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K DRMBURUMARYWAMBUI, S PROFIGONSANGWASHIBAIRO. "Effect of fodder legume species on germination, infestation and parasitism of Striga hermonthica (DEL) Benth. on maize.". In: Paper submitted in the 3rd International Weed Science Congress in June 2000 at Foz du Iguasu, Brazil. University of Nairobi; 2000. Abstract
Kent papers in POlitics and International Relations, Series 4, No. 4.
K PROFGACHUIRICHARLES. "Gachuiri, C.K. 1993. Effect of supplemental dietary fat on rumen fermentation, nutrient flow to the duodenum, milk yield and composition in lactating dairy cows. Doctoral thesis, University of California.". In: Technical report presented at the 3rd Biannual SRNET conference, 5th-9th Dec 1994, Kampala, Uganda. F.N. kamau, G. N Thothi and I.O Kibwage; 1993. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K PROFWABACHAJAMES. "E.G.M. Mogoa, J.K. Wabacha (2005) P.M.F. Mbithi, S.G. Kiama. An overview of animal welfare issues in Kenya. Kenya Veterinarian 29:48-52.". In: Faculty of Veterinary Medicine Biennial Scientific Conference, Nairobi, 6th . Bull. Environ. Contam. Toxicol; 2005. Abstract
This case report describes an outbreak of acute dermatophilosis in a large scale dairy herd and highlights that the disease in Kenya could occur in outbreak proportions and in clinically severe form as has been reported in other countries in West and central Africa.We believe that this is the 1st documented outbreak of a severe form of bovine cutaneous dermatophilosis in exotic dairy animals in Kenya.
K PROFKAMAUREUBEN, OTIENO DRODAWAFRANCISXAVIER. "Githiru PK, Kamau RK, Ndavi m, et al. Value of erect lateral pelvimetry in management of patients with one previous cesarean scar. J Obstet Gynecol East Cent Afr 1993; 10: 13-15.". In: J Obstet Gynecol East Cent Afr 1993; 10: 13-15. Journal of School of Continuous and Distance Education ; 1993. Abstract
Kamau RK, Osoti AO, Njuguna EM. Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, P.O. Box 1%76-00202, Nairobi, Kenya. BACKGROUND: Cancer of the uterine cervix is the most common female cancer in Kenya. Despite being preventable, it is often diagnosed when it is already late. For this reason, only palliative therapy is provided. Hence, it is expected that their daily routines and that of their caregivers are severely disrupted. OBJECTIVES: To determine the extent to which diagnosis and treatment of inoperable cervical carcinoma affects quality of life (QOL). DESIGN: Cross-sectional descriptive study. Setting Radiotherapy Department at the Kenyatta National Hospital. SUBJECTS: Women undergoing radiotherapy for inoperable cervical cancer. RESULTS: There is high prevalence of profound disruptions in nearly all domains of QOL. In the social domain, between 33% and 44% had the perception that family members and friends had withdrawn social support. Reduction in various economic facets was reported by 47.4%-52.6%, with 44.7% reporting a fall in the overall living standards. There were significant changes in the sexual domain, as a result in which 28.3% reported marital discordance. In the personality domain, decreased self-esteem and self-projection in life occurred in 30.9% and 36.2% respectively. On functional outcomes (EORTC QLQ-C30), only 32%-41% reported not being affected in the various facets of emotional function. Physical functions were affected in 19%-79%, role functions in 69%-75%; symptoms in 49%-80%; cognitive functions in 46%-56%; social functions in 63%-71% and financial aspects by 63%. On global QOL, 53% and 47% respectively reported high level disruption in overall physical health and overall QOL. CONCLUSION: Severe deterioration of QOL occurs as a result of diagnosis of inoperable cervical cancer and subsequent therapies. For this reason there is need to establish severe disease and end-of-life research and management services that would ensure better coping with cancer for patients and for home-based caregivers. PMID: 17633581 [PubMed - indexed for MEDLINE]
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 O. "Institutional Independence & Accountability: Some Ideas for Enhancing Accountability of the Judiciary to Address Corruption.". In: Kabarak Law School International Conference on Corruption. Kabarak Law School, Nakuru, Kenya; 2019.
K, wa Gachigi. "Changes in Phytochemical content during different growth stages in tubers of five varieties of Potato (Solanum tuberosum L.)." Current Research in Nutrition and Food Science. 2018;6(1):1-11. Abstractgeoffrey_kipkoech_kirui.pdfWebsite

Potato (Solanum tuberosum L.) synthesizes a variety of bioactive metabolites including phenolic compounds and glycoalkaloids that protects against insects and diseases, and may influence its nutritional quality. Phenolics provide valuable health promoting antioxidants, whereas glycoalkaloid concentrations exceeding the upper safety limit of 20 mg/100 g fresh weight (Fwt) are potential neurotoxins. Therefore, efficient selection for tuber nutritional quality is dependent upon safe and reliable analytical methods. The aim of this study was to determine the changes in the concentration of glycoalkaloids and phenolic compounds during different growth stages in tubers of five selected potato varieties grown in Kenya. α-chaconine and α-solanine were separated and identified by HPLC. Total glycoalkaloids (TGA) and phenolics were determined by UV spectrophotometry. Recovery efficiencies for validation of analytical methods ranged from 85.9-93.5%. Significant differences in TGA and phenolic contents were detected among potato varieties. Tuber TGA content ranged from 6.80 to 10.56 mg/100g Fwt in vars. Dutch Robijn and Tigoni, respectively, and were within the upper safety limit. The corresponding values for chlorogenic acid contents in the examined varieties ranged from 46.39 to 58.04 mg/100 g Fwt. Total phenolic concentration in the examined tuber extracts varied ranged from 129.24 to 192.52 mg CGA/g Fwt. Glycoalkaloid and phenolic production were significantly reduced from time of initiation to maturity at 55 and 125 days, respectively, after planting (DAP). These results demonstrate that tuber phytochemicals were strongly influenced by variety and level of maturity. For nutritional safety and quality purposes, harvesting of mature potato tubers after 125 DAP is recommended

K PROFWABACHAJAMES. "J.K. Wabacha, C.M. Mulei, J.M. Maribei and M.N. Kyule (2001). Farm demographics and pig management practices of smallholder pig farms in Kikuyu Division, Kiambu District. The Kenya Veterinarian 22: 72-75.". In: Biennial scientific Conference of the Faculty of Veterinary Medicine, University of Nairobi, Kenya, 7th-9th August 2002, Nairobi, Kenya. Bull. Environ. Contam. Toxicol; 2001. Abstract
A study was conducted in fourty randomly selected herds in a peri-urban area in the Central Kenyan highlands to obtain prevalence estimates of sarcoptic mange in pigs kept by smallholder farmers. A total of 476 pigs of various age-group categories were enrolled in the study. Diagnosis was based on physical examination for clinical signs indicative of mange infestation and on direct detection of Sarcoptes scabiei mites. Ninety per cent of the herds had clinical signs suggestive of sarcoptic mange and in 70% of the herds Sarcoptes scabiei var suis was positively identified. The results also indicated that 273 (57.3%) of the 476 pigs had clinical signs indicative of sarcoptic mange and 90 (18.9%) of the 476 pigs were positive for Sarcoptes scabiei var suis. The hypersensitive form of mange was more common than the chronic form. The direct examination technique to detect Sarcoptes scabiei var suis was more effective in weaners than in the other age categories of pigs. The results indicate that sarcoptic mange is a common problem in smallholder pig herds in Kikuyu Division of Kiambu District, Kenya.
K PROFMUSUVAJEREMIAH. "Musuva, J.K. and Rading, G.O. "The Effects of Welding on the Fatigue crack Growth Rate in a Structural Steel" Proc. 4th Disciplinary Area Seminar, Mechanical/ Production Engineering Sub-Network, Ibadan, Nigeria (January, 1984), pp. 14 - 42.". In: 4th International Congress of Cell Biology, Montreal, Canada 14-19 August, 1988. Douglas McLean Publishing; 1984. Abstract
This publication bring together upto 15 papers presented at the inagural conference of the world Association of Sign Language Interpreters by experts form around the globe. the pares highlight the importance of of worjing together and sharing a global responsibility for the development of interpreting services worldwide. This is a valuable resource for all sign language interpreters, students and interpreter trainers, and contains much to interest those who wish to know more about the situation of Sign Language interpratation form an internation perspective.
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 MRKIRAGUFRANCIS. "Socio-Cultural and Socio-Economic Impact on African Family Today.". In: Held at the Third Pan African Association of Anthropologists Conference Yaounde Cameroon. 1983; 1992. Abstract
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K PROFGACHENECHARLESK. "Promotion of Marejea cultivation in the Ruvuma Region of Tanzania: Experiences of the Catholic Missionaries at Peramiho Mission Centre. In (eds) M Eilitta, J Mureithi and R Derpsch. Green manure/cover crops systems of smallholder farmers: Experiences from.". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 2004. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K PROFMAITAICHARLES. "Maitai C.K., Nyangeri J.B. Catha edulis - A detailed Review Focusing on Chemistry, Health Implications, Economic, Legal, Social, Cultural, Religions and Moral aspects (58 pages). National Council for Science and Technology DOC. NCST. No 40. June 1996.". In: National Council for Science and Technology DOC. NCST. No 40. June 1996. African Crop Science Society; 1996. Abstract

Operations Research techniques involving modelling a situation or a problem and finding an optimal solution for it. These tools are not designed nor intended to replace managerial decision making, but rather their purpose is to aid in the decision-making process by providing a quantitative basis for decision making. Unfortunately, the proliferation of OR tools in organizational decision making has been lacking, with concerns been expressed about the limited awareness of the business community of OR's potential and capability. Current study was based in the premise that students provide an appropriate avenue, as agent of change, in sensitizing and demonstrating the potential and capacity of OR tools/techniques in resolving various problems, both in public and private sector. Study aimed at evaluating the use of OR as tools of data analysis at MBA level. A sample of 100 MBA research projects undertaken between 2005 and 2007 was randomly selected and their objectives and selected data analysis tools recorded. Where OR tools were not used, the research evaluated if there was a possibility of using OR tools. Results indicated low usage of OR as data analysis, though there was a high potential for the use of OR tools.

K DRKAHUHOSAMUEL. "Clark, G.P.M., Kahuho, S.K. and Ayim, E.N.: .". In: E. Afr. Med. J. 1979; 56:362-367. Korean Society of Crop Science and Springer; 1979. Abstract
Objective: To determine the prevalence and pattern of eye diseases and visual impairment in the Nairobi Comprehensive Eye Care Services (NCES) Project; the catchment area of the Mbagathi District Eye Unit of Nairobi. Design: Community based survey conducted from October 15th to 31st 2007 Setting: Kibera and Dagoreti divisions of Nairobi City Subjects: 4200 people of all ages were randomly selected; 4056 were examined (96.6% response rate). 122 (2.9%) were not available and 15 (0.4%) declined to be examined. Results: Females: 54.2%, Males: 45.8%. Mean age; 22.4 years, SD; 16.5. Only 241(5.9%) aged >50years old. The leading eye disorders in Kibera and Dagoretti divisions are conjunctival disorders including allergic conjunctivitis and conjunctival growths. This was found to affect 7.6% of the subjects. This was followed by refractive errors found in 5.3% of the subjects. Cataract was found in 30 subjects (0.7%). Disorders of the retina and the optic nerve were found in 1.1% of the subjects and corneal disorders in 0.5%. The prevalence of visual impairment was 0.6%, severe visual impairment was 0.05% and blindness was 0.1%. This indicates that most of the ocular disorders encountered were not visually threatening. The main cause of visual impairment is refractive errors and the causes of severe visual impairment and blindness are cataract, corneal opacity and glaucoma. Conclusion: The population of the NCES is relatively young and the prevalence of blindness and visual impairment is low. The main cause of visual impairment was refractive errors and the causes of severe visual impairment and blindness were cataract, corneal opacity and glaucoma. Recommendations: The level of blindness in NCES is low and the project should focus more on rendering eye care and not treatment of blindness. There is need to address the issue of refractive errors as this was one of the main ocular problems encountered. In this survey, it was not possible to perform detailed refraction and hence it was recommend that a refractive error survey be conducted; especially in school going children.
K PROFWABACHAJAMES. "S.J.M. Munyua, S.J. Kassim O. Farah and J.K. Wabacha. Alternative Veterinary Service Delivery Systems In Arid and Semi-Arid Areas of Kenya: Suggested Satructural, Policy and Legal Amendments.". In: Proceedings of PINEP National Workshop, ' Sustainable Pastoral Production Systems and Environmental Securities in the Drylands of North -eastern Kenya' 14-15th Octomber 1999; Machakos, Kenya pp 79-95. Bull. Environ. Contam. Toxicol; 1999. Abstract
Forty-two pigs in a herd of 117 displayed various clinical signs of progressive atrophic rhinitis. The main signs included sneezing, coughing, lachrymation, serous to mucopurulent nasal discharge, and nasal bleeding in 1 pig. Three pigs had lateral deviation of the snout, while 4 had brachygnathia superior with obvious deformation of the face. Four acutely affected weaner pigs appeared weak, while the 7 chronically-affected pigs appeared smaller than their apparently unaffected penmates of the same age. Treatment of the acutely affected pigs with long-acting oxytetracycline at 20 mg/kg body weight intramuscularly, repeated once after 7 days, reduced the severity but did not clear the sneezing from all the pigs. Fifteen pigs were slaughtered 2 months after the clinical diagnosis was made. The carcasses of the chronically affected pigs were about 15% lighter than those of the apparently normal pigs of the same age and from the same pen, which translated to a loss of 921.00 Kenya shillings per pig (US$13.7). Diagnosis of progressive atrophic rhinitis was confirmed by sectioning the snouts of randomly selected slaughtered pigs with obvious deformation of the snout. Sections were made at the level of the 1st/2nd upper premolar tooth. Varying degrees of turbinate atrophy, from mild to complete, were noted. Histopathology of the turbinates revealed metaplasia of nasal epithelium and fibrosis in the lamina propria.
K PROFIMUNGIJASPER. "Murage, E.N., Chweya, J.A. and Imungi, J.K. 1996. Changes in leafy yield and nutritive quality of the Black nightshade (Solanum nigrum) as influenced by nitrogen application. Ecology of Food and Nutrition 35: 149.". In: Presented in International Conference on Traditional Foods. 6 - 8 March 1997.Mysore,India. Canadian Center of Science and Education; 1996. 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 PROFKAMAUREUBEN, OTIENO DRODAWAFRANCISXAVIER. "Kamau RK, Mati JKG. East Afr Med J 1988; 65: 470-77.". In: Kamau RK, Mati JKG. East Afr Med J 1988; 65: 470-77. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 1988. Abstract

Part of a detailed analysis of 864 unmarried teenage mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital is presented. Teenage pregnancy amounted for 42.3% of all deliveries of unmarried mothers. Most teenage patients were above 16 years of age, had a religious background of wide coverage, had low quality antenatal care and low education. 94.6% were found to be primigravidas. This dominance has also been found by other workers. PIP: A prospective cross-sectional descriptive study of unmarried mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital, Nairobi, Kenya, from December 1986-April 1987, was conducted with a pretested open-ended questionnaire: the 864 teen mothers are described here. They ranged from 13.4-19 years, most were 17-19. 49.4% were Catholic and 45% Protestant. 88.5% attended prenatal clinics once; 51.5% attended 5 times, although only 13% went to hospital clinics for specialized care. For reasons for not going for prenatal care teens stated that they were too shy to undergo a clinical exam, afraid of parents' reaction, unaware of the pregnancy or of the existence of prenatal care, they had not menstruated, or were in school, in prison, or had long work hours. Most girls had primary education, and 97.9% had dropped out of school. 34% dropped out because of pregnancy, and 32% for lack of tuition fees. Reasons for dropping out of school were tabulated, encompassing a broad range of social problems such as war, death, divorce, alcoholism or illness of parents, no tuition or uniform funds, poor grades, and running away from school. In Africa, teen pregnancy is probably increasing because of decreasing age at menarche and relaxing of traditional values.

K PROFNDELEJOHNSON. "Geriatric Clinical Pharmacology. The Pharmacokinetic .". In: Journal of Medicine Vol. 2 No. 5 pp 2-8. 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.
K PROFGACHENECHARLESK. "Community capacity building as an opportunity for sustainable land management: lessons from Ndome and Ghazi in Taita-Taveta District, Kenya. Journal of Agriculture in the Tropics and Subtropics, Vol 101 pp 181-189.". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 2000. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K PROFMAITAICHARLES. "Maitai CK. The need for a poison information centre in Kenya. East Afr Med J. 1983 Sep;60(9):597-8.". In: East Afr Med J. 1983 Sep;60(9):597-8. African Crop Science Society; 1983. Abstract
Cathinone, a potent psychostimulant isolated from young shoots of Catha edulis was given to four human volunteers. Examination of urine collected from the volunteers at predetermined intervals showed the presence of unchanged cathinone, d-norpseudoephedrine, and two unidentified basic substances. The observed biotransformation of cathinone to the less potent psychostimulant, d-norpseudoephedrine involves reduction of a ketone group to alcohol, a common metabolic pathway in humans.
K PROFIMUNGIJASPER. "Kabira, J.N., Oyunga, M. and Imungi, J.K. 1991. Determination of the potential use of potato flour for Chapati and Mandazi preparation. Proc. KARI/CIP Technical Workshop, Nairobi, 5th - 7th September 1990.". In: KARI/CIP Technical Workshop, Nairobi, 5th - 7th September 1990. Canadian Center of Science and Education; 1991. 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 PROFWABACHAJAMES, M DRMUNYUASJ. "J.K. Wabacha, C.M. Mulei, M.N. Kyule, K. H. Zessin, P.M.F. Mbithi, W.K. Munyua and J.M. Maribei (2004). Helminthosis in smallholder pig herds in Kikuyu Division, Kiambu District, Kenya. Kenya Veterinarian 26:29-34.". In: Law Journal,Issue No.4. Materials Research Society; 2004. Abstract
A study was conducted in sixty-two randomly selected herds in Kikuyu division, Kiambu District in Central Kenyan Highlands to obtain prevalence, spectrum and intensity of gastrointestinal helminths in pigs kept by smallholder farmers. Faecal samples from a total of 598 pigs of various age-group categories (piglets, weaners, growers and adults) were taken during a period of a 4 months in 1999 ad examined for helminthes eggs (EPG) using modified McMaster technique. Gastrintestinal helminth eggs wewre observed in 57 (91.9%) of the herds. The Helminths observed were Strongles (35.1%). Ascarids (10%), Trichuris (4), Strongloids (3.2%) and Tapeworms (0.3%). The overall prevalence of the helminaths was 43.5%. the prevalence among the various age groups differed significantly (p<0.01) with the highest prevalence in the weaners (55.6%) and the lowest in the piglets (22.9%). The prevalence of Strongles and Strongloids differed significantly (p<0.01) among the age groups. The highest prevalence for Strongyles was in the growers (41.7%) and the lowest in the piglets (22.9%) while the highest prevalence for lowest in the adults (0.8%). The prevalence of Ascarids differed significantly (p<0.01) among the age groups with the highest prevalence in weaners (27.8%) and the lowest in the piglets (3.6%). The prevalence of Trichuris worms was significantly (p<0.5) higher in the weaners than in the piglets. The high prevalence of the Gatrointestinal helmnths observed indicates the need to control these parasites due to their detrimental effects on productivity and also due to their public health significance.
K DRKAYIMAJOSHUA. "Otieno CF, Kayima JK, Omonge EO, Oyoo GO.Diabetic ketoacidosis: risk factors, mechanisms and management strategies in sub-Saharan Africa: a review. East Afr Med J. 2005 Dec;82(12 Suppl):S197-203. Review.". In: Cardiovasc J. Afr. Ochieng P. O., McLigeyo S. O., Amayo E. O., Kayima J. K. and Omonge E. O.; 2005. Abstract

BACKGROUND: Diabetic ketoacidosis is the most common hyperglycaemic emergency in patients with diabetes mellitus, especially type 1 diabetes. It carries very high mortality in sub-Saharan Africa, both in the treated patients and those who are presenting to hospital with diabetes for the first time. OBJECTIVE: To review the risk factors, mechanisms and management approaches in diabetes ketoacidosis in published literature and to discuss them in the context of why a significant proportion of patients who develop diabetic ketoacidosis in sub-Saharan Africa still have high mortality. DATA SOURCE: Literature review of relevant published literature from both Africa and the rest of the world. DATA SYNTHESIS: The main causes or precipitants of DKA in patients in SSA are newly diagnosed diabetes, missed insulin doses and infections. The major underlying mechanism is insulin deficiency. Treated patients miss insulin doses for various reasons, for example, inaccessibility occasioned by; unavailability and unaffordability of insulin, missed clinics, perceived ill-health and alternative therapies like herbs, prayers and rituals. Infections also occur quite often, but are not overt, like urinary tract, tuberculosis and pneumonia. Due to widespread poverty of individuals and nations alike, the healthcare systems are scarce and the few available centres are unable to adequately maintain a reliable system of insulin supply and exhaustively investigate their hospitalised patients. Consequently, there is little guarantee of successful outcomes. Poor people may also have sub-optimal nutrition, caused or worsened by diabetes, more so, at first presentation to hospital. Intensive insulin therapy in such individuals mimics 're-feeding syndrome', an acute anabolic state whose outcome may be unfavourable during the period of treatment of diabetic ketoacidosis. CONCLUSIONS: Although mortality and morbidity from diabetic ketoacidosis remains high in sub-Saharan Africa, improved healthcare systems and reliable insulin supply can reverse the trend, at least, to a large extent. Individuals and populations need empowerment through education, nutrition and poverty eradication to improve self-care in health and living with diabetes.

