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Mhoira Leng

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Mhoira Leng
FRSE
Born1963
EducationMBChB MRCP(UK) FRCP(Ed) and FRCP (Glas)
OccupationPalliative Care Specialist
Known forinternational development of palliative care

Mhoira E.H. Leng (born 1963) FRSE MBChB MRCP(UK) FRCP(Ed and Glas) is one of the first Scottish specialists in palliative care, who has developed the palliative care services internationally, working in Eastern Europe, India and Africa and advises international institutions and agencies on palliative care in the developing world.[1] In 2021, Leng was admitted as one of the new female Fellows of the Royal Society of Edinburgh.[2]

Qualifications and early career

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Leng studied medicine at the University of Aberdeen, graduating MBChB in 1987, and became a Member of the Royal College of Physicians in 1990. She became a Fellow of the Royal College of Physicians (Glasgow) in 1999, and Fellow of the Royal College of Physicians (Edinburgh) in 2001.[1] Leng was employed for 10 years in the NHS in North East Scotland, as senior consultant and honorary senior lecturer at the University of Aberdeen and a clinical lead in palliative care developments. Leng then went on to work full time to develop palliative care internationally.[3]

International collaboration

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Leng works with the global health Usher Institute[4] at the University of Edinburgh and at Makarere University, Kampala, Uganda is an associate faculty member and mentor to the international palliative care leadership initiative at the Institute for Palliative Medicine, San Diego Hospice, San Diego California, since 2010. She was one of the founders and is the Medical Director of Cairdeas International Palliative Care Trust,[5] which is a registered charity based in Scotland. Leng is a board member of the International Association for Hospice and Palliative Care and advisor to the Mehac Foundation, India.[1]

Leng has worked with the Christian Medical College, Vellore India and the Emmanuel Hospitals Association,[5] as well as since1998,[3] in developing the palliative care models with the Makarere University and Mulago Hospital, Kampala, Uganda.[1]

Leng and Liz Grant's comparative work in defining palliative care for chronic conditions[6] was cited in the World Health Organisation's 2004 Global Atlas of Palliative Care.[7]

Her personal care for dying patients in Uganda is recognised by families and in the Aberdeen press she was quoted as saying:

“Listening and supporting what is important to that person and family even when time is short.”[8]

Leng was admitted as a Fellow of the Royal Society of Edinburgh in 2021.[2]

Selected publications

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  • 2020 Pain workshop ESMO: Africa (Response)[9]
  • 2020 Health-related quality of life, palliative care needs and 12-month survival among patients with end stage renal disease in Uganda: protocol for a mixed methods longitudinal study[10]
  • 2020 “From good hearted community members we get volunteers” – an exploratory study of palliative care volunteers across Africa[11]
  • 2018 Joint position statement Indian Association of Palliative Care and Academy of Family Physicians of India – The way forward for developing community-based palliative care program throughout India: Policy, education, and service delivery considerations[12]
  • 2017 Integrating palliative care into national health systems in Africa: a multi–country intervention study[13]
  • 2017 'I think my body has become addicted to those tablets'. Chronic heart failure patients' understanding of and beliefs about their illness and its treatment: A qualitative longitudinal study from Uganda[14]
  • 2016 A palliative care link nurse programme in Mulago Hospital, Uganda: an evaluation using mixed methods[15]
  • 2011 Review Article: Cancer Pain Management in Resource-Limited Settings: A Practice Review[16]
  • 2011 Palliative care making a difference in rural Uganda, Kenya and Malawi: three rapid evaluation field studies[6]
  • 2008 Interventions for the treatment of metastatic extradural spinal cord compression in adults[17]
  • 2007 Africans die in pain because of fears of opiate addiction[18]
  • 2001 Retrospective study of the use of hydromorphone in palliative care patients with normal and abnormal urea and creatinine[19]

