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Mbuge DO, Kanyara MM, B.K.Mutai E, Murunga S, Mutuli DA, Agullo J. "The Effect of Drying Temperature on Nutrient levels in Oyster Mushroom." AJST. Submitted; ( ). Abstractdocument_2.pdf

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Mutembe N, Elly D. "Effect of Financial Literacy on Voluntary Retirement Planning Among Employees of State Corporations Under the Ministry of Health in Nairobi County, Kenya ." African development finance journal . Submitted;1(1):1-27 . Abstracteffect_of_financial_literacy_on_voluntary_retirement_planning_among_employees_of_state_corporations_under_the_ministry_of_health_in_nairobi_county_kenya.pdf

Purpose - The study sought to determine the effect of financial literacy on voluntary retirement planning among employees of state corporations under the Ministry of Health in Nairobi County, Kenya. Methodology – This study adopted a descriptive study design and uses primary data collected using a questionnaire with a five point Likert scale on the parameters of each variable. The study applied simple random sampling technique to select respondents to participate in the study. Data is analysed using means, percentages and frequencies. Multiple regression analysis was used to test the relationship between financial literacy and voluntary retirement planning. Findings – Financial literacy was found to influence the level of voluntary retirement planning among the employees since they are able to make key decisions that involve money in such a way that there is minimal risk to them. The study also established that financial literacy has a positive impact on voluntary retirement planning, however the results indicate that other factors such as income levels, age, marital status and level of education are also strongly related to retirement planning. Implications – To boost the voluntary retirement planning process, the eventuality of retirement should be made obvious for all the employees in the Kenyan economy so as to influence peoples’ attitude and receptiveness to the process. There is therefore need to develop financial education programs that focus particularly on important financial planning aspects for employees that will help them strike a balance between consumption and saving. Value – The findings of this study would also be valuable to the Retirement Benefits Authority and the Government of Kenya in development of policies and regulations

Olang' POR. Effects of Spinal Anesthesia during Elective Caesarean Section on Neonatal outcome at the Kenyatta National Hospital.; Submitted. Abstract

Utero-placental circulation and hence fetal well-being depends on maternal blood pressure.
Spinal anesthesia for cesarean section causes sudden and severe drops in blood pressure thus
threatening fetal and neonatal acid-base balance. Several protocols have been formulated to
prevent maternal hypotension but none has been shown to totally eliminate this risk.

This was a prospective non-randomized descriptive study that adopted a consecutive sampling
method. All eligible ASA (American Society of Anesthesiologists) I and ASA II mothers slated
for elective cesarean section at the Labour Ward of The Kenyatta National Hospital in Nairobi
were visited in the ante-natal ward the day or night before surgery and an informed consent
obtained for inclusion in the study. Any pre-selected mother who ended up needing emergency
surgery or changed her mind about inclusion in the study was excluded. Similarly, any willing
mother who did not qualify for spinal anesthesia was excluded from the study.
A sample size of 172 cases was taken and this required approximately 15 weeks of data
collection. Maternal blood pressures were recorded every minute until delivery. Immediately
after delivery, a section of the umbilical cord was clumped with 2 clumps. Umbilical arterial and
venous blood samples were collected in heparinized syringes and taken to the laboratory within
one hour of collection and analyzed for blood gases and pH as a measure of foetal! neonatal
compromise. Apgar scores were also noted at birth and after 5 minutes and later correlated with
the cord blood gas analyses and maternal blood pressures.
The anesthesia provider was requested to complete a data sheet which was then collected by the
principal investigator on the same day the surgery was performed.
Data analysis was done using SPSS software version 16.0 and presented in the form of tables,
graphs and charts.