K PROFGACHENECHARLESK. "Soils of the highlands and mountainous areas of Kenya with special emphasis on agricultural soils: In: African Mountains and Highlands: problems and perspectives (eds. B. Messerli and H. Hurni). AMA, Switzerland, 157-169.". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 1990. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K MRMBOBUMATHEW. "THE PLACE OF THE MILIANGOS CASE IN ANGLO-AMERICAN JURISPRUDENCE: Unpublished paper for LL.M Degree Course, Georgetown University, Washington D.C,.". In: Proceedings: Workshop in Curriculum Development in Physics, Mathematics and Computer Science, Nairobi. pp. 143-147. ICTP. East African Orthopaedic Journal; 1992. Abstract
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K DRGATHUMBIJAMES. "Gathumbi, J.K. (2001). Application of enzyme immunochemical and immunohistochemical methods in the diagnosis of aflatoxicosis in animals. Ph.D Thesis. University of Nairobi.". In: A paper presented at the 2nd Kenya Livestock Technicians Association Scientific Conference held in KARI on 10-12th September, 2002. University of nairobi; 2001. Abstract
Abstract in Bellamy, M. and B. Greenshields (eds), Issues in Agricultural Development: Sustainability and Cooperation. IAAE Occasional Paper No. 6. Dartmouth Publishing Co. Ltd, Aldershot.
K PROFIMUNGIJASPER. "Imungi, J.K. and Muroki, N.M. 1984. Utilization of legumes in alleviation of protein malnutrition in Kenya. Promotion of Science and Technology 10:14.". In: Ph.D. thesis, Cornell University, USA. Canadian Center of Science and Education; 1984. 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 DRKAYIMAJOSHUA. "Kayima J.K., Otieno L.S., Gitau W., Mwai S. Thyroid hormone profiles in patients with chronic renal failure on conservative management and regular haemodialysis East African Medical Journal, 69(6): 333-336; 1992.". In: East African Medical Journal, 69(6): 333-336; 1992. East African Medical Journal.71(4): 253-5; 1994.; 1992. Abstract
Patients with chronic non-thyroid illness (NTI) generally show biochemical features of hypothyroidism despite their being clinically euthyroid. Using assays that employ the antibody coated tubes technique, we measured thyroid hormone levels in 52 patients with chronic renal failure. 30 of the patients were on conservative management while 22 were on regular haemodialysis (HD) for a mean period of 14.2 +/- 9.9 months. The findings were compared to those of 14 healthy controls. All patients were clinically euthyroid. Only 3 patients on HD had goitres. The mean value of total thyroxine (TT4) total triiodo thyronine (TT3), free thyroxine (FT4) and the free triiodothyronine (FT3) were low in patients compared with controls (P less than 0.01). The mean basal thyroid stimulating hormone (TSH) levels were significantly higher in patients than in controls (P less than 0.001). There were no significant differences in all parameters between the patients on conservative management and those on haemodialysis (P greater than 0.05). Although all patients were clinically euthyroid, the biochemical features suggest hypothyroidism.
K DRKARIUKIDAVID, MUTHURE PROFMACHARIAISAAC. "Kamau J. K., Macharia I. M.,Odhiambo P. A Bacteriology of chronic maxillary sinusitis at Kenyatta National Hospital, Nairobi.". In: East Afr. Med J. 2001;. University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia; 2001. Abstract
OBJECTIVE: To determine the bacteriology and antibiotic sensitivity of the bacterial isolates in chronic maxillary sinusitis patients seen at the Kenyatta National Hospital. DESIGN: Cross-sectional study. SETTING: Kenyatta National Hospital, ENT department. SUBJECTS AND METHODS: Seventy-three patients had bilateral sntral washout done and the lavage submitted for culture and anti-microbial sensitivity between January and June 1996. RESULTS: Antral lavage yielded secretions in 63% of patients but bacteria were cultured in only 28.8% of the specimens. The isolates included Streptococcus pneumonia (22.2%), Staphylocococus albus (18.5%), Staphylocococus aureus (11.1%) and Enterobactericiae (11.1%). Anaerobic bacteria were cultured in 22.2% of the specimens. Of the commonly used antibiotics, there was high sensitivity to erythromycin, cefadroxyl, chloramphenicol and amoxicillin and poor sensitivity to ampicillin, cotrimoxazole and perfloxacin. CONCLUSION: The bacteriology of chronic maxillary sinusitis at Kenyatta National Hospital is generally similar to that found elsewhere. The bacteria are susceptible to relatively affordable antibiotics like amoxicillin, erythromycin and cefadroxyl.
K PROFGACHUIRICHARLES. "Kariuki J.N., S. Tamminga, G.K. Gitau, C.K. Gachuiri, J. Van Bruchen and J.M.K. Muia. 1999. Performance of Sahiwal and Friesian heifers fed on napier grass supplemented with graded levels of lucerne. S. Afri. J. Anim. Sci. 29:1-11.". In: South African Statistical Journal. F.N. kamau, G. N Thothi and I.O Kibwage; 1999. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K DRMUSAMBAYICHRISANTHUSIKALIKHA. "Politics of regime consolidation and entrenchment: Moi's foreign policy.". In: (IFRA) Nairobi. uon press; 1994. Abstract
{ The Blantyre coma scale (BCS) is used to assess children with severe falciparum malaria, particularly as a criterion for cerebral malaria, but it has not been formally validated. We compared the BCS to the Adelaide coma scale (ACS), for Kenyan children with severe malaria. We examined the inter-observer agreement between 3 observers in the assessment of coma scales on 17 children by measuring the proportion of agreement (PA), disagreement rate (DR) and fixed sample size kappa (kappa n). We assessed the sensitivity and specificity of the scales in detecting events (seizures and hypoglycaemia) in 240 children during admission and the usefulness of the scales in predicting outcome. There was considerable disagreement between observers in the assessment of both scales (BCS: PA = 0.55
K DRMBURUMARYWAMBUI, S PROFIGONSANGWASHIBAIRO. "Effects of Mucuna Planting Density and Time on Water and Light Use in Maize .". In: Paper presented in the 6th Conference of the African Crop Science Society held in Nairobi, Kenya 12th to 17th October. University of Nairobi; 2003. Abstract
Kent papers in POlitics and International Relations, Series 4, No. 4.
K PROFGACHUIRICHARLES. "Mbuthia, E.M., C.K. Gachuiri, A.A. Abate, J.W. Kiragu and D.I. Kariuki. 1996. Sahiwal calf performance on colostrum preserved by different methods. Bull. Anim. Hlth. Prod. Afri. 46:63-64.". In: Proceedings, 6th KARI Scientific conference, November, 1998. Kenya Agricultural Research Institute, Nairobi, Kenya. F.N. kamau, G. N Thothi and I.O Kibwage; 1996. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K O, J A, N O. "Demographic Diversity in Top Management Team and Financial Reporting Quality in Commercial State Corporations in Kenya." Donnish Journal of Accounting and Taxation. 2015;1(1):001-016. Abstract

The purpose of the paper is to examine the effect of demographic diversity in Top Management Team (TMT) on financial
reporting quality in commercial state corporations. The study adopted correlational and longitudinal research design and
stepwise regression analysis of FRQ variables on a set of demographic diversity variables in TMT. The findings provide
considerable evidence to suggest that TMT demographic diversity are associated with financial reporting quality
measured by fundamental qualitative characteristics of accounting information, earnings management, timeliness in
reporting and disclosure quality. The research implication is that; in general, demographic diversity in TMT- gender, age,
education, tenure and functional background may have important implication for financial reporting quality under
different measures. The value of this paper is to extend Prior research by addressing the potential effects of TMT
demographic diversity on FRQ. The findings reported in this paper provide novel insight to empirical financial reporting
quality literature in commercial state corporations.

K PROFWABACHAJAMES. "M.J. Njenga, J.K. Wabacha, D.Lamba and P.K. Gathuru. An assessment of the knowledge base about selected zoonoses among residents of Kibera slums of Nairobi.". In: Kenya Veterinary Association Annual Scientific Conference, 26th - 28th April, 2006, Mombasa, Kenya. Bull. Environ. Contam. Toxicol; 2006. Abstract
A study to evaluate alternative health interventions for the control of sarcoptic mange and gastro-intestinal nematodes in smallholder pig herds was carried out in Kikuyu Division of Kiambu District, Kenya. A total of 40 herds were randomly allocated, by a simple random strategy, to 3 treatment groups and 1 control group. Each group comprised of 10 herds. Herds in group 1 (control) were treated with a placebo, physiological saline. In group 2, control of nematodes and mange was attempted through the use of ivermectin, while in group 3, nematodes and mange were treated through the use of an anthelmintic (piperazine hydrochloride) and an acaricide (amitraz), respectively. In group 4, nematodes and mange were treated by using an anthelmintic (levamisole hydrochloride) and an acaricide (amitraz), respectively. The anthelmintic activity of ivermectin was not different (p>0.05) from that of levamisole. The proportion of pigs positive for mites was not different (p>0.05) between the ivermectin and the amitraz treatment groups. The overall costs for the treatments were US$0.50 for the ivermectin treatment, US$0.31 for the piperazine/amitraz combination treatment and US$0.26 for the levamisole/amitraz combination treatment. Amitraz/levamisole drug combination was the most cost-effective against sarcoptic mange and gastro-intestinal nematodes of pigs in the studied smallholder herds.
K PROFKAMAUREUBEN, OTIENO DRODAWAFRANCISXAVIER. "Kamau RK, Karanja JG, Kigondu CS, et al. Barriers to contraceptive use in Kenya. East Afr Med J 1996; 73: 651-59.". In: East Afr Med J 1996; 73: 651-59. Journal of School of Continuous and Distance Education ; 1996. Abstract
Kamau RK, Osoti AO, Njuguna EM. Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, P.O. Box 1%76-00202, Nairobi, Kenya. BACKGROUND: Cancer of the uterine cervix is the most common female cancer in Kenya. Despite being preventable, it is often diagnosed when it is already late. For this reason, only palliative therapy is provided. Hence, it is expected that their daily routines and that of their caregivers are severely disrupted. OBJECTIVES: To determine the extent to which diagnosis and treatment of inoperable cervical carcinoma affects quality of life (QOL). DESIGN: Cross-sectional descriptive study. Setting Radiotherapy Department at the Kenyatta National Hospital. SUBJECTS: Women undergoing radiotherapy for inoperable cervical cancer. RESULTS: There is high prevalence of profound disruptions in nearly all domains of QOL. In the social domain, between 33% and 44% had the perception that family members and friends had withdrawn social support. Reduction in various economic facets was reported by 47.4%-52.6%, with 44.7% reporting a fall in the overall living standards. There were significant changes in the sexual domain, as a result in which 28.3% reported marital discordance. In the personality domain, decreased self-esteem and self-projection in life occurred in 30.9% and 36.2% respectively. On functional outcomes (EORTC QLQ-C30), only 32%-41% reported not being affected in the various facets of emotional function. Physical functions were affected in 19%-79%, role functions in 69%-75%; symptoms in 49%-80%; cognitive functions in 46%-56%; social functions in 63%-71% and financial aspects by 63%. On global QOL, 53% and 47% respectively reported high level disruption in overall physical health and overall QOL. CONCLUSION: Severe deterioration of QOL occurs as a result of diagnosis of inoperable cervical cancer and subsequent therapies. For this reason there is need to establish severe disease and end-of-life research and management services that would ensure better coping with cancer for patients and for home-based caregivers. PMID: 17633581 [PubMed - indexed for MEDLINE]
K PROFIMUNGIJASPER. "Imungi, J. K. 2006. Limitations to impact of fortified food .". In: Letter to the Editor. NutriView 2006/2: 8. Canadian Center of Science and Education; 2006. 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 NJ, N KF, Munyoki JM, Kinoti M. "Corporate Social Responsibility Marketing Practices, Technological Environmental factors and Performance of NGOs in Nairobi Kenya." IOSR Journal Of Humanities And Social Science. 2017;Volume 22(Issue 8):10-20.munyoki_and_john_njau_2.pdf
K PROFWABACHAJAMES. "J.K. Wabacha, C.M. Mulei, M.N. Kyule, K. H. Zessin, E.H. Weda, and J.M. Maribei (2002). Prevalence of Sarcoptic mange in pigs in smallholder herds in a peri-urban area in Central Kenyan highlands. Bull. Anim. Hlth. Prod. Afri. 50:9-14.". In: Faculty of Veterinary Medicine Biennial Scientific Conference, Nairobi, 3rd . Bull. Environ. Contam. Toxicol; 2002. Abstract
A study was conducted in fourty randomly selected herds in a peri-urban area in the Central Kenyan highlands to obtain prevalence estimates of sarcoptic mange in pigs kept by smallholder farmers. A total of 476 pigs of various age-group categories were enrolled in the study. Diagnosis was based on physical examination for clinical signs indicative of mange infestation and on direct detection of Sarcoptes scabiei mites. Ninety per cent of the herds had clinical signs suggestive of sarcoptic mange and in 70% of the herds Sarcoptes scabiei var suis was positively identified. The results also indicated that 273 (57.3%) of the 476 pigs had clinical signs indicative of sarcoptic mange and 90 (18.9%) of the 476 pigs were positive for Sarcoptes scabiei var suis. The hypersensitive form of mange was more common than the chronic form. The direct examination technique to detect Sarcoptes scabiei var suis was more effective in weaners than in the other age categories of pigs. The results indicate that sarcoptic mange is a common problem in smallholder pig herds in Kikuyu Division of Kiambu District, Kenya.
K PROFMUSUVAJEREMIAH. "Musuva, J.K. (Chairman) et al-Report on "The Presidential Team of inquiry into Affairs of Kenya Railways Corporation", July 1989.". In: 4th International Congress of Cell Biology, Montreal, Canada 14-19 August, 1988. Douglas McLean Publishing; 1989. Abstract
This publication bring together upto 15 papers presented at the inagural conference of the world Association of Sign Language Interpreters by experts form around the globe. the pares highlight the importance of of worjing together and sharing a global responsibility for the development of interpreting services worldwide. This is a valuable resource for all sign language interpreters, students and interpreter trainers, and contains much to interest those who wish to know more about the situation of Sign Language interpratation form an internation perspective.
K PROFIMUNGIJASPER. "Okoth, M.W., Kaahwa, A.R. and Imungi, J.K. 2000. The effect of homogenization stabilizer and amylase on cloudiness of passion fruit juice. Food Control II (2000): 305.". In: International Plant Genetic Resources Institute Newsletter for Sub-Saharan Africa, Issue 17Rome, Italy. Canadian Center of Science and Education; 2000. 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 MJ, E.N.M N, Lerna KN. Effects of Schistosoma mansoni infection on Mammalian host glucose metabolism. Nairobi: University of Nairobi; 1998.munyua_files_2.png
K PROFGACHENECHARLESK. "Hydroeconomic evaluation of rainwater harvesting and management technologies: Farmers.". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 2005. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K DRKAHUHOSAMUEL. "Kahuho, S.K.: .". In: Nairobi Journal of Medicine, 1988;2:81-83. Korean Society of Crop Science and Springer; 1988. Abstract
Objective: To determine the prevalence and pattern of eye diseases and visual impairment in the Nairobi Comprehensive Eye Care Services (NCES) Project; the catchment area of the Mbagathi District Eye Unit of Nairobi. Design: Community based survey conducted from October 15th to 31st 2007 Setting: Kibera and Dagoreti divisions of Nairobi City Subjects: 4200 people of all ages were randomly selected; 4056 were examined (96.6% response rate). 122 (2.9%) were not available and 15 (0.4%) declined to be examined. Results: Females: 54.2%, Males: 45.8%. Mean age; 22.4 years, SD; 16.5. Only 241(5.9%) aged >50years old. The leading eye disorders in Kibera and Dagoretti divisions are conjunctival disorders including allergic conjunctivitis and conjunctival growths. This was found to affect 7.6% of the subjects. This was followed by refractive errors found in 5.3% of the subjects. Cataract was found in 30 subjects (0.7%). Disorders of the retina and the optic nerve were found in 1.1% of the subjects and corneal disorders in 0.5%. The prevalence of visual impairment was 0.6%, severe visual impairment was 0.05% and blindness was 0.1%. This indicates that most of the ocular disorders encountered were not visually threatening. The main cause of visual impairment is refractive errors and the causes of severe visual impairment and blindness are cataract, corneal opacity and glaucoma. Conclusion: The population of the NCES is relatively young and the prevalence of blindness and visual impairment is low. The main cause of visual impairment was refractive errors and the causes of severe visual impairment and blindness were cataract, corneal opacity and glaucoma. Recommendations: The level of blindness in NCES is low and the project should focus more on rendering eye care and not treatment of blindness. There is need to address the issue of refractive errors as this was one of the main ocular problems encountered. In this survey, it was not possible to perform detailed refraction and hence it was recommend that a refractive error survey be conducted; especially in school going children.
K PROFWABACHAJAMES. "J.K. Wabacha, J.M. Maribei, C.M. Mulei, M.N. Kyule and E.H. Weda. Evaluation of Sarcoptic mange status in pigs in smallholder farms in Kikuyu Division, Kiambu District, Kenya.". In: Faculty of Veterinary Medicine Biennnial Scientific Conference 30th -1st September 2000. Bull. Environ. Contam. Toxicol; 2000. Abstract
Forty-two pigs in a herd of 117 displayed various clinical signs of progressive atrophic rhinitis. The main signs included sneezing, coughing, lachrymation, serous to mucopurulent nasal discharge, and nasal bleeding in 1 pig. Three pigs had lateral deviation of the snout, while 4 had brachygnathia superior with obvious deformation of the face. Four acutely affected weaner pigs appeared weak, while the 7 chronically-affected pigs appeared smaller than their apparently unaffected penmates of the same age. Treatment of the acutely affected pigs with long-acting oxytetracycline at 20 mg/kg body weight intramuscularly, repeated once after 7 days, reduced the severity but did not clear the sneezing from all the pigs. Fifteen pigs were slaughtered 2 months after the clinical diagnosis was made. The carcasses of the chronically affected pigs were about 15% lighter than those of the apparently normal pigs of the same age and from the same pen, which translated to a loss of 921.00 Kenya shillings per pig (US$13.7). Diagnosis of progressive atrophic rhinitis was confirmed by sectioning the snouts of randomly selected slaughtered pigs with obvious deformation of the snout. Sections were made at the level of the 1st/2nd upper premolar tooth. Varying degrees of turbinate atrophy, from mild to complete, were noted. Histopathology of the turbinates revealed metaplasia of nasal epithelium and fibrosis in the lamina propria.
K PROFIMUNGIJASPER. "Imungi, J.K. 1997. Commercialization of Traditional Foods in Kenya - A Case Study of Fermented Milk. Presented in International Conference on Traditional Foods. 6 - 8 March 1997.Mysore,India.". In: Presented in International Conference on Traditional Foods. 6 - 8 March 1997.Mysore,India. Canadian Center of Science and Education; 1997. 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 PROFKAMAUREUBEN, OTIENO DRODAWAFRANCISXAVIER. "Kamau RK, Maina FW, Mati JKG, et al. The effect of low estrogen pill, mini-pill and depo provera on oral glucose tolerance test. East Afr Med J 1990; 67: 864-72.". In: East Afr Med J 1990; 67: 864-72. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 1990. Abstract

