S. PROFMBINDYOBENJAMIN. "
Gakuu, L.N., Mbindyo, B.S., Heda P.M., Atinga, J.E.O. Rigid internal fixation in management of fractures of the radius and ulna shafts. Indications and techniques.Proc.Ass. of Surgeons of E.A.". In:
Ass. of Surgeons of E.A. University of Nairobi.; Submitted.
AbstractKenya is a country of marked environmental and ethnic diversity. A study of osteogenic sarcoma occurring in Kenya from 1968 to 1978 revealed 251 cases, representing between 89% and 100% of the predicted number. Variations in age, sex and anatomical location were within classical limits. However, the incidence of osteogenic sarcoma amongst the Central Bantu was significantly higher than predicted (P less than 0.0001), whilst the incidence among the Western Bantu was significantly lower (P less than 0.002), despite their similar ethnic origins. Two geographically dissimilar areas likewise exhibited significant differences in incidence. The Eastern province showed a higher incidence (P less than 0.02), whereas the Nyanza Province (P less than 0.001) and the adjacent Western Province (P less than 0.005) showed a lower than predicted incidence. These observations suggest that in Kenya a geomedical variable affects the incidence of osteogenic sarcoma and that genetic variation has no effect on incidence.
O. PROFADUOLFRANCISW. "
Geodetic models for monitoring crustal deformation along the African Rift System.". In:
IASPEI/UNESCO/ICL Regional Seismological Assembly in Africa, Nairobi,. F.N. kamau, G. N Thothi and I.O Kibwage; Submitted.
AbstractA model for the establishment of an integrated geodetic datum covering a region is treated. The integrated geodetic datum is understood here to comprise the geoid, the reference ellipsoid, and the positional coordinates. A comprehensive unified solution model including the three parameters comprising the datum is considered. The estimation model adopted rigorously incorporates determined prior information in the estimation of the datum parameters. Mathematical models together with the pertinent observation equations are presented, followed by a description of the procedure for the aetual setting up of the datum. The observational scheme is based on a system of modular traverses anchored on a trilateration of GPS baselines.
K PROFNDELEJOHNSON. "
Geriatric Clinical Pharmacology. The Pharmacokinetic .". In:
Journal of Medicine Vol. 2 No. 5 pp 2-8. University of Nairobi Press; Submitted.
AbstractThe present studies were designed and carried out to determine if hydrogen peroxide (H2O2) is involved in the regulation of erythropoietin (Epo) gene expression and stimulation of Epo production in the hepatocellular (Hep 3B) cells. Hep 3B cells were incubated with varying concentrations of H2O2 for periods of 6 hours or 24 hours. In other experiments Hep 3B cells were incubated for 24 hours with or without increasing concentrations of catalase and in the presence of H2O2. Culture medium levels of Epo were determined and quantitation of Epo mRNA was also made. The results indicate that H2O2 increases the levels of Epo mRNA and Epo hormone production in Hep 3B cells, and that catalase, the specific scavenger of hydrogen peroxide, inhibits Epo production in these cells. Based on these findings, it is concluded that H2O2 takes part in the signal transduction mechanisms in Epo production. It is recommended that further studies be undertaken to find out the source of the hydrogen peroxide in the hepatocellular carcinoma cells.
A. PROFODHIAMBOPETER. "
Haemaccel as a Plasma Volume Expander. A Clinical Trial - Bulletin of the Institute of Postgraduate Medical Education and Research.". In:
A Clinical Trial - Bulletin of the Institute of Postgraduate Medical Education and Research. Heinrich Boll Foundation.; Submitted.
AbstractTowers are typical structures that can be found in many urban and rural landscapes the world over. From their basic design, they are usually exposed to severe environmental loads. It is therefore prudent to carry out periodic maintenance that includes checking that they are correctly aligned. This paper describes a method that was used for the re-alignment of a guyed tower in Limuru, Kenya. Angular and distance observations, made from two observation points detected a vertical misalignment that was larger than the acceptable tolerance of l/400. An iterative re-alignment procedure was then applied, resulting in an acceptable final misalignment of 1 / 520.
P PROFPOKHARIYALGANESH. "
The Hindu view of God, Humanity and Mother Nature.". In:
God Conference at Mara (Kenya). Proc. pp. 165-171 (New Era book). Kenya Journal of Sciences(KJS),; Submitted.
AbstractThis paper investigates the possibilities of applying emerging management theories and techniques to constitutionally created offices in Kenya and East African region. The benefits from application of these theories, particularly in the judicial services are highlighted.
AKUMU PROFODIRAPATTSM. "
Human Resources Development for the Water Sector in the Next Decade.". In:
Proceedings of 4th African Water Technology Conference,. Prof. James Otieno-Odek; Submitted.
AbstractThis paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.
MWANGI MRMUREITHISTEPHEN. "
The impact of rangeland livestock manure on nutrient depleted soils in highland small-holder croplands in Central Kenya. Kirigia, AK, Njoka, JT, Kinyua PID Young, TP and Mureithi, SM.". In:
Tropical and Sub-tropical Agroecosystems. Tropical and Sub-tropical Agroecosystems; Submitted.
AbstractCities around the world are currently facing considerable pressure to cope with infrastructure provision amidst rapid urban development and economic growth. Kenya is also facing an
increasing growth of informal settlements in her urban centres. As rapid urbanization takes its toll, so has the development and growth of slums. More than 34% of Kenya‟s total population lives in urban areas and of this, more than 71% is confined in informal settlements (UN-Habitat, 2009).
This paper presents the result of study to assess the effects of the change in land use in two sub-catchments, in an urban area close to the Nairobi Central Business District (NCBD). The paper compares the change in land use of two regions in Nairobi, Kenya that are slowly changing due to the fast growing population and economy, on urban runoff.
OGEDA MRODUMBEJACKONIAH. "
INCREASING ACCESS THROUGH COLLABORATIVE AND PARTICIPATORY METHODS OF PREPARING STUDY MATERIALS.". In:
E.A. Med. J. Vol. 53 No. 11, Nov. 1976. Thought and Practice; Submitted.
AbstractIntroduction
The Centre for Open and Distance Learning has been established to facilitate the Internal Faculties in launching and managing their programmes using distance mode with a view to increasing access to university education and provide equity in higher education to the learners all over the country.
Operational Strategies
The operational strategies that have been set up involve collaborative arrangements between the CODL and the Internal Faculties in the development of Study Materials and Learner support Services for off-campus students. The professional in open and distance learning are availed by the Centre to serve the Faculties as trainers while the Faculties provide academic expertise who are facilitated through participatory methods involving application of knowledge, skills and strategies to develop study materials in their respective subjects.
Focus
The Centre is currently working with Faculties of Science, Commerce and Arts. The Material development process involves training, writing, reviewing and editing followed by conversion to e-content and audio modes.
Conclusion
These collaborative arrangements will increase access to higher education make significant contribution in the realization of educational Millennium Goals in Kenya where only 20% of all those who qualify obtain admission in the public universities.
O DROGARAWILLIAM. "
Institutional and organisational requirements for implementing the Livestock Identification and Traceability System in Kenya.". In:
Journal. Livestock Research for Rural Development; Submitted.
AbstractG O Matete, J M Gathuma, G Muchemi, W Ogara, N Maingi, W Maritim* and B Moenga*
Faculty of Veterinary Medicine, University of Nairobi P.O Box 29053, Nairobi, Kenyageorge.matete@gmail.com* Ministry of Livestock Development P.O Kabete 00625 Kangemi, Nairobi, Kenya
Abstract
Livestock Identification and Traceability Systems (LITS) contribute to reduction, control or eliminated safety scares that result from transbounadry diseases outbreaks. Recent studies on LITS in Kenya have been focused on testing innovative technology, information and traceability system management, and examining the determinants for effective implementation. This paper analyzes the strengths and limitations of the operating a LITS institutional and organisational mechanisms in Kenya.
The result revealed that a disarticulated intitutional and organisational environment was the main constraint to effective implementation of LITS. It proposes that for successful implemenation, a regional approach covering multiple countries, substantial private sector involvement and intensive stakeholder education are essential.
Keywords: Institutional and organisational mechanisms, livestock identification, traceability
O DROGARAWILLIAM. "
Institutional and organisational requirements for implementing the Livestock Identification and Traceability System in Kenya.". In:
Journal. Livestock Research for Rural Development; Submitted.
AbstractG O Matete, J M Gathuma, G Muchemi, W Ogara, N Maingi, W Maritim* and B Moenga*
Faculty of Veterinary Medicine, University of Nairobi P.O Box 29053, Nairobi, Kenyageorge.matete@gmail.com* Ministry of Livestock Development P.O Kabete 00625 Kangemi, Nairobi, Kenya
Abstract
Livestock Identification and Traceability Systems (LITS) contribute to reduction, control or eliminated safety scares that result from transbounadry diseases outbreaks. Recent studies on LITS in Kenya have been focused on testing innovative technology, information and traceability system management, and examining the determinants for effective implementation. This paper analyzes the strengths and limitations of the operating a LITS institutional and organisational mechanisms in Kenya.
The result revealed that a disarticulated intitutional and organisational environment was the main constraint to effective implementation of LITS. It proposes that for successful implemenation, a regional approach covering multiple countries, substantial private sector involvement and intensive stakeholder education are essential.
Keywords: Institutional and organisational mechanisms, livestock identification, traceability
OPIYO MRROMANUSOTIENO. "
Integration of Actors in Water Governance in Nairobi City: Challenges and Adaptation to Climate Change.". In:
IDRC Sponsored-Climate Change Adaptation Workshop in Rio de Janeiro and Sao Paulo,, Brazil. Kenya Met Soc; Submitted.
AbstractIn contrast with mammalian cells, little is known about the control of Ca2+ entry into primitive protozoans. Here we report that Ca2+ influx in pathogenic Trypanosoma brucei can be regulated by phospholipase A2 (PLA2) and the subsequent release of arachidonic acid (AA). Several PLA2 inhibitors blocked Ca2+ entry; 3-(4-octadecyl)-benzoylacrylic acid (OBAA; IC50 0.4+/-0.1 microM) was the most potent. We identified in live trypanosomes PLA2 activity that was sensitive to OBAA and could be stimulated by Ca2+, suggesting the presence of positive feedback control. The cell-associated PLA2 activity was able to release [14C]AA from labelled phospholipid substrates. Exogenous AA (5-50 microM) also initiated Ca2+ entry in a manner that was inhibited by the Ca2+ antagonist La3+ (100 microM). Ca2+ entry did not depend on AA metabolism or protein kinase activation. The cell response was specific for AA, and fatty acids with greater saturation than tetraeicosanoic acid (AA) or with chain lengths less than C20 exhibited greatly diminished ability to initiate Ca2+ influx. Myristate and palmitate inhibited PLA2 activity and also inhibited Ca2+ influx. Overall, these results demonstrate that Ca2+ entry into T. brucei can result from phospholipid hydrolysis and the release of eicosanoic acids.
