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A. DROGENGOJULIUS. "Ogeng.". In: A potentially lethal Disease. Kenya Orthopaedic Association; 1995. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. PROFKARANIFLORIDA. "Karani F.A. ; "The Role of the University in Rural Development in Kenya" in Orieko Chitere and Roberta Mutiso (eds). Working with Rural Communities : A Participatory Action Research in Kenya, Nairobi University Press, Nairobi. 1991. pp 19 - 25.". In: Orieko Chitere and Roberta Mutiso (eds). Working with Rural Communities : A Participatory Action Research in Kenya, Nairobi University Press, Nairobi. 1991. pp 19 - 25. Journal of BiochemiPhysics; 1991. Abstract

 

 

A. OF. Mechanical Transmission of Trypanosoma evansi steele, by Stomoxys calcitrans.. Nairobi, Kenya: University of Nairobi ; 1983.
A. PROFWAMOLAISAAC. "Cameron W, Clementson D, D.". In: J. Inf. Diseases. 1991. IBIMA Publishing; 1991. Abstract
OBJECTIVE: To measure the proportion of nosocomial diarrhea cases associated with Salmonella and Shigella species. DESIGN: Prospective 6-month survey. SETTING: Tertiary care center in a developing country. PATIENTS: Pediatric and adult patients admitted with the previous 24 hours and all consenting adult or pediatric medical patients with nosocomial diarrhea. OUTCOME MEASURES: Prevalence of Salmonella and Shigella species isolated from rectal swabs at admission and among subjects with nosocomial diarrhea. RESULTS: Salmonella species and Shigella species were isolated from 3.0% and 2.5%, respectively, of 667 patients screened on admission. All admission Salmonella isolates were identified in children under 13 years of age; Shigella prevalence was similar for children and adults. Children with Salmonella at admission were significantly older and more likely to have diarrhea, fever, and some indicators of malnutrition than those from whom Salmonella was not isolated. Salmonella and Shigella were isolated from rectal cultures in 36 (10%) and 9 (2.5%) of 360 nosocomial gastroenteritis cases, respectively. Nosocomial cases occurred equally in adults and children. In adults, nosocomial Salmonella acquisition was associated with sharing a room with a diarrhea patient and previous institutionalization. In children, it was associated with recent antimicrobial therapy, crowding at home, and age between 6 months and 6 years. Nine (41%) of 22 nosocomial Salmonella cases in adults occurred in patients with human immunodeficiency virus-type 1 (HIV-1) infection, while none of 79 HIV-1-positive patients had Salmonella isolated at admission. CONCLUSIONS: Salmonella is a frequent cause of nosocomial gastroenteritis in this tertiary care institution in a developing country. Risk factors appear to differ for children and adults, and HIV-1-infected subjects may be at increased risk of acquisition. Control measures feasible for the limited resources available to such institutions require evaluation. PIP: Researchers analyzed data on 667 patients admitted between March 9 and September 14, 1988 to the Kenyatta National Hospital in Nairobi, Kenya to verify the contribution of Salmonella and Shigella species to hospital acquired infections and to identify factors associated with admission and nosocomial infection. Laboratory personnel isolated Salmonella and Shigella in 12.5% (10% and 2.5% respectively) of the 360 patients with nosocomial diarrhea. Their overall prevalence was 3% and 2.5% respectively. These 2 bacteria were isolated from rectal swabs from 19 of the 27 hospital units. Most of the isolates were restricted to 5 units. All of the Salmonella isolates at admission were children under 13 years old (3.6% of 556 children). Shigella prevalence at admission was 2.5% for children and 3.6% for adults. The risk of nosocomial diarrhea caused by these 2 bacteria was much greater in children older than 6 months and younger than 6 years than in children of other ages (odds ratio [OR]=21.7; p=.006). The most significant variables which independently affected nosocomial diarrhea caused by these bacteria in children were recent antimicrobial therapy (OR=26.4; p=.001) and living in crowded homes (OR=1.2; p=.02). Another determinant was poor hair color indicating malnutrition (p=.03). Even though there were no significant differences between adults with nosocomial diarrhea caused by these bacteria and those with no nosocomial diarrhea, sharing a room with people with diarrhea, being in the hospital within the last 30 days, and being HIV-1 positive were factors that almost reached significance. In fact, 9 of their 22 (41%) adults with positive cultures of Salmonella were HIV=1 positive yet Salmonella was not isolated from any of the 70 HIV-1 positive patients at admission. Salmonella contributed greatly to nosocomial diarrhea at this hospital. The hospital should evaluate and redesign its control measures within available limited resources.
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1990. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. DRSWAZURIMUHAMMED. "a proposal that initiated the formation of a task force for establishing a University at the Coast of Kenya, Bandari/JKUAT in 1998.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1998. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFKARANIFLORIDA. ""Writing a Project Proposal".". In: Pan- African Institute, Project Management Workshop, Kabwe, Zambia. 1984 and 1985. Journal of BiochemiPhysics; 1985. Abstract

 

 

A. DROGENGOJULIUS. "Ogeng.". In: The Nairobi Journal of Medicine, Vol. 14 No. 1. Kenya Orthopaedic Association; 1988. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. DRSWAZURIMUHAMMED. ""A critical Look at Some Common Methods Used in Urban and Housing Research" paper presented to the International Conference on Housing Policy, Amsterdam, 27th June to 1st July, 1988.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1988. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFKARANIFLORIDA. ""Education systems in East Africa. Trends and Issues".". In: The KAAD Association of Scholars in East Africa (KASEA) Seminar on the "Impact of Brain Drain of the Economic Situation on Higher Education in East Africa" 17th to 21st Sept 1997 Nairobi. Kenya (co- authored with Prof. J. Shiundu). Journal of BiochemiPhysics; 1997. Abstract
   
A. PROFKETERJOSEPHKIPKORIR. "Gikonyo, E.W., J.K.A. Keter, S.M. Kanyanjua, and P.O.S. Oduor, 1996. Phosphate sorption by some Kenyan soils as evaluated by the Langmuir and Freundlich Adsorption Equations, p. 6-12. In: Proceedings of the 15th General Meeting, SSSEA, held in Nanyuki, Ke.". In: 15th General Meeting, SSSEA, held in Nanyuki, Kenya. ISBN 9966-879-27-7. University of Nairobi Press; 1996. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. PROFODHIAMBOPETER. "Odhiambo PA.The first ten years of heart surgery in Kenya–aspirations, dilemmas and possibilities.East Afr Med J. 1992 Sep;69(9):520-4.". In: East Afr Med J. 1992 Sep;69(9):520-4. Heinrich Boll Foundation.; 1992. Abstract
This paper looks at the beginnings of cardiac surgery in Kenya with relevant clinical data as well as the overall historical background to various cardiovascular operations which preceded formal establishment of the Thoracic and Cardiovascular Surgical Unit at the Kenyatta National Hospital. Similar activities in other hospitals in Nairobi and elsewhere in Kenya have been excluded. The Unit separated from general surgical wards in January 1973. By the end of 1983, a total of 208 open heart operations had been done by various teams in the Unit. A number of other heart operations were also undertaken. Those done before that decade are also highlighted back to 1950. The many problems that the Unit faced and still faces are also identified in this paper and the dream of making it a Centre of Excellence revisited.
A. PROFKARANIFLORIDA. ""Principles of Learning".". In: College of Education and External Studies University of Nairobi seminar 1991. Journal of BiochemiPhysics; 1991. Abstract
   
A. DROTIENOALFREDT. "Reproductive health knowledge and Attitudes of Female adolescents in South Nyanza.". In: African Population studies 21 (1) :37-54. E Afr Med J; 2005. Abstract
African Journal of Reproductive Health   (Accepted)
A. PROFODHIAMBOPETER. "Gatei DG, Odhiambo PA, Orinda DA, Muruka FJ, Wasunna A.Retrospective study of carcinoma of the esophagus in Kenya.Cancer Res. 1978 Feb;38(2):303-7.". In: Cancer Res. 1978 Feb;38(2):303-7. Heinrich Boll Foundation.; 1978. Abstract
A clinical, radiological, histological, and geographical study of carcinoma of the esophagus in Kenya is reported. It was found that this cancer is diagnosed more often in males than in females, with a ration of 8:1 (Kenya Cancer Registry). The most common age in males and females is 50 to 59 years. The regions of the esophagus most commonly involved are the middle and lower thirds, in almost equal proportions. An unexplained tendency for the tumor to be poorly differentiated towards the lower third is noted. In addition a review on the possible etiological factors is presented.
A. PROFKARANIFLORIDA. ""Evaluating the Process and Products of a Programme".". In: Presented at the UNICEF second Sub-Regional workshop: Nazareth, Ethiopia, November 1982. Journal of BiochemiPhysics; 1982. Abstract
   
A. PROFESHIWANIARTHUR. "Legal Implications of Managerial Decisions.". In: The Kenya Account, Vol. iv No. 3.9. A Matimba, M Oluka, B Ebeshi, J Sayi, Bolaji, J Del Favero , C Van Broeckhoven, AN Guanta; 1983. Abstract
Oral infection with Herpes Simplex Virus (HSV) is a frequent and well documented complication in immunosuppressed individuals including patients on immunosuppressive medication. We report the development of severe oral infection with HSV type 1 in a 34 year old woman with type 1 diabetes mellitus and end stage renal disease (ESRD) following cadaveric renal transplantation at the Western General Hospital, Edinburgh. The role of acyclovir in therapy and chemoprophylaxis is discussed.
A. PROFWAMOLAISAAC. "WAMOLA I.A, Mirza NB and Ichoro O. Bacteriology of Septicaemia at Kenyatta National Hospital, Nairobi. Medicom, vol 3 (6): 1981.". In: Medicom, vol 3 (6): 1981. IBIMA Publishing; 1981. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. "Karani, F.A. "Development of Education in East Africa. Trends and Issues" in Realizing African Development, A Millenium Analysis. P.C. Samantha and Raj Kumar Sen Eds. CIADS and I IDS. Kolkata, India. 2001.". In: Realizing African Development, A Millenium Analysis. P.C. Samantha and Raj Kumar Sen Eds. CIADS and I IDS. Kolkata, India. 2001. Journal of BiochemiPhysics; 2001. Abstract

