A5060626156- Mobile Health and mHealth Applications
- Global Maternal and Child Health
- Blood donation and transfusion practices
- HIV/AIDS Research and Interventions
- Child Nutrition and Water Access
- Healthcare Systems and Technology
- Neuroscience and Neuropharmacology Research
- Electronic Health Records Systems
- Family and Patient Care in Intensive Care Units
- ICT in Developing Communities
- Neural dynamics and brain function
- Sex work and related issues
- Global Health and Surgery
- Technology Use by Older Adults
- HIV, Drug Use, Sexual Risk
- Ultrasound and Hyperthermia Applications
- Hemoglobinopathies and Related Disorders
- Lymphatic System and Diseases
- Ultrasound in Clinical Applications
- Global Public Health Policies and Epidemiology
- Hepatocellular Carcinoma Treatment and Prognosis
- Blood transfusion and management
- Mindfulness and Compassion Interventions
- Multiple and Secondary Primary Cancers
- Ion Transport and Channel Regulation
Strathmore University
2016-2024
LVCT Health
2017-2024
The University of Texas Health Science Center at San Antonio
2019-2022
The University of Texas Health Science Center at Houston
2022
Mays Cancer Center at UT Health San Antonio
2022
Kenya Medical Research Institute
2019-2020
Moi University
2019-2020
University of Oxford
2019-2020
College of New Jersey
2019-2020
National Centre for Infectious Diseases
2019
Approximately half the excitatory neurons in layer 6 (L6) of rat barrel cortex project to thalamus with axon collaterals ramifying granular L4; remaining within restricted infragranular laminae. In analogy, L6 inhibitory also include locally arborizing and inter-laminar projecting neurons. We examined whether participating different laminar interactions were morphologically electrically distinct. Corticothalamic (CT) labeled by vivo injections a retrogradely transported fluorescent tracer...
Gay, bisexual and queer men in Singapore are disproportionately represented prevalent HIV infections, relative to the general population. While anticipated stigma has been found be a barrier HIV/STI testing among gay, men, little effort made contextualise such within broader sociocultural milieu. We conducted 35 in-depth interviews with purposively recruited sample of focus on topics as sexual identity development, formative experiences experience. Interviews were analysed through thematic...
Mobile technology is very prevalent in Kenya-mobile phone penetration at 88% and mobile data subscriptions form 99% of all internet subscriptions. While there great potential for such ubiquitous to revolutionise access quality healthcare low-resource settings, have been few successes scale. Implementations electronic health (e-Health) (m-Health) technologies countries like Kenya are yet tackle human resource constraints or the political, ethical financial considerations technologies. We...
Aluminum phosphide is widely used as a grain preservative. Recently some reports have appeared in the literature which serious toxic effects of this agent been reported, and number fatal complications, including shock cardiac dysrhythmias, increasingly seen. Of 25 cases aluminum poisoning authors observed over period two years, 16 (64%) had evidence dysfunction. Despite adequate treatment, 40% patients died. A plea being made for recognition these complications early institution treatment.
Antibiotic use in primary care can drive antimicrobial resistance (AMR) the community. However, our understanding of antibiotic prescribing low- and middle-income countries (LMICs) stems mostly from hospital-based studies or prescription/sales records, with little information available on routine practices. We used an innovative, paper-to-digital documentation approach to deliver data understand for common infections low-resource healthcare clinics (PHCs).Rubber stamps were introduced nine...
Non-physician clinicians (NPCs) in low and middle-income countries (LMICs) often have little physical proximity to the resources–equipment, supplies or skills–needed deliver effective care, forcing them refer patients distant sites. Unlike equipment supplies, which require dedicated supply chains, physician/specialist skills needed support NPCs can be sourced delivered through telecommunication technologies. In LMICs however, these are scarce sparsely distributed, making it difficult...
Abstract Background In recent years, there has been greater recognition of the important role community health volunteers in many countries and their informs programs. This include education, provision services such as screening, monitoring referral to facilities. Their roles are better understood areas communicable diseases like HIV infection, Tuberculosis Malaria however little is known about non-communicable diseases. study seeks explore perception CHVs’ functions, tasks, fulfilment...
