The Department of Internal Medicine is the largest department at Aga Khan University. Our Department is comprised of multiple sub-specialties with diverse faculty trained both locally and internationally. Our faculty, residents and staff at Aga Khan University, Nairobi are committed to ensuring top-notch patient-centered health care and patient safety, excellence in education and dedication to cutting-edge research.

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Submissions from 2021

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Cases of neuromyelitis optica spectrum disorder from the East Africa region, highlighting challenges in diagnostics and healthcare access, Dilraj Sokhi, Adil Suleiman, Soraiya Manji, Juzar Hooker, and Peter Mativo

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Heidenhain Variant of Sporadic Creutzfeldt-Jakob Disease: First Reported Case from East Africa, Dilraj Sokhi, Fazal Yakub, Karishma Sharma, Sheila Was, and Peter Mativo

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Prevalence and factors associated with comorbid diabetes and depression among patients attending a private hospital in Nairobi, Kenya, Alamin Suleiman, Njeri Nyanja, Anthony Ngugi, and Nancy Kunyiha

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The State of Cardiac Electrophysiology in Africa: Ongoing Efforts and Future Directions, Muzahir H. Tayebjee, Jeilan Mohamed, and Aime Bonny

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Real-world challenges for patients with breast cancer in sub-Saharan Africa: a retrospective observational study of access to care in Ghana, Kenya and Nigeria, Majid Twahir, Razaq Oyesegun, Joel Yarney, Andrew Gachii, Clement Edusa, Chukwumere Nwogu, and Gitangu Mangutha

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Prevalence and Factors Associated with Renal Dysfunction Among hiv Infected Children Attending hiv clinic at Dodoma Referal Regional Hospital and Makole health Centre., Asad R. Usmani, David Mzava, Bonaventura Mpondo, Zahra D. Khan, Paschal Ruggajo, and K C. Clement

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Cost-Effectiveness of Care Environments for Improving the Mental Health of Orphaned and Separated Children and Adolescents in Kenya, Marta Wilson-Barthes, Stavroula A. Chrysanthopoulou, Lukoye Atwoli, David Ayuku, Paula Braitstein, and Omar Galarraga

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Trends in the epidemiology of childhood nephrotic syndrome in Africa: A systematic review., Rachel Wine, Jovanka Vasilevska-Ristovska, Tonny Banh, Janae Knott, Damien Noone, Rasheed Gbadegesin, Titilayo O. Ilori, Henrietta U. Okafor, Francis Furia, and Paschal Ruggajo

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Testicular torsion induced by epididymo-orchitis: A case report, Ali Akbar Zehri, Allyzain Ismail, Philip Adebayo, and Authar Ali

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Testicular torsion induced by epididymo-orchitis: a case report, Ali Akbar Zehri, Allyzain Ismail, Philip Babatunde Adebayo, and Athar Ali

Submissions from 2020

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Out-patient neurological disorders in Tanzania: Experience from a private institution in Dar es Salaam, Philip Adebayo, Omar Aziz, Rose E. Mwakabatika, Mandela Makakala, Mugisha Clement, Shabbir Adamjee, Noureen Mushi, Ahmed Jusabani, and Eric Aris

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Furrowed tongue, fatten lip and facial droop, Philip Babatunde Adebayo and Hanifa Mbithe

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The changing trend of teleconsultations during COVID-19 era at a tertiary facility in Tanzania, Philip Adebayo, Ahmed Jusabani, Murtaza Mukhtar, and Ali Akbar Zehri

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COVID-19 and stroke in sub-Saharan Africa: case series from Dar es Salaam, Philip Adebayo, Nadeem Kassam, Omar Aziz, Ahmed Jusabani, Samina Somji, and Mugisha Clement

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Furrowed tongue, fatten lip and facial droop, Philip Adebayo and Hanifa Mbithe

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Furrowed tongue, fatten lip and facial droop, Philip Adebayo and Hanifa Mbithe

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Relationship Between Obesity and Severity of Carpal Tunnel Syndrome in Tanzania, Philip Adebayo, Rose E. Mwakabatika, Mugisha Clement, Funmilola T. Taiwo, Asmita Ali, and Ali Akbar Zehri