 

 

A. AA, J.K. I, A.M. M, O. OF, RW. N. "Knowledge attutudes and use of bovine blood as food in Kisumu County, Kenya." AJFAND. 2016.
A. DROGENGOJULIUS. "Obimbo MM, Bundi PK, Collis F, Ogeng.". In: East African Orthopaedic Journal. Kenya Orthopaedic Association; 2008. Abstract
Background: Prolapsed intervertebral disk (PID) disease can be managed conservatively or surgically with different reported outcomes.Objective: The present study aimed at assessing the management and outcomes of slipped intervertebral disk disease at the Kenyatta National hospital.Study Design: A retrospective cross-sectional study.Setting: Kenyatta National Hospital (KNH) a referral and teaching Hospital in Kenya.Patients and Methods: Consecutive files of all cases of slipped intervertebral disk disease from January1997 to December 2007 were retrieved from the Medical records at the Kenyatta National Hospital. The biodata, management methods and the outcomes of the procedures were recorded. The collecteddata was analyzed using the SPSS 17.0 for Windows.Results: Six hundred and three cases were reviewed. All patients received analgesics and bed rest.Five percent of the patients were put on bilateral traction for two weeks while 4% of the patients had corsets. Thirty five per cent of the patients were surgically managed. Over a third of the surgically managed patients had laminectomies. Microdiscectomy was increasingly popular in the latter half ofthe study period. Of the managed patients 95% reported improvement while 92% were complication free. The rate of reherniation and reoperation was 1.5% and 1.2% respectively.Conclusion: The management of PID at Kenyatta National Hospital is largely successful with few cases of complications. In selected patients both conservative and surgical care are used in tandem. Microdiscectomy is an increasingly popular surgical procedure at the KNH.
A. PROFWAMOLAISAAC. "WAMOLA I.A, Hillman, DA and Kiugu, SK. The Incidence of Bacterial Opthalmia Neonatorum at Kenyatta National Hospital .". In: Proceedings of the 1976 Annual Scientific Conference of the E.A. Medical Research Council. IBIMA Publishing; 1976. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1997. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. PROFKARANIFLORIDA. ""Strengthening Female Participation and Leadership in Higher Education".". In: Forum for African Women Educationalists (FAWE) Vice Chancellors meeting at the Mount Kenya Safari Hotel. Kenya 27th July 1996. Journal of BiochemiPhysics; 1995. Abstract

 

 

A. PROFKARANIFLORIDA. "Introductory Address.". In: The National Consultation meeting on Post Literacy Curriculum in Kenya; at the Kenya College of Communications Technology, Mbagathi, Nairobi. Kenya 30th March 1998. Journal of BiochemiPhysics; 1998. Abstract
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A. PROFWAMOLAISAAC. "Embree J E, Datta P, Stackiw W, Sekla L, Braddick J, Kreiss J K, Pamba HO, WAMOLA I.A . Increased risk of early measles in infants of HIV-1 seropositive mothers. J. Inf. Dis. 165: 262-7, 1992.". In: J. Inf. Dis. 165: 262-7, 1992. IBIMA Publishing; 1992. Abstract
An increase in illness due to measles is one of the potential consequences of the human immunodeficiency virus (HIV) epidemic in Africa. During a study of perinatal HIV transmission conducted in Kenya, the risk of acquiring measles before vaccination (9 months of age) was found to be 3.8 times higher in infants born to HIV-seropositive mothers than in control infants (10 [9%] of 109 vs. 5 [3%] of 194 infants; P = .02; odds ratio, 3.8; 95% confidence interval, 1.2-13.2). The majority of infants who developed measles in this study had significant sequelae related to their measles infection. The increased risk of measles appeared to be related to relatively lower anti-measles antibody titers detected in cord blood samples of affected infants born to HIV-seropositive mothers. However, 94% of all infants were susceptible to measles on the basis of ELISA testing at age 6 months regardless of maternal HIV serology. These observations highlight the need for improved measles vaccination strategies in Africa and for studies to delineate the effects of HIV infection on the incidence,
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1991. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. DRSWAZURIMUHAMMED. ""Land Development Options for Coastal Islands of Mombasa and Lamu", paper presented at an International Seminar on Urban Land Management, February 25-26 2001, Nairobi.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 2001. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFKARANIFLORIDA. ""Problems of Curriculum Development for Self Employment in Kenya".". In: First Regional Seminar on Transitional Education, Nairobi, Kenya. June 1988 sponsored by the Friendrich Ebert Foundation. Journal of BiochemiPhysics; 1988. Abstract

 

 

A. O. ""The Quest for Cooperation in the Nile Water Conflicts: The Case of Eritrea,”." African Sociological Review. 2007;Vol. 11(1).
A. WG, D. A, Aluoch A. O., G.N. K, I. M. "Application of Eburru Rocks from Kenya as Urea Carrier Agents." International Journal of Recent advances in Multidisplinary Research. 2017;4(4):2532-2541.
A. DRSWAZURIMUHAMMED. ""A Market Survey of Commercial Properties in Nairobi", a consultancy project undertaken for Milligan and Company Limited, December, 1992.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1992. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFKARANIFLORIDA. "Karani, F.A. and J.O. Shiundu; "Education Systems in East Africa - Trends and Issues," in Thomas Mcdonald, and Thomas W. Scheidtweiler (eds.) Higher Education in East Africa. Proceedings of a KASEA Seminar 17 - 21 September 1997 Nairobi. Kenya. Katholisch.". In: Six- Monthly Journal of the Dakar Regional Office ISSN 0850- 1432 No. 12 March 1996. UNESCO. Dakar p78-82. Journal of BiochemiPhysics; 1997. Abstract
   
A. PROFKETERJOSEPHKIPKORIR. "Chui, J.N. and J.K.A. Keter. 1997. Effects of N fertilization, bean spatial arrangements and residue on maize performance in a semi-arid area of Kenya. African Crop Sci. Soc. J. Vol. 3, pp. 499-508.". In: East Afr Med J. 2002 Sep;79(9):457-60. University of Nairobi Press; 1997. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. PROFODHIAMBOPETER. "Odhiambo PA.Patient follow up care after open heart surgery.East Afr Med J. 1998 Dec;75(12):673-4.". In: East Afr Med J. 1998 Dec;75(12):673-4. Heinrich Boll Foundation.; 1998. 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.
A. PROFKARANIFLORIDA. "Karani, F.A.; University Staff Development. Part One. German Foundation for International Development. Bonn. 1991. pp 110.". In: German Foundation for International Development. Bonn. 1991. pp 110. Journal of BiochemiPhysics; 1991. Abstract
   
A. DROGENGOJULIUS. "Ogeng.". In: BSc. Dissertion, University of Nairobi. Kenya Orthopaedic Association; 1986. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. PROFODHIAMBOPETER. "Odhiambo PA.The application of micro-vascular surgery to the reconstruction of the thoracic oesophagus. Preliminary communication.East Afr Med J. 1979 Jun;56(6):248-54.". In: East Afr Med J. 1979 Jun;56(6):248-54. Heinrich Boll Foundation.; 1979. Abstract
A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested.
A. PROFKARANIFLORIDA. ""Leadership in Community Projects".". In: Pan- African Institute, Project Management Workshop, Kabwe, Zambia. 1984 and 1985. Journal of BiochemiPhysics; 1985. Abstract
   
A. DROTIENOALFREDT. "Health Surveys, Population of Association of America Annual Meeting 1-3 May, Boston USA.". In: Publication of Centre For the Study of Adolescence, 2003. E Afr Med J; 2003. Abstract
Demography India 32 (2): 26-32
A. PROFKARANIFLORIDA. "Karani, F.A. "Literacy Education and the Distance Education Mode of Delivery" in Kenya Adult Educator Journal of the Kenya Adult Education Association Nairobi. (In press Nairobi 2002) .". In: Kenya Adult Educator Journal of the Kenya Adult Education Association Nairobi. (In press Nairobi 2002) . Journal of BiochemiPhysics; 2002. Abstract
Tetralones were converted to tetralinylamines via Leuckart reaction.These were then used to protect carboxamide side-chains of glutamine and asparagine. Clevage studies using trifluoroacetic acid and boron tristrifluoroacetate were then done on these derivatives. The groups 1-tetralinyl, 5,7-dimethyl-1-tetralinyl and 7-methoxy-1-tetralinyl were found to be good carboxamide protecting groups in asparagine.
A. PROFESHIWANIARTHUR. "The 1984-85 Budgetary Measures: Some Comments for Foreign Investors, Bulletin for International Fiscal Documentation, Amsterdam, Holland, Vol. 38, No.12:543.". In: Nairobi University Law Journal, Vol. 1:69. A Matimba, M Oluka, B Ebeshi, J Sayi, Bolaji, J Del Favero , C Van Broeckhoven, AN Guanta; 1984. Abstract
Oral infection with Herpes Simplex Virus (HSV) is a frequent and well documented complication in immunosuppressed individuals including patients on immunosuppressive medication. We report the development of severe oral infection with HSV type 1 in a 34 year old woman with type 1 diabetes mellitus and end stage renal disease (ESRD) following cadaveric renal transplantation at the Western General Hospital, Edinburgh. The role of acyclovir in therapy and chemoprophylaxis is discussed.
A. PROFWAMOLAISAAC. "Mutanda LN, WAMOLA I.A and Kaviti JN. The Relationship Between the most commonly occurring Shigella serotypes and ages of patients. Medicom 4: 147, 1982.". In: Medicom 4: 147, 1982. IBIMA Publishing; 1982. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""Provision of Basic Education to Nomadic Pastoralists in Kenya".". In: The Ministry of Science and Technology and presented at the Re-Assessment Workshop KCCT Mbagathi, Nairobi. Kenya 6 th to 8 th May 2002. Journal of BiochemiPhysics; 2002. Abstract

Tetralones were converted to tetralinylamines via Leuckart reaction.These were then used to protect carboxamide side-chains of glutamine and asparagine. Clevage studies using trifluoroacetic acid and boron tristrifluoroacetate were then done on these derivatives. The groups 1-tetralinyl, 5,7-dimethyl-1-tetralinyl and 7-methoxy-1-tetralinyl were found to be good carboxamide protecting groups in asparagine.