References

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  1. ^ a b c d "Mhoira E F Leng, Uganda, Mentor | IPCRC.NET News". 12 February 2012. Retrieved 31 March 2021.
  2. ^ a b "The RSE announces 2021 Fellows". The Royal Society of Edinburgh. 30 March 2021. Retrieved 31 March 2021.
  3. ^ a b "Mhoira Leng - International Association for Hospice & Palliative Care". hospicecare.com. Retrieved 31 March 2021.
  4. ^ "International collaborators". The University of Edinburgh. 26 May 2016. Retrieved 31 March 2021.
  5. ^ a b UK, Dynamic Design. "Cairdeas - History". cairdeas.org.uk. Retrieved 31 March 2021.
  6. ^ a b Grant, Liz; Brown, Judith; Leng, Mhoira; Bettega, Nadia; Murray, Scott A. (12 May 2011). "Palliative care making a difference in rural Uganda, Kenya and Malawi: three rapid evaluation field studies". BMC Palliative Care. 10 (1): 8. doi:10.1186/1472-684X-10-8. ISSN 1472-684X. PMC 3120792. PMID 21569423.
  7. ^ Connor, Stephen R. (2014). Global Atlas of Palliative Care at the End of Life. Maria Cecilia Sepulveda Bermedo, Worldwide Palliative Care Alliance, World Health Organization. London. ISBN 978-0-9928277-0-0. OCLC 914612244.{{cite book}}: CS1 maint: location missing publisher (link)
  8. ^ Telfer, Kirsty. "Uganda patients will be helped by Aberdeen charity's grant". Evening Express. Retrieved 31 March 2021.
  9. ^ Grant, Liz; Leng, Mhoira; Fallon, Marie (2020). "Pain workshop ESMO: Africa (response)". ESMO Open. 5 (4): e000833. doi:10.1136/esmoopen-2020-000833. ISSN 2059-7029. PMC 7445335. PMID 32826301.
  10. ^ Bagasha, Peace; Leng, Mhoira; Katabira, Elly; Petrova, Mila (7 December 2020). "Health-related quality of life, palliative care needs and 12-month survival among patients with end stage renal disease in Uganda: protocol for a mixed methods longitudinal study". BMC Nephrology. 21 (1): 531. doi:10.1186/s12882-020-02197-7. ISSN 1471-2369. PMC 7720495. PMID 33287725.
  11. ^ Loth, Carolin Clara; Namisango, Eve; Powell, Richard Antony; Pabst, Katharina Henny; Leng, Mhoira; Hamada, Mohamed; Radbruch, Lukas (2020). ""From good hearted community members we get volunteers" – an exploratory study of palliative care volunteers across Africa". BMC Palliative Care. 19:48 (1): 48. doi:10.1186/s12904-020-00545-w. PMC 7158085. PMID 32290860.
  12. ^ Jeba, Jenifer; Atreya, Shrikant; Chakraborty, Sulagna; Pease, Nikki; Thyle, Ann; Ganesh, Alka; Palat, Gayatri; Matthew, Lulu; Anbarasi, Sahaya; Kumar, Raman; Muckaden, Mary Ann (2018). "Joint position statement Indian Association of Palliative Care and Academy of Family Physicians of India – The way forward for developing community-based palliative care program throughout India: Policy, education, and service delivery considerations". Journal of Family Medicine and Primary Care. 7 (2): 291–302. doi:10.4103/jfmpc.jfmpc_99_18. ISSN 2249-4863. PMC 6060921. PMID 30090767.
  13. ^ Grant, Liz; Downing, Julia; Luyirika, Emmanuel; Murphy, Mairead; Namukwaya, Liz; Kiyange, Fatia; Atieno, Mackuline; Kemigisha–Ssali, Emilly; Hunt, Jenny; Snell, Kaly; Murray, Scott A (2017). "Integrating palliative care into national health systems in Africa: a multi–country intervention study". Journal of Global Health. 7 (1): 010419. doi:10.7189/jogh.07.010419. ISSN 2047-2978. PMC 5475315. PMID 28685037.
  14. ^ Namukwaya, Elizabeth; Murray, Scott A.; Downing, Julia; Leng, Mhoira; Grant, Liz (2017). "'I think my body has become addicted to those tablets'. Chronic heart failure patients' understanding of and beliefs about their illness and its treatment: A qualitative longitudinal study from Uganda". PLOS ONE. 12 (9): e0182876. Bibcode:2017PLoSO..1282876N. doi:10.1371/journal.pone.0182876. ISSN 1932-6203. PMC 5619713. PMID 28957338.
  15. ^ Downing, Julia; Batuli, Mwazi; Kivumbi, Grace; Kabahweza, Josephine; Grant, Liz; Murray, Scott A.; Namukwaya, Elizabeth; Leng, Mhoira (8 April 2016). "A palliative care link nurse programme in Mulago Hospital, Uganda: an evaluation using mixed methods". BMC Palliative Care. 15: 40. doi:10.1186/s12904-016-0115-6. ISSN 1472-684X. PMC 4825074. PMID 27059019.
  16. ^ Namukwaya, E.; Leng, M.; Downing, J.; Katabira, E. (2011). "Review Article: Cancer Pain Management in Resource-Limited Settings: A Practice Review". Pain Research and Treatment. 2011: 393404. doi:10.1155/2011/393404. PMC 3236429. PMID 22191020.
  17. ^ George, Reena; Jeba, Jenifer; Ramkumar, Govindraj; Chacko, Ari G.; Leng, Mhoira; Tharyan, Prathap (8 October 2008). George, Reena (ed.). "Interventions for the treatment of metastatic extradural spinal cord compression in adults". The Cochrane Database of Systematic Reviews (4): CD006716. doi:10.1002/14651858.CD006716.pub2. ISSN 1469-493X. PMID 18843728.
  18. ^ Logie, Dorothy; Leng, Mhoira (6 October 2007). "Africans die in pain because of fears of opiate addiction". BMJ: British Medical Journal. 335 (7622): 685. doi:10.1136/bmj.39353.715359.DB. ISSN 0959-8138. PMC 2001053. PMID 17916825.
  19. ^ Lee, Mark A; Leng, Mhoira E F; Tiernan, Eóin J J (1 January 2001). "Retrospective study of the use of hydromorphone in palliative care patients with normal and abnormal urea and creatinine". Palliative Medicine. 15 (1): 26–34. doi:10.1191/026921601669626431. ISSN 0269-2163. PMID 11212464. S2CID 29584456.
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