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Onjala J, Kimuyu P, Musyoki R, Dorothy McCormick. The 4th Human Development Report for Kenya 2004. Industrialization and Human Development. Programme UND, ed. Nairobi; 2005.
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Akech M, Kinyanjui S. 5) Pretrial Detention in Kenya: Balancing the Rights of Criminal Defendants and the Interests of Justice . Open Society Initiative Global Criminal Justice Fund ; 2011.
Chindia ML, Wagaiyu EG, ocholla Tom, Opondo F, Kihara E. "5-year audit of the range and volume of diagnostic radiographic services at the University of Nairobi Dental Hospital.". 2012. AbstractWebsite

Background: Dental and cranio-maxillofacial diagnostic imaging constitutes an invaluable tool in the accurate diagnosis and management of a diverse range of conditions and diseases that afflict the oral and cranio-maxillofacial region. In order to improve on any existing facility, periodic audit evaluation is paramount. In this way proper and relevant service delivery can be achieved. Objective: To evaluate the range and volume of dental and cranio-maxillofacial diagnostic radiographic services offered at the University of Nairobi Dental Hospital (UNDH) in Kenya over a 5-year period (2006-2010). Methods: Retrospective survey involving manual examination of patient records at the Division of Dental and cranio-maxillo- facial Radiology registry of the UNDH. Results: Over the study period, the range of diagnostic radiographic services offered comprised of both intra- and extra- oral examinations. The total volume of radiographs taken was 48,874 among which 41,980 (86%) were intraoral and 6894 (14%) extraoral views. Among the intraoral views, 74% were bitewing, 25% periapical and only 1% were occlusal diagnostic views. The majority (95%) of the extraoral projections consisted of panoramic views and only 5% constituted other techniques. The volume of radiographs was high from January to September while November and December had the lowest number of examination requests. Conclusion: Intraoral radiography was the commonest examination with bitewings having been the majority while the panoramic tomography was the com- monest extraoral examination performed.

Kihara EN, Opondo F, Opondo F, Chindia ML, Wagaiyu E. "5-year audit of the range and volume of diagnostic radiographic services at the University of Nairobi Dental Hospital.". 2012. AbstractWebsite

Background: Dental and cranio-maxillofacial diagnostic imaging constitutes an invaluable tool in the accurate diagnosis and management of a diverse range of conditions and diseases that afflict the oral and cranio-maxillofacial region. In order to improve on any existing facility, periodic audit evaluation is paramount. In this way proper and relevant service delivery can be achieved. Objective: To evaluate the range and volume of dental and cranio-maxillofacial diagnostic radiographic services offered at the University of Nairobi Dental Hospital (UNDH) in Kenya over a 5-year period (2006-2010). Methods: Retrospective survey involving manual examination of patient records at the Division of Dental and cranio-maxillo- facial Radiology registry of the UNDH. Results: Over the study period, the range of diagnostic radiographic services offered comprised of both intra- and extra- oral examinations. The total volume of radiographs taken was 48,874 among which 41,980 (86%) were intraoral and 6894 (14%) extraoral views. Among the intraoral views, 74% were bitewing, 25% periapical and only 1% were occlusal diagnostic views. The majority (95%) of the extraoral projections consisted of panoramic views and only 5% constituted other techniques. The volume of radiographs was high from January to September while November and December had the lowest number of examination requests. Conclusion: Intraoral radiography was the commonest examination with bitewings having been the majority while the panoramic tomography was the com- monest extraoral examination performed.

Kihara EN, Opondo F, Ocholla TJ, Chindia ML, Wagaiyu E. "5-year audit of the range and volume of diagnostic radiographic services at the University of Nairobi Dental Hospital.". 2012. AbstractWebsite

Background: Dental and cranio-maxillofacial diagnostic imaging constitutes an invaluable tool in the accurate diagnosis and management of a diverse range of conditions and diseases that afflict the oral and cranio-maxillofacial region. In order to improve on any existing facility, periodic audit evaluation is paramount. In this way proper and relevant service delivery can be achieved. Objective: To evaluate the range and volume of dental and cranio-maxillofacial diagnostic radiographic services offered at the University of Nairobi Dental Hospital (UNDH) in Kenya over a 5-year period (2006-2010). Methods: Retrospective survey involving manual examination of patient records at the Division of Dental and cranio-maxillo- facial Radiology registry of the UNDH. Results: Over the study period, the range of diagnostic radiographic services offered comprised of both intra- and extra- oral examinations. The total volume of radiographs taken was 48,874 among which 41,980 (86%) were intraoral and 6894 (14%) extraoral views. Among the intraoral views, 74% were bitewing, 25% periapical and only 1% were occlusal diagnostic views. The majority (95%) of the extraoral projections consisted of panoramic views and only 5% constituted other techniques. The volume of radiographs was high from January to September while November and December had the lowest number of examination requests. Conclusion: Intraoral radiography was the commonest examination with bitewings having been the majority while the panoramic tomography was the com- monest extraoral examination performed.

Kihara EN, Opondo F, Ocholla TJ, Chindia ML, Wagaiyu E. "5-year audit of the range and volume of diagnostic radiographic services at the University of Nairobi Dental Hospital.". 2012. AbstractWebsite

Background: Dental and cranio-maxillofacial diagnostic imaging constitutes an invaluable tool in the accurate diagnosis and management of a diverse range of conditions and diseases that afflict the oral and cranio-maxillofacial region. In order to improve on any existing facility, periodic audit evaluation is paramount. In this way proper and relevant service delivery can be achieved. Objective: To evaluate the range and volume of dental and cranio-maxillofacial diagnostic radiographic services offered at the University of Nairobi Dental Hospital (UNDH) in Kenya over a 5-year period (2006-2010). Methods: Retrospective survey involving manual examination of patient records at the Division of Dental and cranio-maxillo- facial Radiology registry of the UNDH. Results: Over the study period, the range of diagnostic radiographic services offered comprised of both intra- and extra- oral examinations. The total volume of radiographs taken was 48,874 among which 41,980 (86%) were intraoral and 6894 (14%) extraoral views. Among the intraoral views, 74% were bitewing, 25% periapical and only 1% were occlusal diagnostic views. The majority (95%) of the extraoral projections consisted of panoramic views and only 5% constituted other techniques. The volume of radiographs was high from January to September while November and December had the lowest number of examination requests. Conclusion: Intraoral radiography was the commonest examination with bitewings having been the majority while the panoramic tomography was the com- monest extraoral examination performed.

KARUOYA PROFGITAUGEORGE. "5. Njanja J C, Gathuma J M, Gitau G K, Njeruh F M, Ngugi R. K. Measures of Health and Production in Preweaned Kids in Pastoral Herds in Northern Kenya. Bulletin of Animal Health and Production in Africa (2008) 56: 78-89.". In: Trop Anim Health Prod (2010) 42:1643-1647. Bulletin of Animal Health and Production in Africa; 2008. Abstract

Abstract The study reported data from 507 post-mortem records in the Department of Pathology, Microbiology and Parasitology, Faculty of Veterinary Medicine, University of Nairobi, Kenya. The records were from carcasses obtained from the peri-urban area of airobi during a 20-year period between 1990 and 2009. Approximately 80% (393/507) of the calf carcasses had their diagnosis made through post-mortem examination, while the rest (114/507) were incon-clusive. Just less than half (48.3%) of the calf carcasses presented had their age specified by the owners compared to 51.7% whose age was not specified. For calf carcasses whose age was specified by the owners, those indicated as more than 3 months were one-and-a-half times as many as those below 3 months old. The proportion of female carcasses (53.8%, 273/507) presented for post-mortem were slightly higher than the male carcasses (46.2%, 234/507). Diseases or conditions of the respiratory system were the most common 17.7% (97/507) while gastrointes- tinal tract (GIT) was second and affected 16.1 % (88/507) of the cases. Another small number, 3.3% (18/507), died from bloat giving the total cases associated with GIT as 19.4% (106/507). Severe calf malnutrition and septicaemia were the third most reported causes of calf mortality in similar proportions at 14.3% (78/507) and 14.4% (79/507), respectively. Other minor causes of calf mortality were tick-borne diseases 8.6% (47/507), helminthiasis and poisoning, 2.9% (16/507) and 1.8% (10/507), respectively.

Onjala J, Agevi E, Wasala W, Kut G. The 5th Human Development Report for Kenya 2006: Human Security and Human Development. Programme UND, ed. Nairobi; 2006.
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Akech M, Kinyanjui S. 6) Sentencing in Kenya: Practice, Trends, Perceptions and Judicial Discretion . Legal Resources Foundation; 2011.
KARUOYA PROFGITAUGEORGE. "6. Maichomo M W, Gitau G K, Gathuma J M, Ndung.". In: Trop Anim Health Prod (2010) 42:1643-1647. . Livestock Research for Rural Development; 2008. Abstract

Abstract The study reported data from 507 post-mortem records in the Department of Pathology, Microbiology and Parasitology, Faculty of Veterinary Medicine, University of Nairobi, Kenya. The records were from carcasses obtained from the peri-urban area of airobi during a 20-year period between 1990 and 2009. Approximately 80% (393/507) of the calf carcasses had their diagnosis made through post-mortem examination, while the rest (114/507) were incon-clusive. Just less than half (48.3%) of the calf carcasses presented had their age specified by the owners compared to 51.7% whose age was not specified. For calf carcasses whose age was specified by the owners, those indicated as more than 3 months were one-and-a-half times as many as those below 3 months old. The proportion of female carcasses (53.8%, 273/507) presented for post-mortem were slightly higher than the male carcasses (46.2%, 234/507). Diseases or conditions of the respiratory system were the most common 17.7% (97/507) while gastrointes- tinal tract (GIT) was second and affected 16.1 % (88/507) of the cases. Another small number, 3.3% (18/507), died from bloat giving the total cases associated with GIT as 19.4% (106/507). Severe calf malnutrition and septicaemia were the third most reported causes of calf mortality in similar proportions at 14.3% (78/507) and 14.4% (79/507), respectively. Other minor causes of calf mortality were tick-borne diseases 8.6% (47/507), helminthiasis and poisoning, 2.9% (16/507) and 1.8% (10/507), respectively.

Muiva L, Macharia B, Akala H, Derese S, Omosa LK, Yusuf A, Kamau E, Koch A, Heidenreich M, Yenesew A. "6a-Hydroxy-α-toxicarol and (+)-Tephrodin with antiplasmodial activities from Tephrosia species." Phytochemistry Letters. 2014;10:179-183.scan0062.pdf
Kersten E. "6th International Symposium on Maritime Medicine 1974." Bull Inst Marit Trop Med Gdynia. 1975;26(2):131-2.
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Akech M, Kameri-Mbote P. "7) Kenyan Courts and Politics of the Rule of Law in the Post-Authoritarian State ." EAST AFRICAN JOURNAL OF PEACE AND HUMAN RIGHTS. Submitted;18(357 ):2.
Akech M, Kameri-Mbote P. "7) Kenyan Courts and Politics of the Rule of Law in the Post-Authoritarian State ." EAST AFRICAN JOURNAL OF PEACE AND HUMAN RIGHTS. 2010;18(357):2.
KARUOYA PROFGITAUGEORGE. "7. E.G. Kiarie, L.W. Kabuage, G.K. Gitau, J.W. Wakhungu, J. Githure and C.M. Mutero. Description of livestock and their role in Mwea irrigation scheme. Bulletin of Animal Health and Production in Africa (2006) 54: 110-117.". In: Trop Anim Health Prod (2010) 42:1643-1647. Bulletin of Animal Health and Production in Africa; 2006. Abstract

Abstract The study reported data from 507 post-mortem records in the Department of Pathology, Microbiology and Parasitology, Faculty of Veterinary Medicine, University of Nairobi, Kenya. The records were from carcasses obtained from the peri-urban area of airobi during a 20-year period between 1990 and 2009. Approximately 80% (393/507) of the calf carcasses had their diagnosis made through post-mortem examination, while the rest (114/507) were incon-clusive. Just less than half (48.3%) of the calf carcasses presented had their age specified by the owners compared to 51.7% whose age was not specified. For calf carcasses whose age was specified by the owners, those indicated as more than 3 months were one-and-a-half times as many as those below 3 months old. The proportion of female carcasses (53.8%, 273/507) presented for post-mortem were slightly higher than the male carcasses (46.2%, 234/507). Diseases or conditions of the respiratory system were the most common 17.7% (97/507) while gastrointes- tinal tract (GIT) was second and affected 16.1 % (88/507) of the cases. Another small number, 3.3% (18/507), died from bloat giving the total cases associated with GIT as 19.4% (106/507). Severe calf malnutrition and septicaemia were the third most reported causes of calf mortality in similar proportions at 14.3% (78/507) and 14.4% (79/507), respectively. Other minor causes of calf mortality were tick-borne diseases 8.6% (47/507), helminthiasis and poisoning, 2.9% (16/507) and 1.8% (10/507), respectively.

KIIRU PROFMUCHUGUDH. "720 Hours in This Scept.". In: The Journal African Travel-Writing 8-9 (2001): 106-19. Philosophical Issues Invoked by Shona People; 2001. Abstract

Yenesew A, Mushibe EK, Induli M, Derese S, Midiwo JO, Kabaru JM, Heydenreich M, Cock A, Peter MG. "7a-O-methyldeguelol, a modified rotenoid with an open ring--C, from the roots of Derris trifoliata." Phytochemistry. 2005;66:653-657.
Keiyoro, P.N., Kinuthia, Ngunjiri. 7th International conference on ICT for Development, Education and Training in Africa. Cotonou Benin; 2012.
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KARUOYA PROFGITAUGEORGE. "8. Karimi S.K., G.K. Gitau, J.J. McDermott, R.N. Kinuthia, J.M. Gathuma. Estimation of birth weight of Maasai Zebu calves and their crosses with Sahiwal and Boran in Kajiado District, Kenya. Bulletin of Animal Health and Production in Africa (2005) 53: 35.". In: Trop Anim Health Prod (2010) 42:1643-1647. Bulletin of Animal Health and Production in Africa; 2005. Abstract

Abstract The study reported data from 507 post-mortem records in the Department of Pathology, Microbiology and Parasitology, Faculty of Veterinary Medicine, University of Nairobi, Kenya. The records were from carcasses obtained from the peri-urban area of airobi during a 20-year period between 1990 and 2009. Approximately 80% (393/507) of the calf carcasses had their diagnosis made through post-mortem examination, while the rest (114/507) were incon-clusive. Just less than half (48.3%) of the calf carcasses presented had their age specified by the owners compared to 51.7% whose age was not specified. For calf carcasses whose age was specified by the owners, those indicated as more than 3 months were one-and-a-half times as many as those below 3 months old. The proportion of female carcasses (53.8%, 273/507) presented for post-mortem were slightly higher than the male carcasses (46.2%, 234/507). Diseases or conditions of the respiratory system were the most common 17.7% (97/507) while gastrointes- tinal tract (GIT) was second and affected 16.1 % (88/507) of the cases. Another small number, 3.3% (18/507), died from bloat giving the total cases associated with GIT as 19.4% (106/507). Severe calf malnutrition and septicaemia were the third most reported causes of calf mortality in similar proportions at 14.3% (78/507) and 14.4% (79/507), respectively. Other minor causes of calf mortality were tick-borne diseases 8.6% (47/507), helminthiasis and poisoning, 2.9% (16/507) and 1.8% (10/507), respectively.

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Akech M, Kameri-Mbote P. 9) Kenyan Courts and Politics of the Rule of Law in the Post-Authoritarian State. Helsinki : the Institute of Development Studies, University of Helsinki ; 2009.
KARUOYA PROFGITAUGEORGE. "9. C.M. Mutero, C. Kabutha, V. Kimani, L. Kabuage, G. Gitau, J. Ssennyonga, J. Githure, L. Muthami, A. Kaida, L. Musyoka, E. Kiarie and M. Oganda. A transdisciplinary perspective of the links between malaria and agroecosystems in Kenya. Acta Tropica (2004.". In: Trop Anim Health Prod (2010) 42:1643-1647. Acta Tropica; 2004. Abstract

Abstract The study reported data from 507 post-mortem records in the Department of Pathology, Microbiology and Parasitology, Faculty of Veterinary Medicine, University of Nairobi, Kenya. The records were from carcasses obtained from the peri-urban area of airobi during a 20-year period between 1990 and 2009. Approximately 80% (393/507) of the calf carcasses had their diagnosis made through post-mortem examination, while the rest (114/507) were incon-clusive. Just less than half (48.3%) of the calf carcasses presented had their age specified by the owners compared to 51.7% whose age was not specified. For calf carcasses whose age was specified by the owners, those indicated as more than 3 months were one-and-a-half times as many as those below 3 months old. The proportion of female carcasses (53.8%, 273/507) presented for post-mortem were slightly higher than the male carcasses (46.2%, 234/507). Diseases or conditions of the respiratory system were the most common 17.7% (97/507) while gastrointes- tinal tract (GIT) was second and affected 16.1 % (88/507) of the cases. Another small number, 3.3% (18/507), died from bloat giving the total cases associated with GIT as 19.4% (106/507). Severe calf malnutrition and septicaemia were the third most reported causes of calf mortality in similar proportions at 14.3% (78/507) and 14.4% (79/507), respectively. Other minor causes of calf mortality were tick-borne diseases 8.6% (47/507), helminthiasis and poisoning, 2.9% (16/507) and 1.8% (10/507), respectively.