Part of a detailed analysis of 864 unmarried teenage mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital is presented. Teenage pregnancy amounted for 42.3% of all deliveries of unmarried mothers. Most teenage patients were above 16 years of age, had a religious background of wide coverage, had low quality antenatal care and low education. 94.6% were found to be primigravidas. This dominance has also been found by other workers. PIP: A prospective cross-sectional descriptive study of unmarried mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital, Nairobi, Kenya, from December 1986-April 1987, was conducted with a pretested open-ended questionnaire: the 864 teen mothers are described here. They ranged from 13.4-19 years, most were 17-19. 49.4% were Catholic and 45% Protestant. 88.5% attended prenatal clinics once; 51.5% attended 5 times, although only 13% went to hospital clinics for specialized care. For reasons for not going for prenatal care teens stated that they were too shy to undergo a clinical exam, afraid of parents' reaction, unaware of the pregnancy or of the existence of prenatal care, they had not menstruated, or were in school, in prison, or had long work hours. Most girls had primary education, and 97.9% had dropped out of school. 34% dropped out because of pregnancy, and 32% for lack of tuition fees. Reasons for dropping out of school were tabulated, encompassing a broad range of social problems such as war, death, divorce, alcoholism or illness of parents, no tuition or uniform funds, poor grades, and running away from school. In Africa, teen pregnancy is probably increasing because of decreasing age at menarche and relaxing of traditional values.

K PROFNDELEJOHNSON. "The Nephrotoxity of Netilmicin and Gentamicin .". In: M.Sc. thesis in Clinical Pharmacology 1980, University of Nairobi. University of Nairobi Press; 1980. 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.
K PROFGACHENECHARLESK. "Soil erosion effects on productivity of humic Nitosol. Soil Science Society of East Africa ,ISBN No. 9966-8879-27-7, p 233-239.". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 2000. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K PROFMAITAICHARLES. "Maitai CK, Ogeto JO, Munenge RW, Ochieng S, Juma FD. A comparative study of the efficacy of seven brands of frusemide tablets. East Afr Med J. 1984 Jan;61(1):6-10.". In: East Afr Med J. 1984 Jan;61(1):6-10. African Crop Science Society; 1984. Abstract

Residue levels of the chlorinated hydrocarbons p,p'-DDT (2,2-bis(p-chlorophenyl)-1,1,1-trichloroethane), p,p'-DDE (2,2-bis(p-chlorophenyl)-1,1-dichloroethane), hexachlorobenzene (HCB), alpha-, beta-, and gamma-hexachlorocyclohexane (HCH), aldrin, dieldrin, and polychlorinated biphenyls (PCBs) were determined in human milk of Kenyan mothers living in different areas of Kenya. The main organochlorine contaminants found in all the milk samples analyzed were p,p'-DDT and p,p'-DDE. Great regional differences were found, and mean levels of sum DDT and DDT/DDE ratio ranged from 1.1 to 18.7 mg/kg milk fat and from 0.7 to 5.7, respectively. In general, relatively low residue levels of HCB, alpha-HCH, beta-HCH, aldrin, and dieldrin were detected in 59, 37, 27, 37, and 19%, respectively, of all the milk samples analyzed. Quantifiable residue levels of PCBs and alpha-HCH were not found. The results were examined in relation to differences in living conditions with regard to agricultural activities, dietary habits, and reported use of pesticides in the various sampling areas.

K PROFIMUNGIJASPER. "Imungi, J.K. 1991. Post harvest processing and storage of maize, beans and cassava by small holders in Kenyan. Report prepared for GTZ, Hamburg, Germany.". In: Report prepared for GTZ, Hamburg, Germany. Canadian Center of Science and Education; 1991. 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 DRMBURUMARYWAMBUI, S PROFIGONSANGWASHIBAIRO. "Light and Water Use in Low Input Maize (Zea mays)- Pigeonpea (Cajanus cajan) Intercrop in Sub Humid Conditions of Kenya.". In: Poster presented at the fifth Regional meeting of the Forum for Agricultural Resource Husbandry 12-16 August 2002,Entebbe. Taylor & Francis; 2002. Abstract
Normal 0 false false false MicrosoftInternetExplorer4 st1:*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Hepatocellular carcinoma results when cancerous cells are localized in the liver. It is distributed globally with high prevalence in sub-Saharan African, southern Asia, China and Japan. Diagnosis is experimental and in many cases inaccurate due to unreliability of markers. Prognosis is poor and the cost of treatment prohibitive. Conventional radiation and chemotherapy lead to loss of hair, fertility and general weakening of the body`s immune system increasing a patient`s risk to infection. These observations underscore the need for improved, or additional methods of cancer diagnosis and management. We investigated the effect of polysaccharide rich Pleurotus pulmonarius fruit body extracts on progression of chemically induced hepatocellular carcinoma in CBA mice. Addition of Pleurotus pulmonarius extracts in diet delayed progression of carcinogenesis suggesting   that these extracts may be useful as   adjuvants to conventional cancer therapies.   Key words: carcinogenesis; mice; mushroom extracts; pleurotus pulmunarius   Corresponding author: Ms Carolyne Wasonga, Department of Biochemistry, University of Nairobi, P.O. Box 30197, Nairobi,  Kenya. E-mail: carox27@yahoo.ca     Charles O.A. Omwandho, Susanne E. Gruessner, John Falconer, Hans-R Tinneberg, Timothy K. Roberts. IS OVINE PLACENTAL IGG TOXIC TO HUMAN PERIPHERAL BLOOD NATURAL KILLER CELLS?
K PROFGACHENECHARLESK. "National Soil and Water Conservation Programme, Sida Evaluation 96/25. Department for Natural Resources and the Environment, Sweden.". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 1996. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K DRGATHUMBIJAMES. "Salah, A.M., Gathumbi, J., Vierling W. (2002). Inhibition of intestinal motility by methanol extracts of Hibiscus sabdariffa L. (malvoceae) in rats. Phytotherapy Research 163: 283-285.". In: 6th Biennial Conference of the African Crop Science Society held in on October 12-17th, 2003. University of nairobi; 2002. Abstract
Abstract in Bellamy, M. and B. Greenshields (eds), Issues in Agricultural Development: Sustainability and Cooperation. IAAE Occasional Paper No. 6. Dartmouth Publishing Co. Ltd, Aldershot.
K PROFIMUNGIJASPER. "Imungi, J.K. and Siegenthaler, E.J. 1986. Manpower survey of the Food Industry in Kenya. Report prepared for Directorate of Personnel Management (DPM), Kenya.". In: Presented at the 2nd KBS National Food Control Seminar, Nairobi, and 6 - 9 October 1987. Canadian Center of Science and Education; 1986. 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 DRKAYIMAJOSHUA. "Kayima JK, Anderton JL, Swainson CP.Persistent microcytosis and its association to the recovery of anaemia after kidney transplantation. Afr J Health Sci. 1995 Feb;2(1):220-222.". In: Afr. J. Medical Pract. 2(1) 8-9, 1995. Ochieng P. O., McLigeyo S. O., Amayo E. O., Kayima J. K. and Omonge E. O.; 1995. Abstract
Persistent microcytosis was noted among a number of post renal transplant patients attending the transplant clinic at the Western General Hospital Edinburgh. We retrospectively looked at the pattern of recovery of the anaemia of chronic renal failure following successful renal transplantation with good graft function (Creatinine less than 250 (mol/l). Comparisons were made between those patients with persistent microcytosis and those with normal mean cell volume (MCV). Patients with microcytosis tended to have a slower recovery compared to those with normal MCV especially from week 12 to 21 after transplantation with corresponding Hb changes of 108+ 20 to 126+/-20 g/l vs 128+ 17 to 144+/-19 g/l ([P < 0.05], 95% confidence limits). The microcytic groups also tended to have had poorer graft function with serum creatinines significantly higher than those with normal MCV from week 8 to 21, 182+/- 62 to 173+/- 51 (mol/1 vs 139+/- 40 to 149+/- 38 (mo1/L ([P < 0.05] 95% confidence limits). In both groups haemoglobin concentration was negatively correlated to serum creatinine. (r=-0.54, [P < 0.05]). Body iron status studies had not been done in these patients. Persistent microcytosis though a non sensitive marker of iron deficiency may be a marker of disordered iron metabolism in patients with poorer graft functions.
K PROFGACHUIRICHARLES. "Kaitho, R.J., Biwott, K.J, C.K. Gachuiri, R.G. Wahome and J. Tanner. 2001. Effects of allocation of fixed amounts of concentrate on milk yields and of dairy cows. AGRIPPAPeer reviewed electronic journal. http://www.fao.org/agrippa/agrippa-main asp.". In: South African Statistical Journal. F.N. kamau, G. N Thothi and I.O Kibwage; 2001. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K SARNA, I MURITHI, F OPONDO, S G. "A unique presentation of bilateral Kissing Molars and three-rooted Maxillary Premolars: A case report and review of literature." Clinical Case Reports Journal. 2021;2021; 9:e04679(2021; 9:e04679):2021; 9:e04679.
K DRMUSAMBAYICHRISANTHUSIKALIKHA. "Towards indegenizing policy debate, IPAR workshop report.". In: Institute of Policy Analysis and Research/Action Aid, 1997 with Alois B. Ayako. uon press; 1997. Abstract
{ The Blantyre coma scale (BCS) is used to assess children with severe falciparum malaria, particularly as a criterion for cerebral malaria, but it has not been formally validated. We compared the BCS to the Adelaide coma scale (ACS), for Kenyan children with severe malaria. We examined the inter-observer agreement between 3 observers in the assessment of coma scales on 17 children by measuring the proportion of agreement (PA), disagreement rate (DR) and fixed sample size kappa (kappa n). We assessed the sensitivity and specificity of the scales in detecting events (seizures and hypoglycaemia) in 240 children during admission and the usefulness of the scales in predicting outcome. There was considerable disagreement between observers in the assessment of both scales (BCS: PA = 0.55
K DRMBURUMARYWAMBUI, S PROFIGONSANGWASHIBAIRO. "Weed management options for resource poor maize-dairy farmers in central Kenya.". In: Paper presented in the the British Crop Protection Council international congress held on 10 to 12th November at Glasgow, Scotland, Pp. 993-998. UK. ISBN 1 901396 63 0. University of Nairobi; 2003. Abstract
Kent papers in POlitics and International Relations, Series 4, No. 4.
K PROFGACHUIRICHARLES. "Kinuthia, M.N., J.W. Wakhungu, M.M. Wanyoike and C.K. Gachuiri. 1998. Milk production performance of dairy goat crosses on smallholdings in central Kenya. The Kenya Veterinarian 23:196-198.". In: Proceedings, 6th KARI Scientific conference, November, 1998. Kenya Agricultural Research Institute, Nairobi, Kenya. F.N. kamau, G. N Thothi and I.O Kibwage; 1998. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K A, A P, G G. "Pattern of Inner- vation of the Upper Gluteus Maximus Muscle: Implication in Prosthetic Hip Dislocation." Annals of African Surgery. 2011;8(2):28-30. Abstract

Gluteus Maximus Muscle: Implication in Prosthetic Hip Dislocation
Awori K.O. MBChB, MMed (Surgery), Dip. (SICOT), FCS (Orth) ECSA, Anne N. Pulei A.A. Bsc, MBChB, Gikenye G. MBChB, MMed,FCS(ECSA) Affiliation: Department of Human Anatomy, University of Nairobi, P.O. Box 30197 00100 Nairobi, Kenya. Correspondingauthor: KirsteenO.Awori,Tel.254-722812499,Email: karsto2005@yahoo.com
Abstract
Background: Dislocation is one of the most common complications after total hip arthroplasty. The posterolateral approach avoids disruption of the abductor mechanism but may denervate gluteus maximus as a basis for associated higher dislocation rates.
Objective: To determine the pattern of innervation of gluteus maximus Study design: Descriptive cross-sectional study
Materials and methods: Twenty four cadavers for routine dissection in the Department of Human Anatomy, University of Nairobi were used. Having exposed the gluteus maximus, the muscle was transected close to its distal attachment and reflected superiorly to expose the entry of the neurovascular structures into it from the greater sciatic foramen. The pattern of distribution of the inferior gluteal nerve to the muscle was
Introduction
Gluteus maximus (GM) is a powerful hip extensor inner- vated by the inferior gluteal nerve (IFN) and an impor- tant muscle in rising up from squatting position, climb- ing (1) and running (2). Its functions during running are to control flexion of the trunk on the stance-side (3) and to decelerate the swing leg. Low levels of GM activity may contribute to hip extension during stance, and to re- strain hip flexion during swing. During loading response of the gait cycle, in the frontal plane, activity in the up- per portions of the gluteus maximus, hip abductors and tensor fascia lata control drop of the contralateral pelvis, which is relative hip adduction (4).
Risk factors in prosthetic hip dislocation include patient- related ones such as neuromuscular disease (5) and sur- gical ones. Of the surgically-related factors, the approach has generated a lot of controversy. In the Moore posteri- or approach to the hip the incision starts 10 centimetres from the posterior superior iliac spine, is directed later- ally and distally to the back of the greater trochanter and extends for 10 or more centimetres, parallel to the shaft of the femur. The deep fascia is exposed and the iliotibial band is incised from the trochanter to the distal end of
noted and the left and right in the same cadaver compared
Results: In all the 48 cadaver sides, the inferior gluteal nerve exited
the pelvis via the infra-piriformic compartment of the greater sciatic foramen. In majority (43, 89.6%) of gluteal regions this nerve funned out in multiple equal branches to the GM. Only one branch crossed the upper border of piriformis muscle. In 5 cases, this single branch that crossed the upper border of piriformis was a major trunk almost equal in size to the parent nerve. One such case was bilateral.
Conclusion: A major branch of the inferior gluteal nerve to the upper part of GM, when present, could be injured in the posterior approaches to the hip to significantly weaken the upper part of this muscle increasing the risk of prosthetic hip dislocation.