Abstract Background The supply of blood in many low‐ and middle‐income nations Sub‐Saharan Africa (SSA) does not meet the patient care needs. Lack delay transfusion cause harm to patients slow rate progress other parts health system. Recognizing power implementation science, BLOODSAFE Program was initiated which supports three SSA research study teams one data coordinating center (DCC) with goal improve access safe SSA. Study Design Methods team Ghana is focusing on studying decreasing iron...
This study aimed to demonstrate potential translation of pre-clinical studies a home-based exercise intervention in mediating inflammatory cytokine markers and tumor progression men under active surveillance for prostate cancer.A 2-arm randomized control parallel group design was used. The consisted 24 weeks an aerobic resistance program results were compared waitlist group. Data collected at baseline end eotaxin, interferon-γ (INF-γ), interleukin-12 (IL-12), interleukin-1α (IL-1α),...
### Summary box Health information systems (HISs) are considered a core component or building block of health systems. HISs expected to support evidence-informed decision making at each level.1 However, there two implicit, and commonly held assumptions that important challenge: first, require technology; second, technology has no place for paper. While typically involve the use technology, distinction between ‘information need’, need, is consider especially (but not only) in...
PrEP is effective in preventing HIV transmission among at-risk HIV-negative MSM. A qualitative descriptive study with five focus group discussions (N = 33) involving a purposively recruited sample of Singaporean MSM was conducted from August 2016 to April 2017 understand local perspectives on potential barriers and motivators the adoption PrEP, prior implementation services Singapore. Knowledge high, many viewed as an attractive alternative condoms for prevention. Concerns about included...
Abstract Aims and Objectives Neonatal inpatient care is reliant on experienced nursing care, yet little known about how Kenyan hospitals foster the development of newborn experience in units. Design A Qualitative ethnographic design. Methods Face to face 29 depth interviews were conducted with nurses providing neonatal one private, faith based public hospital Nairobi, Kenya between January 2017 March 2018. All data transcribed verbatim, coded original language analysed using a framework...
Abstract Background Safe blood is essential for the care of patients with life-threatening anemia and hemorrhage. Low donation rates, inefficient testing procedures, other supply chain disruptions in administration affect low-resource settings across Sub-Saharan countries, including Kenya. Most efforts to improve access transfusion have been unidimensional, usually focusing on only point along system continuum, excluded community stakeholders from early stages intervention development....
The management of the hardcopy inpatient information in public healthcare facilities Kenya has proved to be an uphill task. That is informed by fact that these types records are more vulnerable as compared electronic medical records. Electronic legal patient created and stored a digital format health. Hardcopy prone damage through wear tear, fires, getting lost because misplacement. not case with records, which secure they have backup system can easily retrieved when needed. This difficulty...
Abstract The informal settlements of Nairobi have higher neonatal and infant mortality rates than the average for Nairobi. Universal access to important diagnostics like ultrasonography is poor inequitable due high cost devices limited availability skilled sonographers. Recent advances mobile ultrasound probes connected smartphones, with or without artificial intelligence support, improved devices; but skills perform interpret scans continue be limited. SonoMobile intervention involved...
The process of collecting blood from donors and making it available for transfusion requires a complex series operations involving multiple actors resources at each step. Ensuring hospitals receive adequate safe is common challenge across low- middle-income countries, but rarely addressed system level. This paper presents the first use discrete event simulation to study in Kenya explore effect variations perturbations different steps on meeting patient demand. A map Kenyan was developed...
<ns4:p><ns4:bold>Background:</ns4:bold>Kenya has one of the highest rates neonatal mortality in world at 22/1,000 live births. Improving quality newborn care would greatly improve survival rates. There is an increasing consensus that strong health systems are key to achieving improved outcomes. However, there significantly less agreement on what strengthen low and middle-income countries such as Kenya. As nurses main caregivers many inpatient settings, efforts aimed improving facility for...