ARAP MRKENDUIWOJOHNK. "
International Conference on Social Implications of Computers in Developing Countries, Nairobi, Kenya, Presented a paper.". In:
E.A.J.P.Sc. 1 (1998) 1-27. Folio Morphol; Submitted.
AbstractAsiatic acid (AA) is a pentacyclic triterpene found in Centella asiatica. In the present study, the mechanism of anticancer effect of AA on skin cancer was investigated. AA decreased viability and induced apoptosis in human melanoma SK-MEL-2 cells in a time- and dose-dependent manner. AA also markedly increased intracellular reactive oxygen species (ROS) level and enhanced the expression of Bax but not Bcl-2 protein in the cells. In addition, AA-induced activation of caspase-3 activity in a dose-dependent manner. Pretreatment with Trolox, an antioxidant, significantly blocked the induction of Bax and activation of caspase-3 in AA-treated cells. Furthermore, Ac-DEVD-CHO, a specific caspase-3 inhibitor, and Trolox prevented the AA-induced apoptosis. AA did not elevate p53 nuclear protein levels that are present in a mutant form in SK-MEL-2 cells. These results suggest that AA-induced apoptosis may be mediated through generation of ROS, alteration of Bax/Bcl-2 ratio and activation of caspase-3, but p53-independent. These results further suggest that AA may be a good candidate for the therapeutic intervention of human skin cancer.
G PROFGATEIDAVID. "
J E Sanderson, E G Olsen, and D Gatei.Peripartum heart disease: an endomyocardial biopsy study.". In:
Br Heart J. 56(3): 285. RIVERBRROKS COMMUNICATIONS; Submitted.
AbstractEndomyocardial biopsies were performed in 11 African women in Nairobi who presented with the clinical features of peripartum cardiomyopathy. The samples were studied by light and electron microscopy. In five patients there was evidence of a "healing myocarditis", that is the presence of a mild inflammatory cell infiltration within the myocardium with foci of necrosis and variable amounts of hypertrophy and fibrosis. Of the nine patients who were followed up, three out of four with myocarditis had persistent heart failure and four out of five without myocarditis improved. Peripheral blood T lymphocyte cell subsets were measured in nine patients by means of monoclonal antibodies. A high helper:suppressor T cell ratio was found in three patients. Almost half of this group of patients with peripartum cardiomyopathy had myocarditis in their biopsy specimens. The myocarditis may have been due to an inappropriate immunological reaction in some patients.
MUTUKU DRNZIMBIBERNARD, KIBET DRMOINDISTEPHEN, MILE DRJUSTUSKITHEKA. "
Justus K. Mile, Bernard M. Nzimbi and S.K. Moindi, On the characterization of Class R_1 of non-normal operators in a Hilbert space, Pioneer Journal of Mathematics and Mathematical Sciences(PMMS), accepted March 2012, to appear.". In:
Pioneer Journal of Mathematics and Mathematical Sciences(PJMMS). Journal of Mathematics and Mathematical Sciences(PMMS); Submitted.
AbstractAminoglutethimide (AG) 500 mg was administered orally to four normal volunteers and eight patients undergoing treatment for metastatic breast cancer. In each subject the acetylator phenotype was established from the monoacetyldapsone (MADDS)/dapsone (DDS) ratio. Acetylaminoglutethimide (acetylAG) rapidly appeared in the plasma and its disposition paralleled that of AG. A close relationship (P less than 0.01) was observed between the acetyl AG/AG and MADDS/DDS ratio suggesting that AG may undergo polymorphic acetylation like DDS. AG half-life was 19.5 +/- 7.7 h in seven fast acetylators of DDS and 12.6 +/- 2.3 h in five slow acetylators and its apparent metabolic clearance was significantly (P less than 0.01) related to the acetylAG/AG ratio. Over 48 h the fast acetylators excreted 7.7 +/- 4.4% of the administered AG dose in the urine as unchanged AG as compared to 12.4 +/- 2.8% in slow acetylators. A much smaller fraction of the dose was excreted as acetylAG: 3.6 +/- 1.5% by fast and 1.9 +/- 1.0% by slow acetylators respectively. After 7 days treatment with AG at an accepted clinical dose regimen to the eight patients there were significant reductions in the half-lives of AG (P less than 0.01) and acetylAG (P less than 0.01) and a trend (0.1 greater than P greater than 0.05) towards reduction of the acetylAG/AG ratio which became significant (P less than 0.05) if the one patient on a known enzyme inducer was omitted. The mean apparent volume of distribution was not significantly (P greater than 0.1) altered but the mean apparent systemic clearance of AG was increased (P less than 0.05). These changes are attributed to auto-induction of oxidative enzymes involved in AG metabolism.
MUSAKULU DRKEMOLIARTHUR. "
Kemoli AM, Opinya GN, van Amerongen WE. Two-year survival of glass ionomer sealants placed as part of proximal ART restorations, E Afr Med J (in press).". In:
The Kenya Accountant, Vol. 1:14; Vol.2. E Afr Med J; Submitted.
AbstractAbstract Objectives: To evaluate after 2 years, the survival rate of glass ionomer cement (GIC) sealants placed in primary molars of 6-8 year-olds and as part of proximal ART restoration. Study design: A longitudinal clinical study. Setting: Matungulu/Kangundo rural divisions, Machakos district. Participants: A total of 804 six to eight year-olds from rural Kenya received sealants as part of proximal restorations placed in primary molars using the atraumatic restorative treatment (ART) approach. Trained operators, using the ART approach, placed the proximal restorations and the sealants using Fuji IX, Ketac Molar Easymix and Ketac Molar Aplicap, together with rubber dam and cotton roll tooth-isolation methods. Evaluation to determine the survival of the sealants was done soon after placement (within 2 hours of placing them) and after 2 years. The data were analyzed using SPSS 14.0 computer programme, and the survival results related to the materials and the isolation-methods used. Results: The 2-year cumulative survival of the sealants was 10.9%, and the survival of the sealants was not significantly affected by the GIC material brand and the tooth-isolation method used. However, slightly more sealants survived when Fuji IX and rubber dam tooth-isolation method were used. Conclusion: The two-year survival rate of the sealants was poor and was not significantly influenced by the GIC material or the tooth-isolation method used.
J PROFCHINDIAMARK, KAVIN DRWAKOLI. "
Koech KJ, Chindia ML, Wakoli KA, Gathece LW. Prevalence of oral lesions in HIV infection and their relationship with CD4 count at a Nairobi centre. African journal of oral health sciences,Vol 5 no2, 4-9.". In:
African Journal of Oral Health Sciences,Vol 5 no2, 4-9. Korean Society of Crop Science and Springer; Submitted.
AbstractOBJECTIVE: To determine the dental caries experience and knowledge on the causes and preventive measures for dental diseases. DESIGN: A community based cross-sectional descriptive study. SETTING: Elwak sub-district hospital, North Eastern Province, Kenya. SUBJECTS: One hundred and forty one adults who presented themselves during a dental check up at a sub-district hospital and gave written consent. MAIN OUTCOME MEASURES: Dental caries status and knowledge on its causes and preventive measures. The importance of outreach programmes in obtaining information as well as helping to alleviate the pain and suffering caused by dental diseases among communities living in remote areas is also revealed. RESULTS: Of the one hundred and forty one individuals, who were included in the study, 63.1% were women and 36.9% were men. Their ages ranged between 18 and over 65 years. 41.1% were in the 18-24-year age bracket. Regarding the oral health knowledge, 43% did not know any causes of dental diseases while 36%, 17% and 12% knew that diet, "dirt" on teeth and bacteria were possible causes, respectively. Fifty percent did not know any preventive measures for dental diseases while the rest indicated abstention from the consumption of sugary foods; and only 0.8% mentioned use of fluoridated toothpaste as a preventive measure for dental caries. 56.7% of the subjects were caries free. The mean DMFT for all ages was 3.4. Of those with caries 72.1% were women. CONCLUSION: There is a low level of oral health awareness and a moderately high level of dental caries experience in this community with women apparently carrying the biggest burden of dental caries.
KICHAMU MRAKIVAGASYMONDS. "
Local Authorities in Kenya (H.E.B.) . forthcoming.". In:
East Afr. Medi. Journal. Elsevier; Submitted.
AbstractAnalysis of 355 cases with fractures of the mandible indicated that 74.9% of the cases were due to interpersonal violence and 13.8% were caused by road traffic accidents. The men to women ratio was 8.4:1 and 75.5% of the fracture cases had single fractures while 24.5% had multiple fractures. In cases with a single fracture, the most commonly involved mandibular site was the body (42.2%). The angle of mandible was most frequently fractured (50.5%) in cases with multiple fractures.
O DROGARAWILLIAM. "
Long-term performance of electronic identification devices and model traceability system for cattle under pastoral production systems of Kenya.". In:
Journal. Livestock Research for Rural Development; Submitted.
AbstractG O Matete*, W Maritim**, G Muchemi**, N Maingi***, J M Gathuma* and W Ogara*
* Department of Veterinary Public Health, Pharmacology and Toxicology, University of Nairobi P.O Box 30197, Nairobi, Kenyageorge.matete@gmail.com** Ministry of Livestock Development P.O Kabete 00625 Kangemi, Nairobi, Kenya*** Department of Veterinary Pathology and Parasitology, University of Nairobi, P.O Box 30197, Nairobi, Kenya
Abstract
The readability of two different types of electronic identifiers (EID) were evaluated under pastoral production system in North-Eastern Kenya. Physical verification and reading was done at day 0, and 1, 2, 4, 8 and 12 months respectively on a total of 1943 beef cattle of which 934 were tagged using ear button tags and 1009 with rumen boluses. The retention rates were recorded and readability determined using a hand-held reader and subsequently compared using a non parametric survival analysis.
The results showed that, rumen boluses were more effective with retention and readability of 100% after the one-year period. The retention rate for ear button tags deteriorated after day 120 to 94.6%. This implied that rumen boluses are safe and tamper-proof and are thus recommended for use in pastoral production systems. When tested within the model Livestock Identification and Traceability System (LITS), the use of RFID identifiers were able to substantially contribute to better record keeping, and proof of credible livestock certification. However, due to cost considerations, undertaking a benefit-cost analysis and provisional analysis of the institutional and organisational infrastructure may be critical for successful implementation.
Keywords: livestock identification, radio frequency identification devices, traceability system
O DROGARAWILLIAM. "
Long-term performance of electronic identification devices and model traceability system for cattle under pastoral production systems of Kenya.". In:
Journal. Livestock Research for Rural Development; Submitted.
AbstractG O Matete*, W Maritim**, G Muchemi**, N Maingi***, J M Gathuma* and W Ogara*
* Department of Veterinary Public Health, Pharmacology and Toxicology, University of Nairobi P.O Box 30197, Nairobi, Kenyageorge.matete@gmail.com** Ministry of Livestock Development P.O Kabete 00625 Kangemi, Nairobi, Kenya*** Department of Veterinary Pathology and Parasitology, University of Nairobi, P.O Box 30197, Nairobi, Kenya
Abstract
The readability of two different types of electronic identifiers (EID) were evaluated under pastoral production system in North-Eastern Kenya. Physical verification and reading was done at day 0, and 1, 2, 4, 8 and 12 months respectively on a total of 1943 beef cattle of which 934 were tagged using ear button tags and 1009 with rumen boluses. The retention rates were recorded and readability determined using a hand-held reader and subsequently compared using a non parametric survival analysis.