K MRGAKERIJACOB. ""Challenges Facing the Legal Profession .Role of Young Lawyers" (1996) University of Nairobi Law Journal Page 16.". In: Paper presented at the Animal Production Society of Kenya symposium. Nairobi, Kenya. F.N. kamau, G. N Thothi and I.O Kibwage; 1996. Abstract
Effects of calcium supplementation in patient at risk of pregnancy induced Hypertension. (This was an experimental double blind randomized clinical trial.) J. Obset. Gynaecol. East Cent.Afr 2005, 18:49-59
K PROFKAMAUREUBEN, OTIENO DRODAWAFRANCISXAVIER. "Koigi-Kamau R, Kimani, R, Ndirangu, NW. Guidelines on Antenatal HIV Testing. The Nairobi Hospital, 2004.". In: East Afr Med J 2005; 82: 641-46. Journal of School of Continuous and Distance Education ; 2004. Abstract
Kamau RK, Osoti AO, Njuguna EM. Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, P.O. Box 1%76-00202, Nairobi, Kenya. BACKGROUND: Cancer of the uterine cervix is the most common female cancer in Kenya. Despite being preventable, it is often diagnosed when it is already late. For this reason, only palliative therapy is provided. Hence, it is expected that their daily routines and that of their caregivers are severely disrupted. OBJECTIVES: To determine the extent to which diagnosis and treatment of inoperable cervical carcinoma affects quality of life (QOL). DESIGN: Cross-sectional descriptive study. Setting Radiotherapy Department at the Kenyatta National Hospital. SUBJECTS: Women undergoing radiotherapy for inoperable cervical cancer. RESULTS: There is high prevalence of profound disruptions in nearly all domains of QOL. In the social domain, between 33% and 44% had the perception that family members and friends had withdrawn social support. Reduction in various economic facets was reported by 47.4%-52.6%, with 44.7% reporting a fall in the overall living standards. There were significant changes in the sexual domain, as a result in which 28.3% reported marital discordance. In the personality domain, decreased self-esteem and self-projection in life occurred in 30.9% and 36.2% respectively. On functional outcomes (EORTC QLQ-C30), only 32%-41% reported not being affected in the various facets of emotional function. Physical functions were affected in 19%-79%, role functions in 69%-75%; symptoms in 49%-80%; cognitive functions in 46%-56%; social functions in 63%-71% and financial aspects by 63%. On global QOL, 53% and 47% respectively reported high level disruption in overall physical health and overall QOL. CONCLUSION: Severe deterioration of QOL occurs as a result of diagnosis of inoperable cervical cancer and subsequent therapies. For this reason there is need to establish severe disease and end-of-life research and management services that would ensure better coping with cancer for patients and for home-based caregivers. PMID: 17633581 [PubMed - indexed for MEDLINE]
K PROFIMUNGIJASPER. "Onyango, C. M., Shibairo, S. I., Imungi, J. K. and Harbinson, J. 2008. The physico-chemical characteristics and some nutritional value values of vegetable amaranth sold in Nairobi. Ecology of Food and Nutrition 47: 382 .". In: Ecology of Food and Nutrition 47: 382 . Canadian Center of Science and Education; 2008. 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 PROFNGANGAJOHN. "Nganga, J.K., : On the Frequency and Stability Wind Roses in a Tropical Region. Journal of Air, Water and Soil Pollution, Vol. 16: pp. 385 - 386.". In: Journal of Air, Water and Soil Pollution, Vol. 16: pp. 385 - 386. SMA; 1981. Abstract
n/a
K PROFWABACHAJAMES. "J.M.A. Kitaa, C. Mulei, J.D. Mande, J.K. Wabacha. Clinical and Laboratory diagnosis of Ehrlichial infections in dogs: A Review.". 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.
K PROFMUSUVAJEREMIAH. "Musuva, J.K. (Member) et al-Report on "The Presidential Committee on Students Unrest and Indiscipline in Kenyan Secondary Schools", November 1991.". In: 4th International Congress of Cell Biology, Montreal, Canada 14-19 August, 1988. Douglas McLean Publishing; 1991. Abstract
This publication bring together upto 15 papers presented at the inagural conference of the world Association of Sign Language Interpreters by experts form around the globe. the pares highlight the importance of of worjing together and sharing a global responsibility for the development of interpreting services worldwide. This is a valuable resource for all sign language interpreters, students and interpreter trainers, and contains much to interest those who wish to know more about the situation of Sign Language interpratation form an internation perspective.
K PROFKAMAUREUBEN, OTIENO DRODAWAFRANCISXAVIER. "Kamau RK. The Effect of Oral Contraceptives, Mini-pill and Depo Provera on Oral Glucose Tolerance Test. MMed Thesis, Department of Obstetrics and Gynaecology, University of Nairobi, 1987.". In: MMed Thesis, Department of Obstetrics and Gynaecology, University of Nairobi, 1987. Journal of School of Continuous and Distance Education ; 1987. Abstract
Kamau RK, Osoti AO, Njuguna EM. Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, P.O. Box 1%76-00202, Nairobi, Kenya. BACKGROUND: Cancer of the uterine cervix is the most common female cancer in Kenya. Despite being preventable, it is often diagnosed when it is already late. For this reason, only palliative therapy is provided. Hence, it is expected that their daily routines and that of their caregivers are severely disrupted. OBJECTIVES: To determine the extent to which diagnosis and treatment of inoperable cervical carcinoma affects quality of life (QOL). DESIGN: Cross-sectional descriptive study. Setting Radiotherapy Department at the Kenyatta National Hospital. SUBJECTS: Women undergoing radiotherapy for inoperable cervical cancer. RESULTS: There is high prevalence of profound disruptions in nearly all domains of QOL. In the social domain, between 33% and 44% had the perception that family members and friends had withdrawn social support. Reduction in various economic facets was reported by 47.4%-52.6%, with 44.7% reporting a fall in the overall living standards. There were significant changes in the sexual domain, as a result in which 28.3% reported marital discordance. In the personality domain, decreased self-esteem and self-projection in life occurred in 30.9% and 36.2% respectively. On functional outcomes (EORTC QLQ-C30), only 32%-41% reported not being affected in the various facets of emotional function. Physical functions were affected in 19%-79%, role functions in 69%-75%; symptoms in 49%-80%; cognitive functions in 46%-56%; social functions in 63%-71% and financial aspects by 63%. On global QOL, 53% and 47% respectively reported high level disruption in overall physical health and overall QOL. CONCLUSION: Severe deterioration of QOL occurs as a result of diagnosis of inoperable cervical cancer and subsequent therapies. For this reason there is need to establish severe disease and end-of-life research and management services that would ensure better coping with cancer for patients and for home-based caregivers. PMID: 17633581 [PubMed - indexed for MEDLINE]
K PROFIMUNGIJASPER. "Mziray, Rajabu, S., Jasper K. Imungi and Edward G. Karuri, 2001. Nutrient and antinutrient contents of raw and cooked amaranthus hybridus. Ecology of Food and Nutrition. 40: 53.". In: International Plant Genetic Resources Institute Newsletter for Sub-Saharan Africa, Issue 17Rome, Italy. Canadian Center of Science and Education; 2001. 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 CC, S.O A, C B, W MC. "Water Use and water productivity of Agroforestry systems in semi-arid tropics ." Annals of arid zone . 2007;46((3&4)):1-30,.
K PROFGACHENECHARLESK. "Karuku G, Gachene CKK and Macharia P. 2006. Soil water behaviour under different cover crops and under different residue management practices. In Jg Muriethi, CKK Gachene, JW Wamuongo and M Eilitta (eds) Enhancing agricultural productivity in East Africa:.". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 2006. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K PROFWABACHAJAMES. "J.K. Wabacha, C.M. Mulei, J. M. Maribei and P.M.F. Mbithi. Occurrence of Dermatophilosis in Zero-grazed Dairy Cattle.". In: Kenya Veterinary Association Annual Scientific Conference, 26th- 28th April, 2000), Mombasa, Kenya. Bull. Environ. Contam. Toxicol; 2000. Abstract
Forty-two pigs in a herd of 117 displayed various clinical signs of progressive atrophic rhinitis. The main signs included sneezing, coughing, lachrymation, serous to mucopurulent nasal discharge, and nasal bleeding in 1 pig. Three pigs had lateral deviation of the snout, while 4 had brachygnathia superior with obvious deformation of the face. Four acutely affected weaner pigs appeared weak, while the 7 chronically-affected pigs appeared smaller than their apparently unaffected penmates of the same age. Treatment of the acutely affected pigs with long-acting oxytetracycline at 20 mg/kg body weight intramuscularly, repeated once after 7 days, reduced the severity but did not clear the sneezing from all the pigs. Fifteen pigs were slaughtered 2 months after the clinical diagnosis was made. The carcasses of the chronically affected pigs were about 15% lighter than those of the apparently normal pigs of the same age and from the same pen, which translated to a loss of 921.00 Kenya shillings per pig (US$13.7). Diagnosis of progressive atrophic rhinitis was confirmed by sectioning the snouts of randomly selected slaughtered pigs with obvious deformation of the snout. Sections were made at the level of the 1st/2nd upper premolar tooth. Varying degrees of turbinate atrophy, from mild to complete, were noted. Histopathology of the turbinates revealed metaplasia of nasal epithelium and fibrosis in the lamina propria.
K PROFKAMAUREUBEN, OTIENO DRODAWAFRANCISXAVIER. "Githiru PK, Kamau RK, Ndavi m, et al. Value of erect lateral pelvimetry in management of patients with one previous cesarean scar. J Obstet Gynecol East Cent Afr 1993; 10: 13-15.". In: J Obstet Gynecol East Cent Afr 1993; 10: 13-15. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 1993. Abstract

PIP: In November and December, 1993, a self-administered questionnaire was distributed to men in the town of Machakos and to nonmedical hospital workers of Machakos General Hospital. The purpose of the study was to assess their knowledge about and attitude towards vasectomy. The majority of men were in the age group of 30-44 years and were married; the hospital group was more educated. The town men perceived the pill to be the best contraceptive method for women in contrast to the hospital group who gave more importance to bilateral tubal ligation. The hospital group also perceived vasectomy as the best method for men. Overall, 53.2% men were aware of the correct procedure of vasectomy, but only 24% had correct knowledge of how the procedure affects masculinity. The knowledge of the procedure among hospital workers was not very different from that of the town group. Recommendations were made to increase information and education to all groups of people through various media. author's modified

K PROFNDELEJOHNSON. "The pharmacokinetics of netilmicin by J.K. Ndele. The Nairobi Journal of Medicine Volume 15 No. 1 42-48 1990.". In: The Nairobi Journal of Medicine Volume 15 No. 1 42-48 1990. University of Nairobi Press; 1990. 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.
K PROFGACHENECHARLESK. "Field assessment of the effect of cumulative soil loss on soil productivity East Afr. Agric. For. J., Vol. 67 (2), 129-145.". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 2001. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K PROFMAITAICHARLES. "Maitai CK, Njoroge DK, Munenge RW. A comparative study of two antispasmodic products: Buscopan and NO-Spa. East Afr Med J. 1985 Jul;62(7):480-5.". In: East Afr Med J. 1985 Jul;62(7):480-5. African Crop Science Society; 1985. Abstract

Residue levels of the chlorinated hydrocarbons p,p'-DDT (2,2-bis(p-chlorophenyl)-1,1,1-trichloroethane), p,p'-DDE (2,2-bis(p-chlorophenyl)-1,1-dichloroethane), hexachlorobenzene (HCB), alpha-, beta-, and gamma-hexachlorocyclohexane (HCH), aldrin, dieldrin, and polychlorinated biphenyls (PCBs) were determined in human milk of Kenyan mothers living in different areas of Kenya. The main organochlorine contaminants found in all the milk samples analyzed were p,p'-DDT and p,p'-DDE. Great regional differences were found, and mean levels of sum DDT and DDT/DDE ratio ranged from 1.1 to 18.7 mg/kg milk fat and from 0.7 to 5.7, respectively. In general, relatively low residue levels of HCB, alpha-HCH, beta-HCH, aldrin, and dieldrin were detected in 59, 37, 27, 37, and 19%, respectively, of all the milk samples analyzed. Quantifiable residue levels of PCBs and alpha-HCH were not found. The results were examined in relation to differences in living conditions with regard to agricultural activities, dietary habits, and reported use of pesticides in the various sampling areas.

K KE, GK G, M MG, J V, Kairu-Wanyoike. "Seroprevalence of bovine leukemia virus infection in contrasting farming systems in Kenya ." Ethiopian Veterinary Journal . 2019;23 (1):12-23 .
K MRSASIEMAJOY. "Joy K. Asiema and Francis D.P. Situma,"Indigenous Peoples and the Environment: The Case of the Pastoral Maasai of Kenya", in the Colorado.". In: Journal of International Environmental Law and Policy, Volume 5, Number 1, p.149. African Meteorological Society; 1994. Abstract
Abstract in Bellamy, M. and B. Greenshields (eds), Issues in Agricultural Development: Sustainability and Cooperation. IAAE Occasional Paper No. 6. Dartmouth Publishing Co. Ltd, Aldershot.
K PROFIMUNGIJASPER. "Imungi, J.K. 1992. Post harvest handling of perishable crops. Presented at the Seminar of Post harvest Management of Food Crops. Nairobi, 29 - 30 January 1992.". In: Presented at the Seminar of Post harvest Management of Food Crops. Nairobi, 29 - 30 January 1992. Canadian Center of Science and Education; 1992. 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 DRMBURUMARYWAMBUI, S PROFIGONSANGWASHIBAIRO. "Integrated pest management options to improve maize forage yield and quality for small-scale dairy farmers in Central Kenya. Aspects of Applied Biology 70, 2003. Crop Quality: Its role in sustainable livestock production. U.K.". In: Paper presented in the the British Crop Protection Council international congress held on 10 to 12th November at Glasgow, Scotland, Pp. 993-998. UK. ISBN 1 901396 63 0. Taylor & Francis; 2003. Abstract
Normal 0 false false false MicrosoftInternetExplorer4 st1:*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Hepatocellular carcinoma results when cancerous cells are localized in the liver. It is distributed globally with high prevalence in sub-Saharan African, southern Asia, China and Japan. Diagnosis is experimental and in many cases inaccurate due to unreliability of markers. Prognosis is poor and the cost of treatment prohibitive. Conventional radiation and chemotherapy lead to loss of hair, fertility and general weakening of the body`s immune system increasing a patient`s risk to infection. These observations underscore the need for improved, or additional methods of cancer diagnosis and management. We investigated the effect of polysaccharide rich Pleurotus pulmonarius fruit body extracts on progression of chemically induced hepatocellular carcinoma in CBA mice. Addition of Pleurotus pulmonarius extracts in diet delayed progression of carcinogenesis suggesting   that these extracts may be useful as   adjuvants to conventional cancer therapies.   Key words: carcinogenesis; mice; mushroom extracts; pleurotus pulmunarius   Corresponding author: Ms Carolyne Wasonga, Department of Biochemistry, University of Nairobi, P.O. Box 30197, Nairobi,  Kenya. E-mail: carox27@yahoo.ca     Charles O.A. Omwandho, Susanne E. Gruessner, John Falconer, Hans-R Tinneberg, Timothy K. Roberts. IS OVINE PLACENTAL IGG TOXIC TO HUMAN PERIPHERAL BLOOD NATURAL KILLER CELLS?
K PROFGACHENECHARLESK. "Soil erosion effects on soil properties in a highland area of Central Kenya. Soil Sci. Soc. Am. J., 61: 559 .". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 1997. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K MMO, RE C, G M, LM G, SM K. "Tsetse and Livestock Disease Situation in a Ranch and Surrounding Farms of Makueni District, Kenya." The Kenya Veterinarian. 2010;34:1-12.
K DRGATHUMBIJAMES. "Gathumbi, J.K. (2003). Mycotoxin status in Kenya.". In: A paper presented at the Kenya Veterinary Association Nairobi Branch Scientific Conference and Annual General Meeting held in Nairobi on 26th February, 2003. University of nairobi; 2003. Abstract
Abstract in Bellamy, M. and B. Greenshields (eds), Issues in Agricultural Development: Sustainability and Cooperation. IAAE Occasional Paper No. 6. Dartmouth Publishing Co. Ltd, Aldershot.
K PROFIMUNGIJASPER. "Nutrient contents of cured potatoes from Kenyan highland varieties. Ecology of Food and Nutrition 20: 51-58.". In: Presented at the First Symposium of the National Council of Zimbabwe, Harare, and 3 - 7 January 1988. Canadian Center of Science and Education; 1987. 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 SG, Abuodha SO, N MJ. "Investigating The Potential Use of Tuff Aggregates to Produce Lightweight Concrete." International Journal of Scientific and Research Publications. 2020;Vol 10(9):458-478.
K DRKAYIMAJOSHUA. "Kayima J.K., Twahir A., Njenga Asyptomatic bacteriuria among diabetics attending Kenyatta National Hospital East African Medical Journal, 73(8): 524-26; 1996.". In: East African Medical Journal, 73(8): 524-26; 1996. Ochieng P. O., McLigeyo S. O., Amayo E. O., Kayima J. K. and Omonge E. O.; 1996. Abstract
Significant asymptomatic bacteriuria is an important cause of pyelonephritis and gram negative septicaemia among certain predisposed individuals, such as diabetics. We investigated the incidence of asymptomatic urinary tract infections (UTIs) among our diabetic patients and the type and antibacterial sensitivity patterns of the organisms causing these UTIs. One hundred and thirty five patients submitted midstream urine specimens for culture. Fifteen patients had positive cultures showing the incidence of asymptomatic UTI to be 11.1%. There were ten female and five male patients with UTI. The commonest organism isolated was Escherichia coli at 40%. Gram negative bacilli made up 66.7% of the isolates. Isolates were poorly sensitive to the regularly available antibiotics-ampicillin (33% sensitive, cotrimoxazole (33% sensitive). Nitrofurantoin inhibited growth in 93% of the isolates. Other antimicrobials with over 80% sensitivity level included: gentamicin, ceftazidime, augmentin, cefuroxime and norfloxacin. They are expensive or require parenteral administration. The incidence of asymptomatic UTI is high among diabetics and although the organisms isolated are those usually isolated in UTIs, they are not that sensitive to the commonly available and antibacterial agents.
K PROFGACHUIRICHARLES. "Rearing of Dairy Cows 2002. C.K. Gachuiri. Published by Radio Listening Groups.". In: South African Statistical Journal. F.N. kamau, G. N Thothi and I.O Kibwage; 2002. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K MRCHEPKONGAMIKE. "The Informal Apprenticeship Training and Skill Acquisition: A case study of Informal Technical Training in Nairobi Kenya.". In: Doctorate, Georg-August- University G. I.E.K Internatioanl Conference l; 1986. Abstract
OBJECTIVE: To estimate the prevalence and pattern of conjuctival squamous cell carcinoma (CSCC) in patients with HIV infection. DESIGN: A hospital based cross sectional study. SETTING: Kenyatta National Hospital (KNH) and Kikuyu Eye Unit (KEU) during the period November 2003 and May 2004. SUBJECTS: Four hundred and nine HIV positive patients. RESULTS: Four hundred and nine HIV positive patients aged 25 to 53 years were screened. Male to Female ratio was 1:1. One hundred and three had conjunctival growths. Thirty two had histologically proven conjunctiva squamous cell carcinoma (CSCC). Estimated prevalence of CSCC among HIV positive patients was 7.8%. The average duration of growth of the conjunctival masses was 21.8 months. The average size of the lesions at the time of presentation was 6.6 mm. Twenty two (68.8%) patients had primary CSCC, while ten (31.2%) had recurrent lesions. The pattern of the histopathology results was: fifteen (46.9%) patients had poorly differentiated squamous cell carcinoma; nine (28%) had moderately differentiated squamous cell carcinoma; five patients (15.6%) had CIN; two patients (6.3%) had dysplasia and one patient (3.1%) had a well differentiated squamous cell carcinoma. CONCLUSIONS: Prevalence of CSCC in HIV/AIDS patients was 7.8%. Patients present late with advanced lesions. Recurrence rates from previous surgery are high. The often uncharacteristic complaints and findings on presentation complicate the clinical diagnosis. Active search for early manifestations of CSCC in HIV / AIDS patients, complete surgical excision and close follow up is necessary. Alternative treatment methods and techniques like the topical use of antimetabolites should be explored further.
K DRMBURUMARYWAMBUI. "Line-planted trees and phosphorus effects on maize water use in sub-humid western Kenya. East African Agriculture and Forestry Journal. 69:173-182.". In: Proceedings of 19th Soil Science Society of East AfricaConference,2-7 2001, Moshi, Tanzania. Pp 1-13. University of Nairobi; 2003. Abstract
Kent papers in POlitics and International Relations, Series 4, No. 4.
K PROFGACHUIRICHARLES. "Wambugu. M, R.G. Wahome, C.K. Gachuiri and J. Tanner. 1998. Evaluation of the use of milk urea nitrogen (MUM) as an indicator of nutritional status of dairy cattle in small holder farms in Kiambu district. The Kenya Veterinarian 23:152-154.". In: Proceedings, 6th KARI Scientific conference, November, 1998. Kenya Agricultural Research Institute, Nairobi, Kenya. F.N. kamau, G. N Thothi and I.O Kibwage; 1998. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K PROFGACHUIRICHARLES. "Carles, A.B., Gachuiri,C.K. and Schwartz, H.J. 1987. A comparison of goat mortality of two herds at Rendille and Isiolo.". In: Proceedings of the KVA/ SR-CRSP Kenya workshop, Nairobi. F.N. kamau, G. N Thothi and I.O Kibwage; 1987. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K PROFKAMAUREUBEN. "Effect of diagnosis and treatment of inoperable cervical cancer on quality of life among women receiving radiotherapy at Kenyatta National Hospital.East Afr Med J. 2007 Jan;84(1):24-30.PMID: 17633581 [PubMed - indexed for MEDLINE].". In: at Kenyatta National Hospital.East Afr Med J. 2007 Jan;84(1):24-30.PMID: 17633581 [PubMed - indexed for MEDLINE]. Journal of School of Continuous and Distance Education ; 2007. Abstract
Kamau RK, Osoti AO, Njuguna EM. Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, P.O. Box 1%76-00202, Nairobi, Kenya. BACKGROUND: Cancer of the uterine cervix is the most common female cancer in Kenya. Despite being preventable, it is often diagnosed when it is already late. For this reason, only palliative therapy is provided. Hence, it is expected that their daily routines and that of their caregivers are severely disrupted. OBJECTIVES: To determine the extent to which diagnosis and treatment of inoperable cervical carcinoma affects quality of life (QOL). DESIGN: Cross-sectional descriptive study. Setting Radiotherapy Department at the Kenyatta National Hospital. SUBJECTS: Women undergoing radiotherapy for inoperable cervical cancer. RESULTS: There is high prevalence of profound disruptions in nearly all domains of QOL. In the social domain, between 33% and 44% had the perception that family members and friends had withdrawn social support. Reduction in various economic facets was reported by 47.4%-52.6%, with 44.7% reporting a fall in the overall living standards. There were significant changes in the sexual domain, as a result in which 28.3% reported marital discordance. In the personality domain, decreased self-esteem and self-projection in life occurred in 30.9% and 36.2% respectively. On functional outcomes (EORTC QLQ-C30), only 32%-41% reported not being affected in the various facets of emotional function. Physical functions were affected in 19%-79%, role functions in 69%-75%; symptoms in 49%-80%; cognitive functions in 46%-56%; social functions in 63%-71% and financial aspects by 63%. On global QOL, 53% and 47% respectively reported high level disruption in overall physical health and overall QOL. CONCLUSION: Severe deterioration of QOL occurs as a result of diagnosis of inoperable cervical cancer and subsequent therapies. For this reason there is need to establish severe disease and end-of-life research and management services that would ensure better coping with cancer for patients and for home-based caregivers. PMID: 17633581 [PubMed - indexed for MEDLINE]
K PROFWABACHAJAMES. "E.G.M. Mogoa, J.K. Wabacha, P.M.F. Mbithi, S.G. Kiama. An overview of animal welfare issues in Kenya.". 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.
K PROFMUSUVAJEREMIAH. "Musuva J.K. ""Importance of Railways in the National Economy; An Example of Kenya Railways"". Presented to the 3rd MAPS Seminar of International Union of Railways, New Delhi, India held on 10th - 14th January 1994.". In: 4th International Congress of Cell Biology, Montreal, Canada 14-19 August, 1988. Douglas McLean Publishing; 1994. Abstract
This publication bring together upto 15 papers presented at the inagural conference of the world Association of Sign Language Interpreters by experts form around the globe. the pares highlight the importance of of worjing together and sharing a global responsibility for the development of interpreting services worldwide. This is a valuable resource for all sign language interpreters, students and interpreter trainers, and contains much to interest those who wish to know more about the situation of Sign Language interpratation form an internation perspective.
K PROFKAMAUREUBEN, OTIENO DRODAWAFRANCISXAVIER. "Kamau RK. Breastfeeding and family planning. Manual of Clinical Family Planning Practice, chapter 7, pp 77-86. Kenya Medical association, 1988.". In: Kamau RK, Mati JKG. East Afr Med J 1988; 65: 470-77. Journal of School of Continuous and Distance Education ; 1988. Abstract
Kamau RK, Osoti AO, Njuguna EM. Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, P.O. Box 1%76-00202, Nairobi, Kenya. BACKGROUND: Cancer of the uterine cervix is the most common female cancer in Kenya. Despite being preventable, it is often diagnosed when it is already late. For this reason, only palliative therapy is provided. Hence, it is expected that their daily routines and that of their caregivers are severely disrupted. OBJECTIVES: To determine the extent to which diagnosis and treatment of inoperable cervical carcinoma affects quality of life (QOL). DESIGN: Cross-sectional descriptive study. Setting Radiotherapy Department at the Kenyatta National Hospital. SUBJECTS: Women undergoing radiotherapy for inoperable cervical cancer. RESULTS: There is high prevalence of profound disruptions in nearly all domains of QOL. In the social domain, between 33% and 44% had the perception that family members and friends had withdrawn social support. Reduction in various economic facets was reported by 47.4%-52.6%, with 44.7% reporting a fall in the overall living standards. There were significant changes in the sexual domain, as a result in which 28.3% reported marital discordance. In the personality domain, decreased self-esteem and self-projection in life occurred in 30.9% and 36.2% respectively. On functional outcomes (EORTC QLQ-C30), only 32%-41% reported not being affected in the various facets of emotional function. Physical functions were affected in 19%-79%, role functions in 69%-75%; symptoms in 49%-80%; cognitive functions in 46%-56%; social functions in 63%-71% and financial aspects by 63%. On global QOL, 53% and 47% respectively reported high level disruption in overall physical health and overall QOL. CONCLUSION: Severe deterioration of QOL occurs as a result of diagnosis of inoperable cervical cancer and subsequent therapies. For this reason there is need to establish severe disease and end-of-life research and management services that would ensure better coping with cancer for patients and for home-based caregivers. PMID: 17633581 [PubMed - indexed for MEDLINE]
K PROFIMUNGIJASPER. "Ngatia, E.M., Nyanga, P.M., Imungi, J.K., Muita, J.W. and Ogarrd, B. 2001a. Artificial sucking habits and malocclusion in 3-5 year-olds in Nairobi. African Journal of Oral Health Sciences (AJOHS 2(2): 27.". In: International Plant Genetic Resources Institute Newsletter for Sub-Saharan Africa, Issue 17Rome, Italy. Canadian Center of Science and Education; 2001. Abstract