A. PROFODHIAMBOPETER, G PROFGATEIDAVID, O PROFORINDADA. "Retrospective Study of Cancer of the Esophagus in Kenya.". In: Cancer Research, 38: 303 - 305. RIVERBRROKS COMMUNICATIONS; 1978. Abstract
Retrospective Sturdy of Cancer of the Esophagus in Kenya - Cancer Research, 38: 303 - 305, February 1978. (Second of five authors - D.G. Gatei, A.E.O. Wasunna, D.A. Orinda and J. Muruka).
A. PROFKARANIFLORIDA. "Karani, F.A. "Development of Education in East Africa. Trends and Issues" in Realizing African Development, A Millenium Analysis. P.C. Samantha and Raj Kumar Sen Eds. CIADS and I IDS. Kolkata, India. 2001.". In: Realizing African Development, A Millenium Analysis. P.C. Samantha and Raj Kumar Sen Eds. CIADS and I IDS. Kolkata, India. 2001. Journal of BiochemiPhysics; 2001. Abstract
   
A. DROGENGOJULIUS. "Ongeti KW, Ogeng.". In: journal. Surgical Society of Kenya; 2009. Abstract
Background: Accurate evaluation of low back pain is essential for its rational management. The extent of use of clinical and imaging findings in identificationof prolapsed intervertebral disk varies between centers. In Kenya, thediagnostic procedure is obscure.Objective: To assess the evaluation of low back pain patients for prolapsed intervertebral disk at a Kenyatta National Hospital, a teaching and referralhospital in Kenya.Study Design: A retrospective chart studyPatients and Methods: Historical, physical and imaging findings of patients who presented with low back pain and subsequently diagnosed with prolapsed inter-vertebral disk between Jan 1997 and December 2007 were evaluated.Results: Of the six hundred and three patients (267 males, 336 females) whowere evaluated, risk factors were recorded in 39.5% patients, 35.3%patients had sciatica while straight leg raising test was performed in52.2% patients. Investigations performed in these patients included plainroentograms (38.5%), CT scan (9.1%) and MRI (44.1%).Conclusion: The evaluation of low back pain for prolapsed inter-vertebral disk was incomplete. History of sciatica, SLRT, crossed SLRT and MRI use arerecommended for routine evaluation of low back pain for PID.
A. PROFWAMOLAISAAC. "Slack, RCB, WAMOLA I.A Githahu K and Kabiru, J. Non-specific Urethritis diagnosis and Treatment with Viramycin: Paper presented to Kenya Medical Association meeting .". In: Paper presented to Kenya Medical Association meeting . IBIMA Publishing; 1977. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""Hopes on the Horizon, The Rise of the New Africa".". In: The Association of African Universities. Accra. Ghana. 28 September 1999. Journal of BiochemiPhysics; 1999. Abstract

.

A. MRMUNGAGILBERT. "(1982).Rational Design of Internally Sealed Concrete. MSc. Thesis , University of Strathclyde (UK).". In: Presented at the Commonwealth Association of Surveying and Land Economy (CASLE) and the International Federation of Surveyors (FIG) Seminar, Harare,. Survey Review; 1982. Abstract
Towers are typical structures that can be found in many urban and rural landscapes the world over. From their basic design, they are usually exposed to severe environmental loads. It is therefore prudent to carry out periodic maintenance that includes checking that they are correctly aligned. This paper describes a method that was used for the re-alignment of a guyed tower in Limuru, Kenya. Angular and distance observations, made from two observation points detected a vertical misalignment that was larger than the acceptable tolerance of l/400. An iterative re-alignment procedure was then applied, resulting in an acceptable final misalignment of 1 / 520.
A. PROFKARANIFLORIDA. ""Structure and Function of Distance Learning To-day with Special Reference to Kenya".". In: The State University of New York - Kenya Education Partnership (SKEP) Conference. 13 - 17 March 2000. Nairobi. Kenya. Journal of BiochemiPhysics; 2000. Abstract
   
A. M, M E. "Sheria." Iren; 2012. Abstract
n/a
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 2000. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. PROFWAMOLAISAAC. "WAMOLA I.A. 1967. Correlation of Virulence with Growth rates in Staphylococcus aureus. Can. J. Microbiology 15: 723-29.". In: J. Microbiology 15: 723-29. IBIMA Publishing; 1967. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. "Karani, F.A.; Utilization of Distance Education in Teacher Education in Kenya in Report of Third Teacher Education Conference, The Concern of Kenya. The Quality Teacher for the 21st century & Beyond held from 5th to 9th December 1994. Ministry of Educatio.". In: The Journal of Development Communication. No. 2 Vol 6. December 1995. ISSN 0128 - 3863. Kuala Lumpar. pp 72 to 80. Journal of BiochemiPhysics; 1995. Abstract

 

 

A. PROFWAMOLAISAAC. "Kakai R, Bwayo JJ, Wamola IA, Ndinya-Achola JO, Nagelkerke NJ, Anzala AO, Plummer FA.Breastfeeding and immunity to intestinal infections.East Afr Med J. 1995 Mar;72(3):150-4.". In: East Afr Med J. 1995 Mar;72(3):150-4. IBIMA Publishing; 1995. Abstract
{ The purpose of this study was to compare immune response in breast and non breastfed children presenting with diarrhoea at Paediatric Observation Ward, Kenyatta National Hospital (KNH-POW) and Maternal and Child Health Clinic, Pumwani Maternity Hospital (PMH-MCH). Blood and stool samples were collected from the first four consecutive children aged 5 years and below per day, presenting with or without diarrhoea from January to December, 1992. The stools were tested for total IgA by single radial immunodiffusion (SRID) and specific IgA by enzyme linked immunosorbent assay (ELISA). Peripheral blood CD4 and CD8 enumeration was done by flow cytometry. Stools were cultured for bacteria on selective media while ova and cysts of parasites were identified by wet preparation microscopy. A total of 457 children were enrolled into the study, 69.6% of whom presented with diarrhoea. Breastfed children tended to have a shorter duration of diarrhoea than either mixed fed or bottle fed (8.3 vs 9.8 vs 11.2 days
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1992. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. PROFKARANIFLORIDA. ""Position Paper : College of Education and External Studies, University of Nairobi".". In: Sub- Regional Workshop in Towards Professional Excellence in Higher Education, Part II : 17th to 30th June 1990. Kassel-Witzenhausen, West Berlin. Journal of BiochemiPhysics; 1990. Abstract

 

 

A. HASHIM. Crown and Crescent: Competing Policies on the Administration of Islamic Law in the East African Coast. University of Johannesburg, South Africa: Research Centre for Islamic History, Art and Culture (IRCICA) Istanbul; 2009.crown_and_cresecent.pdf
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1989. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. DRSWAZURIMUHAMMED. "Prioritizing Research Agena for Public Consumption in Developing Countries", paper presented to a Research Methodology Workshop for Cooperative College of Kenya Lecturers, Nyeri, 5th to 10th January, 1992.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1992. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFKARANIFLORIDA. "Karani, F.A.; "Application of Interaction Analysis to the Training of Preservice Teachers in Kenya" PH.D Dissertation University of Pittsburgh U.S. A 1979.". In: PH.D Dissertation University of Pittsburgh U.S. A 1979. Journal of BiochemiPhysics; 1979.
A. PROFKETERJOSEPHKIPKORIR. "Owino-Gerroh, C., J.K.A. Keter and J.P. Mbuvi. 1999. Response of Field Bean s (Phaseoulus valgaris L.) to unacidulated phosphorus source on an andosol in Kenya. J. Agric. Sci. & Tech. Vol. 2, No. 1:32-45.". In: East Afr Med J. 2002 Sep;79(9):457-60. University of Nairobi Press; 1999. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. K. Survival rate of proximal ART restorations. Germany: LAP Lambert Academic Publishing GmbH & Co, Saarbrucken; 2011.
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1988. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. PROFODHIAMBOPETER. "Kamau JK, Macharia IM, Odhiambo PA.Bacteriology of chronic maxillary sinusitis at Kenyatta National Hospital, Nairobi.East Afr Med J. 2001 Jul;78(7):343-5.". In: East Afr Med J. 2001 Jul;78(7):343-5. Heinrich Boll Foundation.; 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.
A. PROFKARANIFLORIDA. "Karani, F.A.; "Actualizing Education in Africa : Future Directions and Strategies" in the Journal of Basic Education, Eastern and Southern Africa. BERC Vol 4, January 1994. pp 15 - 25.". In: The Journal of Basic Education, Eastern and Southern Africa. BERC Vol 4, January 1994. pp 15 - 25. Journal of BiochemiPhysics; 1994. Abstract
   