The results showed that, rumen boluses were more effective with retention and readability of 100% after the one-year period. The retention rate for ear button tags deteriorated after day 120 to 94.6%. This implied that rumen boluses are safe and tamper-proof and are thus recommended for use in pastoral production systems. When tested within the model Livestock Identification and Traceability System (LITS), the use of RFID identifiers were able to substantially contribute to better record keeping, and proof of credible livestock certification. However, due to cost considerations, undertaking a benefit-cost analysis and provisional analysis of the institutional and organisational infrastructure may be critical for successful implementation.
Keywords: livestock identification, radio frequency identification devices, traceability system
FRANCIS DRNJUI. "
M.Sc. Project on Kenya's Domestic Export.". In:
. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; Submitted.
AbstractPIP: Menstrual blood loss (MBL) was evaluated in 74 nulliporous Kenyan women aged between 20 and 27 years. The hemoglobin levels were all in normal range with the mean of 13.65 +or- 0.8, 13.84 +or- 1.2 and 13.04 +or- 1.2 g/100 ml respectively in 3 populations. The MBL was comparable in the 3 populations with the mean of 35.1 +or- 12.6, 30.6 +or- 8.7 and 32.2 +or- 9.4 ml respectively. There was no difference of statistical significance between the 2 periods studied per each individual. This study objectively assesses the menstrual blood loss in 3 population groups–2 urban and 1 rural. The data can be used to evaluate menstrual blood loss before and after initiation of various contraceptives used in Kenya. Subjects were volunteers who were not on any contraception except barrier or natural rhythm methods, not under psychological stress and who exhibited normal physical female characteristics on examination. Those who wished to drop out, became pregnant or desired contraception, were excluded. The study confirms the individual constancy of the menstrual blood loss in this population. This has important practical implications since a single determination of the menstrual blood loss may be a fairly good expression for the average blood loss in a woman. The immediate effect of various treatments such as IUD insertion or oral contraceptives on the MBL may easily be evaluated quantitatively by measurements in consecutive periods using only 1 period as a control. The quick method can be easily used in evaluating pathological conditions e.g. iron-deficiency due to heavy bleeding, IUD-associated hemorrhage, menorrhagia and uterine fibroid. PMID: 12267056 [PubMed - indexed for MEDLINE]
OTIENO DRJOWI. "
Management of Instructional Resource in Teacher Colleges.". In:
A paper presented in Ministry of Education Workshop for Principals of Teacher Colleges on Teacher Education Management. The Kenya Medical Association; Submitted.
AbstractQuality of health education during STD case management in Nairobi was assessed in 142 healthcare facilities, through interviews of 165 providers, observation of 441 STD patients managed by these providers, and 165 visits of simulated patients. For observations, scores were high for education on contact treatment (74-80%) and compliance (83%), but unsatisfactory for counselling (52%) and condom promotion (20-41%). The World Health Organization (WHO) indicator for STD case management Prevention Indicator 7 (PI7) (condom promotion plus contact treatment) was poor (38%). Public clinics strengthened for STD care generally performed best, whereas pharmacies and mission clinics performed worst. Compared with observations, scores were higher during interviews and lower during simulated patient visits, indicating that knowledge was not fully translated into practice. Interventions to improve the presently unsatisfactory service quality would be wide distribution of health education materials, ongoing training and supervision of providers, implementation of STD management checklists, and the introduction of pre-packaged kits for STD management.
K. DRMANGOLIMAURICE. "
Mangoli. M.K. "Optimal Long-term Reactive Power Planning Using Decomposition Techniques", Ph.D. Thesis. The Pennsylvania State University, U.S.A., Dec. 1991.". In:
Published in a Journal Kenyan Geographer. ELOQUENT BOOKS NY, Strategic Book Group, Connecticut, USA. ISBN-978-1-60911-081-9.Pages1; Submitted.
AbstractNormal 0 false false false MicrosoftInternetExplorer4
st1:*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;}
Macrophytes have been shown to perform important ecological roles in Lake Naivasha. Consequently, various studies regarding the impact of biotic factors on the macrophytes have been advanced but related studies on environmental parameters have lagged behind. In an attempt to address this gap, sampling on floating species and submergents was carried out in eight sampling sites in 2003 to investigate how they were influenced by a set of environmental factors. Soil texture (sandy sediments; P < 0.05, regression coefficient = - 0.749) and wind were the most important environmental parameters influencing the distribution and abundance of floating macrophytes. Combination of soil texture and lake-bed slope explained the most (86.3%) variation encountered in the submergents. Continuous translocation of the floating dominant water hyacinth to the western parts by wind has led to displacement of the submergents from those areas. In view of these findings, the maintenance and preservation of the steep Crescent Lake basin whose substratum is dominated by sand thus hosting most submergents remain important, if the whole functional purpose of the macrophytes is to be sustained.
N DRGITHANGAJESSIE. "
Master of Medicine (in Pathology) dissertation entitled "Chromosomal abnormalities in childhood acute leukaemia at K.N.H., Nairobi, Kenya.".". In:
Book. Douglas McLean Publishing; Submitted.
AbstractCatechol O-methyltransferase (COMT) inactivates neurotransmitters, hormones and drugs such as levodopa. COMT activity is inherited in an autosomal recessive manner and individuals with low activity have thermolabile COMT protein. A low activity allele has been demonstrated at codon 108/158 of the soluble and membrane bound COMT protein, respectively, whereby a G to A transition results in a valine to methionine substitution, rendering the protein more thermolabile. As ethnic differences in erythrocyte COMT activity have been previously demonstrated, the frequency of low activity alleles were investigated in 265 British Caucasian, 99 British South-west Asian and 102 Kenyan individuals. Genotyping of COMT codon 108/158 was performed using a minisequencing method. Erythrocyte COMT activity was measured in 60 British Caucasian individuals by radiochemical assay. The frequency of low activity alleles was 0.54 in Caucasians, 0.49 in South-west Asians, and 0.32 in Kenyans. There was a much lower frequency of individuals with homozygous low activity allele in the Kenyan population (9%) than in Caucasians (31%) or South-west Asians (27%). Erythrocyte COMT activity was lower and less thermostable in individuals with homozygous low activity alleles. The data provide molecular evidence that low COMT is less common in African individuals than the Caucasian population. PMID: 9682265 [PubMed - indexed for MEDLINE]
O. PROFMBECHEOYUKO. "
Mbeche, O. O., "Energy Needs in Africa", Proceedings: International Conference on Alternative Energy and the Offer of the Sun and the Sea, Milano, 18-20 April 1980.". In:
International Conference on Alternative Energy and the Offer of the Sun and the Sea, Milano, 18-20. Dr. Oliver V. Wasonga; Submitted.
AbstractNormal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}
This study was conducted in two seasons of2002 at Tigoni, Central Kenya to determine effectiveness of insecticides; neern extract and mineral oil in managing potato aphids and their associated virus diseases. The treatments were arranged in randomized complete block design (RCBD) with four replications. In each season, the number of aphids in five randomly selected plants per treatment was recordced in situ. Virus symptoms (i.ncidence) were scored and expressed as a percentage to the total plant population per plot. Forty-five days after emergence, 10 plants each from guard rows and inner rows were randomly selected and serologically assayed for Potato Virus Y (PVY) and Potato Leaf Roll Virus (PLRV) using DAS ELISA test. Results showd that three aphid species Aphis gossypii (Glover), Macrosiphum euphorbiae (Thomas) and Myzus persicae (Sulzer) colonized on the variety with A. gossypii being the most dominant while M. persicae was least. Higher aphid population coincided with the short rains experienced in one of the seasons. Synthetic insecticides (Bifethrin and dimethoate) were the most effective among the treatments in reducing aphid infestation while the neem extract and mineral oil (DC- Tron) had no significant (P<0.05) difference. However, mineral-oil treated plots recorded the lowest PVY incidence while bifenthrin-Ireated plots had the lowest PLRV incidence. It is suggested that a combination of synthetic insecticides and mineral oil could playa major role in reduction of the aphids and their associated vectors. Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4
O. PROFMBECHEOYUKO. "
Mbeche, O. O., "Energy Use in Kenya", Proceedings: International Workshop on Energy Survey Methodologies for Developing Countries, US AID/National Academy of Sciences, Jerkyll Island, Georgia, USA, January 1980.". In:
International Workshop on Energy Survey Methodologies for Developing Countries, US AID/National Academy of Sciences, Jerkyll Island, Georgia, USA, January 1980. Dr. Oliver V. Wasonga; Submitted.
AbstractNormal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}
This study was conducted in two seasons of2002 at Tigoni, Central Kenya to determine effectiveness of insecticides; neern extract and mineral oil in managing potato aphids and their associated virus diseases. The treatments were arranged in randomized complete block design (RCBD) with four replications. In each season, the number of aphids in five randomly selected plants per treatment was recordced in situ. Virus symptoms (i.ncidence) were scored and expressed as a percentage to the total plant population per plot. Forty-five days after emergence, 10 plants each from guard rows and inner rows were randomly selected and serologically assayed for Potato Virus Y (PVY) and Potato Leaf Roll Virus (PLRV) using DAS ELISA test. Results showd that three aphid species Aphis gossypii (Glover), Macrosiphum euphorbiae (Thomas) and Myzus persicae (Sulzer) colonized on the variety with A. gossypii being the most dominant while M. persicae was least. Higher aphid population coincided with the short rains experienced in one of the seasons. Synthetic insecticides (Bifethrin and dimethoate) were the most effective among the treatments in reducing aphid infestation while the neem extract and mineral oil (DC- Tron) had no significant (P<0.05) difference. However, mineral-oil treated plots recorded the lowest PVY incidence while bifenthrin-Ireated plots had the lowest PLRV incidence. It is suggested that a combination of synthetic insecticides and mineral oil could playa major role in reduction of the aphids and their associated vectors. Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4
O. PROFMBECHEOYUKO. "
Mbeche, O. O., "The Hydraulic Ram Pump in Kenya", ZDRC-MRl02e, Proceedings of a Workshop on Hydraulic Ram Pump (hydrant) Technology, Arusha, Tanzania, May 1984.". In:
of a Workshop on Hydraulic Ram Pump (hydrant) Technology, Arusha, Tanzania, May 1984. Dr. Oliver V. Wasonga; Submitted.