To determine the prevalence of sucking habits and its association with anterior open bite, posterior cross-bite and transverse dimensions of the Jaws In 3-5-year-olds in Nairobi. Design: A cross-sectional study. Setting: Nairobi, Kenya. Subjects: Three hundred and four children aged 3-5 years (155 boys and 149 girls). Results: The prevalence of digit suckers was 15.8%, nd pacifier users 1.0%. Those with anterior open bite constituted 7.6%. The average intercanine archwidth between 53-63 was 3d.8mm and between 73-83 was 25.4mm. A statistically significant correlation (Pearson!)was observed between digit-sucking and anterior open bite (P<0.01). Concluslon: The present study forms a baseline for future trends in sucking habits among children in Nairobi, Kenya. Low prevalence of sucking habits was found. The average difference between the upper and lower intercanine arch widths was relatively high and prevalence of postenor cross-blte was low. A significant correlation was observed between anterior open bite and digit sucking. The need for orthodontic treatment due to sucking habit was low among children in Nairobi.

K PROFGACHENECHARLESK. "GN Chemining.". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 2007. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K DRKARIUKIDAVID. General and Inorganic Chemistry Book for First Year Distance Learners. Vaccine 26:2788- 2795; 2004. AbstractWebsite

OBJECTIVE: To determine the bacteriology and antibiotic sensitivity of the bacterial isolates in chronic maxillary sinusitis patients seen at the Kenyatta National Hospital. DESIGN: Cross-sectional study. SETTING: Kenyatta National Hospital, ENT department. SUBJECTS AND METHODS: Seventy-three patients had bilateral sntral washout done and the lavage submitted for culture and anti-microbial sensitivity between January and June 1996. RESULTS: Antral lavage yielded secretions in 63% of patients but bacteria were cultured in only 28.8% of the specimens. The isolates included Streptococcus pneumonia (22.2%), Staphylocococus albus (18.5%), Staphylocococus aureus (11.1%) and Enterobactericiae (11.1%). Anaerobic bacteria were cultured in 22.2% of the specimens. Of the commonly used antibiotics, there was high sensitivity to erythromycin, cefadroxyl, chloramphenicol and amoxicillin and poor sensitivity to ampicillin, cotrimoxazole and perfloxacin. CONCLUSION: The bacteriology of chronic maxillary sinusitis at Kenyatta National Hospital is generally similar to that found elsewhere. The bacteria are susceptible to relatively affordable antibiotics like amoxicillin, erythromycin and cefadroxyl.

K PROFWABACHAJAMES. "J. K. Wabacha, J.M. Maribei, A.G. Thaiya, S.J.M. Munyua, D.N. Karanja and E.M.Njoroge(2000). Progressive atrophic rhinitis in a medium scale pig farm in Kiambu, Kenya.". In: Journal of South Africa Veterinary Association. 71(2): 122-124. Bull. Environ. Contam. Toxicol; 2000. Abstract
Forty-two pigs in a herd of 117 displayed various clinical signs of progressive atrophic rhinitis. The main signs included sneezing, coughing, lachrymation, serous to mucopurulent nasal discharge, and nasal bleeding in 1 pig. Three pigs had lateral deviation of the snout, while 4 had brachygnathia superior with obvious deformation of the face. Four acutely affected weaner pigs appeared weak, while the 7 chronically-affected pigs appeared smaller than their apparently unaffected penmates of the same age. Treatment of the acutely affected pigs with long-acting oxytetracycline at 20 mg/kg body weight intramuscularly, repeated once after 7 days, reduced the severity but did not clear the sneezing from all the pigs. Fifteen pigs were slaughtered 2 months after the clinical diagnosis was made. The carcasses of the chronically affected pigs were about 15% lighter than those of the apparently normal pigs of the same age and from the same pen, which translated to a loss of 921.00 Kenya shillings per pig (US$13.7). Diagnosis of progressive atrophic rhinitis was confirmed by sectioning the snouts of randomly selected slaughtered pigs with obvious deformation of the snout. Sections were made at the level of the 1st/2nd upper premolar tooth. Varying degrees of turbinate atrophy, from mild to complete, were noted. Histopathology of the turbinates revealed metaplasia of nasal epithelium and fibrosis in the lamina propria.
K PROFKAMAUREUBEN, OTIENO DRODAWAFRANCISXAVIER. "Kaihura DM, Koigi-Kamau R, Ndavi PM. A survey of knowledge, attitude and use of emergency contraception among undergraduate female students in two Kenyan universities. J Obstet Gynecol East Cent Afr 1999; 15: 36-44.". In: East Cent Afr 1999; 15: 36-44. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 1999. Abstract
OBJECTIVE: In sub-Saharan Africa, many family planning programmes do not encourage advance provision of oral contraceptives to clients who must wait until menses to initiate pill use. Since some resistance to advance provision of pills is due to provider fears that the practice may be harmful, we conducted a study in Kenya in 1997 to compare pill-taking outcomes between 20 "advance provision" clients and 280 "standard" clients. DESIGN: Prospective observational study. SETTING: Six family planning clinics in Central and Western Kenya. SUBJECTS: Women presenting as new clients at MOH family planning clinics. INTERVENTIONS: Researchers used prospective tracking to compare indicators of pill-taking success between non-menstruating clients given pills to carry home for later use and menstruating clients who began pill use immediately. MAIN OUTCOME MEASURES: Pill-taking outcomes such as side effects, compliance, knowledge, satisfaction, and a continuation proxy. RESULTS: Among clients returning for re-supply, those receiving advance provision of pills did no worse than, and often had superior outcomes to, their counterparts who started taking pills immediately after the clinic visit. CONCLUSIONS: Advance provision of pills, already practiced worldwide, is safe and feasible. Explicit mention should be made of advance provision of pills in national family planning guidance documents and training curricula in Kenya and throughout sub-Saharan Africa.
K PROFNDELEJOHNSON. "Ndele JK, Yoshioka K, Fisher JW.Hydrogen peroxide in the regulation of erythropoietin (Epo) gene expression in hepatocellular carcinoma cells. East Afr Med J. 1996 Feb;73(2):143-6.". In: The Nairobi Journal of Medicine Vol. 19, No. 1 pp 8-12, 1996. University of Nairobi Press; 1996. 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.
K PROFGACHENECHARLESK. "The effect of post-harvest crop cover on soil erosion in a maize-legume based cropping system in Gatanga, Kenya. Journal of Agriculture in the Tropics and Subtropics, Vol 103, pp 17-28.". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 2002. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K PROFMAITAICHARLES. "Kahunyo JM, Froslie A, Maitai CK. Organochlorine pesticide residues in chicken eggs: a survey. J Toxicol Environ Health. 1988;24(4):543-50.". In: J Toxicol Environ Health. 1988;24(4):543-50. African Crop Science Society; 1988. Abstract

One hundred and five chicken egg samples were taken from seven geographical locations in Kenya and analyzed for organochlorine pesticide residues using gas-liquid chromatography. Nine organochlorine compounds were detected: alpha- and gamma-HCH/BHC (hexachlorocyclohexane/benzene hexachloride), aldrin, dieldrin, p,p'-DDE [1,1-dichloro-2,2-bis(p-chlorophenyl)ethylene], p,p'-DDD (TDE) [2,2-bis(p-chlorophenyl)-1,1-dichloroethane] (tetrachlorodiphenylethane), o,p'-DDD [2-(o-chlorophenyl)-2-(p-chlorophenyl)-1,1-dichloroethane], o,p'-DDT [2-(o-chlorophenyl)-2-(p-chlorophenyl)-1,1,1-trichloroethane], and p,p'-DDT. Eighteen of the samples contained DDT levels exceeding the practical residue limit (0.5 ppm). The mean DDT residue content was 0.68 ppm, a result influenced greatly by the high contamination in the 18 samples. Both individual and mean residue levels for other organochlorine pesticides detected were well within the respective practical residue limits.