KAISHA DROTSIANYIWYCKLIFFE. "9. The femoral collodiaphyseal angle amongst selected Kenyan ethnic groups. Kaisha W, Pulei A, Koech A. Journal of morphological sciences.". In: Int. J. Morphol. Journal of Morphological sciences; 2011.
Nanyingi MO, Mbaria JM, Okello RO, Wagate CG, Lanyasunya AL, Kipsengeret B Koros, M.Oguna M. "9.131 Evaluation of resistance development to three anthelmintics and efficacy of plant extracts against nematodes of sheep in Samburu District, Kenya .". In: KVA Scientific Seminar.; 2008.
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KAGURE PROFKARANIANNE. ": PERCEPTION OF BACHELOR OF SCIENCE IN NURSING (BScN) ON THEIR ROLE ON NURSING IN A HOSPITAL SETTING Prof. Anna K. Karani University of Nairobi, Stephen Kainga,(MScN) University of Nairobi Prof. Simon Kangethe Moi University. Diana Mwarania BScN (graduate.". In: Kenya Nursing Journal: Dec. KNJ Vol. 41(2) 23-33. Impress Communications; Submitted. Abstract

The 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

Wambugu, M, Nyandega I, Kithia S. ": Spatio-Temporal Dynamics of Land Use Practices on Rivers in Tropical Regions: A case Study of Ruiru and Ndarugu Basins, Kiambu County, Kenya." African Journal of Environmental Science and Technology. 2017;11(8):426-437.
Kaviti L. ": The new curriculum of Education in Kenya: A Linguistic and Education Paradigm shift. ." In the Journal of Humanities and Social Sciences peer reviewed reviewed by the international organization of Scientific Research International Journal of Scien. 2018.
CHEPCHIENG J, KYALO DN, MULWA SA. ": ‘The Influence Of Urban Transport Policy On The Growth Of Motorcycle And Tricycles In Kenya’ .". In: The 3rd African International Business And Management . Conference K.I.C.C, Nairobi, Kenya.; 2012.
Kisiroche. IR. : “Sauti ya mwanamke dhidi ya Ubabedume katika tamthilia tatu za Kiswahili’’ . E.M. DM, K.W PW, eds. Nairobi: University of Nairobi; 2008.
Mulama. SJ. : “Usimulizi katika Utenzi wa Siri Li Asirali’’. K.W. PW, ed. Nairobi: University of Nairobi; 2011.
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KIIRU PROFMUCHUGUDH. ""A Case for Stylistics in Literary Scholarship: Review of Niyi Osundare, Cautious Paths through the Bramble" The Nairobi Journal of Literature 4 (March 2006): 83-89.". In: The Nairobi Journal of Literature 4 (March 2006): 83-89. Philosophical Issues Invoked by Shona People; 2006. Abstract

This paper presents a case for the need to build a virtual bibliography of Kenyan literature on the World Wide Web; this catalogue without cards will present to the wide audience with access to the internet basic and correct information on this literature. In the course of discussing the place of modern information technology in the world, the paper discusses the Kenyan literary heritage as a form of higher culture reflecting social experiences, capturing the souls of the nation and encapsulating the high ideals of humanism and progress. Further, the paper calls for honesty and sensitivity in the preservation of information on the literary texts, lest this information is laid open to possible distortion, even manipulation, by those who post it on the World Wide Web. Implicitly, the paper makes a case for the need of the developing world

KITHURE DRKINDIKI. ""A Preliminary Comment on th Independence of the Kenya National Commission on Human Rights".". In: In Volume 2 Number 2 East African Journal of Human Rights and Democracy p. 120-127. Vaccine 26:2788- 2795; 2004. Abstract

We describe the technique of splenic aspiration in 113 patients presenting with splenomegaly. It was used initially to establish a diagnosis, and in those patients with kala azar, to follow the response of the parasites to therapy until 'parasitological cure'. In all 671 aspirations were performed. No complications occurred in the 69 patients with active kala azar, who collectively had more than 600 aspirations. One patient in a moribund condition had a fatal haemorrhage. The aspirate suggested a lymphoma, confirmed at autopsy. In 68 of the 69 patients with active kala azar, the diagnosis was established at the first aspiration. The essentials of the technique are the use of a small calibre needle (21 G), and speed, the needle being in the spleen for less than a second, with the consequent procurement of a few drops of material only.

K PROFWABACHAJAMES. "A.G. Thaiya, S.M. Ndurumo, J.K. Wabacha. Suspected Nitrate/Nitrite poisoning in stall-fed dairy Cattle resulting from consumption of Amaranthus Plants.". In: Faculty of Veterinary Medicine Biennial Scientific Conference, Nairobi, 3rd . Bull. Environ. Contam. Toxicol; 2004. Abstract
A longitudinal study was carried out in Kikuyu Division (a peri-urban area in central Kenyan highlands) between January 1999 and December 1999 to estimate the baseline parameters on reproductive performance of the sow, as well as health and productivity of grower and preweaning pigs of smallholder herds. Data were collected on 155 breeding pigs, 795 grower pigs and 801 preweaning piglets in 74, 50 and 40 smallholder herds, respectively, using record cards that were updated during monthly visits. The sow-level medians were: weaning-to-service interval 3 months; interfarrowing interval 6.4 months; number of live-born piglets 9.0; and number of piglets weaned per litter 7.5. The piglet crude morbidity incidence risk was 29%. The cause-specific incidence risks for the important health problems encountered in preweaned piglets were diarrhea (4.3%), pruritus (17.1%), and skin necrosis (4.2%). The estimated crude mortality incidence risk to 8 weeks of age was 18.7%. The cause-specific mortality incidence risks to 8 weeks of age for the important causes of mortality were overlying (9.9%), savaging (2.4%), unviable piglets (2.0%) and unknown (1.9%). Overall, 78.8% of the total live-born piglet mortality occurred during the first week postpartum with 69% of these deaths being caused by overlying. The grower-pig crude morbidity incidence risk was 20% and the cause-specific incidence risks of the important health problems encountered were gut edema (1.3%), pruritus (21.1%), and unknown (2.3%). The crude mortality incidence risk was 3.8% and the important causes were gut edema and unknown causes (cause-specific mortality incidence risks of 1.3 and 1.6%, respectively). The median weight:age ratio and average daily weight gain for the grower pigs were 5.1 kg/month of age and 0.13 kg/day, respectively. For preweaning pigs, the median average daily weight gain was 0.13 g/day.
KARURI PROFGATHUMBIPETER. "A.N. Maina, T.A. Ngatia, D.I. Karioki, P.K. Gathumbi, T.A. Abuom, P.N. Gitonga and V.T. Chemis (2006). Ventricular encephalitis associated with Leukemic lymphosarcoma in a bovine calf. Bull. Anim Hlth. Prod. Afr. 54: 100-109.". In: Bull. Anim Hlth. Prod. Afr. 54: 100-109. Bull. Anim Hlth. Prod. Afr. 54: 100-109; 2006. Abstract
Aim of the study: This study was conducted to document herbal medicines used in the treatment of Malaria as well as the existing knowledge,attitudes and practices related to malaria recognition, control and treatment in South Coast, Kenya. Methods: Data was collected using semistructured questionnaires and interviews. A focused group discussion held with the community members, one in each of the study villages supplemented the interview and questionnaire survey. Results: The respondents were found to have a good understanding of malaria and could distinguish it from other fever types. They were also aware that malaria was spread by mosquitoes. Malaria prevalence was high, and affected individuals an average of four times a year. Community members avoided. Mosquito bites by using mosquitonets, clearing bushes around their homesteads and burning plant parts. To generate smoke. They prevented and treated malaria by taking decoctions or concoctions of traditional herbal remedies. Forty plant species in thirty-five genera distributed in twenty-four families were used as antimalarials in the study area. Five plant species, namely; Heeria insignis Del. (Anacardiaceae), Rottboelia exaltata L.F (Gramineae), Pentanisia ouranogyne S. Moore (Rubiaceae), Agathisanthenum globosum (A. Rich) Hiern (Rubiaceae), and Grewia trichocarpa Hochst ex A. Rich (Tiliaceae) are documented for the first time in South Coast, Kenya, for the treatment of malaria. Conclusions: The plants documented in the current study are a potential source for new bioactive compounds of therapeutic value in malaria treatment. The results provide data for further pharmacological and toxicological studies and development of commercial antimalarial phytotherapy products.
Kivai JM, Guantai AN, Mwanda WO, Maitho TE. "Abandonment of treatment and loss to follow up: a potential cause of treatment failure in patients with AIDS-related Kaposi’s sarcoma." African Journal of Pharmacology and Therapeutics. 2015;4(4):156-160. Abstract2015_-_abandonment_of_treatment_and_ltfu_aids_karposis.pdf

Background: Management of patients with cancer is complex, multi-disciplinary, longitudinal and costly. Abandonment of treatment by patients and loss to follow up is a common scenario, especially in resource poor countries and severely compromises health outcomes.

Objective: To assess the commitment to drug treatment protocol of patients with Acquired Immunodeficiency Syndrome (AIDS)-Related Kaposi’s Sarcoma at Kenyatta National Hospital, Kenya, over a 10 week period .

Methods: The study design was prospective, observational, cross-sectional period prevalence study on patients infected with human immunodeficiency virus (HIV) with Kaposi’s sarcoma. Patients with histological diagnosis of Kaposi’s sarcoma were sequentially enrolled into the study as they attended either the Haematology or Radiotherapy clinic or during their admission in the wards. The choice of the treatment protocol was left at the discretion of the attending physician. A pretested data collection form was used to collect demographic and clinical information about the patients, including treatments prescribed and completion of follow up.

Results: A total of 74 patients were enrolled into the study, 42 (56.8%) males and 32 (43.2%) females. The age ranged between 13 years to 55 years. Their treatment protocols included: Vincristine only, Vincristine plus Bleomycin, Vincristine plus Bleomycin plus Doxorubicin, Radiotherapy plus Vincristine and Radiotherapy only. Few of the patients were not assigned any antitumor treatment. Antiemetic and other conventional medicines were also prescribed when necessary. Fifty four (73%) of the patients abandoned treatment, five (6.8%) died, 15(20.3%) continued to attend clinic over the 10 week period. There was no significant association between sex and outcome (p=0.661).

Discussion: The results of this study demonstrate that abandonment of treatment is a major problem among patients on treatment for cancer in Kenyatta National Hospital in Kenya. Abandonment of treatment heavily contributes to poor clinical outcome hence complicating the burden of cancer in the country. It is therefore important to develop and establish follow-up systems to improve adherence to treatment for the cancer patients at Kenyatta National Hospital.

Key words: Abandonment of treatment, Loss to follow up, AIDS-Related Kaposi’s Sarcoma

Nansen P, Kyvsgaard NC, Thamsborg SM, Munyua WK, Munyua WK, Gathuma JM, Bogh HO. "An abattoir survey of gastrointestinal nematode infections in cattle in the central highlands of Kenya.". 1997. AbstractWebsite

The gastrointestinal tracts of 672 crossbred cattle were obtained from various abattoirs in Kiambu District, Kenya from August 1992 to July 1993, and examined for the presence of gastrointestinal nematodes. Eight nematode species were found in 583 (86.8%) of the animals. The nematodes were, in order of prevalence: Haemonchus placei (67.0%), Cooperia pectinata (53.0%), Cooperia punctata (41.7%), Oesophagostomum radiatum (38.4%), Trichostrongylus axei (24.3%), Nematodirus helvetianus (19.6%), Trichuris globulosa (9.7%) and Strongyloides papillosus (3.6%). The intensity of the nematode infection was moderate; the mean burden being less than 7000 worms. H. placei accounted, on average, for 52.3% of the total burden. The total burden was least during the dry seasons and increased gradually during the rainy seasons. Adult H. placei persisted in the host throughout the year and there was no indication of hypobiosis. The heaviest gastrointestinal worm burdens were detected in 1.5- to 3-year-old animals. These findings are discussed with regard to their relevance for strategic control of gastrointestinal nematodes in cattle.

KHALFAN DRABDALLAHFATMAH. "Abdallah F K , Mwanda W O, .". In: Africa Sanguine . 2006 ; 9;1;1 1-6. The East and Central African Journal of Pharmaceutical Sciences.; 2006. Abstract

OBJECTIVE: To document the impact of fixed dose weight adjusted filgastrim (G-CSF) in cytotoxic-induced neutropaenia. DESIGN: A descriptive cross-sectional study. SETTING: Paediatric Oncology Unit at Kenyatta National Hospital, Nairobi, Kenya. SUBJECTS: All paediatric oncology patients who had developed cytotoxic-induced neutropaenia. MAIN OUTCOME MEASURES: The following were documented for every tissue proven case of malignancy; age, sex, type of malignancy, treatment regimen and schedule, initial blood count at the time of neutropaenia; subsequent blood counts daily for five days from day one of single dose filgastrim, and the calculated neutrophil incremental count. RESULTS: Initially eight patients with solid tumours previously treated with filgastrim revealed that cytotoxic induced neutropaenia could be ameliorated by a single dose of filgastrim. Subsequently, the study listed thirty patients. This cohort consisted of; 37% rhabdomyosarcoma, 30% Burkitts, 27% acute lymphoblastic leukaemia and 6% Hodgkin's lymphoma. Increased neutrophil count after 48 hours was documented in 26 (87%) patients, with absolute neutrophil counts range of 0.5 to 31.5 x 10(9)/L. This response was significantly influenced by gender (p>0.0001), malignancy type and chemotherapy regimen (p>0.001). CONCLUSION: The study shows that chemotherapy induced neutropaenia can be alleviated by a single dose of filgastrim without adverse effects on lymphoblastic leukaemia. This study suggests that a single dose of filgastrim should be first tried in cytotoxic induced neutropaenia in the paediatric age group.

KHALFAN DRABDALLAHFATMAH. "Abdallah FA .". In: EAMJ , Jan 2008 ; 85 ; 16-21. The East and Central African Journal of Pharmaceutical Sciences.; 2008. Abstract
Normal 0 false false false EN-GB X-NONE X-NONE /* 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:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; 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:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} Clematis brachiata Thunberg (Ranunculaceae) is used in Kenya for the management of headaches, malaria and other febrile illnesses, abdominal disorders, yaws and for skin disorders.  Old stems and leaves are chewed for the management of toothaches and sore throats.  Extracts of the plant were subjected to tests for antimalarial, antibacterial and antifungal activity.  The toxicity of the extracts was assessed using the brine shrimp lethality bioassay.   The root extract gave the highest in vitro antimalarial activity against a mulitidrug resistant strain, Plasmodium falciparum VI/S (IC50=39.24 mg/ml). The stem and leaf extracts had insignificant antiplasmodial activity.  The leaf, stem and root extracts had bacterial or fungal growth even at very high concentrations of 10 mg/ml. The LD50 values of the stem and leaf methanol extracts against the brine shrimp larvae was 365.60 and 66.5 mg/ml respectively. The in vitro anti malarial activity of the root extract in part supports the ethnobotanical use of the plant to manage malaria.  KEY WORDS Clematis, Ranunculaceae, antimalarial, brine shrimp, antimicrobial
KHALFAN DRABDALLAHFATMAH. "Abdallah FK. Single dose filgastrim in cytotoxic-induced neutropaenia in children. East Afr Med J. 2008 Jan;85(1):30-5.". In: ast Afr Med J. 2008 Jan;85(1):30-5. The East and Central African Journal of Pharmaceutical Sciences.; 2008. Abstract

OBJECTIVE: To document the impact of fixed dose weight adjusted filgastrim (G-CSF) in cytotoxic-induced neutropaenia. DESIGN: A descriptive cross-sectional study. SETTING: Paediatric Oncology Unit at Kenyatta National Hospital, Nairobi, Kenya. SUBJECTS: All paediatric oncology patients who had developed cytotoxic-induced neutropaenia. MAIN OUTCOME MEASURES: The following were documented for every tissue proven case of malignancy; age, sex, type of malignancy, treatment regimen and schedule, initial blood count at the time of neutropaenia; subsequent blood counts daily for five days from day one of single dose filgastrim, and the calculated neutrophil incremental count. RESULTS: Initially eight patients with solid tumours previously treated with filgastrim revealed that cytotoxic induced neutropaenia could be ameliorated by a single dose of filgastrim. Subsequently, the study listed thirty patients. This cohort consisted of; 37% rhabdomyosarcoma, 30% Burkitts, 27% acute lymphoblastic leukaemia and 6% Hodgkin's lymphoma. Increased neutrophil count after 48 hours was documented in 26 (87%) patients, with absolute neutrophil counts range of 0.5 to 31.5 x 10(9)/L. This response was significantly influenced by gender (p>0.0001), malignancy type and chemotherapy regimen (p>0.001). CONCLUSION: The study shows that chemotherapy induced neutropaenia can be alleviated by a single dose of filgastrim without adverse effects on lymphoblastic leukaemia. This study suggests that a single dose of filgastrim should be first tried in cytotoxic induced neutropaenia in the paediatric age group.

KD O, L O. "Abdominal cocoon: A Case Report." Annals of African Surgery. 2009;4(1):36-38.
N. DREKAYAWELLINGTON, Kinyamario JI, Karue CN. "Abiotic and herbaceous vegetational characteristics of an arid rangeland in Kenya. African Journal of Range and Forage Science, 18: 117-124.". In: African Journal of Range and Forage Science (2003) 20(3): 265-270. ARCHWAY Technology Management Ltd; 2001. Abstract

A two-year study was conducted with an overall objective of characterising the structure and function of an arid rangeland in Kenya. A plot measuring 100 x 100m was used for this study. Data on rainfall and temperature were recorded at the plot site whereas data on evaporation rates and relative humidity were obtained from the meteorological office near the study site. Herbaceous aboveground material was sampled at monthly intervals using a rectangular 0.25m2 quadrat frame. Clipped material was separated by species and classified dead or live by physical examination. A 5cm diameter metal soil corer was used to sample belowground plant material, at monthly intervals. The sampled material was washed with running water over 2mm sieves and classified dead or live using the vital staining technique. All weights and calculations were based on organic weight. Total aboveground standing crop ranged from 84.6g m-2 to 295.4g m-2, with a mean of 162.3 60.6g m-2. Mean monthly aboveground standing crop for 1992 and 1993 was 142.8 53.8 and 178.5 63.3g m-2 respectively. The two values were significantly different (p<0.10). Aboveground biomass yield ranged from 17.7g m-2 to 242.7g m-2, with a mean of 104.3 58g m-2 and a coefficient of variation of 58%. Mean aboveground standing crop was 59 24g m-2. Monthly values ranged from 28.8g m-2 to 120g m-2, with a 38% coefficient of variation. The range for total belowground standing crop was from 83.3g m-2 to 232.7g m-2, and a mean of 155.2 46g m-2. The values had a coefficient of variation of 30%. Mean total monthly belowground plant material yield for 1992 and 1993 was 137.6 41g m-2 and 169.9 46g m-2. The coefficients of variation were 59% and 28% respectively. The mean monthly belowground biomass yield was 51.6 33g m-2 with a coefficient of variation of 64%. Mean monthly yield for belowground dead material was 103.7 32g m-2, with a coefficient of variation of 31%. There was no significant difference (p>0.01) in the mean belowground dead material yield between 1992 and 1993. In 1992, annual NPP was 439.2g m-2, giving a net primary productivity of 1.22g m-2day-1. Monthly NPP ranged from 17.2g m-2 to 90.1g m-2. In 1993, annual NPP was 944.5g m-2, equivalent to a net primary productivity of 2.62g m-2day-1. Monthly NPP was between 27.4g m-2 and 548.6g m-2. Over the 19921993 period, NPP was 1 383.7g m-2, equivalent to a productivity of 1.92g m-2day-1. Trends in monthly NPP closely followed the trend in rainfall. On the whole, herbaceous vegetation production and productivity were episodic in nature and closely linked to rainfall. The high primary productivity puts arid and semi-arid rangelands under sharp focus as CO2 sinks, whose role in the amelioration of greenhouse effect could be more important than is currently appreciated.