AbstractNormal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:Calibri; mso-fareast-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}
This study was conducted in two seasons of2002 at Tigoni, Central Kenya to determine effectiveness of insecticides; neern extract and mineral oil in managing potato aphids and their associated virus diseases. The treatments were arranged in randomized complete block design (RCBD) with four replications. In each season, the number of aphids in five randomly selected plants per treatment was recordced in situ. Virus symptoms (i.ncidence) were scored and expressed as a percentage to the total plant population per plot. Forty-five days after emergence, 10 plants each from guard rows and inner rows were randomly selected and serologically assayed for Potato Virus Y (PVY) and Potato Leaf Roll Virus (PLRV) using DAS ELISA test. Results showd that three aphid species Aphis gossypii (Glover), Macrosiphum euphorbiae (Thomas) and Myzus persicae (Sulzer) colonized on the variety with A. gossypii being the most dominant while M. persicae was least. Higher aphid population coincided with the short rains experienced in one of the seasons. Synthetic insecticides (Bifethrin and dimethoate) were the most effective among the treatments in reducing aphid infestation while the neem extract and mineral oil (DC- Tron) had no significant (P<0.05) difference. However, mineral-oil treated plots recorded the lowest PVY incidence while bifenthrin-Ireated plots had the lowest PLRV incidence. It is suggested that a combination of synthetic insecticides and mineral oil could playa major role in reduction of the aphids and their associated vectors. Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4
S. PROFMBINDYOBENJAMIN. "
Mbindyo, B.S. Snake bite in Kenya Dissertation presented in part fulfilment of MMed. in Surgery university of Nairobi.". In:
MMed. in Surgery university of Nairobi. University of Nairobi.; Submitted.
AbstractKenya is a country of marked environmental and ethnic diversity. A study of osteogenic sarcoma occurring in Kenya from 1968 to 1978 revealed 251 cases, representing between 89% and 100% of the predicted number. Variations in age, sex and anatomical location were within classical limits. However, the incidence of osteogenic sarcoma amongst the Central Bantu was significantly higher than predicted (P less than 0.0001), whilst the incidence among the Western Bantu was significantly lower (P less than 0.002), despite their similar ethnic origins. Two geographically dissimilar areas likewise exhibited significant differences in incidence. The Eastern province showed a higher incidence (P less than 0.02), whereas the Nyanza Province (P less than 0.001) and the adjacent Western Province (P less than 0.005) showed a lower than predicted incidence. These observations suggest that in Kenya a geomedical variable affects the incidence of osteogenic sarcoma and that genetic variation has no effect on incidence.
S. PROFMBINDYOBENJAMIN. "
Mbindyo, B.S., Malibo, J. Some considerations in cases of fractures of he femur treated by intramedullary nailing. Proc. Ass. of Surgeons of E.A.". In:
Proc. Ass. of Surgeons of E.A. University of Nairobi.; Submitted.
AbstractKenya is a country of marked environmental and ethnic diversity. A study of osteogenic sarcoma occurring in Kenya from 1968 to 1978 revealed 251 cases, representing between 89% and 100% of the predicted number. Variations in age, sex and anatomical location were within classical limits. However, the incidence of osteogenic sarcoma amongst the Central Bantu was significantly higher than predicted (P less than 0.0001), whilst the incidence among the Western Bantu was significantly lower (P less than 0.002), despite their similar ethnic origins. Two geographically dissimilar areas likewise exhibited significant differences in incidence. The Eastern province showed a higher incidence (P less than 0.02), whereas the Nyanza Province (P less than 0.001) and the adjacent Western Province (P less than 0.005) showed a lower than predicted incidence. These observations suggest that in Kenya a geomedical variable affects the incidence of osteogenic sarcoma and that genetic variation has no effect on incidence.
S. PROFMBINDYOBENJAMIN. "
Mbindyo, B.S., Okelo, G.B.A. Common Venomous Bites and Stings in Kenya A book published by Health Education Division and audio-visual Centre, Serial No. 1/79.". In:
A book published by Health Education Division and audio-visual Centre, Serial No. 1/79. University of Nairobi.; Submitted.
AbstractKenya is a country of marked environmental and ethnic diversity. A study of osteogenic sarcoma occurring in Kenya from 1968 to 1978 revealed 251 cases, representing between 89% and 100% of the predicted number. Variations in age, sex and anatomical location were within classical limits. However, the incidence of osteogenic sarcoma amongst the Central Bantu was significantly higher than predicted (P less than 0.0001), whilst the incidence among the Western Bantu was significantly lower (P less than 0.002), despite their similar ethnic origins. Two geographically dissimilar areas likewise exhibited significant differences in incidence. The Eastern province showed a higher incidence (P less than 0.02), whereas the Nyanza Province (P less than 0.001) and the adjacent Western Province (P less than 0.005) showed a lower than predicted incidence. These observations suggest that in Kenya a geomedical variable affects the incidence of osteogenic sarcoma and that genetic variation has no effect on incidence.
CLAUDIO MRACHOLA. "
Misingi Ya Hisabati1,2,3.". In:
E.A.E.P. Journal of British Ceramic Transactions, 99 [5], 206-211.; Submitted.
O. PROFADUOLFRANCISW. "
A model for the establishment of an integrated regional geodetic datum.". In:
Survey Review, Vol. 32, No 250,. F.N. kamau, G. N Thothi and I.O Kibwage; Submitted.
AbstractA model for the establishment of an integrated geodetic datum covering a region is treated. The integrated geodetic datum is understood here to comprise the geoid, the reference ellipsoid, and the positional coordinates. A comprehensive unified solution model including the three parameters comprising the datum is considered. The estimation model adopted rigorously incorporates determined prior information in the estimation of the datum parameters. Mathematical models together with the pertinent observation equations are presented, followed by a description of the procedure for the aetual setting up of the datum. The observational scheme is based on a system of modular traverses anchored on a trilateration of GPS baselines.
MUTUKU DRNZIMBIBERNARD, KIBET DRMOINDISTEPHEN, P PROFPOKHARIYALGANESH. "
Moindi, S.K., Pokhariyal, G.P. and Nzimbi, B.M., W_4-Curvature tensor on a A-Einstein Sasakian manifold, Global Journal of Theoretical and Applied Mathematical Sciences(GJTAMS), accepted Feb 2012, to appear.". In:
Global Journal of Theoretical and Applied Mathematical Sciences(GJTAMS). Global Journal of Theoretical and Applied Mathematical Sciences(GJTAMS); Submitted.
AbstractAminoglutethimide (AG) 500 mg was administered orally to four normal volunteers and eight patients undergoing treatment for metastatic breast cancer. In each subject the acetylator phenotype was established from the monoacetyldapsone (MADDS)/dapsone (DDS) ratio. Acetylaminoglutethimide (acetylAG) rapidly appeared in the plasma and its disposition paralleled that of AG. A close relationship (P less than 0.01) was observed between the acetyl AG/AG and MADDS/DDS ratio suggesting that AG may undergo polymorphic acetylation like DDS. AG half-life was 19.5 +/- 7.7 h in seven fast acetylators of DDS and 12.6 +/- 2.3 h in five slow acetylators and its apparent metabolic clearance was significantly (P less than 0.01) related to the acetylAG/AG ratio. Over 48 h the fast acetylators excreted 7.7 +/- 4.4% of the administered AG dose in the urine as unchanged AG as compared to 12.4 +/- 2.8% in slow acetylators. A much smaller fraction of the dose was excreted as acetylAG: 3.6 +/- 1.5% by fast and 1.9 +/- 1.0% by slow acetylators respectively. After 7 days treatment with AG at an accepted clinical dose regimen to the eight patients there were significant reductions in the half-lives of AG (P less than 0.01) and acetylAG (P less than 0.01) and a trend (0.1 greater than P greater than 0.05) towards reduction of the acetylAG/AG ratio which became significant (P less than 0.05) if the one patient on a known enzyme inducer was omitted. The mean apparent volume of distribution was not significantly (P greater than 0.1) altered but the mean apparent systemic clearance of AG was increased (P less than 0.05). These changes are attributed to auto-induction of oxidative enzymes involved in AG metabolism.
MUTUKU DRNZIMBIBERNARD, KIBET DRMOINDISTEPHEN, P PROFPOKHARIYALGANESH. "
Moindi, S.K., Pokhariyal, G.P. and Nzimbi, B.M., W_4-Curvature tensor on a A-Einstein Sasakian manifold, Global Journal of Theoretical and Applied Mathematical Sciences(GJTAMS), accepted Feb 2012, to appear.". In:
Global Journal of Theoretical and Applied Mathematical Sciences(GJTAMS). Global Journal of Theoretical and Applied Mathematical Sciences(GJTAMS); Submitted.
WARUE MRSKARIUKICATHERINE. "
Mr. Nicky Nzioki,Mrs.Catherine Kariuki: An Investigation into the process of Compulsory Acquisition and suggestions on the choice of valuation methodology in making claims for compensation for land for various infrastructure.". In:
African Journal of Ecology 46(1):22-29. uon press; Submitted.
AbstractOver the last six years there has been a tremendous development of infrastructure projects in virtually all corners of Kenya. This has taken the form of Road Improvement Project, Water and sewerage improvement project and the Electricity Transmission Improvement Project as envisioned in the Kenya Vision 2030. The purpose of this paper is to investigate the principles of compulsory land acquisition and way leaves in the three sectors in Kenya by looking at the current legislative framework governing the entire process of acquisition. In considering the process, the paper explores the various provisions of the relevant act which governs the particular utility envisaged for improvement project component in the Kenya Vision 2030. A critical evaluation of the procedures adopted is outlined in each case and the general public apprehensions towards such acquisitions. The second part of the paper focuses on suggestions on the choice of valuation methodology in making claims for compensation for land for various infrastructure projects in Kenya. This is borne out of the fact that there appear to be very little standardization in the methods adopted by the various bodies. The paper cites several cases under the Electricity Transmission Improvement Project where a large proportion of way leaves are dealt with at local level, with little consistency. Coupled to this is the public concern that electricity lines have potentially serious health effects that continue to attract research and media interest. The paper concludes with a description of the various cases on how to improve compensation paid to those affected by compulsory acquisition in cases of land and way leaves.
KAGURE PROFKARANIANNE. "
Ms Emma Matheka, Prof. Anna Karani, Mr. L.P.Oteba, Mr. M.F. Otieno, Prof. Simon Kangehte THE ROLE OF HORMONAL CONTRACEPTIVES IN HIV INFECTION AMONG ANTENATAL MOTHERS IN MACHAKOS DISTRICT HOSPITAL.". In:
Kenya Nursing Journal, vol. 40:1: 6-13. Ms Emma Matheka, Prof. Anna Karani, Mr. L.P.Oteba, Mr. M.F. Otieno, Prof. Simon Kangehte; Submitted.
AbstractThis study was done at Machakos District Hospital in the Eastern province of Kenya between May and August 2007.Aim was to find out the role of hormonal contraceptives in HIV infection among antennal mothers. Analytical cross- sectional study design was used. Methodology. The sample size consisted of 144 antenatal mothers visiting the MCH clinic for PMTCT services among other services. The simple random sampling technique included every 8th antenatal mother visiting the PMTCT clinic who had no history of consisted condom use. All antenatal mothers who had not used condoms consistedly both contraceptive and non-contraceptive users who fell in the sampling frame acted as study subjects. This was on condition that they consented to participate in the study. A self
KAGURE PROFKARANIANNE. "
Ms Gichigi Esther, Prof. Anna Karani Dr Margaret Chege .". In:
Kenya Nursing Journal June, Vol. 39(1) 57-61. Ms Gichigi Esther, Prof. Anna Karani Dr Margaret Chege; Submitted.