A total of 172 patients were successfully recruited into the study and the total number of
umbilical cord blood samples analyzed (both arterial and venous) was 316. 28 blood samples
clotted and were not available for analysis.
43 babies (27.2%) were born with neonatal acidemia defined as umbilical arterial blood pHS 7.2.
There was, however, no significant relationship between neonatal acidemia and low Apgar
scores; neither was there a significant relationship between low Apgar scores and maternal
hypotension. 104 patients (65.8%) had a wedge inserted under the right hip as recommended for
prevention of aorto-caval compression. There was, however, no significant difference in the
incidence of maternal hypotension among those with a wedge and those without. Vasopressors
were used in 84 patients (53.2%). These included the use of ephedrine alone or epinephrine
alone or a combination of the two in the process of treating or preventing maternal hypotension.
The use of Va sopressors resulted in significantly fewer incidences of hypotension (p=0.018). The
use of preload with crystalloids before induction of spinal anaesthesia was noted to be
significantly related to the use of Vasopressors whenever the volume of preload was less than
500mls (p=0.027). Similarly, maximum levels of spinal block above T6 resulted in significant
incidences of maternal hypotension (p=O.OO1). Maternal height < 155cm did not have any
significant effect on the incidence of maternal hypotension.

Maternal hypotension can lead to poor neonatal outcome due to its effects on placental perfusion
and hence foetal oxygenation. This study has shown that vasopressor use during spinal
anaesthesia effectively minimizes the incidence of maternal hypotension. Crystalloid preload of
over 500mls is effective in preventing or moderating maternal hypotension.
A well conducted spinal anaesthetic for caesarean section with meticulous control/management
of adverse effects results in healthy neonates and mothers

Otieno-Omutoko L, Mwenda MN. "Ethical Concerns Influencing Project Completion in Building Construction Industry in Kenya." African Journal of Project Planning and Management. Submitted.
Githaiga JW. Evaluation of diagnostic peritoneal lavage and needle paracentesis in the management of penetrating and blunt abdominal trauma, at Kenyatta National Hospital.; Submitted. 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

Muirhead JD, Kattenhorn SA, Lee H, Mana S, Turrin BD, Fischer TP, Kianji G, Dindi E, Stamps DS. "Evolution of upper crustal faulting assisted by magmatic volatile release during early-stage continental rift development in the East African Rift." Geosphere. Submitted;12(6):1-31.
D.N. Kariuki PMC. Explore Chemistry, Form 4.; Submitted.
Janet Muhalia Chumba, Andanje Mwisukha RMK. "Extent of public support for physical education in Kenya." International Journal of Business and Social Science. Submitted;4(10). Abstract

Abstract The mass media have a fundamental role to play in the development of Sports.
Their contribution towards uplifting performance and popularizing sports is particularly
critical in the developing countries where sports programmes tend to receive minimal
attention and resource allocation. The mass media are important tools for marketing,
publicizing and popularizing sports. Their specific roles include bringing talent into the
limelight, giving recognition/appreciation to outstanding sports personalities and ...

Munyoki JM,, Kibera FN, Ogutu M. "Extent To Which University- Industry Linkage Exists In Kenya: A Study Of Medium And Large Manufacturing Firms In Selected Industries In Kenya." Business Administration and Management . Submitted;Vol 1(4):163-169, .
Wazid AM, Anyenda OE, Tole NM. "Eye Lens and Thyroid gland dose during CT head scanning in Kenyatta National Hospital, Kenya." South Africa Journal of Radiology. Submitted.
Indalo DM. Factors Affecting Patients Retention And Defaulter Rates In An Anti-retroviral Therapy Program.; Submitted. Abstract