Kigen B, Omondi-Ogutu J, Machoki M, i Gichang P. "Abnormal cervical cytology among women in a rural Kenyan population – Narok district." J. Obstet. Gynaecol. East. Cent. Afr. 2006;18:113-118.
Mutungi AK, Wango EO, Rogo KO, Kimani VN, Karanja JG. "Abortion: behaviour of adolescents in two districts in Kenya.". 1999. AbstractWebsite

In Kenya the reported high rates of unwanted pregnancies (more than 90%), among adolescents have subsequently resulted in unsafely induced abortions with the associated high morbidity and mortality rates.
To evaluate the adolescents' behaviour regarding induced abortion.
A cross-sectional, prospective study done from July 1995 to June 1996.
Schools and health facilities in Kiambu and Nairobi districts in Kenya.
Interviews were conducted among adolescents aged 10-19 years in schools at the two districts and selected using a multi-stage random sampling procedure, as well as adolescent girls at two hospitals and two clinics in the immediate post-abortion period.
The number of adolescents health programmes, aimed at reducing the dangers of unsafely induced abortion, which are designed and subsequently implemented.
Demographic and health data, as well as data on behaviour regarding induced abortion were collected using a self-administered questionnaire.
The study sample comprised 1820 adolescents. These were 1048 school girls (SG), 580 school boys (SB) and 192 post-abortion (PA). Many adolescents were aware of abortion dangers, with the awareness being significantly lower among the SB whose girlfriends (GF) had aborted than those whose GF had not (p < 0.01). The practice of abortion was reported among 3.4% SG, 9.3% SBs' GF and 100% PA. Direct and indirect costs of abortion were heavy on the girls. Knowledge of the abortion dangers had no influence on the choice of the abortionist. Abortion encounter positively influenced approval by the adolescents, of abortion for pregnant school girls (p < 0.01).
Despite the costs and awareness of abortion dangers by adolescents, they will take risks

Mutungi AK, Karanja JG, Kimani VN, Rogo KO, Wango EO. "Abortion: knowledge and perceptions of adolescents in two districts in Kenya.". 1999. AbstractWebsite

Pregnancy among adolescents is unplanned in many instances. Although some pregnant adolescents carry the pregnancy to term, abortion, in many instances unsafely induced, is a commonly sought solution in Kenya.
OBJECTIVE:
To determine adolescents' perceptions of induced abortion.
DESIGN:
A cross-sectional descriptive study carried out between July 1995 and June 1996.
SETTING:
An urban and a rural district in Kenya.
PARTICIPANTS:
Adolescents aged 10-19 years in schools in Nairobi and Kiambu districts, and a group of immediate post-abortion adolescent girls in some health facilities in Nairobi.
MAIN OUTCOME MEASURES:
The number of health programmes formulated and put into use, which are adolescent-friendly and providing information, education and communication on abortion issues.
DATA COLLECTION:
One thousand eight hundred and twenty adolescents were subjected to a self-administered questionnaire that collected demographic and health data as well as perceptions of induced abortion. Focus group discussions on perceptions of abortion were held with 12 groups of adolescents in schools and the information obtained recorded on paper and in a tape-recorder.
RESULTS:
One thousand nine hundred and fifty two adolescents, comprising of 1048 school girls (SG), 580 boys (SB), 192 post-abortion girls (PA) and 132 adolescents in the focus group discussions, formed the study sample. More than 90% were aware of induced abortion (IA). Knowledge of IA correlated positively with level of education (P < 0.01). Seventy one per cent of SG, 84% of PA and 40% of SB were aware of abortion-related complications, the most common being infections, death and infertility. Eighty three per cent of PA felt that complications were preventable by seeking care from a qualified doctor compared to one quarter each for the SB and SG. 56% PA, 69% SB and 72% SG felt that abortions were preventable. However, less than 40% proposed abstinence as a primary strategy. The most important source of information on abortion was the media followed by friends and teachers.
CONCLUSION:
Adolescents are aware of abortion and the related complications, but there is more variability in their knowledge and preventive measures.

Kinuthia RK, Mureithi SM, Young TP, Njoka TJ, Otieno SG. "Aboveground Net Primary Productivity in Grazed and Ungrazed pastures: Grazing Optimisation Hypothesis or Local Extinction of Vegetation Species.". 2009. Abstract

The controversy that has surrounded herbivory studi es in the last few decades prompted our investigati on to establish the extent to which herbivore optimisatio n hypothesis or compensatory growth evidence is rea l. We used the traditional movable cage method to collect primary productivity data on herbage, functional g roups and key individual grass species in various controlled large herbivore treatments in an east African savan na. The herbivore treatments in triplicate blocks included cattle, wild herbivores with and without mega herbi vores and combinations of cattle and wild herbivores also wit h and without mega herbivores. The findings reveale d that at herbage level, most grazed treatments (four out of five) had higher productivity than the ungrazed con trol and three showed grazing optimisation curve at sixth po lynomial degree between monthly productivity and gr azing intensity (1-g/ng). At functional group level forbs productivity was higher in the ungrazed control th an in any of the grazed treatments while at individual grass spe cies level Themeda triandra productivity was higher in all grazed treatments than in ungrazed control. We conc lude against presence of herbivore optimisation hyp othesis at herbage, functional group and species level beca use of lack of attributable grazing effect in graze d treatments that matches complex ecological effects in the ungr azed treatment.

Waweru SE, Meme JS, Kinuthia DM, Kitonyi GW. "Absence of HIV seropositivity in children with sickle cell anaemia at Kenyatta National Hospital, Nairobi, Kenya.". 1987. AbstractWebsite

OBJECTIVE: To find out whether frequent blood transfusions increase the risk of transfusion-related HIV infection in children with Sickle cell anaemia. METHODS: One hundred and ninety-eight children with Sickle cell anaemia were transfused 1-13 times (mean 2,4) between 1982 and 1987. In Kenya routine screening of blood banks for HIV infection began in 1987. The HIV status of these children was compared with 231 non-transfused children: 106 with Sickle cell anaemia and 125 children with haemoglobin AA. In both transfused and non-transfused children age ranges were similar and were 1-12 years. All children were tested with Wellcozyme Elisa test in duplicate. All tests were performed at least 6 months after the last transfusion. Sixty five transfused sicklers were rechecked one year later. RESULTS: All 429 children were HIV negative. CONCLUSIONS: Out findings suggest that HIV seropositivity is low in Kenyan children. Furthermore, even though blood was unscreened in 1982 - 1987 transfusion did not increase the risk of HIV infection in our study children

Juma FD, Nganga JN, Mathenge SG, Kato A, Ichimaru M, Moriyasu M, Nishiyama Y. "Absolute configurations of two acyclic triterpenoids from Ekebergia capensis.". 1999. Abstract

The absolute configurations of two acyclic triterpenoids 1 and 2, previously isolated from the bark of Ekebergia capensis (Meliaceae) have been determined by the modified Mosher's method.

Kehinde M, Barasa L. "Absorptive capacity, marketing capabilities and innovation commercialization in Nigeria." European Journal of Innovation Management. 2019;22(5):790-821.
K PROFIMUNGIJASPER. "Abuye, C., K. Urga, H. Kinapp, D. Selmar, A. M. Omwega, J. K. Imungi and P. Winterhalter. 2003. A composition study of Moringa stenopetala leaves. East African Medical Journal 80: 247.". In: Prepared for FAO, Rome. Canadian Center of Science and Education; 2003. Abstract
Twenty variceal banding sessions were performed in eight patients between February 1995 and September 1996. A total of 69 rings were used to band the varices and at each session between two to six rings were used. Two of the eight had active bleeding and both underwent variceal banding to successfully arrest their bleeding as inpatients. Sixteen other variceal banding sessions were performed on an outpatient basis to obliterate their varices. Four of the eight patients had had sclerotherapy before and varices were still present. No acute or long term complications were noted. In one patient, variceal banding could not be performed as he developed stridor upon placement of the overtube. All the patients had advanced varices (Grade III or IV) and extended for more than 15 cms in the oesophagus. Endoscopic variceal obliteration remains the treatment of choice for patients with portal hypertension with variceal bleeding. Variceal banding is associated with a superior outcome when compared with sclerotherapy; the variceal kill time is shorter, infective complications less, rebleeding occurs less commonly and transfusion requirements are lower.
K PROFIMUNGIJASPER. "Abuye, C., Omwega, A.M. and Imungi, J.K. 1999. Familial tendency and dietary association of goitre in Gamo-gofa, Ethiopia. East African Medical Journal 76: 447.". In: International Plant Genetic Resources Institute Newsletter for Sub-Saharan Africa, Issue 17Rome, Italy. Canadian Center of Science and Education; 1999. Abstract
Twenty variceal banding sessions were performed in eight patients between February 1995 and September 1996. A total of 69 rings were used to band the varices and at each session between two to six rings were used. Two of the eight had active bleeding and both underwent variceal banding to successfully arrest their bleeding as inpatients. Sixteen other variceal banding sessions were performed on an outpatient basis to obliterate their varices. Four of the eight patients had had sclerotherapy before and varices were still present. No acute or long term complications were noted. In one patient, variceal banding could not be performed as he developed stridor upon placement of the overtube. All the patients had advanced varices (Grade III or IV) and extended for more than 15 cms in the oesophagus. Endoscopic variceal obliteration remains the treatment of choice for patients with portal hypertension with variceal bleeding. Variceal banding is associated with a superior outcome when compared with sclerotherapy; the variceal kill time is shorter, infective complications less, rebleeding occurs less commonly and transfusion requirements are lower.
K PROFNDELEJOHNSON. "Academia .". In: The Nairobi Journal of Medicine Vo. 19 No. 2 pp 30-34. University of Nairobi Press; Submitted. Abstract
The 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.
Muthomi M, Mumenya S, Mwero J, Mwea S, Kyalo G. "Academia & Practice: A Case Study of Retrofitting Reinforced Concrete Columns with Carbon Fibre Reinforced Polymer Wrap.". In: Institution of Engineers Conference. Mombasa, Kenya; 2020.
Munyua M M, W MS, N MJ, SK M, Kyalo G. "Academia & Practise: A Case Study of Retrofitting reinforced Concrete Columns with Carbon Fiber reinforced Polymer Wrap.". In: 27th IEK Conference. Pride Inn Paradise Beach Resort Mombasa, Kenya; 2020.
Matula P, Kyalo N, Mulwa S, Gichui WL. Academic Research Proposal Writing. Principles, Concepts and Structure.. Nairobi: ARTS press; 2018.
KAAYA, G.P., MWANGI EN, Malonza MM. "Acaricidal activity of Margaritaria discoidea plant extracts against the ticks Rhipicephalus appendiculatus and Amblyomma varigatum." International journal of Acarology. 1995;21:123-129.
Githaka NW, Kanduma EG, Wieland B, Darghouth MA, Bishop RP. "Acaricide resistance in livestock ticks infesting cattle in Africa: Current status and potential mitigation strategies." Current Research in Parasitology & Vector-Borne Diseases. 2022:100090. Abstract
n/a
Githaka NW, Kanduma EG, Wieland B, Darghouth MA, Bishop RP. "Acaricide resistance in livestock ticks infesting cattle in Africa: Current status and potential mitigation strategies." Curr Res Parasitol Vector Borne Dis. 2022;2:100090. Abstract

In many African countries, tick control has recently been the responsibility of resource-poor farmers rather than central government veterinary departments. This has led to an increase in acaricide resistance, threatening the welfare of livestock farmers in sub-Saharan Africa. Resistance has evolved to the three classes of acaricides used most extensively in the continent, namely fourth-generation synthetic pyrethroids (SP), organophosphates (OP) and amidines (AM), in virtually all countries in which they have been deployed across the globe. Most current data are derived from research in Australia and Latin America, with the majority of studies on acaricide resistance in Africa performed in South Africa. There is also limited recent research from West Africa and Uganda. These studies confirm that acaricide resistance in cattle ticks is a major problem in Africa. Resistance is most frequently directly assayed in ticks using the larval packet test (LPT) that is endorsed by FAO, but such tests require a specialist tick-rearing laboratory and are relatively time consuming. To date they have only been used on a limited scale in Africa and resistance is often still inferred from tick numbers on animals. Rapid tests for resistance in ticks, would be better than the LPT and are theoretically possible to develop. However, these are not yet available. Resistance can be mitigated through integrated control strategies, comprising a combination of methods, including acaricide class rotation or co-formulations, ethnoveterinary practices, vaccination against ticks and modified land management use by cattle, with the goal of minimising the number of acaricide applications required per year. There are data suggesting that small-scale farmers in Africa are often unaware of the chemical differences between different acaricide brands and use these products at concentrations other than those recommended by the manufacturers, or in incorrect rotations or combinations of the different classes of chemicals on the market. There is an urgent need for a more evidence-based approach to acaricide usage in small-scale livestock systems in Africa, including direct measurements of resistance levels, combined with better education of farmers regarding acaricide products and how they should be deployed for control of livestock ticks.

Sekadde-Kigondu C, Mwathe EG, Ruminjo JK, Nichols D, Katz K, Jessencky K, Liku J. "Acceptability and discontinuation of Depo-Provera, IUCD and combined pill in Kenya.". 1996. AbstractWebsite

This paper reports on a prospective study conducted between June 1990 and June 1992 to determine method acceptability, user satisfaction and continuation rates for three highly effective and reversible contraceptive methods currently available in Kenya: the CuT 380A (IUCD), the injectable, Depo-Provera and the low-dose oral contraceptive pill, Microgynon. A non-randomised sample of volunteer participants was used. One thousand and seventy-six users were followed up for a period of one year or up to the time of discontinuation of the method, whichever came earlier. Analysis revealed method specific differences in users' characteristics. The OC users were younger and had fewer children than the IUCD or Depo-Provera users. The Depo-Provera users were older, and had the largest family sizes. Many OC users (almost 40%) were single, while almost three-quarters of IUCD and Depo-Provera users were married. IUCD users were also more educated compared to OC and Depo-Provera users. Survival analysis was used to calculate cumulative life table discontinuation rates by method for the 12 month period. Discontinuation rates were highest for OC users (80%) and lowest for IUCD users (20%) and intermediate for Depo-Provera users (39%). Ninety percent of OC and Depo-Provera users and 86% of IUCD users said they were satisfied with their respective methods. While OCs are among the most popular family planning methods in Kenya, they are also one of the most problematic, while IUCD has the fewest compliance problems. Service providers need to address the issue of high discontinuation rates among the young OC users.
PIP:
This paper reports on a prospective study conducted between June 1990 and June 1992 to determine method acceptability, user satisfaction, and continuation rates for three highly effective and reversible contraceptive methods currently available in Kenya: the CuT 380A IUD; the injectable Depo-Provera; and the low-dose oral contraceptive Microgynon. A nonrandomized sample of volunteer participants was used. 1076 users were followed up for a period of 1 year or up to the time of discontinuation of the method, whichever came earlier. Analysis revealed method-specific differences in users' characteristics. The OC users were younger and had fewer children than the IUD or Depo-Provera users. The Depo-Provera users were older and had the largest family sizes. Many OC users (almost 40%) were single, while almost three-quarters of the IUD and Depo-Provera users were married. IUD users were also more educated compared to OC and Depo-Provera users. Survival analysis was used to calculate cumulative life table discontinuation rates by method for the 12-month period. Discontinuation rates were highest for OC users (80%), lowest for IUD users (20%), and intermediate for Depo-Provera users (39%). 90% of OC and Depo-Provera users and 86% of IUD users said they were satisfied with their respective methods. While OCs are among the most popular family planning methods in Kenya, they are also one of the most problematic, while IUDs have shown the fewest compliance problems. Service providers need to address the issue of high discontinuation rates among young OC users

Konyole SO, Kinyuru JN, Owuor BO, Kenji GM, Onyango CA, Estambale BB, Friis H, Roos N, Owino VO. "Acceptability of Amaranth Grain-based Nutritious Complementary Foods with Dagaa Fish (Rastrineobola argentea) and Edible Termites (Macrotermes subhylanus) Compared to Corn Soy Blend Plus among Young Children/Mothers Dyads in Western Kenya.". 2012. AbstractWebsite

This paper reports on a prospective study conducted between June 1990 and June 1992 to determine method acceptability, user satisfaction and continuation rates for three highly effective and reversible contraceptive methods currently available in Kenya: the CuT 380A (IUCD), the injectable, Depo-Provera and the low-dose oral contraceptive pill, Microgynon. A non-randomised sample of volunteer participants was used. One thousand and seventy-six users were followed up for a period of one year or up to the time of discontinuation of the method, whichever came earlier. Analysis revealed method specific differences in users' characteristics. The OC users were younger and had fewer children than the IUCD or Depo-Provera users. The Depo-Provera users were older, and had the largest family sizes. Many OC users (almost 40%) were single, while almost three-quarters of IUCD and Depo-Provera users were married. IUCD users were also more educated compared to OC and Depo-Provera users. Survival analysis was used to calculate cumulative life table discontinuation rates by method for the 12 month period. Discontinuation rates were highest for OC users (80%) and lowest for IUCD users (20%) and intermediate for Depo-Provera users (39%). Ninety percent of OC and Depo-Provera users and 86% of IUCD users said they were satisfied with their respective methods. While OCs are among the most popular family planning methods in Kenya, they are also one of the most problematic, while IUCD has the fewest compliance problems. Service providers need to address the issue of high discontinuation rates among the young OC users.
PIP:
This paper reports on a prospective study conducted between June 1990 and June 1992 to determine method acceptability, user satisfaction, and continuation rates for three highly effective and reversible contraceptive methods currently available in Kenya: the CuT 380A IUD; the injectable Depo-Provera; and the low-dose oral contraceptive Microgynon. A nonrandomized sample of volunteer participants was used. 1076 users were followed up for a period of 1 year or up to the time of discontinuation of the method, whichever came earlier. Analysis revealed method-specific differences in users' characteristics. The OC users were younger and had fewer children than the IUD or Depo-Provera users. The Depo-Provera users were older and had the largest family sizes. Many OC users (almost 40%) were single, while almost three-quarters of the IUD and Depo-Provera users were married. IUD users were also more educated compared to OC and Depo-Provera users. Survival analysis was used to calculate cumulative life table discontinuation rates by method for the 12-month period. Discontinuation rates were highest for OC users (80%), lowest for IUD users (20%), and intermediate for Depo-Provera users (39%). 90% of OC and Depo-Provera users and 86% of IUD users said they were satisfied with their respective methods. While OCs are among the most popular family planning methods in Kenya, they are also one of the most problematic, while IUDs have shown the fewest compliance problems. Service providers need to address the issue of high discontinuation rates among young OC users

Mayanja Y, Mukose AD, Nakubulwa S, Omosa-Manyonyi G, Kamali A, Guwatudde D. "Acceptance of Treatment of Sexually Transmitted Infections for Stable Sexual Partners by Female Sex Workers in Kampala, Uganda." PLoS ONE. 2016;11(5):e0155383. Abstract

The prevalence of sexually transmitted infections (STIs) among female sex workers (FSWs) in sub-Saharan Africa remains high. Providing treatment to the affected FSWs is a challenge, and more so to their stable sexual partners. There is scanty research information on acceptance of STI treatment for stable sexual partners by FSWs. We conducted a study to assess acceptance of STI treatment for stable sexual partners by FSWs, and to identify factors associated with acceptance.

MBULA SNOWELIUD, MULWA ANGELINE, KYALO DOROTHYNDUNGE. "Access to Improved Santation: Implication for Sustainable Implementation of Hygiene Practices in Secondary Schools in Machakos County." European Scientific Journal. 2014;10(ISSN:1857-7881).
Karugia JT;, Oluoch-Kosura W;, Nyikal R;, Odumbe M;, Marenya PP. "Access to Land, Income Diversification and Poverty Reduction in Rural Kenya."; 2006. Abstract

The increasing land scarcity and the worsening trend of poverty in Kenya in recent years have raised concerns about the focus on land-based agriculture as the basis of growth in the rural areas. This paper combines two complementary data sets obtained from two locations in Kenya, drawn against distinctively different land availability patterns, to examine the diverse rural asset base and key sources of livelihood in the rural areas. The analysis reveals that while access to productive land is still an important determinant of livelihoods in the rural areas, even where land holdings are very small, growth in farm productivity alone may not guarantee households sufficient incomes to escape poverty. We find evidence to suggest that growth of non-farm sector is necessary and may be much more important in reducing risks and vulnerability to poverty and should be equally emphasized if households in such regions are to escape poverty. Off-farm earnings accounted for at least 50 percent of total household incomes in the two research locations. The study further revealed existence of significant barriers to entry to remunerative livelihoods both at farm and off-farm level. The study advocates for expansion of educational services, infrastructure and strengthening of rural institutions to spur broad-based development in the rural areas.

