Publications by authors named "Thomas Kwasa"

Article Synopsis
  • The study aimed to estimate the prevalence and distribution of epilepsy in two urban informal settlements in Nairobi, Kenya, recognizing a lack of data in urban areas compared to rural studies in Africa.
  • Researchers conducted a two-stage screening process with over 56,000 residents, where a validated questionnaire identified potential epilepsy cases which were then clinically assessed by neurologists.
  • The findings revealed an adjusted prevalence of 11.9 cases per 1000 people for all types of epilepsy, with 528 confirmed cases in the study population, highlighting a significant public health issue in these urban settings.
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Background: Differentiating cardiovascular causes of dyspnea in resource-limited healthcare settings can be challenging. The use of easy-to-train, point-of-care, focused cardiac ultrasound (FoCUS) protocols may potentially alleviate this challenge.

Research Question: Can novices attain competency in FoCUS use after training using the cardiac ultrasound for resource-limited settings (CURLS) protocol?

Methods: A quasi-experimental study was conducted at the Kenyatta National Hospital in Nairobi, Kenya.

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Purpose: Epilepsy is common in sub-Saharan Africa but is poorly characterized. Most studies are hospital-based, and may not reflect the situation in rural areas with limited access to medical care. We examined people with active convulsive epilepsy (ACE), to determine if the clinical features could help elucidate the causes.

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Background: Few large-scale studies of epilepsy have been done in sub-Saharan Africa. We aimed to estimate the prevalence of, treatment gap in, and possible risk factors for active convulsive epilepsy in Kenyan people aged 6 years or older living in a rural area.

Methods: We undertook a three-phase screening survey of 151,408 individuals followed by a nested community case-control study.

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