- COVID-19 Clinical Research Studies
- COVID-19 and healthcare impacts
- Machine Learning in Healthcare
- Amoebic Infections and Treatments
- Tracheal and airway disorders
- Airway Management and Intubation Techniques
- Respiratory Support and Mechanisms
- Long-Term Effects of COVID-19
- Dialysis and Renal Disease Management
- Cardiac Arrest and Resuscitation
- Sepsis Diagnosis and Treatment
- Atrial Fibrillation Management and Outcomes
- Pneumocystis jirovecii pneumonia detection and treatment
- Emergency and Acute Care Studies
- Heart Failure Treatment and Management
- Acute Kidney Injury Research
- Esophageal and GI Pathology
- Hemoglobinopathies and Related Disorders
- Cardiovascular Function and Risk Factors
- Central Venous Catheters and Hemodialysis
- Chronic Kidney Disease and Diabetes
- Tuberculosis Research and Epidemiology
- Retinal and Optic Conditions
- Global Health and Epidemiology
- Family and Patient Care in Intensive Care Units
Aga Khan University
2020-2025
Aga Khan Hospital Dar es Salaam
2021-2023
Muhimbili University of Health and Allied Sciences
2020
Aga Khan University Nairobi
2020
The worldwide prevalence of maintenance hemodialysis continues to rise. An adequate delivery dose as measured by Kt/V or urea reduction ratio is a crucial determinant clinical outcome for chronic patients. aim this study was assess the adequacy and its associated factors among patients undergoing in Dar es Salaam. This cross-sectional done on four dialysis centers Sociodemographic information treatment characteristics were collected. Urea rate single-pool calculated determine hemodialysis....
Introduction Hemodialysis is a crucial renal replacement therapy option for end stage disease (ESRD) patients. Currently, there rise of patients who require hemodialysis with concurrent in intradialytic complications which can potentiate several outcomes some are life threatening. This study assessed the frequency, predictors, and amongst ESRD on maintenance hemodialysis. Methodology Prospective longitudinal using self-designed questionnaires including patient’s demographic data relevant...
The emergence of the novel coronavirus disease 2019 (COVID-19) has caused millions deaths worldwide. There been paucity data for hospitalized African patients suffering from COVID-19. This study aimed to identify factors associated with in-hospital mortality in COVID-19 Tanzania.This was a single center, retrospective, observational cohort adult confirmed infection. Demographics, clinical pattern, laboratory and radiological investigations increased odds were analyzed.Of 157 patients, 107...
Endobronchial tuberculosis (EBTB) is an infection of the tracheobronchial tree by Mycobacterium tuberculosis. It common among young females. Patient can present with fever, cough, wheeze, or without any constitutional symptoms. presents as a diagnostic dilemma, patient sputum smear be false negative. CT scan may not show abnormality, endobronchial lesion. Bronchoscopy bronchoalveolar lavage and biopsy offers choice. We hereby report case immunocompetent Asian female who was found to have...
Coronary artery disease (CAD) is the leading cause of mortality and morbidity globally. Percutaneous coronary intervention (PCI) a minimally-invasive lifesaving for these patients; however, acute kidney injury (AKI) serious complication procedure commonly occurring due to radiocontrast-induced nephropathy.A retrospective cross-sectional analytical study was carried out at Aga Khan Hospital, Dar es Salaam (AKH,D), Tanzania. A total 227 adults who underwent percutaneous from August 2014...
Abstract: Smartwatches like the Apple Watch have been on rise worldwide and their use is gaining popularity in developing countries. Their ability to detect dysrhythmias well documented. Present practice discourages of these devices as a diagnostic tool. Nevertheless, atypical findings from should be clinically investigated. This case demonstrates an eventual diagnosis supraventricular tachycardia (SVT) based watch alert which was subsequently confirmed by electrophysiological evaluation....
Over the past 20 years there has been growing awareness of community-acquired primary liver abscess caused by strains Klebsiella pneumoniae (K. pneumoniae) especially in patients Asian descent, a minority which are characterized metastatic spread. A common and frequent destructive complication is endophthalmitis as well involvement central nervous system (CNS), causing suppurative meningitis or brain abscess. Here we report case invasive K. an patient who presented to our hospital Tanzania...
Low and middle-income countries including those in sub-Saharan (SSA) Africa are experiencing a steady increase the number of COVID-19 cases. To best our knowledge, reports related strokes scarce SSA. The peculiar situation stroke care SSA makes associated bothersome entity as it adds other dynamics that tilt prognostic balance. We present case series COVID -19 3 patients from Tanzania. emphasized protected code protocol.
Background Illness predictive scoring systems are significant and meaningful adjuncts of patient management in the Intensive Care Unit (ICU). They assist predicting outcomes, improve clinical decision making provide insight into effectiveness care patients while optimizing use hospital resources. We evaluated mortality performance Simplified Acute Physiology Score (SAPS 3) Mortality Probability Models (MPM 0 -III) compared their outcome as well identifying disease pattern factors associated...
Introduction: Atherosclerotic Cardiovascular Disease (ASCVD) is the leading cause of death worldwide. In Diabetics, ASCVD associated with poor prognosis and a higher case fatality rate compared general population. Sub-Saharan Africa facing an epidemiological transition being prevalent among young adults. To date, over 20 million people have been living DM in Africa, Tanzania one five countries continent reported to prevalence. This study aimed identify individual’s 10-year absolute risk...
Introduction: Despite the implementation of complex interventions, ICU mortality remains high and more so in developing countries. The demand for critical care Sub-Saharan Africa is than ever before as region experiences a double burden rising rates non-communicable diseases (NCD) background battle combating infectious diseases. Limited studies Tanzania have reported varying factors associated with markedly mortality. Investigating crucial providing insights into effectiveness challenges...
Tuberculosis endometritis is a pathological diagnosis and has been always over shadowed by pelvic tuberculosis. It usually asymptomatic, but patients could complain of menstrual irregularity per vaginal discharge. We report case 37-year-old female who presented with discharge for 2 years. Histopathology showed numerous caseating non-caseating granulomas plasma cells, Ziehl-Neelsen stain acid fast bacillus positive, she was initiated on anti-tuberculosis treatment. On subsequent follow-up...
Coronavirus disease 2019 (COVID-19) is an infectious caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It was first identified on 8th December in Wuhan, Hubei, China, and has since spread globally to become emergency of international concern. Patients infected with SARS-CoV-2 may be asymptomatic or present symptoms ranging from mild clinical manifestations: such as fever, cough, sore throat moderate form the pneumonia distress (ARDS). In some patients, can affect heart...
The coronavirus disease 2019 (COVID-19) pandemic has resulted in an increase the number of patients necessitating prolonged mechanical ventilation. Data on with COVID-19 undergoing tracheostomy indicating timing and outcomes are very limited. Our study illustrates--- for surgical tracheotomies performed Tanzania. This was a retrospective observational conducted at Aga Khan Hospital Dar es Salaam, Nineteen underwent tracheotomy between 16th March 31st December 2021. All tracheostomies were...
the Coronavirus Disease 2019 pandemic has affected residency training globally. The aim of this study was to understand how teaching and learning in programs low resource settings where residents faculty were working on front line treating patients with disease.this qualitative enrolled from Aga Khan University Tanzania who providing care during pandemic. Purposeful sampling used data collected using focus group discussions in-depth interviews between August September 2020. Analysis done...