The purpose of this research was to determine patients' retention and associated factors in the Antiretroviral Therapy (ART) program. Specifically, it establishes factors that contribute to patients' retention and recommends the appropriate strategies that enhance sustainable retention of patients in the ART program. The case studies were carried out at Kibera Community Based Health Care project/clinic - AMREF intervention area in Kibera slum
A descriptive cross-sectional method was employed aimed at collecting information from the patients in the program through random sampling, while stratified sampling was used to pick on defaulters, who were traced by Community Health Workers as well as key informants. A representative sample constituted 357 patients in the ART program, 27 defaulters and 8 Health Care Providers of the total population of patients in the program. Quantitative data was collected using a standardized questionnaire administered to the study participants in the program and defaulters. Qualitative data
was obtained through; focus Group Discussion and Key informants interviews. Ethical consideration and risk to human subjects was put into consideration, through provision of willing consent and confidentiality upheld at all times.
The study reveals that AMREF in Kenya, Kibera project continues to playa leading role in the fight against HIV/AIDS. A majority of the respondents (69%) confirmed to have disclosed their HIV status to someone while 31% were categorical that they have not disclosed their status to anyone. It is imperative to point out that disclosure levels were high (88%) amongst respondents in the 51-55 years age group and closely followed by those in the 41-45 years age group (77%). The study also found out that 49.5% of the respondents were on the affirmative that indeed they find it easy discussing their challenges with their clinicians, while 50.5% noted that they do not find it easy. It is
interesting to observe that the challenges of side effects related to ARV are more pronounced amongst those who skip appointments at the clinic compared to stigma and lack of food. A considerable number (15%) of the respondents noted that they like the clinic as it provides free ARVs while 4% lauded the good counseling services offered at the clinic. Some 3% liked the facility as it was near to their areas of residence. Asked to state the reasons why they would prefer other ART clinics, most of the respondents (63%) pointed to the distance from their areas of residence, 14% made reference to the quality of services while 8% explained that they would prefer other clinics if they offer food supplements as part of the program.
In conclusion psycho-social counseling appeared the most preferred service in the facility, it enforces adherence to medication and also reduces stigma related condition among the patients and those around them. MSF Belgium clinics were most preferred clinic in Kibera slum; AMREF Kibera project management should consider exchange visits to their sites and learn from each other. The study detects that there is a cross cutting call from the study approach that an ideal ART programme should provide comprehensive care and support (37%) and offer free medical care (15%) to enhance
accessibility besides integrating PTC (7%) among others as captured from the interviews with defaulters. Service delivery it was suggested should also be done professionally without unethical and coercive practices such sexual harassment among other malpractices that accentuate default.
AMREF Kibera project should consider to networking and collaborating with other organizations that are working in informal settlement to learn and share best practice to enhance adherence to ART care. Address the attitude of health care providers in the facility through trainings, supervision and assessment of care. The project should also review its approach to ART care and through operation research to boost ART care in marginalized communities in the informal settlements.

Mbunya NN. Factors hindering paediatric ward nurses from using nursing care plans at Kenyatta National Hospital.; Submitted. Abstract

Factors Hindering Paediatric Ward Nurses from Using Nursing Care Plans at Kenyata
National Hospital (KNH)
BACKGROUND: Documentation is an essential and integral part of quality nursing care.
A nursing care plan best suits this purpose because it combines holistic and scientific
approach to patient care. Further, it communicates and supports continuity of care though
minimally used by nurses.
OBJECTIVE: The aim was to identify factors hindering paediatric nurses from using
nursing care plans.
METHOD: This cross-sectional descriptive study was conducted from June to August 2007
at KNH. It used a random sample of 7 in-charge and 100 non in-charge nurses who filled a
self-administered close-ended questionnaire. Pearson product-moment correlation was used
to assess the association between variables with a P value set at 0.05.
RESULTS: Only 2% nurses were utilizing care plans. The characteristics of the nurse (i.e.
age: r = .026, p= .796 ; qualification: r = .007 , p= .941 and years of service: r = .135 , p=
.181 ), nursing work (i.e. workload: r = .099 ,p = .328 and stress: r = -.027 ,p = .786) and
nursing administration (i.e. staffing: r = .192 ,p = .680 and care plan policy: r = .277 ,p =
.547) had a non significant linear relationship with utilizing care plans. The linear
relationship between familiarity with the care plan content (r=.198, p= .049)) and its use
was statistically significant whereas ease to update a care plantr = .013, p = .897) was not.
CONCLUSION: Further research is indicated to determine hospital-specific factors
predicting non-use of care plans in order to address them with aim of popularizing their
use. This will go a long way to enrich the four main areas of nursing: Research, Education,
Administration and Teaching.