K PROFIMUNGIJASPER. "Imungi, J.K. 1993. Storage and Ripening of Kenyan mangoes. Presented at the International Symposium on Post harvest Handling of Tropical Fruit, Chiang Mai, Thailand, 19 - 23 July, 1993.". In: Presented at the International Symposium on Post harvest Handling of Tropical Fruit, Chiang Mai, Thailand, 19 - 23 July, 1993. Canadian Center of Science and Education; 1993. 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 DRMBURUMARYWAMBUI, S PROFIGONSANGWASHIBAIRO. "Response of green grams (Vigna radiata) to fertilizer nitrogen application. In: JJT Msaky, GP Musumali and FBR Rwehubiza. Soil Science Research and Technologies: Foundations for sustainable food security.". In: Proceedings of 19th Soil Science Society of East AfricaConference,2-7 2001, Moshi, Tanzania. Pp 1-13. Taylor & Francis; 2004. Abstract
Normal 0 false false false MicrosoftInternetExplorer4 st1:*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Hepatocellular carcinoma results when cancerous cells are localized in the liver. It is distributed globally with high prevalence in sub-Saharan African, southern Asia, China and Japan. Diagnosis is experimental and in many cases inaccurate due to unreliability of markers. Prognosis is poor and the cost of treatment prohibitive. Conventional radiation and chemotherapy lead to loss of hair, fertility and general weakening of the body`s immune system increasing a patient`s risk to infection. These observations underscore the need for improved, or additional methods of cancer diagnosis and management. We investigated the effect of polysaccharide rich Pleurotus pulmonarius fruit body extracts on progression of chemically induced hepatocellular carcinoma in CBA mice. Addition of Pleurotus pulmonarius extracts in diet delayed progression of carcinogenesis suggesting   that these extracts may be useful as   adjuvants to conventional cancer therapies.   Key words: carcinogenesis; mice; mushroom extracts; pleurotus pulmunarius   Corresponding author: Ms Carolyne Wasonga, Department of Biochemistry, University of Nairobi, P.O. Box 30197, Nairobi,  Kenya. E-mail: carox27@yahoo.ca     Charles O.A. Omwandho, Susanne E. Gruessner, John Falconer, Hans-R Tinneberg, Timothy K. Roberts. IS OVINE PLACENTAL IGG TOXIC TO HUMAN PERIPHERAL BLOOD NATURAL KILLER CELLS?
K PROFGACHENECHARLESK. "Incorporation of green manure legumes into smallholder farming systems in Kenya: achievements and current activities of legume screening network. In (eds): F Rasolo and M. Raunet. Agrobiological Management of Soils and Cropping Systems. Montpelier France,.". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 1998. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K DRGATHUMBIJAMES. "Mbugua, S.M. and Gathumbi J.K. (2004). The contamination of Kenyan lager beers Fusarium mycotoxins. Journal of The Institute of Brewing 110: 227-229.". In: Proceedings of a WHO Experts group meeting on aflatoxins and health held on 24 . University of nairobi; 2004. Abstract
Abstract in Bellamy, M. and B. Greenshields (eds), Issues in Agricultural Development: Sustainability and Cooperation. IAAE Occasional Paper No. 6. Dartmouth Publishing Co. Ltd, Aldershot.
K PROFIMUNGIJASPER. "Imungi, J.K. 1989. Quality of unfractionated protein concentrate extracted from Kale leaves. Paper presented at the 3rd International Conference of Leaf Protein, Pissa, Perugia, Viterbo, Italy, 1 - 7 October, 1989.". In: Paper presented at the 3rd International Conference of Leaf Protein, Pissa, Perugia, Viterbo, Italy, 1 - 7 October, 1989. Canadian Center of Science and Education; 1989. 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 DRKARUUSIMONP. "The corrosive effects of Chloride and Sulphate ions on iron-based metal water pipes buried underground." International Journal of Biochemiphysics. Vol.10,2000 pg. 25-28.". In: Proceedings of the Australian Soc. of Reproductive Biology, Melbourne, 27 31 August, 1984. Page 60. Central artificial Insemination Station Magazine; 2000. Abstract
This report concerns an outbreak that occurred during July/August 1997. Ten pigs from a herd of 181 pigs in a medium-scale, semi-closed piggery in Kiambu District, Kenya, contracted the clinical disease. The main clinical findings in affected pigs included: fever (40.5-41.8 degrees C), prostration, inappetence, dog-sitting posture, abortion, erythema and raised, firm to the touch and easily palpated light pink to dark purple diamond-shaped to square/rectangular spots on the skin around the belly and the back. Based on the pathognomonic skin lesions, a clinical diagnosis of swine erysipelas was made. The diagnosis was confirmed by the isolation of Erysipelothrix rhusiopathiae organisms from the blood and skin biopsies taken from the affected pigs. Response to treatment with a combination of procaine penicillin and dihydrostreptomycin at the dosage rate of 20,000 IU/kg body weight (based on procaine penicillin) for 3 days was good and all the affected pigs recovered fully. The farm was placed under quarantine to prevent spread of the disease
K DRKAYIMAJOSHUA. "Oliech J.S., Kayima J.K., Otieno L.S. Urinary tract stone disease in Nairobi East African Medical Journal, 75: 30-34; 1998.". In: East African Medical Journal, 75: 30-34; 1998. Ochieng P. O., McLigeyo S. O., Amayo E. O., Kayima J. K. and Omonge E. O.; 1998. Abstract
At the Kenyatta National Hospital (KNH) and other private hospitals in Nairobi urinary stone disease is not being correctly diagnosed. Over a 15 year period (1980-1995) only 56 patients have been confirmed to have urinary tract stones out of the expected number of 220 patients. The age range was 10-60 years. The peak age was 30-40 years. Pain and haematuria were the commonest presenting symptoms. Ultrasonography and plane abdominal radiology were the commonest methods of diagnosis. Open surgery and endoscopic stone removal were the commonest modes of management. Extracorporeal shortwave lithotripsy (ESWL) has recently been introduced into the Nairobi Hospital, but was not functional at the time of this study. Percutaneous nephrolithotomy (PCNL) is possible but has not been adequately used due to lack of correct equipment. Septicaemia and haemorrhage were the commonest complications of the open surgery.
K PROFGACHUIRICHARLES. "Kuria, S.G., R.G. Wahome, C.K. Gachuiri and M.M. Wanyoike. 2004. Evaluation of forages as mineral sources for camels in Western Marsabit, Kenya. South African J Anim Sci 34:180-188.". In: South African Statistical Journal. F.N. kamau, G. N Thothi and I.O Kibwage; 2004. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K, wa Gachigi. "• Effects of Farm Pesticides on water quality in Lake Naivasha, Kenya." American Journal of Plant Physiology. 2013;8 ( 1557-4539):105-113.kaoga_e_tal_water.pdf
K DRGITAUSAMSON. "The Environmental Crisis : Challenge for African Christianity(Nairobi,Acton publishers.).". In: Ph.D Colloquium) Proceedings of the 1st Annual (International Conference and Workshop on Sustainable ICT capacity in developing countries 2005. Makerere University, Kampala, pp 244-256. 2003; 2000. Abstract
Although early diagnosis and treatment are key factors in the effective control of human African trypanosomiasis (HAT), many cases of the disease delay taking appropriate action, leading to untold suffering. As a better understanding of treatment-seeking behaviour should help in identifying the obstacles to early diagnosis and effective treatment, the treatment pathways followed by 203 former HAT cases in western Kenya and eastern Uganda have recently been explored. About 86% of the HAT cases had utilized more than two different healthcare options before being correctly diagnosed for HAT, with about 70% each using more than three different health facilities. Only about 8% of the cases reported that they had been correctly diagnosed the first time they sought treatment. Just over half (51%) of the HAT cases had been symptomatic for >2 months before being correctly diagnosed for HAT, and such time lags in diagnosis contributed to 72% of the cases receiving their first appropriate treatment only in the late stage of the disease. The likelihood of a correct diagnosis increased with the time the case had been symptomatic. These observations indicate an urgent need to build the diagnostic capacity of the primary healthcare facilities in the study area, so that all HAT cases can be identified and treated in the early stage of the disease.
K DRMUSAMBAYICHRISANTHUSIKALIKHA. "Long term policy perspecives for Kenya:Joint IPAR/AERC Seminar report.". In: Joint IPAR / AERC Seminar Report 1999 with P. Kimuyu. uon press; 1999. Abstract
{ The Blantyre coma scale (BCS) is used to assess children with severe falciparum malaria, particularly as a criterion for cerebral malaria, but it has not been formally validated. We compared the BCS to the Adelaide coma scale (ACS), for Kenyan children with severe malaria. We examined the inter-observer agreement between 3 observers in the assessment of coma scales on 17 children by measuring the proportion of agreement (PA), disagreement rate (DR) and fixed sample size kappa (kappa n). We assessed the sensitivity and specificity of the scales in detecting events (seizures and hypoglycaemia) in 240 children during admission and the usefulness of the scales in predicting outcome. There was considerable disagreement between observers in the assessment of both scales (BCS: PA = 0.55
K PROFGACHUIRICHARLES. "Kariuki J.N., Gitau, G.K., C.K. Gachuiri, S. Tamminga and J.M.K. Muia. 1998. The effect of supplementing napier grass with graded levels of desmodium on intake and rumen fermentation in steers.". In: Proceedings, 6th KARI Scientific conference, November, 1998. Kenya Agricultural Research Institute, Nairobi, Kenya. F.N. kamau, G. N Thothi and I.O Kibwage; 1998. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K PROFGACHUIRICHARLES. "Gachuiri, C.K., Wahome, R.G. and Carles, A.B. 1988. Reproduction levels of the Small East African goat under range conditions. The Kenya Veterinarian, 12:35-36.". In: In: P. Singh, V. Shankar and A.K. Srivastava (Eds), Abstracts of the 3rd International Rangeland Congress, Range Management Society of India, Jhansi, pp. 440-. F.N. kamau, G. N Thothi and I.O Kibwage; 1988. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K LA, N. GA, K. NBN, O. OJP. "Effects of Water Application Levels on Growth Characteristics and Soil Water Balance of Tomatoes in Greenhouse." International Journal of Engineering Innovation & Research . 2014;Volume 3(Issue3):ISSN: 2277-5668.
K PROFWABACHAJAMES. "J.K. Wabacha, J.M. Maribei, C.M. Mulei, M.N. Kyule, K.H. Zessin, W. Oluoch-Kosura (2004). Characterisation of Smallholder pig Production in Kikuyu Division, Central Kenya. Prev. Vet. Med. 63: 183-195.". In: Presented in International workshop on improving the well-being of resource poor communities-the contribution of small livestock. Everglades Hotel, Howick, South Africa 12-15 September 2005. 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.
K PROFMUSUVAJEREMIAH. "J.K. Musuva, " Recent Past and Present Operational Performances and Restructuring Exercises in Kenya Railways " presented at the ISTED Railway Component Steering Committee Meeting, Paris, France 30th September 1996.". In: 4th International Congress of Cell Biology, Montreal, Canada 14-19 August, 1988. Douglas McLean Publishing; 1996. Abstract
This publication bring together upto 15 papers presented at the inagural conference of the world Association of Sign Language Interpreters by experts form around the globe. the pares highlight the importance of of worjing together and sharing a global responsibility for the development of interpreting services worldwide. This is a valuable resource for all sign language interpreters, students and interpreter trainers, and contains much to interest those who wish to know more about the situation of Sign Language interpratation form an internation perspective.
K PROFKAMAUREUBEN, OTIENO DRODAWAFRANCISXAVIER. "Okumu CV, Kamau RK, Rogo KO. The past reproductive and sexual characteristics of women with tubal infertility. East Afr Med J 1990; 67: 864-72.". In: East Afr Med J 1990; 67: 864-72. Journal of School of Continuous and Distance Education ; 1990. Abstract
Kamau RK, Osoti AO, Njuguna EM. Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, P.O. Box 1%76-00202, Nairobi, Kenya. BACKGROUND: Cancer of the uterine cervix is the most common female cancer in Kenya. Despite being preventable, it is often diagnosed when it is already late. For this reason, only palliative therapy is provided. Hence, it is expected that their daily routines and that of their caregivers are severely disrupted. OBJECTIVES: To determine the extent to which diagnosis and treatment of inoperable cervical carcinoma affects quality of life (QOL). DESIGN: Cross-sectional descriptive study. Setting Radiotherapy Department at the Kenyatta National Hospital. SUBJECTS: Women undergoing radiotherapy for inoperable cervical cancer. RESULTS: There is high prevalence of profound disruptions in nearly all domains of QOL. In the social domain, between 33% and 44% had the perception that family members and friends had withdrawn social support. Reduction in various economic facets was reported by 47.4%-52.6%, with 44.7% reporting a fall in the overall living standards. There were significant changes in the sexual domain, as a result in which 28.3% reported marital discordance. In the personality domain, decreased self-esteem and self-projection in life occurred in 30.9% and 36.2% respectively. On functional outcomes (EORTC QLQ-C30), only 32%-41% reported not being affected in the various facets of emotional function. Physical functions were affected in 19%-79%, role functions in 69%-75%; symptoms in 49%-80%; cognitive functions in 46%-56%; social functions in 63%-71% and financial aspects by 63%. On global QOL, 53% and 47% respectively reported high level disruption in overall physical health and overall QOL. CONCLUSION: Severe deterioration of QOL occurs as a result of diagnosis of inoperable cervical cancer and subsequent therapies. For this reason there is need to establish severe disease and end-of-life research and management services that would ensure better coping with cancer for patients and for home-based caregivers. PMID: 17633581 [PubMed - indexed for MEDLINE]
K PROFIMUNGIJASPER. "Nyariki, D.M., S.L. Wiggins and J.K. Imungi, 2002. Levels and causes of Household Food and Nutrition Insecurity in Dryland Kenya. Ecology of Food and Nutrition 41:155.". In: MUARIK Bulletin 6: 30 . Canadian Center of Science and Education; 2002. 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 DRNDERUFM. "Verminous Pneumonia in topi (Damaliscus korrigum) in Masai Mara area of Kenya.". In: journal. East African Journal of Development Studies; 1978. Abstract
Six Topi (Damaliscus korrigum) from the Masai Mara area of Kenya were examined.  All had lungworm nodules. The nodules were generalized in distribution among the lung lobes.  These nodules were essentially hepatized lung tissue with adult worms, larvae and eggs with marked cellular reaction accompanying the infection. The cell types were mostly lymphocytes, plasma cells, macrophages, giant cells and eosinophils. The worms were identified as protostrongylus africanus.
K O. "Okoa Kenya Bill Should Redeem Judiciary's Autonomy." People Daily, April 28, 2022:11.
K DRKARIUKIDAVID, N PROFKARIUKIDAVID, K DRKARIUKIDAVID. "Selenium Status of Livestock in Koibatek District in Kenya.". In: International Journal of BioChem Physics. Vaccine 26:2788- 2795; 2004. Abstract
OBJECTIVE: To compare a topical quinolone antibiotic (ciprofloxacin) with a cheaper topical antiseptic (boric acid) for treating chronic suppurative otitis media in children. DESIGN: Randomized controlled trial. SETTING AND PARTICIPANTS: A total of 427 children with chronic suppurative otitis media enrolled from 141 schools following screening of 39 841 schoolchildren in Kenya. Intervention Topical ciprofloxacin (n = 216) or boric acid in alcohol (n = 211); child-to-child treatment twice daily for 2 weeks. MAIN OUTCOME MEASURES: Resolution of discharge (at 2 weeks for primary outcome), healing of the tympanic membrane, and change in hearing threshold from baseline, all at 2 and 4 weeks. RESULTS: At 2 weeks, discharge was resolved in 123 of 207 (59%) children given ciprofloxacin, and in 65 of 204 (32%) given boric acid (relative risk 1.86; 95% CI 1.48-2.35; P < 0.0001). This effect was also significant at 4 weeks, and ciprofloxacin was associated with better hearing at both visits. No difference with respect to tympanic membrane healing was detected. There were significantly fewer adverse events of ear pain, irritation, and bleeding on mopping with ciprofloxacin than boric acid. CONCLUSIONS: Ciprofloxacin performed better than boric acid and alcohol for treating chronic suppurative otitis media in children in Kenya.
K PROFWABACHAJAMES. "J.K. Wabacha, C.M. Mulei (2001). The economic impact of progressive atrophic rhinitis in grower -finisher pigs in a medium- scale piggery in Kenya. Bull. Anim. Hlth and Prod. Afr.". In: Biennial scientific Conference of the Faculty of Veterinary Medicine, University of Nairobi, Kenya, 7th-9th August 2002, Nairobi, Kenya. Bull. Environ. Contam. Toxicol; 2001. Abstract
The short-term farm level economic impact of Foot and Mouth Disease outbreak in a large-scale dairy scale dairy farm was assessed during the quarantine period (35 days) and 60 days after lifting of the quarantine. Direct and indirect areas that contributed to the financial losses were identified for the period of observation (85 days). The greatest direct financial impact was due to milk losses (42.0%) followed by purchase pf additional feeds (13.65) and culling of milking cows that developed chronic mastitis (12.5%). The other direct costs were; extra labout inputs (8.9%), veterinary fees (3.350, transport (3.05), death (3.0%), drugs (2.9%), abortions (1.4%) and chemicals (0.5%). The indirect costs (9.4%) were associated with the effects of the quarantine period on other farm enterprises. During the quarantine period there were no sales of pigs and hay, and the retained additional feeds. The overall short-term farm level direct and indirect costs associated to US$16,026 (1US$=75ksh). This colossal economic loss within such a short period of time indicates that the control of FMD is of paramount economic importance in the diary farming sector in Kenya. The factors that would determine the magnitude of the financial losses due to an outbreak of FMD are discussed
K PROFIMUNGIJASPER. "Imungi, J.K. 1997. Changes in Vitamin and Mineral Contents during preparation and processing of Kenyan Traditional Green Leafy Vegetables - A Review. Journal of Food Technology in Africa 1 (1): 17.". In: International Plant Genetic Resources Institute Newsletter for Sub-Saharan Africa, Issue 17Rome, Italy. Canadian Center of Science and Education; 1997. 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 PROFKAMAUREUBEN, OTIENO DRODAWAFRANCISXAVIER. "Koigi-Kamau R, Letting PK, Kiarie JN. Perceptions and practices of vaginal delivery after cesarean among privately practicing obstetricians in Kenya. East Afr Med J 2005; 82: 641-46.". In: East Afr Med J 2005; 82: 641-46. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 2005. Abstract
Effects of calcium supplementation in patient at risk of pregnancy induced Hypertension. (This was an experimental double blind randomized clinical trial.) J. Obset. Gynaecol. East Cent.Afr 2005, 18:49-59
K PROFNDELEJOHNSON. "Munyao TM, Abinya NA, Ndele JK, Kitili PN, Maimba JM, Kamuri EN, Wanyika HW.Exfoliative erythroderma at Kenyatta National Hospital, Nairobi. East Afr Med J. 2007 Dec;84(12):566-70.". In: Journal of Dental Research. University of Nairobi Press; 2007. Abstract
BACKGROUND: Exfoliative erythroderma (EE), (Synonyms: Exfoliative dermatitis, Red man syndrome) is a clinical syndrome characterised by generalised erythema and scale. It is an important cause of functional skin failure and associated high morbidity and variable mortality rates. OBJECTIVES: To study demographics, aetiology, complications and clinical outcomes of exfoliative erythroderma (EE) on patients attending Kenyatta National Hospital (KNH). DESIGN: Cross- sectional descriptive study. SETTING: Kenyatta National Hospital, Dermatology Unit. SUBJECTS: All available medical records on inpatients seen by qualified dermatologists at KNH with generalised erythema and scale from 1996 to 2006. MAIN OUTCOME MEASURES: Discharge or death. RESULTS: Incidence exfoliative erythroderma was documented in 146 out of all 123 admissions (13%) into the dermatology unit from 1996-2006. Demographic mean age was 47 years, M: F ratio was 3:2, 67% had no income and 53% and 30% were residents of Nairobi and adjacent districts respectively. Sixty three percent were due to skin diseases, 23% due to systemic diseases of which 20% were due to HIV/AIDS and 14% due to adverse cutaneous drug reactions. Ninety percent of patients were treated and discharged and 10% died; 50% of whom had dermatoses and 29% due to HIV associated antituberculous drugs. CONCLUSIONS: Exfoliative erythroderma is an important cause of morbidity, admission and mortality in patients attending KNH. Dermatoses and HIV / AIDS were the most frequent causes. The mortality rate was relatively low and attributable to controllable diseases.
K PROFGACHENECHARLESK. "Influence of irrigation and nitrogen fertilizers on maize growth, nitrogen uptake and yield in a semi-arid Kenyan environment. E. Afr. Agric. For. J. 69 (2), 99-108.". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 2003. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K PROFMAITAICHARLES. "Kanja L.W., Skaare J.U., Ojwang S.B., Maitai C.K. A comparison of organochlorine pesticide residues in maternal adipose tissue, maternal blood, cord blood, and human milk from mother/infant pairs. Arch Environ Contam Toxicol. 1992 Jan;22(1):21-4.". In: East Afr Med J. 1992. African Crop Science Society; 1992. Abstract
During a 4 year period (January 1983 to December 1986), 418 requests for drug analysis were received in the Drug Analysis and Research Unit, Department of Pharmacy, University of Nairobi. Of these requests, 212 were from Medical Supplies Coordination Unit, 190 from Government hospitals and health research institutions, 11 from the Ministry of Health Headquarters (Director of Medical Services and Chief Pharmacist) and 5 came from local pharmaceutical manufacturers. Of the samples analysed, 70.8% were from local manufacturers, 26.1% were imported and 3.1% were from undeclared sources. Failure to comply with test for quality, as set out in official compendia (B.P. Eur. ph. Ip, etc.) were observed at 45.8% for locally manufactured drugs and 31.4% for imported drug products.
K PROFWABACHAJAMES. "C. De Greef, E. Chimfwembe, J.K. Wabacha, E.B. Songa, and R. Hamers (1992). Only the serum -resistant bloodstream forms of Trypanosoma brucei rhodesiense express the serum resistance associated (SRA) protein. Ann. Soc. Beig. Med. Trop.72(1): 13-21.". In: Kenya Veterinary Assciation Annual Scientific Conference, 22nd - 24th April, 1998), Embu, Kenya. Bull. Environ. Contam. Toxicol; 1992. Abstract
This report concerns an outbreak that occurred during July/August 1997. Ten pigs from a herd of 181 pigs in a medium-scale, semi-closed piggery in Kiambu District, Kenya, contracted the clinical disease. The main clinical findings in affected pigs included: fever (40.5-41.8 degrees C), prostration, inappetence, dog-sitting posture, abortion, erythema and raised, firm to the touch and easily palpated light pink to dark purple diamond-shaped to square/rectangular spots on the skin around the belly and the back. Based on the pathognomonic skin lesions, a clinical diagnosis of swine erysipelas was made. The diagnosis was confirmed by the isolation of Erysipelothrix rhusiopathiae organisms from the blood and skin biopsies taken from the affected pigs. Response to treatment with a combination of procaine penicillin and dihydrostreptomycin at the dosage rate of 20,000 IU/kg body weight (based on procaine penicillin) for 3 days was good and all the affected pigs recovered fully. The farm was placed under quarantine to prevent spread of the disease
K PROFIMUNGIJASPER. "Imungi, J.K. 1994. Preliminary analysis of the fruit-processing sub-sector in Kenya. Report prepared for Kenya Management Advisory Programme (K-MAP), Nairobi, Kenya.". In: Report prepared for Kenya Management Advisory Programme (K-MAP), Nairobi, Kenya. Canadian Center of Science and Education; 1994. 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 PROFKAMAUREUBEN, OTIENO DRODAWAFRANCISXAVIER. "Kamau RK. The Effect of Oral Contraceptives, Mini-pill and Depo Provera on Oral Glucose Tolerance Test. MMed Thesis, Department of Obstetrics and Gynaecology, University of Nairobi, 1987.". In: MMed Thesis, Department of Obstetrics and Gynaecology, University of Nairobi, 1987. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 1987. Abstract

Part of a detailed analysis of 864 unmarried teenage mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital is presented. Teenage pregnancy amounted for 42.3% of all deliveries of unmarried mothers. Most teenage patients were above 16 years of age, had a religious background of wide coverage, had low quality antenatal care and low education. 94.6% were found to be primigravidas. This dominance has also been found by other workers. PIP: A prospective cross-sectional descriptive study of unmarried mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital, Nairobi, Kenya, from December 1986-April 1987, was conducted with a pretested open-ended questionnaire: the 864 teen mothers are described here. They ranged from 13.4-19 years, most were 17-19. 49.4% were Catholic and 45% Protestant. 88.5% attended prenatal clinics once; 51.5% attended 5 times, although only 13% went to hospital clinics for specialized care. For reasons for not going for prenatal care teens stated that they were too shy to undergo a clinical exam, afraid of parents' reaction, unaware of the pregnancy or of the existence of prenatal care, they had not menstruated, or were in school, in prison, or had long work hours. Most girls had primary education, and 97.9% had dropped out of school. 34% dropped out because of pregnancy, and 32% for lack of tuition fees. Reasons for dropping out of school were tabulated, encompassing a broad range of social problems such as war, death, divorce, alcoholism or illness of parents, no tuition or uniform funds, poor grades, and running away from school. In Africa, teen pregnancy is probably increasing because of decreasing age at menarche and relaxing of traditional values.

