Publications by authors named "T Ngwiri"

Article Synopsis
  • Congenital hypothyroidism (CHT) can lead to serious intellectual disabilities if not detected and treated early, yet many babies in Kenya, where there is no newborn screening, are at risk.* -
  • A study analyzed data from 1,426 children, finding that 20 of them had confirmed CHT, resulting in an incidence rate of 14 per 1,000 children, with most exhibiting poor developmental outcomes.* -
  • The findings highlight a concerning association between CHT and developmental delays, particularly noting that Down's syndrome was common among those diagnosed, emphasizing the need for improved screening programs.*
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Background: Kawasaki disease has been described across the globe, although publications from Africa are limited. To our knowledge, there are no publications on Kawasaki disease from Kenya, which triggered this report.

Methods: A retrospective cross-sectional study was undertaken to identify in-patients with a discharge diagnosis of Kawasaki disease, over 2 different 5-year periods, at two pediatric hospitals in Nairobi, Kenya.

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We assessed the potential effectiveness of human milk banking and lactation support on provision of human milk to neonates admitted in the newborn unit (NBU) at Pumwani Maternity Hospital, Kenya. This pre-post intervention study collected data from mothers/caregivers and their vulnerable neonates or term babies who lacked sufficient mother's milk for several reasons admitted in the NBU. The intervention included establishing a human milk bank and strengthening lactation support.

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Objectives: Primary adrenal insufficiency (PAI) in children is an uncommon condition. Congenital adrenal hyperplasia (CAH) is the commonest cause followed by autoimmune disorders. Diagnosis and management are challenging especially in resource-limited settings.

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Objective: To examine the availability of paediatricians in Kenya and plans for their development.

Design: Review of policies and data from multiple sources combined with local expert insight.

Setting: Kenya with a focus on the public, non-tertiary care sector as an example of a low-income and middle-income country aiming to improve the survival and long-term health of newborns, children and adolescents.

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