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"J. A. Alouch-Orwa, C.O. Ondari, I.O. Kibwage and J Hoogmartens (1995). Quality of intravenous infusion fluids manufactured in Kenya: E.Afr. Med. J. 72 (12) :800-804)." E. Afr. Med. J. 72 (3): 194-197; 1995. Abstract

The incidence and nature of microbial contamination of intravenous fluids prepared by four manufacturing establishments in Kenya was evaluated using the European Pharmacopoeia membrane filtration method for sterility testing. The percentage failures were 28.6% for source D, 18.8% for source A, 12.5% for source B and 10.5% for source C. The major contaminant was aspergillus which was isolated from samples from three sources. Candida and Staphylococcus accounted for the contamination of samples from two sources. Failure rates due to the chemical composition of the products was 66.7% for Source A, 60.0% for D, 41.7% for C and 13.3% for B. The experience of the manufacturing sites appeared to correlate with the quality of the products, with the older manufacturing establishments showing lower percentage failures.

Rading GO. "J M Kihiu, G O Rading and S M Mutuli: Universal SCFs and Optimal Chamfering in Cross Bored Cylinders." International Journal of Pressure Vessels & Piping. 2007;84:396-404.
Rading GO. "J M Kihiu, G O Rading and S M Mutuli: Overstrain in Flush Optimum Chamfered Cross Bored Cylinders." Journal of Mechanical Engineering Science. 2006;220:15-25.
MUCUNU DRMBARIAJ. "J M Gathuma, JM Mbaria, JB Wanyama, HFA. Kaburia, L Mpoke, Samburu and Turkana healers (2001). Efficacy of Myrisine africana, Albizia anthelmintica and Hilderbrantia sepalosa herbal remedies against mixed natural sheep helminthosis in Samburu District, Ke.". In: Proceedings of the First National Workshop on medicinal, aromatic and other underutilized plant species in Kenya. Held from 29th October to 3rd November 2001 at Kenya Wildlife Service Training Institute, Naivasha, Kenya. E; 2001. Abstract

ABSTRACT: One of the sources of feacal contamination of rainwater harvested from roofs is wind-blown dust containing particulate matter from animal faeces, or through direct defecation. Since the primary habitat for Escherichia coli (E.coli) is the gastro-intestinal tract of mammals and birds (Atlas 1984), it's a good indicator of feacal contamination (Hazen, 1988). This study aimed to investigate the presence of E.coli. In rainwater samples collected from roofs in some areas around Nairobi, which have different levels of livestock density. Forty four of the 89 samples collected tested positive for the presence of E.coli from Ngong Division, which had a cattle density of 1446 per square Kilometre was, 55%, but it was not significantly different from both Kikuyu Division: cattle density of 166; both of which had 34% of the samples testing positive to E. coli (p=0.3094). It was concluded that rain water harvested from roofs for human consumption in the study area should be treated before use.<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />

G PROFGATEIDAVID. "J E Sanderson, E G Olsen, and D Gatei.Peripartum heart disease: an endomyocardial biopsy study.". In: Br Heart J. 56(3): 285. RIVERBRROKS COMMUNICATIONS; Submitted. Abstract
Endomyocardial biopsies were performed in 11 African women in Nairobi who presented with the clinical features of peripartum cardiomyopathy. The samples were studied by light and electron microscopy. In five patients there was evidence of a "healing myocarditis", that is the presence of a mild inflammatory cell infiltration within the myocardium with foci of necrosis and variable amounts of hypertrophy and fibrosis. Of the nine patients who were followed up, three out of four with myocarditis had persistent heart failure and four out of five without myocarditis improved. Peripheral blood T lymphocyte cell subsets were measured in nine patients by means of monoclonal antibodies. A high helper:suppressor T cell ratio was found in three patients. Almost half of this group of patients with peripartum cardiomyopathy had myocarditis in their biopsy specimens. The myocarditis may have been due to an inappropriate immunological reaction in some patients.
ADHIAMBO DRROGENAEMILY. "J Accid Emerg Med. 2000 Nov;17(6):421-2. Non-penetrating chest blows and sudden death in the young.Thakore S, Johnston M, Rogena E, Peng Z, Sadler D.". In: J Accid Emerg Med. 2000 Nov;17(6):421-2. Journal of School of Continuous and Distance Education ; 2000. Abstract
Sudden death in the young after low energy anterior chest wall impact is an under-recognised phenomenon in this country. Review of the literature yields several American references to commotio cordis, mainly in the context of sporting events. Two cases are reported of sudden death in young men as a result of blunt impact anterior chest wall trauma. It is suggested that these cases draw attention to a lethal condition of which many practitioners are unaware.

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