AbstractMentorship programs are offered to support students in program completion, confidence building and transitioning to further education or the work force. However mentoring relationships have been faced by challenges such as inadequate knowledge and negative attitude. This study aimed at evaluating knowledge, attitude and perceived benefits on mentorship among the nursing students in Kenyan universities. The study was conducted in September, 2009. A descriptive cross sectional survey used both qualitative and quantitative methods to gather information. The study participants were students from University of Nairobi (U.O.N) and Kenya Methodist University (K.E.M.U). A sample of 188 students was selected from a total population of 403 in both universities. The data were coded, entered and analyzed using statistical package for social sciences (SPSS). Presentation of data was done in form of descriptive statistics, frequency distribution and graphs. Pearsons chi square tests were used to compare the two groups. The tests level of significance was set at 5%. Results showed that there was a significance difference between mentorship programmes in the two institutions ( χ 2= 17.02, d.f=1 , p < 0.001) . Fourty four (72%) of the students at K.E.M.U felt that the program had positive impact on students
KAGURE PROFKARANIANNE. "
Ms Grace Gachuiri, Prof. Anna Karani, Dr Margaret Chege THE ROLE OF CLINICAL PLACEMENT ON KRCHN GRADUATES PERFORMANCE IN THE NCK REGISTRATION EXAMINATION.". In:
Kenya Nursing Journal 1st.July 2010. Ms Grace Gachuiri, Prof. Anna Karani, Dr Margaret Chege; Submitted.
AbstractThe study sought to establish the factors affecting the diploma graduates performance in the Nursing registration examination. Necessitated by poor performance recorded in recent years, this study was aimed at seeking to establish the reasons why. This was a descriptive study. Quantitative data was collected using self-administered semi structured questionnaires from 75 KRCHN graduates working at Kenyatta National Hospital. The study areas were purposively selected and the study subjects selected through simple random sampling. Qualitative data was collected using a study from lecturers
KAGURE PROFKARANIANNE. "
Ms Grace Wangechi Gachuiri, Prof. Anna Karani, Dr Margaret Chege IMPACT OF STUDENTS AND TEACHER CHARACTERISTICS ON PERFORMANCE OF DIPLOMA NURSE GRADUATES.". In:
Kenya Nursing Journal June, Vol. 39(1) 57-61. Ms Grace Wangechi Gachuiri, Prof. Anna Karani, Dr Margaret Chege; Submitted.
AbstractNecessitated by poor performance recorded in recent years, this descriptive study sought to establish the impact of students and teacher characteristics on performance in the Nursing registration examination. The study combined both qualitative and quantitative methods. Quantitative data was collected using self-administered semi structured questionnaires from 75 KRCHN graduates working at Kenyatta National Hospital. The study areas were purposively selected and the study subjects selected through simple random sampling. Qualitative data was collected using a study guide from lecturers
KYALE DRKISUMBIBERNINA, M DRWAKIAGAJOHN. "
Mungai T.C. Kisumbi B.K Wakiaga J.M and Ireri S.K : Patients.". In:
Journal of Dental Research. University of Nairobi Press; Submitted.
AbstractThis study was done to determine the nature of utilization of dental auxiliaries and medical emergencies in private dental surgeries in Kenya. A self administering questionnaire with pre-paid postage was mailed to 138 dentists. 27.5% responded. 81.6% used dental auxiliaries and the main reason was to improve efficiency in managing patients. 93.5% of the auxiliaries were on job trained secondary school graduates. 63.2% of the respondents delegated duties which were mainly non-clinical. 26.3% did not delegate any duties. In a descending order, the reasons for non delegation were: that it would be risky to patients, not allowed by law, they did not find it necessary and that auxiliaries were not held responsible if something went wrong. The main duties delegated to the auxiliaries were cleaning of instruments and sterilization, mixing of restorative materials and preparing amalgam. Delegation was done primarily based on auxiliaries capability to perform the procedure and meet the set standards. 57.9% indicated that they rarely encountered medical emergencies. Syncope was the commonest emergency encountered. 72.7% indicated that auxiliaries could not handle medical emergencies because they were not trained. It is concluded that most dentists did not delegate clinical duties to dental auxiliaries and medical emergencies were rare.
KYALE DRKISUMBIBERNINA. "
Mutave R.J. and Kisumbi B.K: Attitude of urban Kenyan population towards replacement of teeth. Preliminary findings. Journal of Dental Research.". In:
Journal of Dental Research. Taylor & Francis; Submitted.
AbstractOBJECTIVES: The aim was to study dimensional time-dependence of resin/ionomer formulations from 5 min age to one month and to separate out the intrinsic setting shrinkage and hygroscopic expansion effects, by using non-aqueous and aqueous storage media, respectively. METHODS: Materials studied included: A: resin-, B: metal- and C: polyphosphonate-modified glass-ionomer cements [GICs]; and controls of D: poly-acid modified composite [compomer]; and E: resin-composite. Separate specimen groups (n = 5) were stored in different storage-media: (i) silicone fluid; (ii) de-ionized water. Experiments were repeated at 23 and 37 degrees C. Volumetric changes of specimens (4 mm diameter x 6 mm height) were obtained via accurate mass measurements (to 10(-4) g), using Archimedes principle, with silicone or water also used as the Archimedean fluid. These measurements were made periodically over a 30 day period, post fabrication. RESULTS: In silicone at 23 degrees C, all materials underwent further gradual intrinsic shrinkage (after 5 min from mix). This was highly significant (p < 0.05) for the RM-GIC (A). At 37 degrees C, however the RM-GIC expanded, indicating that its cure is temperature-sensitive. In water, at 23 and 37 degrees C, the shrinkage was either partially offset (materials C, D, E), or replaced by appreciable expansions (materials A and B). Differences between RM-GIC (A) and MM-GIC (B) were significant (p < 0.05). SIGNIFICANCE: The deployment of dual storage media made an important contribution to the separate analysis of the volumetric changes due to the on-going setting chemistry in these systems and the time-dependent effects of an aqueous environment.
OYOO PROFWANDIGASHEM. "
National Standards and Environmental Pollution.". In:
paper presented at a Seminar organized by Kenya Bureau of Standards on National Standards and Technology for Development. Hotel Oceanic, Mombasa , 1982. Academic Press Elsevier. Int.; Submitted.
Abstractn/a
MBORI- PROFNGACHADOROTHYA. "
Nduati R, and Mbori-Ngacha D. Prevention Of Breastmilk Transmission of HIV: Balancing the Benefits and the Risks In: Essex M, Mboup S, Kanki PJ, Kalengayi MR, (eds). AIDS in Africa. 2nd Ed.". In:
Book. Earthscan, London. 978-1-84407-469-3 (*); Submitted.
AbstractA study of malaria on the Kano Plain, Kisumu District, Western Kenya, was carried out between April and August, 1985. The study included a knowledge, attitudes and practices (K.A.P.) survey on malaria illness and the mosquito vector. Overall knowledge about malaria illness was found to be good. However, treatment and prevention practices of malaria were found to be poor. Knowledge of the mosquito and its relationship to malaria was found to be high. Knowledge of methods of prevention of mosquito bites was also found to be high but actual use of the methods was low. Knowledge of traditional methods of prevention of mosquito bites was also found to be high. Actual use was again found to be low.
G PROFKARANJAJOSEPH, OTIENO DRODAWAFRANCISXAVIER. "
NJOROGE W, NDAVI PM, KARANJA JG, MATI JKG. The incidence of cervical extropion among women on contraceptive methods in two periurban areas in Nairobi. J. Obst. Gynaec. East Cent. Afr. 15:00-00.". In:
J. Obst. Gynaec. East Cent. Afr. 15:00-00. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; Submitted.
AbstractPIP: This research report studies several biochemical and histochemical aspects of cervical carcinoma and explores their use in follow-up of patients undergoing radiotherapy. Material came from 19 patients with invasive cervical carcinoma admitted to Kenyatta National Hospital. A control group consisted of 20 women matched for age who attended clinics at the hospital but were not suffering from any malignant disease; control tissue for histological examination was obtained from 3 women who had undergone hysterectomy for uterine fibroids. Biochemical assays for alkaline and acid phosphatases in patients with cervical carcinoma show an increase in alkaline phosphatase in carcinomatous tissue (35.7 umoles/hr/mg) as opposed to normal tissue (7.2). Acid phosphatase values were only moderately raised. Assays of the same enzymes in blood showed a less marked difference between patients and controls (ranges of 7.5-20.8 and 3-14, respectively). When examined histochemically, increased alkaline phosphatase activity was observed in connective tissue, epithelium of the glands and blood capillaries of tumor tissue. 1 section containing normal tissue bordering carcinomatous tissue demonstrated normal alkaline phosphatase activity in the normal tissue and increased activity in the tumor tissue. In summary, there is increased enzyme activity around the tumor areas, but values for serum levels show an overlap of normal and abnormal cases and are therefore not predictive. Results demonstrate a clear difference in activities of these enzymes in carcinomatous tissue and normal tissue, which may be of value in follow-up care.
KAGURE PROFKARANIANNE. "
NURSE.". In:
Annual Scientific Conference on 5th-7th Oct. 2011 at Kagumo Teachers College - Nyeri, Kenya. National Nurses Association of Kenya; Submitted.
Abstract Prof. Anna Karani on - Authentic Leadership focus on impact of integrity so that leadership is better prepared to face the toughest challenges, inspire transparency and trust. It requires building in mind the customers served. Behaviour change is essential for long term growth and it avoids peripheral vision. Focused leadership identifies the missing link, addresses priority issues and information that is accurate, complete, economical, flexible, reliable, simple, timely, and verifiable. Nurses have a purpose, a destiny and need to accomplish things. They are trained to make a difference in peoples
KAGURE PROFKARANIANNE. "
Nyangena, E., Mutema, A. & Karani, A. Evaluation of clinical training in nursing in Kenya.". In:
Baraton Interdisciplinary Research Journal - Dec. 2011 1(2) 22-30. Baraton Interdisciplinary Research Journal; Submitted.
Abstract The research evaluated clinical training provided by the academic institutions that offer Bachelor of Science in Nursing (BScN) program. The purpose of the study was to describe the adequacy of clinical training and the graduates preparedness for nursing practice. The study was conducted from Sept. 2008 to March 2010. Design was cross sectional using questionnaires and focus group interviews (FGI) methods to collect data. The sample comprised of 232 subjects including pre-service BScN graduates and nursing supervisors at four teaching and referral hospitals in Kenya. Results revealed that clinical training provided by academic institutions was adequate but quality of training varied widely among the training institutions. The conclusion was that clinical training provided by BScN programs in Kenya was of high quality. The study recommends that urgent attention was required by nurse educators to address identified gaps in clinical training especially clinical instruction and supervision.
