Introduction: persistent low-level viremia (pLLV) in
HIV-1 participants on combination antiretroviral
therapy (cART) is a significant predictor of immune
activation and virologic rebound. Elevated cytokine
levels are ...
Sakthivel, Haripriya; Park, Sang Mok; Kwon, Semin; Kaguiri, Eunice; Nyaranga, Elizabeth; Leem, Jung Woo; Hong, Shaun G; Lane, Peter J; Were, Edwin O; Were, Martin C; Kim, Young L(BMJ Open, 2015-04-23)
Introduction Anaemia during pregnancy is a widespread
health burden globally, especially in low- and middle-
income countries, posing a serious risk to both maternal
and neonatal health. The primary challenge is ...
C, Gituku; A, Gardner; L, Diero; M, Karoney; C, Kanyoru; A, Salim(oaskpublishers.com, 2025-03-04)
Background: The current burden of disseminated Tuberculosis in adult Persons Living with Human Immunodeficiency Virus (PLHIV) is unknown in
western Kenya. LF LAM is the only test found to have a mortality benefit.
Objectives: ...
PURPOSE Sub-Saharan Africa bears a disproportionate share of the global burden of HIV-
associated Kaposi’s sarcoma (KS), with high morbidity and mortality rates
influenced by stigma, delayed diagnosis, and limited access ...
Background Cervical cancer cases are increasing in sub-Saharan Africa, particularly in Kenya, exacerbated by
inadequate histopathology resources, posing a significant barrier to timely diagnosis and treatment. There has ...
Objectives The increasing burden of cardiovascular
diseases (CVDs) in Kenya threatens its healthcare system.
There is a need for innovative models that improve
equitable access to CVD prevention services. Community
markets ...
Kim, Jean H.; Babineau, Denise; Moore, Janet L.; Subramaniam, Akila; Tita, Alan; Chomba, Elwyn; Mwenchanya, Musaku; Lokangaka, Adrien; Tshefu, Antoinette; Patel, Archana; Das, Prabir; Goudar, Shivaprasad S.; Tikmani, Shiyam Sunder; Ahmed, Imran; Saleem, Sarah; Esamai, Fabian; Mazariegos, Manolo; Billah, Sk Masum; Haque, Rashidul; Goldenberg, Robert L.; Bauserman, Melissa; Bucher, Sherri; Krebs, Nancy F.; Derman, Richard J.; Petri Jr, William A.; Thomas, Marion Koso-; Foday, Jennifer J. Hemingway-; Aceituno, Anna; McClure, Elizabeth M.; Ward, Doyle V.; Leal, Sixto; Carlo, Waldemar A.; Hibberd, Patricia L.(Gates open research, 2025-02-05)
Background
The Azithromycin Prevention in Labor Use Study (A-PLUS), a large,
multi-national randomized trial, was performed to evaluate the
improvement of maternal and newborn outcomes following a single
dose of ...
Carlo, Waldemar A; Janet, Alan T N Tita; Moore, Janet L; Mwenechanya, Musaku; Chomba, Elwyn; Foday, Jennifer J Hemingway-; Kavi, Avinash; Metgud, Mrityunjay C; Goudar, Shivaprasad S; Derman, Richard J; Lokangaka, Adrien; Tshefu, Antoinette; Bauserman, Melissa; Patterson, Jackie K; Shivkumar, Poonam; Waikar, Manju; Patel, Archana; Hibberd, Patricia L; Nyongesa, Paul; Esamai, Fabian; Ekhaguere, Osayame Austine; Bucher, Sherri; Jessani, Saleem; Tikmani, Shiyam Sunder; Saleem, Sarah; Goldenberg, Robert L; Billah, Sk Masum; Lennox, Ruth; Haque, Rashidul; Petri, William; Mazariegos, Manolo; Krebs, Nancy F; Babineau, Denise C; McClure, Elizabeth M; Thomas, Marion Koso-(The Lancet Global Health, 2025-06-04)
Background In 2023, the Azithromycin Prevention in Labor Use (A-PLUS) trial showed intrapartum azithromycin
reduces maternal sepsis or death in women with planned vaginal delivery in low-resource settings, but whether ...
Patterson, Jackie K; Neuwahl, Simon; Kirsch, Sydney; L Moore, Janet; Tita, Alan T N; Carlo, Waldemar A; Lokangaka, Adrien; Tshefu, Antoinette; Mwenechanya, Musaku; Chomba, Elwyn; Kavi, Avinash; Metgud, Mrityunjay C; Goudar, Shivaprasad S; Derman, Richard J; Shivkumar, Poonam; Waikar, Manju; Patel, Archana; Hibberd, Patricia L; Nyongesa, Paul; Esamai, Fabian; Ekhaguere, Osa A; Bucher, Sherri; Jessani, Saleem; Tikmani, Shiyam S; Saleem, Sarah; Wylie, Blair J; Goldenberg, Robert L; Billah, Sk Masum; Lennox, Ruth; Haque, Rashidul; Petri, William A; Mazariegos, Manolo; Krebs, Nancy F; Foday, Jennifer J Hemingway-; Babineau, Denise; Thomas, Marion Koso-; McClure, Elizabeth M; Bauserman, Melissa(Elsevier, 2025-03-28)
Background Sepsis is one of the leading causes of maternal mortality globally. In 2023, the Azithromycin Prevention in
Labor Use (A-PLUS) trial showed intrapartum azithromycin for women planning a vaginal birth reduced ...