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Menstrual-Related Headaches Among a Cohort of African Adolescent Girls, Philip Adebayo, Folajimi M. Otubogun, and Rufus O. Akinyemi

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RE: Electrodiagnostic consultations in Zambia: Referral characteristics and neuromuscular disorders, Philip Adebayo and Funmilola T. Taiwo

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Conceptual framework for establishing the African Stroke Organization, Rufus Akinyemi, Fred Sarfo, Foad Abd-Allah, Yomi Ogun, Mofou Belo, Patty Francis, M Bettencourt Mateus, Pamela Naidoo, Augustina Charway-Felli, and Philip Adebayo

Clinical and echocardiographic characteristics of patients with diastolic dysfunction in Kenya, Etienne Amendezo

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Pre-treatment HIV-drug resistance associated with virologic outcome of first-line NNRTI-antiretroviral therapy: A cohort study in Kenya, Ingrid A. Beck, Molly Levine, Christine J. McGrath, Steve Bii, Ross S. Milne, James M. Kingoo, Isaac So, Nina Andersen, Sandra Dross, and Michael Chung

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Cardiac pacing in sub-Saharan Africa, Aimé Bonny, Olujimi A. Ajijola, Jeilan Mohamed, Mahmoud Sani, Zaheer Yousef, Matthew F. Yuyun, Kamilu Karaye, Mervat Aboulmaaty Nahib, Yazid Aoudia, and Loreen Akinyi

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Cardiac arrhythmia services in Africa from 2011 to 2018: the second report from the Pan African Society of Cardiology working group on cardiac arrhythmias and pacing, Aimé Bonny, Marcus Ngantcha, Matthew F. Yuyun, Kamilu M. Karaye, Wihan Scholtz, Ahmed Suliman, George Nel, Yazid Aoudia, Adama Kane, and Jeilan Mohamed

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Prevalence of Malnutrition Inflammation Complex Syndrome among Patients on Maintenance Haemodialysis in Tanzania: A Cross-Sectional Study, Puneet K. Bramania, Paschal Ruggajo, Rimal Bramania, Muhiddin Mahmoud, and Francis F. Furia

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Prevalence of malnutrition inflammation complex syndrome among patients on maintenance haemodialysis at Muhimbili National Hospital in Tanzania: a cross-sectional study., Puneet K. Bramania, Paschal Ruggajo, Francis F. Furia, Rimal Bramania, and Muhiddin Mahmoud

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Resource and Infrastructure-Appropriate Management of ST-Segment Elevation Myocardial Infarction in Low- and Middle-Income Countries, Y. Chandrashekhar, Thomas Alexander, Ajit Mullasari, Dharam J. Kumbhani, Samir Alam, Erick Alexanderson, Damodar Bachani, Jacobus Cornelius Wilhelmus Badenhorst, Ragavendra Baliga, and Jeilan Mohamed

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Disseminated Carcinomatosis of Bone Marrow in an African Man with Metastatic Descending Colon Carcinoma, Harrison Chuwa, Nadeem Kassam, Casmir Wambura, Omar Sherman, and Salim Surani

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A Descriptive Prospective Cohort Study At Ocean Road Cancer Institute, Tanzania to Estimate the Total Cost of Cervical Cancer Management, Harrison Chuwa, Lulu Sakafu, and Twalib Ngoma

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Determining the quality of life of children living with epilepsy in Kenya—A cross-sectional study using the CHEQOL-25 tool, Raana Hussain; James Orwa; Dilraj Sokhi; Caroline Kathomi; Hussein , Dossajeeb; Osman Miyanji; Anthony Ngugi; and Pauline Samia

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The clinicodemographic profile of multiple sclerosis at Aga Khan University Hospital (Nairobi), Imran Jamal

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Postoperative myocardial injury in a patient with left ureteric stone and asymptomatic COVID-19 disease, Nadeem Kassam, Omar Aziz, Ally Zain Ismail, Rodgers Swai, Samina Somji, Robert Mvungi, Mustaafa Bapumia, Ali Akbar Zehri, and Salim Surani