A. DROGENGOJULIUS. "Ogeng.". In: BSc. Dissertation, University of Nairobi. Kenya Orthopaedic Association; 1986. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. PROFODHIAMBOPETER. "Femoro-popliteal Vascular Surgery as an Experience - MEDICOM.". In: The African Journal of Hospital 59 - 64. Heinrich Boll Foundation.; 1979. Abstract
A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested.
A. PROFKARANIFLORIDA. "Karani F.A.; "Curriculum Development : An Approach to Designing Training Programmes" in International Journal of University Adult Education. Vol XXV No 2. Don Bosco Printing Company, Hong Kong. July 1986 p 53 - 67.". In: International Journal of University Adult Education. Vol XXV No 2. Don Bosco Printing Company, Hong Kong. July 1986 p 53 - 67. Journal of BiochemiPhysics; 1986. Abstract
   
A. PROFESHIWANIARTHUR. "The Decentralization Process in Kenya: The Place of Local Authorities - The African Centre for Technology Studies, (ACTOS), Nairobi, Research Memorandum Series.". In: Journal of African Meteorological Society, vol.15, 2001. A Matimba, M Oluka, B Ebeshi, J Sayi, Bolaji, J Del Favero , C Van Broeckhoven, AN Guanta; 1994. Abstract
Oral infection with Herpes Simplex Virus (HSV) is a frequent and well documented complication in immunosuppressed individuals including patients on immunosuppressive medication. We report the development of severe oral infection with HSV type 1 in a 34 year old woman with type 1 diabetes mellitus and end stage renal disease (ESRD) following cadaveric renal transplantation at the Western General Hospital, Edinburgh. The role of acyclovir in therapy and chemoprophylaxis is discussed.
A. PROFWAMOLAISAAC. "Mutanda LN, Omari AM and WAMOLA I.A. Adaptation of a method of measuring zone diameters of bacterial growth inhibition by antibiotics to suit developing countries. East Afr Med J. 1989 Jul;66(7):441-7.". In: East Afr Med J. 1989 Jul;66(7):441-7. IBIMA Publishing; 1989. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. "Karani, F.A. "Literacy Education and the Distance Education Mode of Delivery" in Kenya Adult Educator Journal of the Kenya Adult Education Association Nairobi. (In press Nairobi 2002) .". In: Kenya Adult Educator Journal of the Kenya Adult Education Association Nairobi. (In press Nairobi 2002) . Journal of BiochemiPhysics; 2002. Abstract

Tetralones were converted to tetralinylamines via Leuckart reaction.These were then used to protect carboxamide side-chains of glutamine and asparagine. Clevage studies using trifluoroacetic acid and boron tristrifluoroacetate were then done on these derivatives. The groups 1-tetralinyl, 5,7-dimethyl-1-tetralinyl and 7-methoxy-1-tetralinyl were found to be good carboxamide protecting groups in asparagine.

A. PROFWAMOLAISAAC. "WAMOLA I.A. and Slack, RCB. Bacterial Sensitivity to Minocycline (Minocin) of clinical isolation, EAMJ. Vol. 54 No. 11 (Nov. 1977).". In: EAMJ. Vol. 54 No. 11 (Nov. 1977). IBIMA Publishing; 1977. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""Facilitating and Managing Learning Diversity in Non-Formal Education in Kenya".". In: The ADEA Non- Formal Education (NFE) Ministry of Education, Science and Technology Symposium and the Establishment of an NFE Country Working Group. Mombasa 11 th to 14 th April 2000. Journal of BiochemiPhysics; 2000. Abstract

.

A. DRBUKACHISALOMER, K. PROFNYAMONGOISAAC, SIMIYU PROFWANDIBBA. "The treatment pathways followed by cases of human African trypanosomiasis in western Kenya and eastern Uganda." Annals of Tropical Medicine and Parasitology, Vol. 103, No. 3., pp. 211-220.. 2009;103(2):1-11. AbstractWebsite

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.

A. PROFWAMOLAISAAC. "Kakai R, Wamola IA, Bwayo JJ.Association of human rotavirus infection and intestinal rotavirus-specific immunoglobulin A in children with diarrhoea. East Afr Med J. 1995 Apr;72(4):217-9.". In: East Afr Med J. 1995 Apr;72(4):217-9. IBIMA Publishing; 1995. Abstract
The purpose of this study was to determine the role of intestinal specific rotavirus IgA antibody in protection against diarrhoea due to rotavirus infection. Stool from children aged below 5 years with diarrhoea who reported to the Paediatric Observation Ward, Kenyatta National Hospital were examined for micro-organisms and IgA antibody. Specific rotavirus IgA antibody and antigen were determined using enzyme linked immunosorbent assay technique. Out of 153 stool specimens, 22% (34/153) were positive for rotavirus antigen and 15% (23/153) had IgA specific antibody to rotavirus. Children with specific IgA to rotavirus had no rotavirus except in two cases (p < 0.05). There was no difference in levels of specific IgA antibody between normal and malnourished children (p = 0.4). It is probable that intestinal specific IgA to rotavirus protects children against rotavirus diarrhoea.
A. DROGENGOJULIUS. "Pulei AN, Ogeng.". In: Clin Anat. 2007 Nov;20(8):943-5. Kenya Orthopaedic Association; 2007. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. PROFWAMOLAISAAC. "Itotia, J N, Say P J and WAMOLA I. A. Meningitis (Bacterial and Fungal). Chapter in book on : .". In: Chapter in book on : . IBIMA Publishing; 1974. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. "Karani, F.A, "Satellite Education Demonstration Project between University of Nairobi, Texas A & M University and the University of Zimbabwe in UNESCO AFRICA, Six- Monthly Journal of the Dakar Regional Office ISSN 0850- 1432 No. 12 March 1996. UNESCO. Dak.". In: Six- Monthly Journal of the Dakar Regional Office ISSN 0850- 1432 No. 12 March 1996. UNESCO. Dakar p78-82. Journal of BiochemiPhysics; 1996. Abstract

 

 

A. PROFKARANIFLORIDA. "Karani, F.A. "Relevance of Higher Education: Policies and Practices" in Higher Education in Africa : Achievements. Challenges and Prospects. UNESCO Regional Office (BREDA) BP.3311 Dakar, Senegal. ISBN 92-9091- 072-0 1998. pp 20.". In: Higher Education in Africa : Achievements. Challenges and Prospects. UNESCO Regional Office (BREDA) BP.3311 Dakar, Senegal. ISBN 92-9091- 072-0 1998. pp 20. Journal of BiochemiPhysics; 1998. Abstract
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A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1992. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. DROKOOLARAPHAELE. "The Climatology of Duststorm Events in northern Kenya.". In: Jour. African Meteor. Soc., VOL. 5.No. 2, 11-19. Kenya Met Soc; 2002. Abstract
Kindly check later
A. PROFKARANIFLORIDA. "Karani F.A.; "Some Issues in University Education in Kenya and the United States of America", in Henry Indangasi et al eds. American Studies in Eastern Africa. Nairobi University Press, Nairobi. 1990. pp 119 -125.". In: Henry Indangasi et al eds. American Studies in Eastern Africa. Nairobi University Press, Nairobi. 1990. pp 119 -125. Journal of BiochemiPhysics; 1990. Abstract

 

 

A. HASHIM. "). Bonding through Faith: Enhancing Cohesion and Integration Values in the Islamic Religious Education Curricula for Primary and Secondary Schools.". In: Mainstreaming National Cohesion and Integration in Kenya’s Educational Curriculum. Nairobi: National Cohesion and Integration Commission in partnership with the Kenya Institute of Curriculum Development; 2014.bonding_through_faith.pdf
A. DRAGANDAALEX. "Aganda, A.A. Study of air flow distribution in an air conditioning unit. International Conference of Mechanical and Engineering Design. Manufacturing and Energy Technology, September. 1997.". In: Presented, NUSESA Maintenance of Equipment for the Advancement of Science Regional Conference, Sheraton Hotel, Kampala, Uganda, 3-4 December 2001. J. Kenya Meteorological Soc; 1997.
A. PROFKARANIFLORIDA. ""Evaluating the Process and Products of a Programme".". In: Presented at the UNICEF second Sub-Regional workshop: Nazareth, Ethiopia, November 1982. Journal of BiochemiPhysics; 1982. Abstract

 

 

A. PROFKETERJOSEPHKIPKORIR. "Chui, J.N. , and J.K.A. Keter. 2000. Changes in soil chemical properties due to nitrogen fertilizer application and maize-bean cropping systems in a semi-arid region of Eastern Kenya. Intl. J. Biochem Physics, Vol. 10 & 11, 6-11.". In: East Afr Med J. 2002 Sep;79(9):457-60. University of Nairobi Press; 2002. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. PROFODHIAMBOPETER. "Science and the man - MEDICOM.". In: The African Journal of Hospital Medicine. Heinrich Boll Foundation.; 2002. Abstract
Towers are typical structures that can be found in many urban and rural landscapes the world over. From their basic design, they are usually exposed to severe environmental loads. It is therefore prudent to carry out periodic maintenance that includes checking that they are correctly aligned. This paper describes a method that was used for the re-alignment of a guyed tower in Limuru, Kenya. Angular and distance observations, made from two observation points detected a vertical misalignment that was larger than the acceptable tolerance of l/400. An iterative re-alignment procedure was then applied, resulting in an acceptable final misalignment of 1 / 520.
A. PROFODHIAMBOPETER, G PROFGATEIDAVID, O PROFORINDADA. "Retrospective Study of Cancer of the Esophagus in Kenya.". In: Cancer Research, 38: 303 - 305. Earthscan, London. 978-1-84407-469-3 (*); 1978. Abstract
Retrospective Sturdy of Cancer of the Esophagus in Kenya - Cancer Research, 38: 303 - 305, February 1978. (Second of five authors - D.G. Gatei, A.E.O. Wasunna, D.A. Orinda and J. Muruka).
A. PROFKETERJOSEPHKIPKORIR. "Keter, J.K.A. and J.G.A. Fiskell. 1982. Maize response to phosphate sources and rates and to auxin on two Kenya soils. Soil Crop Sci. Soc. Fla. 41 :188-192.". In: First International Workshop on Capacity Building in Soil and Water Management in Africa, Kampala, Uganda, 9-11 November, 1992. Academic Science Publishers, Nairobi, Kenya. ISBN: 9966-831-15-0. University of Nairobi Press; 1982. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. PM. "Women Should Focus on Whole Judiciary." Nairobi Star, July 20, 2020.
A. PROFODHIAMBOPETER. "Congenital Heart Disease - MEDICOM.". In: The African Journal of Hospital Medicine 2. Heinrich Boll Foundation.; 1980. Abstract
A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested.
A. PROFKARANIFLORIDA. "Karani F.A.; " Roles and Situations of Women in Kenya", in Journal of Negro Education, A Howard University Quarterly Review of Issues, Incident to the Education of Black People:1988. p 422 - 434.". In: Journal of Negro Education, A Howard University Quarterly Review of Issues, Incident to the Education of Black People:1988. p 422 - 434. Journal of BiochemiPhysics; 1988. Abstract
   
