- Acute Ischemic Stroke Management
- Stroke Rehabilitation and Recovery
- Healthcare Systems and Practices
- Neurosurgical Procedures and Complications
- Amoebic Infections and Treatments
- COVID-19 and healthcare impacts
- Streptococcal Infections and Treatments
- Intracranial Aneurysms: Treatment and Complications
- Tracheal and airway disorders
- Phytochemicals and Medicinal Plants
- Malaria Research and Control
- Pesticide Exposure and Toxicity
- Otolaryngology and Infectious Diseases
- Medicinal Plants and Neuroprotection
- Climate Change and Health Impacts
- Foreign Body Medical Cases
- Cerebral Venous Sinus Thrombosis
- Long-Term Effects of COVID-19
- Liver Disease and Transplantation
- Traumatic Brain Injury and Neurovascular Disturbances
- Esophageal and GI Pathology
- Venous Thromboembolism Diagnosis and Management
Kenyatta University
2021-2025
Boston Medical Center
2022
Boston University
2022
Nairobi Hospital
2017-2019
University of Nairobi
2016
Mission Health
2015
Karen Hospital
2014
Abstract Background As one of the most common non-communicable diseases in Africa, Stroke ought to be dealt with properly intensifying efforts control its burden and face obstacles management. Methods Results In this follow-up study we reanalyzed stroke services related 17 African countries that were previously studied 2021/22 aspects manpower, acute services, rehabilitation programs, number units/centers, telestroke awareness campaigns, national international registries through a survey was...
Over the past few years, incidence and prevalence of stroke has been rising in most African countries reported as one leading causes morbidity mortality. To study this problem, we need to realize quality availability care services a priori improve them.In study, investigated different stroke-related 17 from regions. An online survey was conducted fulfilled by specialists included primary prevention, acute management, diagnostic tools, medications, postdischarge services, registries. The...
Spontaneous splenic rupture in complicated malaria is an uncommon cause of hemoperitoneum the tropics. The exact incidence unknown, largely due to under-reporting, but has been estimated at ∼2%. Its pathophysiology linked formation a subcapsular hematoma. Upon rupture, patients present with features shock and peritonitis most cases (95%), computed tomography (CT) scan detects injury. Patients should be managed conservatively splenectomy reserved for risk post-splenectomy sepsis. We report...
Despite a reduction in poor outcomes recent decades, spontaneous subarachnoid haemorrhage (SAH) remains associated with severe disability and high mortality rates. The exact extent of these is however unknown Africa. This study aimed to determine the functional patients SAH Kenya.We conducted retrospective multicentre cross-sectional involving admitted three referral hospitals Nairobi. All confirmed (primary) discharge diagnosis first-time between January 2009 November 2017 were included (n...
Despite stroke being a leading cause of death and disability in sub-Saharan Africa, awareness remains major hurdle to early response care the region. To improve awareness, we endeavoured borrow leaf from initiatives high-income countries, beginning with translation dissemination acronym, FAST (Face, Arms, Speech, Time) Swahili.
Since its description over 250 years ago, diagnosis of esophageal perforation remains challenging, management controversial, and mortality high. This rare, devastating, mostly iatrogenic, condition can quickly lead to severe complications death due an overwhelming inflammatory response gastric contents in the mediastinum. Diagnosis is made with help esophagograms although such tears have traditionally been managed via aggressive surgical approach, recent reports emphasize a shift favor...
Abstract Organophosphate poisoning represents a major and growing global health problem especially in the developing countries cardiotoxicity is cause of death. Thus, compelling need to develop novel low cost efficacious agents manage this condition. Objective To evaluate methanol extract Withania somnifera as pre-treatment agent prevention cardiotoxic effects diazinon Sprague Dawley rats Materials Methods Twenty one (21) adult were randomized receive 200 mg/kg (test group), vehicle...
Nasopharyngeal infections are among the commonest diagnosed in infants. Largely treated supportively, these considered harmless. These can however lead to serious complications from local spread and septicemia. With extension, inflammatory neck masses (abscesses) swiftly life-threatening including mediastinitis, airway compromise sinovenous thrombosis. Here, we report a 2-month-old infant with initial rhinopharyngitis subsequent extensive deep abscesses consequent dural sinus thrombosis...