Karugia JT;, Oluoch-Kosura W;, W; Nyikal R;, Odumbe M;, Marenya PP. "Access to Land, Income Diversification and Poverty Reduction in Rural Kenya."; 2006. Abstract

The increasing land scarcity and the worsening trend of poverty in Kenya in recent years have raised concerns about the focus on land-based agriculture as the basis of growth in the rural areas. This paper combines two complementary data sets obtained from two locations in Kenya, drawn against distinctively different land availability patterns, to examine the diverse rural asset base and key sources of livelihood in the rural areas. The analysis reveals that while access to productive land is still an important determinant of livelihoods in the rural areas, even where land holdings are very small, growth in farm productivity alone may not guarantee households sufficient incomes to escape poverty. We find evidence to suggest that growth of non-farm sector is necessary and may be much more important in reducing risks and vulnerability to poverty and should be equally emphasized if households in such regions are to escape poverty. Off-farm earnings accounted for at least 50 percent of total household incomes in the two research locations. The study further revealed existence of significant barriers to entry to remunerative livelihoods both at farm and off-farm level. The study advocates for expansion of educational services, infrastructure and strengthening of rural institutions to spur broad-based development in the rural areas.

Karugia JT;, Oluoch-Kosura W;, Nyikal R;, Odumbe M;, Marenya PP. "Access to Land, Income Diversification and Poverty Reduction in Rural Kenya."; 2006.
Karugia JT;, Oluoch-Kosura W;, Nyikal R;, Odumbe M;, Marenya PP. "Access to Land, Income Diversification and Poverty Reduction in Rural Kenya."; 2006. Abstract

The increasing land scarcity and the worsening trend of poverty in Kenya in recent years have raised concerns about the focus on land-based agriculture as the basis of growth in the rural areas. This paper combines two complementary data sets obtained from two locations in Kenya, drawn against distinctively different land availability patterns, to examine the diverse rural asset base and key sources of livelihood in the rural areas. The analysis reveals that while access to productive land is still an important determinant of livelihoods in the rural areas, even where land holdings are very small, growth in farm productivity alone may not guarantee households sufficient incomes to escape poverty. We find evidence to suggest that growth of non-farm sector is necessary and may be much more important in reducing risks and vulnerability to poverty and should be equally emphasized if households in such regions are to escape poverty. Off-farm earnings accounted for at least 50 percent of total household incomes in the two research locations. The study further revealed existence of significant barriers to entry to remunerative livelihoods both at farm and off-farm level. The study advocates for expansion of educational services, infrastructure and strengthening of rural institutions to spur broad-based development in the rural areas.

Karimurio J. "Accessibility and delivery of cataract surgery in Africa." Clin Exp Ophthalmol. 2001.
Otieno A, Karuku G, Raude J, Koech O. "Accumulation Of Nitrogen And Phosphorous By Vetiver Grass (Chrysopogon Zizanioides) In A Model Constructed Wetland Treatment System For Polishing Municipal Wastewater." International Journal of Innovation and Applied Studies . 2018;22(4):291-298 .
KIRTDA DRACHARYAS. "Acharya SK, Balwinder S, Padhee AK, Nijhawan S, Tandon BN.Large volume paracentesis and intravenous dextran to treat tense ascites.J Clin Gastroenterol. 1992 Jan;14(1):31-5.". In: J Clin Gastroenterol. 1992 Jan;14(1):31-5. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1992. Abstract
Forty patients with cirrhosis of the liver and tense ascites were randomized to receive either aldactone 400 mg/day and furosemide 80 mg/day (n = 20) or repeated large volume paracentesis (LVP) and infusion of low molecular weight dextran (n = 20). Both treatment groups were similar in clinical and laboratory parameters. Complete mobilization of the ascitic fluid was achieved in all receiving LVP and dextran therapy within 1 week of the treatment, in contrast to the minimal mobilization of the ascitic fluid in patients receiving diuretics even after 2 weeks of therapy. Renal function, the clinical parameters of systemic hemodynamics, serum electrolytes, and hepatic function remained stable in patients receiving LVP and dextran and were similar to those in the diuretic-treated patients. We found no deterioration of these functions in the nonedematous patients treated by LVP and dextran even though the protective effect of edema against LVP was lacking in them. Plasma volume estimation in six nonedematous cirrhotic patients treated by LVP and dextran did not reveal any hypovolemia after complete mobilization of ascites. The frequency of complications and death were similar in the two groups. Dextran infusion is a safe, effective, and low-cost replacement therapy in patients with cirrhotic ascites treated by LVP.
KIRTDA DRACHARYAS. "Acharya SK, Batra Y, Hazari S, Choudhury V, Panda SK, Dattagupta S.Etiopathogenesis of acute hepatic failure: Eastern versus Western countries.J Gastroenterol Hepatol. 2002 Dec;17 Suppl 3:S268-73.". In: J Gastroenterol Hepatol. 2002 Dec;17 Suppl 3:S268-73. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 2002. Abstract
Etiopathogenesis of acute hepatic failure (AHF) in Eastern and Western countries is distinct. In the East hepatitis viruses cause AHF in more than 95% of such cases, while causes of AHF in the West are quite heterogenous. Hepatitis E virus is the major etiological agent of AHF in countries like India where the virus is hyperendemic. Occult HBV infection may also be causing AHF in a sizable proportion of cases in areas where chronic HBV infection frequency is high. Paracetamol causes AHF in about 70% cases in the UK and about 20% cases in USA, whereas in France and Denmark, non-steroidal anti-inflammatory drugs are more frequently associated with AHF. Hepatitis B virus causes AHF in about one-third of cases in the latter two countries. Copyright 2002 Blackwell Publishing Asia Pty Ltd
KIRTDA DRACHARYAS. "Acharya SK, Batra Y, Saraya A, Hazari S, Dixit R, Kaur K, Bhatkal B, Ojha B, Panda SK.Vaccination for hepatitis A virus is not required for patients with chronic liver disease in India.Natl Med J India. 2002 Sep-Oct;15(5):267-8.". In: Natl Med J India. 2002 Sep-Oct;15(5):267-8. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 2002. Abstract
BACKGROUND: Hepatitis A virus (HAV) vaccination is recommended worldwide for patients with chronic liver disease to prevent decompensation due to superinfection with HAV. India being endemic for HAV, the prevalence of pre-existing antibodies against HAV due to subclinical exposure to the virus in childhood among patients with chronic liver disease may be high and, therefore, vaccination may not be needed. However, data are lacking on the prevalence of HAV antibody among patients with chronic liver disease in India. METHODS: Two hundred fifty-four patients attending the Liver Clinic at the All India Institute of Medical Sciences, New Delhi during the past 5 years and diagnosed to have either chronic hepatitis due to the hepatitis B virus (n = 76), hepatitis C virus (n = 84) or cirrhosis of the liver due to the hepatitis B (n = 47) or C (n = 47) virus were tested for the presence of IgG anti-HAV antibody in their sera (using a commercial ELISA kit). RESULTS: Two hundred forty-eight (97.6%) patients tested positive for IgG anti-HAV. The prevalence of anti-HAV positivity was similar among patients with chronic hepatitis B (74, 97.4%), chronic hepatitis C (82, 97.6%), cirrhosis of the liver due to the hepatitis B (46, 97.8%) and hepatitis C (46, 97.8%) virus. CONCLUSION: Vaccination against HAV is not required among patients with chronic liver disease in India as there is a very high prevalence of pre-existing antibodies in these patients.
KIRTDA DRACHARYAS. "Acharya SK, Batra Y.Is cirrhosis of the liver reversible? The ultimate that a hepatologist wishes.Trop Gastroenterol. 2003 Jan-Mar;24(1):1-2.". In: Trop Gastroenterol. 2003 Jan-Mar;24(1):1-2. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 2003. Abstract
We report a patient with fibrosing cholestatic hepatitis (FCH)-like syndrome in renal transplant recipient, who was negative for hepatitis-B and C-virus infection. The patient presented initially with extrahepatic biliary obstruction due to stricture at the lower end of the common bile duct. Cholestasis persisted inspite of effective biliary drainage. He was operated for empyema of the gallbladder and histological examination showed the presence of cytomegalovirus inclusions in the wall of the gallbladder. The patient died inspite of aggressive management; autopsy examination of the liver revealed evidence of FCH-like changes.
KIRTDA DRACHARYAS. "Acharya SK, Batra Y.Nonalcoholic steatohepatitis: lots of hype, how much substance?Trop Gastroenterol. 2002 Jul-Sep;23(3):111-2.". In: Trop Gastroenterol. 2002 Jul-Sep;23(3):111-2. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 2002. Abstract
Chronic Calcific Pancreatitis of Tropics is a disease of unknown aetiology and is characterised by chronic pancreatitis with calcification in young persons who present with pain, diabetes, and/or steatorrhoea. ERCP performed on 42 patients with this condition revealed changes compatible with chronic pancreatitis. These changes were however, more marked and somewhat different from those seen in the alcoholic chronic pancreatitis. Cystic dilatation, tortuosity, and obstruction of the main pancreatic duct were similar to that in alcoholic pancreatitis. The features of CCPT that were different from those of latter, were large pancreatic calculi, absence of strictures/stenosis and absence of irregularity of the ductal wall. The calculi were predominantly in the head region of the pancreas causing maximal dilatation of the main pancreatic duct in the head of pancreas. The secondary branches were stunted, short and scanty but revealed a lower grade of changes, than the changes documented in the main pancreatic duct. The pancreatic ductal changes in CCPT seems to be different from that seen in chronic alcoholic pancreatitis and may be due to the difference in the pathophysiology of the underlying disease.
KIRTDA DRACHARYAS. "Acharya SK, Buch P, Irshad M, Gandhi BM, Joshi YK, Tandon BN.Outbreak of Dengue fever in Delhi.Lancet. 1988 Dec 24-31;2(8626-8627):1485-6.". In: Lancet. 1988 Dec 24-31;2(8626-8627):1485-6. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1988. Abstract
Hepatitis G virus (HGV)/GB virus-C (GBV-C) has been identified as a blood-borne agent with disputed pathogenicity. This virus belongs to the flaviviridae with a distant relationship to hepatitis C virus (HCV). Genetically divergent HGV isolates have been reported from different parts of the world. This study describes the prevalence of HGV in multitransfused thalassaemic children in India and genomic sequence variations in 11 HGV isolates from the same geographical location. Hepatitis G virus RNA was detected in 39.7% multitransfused thalassaemic children. The seroprevalence of hepatitis B virus (HBV) and HCV was 23.8% and 17.1%, respectively, and 11.4% had dual infection. The nucleotide sequence of a 166 bp HGV genomic segment from the putative capsid-envelope region (nucleotide; nt 578-743) from 11 Indian isolates was compared to the sequences available in the nucleotide databases. The isolates from India were 81.3-94.5% homologous to the isolates from other parts of the world. On phylogenetic analysis, it was observed that HGV isolates from India may belong to two genetically divergent types.
KIRTDA DRACHARYAS. "Acharya SK, Dasarathy S, Bhargava DK.Alcohol is not a desirable sclerosant.Indian J Gastroenterol. 1990 Jan;9(1):83-4.". In: Indian J Gastroenterol. 1990 Jan;9(1):83-4. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1990. Abstract
One hundred and seventy five subjects with chronic liver diseases which included patients with chronic active hepatitis (90), liver cirrhosis (31) and asymptomatic hepatitis B carriers (54), were included in the study. Hepatitis B virus (HBV) specific DNA-polymerase activity and HBe-markers were tested as markers of HBV-multiplication. In HBsAg positive samples, DNA-P activity was positive in 44.4% of the HBV carriers, 52.9% of the patients with chronic active hepatitis and 81.8% of the patients with liver cirrhosis. The corresponding figures for the presence of HBeAg in these groups were 18.5, 26.5 and 45.5% respectively. Virus multiplication was also observed in 41.1 and 44.4% patients with chronic active hepatitis and liver cirrhosis respectively, in the absence of HBsAg. The results of the present study show that hepatitis B virus is the most important etiological factor of chronic liver diseases in India. Most of our patients of chronic liver diseases seems to have contacted HBV infection as young adults and the mode of transmission is likely to be horizontal rather than vertical. The virus replicating markers correlate well with the severity of the liver injury and decreased with the age. DNA-P activity is a more sensitive marker of viral multiplication than HBeAg. Viral multiplication was also found to occur in the absence of the usual HBV markers. Continued viral multiplication in patients with chronic active hepatitis and liver cirrhosis is implicated in continued liver injury and progressive liver disease.
KIRTDA DRACHARYAS. "Acharya SK, Dasarathy S, Irshad M.Prospective study of plasma fibronectin in fulminant hepatitis: association with infection and mortality.J Hepatol. 1995 Jul;23(1):8-13.". In: J Hepatol. 1995 Jul;23(1):8-13. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1995. Abstract
BACKGROUND/AIMS: Plasma fibronectin is an opsonic glycoprotein, normally synthesized by the liver, which decreases subsequent to severe liver damage and low levels of which may contribute to reticuloendothelial system dysfunction by compromising opsonic activity. This may result in an increased frequency of infection and death. The present study was conducted to evaluate the association of plasma fibronectin activity with infection and mortality in patients with fulminant hepatic failure. METHODS: Plasma fibronectin was estimated serially in 69 consecutive patients with fulminant hepatic failure, nine patients with uncomplicated acute viral hepatitis and 32 normal volunteers. RESULTS: Plasma fibronectin levels in patients with fulminant hepatic failure (85.6 +/- 75.8 micrograms/ml) were significantly lower than in patients with uncomplicated acute viral hepatitis (295.5 +/- 88.5 micrograms/ml) and healthy volunteers (362.6 +/- 69.2 micrograms/ml). Forty-nine (72%) patients with fulminant hepatic failure died. The initial values of fibronectin in fulminant hepatic failure did not correlate with mortality. Patients with fulminant hepatic failure who survived showed a progressive rise in the fibronectin levels compared to the absence of an increase in fibronectin levels in the non-survivors. The mortality in patients with fulminant hepatic failure with infection (24/27) was significantly higher (p < 0.05) compared to those without infection (25/42). Initial fibronectin levels in patients with infection (70.3 +/- 54.2 micrograms/ml) were significantly lower (p < 0.05) than in those without infection (92.3 +/- 64.4 micrograms/ml). We conclude that plasma fibronectin levels in patients with fulminant hepatic failure are decreased compared to healthy subjects and the absence of an increase in levels indicates a poor prognosis. Low levels of fibronectin are associated with an increased incidence of infection, which increases the mortality in these patients.
KIRTDA DRACHARYAS. "Acharya SK, Dasarathy S, Kumer TL, Sushma S, Prasanna KS, Tandon A, Sreenivas V, Nijhawan S, Panda SK, Nanda SK, Irshad M, Joshi YK, Duttagupta S, Tandon RK, Tandon BN.Fulminant hepatitis in a tropical population: clinical course, cause, and early predict.". In: Hepatology. 1996 Jun;23(6):1448-55. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1996. Abstract

The profiles of patients with fulminant hepatic failure (FHF) from developing countries have not been reported earlier. The current study was conducted prospectively, at a single tertiary care center in India, to document the demographic and clinical characteristics, natural course, and causative profile of patients with FHF as well as to define simple prognostic markers in these patients. Four hundred twenty-three consecutive patients with FHF admitted from January 1987 to June 1993 were included in the study. Each patient's serum was tested for various hepatotropic viruses. Univariate Cox's regression for 28 variables, multivariate Cox's proportional hazard regression, stepwise logistic regression, and Kaplan-Meier survival analysis were done to identify independent predictors of outcome at admission. All patients presented with encephalopathy within 4 weeks of onset of symptoms. Hepatotropic viruses were the likely cause in most of these patients. Hepatitis A (HAV), hepatitis B (HBV), hepatitis D (HDV) viruses, and antitubercular drugs could be implicated as the cause of FHF in 1.7% (n= 7), 28% (n= 117), 3.8% (n= 16), and 4.5% (n= 19) patients, respectively. In the remaining 62% (n= 264) of patients the serological evidence of HAV, HBV, or HDV infection was lacking, and none of them had ingested hepatotoxins. FHF was presumed to be caused by non-A, non-B virus(es) infection. Sera of 50 patients from the latter group were tested for hepatitis E virus (HEV) RNA and HCV RNA. In 31 (62%), HEV could be implicated as the causative agent, and isolated HCV RNA could be detected in 7 (19%). Two hundred eighty eight (66%) patients died. Approximately 75% of those who died did so within 72 hours of hospitalisation. One quarter of the female patients with FHF were pregnant. Mortality among pregnant females, nonpregnant females, and male patients with FHF was similar (P > .1). Univariate analysis showed that age, size of the liver assessed by percussion, grade of coma, presence of clinical features of cerebral edema, presence of infection, serum bilirubin, and prothrombin time prolongation over controls at admission were related to survival (P < .01). The rapidity of onset of encephalopathy and cause of FHF did not influence the outcome. Cox's proportional hazard regression showed age > or = 40 years, presence of cerebral edema, serum bilirubin > or = 15 mg/dL, and prothrombin time prolongation of 25 seconds or more over controls were independent predictors of outcome. Ninety-three percent of the patients with three or more of the above prognostic markers died. The sensitivity, specificity, positive predictive value, and the negative predictive value of the presence of three or more of these prognostic factors for mortality was 93%, 80%, 86%, and 89.5%, respectively, with a diagnostic accuracy of 87.3%. We conclude that most of our patients with FHF might have been caused by hepatotropic viral infection, and non-A, non-B virus(es) seems to be the dominant hepatotropic viral infection among these patients. They presented with encephalopathy within 4 weeks of the onset of symptoms. Pregnancy, cause, and rapidity of onset of encephalopathy did not influence survival. The prognostic model developed in the current study is simple and can be performed at admission.

KIRTDA DRACHARYAS. "Acharya SK, Dasarathy S, Saksena S, Pande JN.A prospective randomized study to evaluate propranolol in patients undergoing long-term endoscopic sclerotherapy.J Hepatol. 1994 Nov;21(5):918-9.". In: J Hepatol. 1994 Nov;21(5):918-9. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1994. Abstract

J Hepatol. 1993 Sep;19(2):291-300.Click here to read Links A prospective randomized double-blind study was conducted to evaluate the efficacy of propranolol in patients with portal hypertension undergoing long-term endoscopic sclerotherapy (EST) for recurrent variceal bleeding. Consecutive patients with portal hypertension (Child's class A or B) due to cirrhosis (n = 72), non-cirrhotic portal fibrosis (n = 29) and extrahepatic portal venous obstruction (n = 13) attending the liver clinic of a tertiary care center were included in the study. All patients had had at least one documented episode of variceal bleed in the previous 4 weeks. Fifty-eight patients received propranolol and 56 received placebo in addition to weekly EST. Rebleeding occurred in 12 (21%) patients in the placebo group and 10 (17%) patients in the propranolol group during a mean follow-up period of 24.4 +/- 10.4 months in the former and 23.8 +/- 9.2 months in the latter group (P > 0.1). The number of episodes of rebleeding (14 in the placebo and 12 in the propranolol group) were also similar (P > 0.1). The median bleeding-free period was more than 40 months in both treatment groups (P > 0.1). The mean transfusion requirements and the number of hospital admissions for rebleeding were also similar in the two treatment groups (P > 0.1). Complete obliteration of varices was achieved in 44 (78.9%) patients in the placebo group and 43 (75.5%) patients in the propranolol group (P > 0.1). Recurrence of new varices was seen in two patients in the placebo and in three of those in the propranolol group. Seven patients in the placebo group and five in the propranolol group died (P > 0.1). Complications related to EST were similar in the two treatment groups but additional adverse effects were observed in the propranolol group. The cumulative incidence of rebleeding in the placebo group was 12.7 and in the propranolol group it was 11.2 per 100 patient years of follow-up. It is concluded that the addition of propranolol in patients with portal hypertension and fair hepatic function on long-term EST does not confer any additional benefit.