O. PROFOCHANDAJAMES. "
Ochanda, J. O., Oduori, E. A. C., Galun, R., Imbuga, O. M. and Mumcuoglu, K. Y. Partial purification of the aminopeptidase from the midgut of the human body louse, Pediculus humanus humanus. Physiol. Entomol.". In:
Appl Environ Microbiol. 1984 Jun;47(6):1319-22. East African Medical Journal; Submitted.
AbstractC1 neurotoxin of Clostridium botulinum strains C-Stockholm (C-ST), C beta-Yoichi, C-468, CD6F, and C-CB19 and type D toxin of strains D-1873 and D-CB16 were purified by gel filtration, ion exchange, and affinity chromatographies. The purified toxins had di-chain structure made of heavy and light chains. The toxins of C beta-Yoichi, C-468, CD6F, and C-CB19 reacted with anti-C-ST heavy chain and anti-C-ST light chain in immunodiffusion tests and enzyme-linked immunosorbent assay, whereas D-CB16 toxin reacted with anti-D-1873 heavy chain and anti-D-1873 light chain. However, C-6813 toxin reacted with anti-D-1873 heavy chain and anti-C-ST light chain but not with anti-C-ST heavy chain or anti-D-1873 light chain immunoglobulin G. These results indicate common antigens in the heavy chains of C-6813 and D-1873 toxins and in the light chains of C-6813 and C-ST toxins. Further, they provide evidence for heterogeneity within type C1 toxin subunits.
O. PROFADUOLFRANCISW. "
On outlier identification in geodetic networks using principal component analysis. International Conference on Influential Data Analysis,.". In:
University of Sheffield, Sheffield, UK,. F.N. kamau, G. N Thothi and I.O Kibwage; Submitted.
AbstractA model for the establishment of an integrated geodetic datum covering a region is treated. The integrated geodetic datum is understood here to comprise the geoid, the reference ellipsoid, and the positional coordinates. A comprehensive unified solution model including the three parameters comprising the datum is considered. The estimation model adopted rigorously incorporates determined prior information in the estimation of the datum parameters. Mathematical models together with the pertinent observation equations are presented, followed by a description of the procedure for the aetual setting up of the datum. The observational scheme is based on a system of modular traverses anchored on a trilateration of GPS baselines.
O. PROFOCHANDAJAMES. "
Osano A.A., Siboe, G.M., Ochanda, J.O. and Kokwaro, J.O., Biodegradation of DDT(1,1,1,1-Trichloro-2,2-bis)(4-Chlorophenyl) ethene by the white not fungus James Opiyo Ochanda, PhD 16 Pleurotus Luteoalbus .". In:
First, Pan-African Conference on Bichemistry and Molecular Biology, September, 2-6, Nairobi, Kenya. Book of Abstract P. (181). East African Medical Journal; Submitted.
AbstractC1 neurotoxin of Clostridium botulinum strains C-Stockholm (C-ST), C beta-Yoichi, C-468, CD6F, and C-CB19 and type D toxin of strains D-1873 and D-CB16 were purified by gel filtration, ion exchange, and affinity chromatographies. The purified toxins had di-chain structure made of heavy and light chains. The toxins of C beta-Yoichi, C-468, CD6F, and C-CB19 reacted with anti-C-ST heavy chain and anti-C-ST light chain in immunodiffusion tests and enzyme-linked immunosorbent assay, whereas D-CB16 toxin reacted with anti-D-1873 heavy chain and anti-D-1873 light chain. However, C-6813 toxin reacted with anti-D-1873 heavy chain and anti-C-ST light chain but not with anti-C-ST heavy chain or anti-D-1873 light chain immunoglobulin G. These results indicate common antigens in the heavy chains of C-6813 and D-1873 toxins and in the light chains of C-6813 and C-ST toxins. Further, they provide evidence for heterogeneity within type C1 toxin subunits.
KIRETI DRVICTORN. "
Osgood Schlatter disease: An Audit Profile of 35 Adolescents.". In:
The Annals of African Surgery Volume 6 . Kireti VM, Atinga JEO; Submitted.
AbstractBackgroundOsgood-Schlatter disease is a common cause of anterior knee pain inthe adolescent. Treatment is usually conservative with surgery reservedfor those who do not respond to this treatment. There is little publishedwork regarding the experience with the disease in our local set up. This series documents the experience with 35 adolescents treated for the disease.DesignCase seriesSubjectsThirty five adolescents with clinical and radiological diagnoses ofOsgood-Schlatter disease at Nairobi and Kenyatta National Hospitals,between 2001and 2007.MethodPatients were evaluated for demographics, knee involvement, activitiesassociated with pain and treatment outcomeResultsThere were 28 males and 7 females, aged 10 to 16 years (mean 12.8years). Thirteen had bilateral knee involvement. Twenty two were involved in active sports while the rest had constant pain and unable to sit or kneel. A family history of the disease was documented in one case.Thirty adolescents responded well to the conservative treatment. Inthe five adolescents who underwent surgery, the patella tendon wasedematous with thickening of the tendon sheath and neovascularisation.All the operated adolescents returned to active sports with 6 weeks after the surgery.ConclusionOsgood-Schlatter disease is a self-limiting condition in majority ofadolescents. Surgery when indicated has an excellent outcome.
CLAUDIO MRACHOLA. "
Peak Revision Mathematics.". In:
E.A.E.P. Journal of British Ceramic Transactions, 99 [5], 206-211.; Submitted.
ARAP MRKENDUIWOJOHNK. "
The Physical Ditribution Problems: The Need and th Application of Linear Programming Techniques (An M.B.A. Independent Paper of the University of Nairobi,.". In:
E.A.J.P.Sc. 1 (1998) 1-27. Folio Morphol; Submitted.
AbstractAsiatic acid (AA) is a pentacyclic triterpene found in Centella asiatica. In the present study, the mechanism of anticancer effect of AA on skin cancer was investigated. AA decreased viability and induced apoptosis in human melanoma SK-MEL-2 cells in a time- and dose-dependent manner. AA also markedly increased intracellular reactive oxygen species (ROS) level and enhanced the expression of Bax but not Bcl-2 protein in the cells. In addition, AA-induced activation of caspase-3 activity in a dose-dependent manner. Pretreatment with Trolox, an antioxidant, significantly blocked the induction of Bax and activation of caspase-3 in AA-treated cells. Furthermore, Ac-DEVD-CHO, a specific caspase-3 inhibitor, and Trolox prevented the AA-induced apoptosis. AA did not elevate p53 nuclear protein levels that are present in a mutant form in SK-MEL-2 cells. These results suggest that AA-induced apoptosis may be mediated through generation of ROS, alteration of Bax/Bcl-2 ratio and activation of caspase-3, but p53-independent. These results further suggest that AA may be a good candidate for the therapeutic intervention of human skin cancer.
AKUMU PROFODIRAPATTSM. "
Pollution Profile of Thika River.". In:
Proceedings of 17th WEDC International Conference on Infrastructure, Environment, Water and People. Prof. James Otieno-Odek; Submitted.
AbstractThis paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.
WARUE MRSKARIUKICATHERINE. "
Preliminary Suggestions on the implementation of the Land Section of Chapter five of the Constitution of Kenya through Research and Training.". In:
African Journal of Ecology 46(1):22-29. uon press; Submitted.
AbstractThe New Constitution of Kenya, Chapter five states that land in Kenya will be held, used and managed in a manner that is equitable, efficient, productive and sustainable. The construction also sets out a number of principles, which will be implemented through a national land policy that developed and reviewed regularly by the government and through legislation. The National Land Policy for Kenya is Sessional Paper No. 3 of 2009, it presents the issues and policy recommendations that were identified, analyzed and agreed by stakeholders. The sessional paper forms the foundation upon which administrative and legislative framework will be built. This is the framework that will drive the critically required land reforms for Kenya. This paper gives a detailed outline of the training and capacity building and research requirements in land management and administration. Its main emphasis being the setting up of a Land Policy research Centre in the light of the new institutional framework suggested in chapter 5 of the Constitution of Kenya and the Sessional paper No.3 of 2009. A suitable land policy centre will undertake research and training for the National Land Commission, in the light of the suggested functions. The paper concludes by suggesting the training and research programmes fro governments and individuals in Kenya and within the continent on land.
KAGURE PROFKARANIANNE. "
Prof. Anna K. Karani ; Stephen Kainga; Prof. Simon Kangethe; Diana Mwarania - PERCEPTION OF BACHELOR OF SCIENCE IN NURSING (BScN) ON THEIR ROLE ON NURSING IN A HOSPITAL SETTING.". In:
KNJ Dec. 2011; vol.41:2. Impress Communications; Submitted.
AbstractThe study was conducted to investigate the clinical Competence of Bachelor of Science Nursing graduates working at Kenyatta National Hospital in March 2011. The objective was to assess the perceptions of graduate nurses about the nursing profession and the implications on the development of BScN undergraduates from the University of Nairobi and other Universities with a view to improving their perception about the profession through continuing education and curriculum review. It was a cross sectional study with a sample size of 50 nurses, total population selected on purpose. A supervised questionnaire and focus group discussion tools were used for data collection. The findings indicated that majority of the Bachelor of Science Nursing graduates
KAGURE PROFKARANIANNE. "
Prof. Anna K. Karani RE - DISCOVERING THE CHRISTIAN NURSE.". In:
Kenya Nursing Journal 1st.July 2010. Prof. Anna K. Karani; Submitted.
AbstractThe old nurse was there during the colonial era. They were trained mainly by missionaries who were Christians. Therefore, they had the discipline and the Christian foundation principles. The joy of a Christian institution like Kijabe is that it still has that foundation. So all is not lost. We have to make sure that the lost PASSION, LOVE & CARE are back in the nursing profession. We have to restore that passion. That idea or feeling
KAGURE PROFKARANIANNE. "
Prof. Anna Karani Facing Today.". In:
Paper presented at Safari Park Hotel STTI Conference on 3rd July, 2010. Prof. Anna K. Karani; Submitted.
AbstractA leader is one who has the Vision to see, Faith to believe, Will to learn, Humility to serve, Courage to do, Resilience to rise up in times of knock downs. What is leadership? The ability to get things done through people. What challenges have you encountered in leadership as you work? How have you overcome these challenges? What sets you apart from everybody else? What is it that you do differently from the nurse of to-day? It is your leadership. The way you do things for the community you serve. The commitment to serve selflessly. The way you are disciplined. It is not just money. We all want to learn how to become more effective leaders in providing health care to the community. We have to prepare for many challenges with the advanced technology, rapid development, and fast changing health systems, emerging diseases, rising poverty, hard economic times, changing social systems, Education , political , environment, climate among many others that affect the communities we serve. Facing Today
KAGURE PROFKARANIANNE. "
Prof. Anna karani, Prof. Simon Kangethe, Mr. Johannes Njagi, Njoka ,Media Resources in Medical Education: Critical issues and factors to consider in instructional media development in the training of health professionals.". In:
African Journal of Midwifery and Womens. Prof. Anna karani, Prof. Simon Kangethe & Johannes Njagi Njoka; Submitted.