A. PROFESHIWANIARTHUR. "The Company Secretary: Reflections on a Dying Profession in Kenya(JICGK0.". In: Journal of African Meteorological Society, vol.15, 2001. A Matimba, M Oluka, B Ebeshi, J Sayi, Bolaji, J Del Favero , C Van Broeckhoven, AN Guanta; 2000. Abstract
Oral infection with Herpes Simplex Virus (HSV) is a frequent and well documented complication in immunosuppressed individuals including patients on immunosuppressive medication. We report the development of severe oral infection with HSV type 1 in a 34 year old woman with type 1 diabetes mellitus and end stage renal disease (ESRD) following cadaveric renal transplantation at the Western General Hospital, Edinburgh. The role of acyclovir in therapy and chemoprophylaxis is discussed.
A. PROFKARANIFLORIDA. ""The Board of Adult Education Mandates and Goals".". In: The Dissemination Seminar for Adult and Continuing Education (ACE) Strategic Plan". At Machakos Garden Hotel. Kenya. 14 th to 16 th April 2003. Journal of BiochemiPhysics; 2003. Abstract

Tetralones were converted to tetralinylamines via Leuckart reaction.These were then used to protect carboxamide side-chains of glutamine and asparagine. Clevage studies using trifluoroacetic acid and boron tristrifluoroacetate were then done on these derivatives. The groups 1-tetralinyl, 5,7-dimethyl-1-tetralinyl and 7-methoxy-1-tetralinyl were found to be good carboxamide protecting groups in asparagine.

A. PROFKARANIFLORIDA. ""University of Nairobi Students Management Information Systems. Present and Way Forward / Policy Issues".". In: The Joint Committee and University Management Workshop at the Kenya School of Monetary Studies. Ruaraka, Nairobi. Kenya. 24 th and 25 th September 2002. Journal of BiochemiPhysics; 2002. Abstract
   
A. PROFWAMOLAISAAC. "Mutanda, Kaviti and WAMOLA I.A. Patterns of Shigella Species and Serotypes in East Africa. EAMJ 56: 381, 1979.". In: EAMJ 56: 381, 1979. IBIMA Publishing; 1979. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. "Karani, F.A; "Research Priorities in Adult and Continuing Education in Kenya" in The State of Adult and Continuing Education in Africa. Eds Indabawa S.A; Oduaran A; Afrik T., and Walters S. ISBN 99916 - 53 - 33-3. John Meinert Printing. Windhoek 2000 p. 1.". In: The State of Adult and Continuing Education in Africa. Eds Indabawa S.A; Oduaran A; Afrik T., and Walters S. ISBN 99916 - 53 - 33-3. John Meinert Printing. Windhoek 2000 p. 107- 114. Journal of BiochemiPhysics; 2000. Abstract

 

 

A. PROFKARANIFLORIDA. ""Higher Education in Africa".". In: The second symposium on East Africa in Transition: Images, Identities and Institutions. 2 nd to 4 th July 2001. Nairobi. Kenya. Journal of BiochemiPhysics; 2001. Abstract
   
A. PROFWAMOLAISAAC. "Muriuki SM, McDermott JJ, Arimi SM, Mugambi JT, Wamola IA.Criteria for better detection of brucellosis in the Narok District of Kenya.East Afr Med J. 1997 May;74(5):317-20.". In: East Afr Med J. 1997 May;74(5):317-20. IBIMA Publishing; 1997. Abstract
Monthly disease summary sheets from 1986-1992 of 60 dispensaries, clinics and hospitals in Narok district, Kenya were reviewed for the occurrence of brucellosis and other diseases with "flu-like symptoms". Diseases with these symptoms accounted for about 52% of the 1,037,875 cases reported for the time period. These were classified as malaria (79.3%), rheumatism (7.1%), PUO (2.4%), and brucellosis (0.8%). Brucellosis was diagnosed by a positive Rose Bengal (RB) test routinely conducted in seven out of the 60 health units. In these units, 55% of flu-like cases were classified as malaria and 21.2% as brucellosis. Individual case records of patients at four dispensaries using the RB test during 1991-92 were assessed for specific predictor symptoms. For 625 RB tested patients, a positive test result was associated with joint pain, headache, and the combinations of joint pain with headache and lameness with headache. A logistic regression model correctly predicted the RB test result in 62.3% of the time. For the 465 patients examined by the blood smear examination, identification of malaria parasites was associated with, headache, joint pain and combinations of emesis with pale mucous membranes. This regression model correctly predicted positive results 67.2% of the time. Both models indicate that selected clinical predictors represented significantly increased odds of being positive to the respective tests. However, for both diseases, clinical signs alone appear insufficient for reliable diagnosis and differentiation probably due to resemblance in symptomatology between these two and other diseases.
A. DROGENGOJULIUS. "Olabu BO, Saidi HS, Hassanali J, Ogeng.". In: Clin Anat. 2007 Nov;20(8):943-5. Kenya Orthopaedic Association; 2007. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. PROFWAMOLAISAAC. "Ayim and WAMOLA I. A.Cross Infections in an Intensive Care Unit (ICU) Chapter in .". In: Chapter in . IBIMA Publishing; 1974. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""Education systems in East Africa. Trends and Issues".". In: The KAAD Association of Scholars in East Africa (KASEA) Seminar on the "Impact of Brain Drain of the Economic Situation on Higher Education in East Africa" 17th to 21st Sept 1997 Nairobi. Kenya (co- authored with Prof. J. Shiundu). Journal of BiochemiPhysics; 1997. Abstract

 

 

A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1993. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. EO. "Philosophy of History." University of Nairobi Press; 2007. Abstract
n/a
A. PROFKARANIFLORIDA. ""Principles of Learning".". In: College of Education and External Studies University of Nairobi seminar 1991. Journal of BiochemiPhysics; 1991. Abstract

 

 

A. DRAGANDAALEX. "Aganda, A. A., Coney J. E. R., Sheppard, C. G. W., Farrant, P. E. A comparison of the experimental and predicted heat transfer performance of an evaporator coil circuit. Applied Thermal Engineering. 2000.". In: Presented, NUSESA Maintenance of Equipment for the Advancement of Science Regional Conference, Sheraton Hotel, Kampala, Uganda, 3-4 December 2001. J. Kenya Meteorological Soc; 2000.
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1990. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. DRSWAZURIMUHAMMED. ""Real Estate Sub-markets" paper presented to a Vision Consult Workshop in Kitwe, Zambia, 27th September, to 1st October, 1993.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1993. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. DRSWAZURIMUHAMMED. "Ph.D Thesis entitled "The Valuation of Waterfront Properties Along the Coastline of Kenya.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1986. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFKARANIFLORIDA. ""New Technologies in Higher Education Pedagogy".". In: UNESCO Workshop on Teaching and Learning in Higher Education held in Nairobi Kenya 18-22 November 1996. Journal of BiochemiPhysics; 1996. Abstract
   
A. PROFKETERJOSEPHKIPKORIR. "Waithaka, J., and J.K.A. Keter 1992. Cooper adsorption in the A horizons of selected soils of Kenya. East Africa Journal of Sciences 1(1):63-83.". In: First International Workshop on Capacity Building in Soil and Water Management in Africa, Kampala, Uganda, 9-11 November, 1992. Academic Science Publishers, Nairobi, Kenya. ISBN: 9966-831-15-0. University of Nairobi Press; 1992. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. PROFODHIAMBOPETER. "Renovascular Hypertension at Kenyatta National Hospital.". In: East African Medical Journal. Heinrich Boll Foundation.; 1984. Abstract
A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested.
A. PROFKARANIFLORIDA. "Karani F.A.; Course Design and Development in B. Matiru ed. Towards Academic and Professional Excellence in Higher Education. Part II. Bonn.1990. pp 69 - 78.". In: B. Matiru ed. Towards Academic and Professional Excellence in Higher Education. Part II. Bonn.1990. pp 69 - 78. Journal of BiochemiPhysics; 1990. Abstract
   