KIRTDA DRACHARYAS. "Acharya SK, Dasarathy S, Tandon A, Joshi YK, Tandon BN.A preliminary open trial on interferon stimulator (SNMC) derived from Glycyrrhiza glabra in the treatment of subacute hepatic failure.Indian J Med Res. 1993 Apr;98:69-74.". In: Indian J Med Res. 1993 Apr;98:69-74. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1993. Abstract
The efficacy of the interferon stimulator named Stronger Neo Minophagen-C (SNMC) derived form the plant G. glabra was studied at a dose of 40 or 100 ml daily for 30 days followed by thrice weekly intravenously for 8 wk in 18 patients of subacute hepatic failure due to viral hepatitis. The survival rate amongst these patients was 72.2 per cent, as compared to the earlier reported rate of 31.1 per cent in 98 patients who received supportive therapy (P < 0.01). Death in four of the five patients was due to associated infections leading to hepatorenal failure and terminal coma. Further studies are necessary to standardize the dose and duration of therapy with SNMC in subacute hepatic failure.
KIRTDA DRACHARYAS. "Acharya SK, Dasarathy S, Tandon BN.Should we redefine acute liver failure?Lancet. 1993 Dec 4;342(8884):1421-2.". In: Lancet. 1993 Dec 4;342(8884):1421-2. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1993. Abstract

J Hepatol. 1993 Sep;19(2):291-300.Click here to read Links A prospective randomized double-blind study was conducted to evaluate the efficacy of propranolol in patients with portal hypertension undergoing long-term endoscopic sclerotherapy (EST) for recurrent variceal bleeding. Consecutive patients with portal hypertension (Child's class A or B) due to cirrhosis (n = 72), non-cirrhotic portal fibrosis (n = 29) and extrahepatic portal venous obstruction (n = 13) attending the liver clinic of a tertiary care center were included in the study. All patients had had at least one documented episode of variceal bleed in the previous 4 weeks. Fifty-eight patients received propranolol and 56 received placebo in addition to weekly EST. Rebleeding occurred in 12 (21%) patients in the placebo group and 10 (17%) patients in the propranolol group during a mean follow-up period of 24.4 +/- 10.4 months in the former and 23.8 +/- 9.2 months in the latter group (P > 0.1). The number of episodes of rebleeding (14 in the placebo and 12 in the propranolol group) were also similar (P > 0.1). The median bleeding-free period was more than 40 months in both treatment groups (P > 0.1). The mean transfusion requirements and the number of hospital admissions for rebleeding were also similar in the two treatment groups (P > 0.1). Complete obliteration of varices was achieved in 44 (78.9%) patients in the placebo group and 43 (75.5%) patients in the propranolol group (P > 0.1). Recurrence of new varices was seen in two patients in the placebo and in three of those in the propranolol group. Seven patients in the placebo group and five in the propranolol group died (P > 0.1). Complications related to EST were similar in the two treatment groups but additional adverse effects were observed in the propranolol group. The cumulative incidence of rebleeding in the placebo group was 12.7 and in the propranolol group it was 11.2 per 100 patient years of follow-up. It is concluded that the addition of propranolol in patients with portal hypertension and fair hepatic function on long-term EST does not confer any additional benefit.

KIRTDA DRACHARYAS. "Acharya SK, Dasarathy S.Interferon therapy in chronic hepatitis B: more information but clarity eludes.Trop Gastroenterol. 1994 Oct-Dec;15(4):177-8.". In: Trop Gastroenterol. 1994 Oct-Dec;15(4):177-8. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1994. Abstract
BACKGROUND/AIMS: Plasma fibronectin is an opsonic glycoprotein, normally synthesized by the liver, which decreases subsequent to severe liver damage and low levels of which may contribute to reticuloendothelial system dysfunction by compromising opsonic activity. This may result in an increased frequency of infection and death. The present study was conducted to evaluate the association of plasma fibronectin activity with infection and mortality in patients with fulminant hepatic failure. METHODS: Plasma fibronectin was estimated serially in 69 consecutive patients with fulminant hepatic failure, nine patients with uncomplicated acute viral hepatitis and 32 normal volunteers. RESULTS: Plasma fibronectin levels in patients with fulminant hepatic failure (85.6 +/- 75.8 micrograms/ml) were significantly lower than in patients with uncomplicated acute viral hepatitis (295.5 +/- 88.5 micrograms/ml) and healthy volunteers (362.6 +/- 69.2 micrograms/ml). Forty-nine (72%) patients with fulminant hepatic failure died. The initial values of fibronectin in fulminant hepatic failure did not correlate with mortality. Patients with fulminant hepatic failure who survived showed a progressive rise in the fibronectin levels compared to the absence of an increase in fibronectin levels in the non-survivors. The mortality in patients with fulminant hepatic failure with infection (24/27) was significantly higher (p < 0.05) compared to those without infection (25/42). Initial fibronectin levels in patients with infection (70.3 +/- 54.2 micrograms/ml) were significantly lower (p < 0.05) than in those without infection (92.3 +/- 64.4 micrograms/ml). We conclude that plasma fibronectin levels in patients with fulminant hepatic failure are decreased compared to healthy subjects and the absence of an increase in levels indicates a poor prognosis. Low levels of fibronectin are associated with an increased incidence of infection, which increases the mortality in these patients.
KIRTDA DRACHARYAS. "Acharya SK, Dasarathy S.Liver failure; varied manifestation and confusing classification.Trop Gastroenterol. 1994 Apr-Jun;15(2):43-4.". In: Trop Gastroenterol. 1994 Apr-Jun;15(2):43-4. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1994. Abstract
Hepatitis C virus (HCV) ribonucleic acid (RNA) was tested for in a group of 16 defined non-B chronic hepatitis patients using specific reverse transcription polymerase chain reaction (RT-PCR). These were chosen from amongst 56 biopsy proven cases of chronic hepatitis of which majority (40) were positive for hepatitis B virus infection. Hepatitis C virus RNA could be demonstrated in 12 (75%) of remaining 16 cases. These include all seven patients positive for antibody to HCV. Two of these patients had past history of blood transfusion and in another two the clinical course started with severe acute liver disease. This study establishes the association of HCV with severe liver disease. The clinical and biochemical profiles are also discussed. In view of limited sensitivity of the antibody assays it is justified to develop diagnostic testes based on local strains.
KIRTDA DRACHARYAS. "Acharya SK, Dasarathy S.Management of hepatic metastases: hope for the hopeless.Trop Gastroenterol. 1994 Jul-Sep;15(3):119-20.". In: Trop Gastroenterol. 1994 Jul-Sep;15(3):119-20. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1994. Abstract
Hepatitis C virus (HCV) ribonucleic acid (RNA) was tested for in a group of 16 defined non-B chronic hepatitis patients using specific reverse transcription polymerase chain reaction (RT-PCR). These were chosen from amongst 56 biopsy proven cases of chronic hepatitis of which majority (40) were positive for hepatitis B virus infection. Hepatitis C virus RNA could be demonstrated in 12 (75%) of remaining 16 cases. These include all seven patients positive for antibody to HCV. Two of these patients had past history of blood transfusion and in another two the clinical course started with severe acute liver disease. This study establishes the association of HCV with severe liver disease. The clinical and biochemical profiles are also discussed. In view of limited sensitivity of the antibody assays it is justified to develop diagnostic testes based on local strains.
KIRTDA DRACHARYAS. "Acharya SK, Dasarathy S.Pharmacotherapy in refractory ascites due to cirrhosis; the search continues.Trop Gastroenterol. 1994 Jan-Mar;15(1):1-2.". In: Trop Gastroenterol. 1994 Jan-Mar;15(1):1-2. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1994. Abstract
The present study describes the frequency of hepatitis viral markers in patients with uncomplicated acute viral hepatitis (AVH; n = 32) and in patients with severe liver diseases, including those with fulminant hepatic failure (FHF; n = 110), subacute hepatic failure (SAHF; n = 65), and chronic active hepatitis (CAH; n = 33). The results indicate that hepatitis A virus infection is quite rare, whereas hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are the predominant causes of acute and chronic liver failure in India. The incidence of HBV infection in AVH, FHF, SAHF, and CAH groups was recorded in 3.7, 19.1, 23.1, and 69.7% of the cases, respectively. Similarly, HCV infection in these four groups was noted in 12.5, 45, 44.6, and 48.5% of the cases, respectively. Further analysis of HCV infection demonstrated that it was as frequent as single infection in acute cases, but more commonly found in association with HBV infection in chronic liver failure cases. Hepatitis D virus (HDV) infection, as indicated by the presence of IgM anti-HDV antibodies, was recorded in 7.3% of the cases with AVH, in 7.3% of the cases with FHF, in 9.2% of the cases with SAHF, and in 6.1% of the cases with CAH. HDV was associated with HBV both as superinfection as well as coinfection. Interestingly, nearly 2-6% of the cases in each group showed the presence of simultaneous HBV, HCV, and HDV infection. 83.3% of the AVH, 42.1% of the FHF, 37.0% of the SAHF, and 15.1% of the CAH patients had unknown viral markers.(ABSTRACT TRUNCATED AT 250 WORDS)
KIRTDA DRACHARYAS. "Acharya SK, Dasarathy S.Spontaneous bacterial peritonitis in cirrhotics: explosion of information.Trop Gastroenterol. 1993 Jul-Sep;14(3):77-8.". In: Trop Gastroenterol. 1993 Jul-Sep;14(3):77-8. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1993. Abstract
PCR was used to demonstrate the presence of a conserved region and to clone novel members of the cytochrome P-450 4A gene family from guinea pig, human and mouse cDNAs. This strategy is based on the sequences at nucleotides 925-959 and at the haem binding domain (nucleotides 1381-1410) of the rat CYP4A1 gene. Murine Cyp4a clones showed high sequence identity with members of the rat gene family, but CYP4A clones from human and guinea pig were equally similar to the rat/mouse genes, suggesting that the rat/mouse line had undergone gene duplication events after divergence from human and guinea-pig lines. The mouse Cyp4a-12 clone was localized to chromosome 4 using interspecific backcross mapping, in a region of synteny with human chromosome 1. The assignment of the human CYP4A11 gene to chromosome 1 was confirmed by somatic cell hybridization. An RNAase protection assay was shown to discriminate between the murine Cyp4a-10 and Cyp4a-12 cDNAs. Treatment of mice with the potent peroxisome proliferator methylclofenapate (25 mg/kg) induced Cyp4a-10 RNA in liver, and to a lesser extent in kidney; there was no sex difference in this response. Cyp4a-12 RNA was present at high levels in male control liver and kidney samples, and was not induced by treatment with methylclofenapate. However, Cyp4a-12 RNA was present at low levels in control female liver and kidney RNA, and was greatly induced in both organs by methylclofenapate. Guinea pigs were exposed to methylclofenapate (50 mg/kg), but there was no significant induction of the guinea-pig CYP4A13 RNA. These findings are consistent with a species difference in response to peroxisome proliferators between the rat/mouse and the guinea pig.
KIRTDA DRACHARYAS. "Acharya SK, Irshad M, Gandhi BM, Joshi YK, Tandon BN.Pre-S proteins–a new marker for the hepatitis-B virus.Trop Gastroenterol. 1987 Apr-Jun;8(2):91-8.". In: Trop Gastroenterol. 1987 Apr-Jun;8(2):91-8. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1987. Abstract
A simple and sensitive ELISA was developed to characterize the interaction between polymerised human serum albumin (pHSA) and HBsAg, using pHSA-coated polyvinylmicrotitre plates as solid phase and anti-HBs-coupled HRPO as the conjugate. The interaction was found to be specific and dependent on the size of albumin polymer. pHSA-binding activity (pHSA-BA) was studied in both HBsAg-negative and HBsAg-positive sera from various liver diseases including acute viral hepatitis, fulminant hepatitis, cirrhosis of liver, chronic active hepatitis, and healthy HBsAg carriers. pHSA-BA was detected only in HBsAg-positive sera. Analysis of HBsAg-positive sera indicated pHSA-BA in high proportions of patients sera as compared to sera from healthy HBsAg carriers. pHSA-BA was detected both in the presence and absence of HBe markers, though the mean BA was relatively high in presence of HBeAg. The effect of human serum immunoglobulins (IgG, IgA, and IgM) on the BA was investigated and a correlation between pHSA-BA and HBsAg-IgM complex positivity in sera was established. Finally, the probable role of human serum IgM in facilitating the binding process was discussed.
KIRTDA DRACHARYAS. "Acharya SK, Mishra PK.Chronic calcific pancreatitis of the tropics.Trop Gastroenterol. 1984 Jul-Sep;5(3):124-34.". In: Trop Gastroenterol. 1984 Jul-Sep;5(3):124-34. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1984. Abstract
Nine patients with acute liver failure due to Plasmodium falciparum liver injury admitted to the Rajgarhia Liver Unit of the All-India Institute of Medical Sciences during 1982-84 are presented. The liver was palpable in all the patients, and eight had splenomegaly. Investigations revealed mild to moderate abnormality in liver function tests. All were negative for the markers of acute infection due to hepatitis A and B viruses. Blood film examination showed P. falciparum alone in seven and along with P. vivax in the remaining two patients. Liver histology, which was identical in all eight patients where liver biopsy was done, showed centrizonal necrosis and hyperplastic Kupffer cells loaded with malarial pigment. All the patients recovered with specific anti-malarial and supportive treatment. Our observations suggest that malaria due to P. falciparum may present as jaundice and encephalopathy which stimulates acute hepatic failure due to fulminant hepatitis.
KIRTDA DRACHARYAS. "Acharya SK, Panda SK, Duphare H, Dasarathy S, Ramesh R, Jameel S, Nijhawan S, Irshad M, Tandon BN.Chronic hepatitis in a large Indian hospital.Natl Med J India. 1993 Sep-Oct;6(5):202-6.". In: Natl Med J India. 1993 Sep-Oct;6(5):202-6. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1993. Abstract
BACKGROUND. In developed countries as well as in Southeast Asia, the hepatitis B and C viruses are the main causes of chronic hepatitis. In India, however, there have been no major investigations on the aetiology of chronic hepatitis. (The hepatitis E virus which is responsible for half the sporadic and most of the epidemic cases of acute viral hepatitis in India does not cause chronic disease.) We, therefore, studied the profile of chronic hepatitis in India. METHODS. The clinical presentation, aetiology, serology and histological changes were studied prospectively in 48 patients with chronic hepatitis admitted to the All India Institute of Medical Sciences, New Delhi. Of these, 44 (92%) had chronic active hepatitis, 3 (6.3%) had chronic persistent hepatitis and 1 (2%) had chronic lobular hepatitis. RESULTS. The hepatitis B virus was the aetiological agent in 24 (50%) of these patients, the hepatitis D virus in association with hepatitis B virus in 10 (21%), the hepatitis C virus in 7 (15%) and the non-A, non-B viruses other than the hepatitis C virus in 6 (13%). One patient (2.0%) had autoimmune chronic active hepatitis. Jaundice at presentation was seen in 33 (69%) patients and more than half had hypoalbuminaemia (< 3 g/dl) with a prolonged prothrombin time. Alanine aminotransferase levels were less than 5 times above normal in over two-thirds of the patients. The highest alanine aminotransferase values were observed in patients with hepatitis D virus infection whereas the lowest were seen in patients with non-A, non-B related chronic active hepatitis. Histological examination revealed bridging necrosis in 40 (91%) patients with chronic active hepatitis indicating a severe form of disease. Replication of the hepatitis B virus was seen in 13 patients with chronic hepatitis, 5 of whom had hepatitis D virus-induced chronic hepatitis. Patients with hepatitis B virus replication had higher alanine aminotransferase values and more severe bridging necrosis than patients who did not have replicating viruses. Higher alanine aminotransferase values, ascites and oesophageal varices were encountered more frequently in patients with hepatitis B and D virus than in those with non-A, non-B related chronic hepatitis. CONCLUSION. Chronic hepatitis is not uncommon in India. It presents with evidence of severe disease and, as elsewhere, is most frequently caused by the hepatitis B virus.
KIRTDA DRACHARYAS. "Acharya SK, Panda SK, Saxena A, Gupta SD.Acute hepatic failure in India: a perspective from the East.J Gastroenterol Hepatol. 2000 May;15(5):473-9.". In: J Gastroenterol Hepatol. 2000 May;15(5):473-9. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 2000. Abstract
Acute hepatic failure (AHF) in India almost always presents with encephalopathy within 4 weeks of the onset of acute hepatitis. Further subclassification of AHF into hyperacute, acute and subacute forms may not be necessary in this geographical area, where the rapidity of onset of encephalopathy does not seem to influence survival. Viral hepatitis is the cause in approximately 95-100% of patients, who therefore constitute a more homogeneous population than AHF patients in the West. In India, hepatitis E (HEV) and hepatitis B (HBV) viruses are the most important causes of AHF; approximately 60% of cases are caused by to these viruses. Hepatitis B virus core mutants are very important agents in cases where hepatitis B results in AHF in this country. Half of the patients with AHF admitted to our centre are female, one-quarter of whom are pregnant. Therefore, pregnant females who contract viral hepatitis constitute a high-risk group for the development of AHF. However, the outcome of AHF in this group is similar to that in non-pregnant women and men. No association with any particular virus has been identified among sporadic cases of AHF. In our centre, approximately one-third of AHF patients survive with aggressive conservative therapy, whereas two-thirds of deaths occur within 72 h of hospitalization. Cerebral oedema and sepsis are the major fatal complications. Both fungal and gram-negative bacteria are major causes of sepsis. Among patients with AHF, despite the presence of sepsis, its overt clinical features (i.e. fever, leucocytosis) may be absent and objective documentation of the presence of sepsis in such patients is achieved by repeated culture of various body fluids. It should be possible to develop simple, clinical prognostic markers for AHF in this geographical region, in order to identify patients suitable for liver transplantation.
KIRTDA DRACHARYAS. "Acharya SK, Panda SK.Hepatitis E virus: epidemiology, diagnosis, pathology and prevention.Trop Gastroenterol. 2006 Apr-Jun;27(2):63-8.". In: Trop Gastroenterol. 2006 Apr-Jun;27(2):63-8. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 2006. Abstract
HEV, a positive stranded RNA virus, is responsible for most of the epidemics of hepatitis in the developing world and is transmitted through contaminated water. It is the major aetiological agent for acute hepatitis and acute liver failure in endemic regions. It causes severe liver disease among pregnant females and patients with chronic liver disease. Serodiagnosis of HEV is now available and should be used routinely for diagnosis. The available evidence suggests that HEV may also be transmitted parenterally as well as vertically particularly in endemic areas. Experimental studies suggest that an HEV vaccine is a distinct possibility in the near future. In the absence of an effective vaccine, public health measures such as clean water supply, improved sanitation and public education are the major tools to prevent HEV epidemics in developing nations.
KIRTDA DRACHARYAS. "Acharya SK, Vashisht S, Tandon RK.Primary sclerosing cholangitis in India.Gastroenterol Jpn. 1989 Feb;24(1):75-9.". In: Gastroenterol Jpn. 1989 Feb;24(1):75-9. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1989. Abstract
Six patients with PSC have been diagnosed and followed up at a centre in Northern India for periods up to 4 years. They all presented with cholestatic jaundice and cholangitis, but one of them subsequently presented with variceal haemorrhage. Cholangiographic features were the most characteristic and included irregular narrowing and segmental dilatation of the biliary radicles giving them a beaded appearance. Treating them was most frustrating. Two of them died of hepatic encephalopathy, others have also continued to be sick during the follow-up.
KIRTDA DRACHARYAS. "Acharya SK.Biennial meet of the International Association for the Study of the Liver. Cape Town, 18-24 February 1996.Trop Gastroenterol. 1996 Jul-Sep;17(3):193-6.". In: Trop Gastroenterol. 1996 Jul-Sep;17(3):193-6. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1996. Abstract
BACKGROUND: Preliminary reports indicate that hepatitis D virus (HDV) infection exists in India. However, its prevalence in patients with different types of liver diseases has not been studied in detail. The aim of this study was to evaluate the status of HDV infection in severe types of liver disease in India. METHODS: Using commercial kits for various hepatitis viral markers, the present study was undertaken to determine the serological status of hepatitis B virus (HBV) and hepatitis D virus (HDV) markers in 208 patients with severe liver diseases. This total included 110 cases with fulminant hepatic failure (FHF), 65 cases with subacute hepatic failure (SHF) and 33 cases with chronic active hepatitis (CAH). RESULTS: The hepatitis B surface antigen (HBsAg) carrier population, indicated by the presence of HBsAg without IgM anti-HBc (hepatitis B core) in serum, was recorded in 23.6%, 24.6% and 60.6% cases of FHF, SHF and CAH groups, respectively. HBV infection, as indicated by serum positivity of IgM anti-HBc in the FHF and SHF groups and HBsAg and/or IgM anti-HBc in the CAH group, was detected in 19.1%, 23.1% and 69.7% of cases from these three groups, respectively. IgM anti-HDV, demonstrating active/recent HDV infection, was found in 8.1% cases of FHF and 9.2% cases of SHF patients. HDV as a superinfection in HBsAg carriers was noted in 4.5% and 4.6% cases, respectively of FHF and SHF groups. Similarly, HDV-HBV coinfection, diagnosed by simultaneous presence of IgM anti-HBc and IgM anti-HDV in the FHF and SHF groups, was recorded in 3.6% and 4.6% of cases from these two groups, respectively. In the CAH group, HDV infection was observed in 9.2% cases. CONCLUSION: HDV infection, recorded in less than 10% of patients with different liver diseases in India, seems to be an unimportant factor in inducing severe liver diseases in this country.
KIRTDA DRACHARYAS. "Acharya SK.HBeAg-negative chronic hepatitis B.Indian J Gastroenterol. 2002 May-Jun;21(3):93-5.". In: Indian J Gastroenterol. 2002 May-Jun;21(3):93-5. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 2002. Abstract
BACKGROUND: To improve the survival rate of patients with hepatocellular carcinoma (HCC) in whom surgery is not possible, various methods have been developed employing angiographic and percutaneous techniques. We analyzed our experience with various percutaneous therapeutic interventional techniques done for HCC in our center. METHODS: Sixty-one patients with inoperable HCC (mean age 48.9 [SD 13.8] y; 47 men) were treated between January 1997 and December 2000 by transcatheter arterial chemoembolization (TACE) alone (22), TACE with percutaneous alcohol injection (PEI) (20), transcatheter arterial embolization (TAE) with steel coils and gel foam for gastrointestinal bleed (7), percutaneous radiofrequency ablation (1), percutaneous preoperative right portal vein embolization (3) and percutaneous preoperative tumor embolization to reduce blood loss at surgery (8). RESULTS: In 42 patients treated by TACE and PEI and TACE alone, tumor necrosis was scored; over 50% necrosis was seen only after six and nine months in both treatment groups. The survival rates after six and nine months and the median survival were similar in the two groups. Of 7 cases treated with TAE with steel coils and gel foam, the gastrointestinal bleeding stopped in four; in the other three, bleeding did not stop completely although less transfusion was required. In the patient treated by radiofrequency ablation, follow-up contrast-enhanced CT did not show enhancing tumor mass. We noted left lobe enlargement after percutaneous preoperative right portal vein embolization, prior to right hepatectomy. CONCLUSION: In patients with HCC not amenable to surgical intervention, a variety of percutaneous therapeutic interventional techniques may be used.
KIRTDA DRACHARYAS. "Acharya SK.HBV treatment: the hazy endpoint.Trop Gastroenterol. 2006 Jul-Sep;27(3):103-4.". In: Trop Gastroenterol. 2006 Jul-Sep;27(3):103-4. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 2006. Abstract
Viral hepatitis is a major public health problem in India, which is hyperendemic for HAV and HEV. Seroprevalence studies reveal that 90%-100% of the population acquires anti-HAV antibody and becomes immune by adolescence. Many epidemics of HEV have been reported from India. HAV related liver disease is uncommon in India and occurs mainly in children. HEV is also the major cause of sporadic adult acute viral hepatitis and ALF. Pregnant women and patients with CLD constitute the high risk groups to contract HEV infection, and HEV-induced mortality among them is substantial, which underlines the need for preventive measures for such groups. Children with HAV and HEV coinfection are prone to develop ALF. India has intermediate HBV endemicity, with a carrier frequency of 2%-4%. HBV is the major cause of CLD and HCC. Chronic HBV infection in India is acquired in childhood, presumably before 5 years of age, through horizontal transmission. Vertical transmission of HBV in India is considered to be infrequent. Inclusion of HBV vaccination in the expanded programme of immunization is essential to reduce the HBV carrier frequency and disease burden. HBV genotypes A and D are prevalent in India, which are similar to the HBV genotypes in the West. HCV infection in India has a population prevalence of around 1%, and occurs predominantly through transfusion and the use of unsterile glass syringes. HCV genotypes 3 and 2 are prevalent in 60%-80% of the population and they respond well to a combination of interferon and ribavirin. About 10%-15% of CLD and HCC are associated with HCV infection in India. HCV infection is also a major cause of post-transfusion hepatitis. HDV infection is infrequent in India and is present about 5%-10% of patients with HBV-related liver disease. HCC appears to be less common in India than would be expected from the prevalence rates of HBV and HCV. The high disease burden of viral hepatitis and related CLD in India, calls for the setting up of a hepatitis registry and formulation of government-supported prevention and control strategies.
KIRTDA DRACHARYAS. "Acharya SK.Hepatology in India–sailing without a mast.Trop Gastroenterol. 1999 Oct-Dec;20(4):145.". In: Trop Gastroenterol. 1999 Oct-Dec;20(4):145. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1999. Abstract
Acute hepatic failure (AHF) in India almost always presents with encephalopathy within 4 weeks of the onset of acute hepatitis. Further subclassification of AHF into hyperacute, acute and subacute forms may not be necessary in this geographical area, where the rapidity of onset of encephalopathy does not seem to influence survival. Viral hepatitis is the cause in approximately 95-100% of patients, who therefore constitute a more homogeneous population than AHF patients in the West. In India, hepatitis E (HEV) and hepatitis B (HBV) viruses are the most important causes of AHF; approximately 60% of cases are caused by to these viruses. Hepatitis B virus core mutants are very important agents in cases where hepatitis B results in AHF in this country. Half of the patients with AHF admitted to our centre are female, one-quarter of whom are pregnant. Therefore, pregnant females who contract viral hepatitis constitute a high-risk group for the development of AHF. However, the outcome of AHF in this group is similar to that in non-pregnant women and men. No association with any particular virus has been identified among sporadic cases of AHF. In our centre, approximately one-third of AHF patients survive with aggressive conservative therapy, whereas two-thirds of deaths occur within 72 h of hospitalization. Cerebral oedema and sepsis are the major fatal complications. Both fungal and gram-negative bacteria are major causes of sepsis. Among patients with AHF, despite the presence of sepsis, its overt clinical features (i.e. fever, leucocytosis) may be absent and objective documentation of the presence of sepsis in such patients is achieved by repeated culture of various body fluids. It should be possible to develop simple, clinical prognostic markers for AHF in this geographical region, in order to identify patients suitable for liver transplantation.
KIRTDA DRACHARYAS. "Acharya SK.Incidental detection of hepatitis B surface antigen: a growing concern for the Indian physician.Trop Gastroenterol. 2002 Apr-Jun;23(2):47-8.". In: Trop Gastroenterol. 2002 Apr-Jun;23(2):47-8. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 2002. Abstract
Chronic Calcific Pancreatitis of Tropics is a disease of unknown aetiology and is characterised by chronic pancreatitis with calcification in young persons who present with pain, diabetes, and/or steatorrhoea. ERCP performed on 42 patients with this condition revealed changes compatible with chronic pancreatitis. These changes were however, more marked and somewhat different from those seen in the alcoholic chronic pancreatitis. Cystic dilatation, tortuosity, and obstruction of the main pancreatic duct were similar to that in alcoholic pancreatitis. The features of CCPT that were different from those of latter, were large pancreatic calculi, absence of strictures/stenosis and absence of irregularity of the ductal wall. The calculi were predominantly in the head region of the pancreas causing maximal dilatation of the main pancreatic duct in the head of pancreas. The secondary branches were stunted, short and scanty but revealed a lower grade of changes, than the changes documented in the main pancreatic duct. The pancreatic ductal changes in CCPT seems to be different from that seen in chronic alcoholic pancreatitis and may be due to the difference in the pathophysiology of the underlying disease.
KIRTDA DRACHARYAS. "Acharya SK.Leading-edge Scientific and clinical advances, 9-10 January, Monte Carlo, Monaco.Trop Gastroenterol. 1998 Jan-Mar;19(1):40-4.". In: Trop Gastroenterol. 1998 Jan-Mar;19(1):40-4. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1998. Abstract
Fifty consecutive patients with surgical obstructive jaundice were evaluated prospectively with ultrasonography (US), computed tomographic scans (CT scan) and cholangiography-percutaneous transhepatic cholangiography (PTC) or endoscopic retrograde cholangio-pancreaticography (ERCP). The diagnostic accuracy of ultrasound in defining the level of obstruction was 86% as compared to 86% and 94.8% for CT scan and cholangiography, respectively. To measure the etiology of the obstruction, the accuracy of ultrasound, CT scan and cholangiography were 84%, 86% and 75%, respectively. The sensitivity of CT scans and cholangiography in the diagnosis of choledocholithiasis was 100%, 81.8% and 90%, respectively, whereas specificity was 97%, 100% and 100%, respectively. Sensitivity for a diagnosis of malignant disease was 100% for both US and CT scans whereas specificity was 90% and 81%, respectively. Ultrasonography as a single radiological investigation is sufficient in the evaluation of the majority of patients with surgical obstructive jaundice. CT scan and cholangiography should be done only when US gives equivocal findings or if concomitant therapeutic procedures like basketing and stenting are also planned.
KIRTDA DRACHARYAS. "Acharya SK.Liver transplant in India: miles to go.Trop Gastroenterol. 1992 Oct-Dec;13(4):127-8.". In: Trop Gastroenterol. 1992 Oct-Dec;13(4):127-8. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 1992. Abstract
Thirty patients with portal hypertension resulting from extrahepatic portal vein obstruction were studied. Evidence of postshunt encephalopathy was sought using neurological and psychometric tests and visual evoked potentials. Eleven patients were studied before and after lienorenal shunt operations and 19 at varying intervals, from 6 to 123 (median 26) months, after the same procedure. All the shunts were patent and none of the patients developed clinical or subclinical encephalopathy. In patients with extrahepatic portal vein obstruction, a lienorenal shunt does not appear to be associated with postshunt encephalopathy.
KIRTDA DRACHARYAS. "Acharya SK.Management of chronic hepatitis B: the Indian perspective. Trop Gastroenterol. 2005 Oct-Dec;26(4):171-2.". In: Trop Gastroenterol. 2005 Oct-Dec;26(4):171-2. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 2005. Abstract
AIM: Passive immunotherapy using antibody against hepatitis B surface antigen (HBsAg) has been advocated in certain cases of Hepatitis B infection. We had earlier reported on the cloning and expression of a high affinity scFv derived from a mouse monoclonal (5S) against HBsAg. However this mouse antibody cannot be used for therapeutic purposes as it may elicit anti-mouse immune responses. Chimerization by replacing mouse constant domains with human ones can reduce the immunogenicity of this antibody. METHODS: We cloned the V(H) and V(L) genes of this mouse antibody, and fused them with CH1 domain of human IgG1 and C(L) domain of human kappa chain respectively. These chimeric genes were cloned into a phagemid vector. After initial screening using the phage display system, the chimeric Fab was expressed in soluble form in E. coli. RESULTS: The chimeric Fab was purified from the bacterial periplasmic extract. We characterized the chimeric Fab using several in vitro techniques and it was observed that the chimeric molecule retained the high affinity and specificity of the original mouse monoclonal. This chimeric antibody fragment was further expressed in different strains of E. coli to increase the yield. CONCLUSION: We have generated a mouse-human chimeric Fab against HBsAg without any significant loss in binding and epitope specificity. This chimeric Fab fragment can be further modified to generate a full-length chimeric antibody for therapeutic uses.
Keter JKA. "Acid strength at clay mineral surfaces.". 1986. AbstractWebsite