Abstract Media resources are critical component in teaching and learning process. Studies indicate that media resources provide the substitute for direct learning experiences during instruction and enable educators to present the learners with the requisite experience necessary for the acquisition of appropriate knowledge, skills and attitudes.The researchers set out to explore the philosophical, psychological and educational basis that provides guidelines on the development of media resources in the effective education and training of health professionals. Methodology was a historical critique of information from books, journals,magazines and internet on media resources in Medical education. The findings indicate that the process of media resources development and administration is highly creative venture according to Mason (1977).plan, prepare, present, preview and follow up activities after use of equipment. Therefore educators must be able to demonstrate these issues when developing and administering them.
KAGURE PROFKARANIANNE. "
Prof. Karani Anna : NURSE.". In:
Annual Scientific Conference of National Nurses Association of Kenya on 5th - 7th October, 2011 at Kagumo Teachers College in Nyeri, Kenya. National Nurses Association of Kenya; Submitted.
AbstractAuthentic Leadership focus on impact of integrity so that leadership is better prepared to face the toughest challenges, inspire transparency and trust. It requires building in mind the customers served. Behaviour change is essential for long term growth and it avoids peripheral vision. Focused leadership identifies the missing link, addresses priority issues and information that is accurate, complete, economical, flexible, reliable, simple, timely, and verifiable. Nurses have a purpose, a destiny and need to accomplish things. They are trained to make a difference in peoples
AKUMU PROFODIRAPATTSM. "
River Pollution profile: A case Study of Thika River. Proceedings of National Seminar on Technological Solutions for Economic Development in Kenya now and in the 21st Century,.". In:
Canadian and International Education Journal. VOL: 19, No:1'1990. Prof. James Otieno-Odek; Submitted.
AbstractThis paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.
KAGURE PROFKARANIANNE. "
ROLES OF MEDICAL EDUCATORS IN THE ADVANCEMENT OF HEALTH PROFESSIONS .". In:
Kenya Nursing Journal - KNJ Vol. 41(2) 65-67. Impress Communications; Submitted.
AbstractHealth care professionals are absorbed daily in the practices of their professional areas of specialization. Medical Educators, spend their time catering to the educational needs of all health care professionals, whatever their specialization. A recent area of concern in the medical education curricula has been the inclusion of the topic
NYABOKE DROBAEMOSOTIROSE. "
Rose Mosoti-Obae, Achieving full enrolment in Kenya. A projection by Dr. Gravinir and R. Mosoti Obae.: Maseno Journal of Education, Art and Science Vol. No.1.". In:
Maseno Journal of Education, Art and Science Vol. No.1. Opuscula Mathematica,; Submitted.
AbstractMost economically developing countries, after having implemented the democratization of primary education, are now setting their sights on the goal of achieving full enrolment in countries a gradual approach of increasing enrolment annually into secondary schools is perhaps the only realistic option available. This study attempts to project, given this gradual approach, in how many years full enrolment will be achieved not only in each of the 6 provinces in Kenya but also in Kenya as a whole. The results obtained show two distinct categories of provinces: the educationally advantaged provinces which are likely to achieve full enrolment about twenty years before the group of educationally disadvantaged provinces do so.
KAGURE PROFKARANIANNE. "
S. Kangethe, A. Karani, J. Njagi, E Kamaara, C, Syallow, J.M. Ole Kiu, Mengich, Gladys. ROLES OF MEDICAL EDUCATORS IN THE ADVANCEMENT OF HEALTH PROFESSIONS .". In:
KNJ Dec. 2011; vol.41:2. Impress Communications; Submitted.
AbstractHealth care professionals are absorbed daily in the practices of their professional areas of specialization. Pediatricians, for example spend most of their time catering to the needs of children, while nurses, pharmacists and dentists in their own areas. Medical Educators, however, spend their time catering to the educational needs of all health care professionals, whatever their specialization. A recent area of concern in the medical education curricula has been the inclusion of the topic
KAGURE PROFKARANIANNE. "
S. Kangethe, A. Karani, J. Njagi, E Kamaara, C, Syallow, J.M. Ole Kiu, Mengich, Gladys. ROLES OF MEDICAL EDUCATORS IN THE ADVANCEMENT OF HEALTH PROFESSIONS .". In:
KNJ Dec. 2011; vol.41:2. Impress Communications; Submitted.
AbstractHealth care professionals are absorbed daily in the practices of their professional areas of specialization. Pediatricians, for example spend most of their time catering to the needs of children, while nurses, pharmacists and dentists in their own areas. Medical Educators, however, spend their time catering to the educational needs of all health care professionals, whatever their specialization. A recent area of concern in the medical education curricula has been the inclusion of the topic
ALEXANDER PROFMWANTHIMUTUKU. "
Simth, WCS and Mwanthi, MA: Tick borne disease .". In:
Book Chapter in Medicine and Environment Text Book 2009).; Submitted.
AbstractOBJECTIVE: To determine the prevalence of Xerophthalmia among Kenyan children aged four to seven years in high risk using Conjuctival Impression Cytology and transfer. DESIGN: A cross sectional community based study. SETTING: Mathare slum in Nairobi and Tiva/Ithiani area of Kitui. SUBJECTS: Children aged four to seven years residing in the above areas were assessed for both clinical and cytological features of vitamin A deficiency. RESULTS: Of the 342 children included in this study, 316 (92.0%) were normal, five (1.5%) had XN, 19 (5.9% had XIA and two (0.6%) had XIB. No signs of corneal Xerophthalmia were seen in this study. Conjuctival impression cytology and transfer (CICT) was used to asses for squamous metaplastic changes associated with Vitamin A deficiency (VAD). Seventy five (23.1%) of the children were normal by CICT while 249 (76.9%) were abnormal. In comparing the two areas of study, only 13.2% of the children in Mathare had normal CICT compared to 50% in Kitui. For each of the age groups studied there was significant difference between the two areas with children from Mathare being more deficient than those from Kitui. CONCLUSION: VAD is a significant health problem in the high risk areas assessed by CICT in this study.
O. PROFADUOLFRANCISW. "
A static dynamic model for densification of geodetic networks.". In:
Allgemeine Vermessungs Nachrichten, International Edition, 1. F.N. kamau, G. N Thothi and I.O Kibwage; Submitted.
AbstractA model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
MUTUKU DRNZIMBIBERNARD, KIBET DRMOINDISTEPHEN, P PROFPOKHARIYALGANESH. "
Stephen Moindi Kibet, G.P. Pokhariyal and B.M. Nzimbi, W_2-Recurrent LP-Sasakian manifold, Universal Journal of Mathematics and Mathematical Sciences(UMMS) accepted in May 2012. Paper under review.". In:
E.A.M. J. 58: 401-404, 1981. Universal Journal of Mathematics and Mathematical Sciences(UMMS); Submitted.
AbstractAminoglutethimide (AG) 500 mg was administered orally to four normal volunteers and eight patients undergoing treatment for metastatic breast cancer. In each subject the acetylator phenotype was established from the monoacetyldapsone (MADDS)/dapsone (DDS) ratio. Acetylaminoglutethimide (acetylAG) rapidly appeared in the plasma and its disposition paralleled that of AG. A close relationship (P less than 0.01) was observed between the acetyl AG/AG and MADDS/DDS ratio suggesting that AG may undergo polymorphic acetylation like DDS. AG half-life was 19.5 +/- 7.7 h in seven fast acetylators of DDS and 12.6 +/- 2.3 h in five slow acetylators and its apparent metabolic clearance was significantly (P less than 0.01) related to the acetylAG/AG ratio. Over 48 h the fast acetylators excreted 7.7 +/- 4.4% of the administered AG dose in the urine as unchanged AG as compared to 12.4 +/- 2.8% in slow acetylators. A much smaller fraction of the dose was excreted as acetylAG: 3.6 +/- 1.5% by fast and 1.9 +/- 1.0% by slow acetylators respectively. After 7 days treatment with AG at an accepted clinical dose regimen to the eight patients there were significant reductions in the half-lives of AG (P less than 0.01) and acetylAG (P less than 0.01) and a trend (0.1 greater than P greater than 0.05) towards reduction of the acetylAG/AG ratio which became significant (P less than 0.05) if the one patient on a known enzyme inducer was omitted. The mean apparent volume of distribution was not significantly (P greater than 0.1) altered but the mean apparent systemic clearance of AG was increased (P less than 0.05). These changes are attributed to auto-induction of oxidative enzymes involved in AG metabolism.
OSAAJI DRMUMIAGEOFREY. "
Subversion of Patriarchal Ideology: A Case Study of Magdalene, a Woman Oral Narrative Performer from the Samburu of Kenya.". In:
Research In African Literatures, Vol. 40, No. 1 (Spring 2009). Indiana University Press; Submitted.
AbstractThis paper is based on narrative performances collected in research by students of the University of Nairobi under the guidance of their lecturers. The fieldwork was conducted in February 2005 among nomadic communities in northern Kenya. The main thrust of the paper is to explore how Magdalene, a woman narrator, subverts the dominant masculine ideology inherent in the structure and orientation of oral narratives. The paper identifies the discrete and subtle ways in which the narrator seeks to undermine the manifest inclination of oral narratives towards male dominance. Considering that oral literature is a crucial tool in shaping the world view of a community (especially children), and bearing in mind that women artists perform many of the oral narratives, the imperceptible but subversive potential of such narration becomes even clearer.
CLAUDIO MRACHOLA. "
Success Primary Mathematics Guides1,2,3,4,5,6,7,8.E.A.E.P.". In:
Department of Agricultural Economics, University of Nairobi. Unpub. M.Sc.Thesis. Journal of British Ceramic Transactions, 99 [5], 206-211.; Submitted.
BHALENDU PROFBHATT. "
Synthesis of vernolamides from vrnonia galamensis oil under varied conditions and their anti-microbial activities.". In:
Journal of the Kenya Chemical Society. M.N. Mbugua, A.O. Yusuf, B.M Bhatt and P.M. Gitu; Submitted.
AbstractWe surveyed the phytoseid mites in four different geographical zones of Kenya: Zone I, upper highland and tropical alpine (2400-4400m): Zone II, lower highland (1800-2400m); zone III, midland (800-1800m); Zone IV, tropical, hot and humid( 0-800m ). A total of 107 species was found. In the sub family, amblyseeinae there were 14 species in the genus Neoseilus , one in Aspereroseius Chant, one in Paraphytoseius Swirski &Schechter, five in typhlodromips De Leon, five in Transeius Chant & McMurty, one in Graminaseius Chant &McMurty, 11 in Amblyseius Berlese, one in Arrenoseius Wanstein, two in Typhlodromalus muma, seven in Ueckemannseius Chant &McMurty, one in Ambylodromalus Chant &Mcmurty,, 20 in Euseius Wanstein, one in Iphiseius Berlese, one in Phytoseilus Evans and one in Gynaseius Ehara & Imano. In the subfamily Phytoseiinae Berlese there were four species in the genus Phytoseiius Ribaga. In the subfamily Typhlodrominae Wanstein, there were four species in the genus Kuzinellus Wainstein and 27 in Typhlodromus Scheuten
O DROGARAWILLIAM. "
TACIT KNOWLEDGE TRANSFER - THE IMPERATIVES AND PRACTICES.". In:
Journal. Journal of the Association of Professional Societies in East Africa; Submitted.
