilo Central Hospital were published 1958 – August 2011

*Rounded to the nearest percentage

Tombe M. Images in Clinical Medicine. Hemoglobinuria with malaria. N Engl J Med, 2008 358(17):1837.

Rank Article title and year published

Number of

citations (n = 999)

Percentage of total

citations*

1Pulmonary manifestations in HIV seropositivity and malnutrition in Zimbabwe, 1997 89 9%

2 Haemolytic-Uraemic Syndrome in Typhoid Fever, 1974 68 7%3 Systemic lupus erythematosus in Zimbabwe, 1986 47 5%

4Clinical and Therapeutic Aspects of Kerosene Poisoning: A Series of 200 Cases, 1964 37 4%

5

Relationship between bladder cancer incidence, Schistosoma haematobium infection, and geographical region in Zimbabwe, 1990 33 3%TOTAL 274 27%

Table 2. Top five cited articles from Mpilo Central Hospital 1958 – August 2011

*Rounded to the nearest percentage

Rank by number of citations

Author Number of publications*

Number of citations*

Citations per publication

1 Ikeogu MO 7 156 22.3

2 Muguti GI 35 149 4.3

3 Wolf BH 12 138 11.5

4 Mathe S 2 113 56.5

5 Thomas JEP 6 104 17.3

Table 3. Top five cited authors from Mpilo Central Hospital 1958 – August 2011

*Publications and citations may overlap between and among authors

Figure 1. Number of publications from Mpilo Central Hospital per year from 1958 – August 2011, showing two distinct ‘peaks’ in publication (before and after Zimbabwe’s independence).

All Since 2006

Citations 999 31

h-index 18 2

i-10 36 2

Google scholar type summary

Ngwenya S, Lindow S. Part 2 MRCOG revision made easy. PasTest. 2007

Adams K. Zimbabwe: an eyewitness account. BMJ, 2008;336doi: 10.1136/bmj.39450.635579.0F

Adams K. Zimbabwe’s health system is now in a state of collapse. BMJ, 2008;337doi: 10.1136/bmj.a2637

Adams K. Zimbabwe’s health system is beginning to function again. BMJ, 2010;341doi: 10.1136/bmj.c4211

Gray literature – Mpilo Central Hospital

Paleske AvP. Diagnosis of disseminated Tuberculosis in bone marrow aspirates, 2011, Available

http://oraclesyndicate.twoday.net/stories/diagnosis-of-disseminated-tuberculosis-in-bone-marrow-aspirates/

Paleske AvP. Lymph node aspirates in Tuberculosis-Diagnosis: New challenges, new solutions – a study of 156 patients, 2011, Available

http://oraclesyndicate.twoday.net/stories/lymph-node-aspirates-in-tuberculosis-diagnosis-new-challenges-new-solu

/

Figure 1 (revisited). Number of publications from Mpilo Central Hospital per year from 1958 – August 2012, showing two distinct ‘peaks’ in publication (before and after Zimbabwe’s independence). What is the future trend?

Thank you!!!