The interactions of ,{1 3+ -montmorillonite, Na+ - montmorillonite and Na+ -kaolinite with selected Hammett indicators have been reinvestigated. The use of a series of indicators with different acid strengths, Ho, to determine the activity of protons on the clay surface was basid on the assumption that the activity of H+ on the clay surface is equivalent to activity in solution. The results show that A13+- montmorillonite had the hiehest acid strength, especially after drying at 1lfc. Na+-kaolinite had Ih" lo*r"rt acid strength, at two moisture levels: befirre washing with ethanol and u{"l g1lporation of this alcohol. At all moisture levels the acid strength of A1'* -montmorillonite was greater than that of either Nai - montmorillonite or Na+ - kaolinite.

Kimeu M. "Acoustics Design in Auditoria.". In: Green Building Training in Kampala organised by UN Habitat. Kampala; 2014.
Kimeu M. "Acoustics Design in Auditoria.". In: Green Building Training in Nairobi - organised by UN-Habitat . Apollo Centre in Westlands, Nairobi.; 2014.
Kimeu M. "Acoustics Design In Auditoria: The Case of The LRC at CUEA.". In: EAREW. ADD Building; 2014.
Kariuki S, Mirza N, Mitema ES, Olsvik O. "Acquired tetracycline resistance genes in nosocomial Salmonella typhimurium infection in a Kenyan hospital.". Submitted. AbstractWebsite

Tetracyclines have been among the most widely used antibiotics worldwide. Plasmid-mediated tetracycline resistance among hospital strains of bacteria has continued to rise and of major concern has been the transfer of resistance to pathogenic organisms. Bacteraemia due to hospital acquired S. typhimurium has been a major cause of morbidity at Kenyatta National Hospital (KNH), hence the need to study drug susceptibility pattern of this organism. This study also characterized the tetracycline resistance genes using oligonucleotide probes. Ninety seven S. typhimurium strains isolated from patients at KNH were used. Agar dilution method was used to determine minimum inhibitory concentration (MIC). Plasmids were isolated from each strain and the different plasmid profiles were grouped by their molecular weights into 6 patterns. Out of 97, 87 (88%) strains were resistant. MIC ranged from 1 microgram/ml to 128 micrograms/ml. Genes encoding for tetracycline resistance were located on plasmids of molecular weights 65 MDa, 5.2 or both. Plasmid-encoded antimicrobial resistance is likely to spread to other pathogenic organisms, reduce our ability to treat the infection and increase the cost and duration of treatment.

Kohn, A; Bruce J, Bruce J, Kinoti G, Mutahi WT, Coles G, Katz N. "Action of oxamniquine on Schistosoma mansoni in mice experimentally infected with a strain from Kenya.". 1984.Website
Towett PK, Kanui TI, Ole Maloiy GM, Juma F. "Activation of mu, delta or kappa opioid receptors by DAMGO, DPDPE, U-50488 or U-69593 respectively causes antinociception in the formalin test in the naked mole-rat (Heterocephalus glaber.". 2008. AbstractWebsite

Data available on the role of the opioid systems of the naked mole-rat in nociception is scanty and unique compared to that of other rodents. In the current study, the effect of DAMGO, DPDPE and U-50488 and U-69593 on formalin-induced (20 μl,10%) nociception were investigated. Nociceptive-like behaviors were quantified by scoring in blocks of 5 min the total amount of time (s) the animal spent scratching/biting the injected pawin the early (0–5 min) and in the late (25–60 min) phase of the test. In both the early and late phases, administration of 1 or 5 mg/kg of DAMGO or DPDPE caused a naloxone-attenuated decrease in the mean scratching/biting time. U-50488 and U-69593 at all the doses tested did not significantly change the mean scratching/biting time in the early phase. However, in the late phase U-50488 or U-69593 at the highest doses tested (1 or 5 mg/kg or 0.025 or 0.05 mg/kg, respectively) caused a statistically significant and naloxone-attenuated decrease in the mean scratching/biting time. The data showed that mu, delta or kappa-selective opioids causes antinociception in the formalin test in this rodent, adding novel information on the role of opioid systems of the animal on pain regulation.

Towett PK, Kanui TI, Ole Maloiy GM, Juma F, Ole Miaron JO. "Activation of mu, delta or kappa opioid receptors by DAMGO, DPDPE, U-50488 or U-69593 respectively causes antinociception in the formalin test in the naked mole-rat (Heterocephalus glaber." Pharmacology Biochemistry and Behavior. 2008;91(4):566-572. Abstract

Data available on the role of the opioid systems of the naked mole-rat in nociception is scanty and unique compared to that of other rodents. In the current study, the effect of DAMGO, DPDPE and U-50488 and U-69593 on formalin-induced (20 μl,10%) nociception were investigated. Nociceptive-like behaviors were quantified by scoring in blocks of 5 min the total amount of time (s) the animal spent scratching/biting the injected pawin the early (0–5 min) and in the late (25–60 min) phase of the test. In both the early and late phases, administration of 1 or 5 mg/kg of DAMGO or DPDPE caused a naloxone-attenuated decrease in the mean scratching/biting time. U-50488 and U-69593 at all the doses tested did not significantly change the mean scratching/biting time in the early phase. However, in the late phase U-50488 or U-69593 at the highest doses tested (1 or 5 mg/kg or 0.025 or 0.05 mg/kg, respectively) caused a statistically significant and naloxone-attenuated decrease in the mean scratching/biting time. The data showed that mu, delta or kappa-selective opioids causes antinociception in the formalin test in this rodent, adding novel information on the role of opioid systems of the animal on pain regulation.