Gathigi GW. "FM Radio Broadcasting in Local Languages Triggering Rural Empowerment in Kenya." Jahazi Arts and Culture Journal. Submitted.
MBORI- PROFNGACHADOROTHYA, W. PROFNDUATIRUTH, ELIZABETH DROBIMBO. "HIV-1 Disease Progression in Breast-Feeding and Formula-Feeding Mothers: A Prospective 2-Year Comparison of T Cell Subsets, HIV-1 RNA Levels, and Mortality. Otieno PA, Brown ER, Mbori-Ngacha DA, Nduati RW, Farquhar C, Obimbo EM, Bosire RK, Emery S, Overba.". In: J Infect Dis. 2007 Jan 15;195(2):220-9. Epub 2006 Dec 13. Earthscan, London. 978-1-84407-469-3 (*); Submitted. Abstracthiv.pdf

Centre for Clinical Research, Kenya Medical Research Institute, University of Nairobi, Nairobi, Kenya. Background. There is conflicting evidence regarding the effects of breast-feeding on maternal mortality from human immunodeficiency virus type 1 (HIV-1) infection, and little is known about the effects of breast-feeding on markers of HIV-1 disease progression.Methods. HIV-1-seropositive women were enrolled during pregnancy and received short-course zidovudine. HIV-1 RNA levels and CD4 cell counts were determined at baseline and at months 1, 3, 6, 12, 18, and 24 postpartum and were compared between breast-feeding and formula-feeding mothers.Results. Of 296 women, 98 formula fed and 198 breast-fed. At baseline, formula-feeding women had a higher education level and prevalence of HIV-1-related illness than did breast-feeding women; however, the groups did not differ with respect to CD4 cell counts and HIV-1 RNA levels. Between months 1 and 24 postpartum, CD4 cell counts decreased 3.9 cells/ mu L/month (P<.001), HIV-1 RNA levels increased 0.005 log(10) copies/mL/month (P=.03), and body mass index (BMI) decreased 0.03 kg/m(2)/month (P<.001). The rate of CD4 cell count decline was higher in breast-feeding mothers (7.2 cells/ mu L/month) than in mothers who never breast-fed (4.0 cells/ mu L/month) (P=.01). BMI decreased more rapidly in breast-feeding women (P=.04), whereas HIV-1 RNA levels and mortality did not differ significantly between breast-feeding and formula-feeding women.Conclusions. Breast-feeding was associated with significant decreases in CD4 cell counts and BMI. HIV-1 RNA levels and mortality were not increased, suggesting a limited adverse impact of breast-feeding in mothers receiving extended care for HIV-1 infection.

Dulo, Simeon, Otieno;, Odira P(S)PM. Impact of poor solid waste management in Kenya on groundwater .; Submitted. Abstract

One of the most obvious impacts of rapid urbanization and economic development can be witnessed in the form of uncollected municipal solid waste. The study reports on solid waste management in selected towns in Kenya. It reviews the collection, handling, policy support, institutional development, private sector involment, user participation, technical development and waste management. The study revealed that the urban councils were grappling with challenges of preventing environmental degradation due to non-systematic solid waste management and the impetus in pollution control was rather slow and seems to be mostly crisis driven.

Otieno-Omutoko L, Mburunga S, Pokhariyal G, Ndiritu N. "Influence of Community Equity Financing On Sustainability of Community Water Projects, In Kieni Constituency, Nyeri County, Kenya." African Journal of Project Planning and Management. Submitted.
Dadu K. Institutionalization of Participatory Design in Kenya. Nairobi: Centre for Urban Research and Innovation (CURI); Submitted.
Mungai NN, Kibwage IO, Mwangi JW, Guantai AN, Njogu PM, Ongarora DSB. "Isolation, Characterization and Antiplasmodial Activity of Phytochemical Constituents from Monanthotaxis parvifolia (Oliv.) Verdc ssp. kenyensis Verdc." East and Central African Journal of Pharmaceutical Sciences. Submitted;17:87-93.abstract__mungai_et_al._2014.pdf
Onyango A. "Kaposis sarcoma in a Nairobi hospital.". Submitted.
Onyango A. "Kaposis sarcoma in a Nairobi hospital.". Submitted.
JOHN DRYABS, YABS DRJOHN. "Kenya's Role in the Implementation of Industrial Development Decate for Africa (I.D.D.A.). A Paper presented at a Regional Workshop on I.D.D.A in Addis Ababa,.". In: An Article in the Underwriter Journal. SITE; Submitted. Abstract

