- Child Nutrition and Water Access
- Global Maternal and Child Health
- Global Cancer Incidence and Screening
- Palliative Care and End-of-Life Issues
- Neonatal Respiratory Health Research
- South Asian Studies and Conflicts
- Cancer Genomics and Diagnostics
- Hernia repair and management
- Glioma Diagnosis and Treatment
- Patient-Provider Communication in Healthcare
- Food Security and Health in Diverse Populations
- Workplace Violence and Bullying
- Ferroptosis and cancer prognosis
- Hemoglobinopathies and Related Disorders
- Patient Dignity and Privacy
- Biomedical Ethics and Regulation
- Neurological Complications and Syndromes
- Pathogenesis and Treatment of Hiccups
- Scoliosis diagnosis and treatment
- Peanut Plant Research Studies
- Education Methods and Practices
- Advancements in Transdermal Drug Delivery
- Ectopic Pregnancy Diagnosis and Management
- Homicide, Infanticide, and Child Abuse
- Infant Development and Preterm Care
Aga Khan University Hospital Nairobi
2020-2024
Dr. Hari Singh Gour University
1998-2024
University of Nairobi
2024
Aga Khan University Nairobi
2019-2024
Nairobi Hospital
2022-2023
Ganesh Shankar Vidyarthi Memorial Medical College
2023
Motilal Nehru Medical College
2020-2022
University of the South Pacific
2021
All India Institute of Medical Sciences Bhopal
2019-2021
All India Institute of Medical Sciences Raipur
2019-2021
Background: Vaccine hesitancy, as defined by the WHO, is reluctance or refusal to vaccinate despite availability of vaccines and one ten threats global health in 2019. hesitancy remains a complex matter influenced multiple factors, especially sub-Saharan Africa. Methods: We conducted cross-sectional study between November 2021 January 2022 among general adult public seeking care at six different healthcare facilities Kenya. The survey, English, consisted questions based on demographics,...
Importance Multidomain interventions in pregnancy and early childhood have improved child neurodevelopment, but little is known about the effects of additional preconception interventions. Objective To evaluate effect a multifaceted approach including health; nutrition; water, sanitation, hygiene (WASH); psychosocial support delivered during period and/or on neurodevelopment. Design, Setting, Participants In this randomized trial involving low- middle-income neighborhoods Delhi, India, 13...
Less than 1% of all clinical trials are conducted in Africa. In 2019, only six 26 oncology Africa were countries with subjects African ancestry. There multiple barriers that hinder the conduct cancer Time to trial activation (TTA) is administrative and regulatory process required before a study can be activated—an important metric often major barrier for site selection. Kenya, TTA involves review by Institutional Review Board (IRB), Pharmacy Poisons Board, National Commission Science,...
Kikuchi-Fujimoto disease (KFD) is a rare form of painful lymphadenopathy, usually cervical, which more common in Southeast Asia and rarely reported from Africa. Symptoms are nonspecific (fever, night sweats, etc.), can mimic diseases such as tuberculosis (TB) endemic areas. We report case 29-year-old black African woman who was admitted with headache, neck pain, fever, lymphadenopathy. She found to have aseptic meningitis, eventually attributed TB based on cervical node biopsy, although...
Hiccups, involuntary contraction of the diaphragm and intercostal muscle followed by an abrupt closure glottis, are a bothersome symptom that can be caused variety illnesses or medications. Hiccups persist for more than 48 hours should raise suspicion underlying cause. Pneumonias, especially novel coronavirus, have rarely been reported to trigger hiccups. To best our knowledge, we present first case in sub-Saharan Africa patient presenting institution with persistent hiccups no other...
Background Low dose radiation therapy (LDRT) has been used for non-malignant conditions since early 1900s based on the ability of single fractions between 50–150 cGy to inhibit cellular proliferation. Given scarcity resources, poor access vaccines and medical therapies within low middle income countries, there is an urgent need identify other cost-effective alternatives in management COVID-19 pneumonia. We conducted a pilot phase Ib/II investigator-initiated clinical trial assess safety,...
Discrimination and abuse of healthcare workers (HCWs) by patients their relatives remains a pressing prevalent problem in various settings, negatively affecting professional outcomes. Despite this, little has been reported about discrimination many low- middle-income countries such as Kenya. We conducted cross-sectional survey study between May - August 2021 among at hospital Email invitations were sent, the was English, data collected through online survey. based on gender 24.9% all HCWs;...
Promoting best practice in the management of a cancer patient is rooted application new knowledge derived through various sources including population science, laboratory advances, and translational research. Ultimately, impact these advances depends on their at patient's bedside. A close collaboration between oncologist pathologist critical underwriting progress patient. Recent advancements have shown that more granular characteristics tumor microenvironment are defining determinants when...
Abstract Background Hemophagocytic lymphohistiocytosis (HLH) is a syndrome of excessive inflammation and tissue destruction due to abnormal immune activation. HLH carries very high mortality, while delays in patients’ presentation hospital, time suspicion HLH, investigation, initiation therapy all play part, mortality remains even with timely diagnosis treatment. Classical manifestations include persistent fever, cytopenias, liver dysfunction. Case We present four cases secondary...