K PROFGACHENECHARLESK. "Legume cover crops for soil fertility improvement in the East African Region. AHI (African Highland Initiative) Soils Working Group Report No. 1., AHI/TSBF, Nairobi, Kenya. 25 pp.". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 1999. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K DRGATHUMBIJAMES. "J.M. Nguta, J.M. Mbaria, D.W. Gakuya, P.K. Gathumbi, S.G. Kiama (2010). Antimalarial herbal remedies of Msambweni Kenya. J Ethnopharmacol. 128: 424-432.". In: J Ethnopharmacol. 128: 424-432. University of nairobi; 2010. Abstract
Abstract in Bellamy, M. and B. Greenshields (eds), Issues in Agricultural Development: Sustainability and Cooperation. IAAE Occasional Paper No. 6. Dartmouth Publishing Co. Ltd, Aldershot.
K PROFIMUNGIJASPER. "Kabira, J.N., Imungi, J.K. and Anandajaysekerani, P. 1990. A preliminary techno-economic study of potato flour production in Kenya. Presented at the KARI Annual Science Conference, Nairobi 5 -7 September 1990.". In: Presented at the KARI Annual Science Conference, Nairobi 5 -7 September 1990. Canadian Center of Science and Education; 1990. 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 DRKARUUSIMONP. "Thermodynamics , Text book for Distant Learners.". In: Proceedings of the Australian Soc. of Reproductive Biology, Melbourne, 27 31 August, 1984. Page 60. Central artificial Insemination Station Magazine; 2004. Abstract
This report concerns an outbreak that occurred during July/August 1997. Ten pigs from a herd of 181 pigs in a medium-scale, semi-closed piggery in Kiambu District, Kenya, contracted the clinical disease. The main clinical findings in affected pigs included: fever (40.5-41.8 degrees C), prostration, inappetence, dog-sitting posture, abortion, erythema and raised, firm to the touch and easily palpated light pink to dark purple diamond-shaped to square/rectangular spots on the skin around the belly and the back. Based on the pathognomonic skin lesions, a clinical diagnosis of swine erysipelas was made. The diagnosis was confirmed by the isolation of Erysipelothrix rhusiopathiae organisms from the blood and skin biopsies taken from the affected pigs. Response to treatment with a combination of procaine penicillin and dihydrostreptomycin at the dosage rate of 20,000 IU/kg body weight (based on procaine penicillin) for 3 days was good and all the affected pigs recovered fully. The farm was placed under quarantine to prevent spread of the disease
K KG. "Status of seismicity and Kenya's National Data Center.". In: National Data Center training and Workshop. Vienna International Center, Austria; 2016.
K DRKAYIMAJOSHUA. "Kayima J.K. The changing spectrum of Type 2 Diabetes Mellitus East African Medical Journal (Editorial), 79: 397-398; 2002.". In: East African Medical Journal (Editorial), 79: 397-398; 2002 Comment on: East Afr Med J. 2002 Aug;79(8):399-404. Ochieng P. O., McLigeyo S. O., Amayo E. O., Kayima J. K. and Omonge E. O.; 2002. Abstract

BACKGROUND: Patients with end-stage renal disease (ESRD) on maintenance dialysis are predisposed to hepatitis B virus (HBV) infection for a number of reasons. In a similar way, the prevalence of anti-hepatitis C virus (HCV) antibodies among patients on chronic haemodialysis and peritoneal dialysis is consistently higher than in healthy populations. There are few published data on these diseases in patients undergoing maintenance dialysis in sub-Saharan Africa. OBJECTIVE: To determine the seroprevalence of HBV and HCV in patients on maintenance dialysis. SETTING: Renal Unit, Kenyatta National Hospital, the largest public referral and teaching hospital in Kenya. DESIGN: Cross-sectional descriptive study. STUDY POPULATION: All 100 patients on maintenance dialysis during the 9-month study period were evaluated. METHOD: The following information was obtained from all the patients: socio-demographic data, date of diagnosis of ESRD and commencement of dialysis, and number of blood transfusions. Additionally, a history suggestive of hepatitis in spouses was looked for and physical examination for tattoos and other scars was carried out. Laboratory investigations included urea, electrolytes and serum creatinine, liver enzymes, hepatitis B surface antigen (HBsAg), immunoglobulin M anti-hepatitis B core antibody (IgM anti-HBc), hepatitis B e antigen (HBeAg) and anti-HCV antibodies. Student's t-test was used to assess the significance of the data collected. RESULTS: The results were expressed as mean (+/- SD). Fifty-seven males and 43 females were studied. Mean age was 44.3 +/- 14.6 years. Ten patients (10%) had elevated aspartate aminotransferase (AST) and alanine aminotransferase (ALT) (> 40 U/l for both). HBsAg was found in 8 patients (8%), IgM anti-HBc in 2%, and HBeAg in none. Anti-HCV antibody was found in 5%. Six of the HBsAg-positive patients were on haemodialysis, the other 2 on continuous ambulatory peritoneal dialysis (CAPD). There was no coexistence of HBV and HCV markers. Longer duration of dialysis and the number of blood transfusions were associated with an increased seroprevalence of HBV and HCV. CONCLUSION: There is a low seroprevalence of HBV and HCV in our dialysis population. This should not lead to complaisance in screening for these potentially lethal complications.

K PROFGACHUIRICHARLES. "Kuria, S.G., M.M. Wanyoike, C.K. Gachuiri and R.G. Wahome. 2005. Nutritive value of important range forages species for camels in Western Marsabit, Kenya. Tropical and subtropical ecosystems. 5:14-24.". In: South African Statistical Journal. F.N. kamau, G. N Thothi and I.O Kibwage; 2005. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K MJ, M.W.K M, Muturi PW, R.W N, Kiarie N, E.M A, J.K M. "Morphological differences among susceptible and resistant sweet potato varieties.". In: aGRO 2011 Biennial Conference.; 2011.
K DRGATHUMBIJAMES. "Gathumbi, J.K., Bebora, L.C., Muchiri, D. J. and Ngatia, T.A. (1996). Mycological examination of poultry feeds used in Nairobi, Kenya. Bulletin of Animal Health and Production in Africa 44: 19-22.". In: tissues. Poster presentation at the XXI World Poultry Congress to be held in Montr. University of nairobi; 1996. Abstract
Abstract in Bellamy, M. and B. Greenshields (eds), Issues in Agricultural Development: Sustainability and Cooperation. IAAE Occasional Paper No. 6. Dartmouth Publishing Co. Ltd, Aldershot.
K DRMUSAMBAYICHRISANTHUSIKALIKHA. "The dialectics of the 1997 Electoral politics in Western and the Trans Nzoia Districts of Kenya.". In: Mazrui and Grignon (ed) "The 1997 elections and democratization process in Kenya:. uon press; 2001. Abstract
{ The Blantyre coma scale (BCS) is used to assess children with severe falciparum malaria, particularly as a criterion for cerebral malaria, but it has not been formally validated. We compared the BCS to the Adelaide coma scale (ACS), for Kenyan children with severe malaria. We examined the inter-observer agreement between 3 observers in the assessment of coma scales on 17 children by measuring the proportion of agreement (PA), disagreement rate (DR) and fixed sample size kappa (kappa n). We assessed the sensitivity and specificity of the scales in detecting events (seizures and hypoglycaemia) in 240 children during admission and the usefulness of the scales in predicting outcome. There was considerable disagreement between observers in the assessment of both scales (BCS: PA = 0.55
K MRCHEPKONGAMIKE. "The Adult Literacy Programme: How functional? A case study of Metkei Location.". In: Doctorate, Georg-August- University G. I.E.K Internatioanl Conference l; 1986. Abstract
OBJECTIVE: To estimate the prevalence and pattern of conjuctival squamous cell carcinoma (CSCC) in patients with HIV infection. DESIGN: A hospital based cross sectional study. SETTING: Kenyatta National Hospital (KNH) and Kikuyu Eye Unit (KEU) during the period November 2003 and May 2004. SUBJECTS: Four hundred and nine HIV positive patients. RESULTS: Four hundred and nine HIV positive patients aged 25 to 53 years were screened. Male to Female ratio was 1:1. One hundred and three had conjunctival growths. Thirty two had histologically proven conjunctiva squamous cell carcinoma (CSCC). Estimated prevalence of CSCC among HIV positive patients was 7.8%. The average duration of growth of the conjunctival masses was 21.8 months. The average size of the lesions at the time of presentation was 6.6 mm. Twenty two (68.8%) patients had primary CSCC, while ten (31.2%) had recurrent lesions. The pattern of the histopathology results was: fifteen (46.9%) patients had poorly differentiated squamous cell carcinoma; nine (28%) had moderately differentiated squamous cell carcinoma; five patients (15.6%) had CIN; two patients (6.3%) had dysplasia and one patient (3.1%) had a well differentiated squamous cell carcinoma. CONCLUSIONS: Prevalence of CSCC in HIV/AIDS patients was 7.8%. Patients present late with advanced lesions. Recurrence rates from previous surgery are high. The often uncharacteristic complaints and findings on presentation complicate the clinical diagnosis. Active search for early manifestations of CSCC in HIV / AIDS patients, complete surgical excision and close follow up is necessary. Alternative treatment methods and techniques like the topical use of antimetabolites should be explored further.
K DRMBURUMARYWAMBUI. "Studies on the Physiological effects of viruses on sweet potato yield in Kenya. Annals of Applied Plant Biology. 145:71-76.". In: Paper presented in the International Edible Legume (IELC)/4th World Cowpea Congress held on 17 . University of Nairobi; 2004. Abstract
Kent papers in POlitics and International Relations, Series 4, No. 4.
K PROFNGANGAJOHN. "Evaporation from soils below sparse crops in contour hedgerow agroforestry in semi-arid Kenya. Agricultural and Forest Meteorology, Vol. 130, pp. 149-162.". In: Journal of the African Meteorological Society, Vol. 6 No.1 pp. 25-35. SMA; 2005.
K DRMBURUMARYWAMBUI. "Bean canopy response to irrigation, nitrogen fertilizer and planting density under temperate and tropical conditions. East Africa Agriculture and Forestry Journal. 65:7-20.". In: Paper submitted in the 3rd International Weed Science Congress in June 2000 at Foz du Iguasu, Brazil. University of Nairobi; 1999. Abstract
Kent papers in POlitics and International Relations, Series 4, No. 4.
K PROFGACHUIRICHARLES. "Gachuiri, C.K. and E.J. DePeters. 1993. Effects of feeding supplemental fat on ruminal fat metabolism, biohydrogenation and digestibility of fatty acids by lactating dairy cows. J. Dairy Sci. 76:abs.". In: Technical report presented at the 3rd Biannual SRNET conference, 5th-9th Dec 1994, Kampala, Uganda. F.N. kamau, G. N Thothi and I.O Kibwage; 1993. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K PROFNGANGAJOHN. "Nganga, J. K. 1987: Meteorological Application to air pollution research in tropical regions. An invited paper. Proceedings of the First Technical Conference for Meteorological Reseach in Eastern and Southern Africa, Nairobi, Kenya, 6-9 January 1987, pp. .". In: Proceedings of the First Technical Conference for Meteorological Reseach in Eastern and Southern Africa, Nairobi, Kenya, 6-9 January 1987, pp. 283-286. SMA; 1987. Abstract
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K PROFWABACHAJAMES. "J.M.A. Kitaa, C. Mulei, J.D. Mande, J.K. Wabacha (2005). Clinical, Laboratory diagnosis and treatment of Ehrlichial infections in dogs: Kenya Veterinarian 29:71-75.". In: Faculty of Veterinary Medicine Biennial Scientific Conference, Nairobi, 6th . Bull. Environ. Contam. Toxicol; 2005. Abstract
This case report describes an outbreak of acute dermatophilosis in a large scale dairy herd and highlights that the disease in Kenya could occur in outbreak proportions and in clinically severe form as has been reported in other countries in West and central Africa.We believe that this is the 1st documented outbreak of a severe form of bovine cutaneous dermatophilosis in exotic dairy animals in Kenya.
K PROFKAMAUREUBEN, OTIENO DRODAWAFRANCISXAVIER. "Nji PCF, Kamau RK, Ruminjo JK. Risk factors for abnormal cervical cytology among women attending Colposcopy Clinic at Kenyatta National Hospital. J Obstet Gynecol East Cent Afr 1993; 10: 16-21.". In: J Obstet Gynecol East Cent Afr 1993; 10: 16-21. Journal of School of Continuous and Distance Education ; 1993. Abstract
Kamau RK, Osoti AO, Njuguna EM. Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, P.O. Box 1%76-00202, Nairobi, Kenya. BACKGROUND: Cancer of the uterine cervix is the most common female cancer in Kenya. Despite being preventable, it is often diagnosed when it is already late. For this reason, only palliative therapy is provided. Hence, it is expected that their daily routines and that of their caregivers are severely disrupted. OBJECTIVES: To determine the extent to which diagnosis and treatment of inoperable cervical carcinoma affects quality of life (QOL). DESIGN: Cross-sectional descriptive study. Setting Radiotherapy Department at the Kenyatta National Hospital. SUBJECTS: Women undergoing radiotherapy for inoperable cervical cancer. RESULTS: There is high prevalence of profound disruptions in nearly all domains of QOL. In the social domain, between 33% and 44% had the perception that family members and friends had withdrawn social support. Reduction in various economic facets was reported by 47.4%-52.6%, with 44.7% reporting a fall in the overall living standards. There were significant changes in the sexual domain, as a result in which 28.3% reported marital discordance. In the personality domain, decreased self-esteem and self-projection in life occurred in 30.9% and 36.2% respectively. On functional outcomes (EORTC QLQ-C30), only 32%-41% reported not being affected in the various facets of emotional function. Physical functions were affected in 19%-79%, role functions in 69%-75%; symptoms in 49%-80%; cognitive functions in 46%-56%; social functions in 63%-71% and financial aspects by 63%. On global QOL, 53% and 47% respectively reported high level disruption in overall physical health and overall QOL. CONCLUSION: Severe deterioration of QOL occurs as a result of diagnosis of inoperable cervical cancer and subsequent therapies. For this reason there is need to establish severe disease and end-of-life research and management services that would ensure better coping with cancer for patients and for home-based caregivers. PMID: 17633581 [PubMed - indexed for MEDLINE]
K DRNDERUFM. "A sero-epidemiologica study of Brucellosis in abattoir workers in Kenya. J.M. Gathuma, S. Waghela and F.M.K. Nderu East Afr. J. of Med. Research 4 No. 4 of 1977.". In: M.Sc. Thesis University of Nairobi. East African Journal of Development Studies; 1997. Abstract
A double antibody enzyme linked immunosorbent assay for identification of thermostable muscle antigens of autoclaved meat samples is described. The assay differentiates heterologous thermostable muscle antigens from homologous at P 0.001. In model meat mixtures, the assay detects adulterants at the level of 1% at p0.001 even in phylogenetically related species such as buffalo and cattle.
K L, J NM, H AI. "Pro-Poor Mobile Financial Services." International Journal of Business and Social Science. 2015;Vol.6(No.11(1)): 167-176.pro_mobile.pdfpro_mobile.pdf
K PROFWABACHAJAMES. "J.K. Wabacha, C.M. Mulei, J. M. Maribei and P.M.F. Mbithi (2001). Occurrence of Clinical dermatophilosis in Zero-grazed Dairy Cattle. The Kenya Veterinarian 21: 43-44.". In: Biennial scientific Conference of the Faculty of Veterinary Medicine, University of Nairobi, Kenya, 7th-9th August 2002, Nairobi, Kenya. Bull. Environ. Contam. Toxicol; 2001. Abstract
A study was conducted in fourty randomly selected herds in a peri-urban area in the Central Kenyan highlands to obtain prevalence estimates of sarcoptic mange in pigs kept by smallholder farmers. A total of 476 pigs of various age-group categories were enrolled in the study. Diagnosis was based on physical examination for clinical signs indicative of mange infestation and on direct detection of Sarcoptes scabiei mites. Ninety per cent of the herds had clinical signs suggestive of sarcoptic mange and in 70% of the herds Sarcoptes scabiei var suis was positively identified. The results also indicated that 273 (57.3%) of the 476 pigs had clinical signs indicative of sarcoptic mange and 90 (18.9%) of the 476 pigs were positive for Sarcoptes scabiei var suis. The hypersensitive form of mange was more common than the chronic form. The direct examination technique to detect Sarcoptes scabiei var suis was more effective in weaners than in the other age categories of pigs. The results indicate that sarcoptic mange is a common problem in smallholder pig herds in Kikuyu Division of Kiambu District, Kenya.
K PROFIMUNGIJASPER. "Maundu, P.M., E.I. Njiro, J.A. Chweya, J.K. Imungi and E.N. Seme. 1999. Traditional green leafy vegetables of Kenya. In Chweya J.A. and Eyzaguirre, P.B. Eds. The Biodiversity of Traditional Leafy Vegetables pp. 51-83. IPGRI, Rome, Italy.". 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 MRKIRAGUFRANCIS. "Ethnomedicine.". In: The Anthropological Prespective Held at the Second Pan African Association of Anthropologists Conference - Nairobi - Kenya. 1983; 1990. Abstract
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K PROFGACHENECHARLESK. "Green manure/cover crop technology in Eastern and Central Uganda: Development and Dissemination. In (eds) M Eilitta, J Mureithi and R Derpsch. Green manure/cover crops systems of smallholder farmers: Experiences from Tropical and Subtropical Regions, Kluw.". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 2004. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K PROFMAITAICHARLES. "Maitai CK, Njoroge DK, Munenge RW.Interaction between nifedipine and digoxin in rats. East Afr Med J. 1995 Jan;72(1):75-6.". In: East Afr Med J. 1995 Jan;72(1):75-6. African Crop Science Society; 1995. Abstract
Possible nifedipine-digoxin interaction was investigated in rats by comparing lethal doses of intravenously infused digoxin in control and experimental rats. In the experimental rats, nifedipine was administered intraperitoneally, 30 minutes prior to infusing digoxin at a constant rate of 40mcg per minute. Results indicate that nifedipine administered within the dosage range 0.5-2.0mg per kg rat body weight, lowered the lethal dose of intravenously infused digoxin by 26-38% compared with control rats, thus indicating a synergistic effect between the two drugs. There was very little dose dependence of this effect. It is concluded that concomitant administration of nifedipine and digoxin in humans may lead to drug interactions.
K DRKAHUHOSAMUEL. "Clark GP, Kahuho SK, Ayim EN.Brain death. some medical, ethical, legal, socio-economic and diagnostic considerations: a review.East Afr Med J. 1979 Aug;56(8):362-7.". In: East Afr Med J. 1979 Aug;56(8):362-7. Korean Society of Crop Science and Springer; 1979. Abstract
Objective: To determine the prevalence and pattern of eye diseases and visual impairment in the Nairobi Comprehensive Eye Care Services (NCES) Project; the catchment area of the Mbagathi District Eye Unit of Nairobi. Design: Community based survey conducted from October 15th to 31st 2007 Setting: Kibera and Dagoreti divisions of Nairobi City Subjects: 4200 people of all ages were randomly selected; 4056 were examined (96.6% response rate). 122 (2.9%) were not available and 15 (0.4%) declined to be examined. Results: Females: 54.2%, Males: 45.8%. Mean age; 22.4 years, SD; 16.5. Only 241(5.9%) aged >50years old. The leading eye disorders in Kibera and Dagoretti divisions are conjunctival disorders including allergic conjunctivitis and conjunctival growths. This was found to affect 7.6% of the subjects. This was followed by refractive errors found in 5.3% of the subjects. Cataract was found in 30 subjects (0.7%). Disorders of the retina and the optic nerve were found in 1.1% of the subjects and corneal disorders in 0.5%. The prevalence of visual impairment was 0.6%, severe visual impairment was 0.05% and blindness was 0.1%. This indicates that most of the ocular disorders encountered were not visually threatening. The main cause of visual impairment is refractive errors and the causes of severe visual impairment and blindness are cataract, corneal opacity and glaucoma. Conclusion: The population of the NCES is relatively young and the prevalence of blindness and visual impairment is low. The main cause of visual impairment was refractive errors and the causes of severe visual impairment and blindness were cataract, corneal opacity and glaucoma. Recommendations: The level of blindness in NCES is low and the project should focus more on rendering eye care and not treatment of blindness. There is need to address the issue of refractive errors as this was one of the main ocular problems encountered. In this survey, it was not possible to perform detailed refraction and hence it was recommend that a refractive error survey be conducted; especially in school going children.
K PROFWABACHAJAMES. "J.K. Wabacha, G.K. Gitau, L.C. Bebora, C.O. Bwanga, Z.M. Wamuri and P.M.F. Mbithi (1998). Occurence of dermatomycosis (ringworm) due to Trichophyton Verrucosum in dairy calves and its spread to animal attendants. Journal of South African Veterinary Associ.". In: Proceedings of PINEP National Workshop, ' Sustainable Pastoral Production Systems and Environmental Securities in the Drylands of North -eastern Kenya' 14-15th Octomber 1999; Machakos, Kenya pp 79-95. Bull. Environ. Contam. Toxicol; 1998. Abstract
Forty-two pigs in a herd of 117 displayed various clinical signs of progressive atrophic rhinitis. The main signs included sneezing, coughing, lachrymation, serous to mucopurulent nasal discharge, and nasal bleeding in 1 pig. Three pigs had lateral deviation of the snout, while 4 had brachygnathia superior with obvious deformation of the face. Four acutely affected weaner pigs appeared weak, while the 7 chronically-affected pigs appeared smaller than their apparently unaffected penmates of the same age. Treatment of the acutely affected pigs with long-acting oxytetracycline at 20 mg/kg body weight intramuscularly, repeated once after 7 days, reduced the severity but did not clear the sneezing from all the pigs. Fifteen pigs were slaughtered 2 months after the clinical diagnosis was made. The carcasses of the chronically affected pigs were about 15% lighter than those of the apparently normal pigs of the same age and from the same pen, which translated to a loss of 921.00 Kenya shillings per pig (US$13.7). Diagnosis of progressive atrophic rhinitis was confirmed by sectioning the snouts of randomly selected slaughtered pigs with obvious deformation of the snout. Sections were made at the level of the 1st/2nd upper premolar tooth. Varying degrees of turbinate atrophy, from mild to complete, were noted. Histopathology of the turbinates revealed metaplasia of nasal epithelium and fibrosis in the lamina propria.
K PROFIMUNGIJASPER. "Githunguri, C.M., Ekamayake I.J., Chweya, J.A. and Imungi, J.K. 1996. Cyanogenic Potential of Tuberous roots and leaves of Six Cassava Clones as affected by plant age and Agro-Ecological Zones. 2nd International Crop Science Congress, November 17 - 24, Ne.". In: 2nd International Crop Science Congress, November 17 - 24, New Delhi, India. Canadian Center of Science and Education; 1996. 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 PROFKAMAUREUBEN, OTIENO DRODAWAFRANCISXAVIER. "Kamau RK. Breastfeeding and family planning. Manual of Clinical Family Planning Practice, chapter 7, pp 77-86. Kenya Medical association, 1988.". In: Kamau RK, Mati JKG. East Afr Med J 1988; 65: 470-77. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 1988. Abstract

