- Child Nutrition and Water Access
- Child Nutrition and Feeding Issues
- Breastfeeding Practices and Influences
- Infant Nutrition and Health
- Clinical Nutrition and Gastroenterology
- Food Security and Health in Diverse Populations
- Infant Development and Preterm Care
- Cerebral Palsy and Movement Disorders
- Poverty, Education, and Child Welfare
- Gestational Diabetes Research and Management
- Birth, Development, and Health
- Neonatal Respiratory Health Research
- COVID-19 and healthcare impacts
- Obesity, Physical Activity, Diet
- Nutritional Studies and Diet
- Long-Term Effects of COVID-19
- Connective tissue disorders research
- Protein Tyrosine Phosphatases
- Respiratory and Cough-Related Research
- Maternal and fetal healthcare
- Diabetes Treatment and Management
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Kawasaki Disease and Coronary Complications
- Ferroptosis and cancer prognosis
- Cardiovascular Issues in Pregnancy
University of Toronto
2017-2024
Hospital for Sick Children
2017-2024
SickKids Foundation
2017-2024
Maputo Central Hospital
2001-2024
Centre for Global Health Research
2019
Great Ormond Street Hospital
2019
University College London
2019
Calvert Memorial Hospital
2018
West Virginia School of Osteopathic Medicine
2018
Aim: The study aimed to determine prevalence and severity of asthma, rhinitis eczema in Maputo, Mozambique. Methods: International Study Asthma Allergies (ISAAC) protocol was applied 27 schools urban, suburban semi‐rural areas. Results: A total 2630 completed questionnaires were obtained from students aged 13–14 years, 2383 schoolchildren 6–7 years. current asthma 13.3% the two groups, rhinoconjuctivitis 23% 10% teenagers 8.8% 8.5% respectively children years old. Overall, 35% adolescents...
Severe acute malnutrition (SAM) is associated with high mortality rates and impairments in growth development children that do survive. There are complex nutritional, health, behavioural risk factors involving severely malnourished their primary caregivers, requiring integrated intervention approaches. A cluster-randomized controlled trial at the Queen Elizabeth Central Hospital Blantyre, Malawi will be conducted to evaluate effectiveness of a 4-day hospital-based programme directed...
Ehlers-Danlos syndrome is a group of connective tissue disorders that most commonly causes joint hypermobility, skin hyperextensibility, and fragility. Patients diagnosed with (EDS) frequently suffer from chronic pain other comorbid conditions. In addition, there an increased incidence psychiatry conditions in this patient population, such as anxiety, depression, personality disorders. We present the case 25-year-old female who presented to community hospital frequent thoughts suicide major...
In low- and middle-income countries, nutrition support strategies are often suboptimal or non-existent in hospital settings. This is further compounded by high rates of malnutrition these countries. The first four dietitians graduated Malawi 2017 providing a new opportunity to build capacity introduce an acute care setting. A paediatric program was implemented at Queen Elizabeth Central Hospital (QECH) Blantyre, including the hiring local dietitian. building paper explains development...
Introduction Ready-to-use therapeutic foods (RUTFs) have successfully promoted recovery from severe wasting and increased treatment coverage. However, RUTFs do not sufficiently improve linear growth, leaving many survivors of at risk persistent stunting, which is associated with high mortality risk, poor child development non-communicable diseases in adulthood. High protein quantity quality can stimulate growth. Aim The trial aims to assess whether higher-protein-RUTF leads higher...
Children admitted to nutritional rehabilitation units (NRUs) for inpatient treatment of severe acute malnutrition (SAM) are at high risk poor developmental and outcomes. The Kusamala Program is an interactive hospital-based counseling program primary caregivers children with SAM that integrates three modules: nutrition feeding; water, sanitation, hygiene (WASH); psychosocial stimulation. This mixed methods feasibility study aimed evaluate the implementation in NRU setting outcomes 6 months...
Children with severe acute malnutrition (SAM) who require nutritional rehabilitation unit (NRU) treatment often have poor developmental and outcomes following discharge. The Kusamala Program is a 4-d hospital-based counseling program for caregivers of children SAM that integrates nutrition, water, sanitation, hygiene psychosocial stimulation, aimed at improving these outcomes.
Background Community-based Management of Acute Malnutrition (CMAM) has been successfully implemented across Malawi, yet trends in admissions, characteristics, and treatment outcomes children with severe acute malnutrition (SAM) have not examined. The objective was therefore to investigate characteristics including percentage SAM HIV oedema, the decade following implementation CMAM.Methods This research involved a retrospective analysis existing data routinely collected Malawi by Ministry...
Background Severe acute malnutrition (SAM) constitutes a substantial burden in African hospitals. Despite adhering to international guidelines, high inpatient mortality rates persist and the underlying contributing factors remain poorly understood. Objective We evaluated 10-year trend (2011–2021) clinical outcomes among children with severe wasting and/or nutritional edema at Malawi’s largest rehabilitation unit (NRU). Methods This retrospective study analyzed trends presentation using...
BackgroundInpatient treatment at nutritional rehabilitation units (NRUs) is needed for children who have severe acute malnutrition (SAM) and illness, loss of appetite, or oedema. World Health Organization guidelines state that counselling should be done with primary caregivers NRUs. These recommendations also include psychosocial stimulation interventions to improve developmental outcomes in SAM. However, there limited information about the delivery these types NRU settings. The objective...