Towett PK, Kanui TI, Juma F, Ole Miaron JO. "Activation of mu, delta or kappa opioid receptors by DAMGO, DPDPE, U-50488 or U-69593 respectively causes antinociception in the formalin test in the naked mole-rat (Heterocephalus glaber.". 2008. AbstractWebsite

Data available on the role of the opioid systems of the naked mole-rat in nociception is scanty and unique compared to that of other rodents. In the current study, the effect of DAMGO, DPDPE and U-50488 and U-69593 on formalin-induced (20 μl,10%) nociception were investigated. Nociceptive-like behaviors were quantified by scoring in blocks of 5 min the total amount of time (s) the animal spent scratching/biting the injected pawin the early (0–5 min) and in the late (25–60 min) phase of the test. In both the early and late phases, administration of 1 or 5 mg/kg of DAMGO or DPDPE caused a naloxone-attenuated decrease in the mean scratching/biting time. U-50488 and U-69593 at all the doses tested did not significantly change the mean scratching/biting time in the early phase. However, in the late phase U-50488 or U-69593 at the highest doses tested (1 or 5 mg/kg or 0.025 or 0.05 mg/kg, respectively) caused a statistically significant and naloxone-attenuated decrease in the mean scratching/biting time. The data showed that mu, delta or kappa-selective opioids causes antinociception in the formalin test in this rodent, adding novel information on the role of opioid systems of the animal on pain regulation.

Macheyeki AS, Chapola LS, Manhiça V, Chisambi J, Feitio P, Ayele A, Barongo J, Ferdinand RW, Ghebrebrhan O, Goitom B, Hlatywayo JD, Kianji GK, Marohbe I, Mulowezi A, Mutamina D, Mwano JM, Shumba B, andTumwikiri. "Active Fault Mapping in Karonga-Malawi after the December 19, 2009 Ms 6.2 Seismic Event.". 2014.
Kuria, Z.N., Woldai, T., Barongo, J.O., van der F.D. M. "Active fault segments as potential earthquake sources: inferences from integrated geophysical mapping of the Magadi fault system, southern Kenya Rift." Journal of African Earth Sciences . 2010;57:345-359.
Karimurio J, Rono H, Barasa E, Mukiri M, Gichangi M. "Active trachoma is an infectious disease, stop treating it administratively." J Ophthalmol East Cent & S Afr. 2013;17(1):26-30.active_trachoma.pdf
Karimurio J, Mukiri M RBGHEM. "Active trachoma is an infectious disease, stop treating it administratively." JOECSA. 2013;17(1):25-29.
Angima, C., Mwangi, J.W., Kaijage, Ogutu M. "Actuarial risk management practices, underwriting, risk and performance of P & C insurance firms in East Africa." European Scientific Journal. 2017;13(22):207-226.
Kimeli P, Amuti S, Kipyegon A, Mbugua SW. "Acute abdominal aortic rupture in a mare on transit." International Journal of Agricultural Science and Veterinary Medicine. 2015;3(2):20-22.kimeli_et_al__aortic_rupture_in_mare__2015.pdf
Awori KO, Saidi SH, Kiptoon DK. "Acute acalculous cholecystitis in an outpatient setting.". 2006. AbstractWebsite

Acute acalculous cholecystitis (AAC) typically affects hospitalized patients with critical illness. Outpatient AAC is reported to occur in elderly males with cardiovascular comorbidities. We report the presentation of acute acalculous cholecystitis in two young African men admitted for the first time within days of each other. They reported short histories of right upper abdominal pain and had tender gallbladders. Sonography revealed gallbladder wall thickening. Open cholecystectomy and histology confirmed AAC.The postoperative outcome was excellent. Recognition of AAC in a subset of young male patients presenting de novo with right upper quadrant pain is stressed. Cholecystectomy has good prognosis in these cases.

Awori KO, Saidi SH, Kiptoon DK. "Acute acalculous cholecystitis in an outpatient setting.". 2006. AbstractWebsite

Acute acalculous cholecystitis (AAC) typically affects hospitalized patients with critical illness. Outpatient AAC is reported to occur in elderly males with cardiovascular comorbidities. We report the presentation of acute acalculous cholecystitis in two young African men admitted for the first time within days of each other. They reported short histories of right upper abdominal pain and had tender gallbladders. Sonography revealed gallbladder wall thickening. Open cholecystectomy and histology confirmed AAC.The postoperative outcome was excellent. Recognition of AAC in a subset of young male patients presenting de novo with right upper quadrant pain is stressed. Cholecystectomy has good prognosis in these cases.

Kagunya EW, Mbaria JM, Kaingu CK. "Acute and sub-acute oral toxicity and phytochemical profile of Croton menyhartthii plant fromTana River County Kenya. ." Discovery Phytomedicine . 2020;7(3)(DOI: 10.15562/phytomedicine.2020.135):118-127.
Muia BM, Mbaria JM, Kanja LW, Gitahi N, Okumu PO, Okumu MO. "Acute and sub-acute toxicity study of the root extracts of Fagaropsis hildebrandtii in mice and evaluation of their antimicrobial effects." F1000Research,. 2020;8(1444).
Muia BM, Mbaria JM, Kanja LW, Gitahi N, Okumu PO, Okumu MO. "Acute and sub-acute toxicity study of the root extracts of Fagaropsis hildebrandtii in mice and evaluation of their antimicrobial effects." F1000Research . 2020;8:1444 .
Muia BM, Okumu MO, Okumu PO, Gitahi N, Kanja LW, Mbaria JM. "Acute and sub-acute toxicity study of the root extracts of Fagaropsis hildebrandtii in mice and evaluation of their antimicrobial effects." F1000Research 2020. 2020;(8:1444).
KIRTDA DRACHARYAS. "Acute liver failure: prognostic markers. Indian J Gastroenterol. 2003 Dec;22 Suppl 2:S66-8.". In: Indian J Gastroenterol. 2003 Dec;22 Suppl 2:S66-8. The Icfai University Journal of Architecture, Vol. II No.1, February 2010; 2003. Abstract

Acute liver failure (ALF) is defined as liver failure occurring within one month of the occurrence of jaundice. The disease has a grim prognosis, with a mortality of 65% to 85%. The management of ALF has till recently been conservative, and newer therapeutic modalities like bioartificial liver, hepatocyte transplant, and extracorporeal liver assist devices have not yet been proven to be successful. Liver transplant has changed the gloomy outlook of the disease, and post-transplant survival rates of 60%-70% have been reported from most centers. However liver transplant is expensive, necessitates life-long immunosupression, and is limited by a global shortage of available organs. It is thus necessary to select patients who are at greatest risk of death for liver transplantation. Prognostic criteria are based primarily either on clinical and laboratory (coagulation tests, serum bilirubin) parameters, or on other parameters like liver volume. Prognostic criteria have been developed both from the East and the West; these are essentially similar except that the Western criteria take into account etiology (drug overdose being the main cause of ALF there) as well as jaundice-encephalopathy interval as factors for prognostication. The King's College criteria were one of the first prognostic systems; it has two parts for both paracetamol as well as non paracetamol ALF. The criteria from our institute found prothrombin time >25 s, serum bilirubin >15 mg/dL, age >40 years, and cerebral edema to be bad prognostic markers. Criteria from the PGIMER, Chandigarh found age >50 years, raised intracranial pressure, prothrombin time >100 s, and onset of HE more than seven days after the jaundice as poor prognostic markers. All these clinical criteria have similar sensitivity and specificity.

K. KJ. "Acute Renal Failure." NephroNurse Newsletter February (2014):8-9.
Aleri JW, Kipyegon AN, Mande JD, Mulei CM, Karanja DN. "Acute Respiratory Distress Syndrome Due to Babesiosis in a Dog: Case Report.". 2011. AbstractWebsite

Abstract: A case of acute respiratory distress syndrome due to babesiosis is reported in a 5 years old male Japanese sptiz. The patient was noticed to have developed sudden dyspnoea. The main presenting clinical signs included laboured breathing, broad-base stance but preferred recumbency, pallour and seizures. Blood smears from the ear tips revealed presence of multiple Babesia parasites in the erythrocytes. Hematology results showed slight leucocytosis, severe anemia and thrombocytopenia. Additionally, urinalysis revealed renal pathology and presence of leucocytes in urine. Despite aggressive measures to stabilize the patient, it died within an hour. Autopsy results also confirmed Babesiosis with generalized icterus.

Aleri JW, Kipyegon AN, Mulei CM, Karanja DN. "Acute Respiratory Distress Syndrome Due to Babesiosis in a Dog: Case Report.". 2011. AbstractWebsite

Abstract: A case of acute respiratory distress syndrome due to babesiosis is reported in a 5 years old male Japanese sptiz. The patient was noticed to have developed sudden dyspnoea. The main presenting clinical signs included laboured breathing, broad-base stance but preferred recumbency, pallour and seizures. Blood smears from the ear tips revealed presence of multiple Babesia parasites in the erythrocytes. Hematology results showed slight leucocytosis, severe anemia and thrombocytopenia. Additionally, urinalysis revealed renal pathology and presence of leucocytes in urine. Despite aggressive measures to stabilize the patient, it died within an hour. Autopsy results also confirmed Babesiosis with generalized icterus.

Kipyegon AN, Mande JD, Mulei CM, Karanja DN. "Acute Respiratory Distress Syndrome Due to Babesiosis in a Dog: Case Report.". 2011. AbstractWebsite

Abstract: A case of acute respiratory distress syndrome due to babesiosis is reported in a 5 years old male Japanese sptiz. The patient was noticed to have developed sudden dyspnoea. The main presenting clinical signs included laboured breathing, broad-base stance but preferred recumbency, pallour and seizures. Blood smears from the ear tips revealed presence of multiple Babesia parasites in the erythrocytes. Hematology results showed slight leucocytosis, severe anemia and thrombocytopenia. Additionally, urinalysis revealed renal pathology and presence of leucocytes in urine. Despite aggressive measures to stabilize the patient, it died within an hour. Autopsy results also confirmed Babesiosis with generalized icterus.

Okumu MO, Mbaria JM, Kanja LW, Gakuya DW, Kiama SG, Ochola FO, Okumu PO. "Acute toxicity of the aqueous methanolic Moringa oleifera(Lam) leaf extract on female Wistar Albino rats." International Journal of Basic Clinical Pharmacology. 2016;5(5):1-6.acute_toxicity_of_the_aqueous_methanolic_moringa_oleiferalam_leaf_extract_on_female_wistar_albino_rats.pdf
Muthee JK, Mbaria JM, Thaiyah AG, Karanja DN, Gakuya DW. "Acute Toxicity Study of Nicandra physaloides(L) Gaertn in mice and cattle." The Kenya Veterinarian. 2009;33:1-6.
Wangusi BMUYUKANI, Kanja LW, Ole-Mapenay IM, Onyancha JM. "Acute Toxicity, Phytochemical Screening, Analgesic, and Anti-Inflammatory Activities of Aqueous and Methanol Root Extracts of Maerua triphylla A. Rich. (Capparaceae)." Evidence-Based Complementary and Alternative Medicine. 2021;Volume 2021, Article ID 3121785, :9 pages.
Wangusi BMUYUKANI, Kanja LW, Ole-Mapenay IM, Onyancha JM. "Acute Toxicity, Phytochemical Screening, Analgesic, and Anti-Inflammatory Activities of Aqueous and Methanol Root Extracts of Maerua triphylla A. Rich. (Capparaceae)." Evidence-Based Complementary and Alternative Medicin. 2021;2021:11.
Katz MA, Marangu D, Attia EF, Bauwens J, Bont LJ, Bulatovic A, Crane J, Doroshenko A, Ebruke BE, Edwards KM, Fortuna L, Jagelaviciene A, Joshi J, Kemp J, Kovacs S, Lambach P, Lewis KDC, Ortiz JR, Simões EAF, Turner P, Tagbo BN, Vaishnavi V, Bonhoeffer J. "Acute wheeze in the pediatric population: Case definition & guidelines for data collection, analysis, and presentation of immunization safety data." Vaccine. 2019;37(2):392-399.
Maribei JM, Nyaga PN, Ngatia TA, Kamau JPM, Kinyuru JM. "Acute, sub-chronic and chronic toxicity of Solanum incanum L in sheep in Kenya.". 2011. AbstractWebsite

A study was carried out to determine the toxicity of unripe fruits of Solanum incanum L in sheep. The sheep were orally drenched with dried unripe fruits powder of S. incanum L at dose rates varying from 1,200mg to 3,600 mg/Kg /day for 9 weeks. Clinical signs were observed daily while blood with and without anticoagulant was taken weekly for haematological and biochemical analysis. Clinical signs started on day two with bloat. All sheep groups showed bloat and coughing. Signs of cerebellar hyperplasia were manifested in 25%, 75% and 25% of sheep in groups 2, 3, and 4 respectively, manifested by staggering gait, lateral recumbency, leg paddling movements, coma and death. The mortality rate was 25% for group 2 and 100% for groups 3 and 4. All sheep groups had pneumonia, froth in the bronchi, lung emphysema and congestion in the brain, liver and kidneys while groups 3 and 5 had hemorrhagic ulcers on distal abomasum to proximal duodenum and hemorrhagic enteritis from duodenum to colon. On histology, all sheep showed necrosis of the Purkinje cells of the cerebellum and Wallerian degeneration of neurons; lung emphysema and interstitial pneumonia, hemorrhagic enteritis, tubular necrosis in the kidneys and hepatocyte necrosis. The results indicate that S. incanum L is highly toxic to sheep and allowing sheep to graze on the plant is dangerous to their health.

Thaiya AG, Nyaga PN, Maribei JM, Ngatia TA, Kamau JPM, Kinyuru JM. "Acute, sub-chronic and chronic toxicity of Solanum incanum L in sheep in Kenya.". 2011. AbstractWebsite

A study was carried out to determine the toxicity of unripe fruits of Solanum incanum L in sheep. The sheep were orally drenched with dried unripe fruits powder of S. incanum L at dose rates varying from 1,200mg to 3,600 mg/Kg /day for 9 weeks. Clinical signs were observed daily while blood with and without anticoagulant was taken weekly for haematological and biochemical analysis. Clinical signs started on day two with bloat. All sheep groups showed bloat and coughing. Signs of cerebellar hyperplasia were manifested in 25%, 75% and 25% of sheep in groups 2, 3, and 4 respectively, manifested by staggering gait, lateral recumbency, leg paddling movements, coma and death. The mortality rate was 25% for group 2 and 100% for groups 3 and 4. All sheep groups had pneumonia, froth in the bronchi, lung emphysema and congestion in the brain, liver and kidneys while groups 3 and 5 had hemorrhagic ulcers on distal abomasum to proximal duodenum and hemorrhagic enteritis from duodenum to colon. On histology, all sheep showed necrosis of the Purkinje cells of the cerebellum and Wallerian degeneration of neurons; lung emphysema and interstitial pneumonia, hemorrhagic enteritis, tubular necrosis in the kidneys and hepatocyte necrosis. The results indicate that S. incanum L is highly toxic to sheep and allowing sheep to graze on the plant is dangerous to their health.

Thaiyah AG, Nyaga PN, Maribei JM, Ngatia TA, Kamau JPM, Kinyuru JM. "Acute, sub-chronic and chronic toxicity of Solanum incanum L in sheep in Kenya." Kenya Veterinarian. 2011;35:1-8. Abstract
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Wambua L, Agaba M, Kemp SJ, Valentini A. "Acute-phase Trypanosomiasis: Role of parasite surface glycoprotein and DNA in immune response dysregulation.". In: European Science Foundation Conference on Cutting edge Immunology. Netherlands; 2011.abstract_esf-jsps.pdf
Juma FD, Nganga JN, Mathenge SG, Kato A, Tachibana Y, Ichimaru M, Moriyasu M, Nishiyama Y. "Acyclic triterpenoids from Ekebergia capensis.". 1996. AbstractWebsite

From the dried bark of Ekebergia capensis, two novel acyclic triterpenoids, 2,3,22,23-tetrahydroxy-2,6,10,15,19,23-hexamethyl-6,10,14,18-tetracosatetraene and 2-hydroxymethyl-2,3,22,23-tetrahydroxy-6,10,15,19,23-pentamethyl-6,10,14,18-tetracosatetraene were isolated, along with known cyclic triterpenoids. The structures of these two new triterpenoids were determined by spectroscopic and chemical methods.

Celum C, Kiarie, J.W, Wald A, Lingappa JR, Magaret AS, Wang RS, Mugo N, Mujugira A, Baeten JM, Mullins JI, Hughes JP, Bukusi EA, Cohen CR, Katabira E, Ronald A, Farquhar C, Stewart GJ, Makhema J, Essex M, Were E, Fife KH, de Bruyn G, Gray GE, McIntyre JA, Manongi R, Kapiga S, Coetzee D, Allen S, Inambao M, Kayitenkore K, Karita E, Kanweka W, Delany S, Rees H, Vwalika B, Stevens W, Campbell MS, Thomas KK, Coombs RW, Morrow R, Whittington WLH, McElrath MJ, Barnes L, Ridzon R, Corey L. "Acyclovir and transmission of HIV-1 from persons Infected with HIV-1 and HSV-2.". 2010. AbstractWebsite

Most persons who are infected with human immunodeficiency virus type 1 (HIV-1)
are also infected with herpes simplex virus type 2 (HSV-2), which is frequently reactivated
and is associated with increased plasma and genital levels of HIV-1. Therapy to
suppress HSV-2 reduces the frequency of reactivation of HSV-2 as well as HIV-1 levels,
suggesting that suppression of HSV-2 may reduce the risk of transmission of HIV Daily acyclovir therapy did not reduce the risk of transmission of HIV-1, despite a reduction
in plasma HIV-1 RNA of 0.25 log10 copies per milliliter and a 73% reduction in the
occurrence of genital ulcers due to HSV-2. (ClinicalTrials.gov number, NCT00194519

Celum C, Wald A, Lingappa JR, Magaret AS, Wang RS, Mugo N, Mujugira A, Baeten JM, Mullins JI, Hughes JP, Bukusi EA, Cohen CR, Katabira E, Ronald A, Kiarie J, Farquhar C. "Acyclovir and transmission of HIV-1 from persons infected with HIV-1 and HSV-2.". 2010.Website
Celum C, Wald A, Lingappa JR, Magaret AS, Wang RS, Mugo N, Mujugira A, Baeten JM, Mullins JI, Hughes JP, Bukusi EA, Cohen CR, Katabira E, Ronald A, Kiarie J, Farquhar C, Stewart GJ, Makhema J, Essex M, Were E, Fife KH, de Bruyn G, Gray GE, McIntyre JA, Manongi R, Kapiga S, Coetzee D, Allen S, Inambao M, Kayitenkore K, Karita E, Kanweka W, Delany S, Rees H, Vwalika B, Stevens W, Campbell MS, Thomas KK, Coombs RW, Morrow R, Whittington WLH, McElrath MJ, Barnes L, Ridzon R, Corey L. "Acyclovir and transmission of HIV-1 from persons infected with HIV-1 and HSV-2." N. Engl. J. Med.. 2010;362(5):427-39. Abstract

Most persons who are infected with human immunodeficiency virus type 1 (HIV-1) are also infected with herpes simplex virus type 2 (HSV-2), which is frequently reactivated and is associated with increased plasma and genital levels of HIV-1. Therapy to suppress HSV-2 reduces the frequency of reactivation of HSV-2 as well as HIV-1 levels, suggesting that suppression of HSV-2 may reduce the risk of transmission of HIV-1.