A. KSPE;KAK;LMV;BPM;. "Grappling With HIV Transmission Risks: Narratives of Rural Women in Eastern Kenya Living with HIV ." Journal of the Association of Nurses in AIDS Care. 2012;23 (5)(Sept/Oct. 2012):442-453.
A. PROFODHIAMBOPETER. "Pain. A Brief Appraisal.". In: Calcutta Medical College Magazine. Heinrich Boll Foundation.; 1967. Abstract
A clinical, radiological, histological, and geographical study of carcinoma of the esophagus in Kenya is reported. It was found that this cancer is diagnosed more often in males than in females, with a ration of 8:1 (Kenya Cancer Registry). The most common age in males and females is 50 to 59 years. The regions of the esophagus most commonly involved are the middle and lower thirds, in almost equal proportions. An unexplained tendency for the tumor to be poorly differentiated towards the lower third is noted. In addition a review on the possible etiological factors is presented.
A. PROFKARANIFLORIDA. "Karani, F.A.; "The History of Maseno School, Its Alumni, and the Local Society, 1906 to 1962." M.A. Thesis, University of Nairobi 1974.". In: M.A. Thesis, University of Nairobi 1974. Journal of BiochemiPhysics; 1974.
A. PROFWAMOLAISAAC. "Mirza and WAMOLA I.A. Meningococcal meningitis over the past thirteen years (1967-79) at Kenyatta National Hospital, EAMJ 57: 883-890, 1980.". In: EAMJ 57: 883-890, 1980. IBIMA Publishing; 1980. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""Development of Education in East Africa. Trends and Issues Affecting Development".". In: The Symposium on East Africa in Transition. Nairobi. Kenya. July 2001. Journal of BiochemiPhysics; 2001. Abstract

 

 

A. PROFWAMOLAISAAC. "English M, Ngama M, Musumba C, Wamola B, Bwika J, Mohammed S, Ahmed M, Mwarumba S, Ouma B, McHugh K, Newton C.Causes and outcome of young infant admissions to a Kenyan district hospital. Arch Dis Child. 2003 May;88(5):438-43.". In: Arch Dis Child. 2003 May;88(5):438-43. IBIMA Publishing; 2003. Abstract
AIMS: To provide a comprehensive description of young infant admissions to a first referral level health facility in Kenya. These data, currently lacking, are important given present efforts to standardise their care through the integrated management of childhood illness (IMCI) and for prioritising both health care provision and disease prevention strategies. METHODS: Prospective, 18 month observational study in a Kenyan district hospital of all admissions less than 3 months of age to the paediatric ward. RESULTS: A total of 1080 infants were studied. Mortality was 18% overall, though in those aged 0-7 days it was 34%. Within two months of discharge a further 5% of infants aged <60 days on admission had died. Severe infection and prematurity together accounted for 57% of inpatient deaths in those aged <60 days, while jaundice and tetanus accounted for another 27%. S pneumoniae, group B streptococcus, E coli, and Klebsiella spp. were the most common causes of invasive bacterial disease. Hypoxaemia, hypoglycaemia, and an inability to feed were each present in more than 20% of infants aged 0-7 days. Both hypoxaemia and the inability to feed were associated with inpatient death (OR 3.8 (95% CI 2.5 to 5.8) and 7.4 (95% CI 4.8 to 11.2) respectively). CONCLUSIONS: Young infants contribute substantially to paediatric inpatient mortality at the first referral level, highlighting the need both for basic supportive care facilities and improved disease prevention strategies.
A. DROGENGOJULIUS. "Kilonzi PJ, Saidi HS, Hassanali J, Ogeng.". In: East African Orthopaedic Journal. Kenya Orthopaedic Association; 2008. Abstract
Background: Prolapsed intervertebral disk (PID) disease can be managed conservatively or surgically with different reported outcomes.Objective: The present study aimed at assessing the management and outcomes of slipped intervertebral disk disease at the Kenyatta National hospital.Study Design: A retrospective cross-sectional study.Setting: Kenyatta National Hospital (KNH) a referral and teaching Hospital in Kenya.Patients and Methods: Consecutive files of all cases of slipped intervertebral disk disease from January1997 to December 2007 were retrieved from the Medical records at the Kenyatta National Hospital. The biodata, management methods and the outcomes of the procedures were recorded. The collecteddata was analyzed using the SPSS 17.0 for Windows.Results: Six hundred and three cases were reviewed. All patients received analgesics and bed rest.Five percent of the patients were put on bilateral traction for two weeks while 4% of the patients had corsets. Thirty five per cent of the patients were surgically managed. Over a third of the surgically managed patients had laminectomies. Microdiscectomy was increasingly popular in the latter half ofthe study period. Of the managed patients 95% reported improvement while 92% were complication free. The rate of reherniation and reoperation was 1.5% and 1.2% respectively.Conclusion: The management of PID at Kenyatta National Hospital is largely successful with few cases of complications. In selected patients both conservative and surgical care are used in tandem. Microdiscectomy is an increasingly popular surgical procedure at the KNH.
A. PROFWAMOLAISAAC. "Shah, DM, Slack RCB and WAMOLA I.A. Single dose treatment of Acute Gonorrhoea in Males .". In: (Paper presented to KMA meeting, Mombasa March 1976). IBIMA Publishing; 1976. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. "Karani, F.A. and J.O. Shiundu; "Education Systems in East Africa - Trends and Issues," in Thomas Mcdonald, and Thomas W. Scheidtweiler (eds.) Higher Education in East Africa. Proceedings of a KASEA Seminar 17 - 21 September 1997 Nairobi. Kenya. Katholisch.". In: Six- Monthly Journal of the Dakar Regional Office ISSN 0850- 1432 No. 12 March 1996. UNESCO. Dakar p78-82. Journal of BiochemiPhysics; 1997. Abstract

 

 

A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1994. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. DROKOOLARAPHAELE. "Okoola, R.E.; Camberlin, P.; and Ininda, J.M., 2008: Wet periods along the East African Coast and the extreme wet spell of October 1997. Jour. Kenya Meteorol. Soc. Vol 2 No. 1, 67 - 83.". In: Jour. Kenya Meteorol. Soc. Vol 2 No. 1, 67 - 83. Kenya Met Soc; 2008. Abstract
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A. PROFKARANIFLORIDA. "Karani, F.A.; University Staff Development. Part One. German Foundation for International Development. Bonn. 1991. pp 110.". In: German Foundation for International Development. Bonn. 1991. pp 110. Journal of BiochemiPhysics; 1991. Abstract

 

 

A. DRKITAAJAFREDM. "Kirui GK, Mande JD and Kitaa JMA. Spectrophotometric analysis of cytoliths from a German Shepherd dog.". In: KVA conference 2005 Nairobi. au-ibar; 2005. Abstract
   
A. PROFWAMOLAISAAC. "Odhiambo F A, WAMOLA I.A and Ndinya-Achola J O. Aerobic and facultative bacterial isolates from blood cultures of children with clinically diagnosed septicaemia.East Afr Med J. 1991 Nov;68(11):869-74.". In: East Afr Med J. 1991 Nov;68(11):869-74. IBIMA Publishing; 1991. Abstract
A total of 120 sets of blood cultures were performed aerobically from 60 children with clinically diagnosed septicaemia at Kenyatta National Hospital, Nairobi. Out of these, 36 (30%) sets from 19 (31.7%) patients yielded bacterial growth while 84 (70%) sets from 41 (68.3%) were negative. Salmonella typhimurium was the most frequently isolated bacteria (63%), followed by Staphylococcus aureus (15.8%). Salmonella typhimurium isolates were mostly multi-antibiotic resistant, most of them only sensitive to amikacin and cefotaxime, while all were resistant to ampicillin and co-trimoxazole, the most frequently used antibiotic in this hospital. PIP: Between March 1987-January 1988, physicians enrolled 60 pediatric patients with a fever who were admitted to the Kenyatta National Hospital in Nairobi, Kenya for various clinical conditions in a study to determine the types, frequency, and antibiotic sensitivity patterns of aerobic and facultative bacterial isolates. Most of the patients were 13 months-4 years old (45%). 31.7% of the patients had positive blood cultures. Staphylococcus aureus was the 2nd most common bacteria (15.8%) among these patients. Laboratory personnel isolated Salmonella typhimurium in most patients (63%). In fact, during the same period, the Diagnostic Microbiology Laboratory at the hospital identified Salmonella species in 48% of all isolated bacteria and 35% of these were S. typhimurium. S. typhimurium tended to be present in children with gastroenteritis (41.8%) or a fever of unknown origin (33.3%). S. typhimurium was very sensitive to amikacin and cefotaxime, but resistant to ampicillin and sulfamethoxazole-trimethoprim. Health workers in Kenya have frequently administered ampicillin and sulfamethoxazole-trimethoprim, but not amikacin and cefotaxime. 67% of the strains of S. typhimurium were resistant to gentamicin and 33% to chloramphenicol. These results along with those of other reports from this hospital indicated a dramatic rise in Gram negative bacteria resistance to antibiotics. Therefore physicians should no longer consider gentamicin as a 1st line antibiotic in treating suspected septicemia patients.
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1990. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. DRSWAZURIMUHAMMED. ""Implications of the European Market on Africa Economies and the Emergence of a United States of Africa" paper presented to the Zambia Journal of Business, 1995.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1995. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFKARANIFLORIDA. ""Leadership in Community Projects".". In: Pan- African Institute, Project Management Workshop, Kabwe, Zambia. 1984 and 1985. Journal of BiochemiPhysics; 1985. Abstract

 

 

A. DRSWAZURIMUHAMMED. ""The Markets for Coffee: A Feasibility Study", a research consultancy for Likoni Coffee Plaza Limited, September, 1988.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1988. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFKARANIFLORIDA. ""Karani, F.A.; Research Priorities in Adult Education in Kenya" Journal of Adult Education, vol.3 No.l, 1996. Nairobi. p7 - 14.". In: Journal of Adult Education, vol.3 No.l, 1996. Nairobi. p7 - 14. Journal of BiochemiPhysics; 1996. Abstract
   