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Endobronchial Tuberculosis: A Rare Presentation, Nadeem Kassam, Omar M. Aziz, Samina Somji, and Grace Shayo

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Invasive liver abscess syndrome caused by Klebsiella pneumoniae: first Tanzanian experience, Nadeem Kassam, Omar Aziz, Samina Somji, Zainab Yusuf Fidaali, and Salim Ramzan Surani

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Invasive liver abscess syndrome caused by Klebsiella pneumoniae: first Tanzanian experience, Nadeem Mehboob Kassam, Omar Mohamed Aziz, Samina Sadrudin Somji, Zainab Yusuf Fidaali, and Salim Ramzan Surani

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Invasive liver abscess syndrome caused by Klebsiella pneumoniae: first Tanzanian experience, Nadeem Mehboob Kassam, Omar Mohamed Aziz, Samina Sadrudin Somji, Zainab Yusuf Fidaali, and Salim Ramzan Surani

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Case report: sudden splenic rupture in a plasmodium falciparum-infected patient, Nadeem Kassam, Steven Michael, Kamran Hameed, Athar Ali, and Salim Surani

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Adverse health effects associated with household air pollution: a systematic review, meta-analysis, and burden estimation study, Kuan Ken Lee, Rong Bing, Joanne Kiang, Sophia Bashir, Nicholas Spath, Dominik Stelzle, Kevin Mortimer, Anda Bularga, Dimitrios Doudesis, and Michael Chung

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Perceptions And Challenges Of Healthcare Workers In Making Ethical Decisions Of Withholding And Withdrawing Life Support From Terminally Ill Patient In Tertiary Hospital, Mwanza Region- Northwestern Tanzania, NDAKIBAE GABRIEL MABEGA and Paschal Ruggajo

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Prolonged Bleeding Following Removal of Arterio-Venous Fistula Needles after Hemodialysis Therapy, Chacha M. Makuri, Omary Minzi, Alphonce Marealle, and Paschal Ruggajo

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Low-coverage sequencing cost-effectively detects known and novel variation in underrepresented populations, Alicia R. Martin, Elizabeth G. Atkinson​, Sinéad B. Chapman, Anne Stevenson, Rocky E. Stroud​, Tamrat Abebe, Dickens Akena, Melkam Alemayehu, Fred K. Ashaba, and Lukoye Atwoli

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Negative Appendectomy Rate in Urban Referral Hospitals in Tanzania: A Cross-sectional Analysis of Associated Factors, Nyamuryekung’E Klint Masawa, Authar Ali, Miten Ramesh Patel, Aidan Njau, Omar Sherman, Ahmed JusabanI, and Ali Akbar Zehri

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Cytopenia among CML Patients on Imatinib in Kenya: Types, Grades, and Time Course, Angela McLigeyo, Jamilla Rajab, Mohammed Ezzi, Peter Oyiro, Yatich Bett, Andrew Odhiambo, Matilda Ong’ondi, Sitna Mwanzi, Mercy Gatua, and NAOthieno Abinya

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The inaugural meeting of the Africa Heart Rhythm Association (AFHRA), Jeilan Mohamed, Joselyn Rwebembera, Hassan Aden, Loreen Akinyi, Olujimi A. Ajijola, Ashley Chin, Bundhoo Kaviraj, Kamilu M. Karaye, Amam Mbakwem, and Beatrice Murage

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Follow-Up Care for Breast and Colorectal Cancer Across the Globe: Survey Findings From 27 Countries, Michelle A. Mollica, Deborah K. Mayer, Kevin C. Oeffinger, Youngmee Kim, Susan S. Buckenmaier, Sudha Sivaram, Catherine Muha, Nur Aishah Taib, Elisabeth Andritsch, and Asim Jamal

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Utility of glasgow-blatchford scoring system in identification of low risk patients with upper gastrointestinal bleeding in emergency departments in Dar es salaam hospitals, Tanzania, Selestin D. Mpiri

