A5027152746- Global Maternal and Child Health
- Emergency and Acute Care Studies
- Child Nutrition and Water Access
- Global Health and Surgery
- Global Health and Epidemiology
- Long-Term Effects of COVID-19
- Neonatal Respiratory Health Research
- Retinal and Optic Conditions
- Injury Epidemiology and Prevention
- Peripheral Neuropathies and Disorders
- Intensive Care Unit Cognitive Disorders
- Homelessness and Social Issues
- Healthcare Decision-Making and Restraints
- Cardiac, Anesthesia and Surgical Outcomes
- Acute Ischemic Stroke Management
- Trauma and Emergency Care Studies
- Migration, Health and Trauma
- Artificial Intelligence in Healthcare and Education
- Family and Patient Care in Intensive Care Units
- Health and Conflict Studies
- Cardiac Arrest and Resuscitation
- Myasthenia Gravis and Thymoma
- Infant Development and Preterm Care
- Global Health Workforce Issues
- Maternal and Neonatal Healthcare
Muhimbili University of Health and Allied Sciences
2020-2025
Aga Khan Hospital Dar es Salaam
2022-2025
Aga Khan University
2021
Muhimbili National Hospital
2021
United Nations Office on Drugs and Crime
2020
Decolonization in global health is a recent movement aimed at relinquishing remnants of supremacist mindsets, inequitable structures, and power differentials health.To determine the author demographics publications on decolonizing partnerships between low- middle-income countries (LMICs) high-income (HICs).We conducted cross-sectional analysis related to from inception selected journal databases (i.e., Medline, CAB Global Health, EMBASE, CINAHL, Web Science) November 14, 2022. Author country...
<h3>Background</h3> Thrombectomy for acute ischemic stroke treatment leads to improved outcomes, but many patients do not achieve a good outcome despite successful reperfusion. We determined predictors of poor after thrombectomy (TICI 2b–3) with an emphasis on modifiable factors. <h3>Methods</h3> Patients from the randomized DEFUSE 3 trial who underwent TICI 2b–3 revascularization were included. Primary was at 90 days (modified Rankin Scale score 3–6). <h3>Results</h3> 70 Poor older (73.5 vs...
Hospital readmissions among neonates are common and may reflect ongoing illness. We conducted a prospective observational cohort study of discharged from two hospitals, one in Dar es Salaam, Tanzania, Monrovia, Liberia, to develop internally validate risk assessment tool identify at for unplanned readmission within 60 days discharge. One hundred fifteen candidate variables were collected. The outcome was identified through phone calls caregivers. constructed multivariable logistic regression...
We are reporting a case of Acute Post-Infectious Flaccid paralysis also commonly known as Guillain-Barré Syndrome (GBS) in patient with confirmed COVID-19 infection. GBS often occurs following an infectious trigger which induces autoimmune reaction causing damage to peripheral nerves. So far, only 8 cases have been described association COVID-19. This is the first be Tanzania African Child, and probably continent. report presented for clinicians aware medical fraternity look into this...
The immediate period after hospital discharge carries a large burden of childhood mortality in sub-Saharan Africa. Our objective was to derive and internally validate risk assessment tool identify neonates discharged from the neonatal ward at for 60-day post-discharge mortality. We conducted prospective observational cohort study Muhimbili National Hospital Dar es Salaam, Tanzania, John F Kennedy Medical Centre Monrovia, Liberia. Research staff called caregivers ascertain vital status up 60...
Introduction Over half of the 5 million annual deaths among children aged 0–59 months occur in sub-Saharan Africa. The period immediately after hospitalisation is a vulnerable time life child Africa as postdischarge mortality rates are high 1%–18%. Identification neonates and who at highest risk for may allow direction interventions to target patients risk. Methods analysis Predicting Post-Discharge Mortality study prospective, observational being conducted Muhimbili National Hospital (Dar...
Mortality among under-five children in Tanzania remains high. While early presentation for treatment increases likelihood of survival, delays to care are common and factors causing delay critically ill unknown. In this study was defined as the emergency department tertially hospital i.e. Muhimbili National Hospital, more than 48 h from onset index illness.This a prospective cohort aged 28 days 14 years attending at Hospital September 2019 January 2020. We documented demographics, time ED...
There are no validated clinical decision aids to identify neonates and young children at risk of hospital readmission or postdischarge mortality in sub-Saharan Africa, leaving the discharge a child clinician's impression. Our objective was determine precision clinician impression for mortality.We conducted survey study nested prospective observational cohort aged 1-59 months followed 60 days after from Muhimbili National Hospital Dar es Salaam, Tanzania John F. Kennedy Medical Center...
Background. Polytrauma patients require special facilities to care for their injuries. In HICs, these are rapidly transferred from the scene or first-health facility directly a trauma center. However, in many LMICs, prehospital systems do not exist and there long delays between arrivals at We aimed quantify delay determine predictors of mortality among polytrauma patients. Methodology. consecutively enrolled adult (≥18 years) with ISS >15 referred Emergency Medicine Department Muhimbili...
Abstract Background: Mortality among under-five children in Tanzania remains high. While early presentation for treatment increases likelihood of survival, delays to care are common and factors causing delay critically ill unknown. Methodology: This was a prospective cohort study aged 28days 14 years attending emergency department (ED) at Muhimbili National Hospital from September 2019 January 2020. We documented demographics, time ED presentation, interventions 30-day outcome. The primary...
Background Researchers and healthcare providers have paid little attention to morbidity unplanned encounters for children following hospital discharge in low- middle-income countries. Our objective was compare symptoms among aged <5 years who survived with those died within 60 days of through follow-up phone calls. Methods We conducted a secondary analysis prospective observational cohort discharged from neonatal paediatric wards two national referral hospitals Dar es Salaam, Tanzania...
Altered mental status (AMS) in the Emergency Department (ED) can be associated with morbidity and mortality. In high income countries, mortality rate is under 10% for patients presenting AMS. There a paucity of data on profile amongst this group limited countries.this was prospective cohort study adults ≥18 years to Departments Muhimbili National Hospital (MNH) Upanga Mloganzila Tanzania Mental Status unrelated psychiatric illness or trauma, from August 2019 February 2020. Patient...
There is scanty data on overall pediatric presentations with COVID-19 in sub-Saharan Africa and none reported related to stroke. Management of acute stroke children has been challenging due delays presentation difficulties deducing the exact etiology. This first such case a child infection Tanzania best our knowledge. A six-and-a-half-year-old male Asian origin no history chronic illness presented facility fever, rash, gastrointestinal symptoms conjunctivitis. Subsequently, he developed...
Research presented at conferences may increase context-specific evidence in low- and middle-income countries (LMICs), where global childhood disease burden is greatest massive relative deficits research persist. Publication of studies necessary for complete results dissemination. Our objective was to determine the frequency publication pediatric health conference abstracts identify factors associated with publication. We conducted a cross-sectional study that reported least one LMIC seven...
The survival of children who suffer cardiac arrest is poor. This study aimed to determine the predictors and outcome in paediatric patients presenting an emergency department a tertiary hospital Tanzania.This was prospective cohort > 1 month ≤ 14 years Emergency Medicine Department Muhimbili National Hospital (EMD) Tanzania from September 2019 January 2020 triaged as Priority. We enrolled consecutive during periods where patients' demographic clinical presentation, interventions 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...