Ayako, Rebeccah M.; Patel, Kirtika; I Ndede, saac; Mining, Simeon K.; Jonas, Klingström; Nordgren, Johan; Larsson, Marie(authorea.com, 2025-06-19)
Cellular and humoral responses, as well as virus replication kinetics, may affect the severity of
COVID-19. This study examined systemic and mucosal immune responses as well as viral load in
unvaccinated SARS-CoV-2 ...
Humphrey, John M.; Ali, Shamim M.; DeLong, Allison; Novitsky, Vlad; Sang, Edwin; Jawed, Bilal; Kemboi, Emmanuel; Ngetich, Celia; Goodrich, Suzanne; Gardner, Adrian; Hogan, Joseph W.; Kantor, Rami(Journal of the International AIDS Society, 2025-05-26)
Introduction: Data on drug resistance, viral outcomes and guidelines compliance following protease inhibitor (PI)-based
second-line failure in low- and middle-income countries are limited, particularly in the era of ...
Background: Childhood cancer has an annual incidence of 150‐160 cases per million children worldwide but remains
vastly underdiagnosed in low- to middle-income countries such as those in Sub-Saharan Africa. The Moi Teaching ...
ABSTRACT
Fathers’ alcohol use impacts family well-being, including increased risk for
violence, poor child outcomes, and low engagement in care. Yet few
studies examine the drivers of alcohol use among fathers or the ...
Original Reports | Thoracic Oncology
Characteristics and Associated Survival of Patients
Diagnosed With Non–Small Cell Lung Cancer in a Designated
Lung Cancer Program in Western Kenya
Naftali Busakhala, MBChB1,2,3 ; ...
Yasmin, Haleema; Tanveer, Saba; Tikmani, Shiyam Sunder; Shakeel, Janet L.; Shakeel, Iram; Rahim, Anum; Lokangaka, Adrien; Tshefu, Antoinette; Bauserman, Melissa; Mwenechanya, Musaku; Chomba, Elwyn; Goudar, Shivaprasad S.; Kavi, Avinash; Derman, Richard J.; Krebs, Nancy F.; Figueroa, Lester; Mazariegos, Manolo; Nyongesa, Paul; Bucher, Sherri; Esamai, Fabian; Patel, Archana; Waikar, Manjushree; Shivkumar, Poonam; Hibberd, Patricia L.; Petri, William A.; Billah, Sk Masum; Haque, Rashidul; Carlo, Waldemar A.; Tita, Alan; Thomas, Marion Koso-; Foday, Jennifer Hemingway-; Saleem, Sarah; McClure, Elizabeth M.; Goldenberg, Robert L.(Taylor & Francis Group, 2024-10-27)
Objectives: Antibiotic use is increasing in low- and middle-income countries (LMIC); however,
few studies have examined the rates of use in a population. The use of antibiotics for liveborn
infants in LMIC was ...
LeubaI, Sequoia I.; Westreich, Daniel; Bose, Carl L.; Olshan, Andrew F.; Taylor, Steve M.; Tshefu, Antoinette; Lokangaka, Adrien; Carlo, Waldemar A.; Chomba, Elwyn; Mwenechanya, Musaku; Liechty, Edward A.; BucherI, Sherri L.; Ekhaguere, Osayame A.; Esamai, Fabian; Nyongesa, Paul; Jessani, Saleem; Saleem, Sarah; Goldenberg, Robert L.; Moore, Janet L.; Nolen, Tracy L.; Foday, Jennifer Hemingway-; McClure, Elizabeth M.; Thomas, Marion Koso-; Derman, Richard J.; Hoffman, Matthew; Meshnick, Steven R.; Bauserman, Melissa(PLOS ONE, 2024-12-20)
Background
Few studies have assessed the impact of first-trimester malaria infection during pregnancy.
We estimated this impact on adverse maternal and pregnancy outcomes.
Methods
In a convenience sample of women from ...
Wabuge, Kisiangani Paul; Ayumba, Barry Ramadhani; Ndulu, Kilonzo; Mwangi, Henry R(International Journal of Scientific and Research Publications, 2025-03)
- Background: Fractures in children mostly from
unintentional injuries represent a major public health concern, and
90% occur in low- medium income countries. The prevalence of
extremity fractures in children is increasing; ...
Introduction: The provision of quality services to patients in healthcare facilities
requires effective clinical leaders who will transcend their technical expertise and
coordinate and direct patient care through clinical ...
Objective Neurosurgery, a highly demanding and vital medical specialty, faces
significant challenges in sub-Saharan Africa, where a shortage of trained neurosur-
geons persists. This study aimed to explore the perceptions ...
Njoroge, Cyrus Ng’ang’a; Ramadhan, Ayumba Barry; Cherop, Lotodo Teresa(Scientific Research Publishing Inc., 2024-06-15)
Fractures of the femur due to increased road traffic
accidents are on the rise and lead among orthopedic trauma
conditions at Moi Teaching and Referral Hospital (MTRH). The
best treatment is open surgery with fixation ...