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Profile of cardiac arrhythmia in acute stroke patients, Julius Stephen Nkhondeya Msukuya

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Magnitude of screening for gestational diabetes mellitus in an urban setting in Tanzania; a cross-sectional analytic study, Akampa Mukuve, Mariam Noorani, Ibrahim Sendagire, and Miriam Mgonja

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Renal dysfunction among HIV-infected patients on antiretroviral therapy in Dar es Salaam, Tanzania: a cross-sectional study., Oswin Mwemezi, Paschal Ruggajo, Jonathan Mngumi, and Francis F. Furia

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The Practice of Palliative Medicine in Developing Countries—Part Three (SA500), Waleed Nafae, Avetis Babakhanyan, John Weru, Aanchal Satija, and Geraldine Ndukwu

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Outcomes of inpatients hospitalized with community acquired pneumonia, Jamila Nambafu

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Long-Term Outcomes and Factors Associated with Mortality in Patients with Moderate to Severe Pulmonary Hypertension in Kenya, Mzee Ngunga, Abdulaziz Mansur Abeid, Jeilan Mohamed, and Anders Barasa

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Longitudinally Extensive Transverse Myelitis: A Sub-Saharan Conundrum, Antonina Obayo, Sylvia Mbugua, and Sayed Karar

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Adult secondary hemophagocytic lymphohistiocytosis, Antonina Obayo, Karishma Sharma, Caroline Mithi, Riyat Malkit, and Anne Mwirigi

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The role of kidney transplantation as a component of integrated care for chronic kidney disease, Philip J. O'Connell, Mark Brown, Tak Mao Chan, Rolando Claure-Del Granado, Simon Davies, Somchai Eiam-Ong, Mohamed H. Hassan, Kamyar Kalantar-Zadeh, Adeera Levin, and Ahmed Twahir

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Chronic care models and opportunities for improving health care practice and outcomes in Sub-Saharan Africa: Protocol for systematic review, Peter Otieno, Charles Agyemang, Razak Gyasi, Anthony Ngugi, Catherine Kyobutungi, and African Population and Health Research Center

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Substance use service availability in HIV treatment programs: Data from the global IeDEA consortium, 2014-2015 and 2017, Angela M. Parcesepe; Kathryn Lancaster; E. Jennifer Edelman; Raquel DeBoni; The Foundation for AIDS Research, Bangkok, Thailand; and Lukoye Atwoli

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Is pollen‐food syndrome a frequent comorbidity in adults with irritable bowel syndrome?, Kirtika Patel, Gemma Vila‐Nadal, Jasmit Shah, Mohamed H. Shamji, Lorna Swan, Stephen R. Durham, Kinesh Patel, and Isabel J. Skypala

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The impact of scaling up cervical cancer screening and treatment services among women living with HIV in Kenya: a modelling study, Pablo Noel Perez-Guzman, Michael Chung, Hugo De Vuyst, Shona Dalal, Kennedy K. Mutai, Karanja Muthoni, Bartilol Kigen, Timothy B. Hallett, and Mikaela Smit

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Family medicine in Tanzania : seize the moment, Riaz Ratansi and Bernhard M. Gaede

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Benign Recurrent Intrahepatic Cholestasis (BRIC): An African Case Report, Adil Salyani, Linda Barasa, Allan Rajula, and Sayed Karar

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Occult hepatitis b virus infection in a cohort of HIV infected antiretroviral therapy naïve adults, Adil Suleiman Salyani

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Effect of UNMASKES on Delivering Difficult News among Residents, Karishma Sharma

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Case Report of Kikuchi-Fujimoto Disease from Sub-Saharan Africa: An Important Mimic of Tuberculous Lymphadenitis, Karishma Sharma, Fredrick Otieno, and Reena Shah

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Qualitative Approach to Understanding Barriers to Delivering Difficult News in Sub Saharan Africa, Karishma Sharma, Jasmit Shah, and Sayed Karar