A. PROFKETERJOSEPHKIPKORIR. "Kwaje, S., and J.K.A. Keter (Eds.) 1994. Proceedings of the First International Workshop on Capacity Building in Soil and Water Management in Africa, Kampala, Uganda, 9-11 November, 1992. Academic Science Publishers, Nairobi, Kenya. ISBN: 9966-831-15-0.". In: First International Workshop on Capacity Building in Soil and Water Management in Africa, Kampala, Uganda, 9-11 November, 1992. Academic Science Publishers, Nairobi, Kenya. ISBN: 9966-831-15-0. University of Nairobi Press; 1994. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. PROFODHIAMBOPETER. "Wachira JN, Mwaniki DL, Odhiambo PA.Incidence and pattern of oesophageal perforations in Kenyatta National Hospital.East Afr Med J. 1990 Oct;67(10):712-6.". In: East Afr Med J. 1990 Oct;67(10):712-6. Heinrich Boll Foundation.; 1990. Abstract
A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested.
A. PROFKARANIFLORIDA. ""The External Bachelor of Education Degree, College of Education and External Studies, University of Nairobi. A Case Study. Presented at the Sub-Regional Workshop on "Towards Academic and Professional Excellence in Higher Education".". In: Presented at the Sub-Regional Workshop on "Towards Academic and Professional Excellence in Higher Education". Journal of BiochemiPhysics; 1991. Abstract
   
A. PROFODHIAMBOPETER. "Gall Bladder Disease and Adult Obstructive Jaundice at the Kenyatta National Hospital, Nairobi,.". In: East African Medical Journal 53 (2): 74 - 81. Heinrich Boll Foundation.; 1976. Abstract
A clinical, radiological, histological, and geographical study of carcinoma of the esophagus in Kenya is reported. It was found that this cancer is diagnosed more often in males than in females, with a ration of 8:1 (Kenya Cancer Registry). The most common age in males and females is 50 to 59 years. The regions of the esophagus most commonly involved are the middle and lower thirds, in almost equal proportions. An unexplained tendency for the tumor to be poorly differentiated towards the lower third is noted. In addition a review on the possible etiological factors is presented.
A. PROFKARANIFLORIDA. ""Evaluation Models".". In: Presented at the Institute of Adult Studies, University of Nairobi seminar, 1982. Journal of BiochemiPhysics; 1982. Abstract
   
A. PROFKARANIFLORIDA. ""Introducing the Adult and Continuing Education Bill - . Board of Adult and Continuing Education Act CAP 223 1966/7".". In: The Kenya Adult Education Association Seminar at the Kenya Institute of Education, Nairobi. Kenya. 4 th May 2002. Journal of BiochemiPhysics; 2002. Abstract
Tetralones were converted to tetralinylamines via Leuckart reaction.These were then used to protect carboxamide side-chains of glutamine and asparagine. Clevage studies using trifluoroacetic acid and boron tristrifluoroacetate were then done on these derivatives. The groups 1-tetralinyl, 5,7-dimethyl-1-tetralinyl and 7-methoxy-1-tetralinyl were found to be good carboxamide protecting groups in asparagine.
A. PROFESHIWANIARTHUR. "The Ultra-Vires Axe - Some Reflections, 1979:9 (Commissioned by the Institute of Certified Public Accountants, Kenya, for purposes of launching the first offical journal of the institute.". In: The Kenya Accountant, Vol. 1:14; Vol.2. A Matimba, M Oluka, B Ebeshi, J Sayi, Bolaji, J Del Favero , C Van Broeckhoven, AN Guanta; 1979. Abstract
Oral infection with Herpes Simplex Virus (HSV) is a frequent and well documented complication in immunosuppressed individuals including patients on immunosuppressive medication. We report the development of severe oral infection with HSV type 1 in a 34 year old woman with type 1 diabetes mellitus and end stage renal disease (ESRD) following cadaveric renal transplantation at the Western General Hospital, Edinburgh. The role of acyclovir in therapy and chemoprophylaxis is discussed.
A. PROFWAMOLAISAAC. "Mirza NB, WAMOLA I.A and Bubi J. Resistance Patterns of Gram Negative Pathogens from Clinical Material. Medicom Vol 3 (4): 105. 1981.". In: Medicom Vol 3 (4): 105. 1981. IBIMA Publishing; 1981. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. "Karani, F.A. "Development of Education in Kenya" "in East Africa Transition Communities, Cultures and Change. Eds Bahemuka J.M. & Brockington J.I. Action Publishers Nairobi 2001.". In: East Africa Transition Communities, Cultures and Change. Eds Bahemuka J.M. & Brockington J.I. Action Publishers Nairobi 2001. Journal of BiochemiPhysics; 2001. Abstract

 

 

A. AA, J.K. I, A.M. M, O. OF, RW. N. "Knowledge , attitudes and use of bovine blood as food on Kisumu County Kenya.". In: 1st National Food and Nutrition Symposium. Nairobi, Kenya; 2016.
A. PROFKARANIFLORIDA. ""Literacy and Education".". In: The OSSREA Kenya Chapter National Conference on Poverty, Literacy, Health and Environmental Issues in Kenya : Exploring the Alternative Strategies. 28 th to 30 th March 2001. Stem Hotel. Nakuru. Kenya. Journal of BiochemiPhysics; 2001. Abstract
   
A. DROGENGOJULIUS. "Olabu BO, Ogeng.". In: East African Orthopaedic Journal. Kenya Orthopaedic Association; 2008. Abstract
Background: Prolapsed intervertebral disk (PID) disease can be managed conservatively or surgically with different reported outcomes.Objective: The present study aimed at assessing the management and outcomes of slipped intervertebral disk disease at the Kenyatta National hospital.Study Design: A retrospective cross-sectional study.Setting: Kenyatta National Hospital (KNH) a referral and teaching Hospital in Kenya.Patients and Methods: Consecutive files of all cases of slipped intervertebral disk disease from January1997 to December 2007 were retrieved from the Medical records at the Kenyatta National Hospital. The biodata, management methods and the outcomes of the procedures were recorded. The collecteddata was analyzed using the SPSS 17.0 for Windows.Results: Six hundred and three cases were reviewed. All patients received analgesics and bed rest.Five percent of the patients were put on bilateral traction for two weeks while 4% of the patients had corsets. Thirty five per cent of the patients were surgically managed. Over a third of the surgically managed patients had laminectomies. Microdiscectomy was increasingly popular in the latter half ofthe study period. Of the managed patients 95% reported improvement while 92% were complication free. The rate of reherniation and reoperation was 1.5% and 1.2% respectively.Conclusion: The management of PID at Kenyatta National Hospital is largely successful with few cases of complications. In selected patients both conservative and surgical care are used in tandem. Microdiscectomy is an increasingly popular surgical procedure at the KNH.
A. PROFWAMOLAISAAC. "WAMOLA I.A and Shiroya, AGMI. The Role of Preventive Disease in causing Death in Kenya .". In: Proceedings of the EAMRC Annual Scientific Conference (1976). IBIMA Publishing; 1976. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. "Introductory Address.". In: The National Consultation meeting on Post Literacy Curriculum in Kenya; at the Kenya College of Communications Technology, Mbagathi, Nairobi. Kenya 30th March 1998. Journal of BiochemiPhysics; 1998. Abstract

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A. MRJALEHAALEXC. "Jaleha A.A. "The implications of Motor vehicle thefts on the underwriting processes in Kenya", MBA Research Project,.". In: Department of Clinical Studies University of Nairobi 2008. Departmental seminar; 1993. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1996. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. PROFKARANIFLORIDA. "Karani, F.A.; "Actualizing Education in Africa : Future Directions and Strategies" in the Journal of Basic Education, Eastern and Southern Africa. BERC Vol 4, January 1994. pp 15 - 25.". In: The Journal of Basic Education, Eastern and Southern Africa. BERC Vol 4, January 1994. pp 15 - 25. Journal of BiochemiPhysics; 1994. Abstract

 

 

A. PROFKARANIFLORIDA. ""Student Unrest in Public Universities".". In: Workshop on Working Together for Sustainable Development in Planning, Management and Gender Issues, organized for Vice Chancellors, Deputy Vice Chancellors and Principals of Public Universities in Kenya. Lake Elementaita Lodge, Gilgil, Kenya. 24 th t. Journal of BiochemiPhysics; 1998. Abstract
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A. PROFWAMOLAISAAC. "Wamola IA.Microbial contamination of commercial food products: fact or fiction.East Afr Med J. 1992 Mar;69(3):121-2.". In: East Afr Med J. 1992 Mar;69(3):121-2. IBIMA Publishing; 1992. Abstract
An increase in illness due to measles is one of the potential consequences of the human immunodeficiency virus (HIV) epidemic in Africa. During a study of perinatal HIV transmission conducted in Kenya, the risk of acquiring measles before vaccination (9 months of age) was found to be 3.8 times higher in infants born to HIV-seropositive mothers than in control infants (10 [9%] of 109 vs. 5 [3%] of 194 infants; P = .02; odds ratio, 3.8; 95% confidence interval, 1.2-13.2). The majority of infants who developed measles in this study had significant sequelae related to their measles infection. The increased risk of measles appeared to be related to relatively lower anti-measles antibody titers detected in cord blood samples of affected infants born to HIV-seropositive mothers. However, 94% of all infants were susceptible to measles on the basis of ELISA testing at age 6 months regardless of maternal HIV serology. These observations highlight the need for improved measles vaccination strategies in Africa and for studies to delineate the effects of HIV infection on the incidence,
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1991. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. DRSWAZURIMUHAMMED. "a proposal for the establishment of the Mombasa Islamic University in 2001.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 2001. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFKARANIFLORIDA. "Karani F.A.; "Curriculum Development : An Approach to Designing Training Programmes" in International Journal of University Adult Education. Vol XXV No 2. Don Bosco Printing Company, Hong Kong. July 1986 p 53 - 67.". In: International Journal of University Adult Education. Vol XXV No 2. Don Bosco Printing Company, Hong Kong. July 1986 p 53 - 67. Journal of BiochemiPhysics; 1986. Abstract