Nabiswa A, Kinama J. "Adaptation of Jatropha curcas L. in the agroecological environments of Kenya: genotype × environment interactions ana lysis.". 2012. AbstractWebsite

Jatropha curcas L. has the potential for becoming an important feedstock for biodiesel and bioenergy in Kenya. The objective of this study was to evaluate the e"ects of genotype X` environment interaction and to determine the stability of performance of the currently grown genotypes. Methodology:A field trial consisting of 49 genotypes was laid out in a lattice design of two replications in two contrasting agroecological environments, namely Thika and Kibwezi, for 2 years. The Eberhart and Russell stability method was used to measure the performance of yield components of the 49 genotypes. Results: Environmental variance in%uenced the performance of genotypes for all the traits measured and genotype#×#environment interactions were important in determining their performance.

Yanda PZ, Wandiga SO, Kangalawe RYM, Opondo M, Olago D. "Adaptation to Climate Change - Induced Malaria and Cholera in the Lake Victoria Region.". 2018. Abstractrepository.costech.or.tz

AIACC Working Papers, published on-line by Assessments of Impacts and Adaptations to Climate Change (AIACC), is a series of papers and paper abstracts written by researchers participating in the AIACC project. Papers published in AIACC Working Papers have been peer reviewed and accepted for publication in the on-line series as being (i) fundamentally sound in their methods and implementation, (ii) informative about the methods and/or findings of new research, and (iii) clearly written for a broad, multi-disciplinary audience. The purpose of the series is to circulate results and descriptions of methodologies from the AIACC project and elicit feedback to the authors. The AIACC project is funded by the Global Environment Facility, the Canadian International Development Agency, the U.S. Agency for International Development, and the U.S. Environmental Protection Agency. The project is co-executed on behalf of the United Nations Environment Programme by the global change SysTem for Analysis Research and Training (START) and The Academy of Sciences for the Developing World (TWAS).

KABUBO-MARIARA J. "Adaptation to Climate Change and Livestock Biodiversity: Evidence from Kenya. .". In: K.N.Ninan (ed.): “Conserving and Valuing Ecosystem Services and Biodiversity: Economic, Social and Institutional Challenges in the New Millennium”. Chapter 16:(345-369. London: Earthscan Publishers; 2009.
Kibugi R. "Adaptation to climate change in smallholder agriculture in Kenya: the role of law.". In: Research Handbook on Climate Change and Agricultural Law. Edward Elgar Publishing; 2017. Abstract
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Kathuri J, Apindi E, Olaka L, L Olago, et al. "Adaptation to Climate Change-Induced Malaria and Cholera in the Lake Victoria Region." AIACC Working Papers. 2018. AbstractWebsite

Abstract
AIACC Working Papers, published on-line by Assessments of Impacts and Adaptations to Climate Change (AIACC), is a series of papers and paper abstracts written by researchers participating in the AIACC project. Papers published in AIACC Working Papers have been peer reviewed and accepted for publication in the on-line series as being (i) fundamentally sound in their methods and implementation, (ii) informative about the methods and/or findings of new research, and (iii) clearly written for a broad, multi-disciplinary audience. The purpose of the series is to circulate results and descriptions of methodologies from the AIACC project and elicit feedback to the authors. The AIACC project is funded by the Global Environment Facility, the Canadian International Development Agency, the U.S. Agency for International Development, and the U.S. Environmental Protection Agency. The project is co-executed on behalf of the United Nations Environment Programme by the global change SysTem for Analysis Research and Training (START) and The Academy of Sciences for the Developing World (TWAS).

Yanda PZ, Wandiga SO, Kangalawe RYM, Opondo M. "Adaptation to climate change/variabilityinduced highland malaria and cholera in the Lake Victoria Region." COSTECH Integrated Repository. 2016. AbstractWebsite

Global climate change and its interactive components, such as water availability, related vulnerability of natural and socio-economic systems and health, changes in land use, as well as availability, quality, quantity of water and related policies, affects human wellbeing. The apparent correlation between disease outbreaks, such as malaria, cholera, rift valley fever, and meningitis—all of which are sensitive to climate variability (McCarthy et al., 2001)—and the strong El Niño years, e.g., 1982–1983 and the 1997–1998 events indicates a causal link between climate and health. Integrated climate-disease models show that rates of infections can be affected by climatic anomalies.

Koh K-L, Kelman I, Kibugi R, Osorio R-LE. Adaptation to Climate Change: ASEAN and Comparative Experiences. World Scientific; 2015. Abstract
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Koh K-L, Kelman I, Kibugi R, Osorio R-LE. Adaptation to Climate Change: ASEAN and Comparative Experiences. World Scientific; 2015. Abstract
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Koh K-L, Kelman I, Kibugi R, Osorio R-LE. Adaptation to Climate Change: ASEAN and Comparative Experiences. World Scientific; 2015. Abstract
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Mwangi N, Gachago M, Gichangi M, Gichuhi S, Githeko K, Jalango A, Karimurio J, Kibachio J, Ngugi N, Nyaga P, Nyamori J, Zindamoyen ANM, Bascaran C, Foster A. "Adapting clinical practice guidelines for diabetic retinopathy in Kenya: process and outputs." Implement Sci . 2018;13(81):https://doi.org/10.1186/s13012-018-0773-2.
Mwangi N, Gachago M, Gichangi M, Gichuhi S, Githeko K, Jalango A, Karimurio J, Kibachio J, Muthami L, Ngugi N, Nduri C, Nyaga P, Nyamori J, Zindamoyen ANM, Bascaran C, Foster A. "Adapting clinical practice guidelines for diabetic retinopathy in Kenya: process and outputs." Implement Sci. 2018;13(1):81. Abstract

The use of clinical practice guidelines envisages augmenting quality and best practice in clinical outcomes. Generic guidelines that are not adapted for local use often fail to produce these outcomes. Adaptation is a systematic and rigorous process that should maintain the quality and validity of the guideline, while making it more usable by the targeted users. Diverse skills are required for the task of adaptation. Although adapting a guideline is not a guarantee that it will be implemented, adaptation may improve acceptance and adherence to its recommendations.

S. Z, G. C, I. V, G. B, D.M. H, K.M. M, J.R. B. "Adaptive radiation of the endemic Alcolapia cichlids of the East African soda lakes: genetic and morphological perspectives." Journal of Evolutionary Biology. In Press.
Awori M, Mehta N, Kebba N, Makori. E. "Adding Blood to St Thomas Solution Does Not Improve Mortality in Pediatric Cardiac Surgery; A Meta-analysis of a Homogenous Population." Annals of African Surgery. 2019. AbstractWebsite

Background: Cardioplegia is the gold standard for providing ideal operating conditions while effecting myocardial protection. Some studies suggest that adding blood to St Thomas cardioplegia solution improves efficacy; this is generally accepted as true. However, the few meta-analyses conducted on children have pooled heterogeneous populations; this raises concern about the validity of their conclusions. Methods: PUBMED, the Cochrane Library and Google Scholar were searched systematically until March 2019 using the search terms “cardioplegia”; “myocardial protection”; “pediatric” “pediatric”; “children”; “infants”; “neonates”. Full text articles were examined if abstracts revealed that the studies possibly contained a blood cardioplegia arm and a crystalloid cardioplegia arm. Studies were included in the meta-analysis if they had a 4:1 blood cardioplegia arm and a St Thomas solution arm. Meta-analysis was performed using Meta-Mar software. Results: The search retrieved 423 articles; 5 were included in the meta-analysis, representing 324 patients. The risk ratio for operative mortality was 0.77(95% CI 0.24–2.5; p=0.66). Little evidence was seen of heterogeneity of the pooled patients. Conclusion: Adding blood to St Thomas cardioplegia solution did not improve in-hospital operative mortality; this may have implications for blood cardioplegia use.

Njenga M, Karanja N, Karlsson H, Jamnadass R, Iiyama M, Kithinji J, Sundberg C. "Additional cooking fuel supply and reduced global warming potential from recycling charcoal dust into charcoal briquette in Kenya." Journal of cleaner production. 2014;81:81-88. AbstractWebsite

Abstract

Rising demand for energy is one of the major challenges facing the world today and charcoal is a principal fuel in Kenya. Faced with energy poverty many poor households turn to briquette making. This study assessed the additional cooking fuel obtained from recycling charcoal dust into charcoal briquettes. It applied Life Cycle Assessment (LCA) to assess the global warming potential (GWP) from use of charcoal and production of briquettes from charcoal dust and cooking a traditional meal for a standard household of five people. Native vegetation of Acacia drepanolobium and a low efficiency kiln were considered the common practice, while an Acacia mearnsii plantation and a high efficiency kiln was used as an alternative scenario. Charcoal and kerosene were considered as reference fuels. Recovering charcoal dust for charcoal briquettes supplied an additional 16% cooking fuel. Wood carbonization and cooking caused the highest GWP, so there is a need for technologies to improve the efficiency at these two stages of charcoal briquettes and charcoal supply chain. Supplying energy and cooking a traditional meal in a combined system using charcoal and recovering charcoal dust for charcoal briquettes and charcoal alone accounted for 5.3–4.12 and 6.4–4.94 kg CO2 eq. per meal, respectively, assuming trees were not replanted. These amounts declined three times when the carbon dioxide from the carbonization and cooking stages was assumed to be taken up by growing biomass. This requires replanting of trees cut down for charcoal if the neutral impact of biomass energy on GWP is to be maintained.

Gathumbi JK, Kimani, J.M., Mutisya P, Kombe, Yeri, Wamunyokoli, Fred W, Mbakaya, Charles FL. "The Additive Effect of Hepatitis B Virus and Aflatoxin B1 to Liver Disease Burden: A Case Study in Kitui, Makueni and Machakos Counties, Kenya." Journal of Health and Medical Sciences. 2019;2(3):312-331.
Mwololo JK, Muturi PW, Mburu MWK, Njeru RW, Kiarie N, K.Munyua J, Ateka EM, Muinga RW, Kapinga RE. "Additive main effects and multiplicative interaction analysis of genotype x environmental interaction among sweetpotato genotypes. ." Journal of Animal & Plant Sciences. 2009;2(3):148-155.
A. S. Azi, Riechi A. R., Khatete I. W. "Adequacy Assessment of Government’s Budgetary Allocations for the Provision of Lecture Halls in Nigeria’s Federal Universities." International Journal of Social Sciences and Information Technology. 2017;II(XI):1455-1467.abstract_5.doc
ACHIENG’ L, M. D. JOSHI, OGOLA EN, KARARI E. "Adequacy of Blood Pressure Control, and Level of Adherence to Antihypertensive therapy at Kenyatta N Hospital." East Afri Med Journal. 2009;86(11):499-506.Website
Kairithia Fredrick, Karanja, N.K, Eunice Cheserem, Kinuthia John, Mwangi C, Dalton W. "Adequacy of vital signs monitoring in post delivery mothers at the Naivasha District Hospital of Nakuru County, Kenya. ." International Journal of Medical and Clinical Sciences. 2015; 2(1): 030-035.
Musalia AW, Mutungi A, Gachuno O, Kiarie J. "Adherence to national guidelines in prevention of mother to child transmission of HIV.". 2010. AbstractWebsite

Mother-to-child transmission (MTCT) of Human Immunodeficiency Virus (HIV) contributes to over 90% of the paediatric HIV infections. The national PMTCT guidelines make recommendations for specific interventions to reduce perinatal transmission. Data on adherence to the guidelines by caregivers and quality of PMTCT care is however limited.
OBJECTIVE:

To evaluate the extent to which PMTCT care offered to HIV positive women admitted for delivery at Kenyatta National Hospital (KNH) and Pumwani Maternity Hospital (PMH) adheres to National Guidelines in order to reduce vertical transmission of HIV during labour and delivery.
DESIGN:

A cross-sectional study.
SETTING:

Kenyatta National Hospital and Pumwani Maternity Hospital from January to April 2009.
SUBJECTS:

All consenting HIV positive women admitted to the labour wards at the two facilities and planned for delivery.
RESULTS:

A total of 370 women were enrolled, 266 at Pumwani Maternity Hospital and 104 at Kenyatta National Hospital. Among the enrolled women 357 (96.4%) had been counselled on vertical transmission and 205 (55.4%) had HIV disease staging by CD4 cell count. There were no significant differences between the two study sites in the proportion of women counselled on MTCT (p = 0.398) and receiving HIV disease staging by CD4 testing (p = 0.28). Three hundred and forty nine (94.3%) women were offered varied ARV regimens for PMTCT. 101(27.3%) received HAART, 94 (26.9%) were given single dose nevirapine and 130 (37%) received AZT+NVP combination prophylaxis. Twenty one women received no ARV prophylaxis. Overall, 268 women (72.5%) had spontaneous vertex delivery. An episiotomy rate of 7% was observed and no vacuum delivery was recorded. A Caesarean section rate of 27.5% was recorded with PMTCT as an indication in almost half of the cases. Women delivered at KNH were more likely to receive HAART (p < 0.001) and to be delivered by elective caesarean (p < 0.001).
CONCLUSION:

A great majority of HIV positive women admitted for delivery received counseling on vertical transmission and were offered ARVs for PMTCT. Many women did not get CD4 measurement and clinical staging as recommended in the National guidelines.

Musalia AW, Mutungi A, Gachuno O, Kiarie J. "Adherence to national guidelines in prevention of mother to child transmission of HIV." East Afr Med J. 2010;87(12):488-94. Abstract

Mother-to-child transmission (MTCT) of Human Immunodeficiency Virus (HIV) contributes to over 90% of the paediatric HIV infections. The national PMTCT guidelines make recommendations for specific interventions to reduce perinatal transmission. Data on adherence to the guidelines by caregivers and quality of PMTCT care is however limited.

Mutinda CM, Onyango FE, Maleche-Obimbo E, Kumar R, Wamalwa D, Were F, Osano B, Mburugu P. "ADHERENCE TO PNEUMONIA GUIDELINES FOR CHILDREN 2 - 59 MONTHS AT GARRISA PROVINCIAL GENERAL HOSPITAL." East Afr Med J. 2014;91(1):13-20. Abstract

Clinical Practice Guidelines for childhood illnesses including pneumonia in Kenya are contained in the Ministry of Health Basic Paediatric Protocols. In the presence of a cough and/ or difficulty in breathing and increased respiratory rate for age, pneumonia is diagnosed. In addition to these the presence of lower chest wall indrawing denotes severe pneumonia; The presence of cyanosis, inability to drink/ breastfeed, grunting, level of consciousness using the AVPU scale less than A in addition to the aforementioned is classified as very severe pneumonia. Recommended management is intravascular Crystalline penicillin, gentamycin and oxygen for severe pneumonia, intravascular crystalline penicillin for severe pneumonia and oral amoxyl or cotrimaxole for pneumonia. These guidelines have been disseminated through the Emergency Triage And Treatment Plus (ETAT +) coursesheld since 2007. Implementation of guidelines into care has been shown to reduce case fatality from pneumonia by 36%.

Mutinda CM, Onyango FE, Maleche –Obimbo E, Kumar R, Wamalwa D, Were F, Osano BO, Mburugu P. "Adherence to Pneumonia guidelines for children 2 – 59 months at Garrisa Provincial General Hospital." East Africa Medical Journal. 2014;91:13-20.
Kuria MW. "Adjustment Disorders Chapter 14.". In: Aid to Undergraduate Psychiatry. Nairobi: Kenyatta University Press; 2014.
K'Oyugi BO. Adolescents Sexual and Reproductive Health and Future Challenges. Morocco: Partners in Population and Development; 2007.
Kamau A, Ngeranwa J, Ombaka D, Mutiso M. "Adoption of Eco-Friendly Dry-Land Agriculture and Water Technologies in Kitui County, Kenya.". In: Technology and Management at the Interface of Cultures: Harnessing culture and technology for sustainable development, good governance and innovative technology transfer. Jaramogi Oginga Odinga University of Science and Technology (JOUST), Bondo; 2015.abstract_joust_final.pdf
Kong'ani LNS, Ang'u C, Muthama NJ. "Adoption of improved cookstoves in the peri-urban areas of Nairobi: Case of Magina area, Kiambu County, Kenya." Journal of Sustainability, Environment and Peace. 2019; 1(1):19-24.
Kong’ani LNS, Ang’u C, Muthama NJ. "Adoption of improved cookstoves in the peri-urban areas of Nairobi: Case of Magina area, Kiambu county, Kenya. ." Journal of Sustainability, Environment and Peace. 2019;1(1):19-20.
of in case study of and in Kenya AMPKB: SME(SME)A. "Adoption of Mobile Payments in Kenyan Businesses: A case study of Small and Medium Enterprises (SME) in Kenya." International Journal of Computer Applications. 2014;107(7):0975-8887.
Gichira CM, Kahonge MA, Miriti EK. "Adoption of Open Source Software by Organizations – A Framework for Kenya." International Journal of Computer Applications (0975 – 8887). 2012;59(7):25-32.
KINYANJUI DRMURIITHIMOSES. "Adoption of Radio-based agricultural innovation among small scale farmers in The revenue impact and elements of tax reforms in Kenya.". In: A study of Nyeri. I.E.K Internatioanl Conference l; 1998. Abstract
This paper develops an improved real and reactive power control technique using linear programming (LP) for an integrated power system. The problem is decomposed into two subproblems comprising real (P) and reactive power (Q) modules, and, using a unified approach, the real power generation, voltage magnitude, and transformer tap settings are optimized. The objective function is the fuel cost which is minimized in both the P and Q modules, subject to the operating constraints. The P-Q decomposition combined with the LP formulation improve the computation speed. The paper has another advantage of using the same cost objective function for both modules, unlike other conventional methods which use the power loss function for the Q module. The LP formulation is used for both the P and Q optimization modules, utilizing the revised simplex method which is normally available in a mainframe computer.
English M, Gathara D, Mwinga S, Ayieko P, Opondo C, Aluvaala J, Kihuba E, Mwaniki P, Were F, Grace Irimu, R W Nduati, Wasunna A, Mogoa W, Nyamai R. "Adoption of recommended practices and basic technologies in a low-income setting.". 2014;10(2013-305561):452-456. Abstractadoption_of_recommended_practices_and_basic_technologies_in_a_low-income_setting.pdf

Objective In global health considerable attention is focused on the search for innovations; however, reports tracking their adoption in routine hospital settings from low-income countries are absent. Design and setting We used data collected on a consistent panel of indicators during four separate cross sectional, hospital surveys in Kenya to track changes over a period of 11 years (2002–2012). Main outcome measures Basic resource availability,use of diagnostics and uptake of recommended practices. Results There appeared little change in availability of a panel of 28 basic resources (median 71% in 2002 to 82% in 2012) although availability of specific feeds for severe malnutrition and vitamin K improved. Use of blood glucose and HIV testing increased but remained inappropriately low throughout. Commonly (malaria) and uncommonly (lumbar puncture) performed diagnostic tests frequently failed to inform practice while pulse oximetry, a simple and cheap technology, was rarely available even in 2012. However, increasing adherence to prescribing guidance occurred during a period from 2006 to 2012 in which efforts were made to disseminate guidelines. Conclusions Findings suggest changes in clinical practices possibly linked to dissemination of guidelines at reasonable scale. However, full availability of basic resources was not attained and major gaps likely exist between the potential and actual impacts of simple diagnostics and technologies representing problems with availability, adoption and successful utilisation. These findings are relevant to debates on scaling up in low income settings and to those developing novel therapeutic or diagnostic interventions.

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