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Towards mental health friendly cities during and after COVID-19, Moitreyee Sinha, Manasi Kumar, Lian Zeitze, Pamela Y. Collins, Suresh Kumar, Steve Fisher, Nathaniel Foote, Norman Sartorius, Helen Herrman, and Lukoye Atwoli

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Autoimmune Encephalitis is Recognised as an Important Differential Diagnosis in a Kenyan Tertiary Referral Centre, Dilraj Sokhi and Onkar Singh Bhogal

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Development of a framework for minimum and optimal safety and quality standards for hemodialysis and peritoneal dialysis, Laura Sola, Nathan W. Levin, David W. Johnson, Roberto Pecoits-Filho, Harith M. Aljubori, Yuqing Chen, Stefaan Claus, Allan Collins, Brett Cullis, and Ahmed Twahir

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Adequacy of Hemodialysis and Its Associated Factors among Patients Undergoing Chronic Hemodialysis in Dar es Salaam, Tanzania, Samina Somji, Pascal Ruggajo, and Sibtain Moledina

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Adequacy of Hemodialysis and Its Associated Factors among Patients Undergoing Chronic Hemodialysis in Dar es Salaam, Tanzania, Samina Somji, Pascal Ruggajo, and Sibtain Moledina

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Adequacy of hemodialysis and its associated factors among patients undergoing chronic hemodialysis in Dar es Salaam, Tanzania, Samina S. Somji, Pascal Ruggajo, and Sibtain Moledina

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Adequacy of hemodialysis and its associated factors among patients undergoing chronic hemodialysis in dar es Salaam, Tanzania., Samina S. Somji, Paschal Ruggajo, and Sibtain Moledina

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Pre-marital predictors of marital violence in the WHO World Mental Health (WMH) Surveys, Cara M. Stokes, Jordi Alonso, Laura Helena Andrade, Lukoye Atwoli, Graça Cardoso, Wai Tat Chiu, Rumyana V. Dinolova, Oye Gureje, Aimee N. Karam, and Elie G. Karam

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Reliability and validity of the RS14 in orphaned and separated adolescents and youths in western Kenya, Sarah C. Sutherland, Harry S. Shannon, David Ayuku, David L. Streiner, Olli Saarela, Lukoye Atwoli, and Paula Braitstein

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Post-Vaccination Pharyngeal-Cervical-Brachial Variant of Guillain-Barré Syndrome, Funmilola T. Taiwo, Daniel E. Ezuduemoih, and Philip Adebayo

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Developing Ethical and Sustainable Global Health Educational Exchanges for Clinical Trainees: Implementation and Lessons Learned from the 30-Year Academic Model Providing Access to Healthcare (AMPATH) Partnership, Matthew Turissini, Tim Mercer, Jenny Baenziger, Lukoye Atwoli, Robert Einterz, Adrian Gardner, Debra Litzelman, and Paul Ayuo

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Etiology, Treatment and Outcomes in Patients With Left Ventricular Thrombus - Experiences From an African Center, Mohamed Varwani, Jeilan Mohamed, Jasmit Shah, and Mzee Ngunga

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Revisiting Caroli Syndrome in a Tanzanian Patient, Casmir Wambura; Sharma, Munishi; and Salim Suran

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Revisiting caroli syndrome in a Tanzanian patient, Casmir Wambura, Munish Sharma, and Salim Surani

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Revisiting Caroli Syndrome in a Tanzanian Patient, Casmir Wambura, Munish Sharma, and Salim Surani

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Randomized control trial of advanced cancer patients at a private hospital in Kenya and the impact of dignity therapy on quality of life, John Weru, Miriam Gatehi, and Alice Musibi

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Provision of Palliative Care Services for Cancer Patients in the Community in Africa, John Weru and Esther W. Nafula

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Primitive neuroectodermal tumor incidence, treatment patterns, and outcome: An analysis of the National Cancer Database, Matthew R. Woeste, Neal Bhutiani, Young K. Hong, Jasmit Shah, Woihwan Kim, Michael E. Egger, Prejesh Philips, Kelly M. McMasters, Robert C. G. Martin, and Charles R. Scoggins