 

 

A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1989. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. DRSWAZURIMUHAMMED. ""Land Use Policy in Relation to Social Forestry in Kenya". Paper presented to the Social Forestry Refresher Course, Muguga, Nairobi, 12th to 16th March, 1990.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1990. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFKARANIFLORIDA. ""Relevance of Higher Education in Africa in the 21st century".". In: African Regional Consultation, Preparatory to the World Conference on Higher Education in the 21st Century. UNESCO, DAKAR Senegal. 1st to 4th April 1997. Journal of BiochemiPhysics; 1997. Abstract
   
A. PROFKETERJOSEPHKIPKORIR. "Owino-Gerroh, C., J.K.A. Keter and J.P. Mbuvi. 1996. Effect of tea cropping on the structure of some Kenya soils. Pp 289-298. In: proceedings of the 15th Annual General Meeting, SSEA, held in Nanyuki, Kenya. ISBN 9966-879-27-7.". In: East Afr Med J. 2002 Sep;79(9):457-60. University of Nairobi Press; 1996. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. PROFODHIAMBOPETER. "Witchcraft Psychiatry?". In: East Africa Journal. Heinrich Boll Foundation.; 1996. 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.
A. PROFKARANIFLORIDA. "Karani, F.A.; "Effective Teaching in University" in F.A.Karani and J.A. Okumbe, University Staff Development, Part Two. German Foundation for International Development, Bonn.1991. pp 48 - 75.". In: .A.Karani and J.A. Okumbe, University Staff Development, Part Two. German Foundation for International Development, Bonn.1991. pp 48 - 75. Journal of BiochemiPhysics; 1991. Abstract
   
A. DROGENGOJULIUS. "Ogeng.". In: BSc. Dissertation University of Nairobi. Kenya Orthopaedic Association; 1986. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. PROFODHIAMBOPETER. "Some Aspects of Suppurative Lung Lesions at Kenyatta National Hospital.". In: East African Medical Journal, 55 (1): 25 - 30. Heinrich Boll Foundation.; 1978. Abstract
A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested.
A. PROFESHIWANIARTHUR. "The Legal Personality and the Wolrd of Fact: a Myth or Reality?". In: The Scottish Law Gazette Vol. 52, No. 4: 119. A Matimba, M Oluka, B Ebeshi, J Sayi, Bolaji, J Del Favero , C Van Broeckhoven, AN Guanta; 1984. Abstract
Oral infection with Herpes Simplex Virus (HSV) is a frequent and well documented complication in immunosuppressed individuals including patients on immunosuppressive medication. We report the development of severe oral infection with HSV type 1 in a 34 year old woman with type 1 diabetes mellitus and end stage renal disease (ESRD) following cadaveric renal transplantation at the Western General Hospital, Edinburgh. The role of acyclovir in therapy and chemoprophylaxis is discussed.
A. PROFWAMOLAISAAC. "WAMOLA I.A, Mirza NB and Nsazumuhire H. Penicillin resistant Pneumococcal Meningitis in Kenyatta National Hospital, Nairobi, Kenya. EAMJ Vol 58: 112. Jan 1981.". In: EAMJ Vol 58: 112. Jan 1981. IBIMA Publishing; 1981. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""Management of Academic Programmes with special Reference to the Examination Process".". In: The Senate Workshop held at the Kenya School of Monetary Studies, Ruaraka, Nairobi. Kenya. 23 August 2002. Journal of BiochemiPhysics; 2002. Abstract

 

 

A. PROFWAMOLAISAAC. "Sack D A, Slack, RCB, WAMOLA I.A and Kamnisky. Travellers.". In: John Hopkins Medical Journal Vol. 14:63-79. (Aug. 1977). IBIMA Publishing; 1977. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. "Karani, F.A. "Relevance of Higher Education: Policies and Practices" in Higher Education in Africa : Achievements. Challenges and Prospects. UNESCO Regional Office (BREDA) BP.3311 Dakar, Senegal. ISBN 92-9091- 072-0 1998. pp 20.". In: Higher Education in Africa : Achievements. Challenges and Prospects. UNESCO Regional Office (BREDA) BP.3311 Dakar, Senegal. ISBN 92-9091- 072-0 1998. pp 20. Journal of BiochemiPhysics; 1998. Abstract

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A. PROFKARANIFLORIDA. ""University of Nairobi position paper on Base for African Human Capacity Building".". In: The BAHCB Inter-University in East Africa Region Workshop 23 rd to 24 th March 2000. Intercontinental Hotel. Nairobi. Kenya. Journal of BiochemiPhysics; 2000. Abstract
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A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1998. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. PROFWAMOLAISAAC. "WAMOLA I.A. 1967. Correlation of Virulence and Biochemical characteristic of strains of Staph. aureus from bovine mastitis. MSc Thesis of University of New Hampshire. 79 pages.". In: MSc Thesis of University of New Hampshire. 79 pages. IBIMA Publishing; 1967. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFWAMOLAISAAC. "Petit PL, Haarlem JV, Poelman M, Haverkamp MC, Wamola IA.Bacteraemia in patients presenting with fever. East Afr Med J. 1995 Feb;72(2):116-20.". In: East Afr Med J. 1995 Feb;72(2):116-20. IBIMA Publishing; 1995. Abstract
In three studies, in Ghana and Kenya, blood from 639 patients admitted with fever was cultured. Standard treatments were antimalarials (54-100%) and antibiotics (39-90%). According to the criteria in use, however, only 10-31% had malaria alone; of those who received antibiotics, 66% were diagnosed with malaria, gastrointestinal infections, post-operative recuperations, circulatory problems, central nervous system disorders or FUO, and did not need antibiotics at the first encounter. For those with wounds and abscesses (8%), generalised antibiotic treatment can also be questioned. Bacteraemia was found in 71 (11.3%) patients; in the HIV patients, however, 5 (23%) of 22 had bacteraemia. This is a minimum incidence, since culture techniques were not optimal for the isolation of fastidious microorganisms. The most prevalent organisms isolated were Salmonella, Klebsiella/Enterobacter and S. aureus. Resistance (intrinsic and extrinsic) in the Gram- bacteria was high: 31-100% were resistant to amoxycillin, 0-80% to cotrimoxazole, 15-95% to chloramphenicol and 9-15% to gentamicin. The need for cultures and sensitivity tests for patients with prolonged or undiagnosed fever is stressed. Specific treatment should be given only when infections, whether malarial or bacterial, have been positively diagnosed.
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1992. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. DROKOOLARAPHAELE. "Characteristics of the ITCZ over equatorial Eastern Africa based on station rainfall records.". In: J. Afric. Meteorol. Soc.,3, 61-101. Kenya Met Soc; 1998. Abstract
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A. PROFKARANIFLORIDA. "Karani F.A.; " Roles and Situations of Women in Kenya", in Journal of Negro Education, A Howard University Quarterly Review of Issues, Incident to the Education of Black People:1988. p 422 - 434.". In: Journal of Negro Education, A Howard University Quarterly Review of Issues, Incident to the Education of Black People:1988. p 422 - 434. Journal of BiochemiPhysics; 1988. Abstract

 

 

A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1989. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. DRSWAZURIMUHAMMED. "Prioritizing Research Agena for Public Consumption in Developing Countries", paper presented to a Research Methodology Workshop for Cooperative College of Kenya Lecturers, Nyeri, 5th to 10th January, 1992.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1992. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFKARANIFLORIDA. "Karani, F.A.; "The History of Maseno School, Its Alumni, and the Local Society, 1906 to 1962." M.A. Thesis, University of Nairobi 1974.". In: M.A. Thesis, University of Nairobi 1974. Journal of BiochemiPhysics; 1974.
A. PROFKETERJOSEPHKIPKORIR. "Owino-Gerroh, C., J.K.A. Keter and J.P. Mbuvi. 1999. Agronomic response estimates of acidulated and unacidulated phosphorus sources for tea (Camellia sp. L.) in Kenya. Tea 20(1), 21-29.". In: East Afr Med J. 2002 Sep;79(9):457-60. University of Nairobi Press; 1999. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. K. Survival rate of proximal ART restorations. Germany: LAP Lambert Academic Publishing GmbH & Co, Saarbrucken; 2011.
A. DROGENGOJULIUS. "Ogeng.". In: The Nairobi Journal of Medicine, Vol. 13 No. 1. Kenya Orthopaedic Association; 1987. Abstract

Knowledge of the variant vascular anatomy of the subhepatic region is important for hepatobiliary surgeons in limiting operative complications due to unexpected bleeding. The pattern of arterial blood supply of 102 gallbladders was studied by gross dissection. The cystic artery originated from the right hepatic artery in 92.2% of cases. The rest were aberrant and originated from the proper hepatic artery. Accessory arteries were observed to originate from proper hepatic artery (n = 5), left hepatic artery (n = 2), and right hepatic artery (n = 1). Most of the arteries approached the gallbladder in relation to the common hepatic duct (anterior 45.1%, posterior, 46.1%). The other vessels passed anterior to common bile duct (2.9%), posterior to common bile duct (3.9%), or were given off in Calot's triangle. Cystic arteries in this data set show wide variations in terms of relationship to the duct systems. In about one tenth of patients, an accessory cystic artery may need to be ligated or clipped during cholecystectomy. 2007 Wiley-Liss, Inc

A. PROFODHIAMBOPETER. "Some rare lesions of the oesophagus - MEDICOM:.". In: The African Journal of Hospital Medicine. Heinrich Boll Foundation.; 1999. 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.

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