This paper describes the methodology and presents preliminary results of an economic appraisal of a community based health care project in Kenya. Community health workers, trained for 12 weeks and deployed in two locations in Kenya's Western Province, act as first contact providers of basic health care and promoters of selected health, sanitation and nutrition practices. A Cost Benefit Analysis has been undertaken using the Willingness to Pay approach to compare the costs of the project and its benefits. The benefits are in the form of more easily accessible basic health care and are measured as consumer surplus accruing to the community. Gain in consumer surplus is consequent on the fall of average user costs and rise in utilisation of the project established points of first contact with primary health care. The argument for the economic viability of the project is validated by the large Net Present Value and Benefit Cost Ratio obtained for the whole of the project area and for the two locations separately. Although the evaluation technique used faces the problem of valuation of community time, aggregation of health care services at all points of first contact and the partial nature of cost benefit analysis evaluations, the results are strongly in favour of decentralisation of primary health care on similar lines in the rest of the country.

Rego AB. "The Kenyan Experience in Environmental Education." The Kenyan Experience in Environmental Education. Submitted.
Nyamu DG. Knowledge on diabetes mellitus among diabetic patients attending Kenyatta national hospital outpatient clinic.; Submitted. Abstract

Background: Diabetes mellitus (DM) is a disease that has significant morbidity and mortality worldwide resulting from complications arising from poor control. 1,3
There is no local data to show the level of diabetic patients' knowledge on this disease at KNH, an important aspect in DM management. In the present cross-sectional study, determination of the diabetic patient's knowledge of his/her disease was undertaken for the first time at KNH.
Study Objectives: To determine the proportion of KNH DM outpatients with adequate knowledge on the disease and to determine the level of provision of diabetic education to the DM outpatients.
Study design: This was a descriptive cross-sectional study from September 2007 to January 2008.105 DM patients (above 18 years) who had given informed consent were interviewed to determine the level of their knowledge on OM and hence the proportion of respondents with adequate knowledge. Codes were manually assigned to all questions and the respective answers. Five randomly selected KNH OM OPO healthcare providers were also interviewed to determine the level of KNH preparedness in the provision of diabetic education to the OM outpatients. A sequential sampling procedure was used to interview the diabetic patients. Every Wednesday during the course of the study one different OM healthcare provider was picked and interviewed.
Data Analysis: The data obtained were captured using Epi-data computer software which was then exported to SPSS version 15.0 for analysis. Statistical significance was determined using the Pearson Chi Square at p<0.05, at 95% confidence limit. Results: 105 diabetic patients aged 18 years and above were interviewed; 53(50.5%) were males and 52 (49.5%) females. The age categories 18-30, 31-40,41-50, 51-60, 61-70 and above 70 years accounted forl2 (11.4%), 24 (22.9%), 21 (20.0%),21 (20.0%),22 (21.0°) and 5(4.8%) OM patients respectively. The highest education levels; College/University, Secondary, Primary and Non-formal accounted for 27(25.7%), 42(40.0%), 25(23.8%) and 11(10.5%) DM patients respectively. 52 (49.5%)patients had sufficient knowledge on the diabetes mellitus disease itself, 64(61%) on DM complications, 35 (33.3%) on DM medications, 84 (80%), on the importance of dietary control, 73 (70%) on the importance of doing exercises and 11 (10.5%) on the importance of DM Affiliate Associations.
Patients with highest academic level had the highest proportion of patients with adequate knowledge on the disease (p=O.OOO 1), dietary control (p=O.O 1) and exercise (p=0.03). Patients' age influenced the proportion of patients with adequate knowledge on OM complications (p=0.03). The study also showed that diabetic patients' education was conducted mainly verbally at OPO clinic once a week for two hours and only one healthcare provider conducted the training at each education session though the number of staff was ten. Conclusion: Patients were mainly taught verbally. Two-thirds to three-quarter of the patients had sufficient knowledge on the OM disease, importance of dietary requirements and exercise programs.90% of patients had insufficient knowledge on diabetes organizations and two-thirds on rational use of DM medications. Recommendation: Hospital's training and education on rational use of DM medications should be improved. The hospital should make the healthcare providers and the DM patients aware of the DM' associations for patients' benefit. More research involving larger samples over longer periods should be carried out in order to reflect what happens over a longer period of time.