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Global case studies for chronic kidney disease/end-stage kidney disease care, Chih-Wei Yang, David C.H. Harris, Valerie A. Luyckx, Masaomi Nangaku, Fan Fan Hou, Guillermo Garcia Garcia, Hasan Abu-Aisha, Abdou Niang, Laura Sola, and Ahmed Twahir

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Inadvertent Stone Migration During Pneumatic Lithotripsy: Still a Conundrum in the 21st Century, Ali Akbar Zehri, Miten Patel, Philip Adebayo, and Authar Ali

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Inadvertent Stone Migration During Pneumatic Lithotripsy: Still a Conundrum in the 21st Century, Ali Akbar Zehri, Miten Patel, Philip Adebayo, and Authar Ali

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Inadvertent Stone Migration During Pneumatic Lithotripsy: Still a Conundrum in the 21st Century, Ali Akbar Zehri, Miten Patel, Philip Adebayo, and Authar Ali

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Inadvertent stone migration during pneumatic lithotripsy: still a conundrum in the 21st century, Ali Akbar Zehri, Miten Patel, Philip Adebayo, and Authar Ali

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Overview of Antiretropulsion devices for prevention of inadvertent stone migration during pneumatic lithotripsy for ureteric stone, Ali Akbar Zehri, Miten Patel, Philip Adebayo, and Authar Ali

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Cardiospecific Overexpression of ATPGD1 (Carnosine Synthase) Increases Histidine Dipeptide Levels and Prevents Myocardial Ischemia Reperfusion Injury, Jingjing Zhao, Daniel J. Conklin, Yiru Guo, Xiang Zhang, Detlef Obal, Luping Guo, Ganapathy Jagatheesan, Kartik Katragadda, Liqing He, and Jasmit Shah

Theses/Dissertations from 2019

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Eligibility and patient barriers to peritoneal dialysis in patients with advanced chronic kidney disease, Saleem Mohamed Abdulkarim

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Adult-onset Still’s disease triggered by pregnancy, Saleem Abdulkarim, Fredrick Otieno, and Sayed Karar

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Factors associated with cardiac dysfunction following anthracyline-based chemotherapy in adults in a tertiary hospital in Nairobi, Joseph Odunga Abuodha

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A delay in diagnosis: thrombotic thrombocytopenia purpura occurring in systemic lupus erythematous, Zoya Adam, Ahmed Sokwala, Jasmit Shah, and Sayed Karar

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Pick’s disease and subdural haematoma: a diagnostic red herring, Philip Adebayo, Funmilola Taiwo, Fatma Bakshi, and Sunham Nur

Pick’s disease and subdural haematoma: A diagnostic red herring, Philip Adebayo, Funmilola Taiwo, Fatma Bakshi, and Sunham Nur

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Differential impact of risk factors on stroke occurrence among men versus women in West Africa: the SIREN study, Albert Akpalu, Mulugeta Gebregziabher, Bruce Ovbiagele, Fred Sarfo, Henry Iheonye, Rufus Akinyemi, Onoja Matthew Akpa, Hemant K. Tiwari, Kolawole W. Wahab, and Philip Adebayo

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Differential impact of risk factors on stroke occurrence among men versus women in West Africa: the SIREN study, Albert Akpalu, Mulugeta Gebregziabher, Bruce Ovbiagele, Fred Sarfo, Henry Iheonye, Rufus Akinyemi, Onoja Akpa, Hemant K. Tiwari, Donna Arnett, and Philip Adebayo

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The Veterans Aging Cohort Study Index is not associated with HIV-associated neurocognitive disorders in Uganda, Violet Awori, Gertrude Nakigozi, Alice Kisakye, James Batte, Aggrey Anok, Richard Mayanja, Noeline Nakasujja, Kevin R. Robertson, Ronald H. Gray, and Maria J. Wawer

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Metastatic Breast Cancer in Kenya: Presentation, Pathologic Characteristics, and Patterns-Findings From a Tertiary Cancer Center, Etoroabasi Ekpe, Asim Jamal, Jasmit Shah, Judith S. Jacobson, and Shahin Sayed