Part of a detailed analysis of 864 unmarried teenage mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital is presented. Teenage pregnancy amounted for 42.3% of all deliveries of unmarried mothers. Most teenage patients were above 16 years of age, had a religious background of wide coverage, had low quality antenatal care and low education. 94.6% were found to be primigravidas. This dominance has also been found by other workers. PIP: A prospective cross-sectional descriptive study of unmarried mothers delivering in Pumwani Maternity Hospital and Kenyatta National Hospital, Nairobi, Kenya, from December 1986-April 1987, was conducted with a pretested open-ended questionnaire: the 864 teen mothers are described here. They ranged from 13.4-19 years, most were 17-19. 49.4% were Catholic and 45% Protestant. 88.5% attended prenatal clinics once; 51.5% attended 5 times, although only 13% went to hospital clinics for specialized care. For reasons for not going for prenatal care teens stated that they were too shy to undergo a clinical exam, afraid of parents' reaction, unaware of the pregnancy or of the existence of prenatal care, they had not menstruated, or were in school, in prison, or had long work hours. Most girls had primary education, and 97.9% had dropped out of school. 34% dropped out because of pregnancy, and 32% for lack of tuition fees. Reasons for dropping out of school were tabulated, encompassing a broad range of social problems such as war, death, divorce, alcoholism or illness of parents, no tuition or uniform funds, poor grades, and running away from school. In Africa, teen pregnancy is probably increasing because of decreasing age at menarche and relaxing of traditional values.

K PROFGACHENECHARLESK. "Soil productivity evaluation under different soil conservation measures in Harerge highlands of Ethiopia. Special Issue of E.A.A.F. Journal, Vol. 65 No. 2, 95 .". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 1999. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K PROFMAITAICHARLES. "Maitai CK.Bioavailability of drugs. East Afr Med J. 1982 Aug;59(8):503-4.". In: East Afr Med J. 1982 Aug;59(8):503-4. African Crop Science Society; 1982. Abstract
Cathinone, a potent psychostimulant isolated from young shoots of Catha edulis was given to four human volunteers. Examination of urine collected from the volunteers at predetermined intervals showed the presence of unchanged cathinone, d-norpseudoephedrine, and two unidentified basic substances. The observed biotransformation of cathinone to the less potent psychostimulant, d-norpseudoephedrine involves reduction of a ketone group to alcohol, a common metabolic pathway in humans.
K PROFIMUNGIJASPER. "Kabira, J.N., Imungi, J.K., Haas, J. and Amado, R. 1991. Proximate composition, mineral contents and protein nutritional quality of potato flour from solar-dried raw potato slices. In production, Post harvest Technology and Utilization of potatoes in the .". In: KARI/CIP Technical Workshop, Nairobi, 5th - 7th September 1990. Canadian Center of Science and Education; 1991. 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 PROFWABACHAJAMES, M DRMUNYUASJ. "S.J.M. Munyua and J.K. Wabacha. Community based animal Health in Kenya: Kenya.". In: Law Journal,Issue No.4. Materials Research Society; 2003. Abstract
A study was conducted in sixty-two randomly selected herds in Kikuyu division, Kiambu District in Central Kenyan Highlands to obtain prevalence, spectrum and intensity of gastrointestinal helminths in pigs kept by smallholder farmers. Faecal samples from a total of 598 pigs of various age-group categories (piglets, weaners, growers and adults) were taken during a period of a 4 months in 1999 ad examined for helminthes eggs (EPG) using modified McMaster technique. Gastrintestinal helminth eggs wewre observed in 57 (91.9%) of the herds. The Helminths observed were Strongles (35.1%). Ascarids (10%), Trichuris (4), Strongloids (3.2%) and Tapeworms (0.3%). The overall prevalence of the helminaths was 43.5%. the prevalence among the various age groups differed significantly (p<0.01) with the highest prevalence in the weaners (55.6%) and the lowest in the piglets (22.9%). The prevalence of Strongles and Strongloids differed significantly (p<0.01) among the age groups. The highest prevalence for Strongyles was in the growers (41.7%) and the lowest in the piglets (22.9%) while the highest prevalence for lowest in the adults (0.8%). The prevalence of Ascarids differed significantly (p<0.01) among the age groups with the highest prevalence in weaners (27.8%) and the lowest in the piglets (3.6%). The prevalence of Trichuris worms was significantly (p<0.5) higher in the weaners than in the piglets. The high prevalence of the Gatrointestinal helmnths observed indicates the need to control these parasites due to their detrimental effects on productivity and also due to their public health significance.
K DRKAYIMAJOSHUA. "Mbugua PK, Otieno CF, Kayima JK, Amayo AA, McLigeyo SO.Diabetic ketoacidosis: clinical presentation and precipitating factors at Kenyatta National Hospital, Nairobi. East Afr Med J. 2005 Dec;82(12 Suppl):S191-6.". In: Cardiovasc J. Afr. Ochieng P. O., McLigeyo S. O., Amayo E. O., Kayima J. K. and Omonge E. O.; 2005. Abstract
OBJECTIVE: To determine the clinico-laboratory features and precipitating factors of diabetic ketoacidosis (DKA) at Kenyatta National Hospital (KNH). DESIGN: Prospective cross-sectional study. SETTING: Inpatient medical and surgical wards of KNH. SUBJECTS: Adult patients aged 12 years and above with known or previously unknown diabetes hospitalised with a diagnosis of diabetic ketoacidosis. RESULTS: Over a nine month period, 48 patients had DKA out of 648 diabetic patients hospitalised within the period, one died before full evaluation. Mean (SD) age was 37 (18.12) years for males, 29.9 (14.3) for females, range of 12 to 77 years. Half of the patients were newly diagnosed. More than 90% had HbA1c > 8%, only three patients had HbA1c of 7-8.0%. More than 90% had altered level of consciousness, with almost quarter in coma, 36% had systolic hypotension, almost 75% had moderate to severe dehydration. Blunted level of consciousness was significantly associated with severe dehydration and metabolic acidosis. Over 65% patients had leucocytosis but most (55%) of them did not have overt infection. Amongst the precipitating factors, 34% had missed insulin, 23.4% had overt infection and only 6.4% had both infection and missed insulin injections. Infection sites included respiratory, genito-urinary and septicaemia. Almost thirty (29.8%) percent of the study subjects died within 48 hours of hospitalisation. CONCLUSION: Diabetic ketoacidosis occurred in about 8% of the hospitalised diabetic patients. It was a major cause of morbidity and mortality. The main precipitant factors of DKA were infections and missed insulin injections. These factors are preventable in order to improve outcomes in the diabetic patients who complicate to DKA.
K PROFGACHENECHARLESK. "The land quality: .". In: Biological Agricultural & Horticultural Journal, Vol 19(1), 49-62. F.N. kamau, G. N Thothi and I.O Kibwage; 1986. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K MRMBOBUMATHEW. "THE DEFENCE OF FORUM NON-CONVENIENS UNDER THE WARSAW CONVENTION: Unpublished paper for LL.M Degree Course. Georgetown University Washington D.C.". In: Proceedings: Workshop in Curriculum Development in Physics, Mathematics and Computer Science, Nairobi. pp. 143-147. ICTP. East African Orthopaedic Journal; 1992. Abstract
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K DRGATHUMBIJAMES. "Gathumbi, J. K., Usleber, E. and M.". In: A paper presented at the 2nd Kenya Livestock Technicians Association Scientific Conference held in KARI on 10-12th September, 2002. University of nairobi; 2001. Abstract
Abstract in Bellamy, M. and B. Greenshields (eds), Issues in Agricultural Development: Sustainability and Cooperation. IAAE Occasional Paper No. 6. Dartmouth Publishing Co. Ltd, Aldershot.
K PROFIMUNGIJASPER. "Nutrient contents of raw and cooked cowpea leaves. J. Food Sci. 48: 1252.". In: Ph.D. thesis, Cornell University, USA. Canadian Center of Science and Education; 1983. 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 DRKAYIMAJOSHUA. "Kayima J.K, Otieno L.S, McLigeyo S.O, Kyobe J. Platelet function in nephrotic syndrome patients at the Kenyatta National Hospital. East Afr Med J. 1990 Feb;67(2):109-12.". In: East African Medical Journal, 67(6): 387-395; 1990. East African Medical Journal.71(4): 253-5; 1994.; 1990. Abstract
Platelet function was assessed in 40 patients with nephrotic syndrome but without renal failure in order to establish whether or not there is any haemostatic disorder lending to hypercoagulable state. The findings were compared with those from 40 normal controls. There was no clinical evidence of thromboembolic phenomena in the patients. Values for the mean platelet counts and clot retraction were similar (P less than 0.05), whereas significant decrease of platelet adhesiveness (P less than 0.001) as well as prolonged platelet aggregation time (P less than 0.001) were noted. This is different from some reports in literature which have frequently reported enhanced platelet function. There may be a difference in the way platelets metabolise arachidonic acid to potent aggregating agents, in the African patients as compared to patients studied elsewhere. The hypercoagulable state in our nephrotic syndrome may be explained by alterations in other haemostatic parameters rather than in platelet function.
K MRCHEPKONGAMIKE. "HIV/AIDS Orphanhood A situational Analysis of its impact on HIV/AIDS Orphaned Children and their caregivers in Kisumu, Kenya.". In: Doctorate, Georg-August- University G. I.E.K Internatioanl Conference l; 1998. Abstracthiv__aids_orphanhood.pdf

OBJECTIVE: To estimate the prevalence and pattern of conjuctival squamous cell carcinoma (CSCC) in patients with HIV infection. DESIGN: A hospital based cross sectional study. SETTING: Kenyatta National Hospital (KNH) and Kikuyu Eye Unit (KEU) during the period November 2003 and May 2004. SUBJECTS: Four hundred and nine HIV positive patients. RESULTS: Four hundred and nine HIV positive patients aged 25 to 53 years were screened. Male to Female ratio was 1:1. One hundred and three had conjunctival growths. Thirty two had histologically proven conjunctiva squamous cell carcinoma (CSCC). Estimated prevalence of CSCC among HIV positive patients was 7.8%. The average duration of growth of the conjunctival masses was 21.8 months. The average size of the lesions at the time of presentation was 6.6 mm. Twenty two (68.8%) patients had primary CSCC, while ten (31.2%) had recurrent lesions. The pattern of the histopathology results was: fifteen (46.9%) patients had poorly differentiated squamous cell carcinoma; nine (28%) had moderately differentiated squamous cell carcinoma; five patients (15.6%) had CIN; two patients (6.3%) had dysplasia and one patient (3.1%) had a well differentiated squamous cell carcinoma. CONCLUSIONS: Prevalence of CSCC in HIV/AIDS patients was 7.8%. Patients present late with advanced lesions. Recurrence rates from previous surgery are high. The often uncharacteristic complaints and findings on presentation complicate the clinical diagnosis. Active search for early manifestations of CSCC in HIV / AIDS patients, complete surgical excision and close follow up is necessary. Alternative treatment methods and techniques like the topical use of antimetabolites should be explored further.

K DRKARIUKIDAVID, MUTHURE PROFMACHARIAISAAC. "Macharia I. M.adenotonsillitis, editorial.". In: East Afr. Med J.2001;337. University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia; 2001. Abstract
OBJECTIVE: To determine the bacteriology and antibiotic sensitivity of the bacterial isolates in chronic maxillary sinusitis patients seen at the Kenyatta National Hospital. DESIGN: Cross-sectional study. SETTING: Kenyatta National Hospital, ENT department. SUBJECTS AND METHODS: Seventy-three patients had bilateral sntral washout done and the lavage submitted for culture and anti-microbial sensitivity between January and June 1996. RESULTS: Antral lavage yielded secretions in 63% of patients but bacteria were cultured in only 28.8% of the specimens. The isolates included Streptococcus pneumonia (22.2%), Staphylocococus albus (18.5%), Staphylocococus aureus (11.1%) and Enterobactericiae (11.1%). Anaerobic bacteria were cultured in 22.2% of the specimens. Of the commonly used antibiotics, there was high sensitivity to erythromycin, cefadroxyl, chloramphenicol and amoxicillin and poor sensitivity to ampicillin, cotrimoxazole and perfloxacin. CONCLUSION: The bacteriology of chronic maxillary sinusitis at Kenyatta National Hospital is generally similar to that found elsewhere. The bacteria are susceptible to relatively affordable antibiotics like amoxicillin, erythromycin and cefadroxyl.
K PROFGACHUIRICHARLES. "Kariuki, J.N., G.K. Gitau, C.K. Gachuiri, S. Tamminga and J.M. Muia. 1999. Feeding behaviour of sahiwal and friesian cattle under zero grazing system in a tropical climate. In D. van der Heide, E.A. Huisman, E. Kanis, J.W.M. Osse and M.W.A. Verstegen (Eds.". In: South African Statistical Journal. F.N. kamau, G. N Thothi and I.O Kibwage; 1999. Abstract
A model for the establishment of a four-dimensional regional geodetic reference datum is presented. Starting from the three-dimensional integrated geodetic network model, formulations for the establishment of a four-dimensional regional datum are developed. Astronomic latitudes, astronomic longitudes, gravity values, gravity potential differences, gravity differences, and GPS-vectors are considered as observables. The estimated parameters defining the datura are point coordinates, deflections of the vertical and geoidai undulations, and velocities and accelerations on the positional coordinates. The network datum is considered observed over several epochs with parameters estimated from previous epochs being introduced into later epochs as stochastic prior information parameters.
K DRMUSAMBAYICHRISANTHUSIKALIKHA. "Cash management, communication and conflict resolution.". In: (IFRA) Nairobi. uon press; 1994. Abstract
{ The Blantyre coma scale (BCS) is used to assess children with severe falciparum malaria, particularly as a criterion for cerebral malaria, but it has not been formally validated. We compared the BCS to the Adelaide coma scale (ACS), for Kenyan children with severe malaria. We examined the inter-observer agreement between 3 observers in the assessment of coma scales on 17 children by measuring the proportion of agreement (PA), disagreement rate (DR) and fixed sample size kappa (kappa n). We assessed the sensitivity and specificity of the scales in detecting events (seizures and hypoglycaemia) in 240 children during admission and the usefulness of the scales in predicting outcome. There was considerable disagreement between observers in the assessment of both scales (BCS: PA = 0.55
K DRMBURUMARYWAMBUI, S PROFIGONSANGWASHIBAIRO. "Light and Water Use in Low Input Maize (Zea mays)- Pigeonpea (Cajanus cajan) Intercrop in Sub Humid Conditions of Kenya.". In: Poster presented at the fifth Regional meeting of the Forum for Agricultural Resource Husbandry 12-16 August 2002,Entebbe. University of Nairobi; 2002. Abstract
Kent papers in POlitics and International Relations, Series 4, No. 4.

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