Abstract: Sporadic Creutzfeldt-Jakob disease (sCJD) is a rare prion that causes rapidly progressive fatal neurodegeneration. The rarer Heidenhain variant of sCJD presents with visual symptoms and rarely reported in the literature from sub-Saharan Africa. We report case 57-year-old male three-week history losing direction when driving home hallucinations described as seeing rainbows. Magnetic resonance imaging (MRI) brain revealed unilateral parieto-occipital sulcal hyperintensities...
Background: Overexpression of Cyclin D1, a positive cell cycle regulator, may lead to uncontrolled proliferation.Aim: The present study was undertaken examine the expression profile D1 in normal, hyperplastic and neoplastic endometrium evaluate possibility its role genesis endometrial preneoplastic lesions.Settings Design: A cross sectional conducted during 1 year period tertiary referral centre.Materials Methods: We evaluated compared 50 samplings that were diagnosed as simple hyperplasia...
Girls are the core of human dynamics only healthy female can make socio-economic upliftment country. College girls in reproductive age and future mothers, their awareness towards family welfare programme is significant. Therefore it necessary to have health concern information for understanding dimensions magnitude among group A sample 250 randomly selected other backward class college Jabalpur city, Madhya Pradesh, were surveyed. Sample colleges by praportational probability allocation...
Self-esteem has long been considered a vital component of good mental health. is each person's belief about his value and importance. The aim this study to investigate the relationship between academic achievement self-esteem among secondary school going tribal students in Sidhi District Madhya Pradesh, India. present was carried out 2200 by using purposive sampling result shows that there significant gender, tribe, self esteem. concluded strategies improve students’ are essential...
Leptomeningeal carcinomatosis (LMC) is a rare and fatal complication associated with various solid tumors hematological malignancies. It presents significant diagnostic challenges due to its nonspecific symptoms complex clinical course. This case report details the presentation, diagnosis, implications of LMC in 33-year-old male history colorectal cancer (CRC) hemicolectomy. The patient presented headache dizziness. Cerebrospinal fluid cytology revealed presence malignant cells, leading...
Mental health challenges are common following cancer diagnosis, negatively impacting treatment and quality of life for breast (BC) patients. This pilot study provides an understanding the impacts BC diagnosis care experiences on mental patients seen at Aga Khan University Hospital in Nairobi, Kenya. We conducted 40 in-depth interviews, including 10 women with newly diagnosed BC, metastatic family members healthcare professionals. Data were transcribed, translated into English as needed coded...
A 52 year old female presented with a one month history of progressive back pain radiating to the right lower limb. She reported unintentional weight loss seven kilograms over three months and drenching night sweats. There was no cough. Her physical examination unremarkable. HIV ELISA test positive. CD4 count 27 cells/mm3 viral load 1.8 million copies/ml. An MRI spine (A,B) evaluate revealed single spinal ring enhancing lesion at T12 minimal perilesional edema. chest CT scan in keeping...
Death due to complication related pregnancy and childbirth are the leading cause of mortality women in reproductive ages developing countries. Health status Madhya Pradesh India shows IMR/1000 live births is 90 < 5 / 1000 137.6. [1] among "Slow progressing nation” child maternal care. one states where rates as high 700 or more [2]. Antenatal postnatal care awareness youth can certainly reduce morbidity rate, they future mothers. Objective: The study has been undertaken find knowledge 250...
Background: Full-term neonates born between 37- and 41-weeks’ gestational age have been considered a homogeneous, low-risk group. However, recent evidence from studies has pointed toward increased NICU admissions morbidity associated with births (37-38 weeks) compared term (39-41 weeks). The objective of this study was to compare the short-term early-term vs in county-based birth cohort using primary admission neonatal intensive care unit (NICU) or neonatology service. Methods: Retrospective...
Background: Anaemia in pregnancy is a globally health-related issue that affects both mothers and their new-born. Hence an observational study to see the effect of anaemia on maternal foetal outcome was conducted. Methods: 15024 coming OPD or IPD past 4 years were recruited haemoglobin measured. Descriptive statistics used for baseline characteristics. This conducted department obs gynae, GSVM Medical College Kanpur from August 2018 2022. All data gathered processed by SPSS version 25....
he COVID-19 pandemic changed the perceptions and feelings of belonging to a community, country, or world. The increase in worldwide mobility travel has affected many recent decades. Pacific Island is focused on education, employment, migration maintenance familial ties, with for leisure relatively uncommon except visiting friends relatives. However, abrupt pause within Fiji 30th March 2020 left unanswered questions lingering sense uncertainty fear. This intensified increased cases University...
The present study reports the nutritional assessment among Lodha and Munda tribal children of Midnapur district Wed Bengal. It has been observed need improvement health status female babies, particularly in rural areas large families.