"Muasya JN". "Lecture Thirteen: Gender and Pedagogy in Higher Education.". In: Training Manual in Pedagogy. Nairobi, Kenya: Centre for Open and Distance Learning, University of Nairobi; Submitted.
MUTUKU DRNZIMBIBERNARD, P PROFPOKHARIYALGANESH, M PROFKHALAGAIJAIRUS. "Linear operators for which T* and T^2 commute." Global Journal of Pure and Applied Mathematics(GJPAM),2012, to appear. Submitted. Abstract

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Plasman, M., Tiberi, C., Ebinger, C., Albaric, J., Peyrat, S., Déverchère, J., Le Gall, B., Tarits, P., Roecker, S., Wambura, R. MMAG, Wambura, R. MMAG, Wambura, R. MMAG, Mtelela, K. MKHPGMGS, Msabi, M. KHPGGSJ. "Lithospheric low-velocity zones associated with a magmatic segment of the Tanzanian Rift, East Africa." Geophyscical Journal International. Submitted.
Weinstein, A. EORTALWAGMCSS, Ebinger, C. ORTALWAGMSSC, Oliva, S. RTALWAGMSCM, Roecker, S. TALWAGMCMC, Tiberi, C. ALWAGMMCE, Aman, M. LWAGMCEJ, Lambert, C. WAGMEJS, Witkin, E. AGMJS, Albaric, J. GMS, Gautier, S. M, Muzuka, A. MKHI-KMFPMRGGR, Mulibo, G. KG, Kianji, G., Hadfield, R. I-KMFPMRFMR, Illsley-Kemp, F. MFPMRMRS, Msabi, M. FPMRRSJ, Ferdinand, R. PMRSJ, Peyrat, S. MRJ, Muirhead, J. R, Rodzianko, A., Fischer T. "Magmatic Co2 assisted rifitng in East Africa : seismicity of the Magadi-Natron-Manyara basins, Africa. Submitted to Tectonics." tectonics. Submitted.
IRIBEMWANGI PI, Kilonzo P. Matata (Play). Nairobi: E.A. E. P; Submitted.
J.S.OLIECH. "Medical Treatment on Bening Prostatic Hyperplasia (BPH) with Combination Drug Therapy.". In: East African Medical JOURNAL. East African Medical Journal; Submitted. Abstract

Obective:To carry out an overview of the medical treatment of the benign prostatic hyperplasia using the combination drugs of alpha adrenergic uro-selective blockers(tamsulocin,alfuzocin) and the 5 alpha reductase iso-enzymes 1&2 inhibitor dutasteride . Data source :Review of researches don and those ongoing especially those sponsored and financed by GlaxoSmithcline in the multicenter international control trials. Data selction: Selected data from international researches on BPH from the following research groups MTOPS,PREDICT,PLESS,VCOOP,ALFIN,DUTASTERIDE 4-DATA 2004/PHASE 111a studies,COmbAT2007,SMART-1, also from GlaxoSmithkline data files.Data Extraction:Selection of research conclusions from various researches tested for clinical use by the international researchers.Data synthesis:From these the advantages of drug compliance  on clinical use on BPH was analysed.                                                                           