AbstractWycliffe Omanya, Development Communication
Consultant womanya@gmail.com
&
Dr. William O. Ogara, College of Agriculture and Veterinary Sciences, University of Nairobi wogara@uonbi.ac.ke
Abstract:
This paper seeks to explore tacit knowledge in the light of knowledge transfer. Specifically it looks at the technique of mentoring as a process through which this highly personalized knowledge can be replicated in any organisation. It also introduces knowledge acquisition process as innate and broadly presents various existing models of tacit knowledge transfer. In addition, it explores the significance of mentoring to all key actors in the process of knowledge transfer while also providing some case scenarios in which this strategy has been successfully used to ensure competitive advantage based on developed long standing knowledge.
Key words:
Knowledge management, Tacit Knowledge, explicit knowledge, knowledge transfer, mentoring, transfer models.
O DROGARAWILLIAM. "
TACIT KNOWLEDGE TRANSFER - THE IMPERATIVES AND PRACTICES.". In:
Journal. Journal of the Association of Professional Societies in East Africa; Submitted.
AbstractWycliffe Omanya, Development Communication
Consultant womanya@gmail.com
&
Dr. William O. Ogara, College of Agriculture and Veterinary Sciences, University of Nairobi wogara@uonbi.ac.ke
Abstract:
This paper seeks to explore tacit knowledge in the light of knowledge transfer. Specifically it looks at the technique of mentoring as a process through which this highly personalized knowledge can be replicated in any organisation. It also introduces knowledge acquisition process as innate and broadly presents various existing models of tacit knowledge transfer. In addition, it explores the significance of mentoring to all key actors in the process of knowledge transfer while also providing some case scenarios in which this strategy has been successfully used to ensure competitive advantage based on developed long standing knowledge.
Key words:
Knowledge management, Tacit Knowledge, explicit knowledge, knowledge transfer, mentoring, transfer models.
OTIENO DRJOWI. "
Teaching in Communication.". In:
Seminar paper presented at staff Development seminars at the Kenya Institute for Monetary Studies, Nairobi and organized by the University of Nairobi. The Kenya Medical Association; Submitted.
AbstractQuality of health education during STD case management in Nairobi was assessed in 142 healthcare facilities, through interviews of 165 providers, observation of 441 STD patients managed by these providers, and 165 visits of simulated patients. For observations, scores were high for education on contact treatment (74-80%) and compliance (83%), but unsatisfactory for counselling (52%) and condom promotion (20-41%). The World Health Organization (WHO) indicator for STD case management Prevention Indicator 7 (PI7) (condom promotion plus contact treatment) was poor (38%). Public clinics strengthened for STD care generally performed best, whereas pharmacies and mission clinics performed worst. Compared with observations, scores were higher during interviews and lower during simulated patient visits, indicating that knowledge was not fully translated into practice. Interventions to improve the presently unsatisfactory service quality would be wide distribution of health education materials, ongoing training and supervision of providers, implementation of STD management checklists, and the introduction of pre-packaged kits for STD management.
AKUMU PROFODIRAPATTSM. "
Upflow Filters in Flocculation and Direct Filtration of Waters of High Turbidity; Ph.D. Thesis,.". In:
Tampere University of Technology, Finland,. Prof. James Otieno-Odek; Submitted.
AbstractThis paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.
KAGURE PROFKARANIANNE. "
Utrasound findings; Their Importance and their Nursing and Medical Education Implication- The Case of Ectopic Pregnancies.". In:
Kenya Nursing Journal, 38 (1) 55-59. Dr. Onditi Elias G.D, Prof. Anna K. Karani & Prof. Simon Kangethe; Submitted.
AbstractBackground: Utrasound technology continues advancing in techniques and diagnosis. It remains a field of specialists where nurses and other health workers are uneducated on it. Objectives: Determine pattern of ultrasound findings in ectopic pregnancy, involvement of nursing staff, determine medical education implications.Design: Retrospective, prospective and on-going study over 8 year period. Focus group discussions with nursing and medical education analysts. Setting: Memorial Hospital Eldoret, Kenya.Participants - 81 patients with ectopic pregnancy diagnosed by ultrasound.Results: Age range 19-39 years - 34.6% Unruptured ectopic pregnancy - 44.5%, Ruptured 43.2%, chronic leaking 2.3%.Conclusion: Ultrasound aids diagnosis and can grade type of pregnancy. Need to demystify science to nurses, clinical officers and other health workers.Recommendation: Medical education to include ultrasound to existing curriculaspecifying roles by health workers. Use participatory teaching methods for ultrasound technology.
KYALE DRKISUMBIBERNINA, M DRWAKIAGAJOHN. "
Wakiaga J.M and Kisumbi B.K: In-vitro colour changes of resin composites in beverages. Journal of Dental Research.". In:
Journal of Dental Research. University of Nairobi Press; Submitted.
AbstractThis study was done to determine the nature of utilization of dental auxiliaries and medical emergencies in private dental surgeries in Kenya. A self administering questionnaire with pre-paid postage was mailed to 138 dentists. 27.5% responded. 81.6% used dental auxiliaries and the main reason was to improve efficiency in managing patients. 93.5% of the auxiliaries were on job trained secondary school graduates. 63.2% of the respondents delegated duties which were mainly non-clinical. 26.3% did not delegate any duties. In a descending order, the reasons for non delegation were: that it would be risky to patients, not allowed by law, they did not find it necessary and that auxiliaries were not held responsible if something went wrong. The main duties delegated to the auxiliaries were cleaning of instruments and sterilization, mixing of restorative materials and preparing amalgam. Delegation was done primarily based on auxiliaries capability to perform the procedure and meet the set standards. 57.9% indicated that they rarely encountered medical emergencies. Syncope was the commonest emergency encountered. 72.7% indicated that auxiliaries could not handle medical emergencies because they were not trained. It is concluded that most dentists did not delegate clinical duties to dental auxiliaries and medical emergencies were rare.
W DRMAINASUSAN, M DRWAKIAGAJOHN. "
Wakiaga J.M., Maina S.W and Kisumbi B.K. Incidence of the Second Canal the Upper Second Premolar. Journal of Dental Research 13th Annual Scientific Conference of the East and Southern Division of IADR.". In:
Journal of Dental Research. University of Nairobi Press; Submitted.
AbstractThis study was done to determine the nature of utilization of dental auxiliaries and medical emergencies in private dental surgeries in Kenya. A self administering questionnaire with pre-paid postage was mailed to 138 dentists. 27.5% responded. 81.6% used dental auxiliaries and the main reason was to improve efficiency in managing patients. 93.5% of the auxiliaries were on job trained secondary school graduates. 63.2% of the respondents delegated duties which were mainly non-clinical. 26.3% did not delegate any duties. In a descending order, the reasons for non delegation were: that it would be risky to patients, not allowed by law, they did not find it necessary and that auxiliaries were not held responsible if something went wrong. The main duties delegated to the auxiliaries were cleaning of instruments and sterilization, mixing of restorative materials and preparing amalgam. Delegation was done primarily based on auxiliaries capability to perform the procedure and meet the set standards. 57.9% indicated that they rarely encountered medical emergencies. Syncope was the commonest emergency encountered. 72.7% indicated that auxiliaries could not handle medical emergencies because they were not trained. It is concluded that most dentists did not delegate clinical duties to dental auxiliaries and medical emergencies were rare.
KYALE DRKISUMBIBERNINA, M DRWAKIAGAJOHN. "
Wakiaga J.M., Maina S.W., Kisumbi B.K. : Incidence of the second Canal in the upper Second Premolar. (Journal of Dental Research).". In:
Journal of Dental Research. Taylor & Francis; Submitted.
AbstractOBJECTIVES: The aim was to study dimensional time-dependence of resin/ionomer formulations from 5 min age to one month and to separate out the intrinsic setting shrinkage and hygroscopic expansion effects, by using non-aqueous and aqueous storage media, respectively. METHODS: Materials studied included: A: resin-, B: metal- and C: polyphosphonate-modified glass-ionomer cements [GICs]; and controls of D: poly-acid modified composite [compomer]; and E: resin-composite. Separate specimen groups (n = 5) were stored in different storage-media: (i) silicone fluid; (ii) de-ionized water. Experiments were repeated at 23 and 37 degrees C. Volumetric changes of specimens (4 mm diameter x 6 mm height) were obtained via accurate mass measurements (to 10(-4) g), using Archimedes principle, with silicone or water also used as the Archimedean fluid. These measurements were made periodically over a 30 day period, post fabrication. RESULTS: In silicone at 23 degrees C, all materials underwent further gradual intrinsic shrinkage (after 5 min from mix). This was highly significant (p < 0.05) for the RM-GIC (A). At 37 degrees C, however the RM-GIC expanded, indicating that its cure is temperature-sensitive. In water, at 23 and 37 degrees C, the shrinkage was either partially offset (materials C, D, E), or replaced by appreciable expansions (materials A and B). Differences between RM-GIC (A) and MM-GIC (B) were significant (p < 0.05). SIGNIFICANCE: The deployment of dual storage media made an important contribution to the separate analysis of the volumetric changes due to the on-going setting chemistry in these systems and the time-dependent effects of an aqueous environment.
KYALE DRKISUMBIBERNINA, M DRWAKIAGAJOHN. "
Wakiaga J.M., Maina S.W., Kisumbi B.K. : Incidence of the second Canal in the upper Second Premolar. (Journal of Dental Research).". In:
Journal of Dental Research. University of Nairobi Press; Submitted.
AbstractThis study was done to determine the nature of utilization of dental auxiliaries and medical emergencies in private dental surgeries in Kenya. A self administering questionnaire with pre-paid postage was mailed to 138 dentists. 27.5% responded. 81.6% used dental auxiliaries and the main reason was to improve efficiency in managing patients. 93.5% of the auxiliaries were on job trained secondary school graduates. 63.2% of the respondents delegated duties which were mainly non-clinical. 26.3% did not delegate any duties. In a descending order, the reasons for non delegation were: that it would be risky to patients, not allowed by law, they did not find it necessary and that auxiliaries were not held responsible if something went wrong. The main duties delegated to the auxiliaries were cleaning of instruments and sterilization, mixing of restorative materials and preparing amalgam. Delegation was done primarily based on auxiliaries capability to perform the procedure and meet the set standards. 57.9% indicated that they rarely encountered medical emergencies. Syncope was the commonest emergency encountered. 72.7% indicated that auxiliaries could not handle medical emergencies because they were not trained. It is concluded that most dentists did not delegate clinical duties to dental auxiliaries and medical emergencies were rare.