Omonge E;, Kyateesa; J, Otieno FCF;, Kayima, Lule G;, McLigeyo AA. Metabolic factors associated with the development of lipodystrophy in patients on long-term highly active anti-retroviral therapy (HAART).; Submitted. Abstract

Dyslipidemia, insulin resistance and diabetes are frequent in patients on highly active anti-retroviral
therapy (HAART) and especially in patients with lipodystrophy, and may lead to atherosclerosis. This
study described the metabolic alterations associated with lipodystrophy in adults on chronic HAART in
Kenya. The prevalence of dyslipidaemia amongst the study participants was (211) 79.6%. Elevated total
cholesterol was found in 129, high low-density-lipoprotein cholesterol (LDL-C) in 107, low High-density
lipoprotein cholesterol (HDL-C) in 110 and high triglycerides in 131 participants. Lipodystrophic
patients were more likely to have dyslipidemia than normal lipids (55.4 versus 35.1%, p = 0.007 OR 2.2
CI 1.3 to 4.6) with 57, 45.9, 65.9 and 45.2% having elevated total cholesterol, elevated LDL-C, elevated
triglycerides and low HDL-C, respectively. Hypertriglyceridemia and hypercholesterolemia were
significantly associated with lipodystrophy (OR 3.8 CI 2.3 to 6.4; p = 0.000) and (OR 1.94 CI 1.2 to 3.2; p
= 0.008), respectively. The odds of lipodystrophy was 2.913 times higher for patients with elevated
triglycerides than for those with normal triglycerides (p < 0.001). Sixty-four (24.3%) participants had
dysglycemia, with 3.5% having diabetes and 20.8% having impaired fasting glucose (IFG). Among
patient with lipodystrophy, 69.8% had normal fasting glucose, 25.1% had IFG and 5.1% were diabetic.
Lipodystrophic patients were not more likely to have abnormal blood sugars than normal blood sugars
(p value 0.125).

Kayima, Joshua Kyateesa; McLigeyo AA, Omonge E;, Omonge E;, Otieno FCF;, Lule G;, McLigeyo AA. Metabolic factors associated with the development of lipodystrophy in patients on long-term highly active anti-retroviral therapy (HAART).; Submitted. Abstract

Dyslipidemia, insulin resistance and diabetes are frequent in patients on highly active anti-retroviral
therapy (HAART) and especially in patients with lipodystrophy, and may lead to atherosclerosis. This
study described the metabolic alterations associated with lipodystrophy in adults on chronic HAART in
Kenya. The prevalence of dyslipidaemia amongst the study participants was (211) 79.6%. Elevated total
cholesterol was found in 129, high low-density-lipoprotein cholesterol (LDL-C) in 107, low High-density
lipoprotein cholesterol (HDL-C) in 110 and high triglycerides in 131 participants. Lipodystrophic
patients were more likely to have dyslipidemia than normal lipids (55.4 versus 35.1%, p = 0.007 OR 2.2
CI 1.3 to 4.6) with 57, 45.9, 65.9 and 45.2% having elevated total cholesterol, elevated LDL-C, elevated
triglycerides and low HDL-C, respectively. Hypertriglyceridemia and hypercholesterolemia were
significantly associated with lipodystrophy (OR 3.8 CI 2.3 to 6.4; p = 0.000) and (OR 1.94 CI 1.2 to 3.2; p
= 0.008), respectively. The odds of lipodystrophy was 2.913 times higher for patients with elevated
triglycerides than for those with normal triglycerides (p < 0.001). Sixty-four (24.3%) participants had
dysglycemia, with 3.5% having diabetes and 20.8% having impaired fasting glucose (IFG). Among
patient with lipodystrophy, 69.8% had normal fasting glucose, 25.1% had IFG and 5.1% were diabetic.
Lipodystrophic patients were not more likely to have abnormal blood sugars than normal blood sugars
(p value 0.125).

2013 PMK; PS; LM-V; JK; AKADEK &. "Missed Opportunities for early HIV Diagnosis: Critical insights from the stories of Kenyan women living with HIV." International Journal of health Promotionand Education. Submitted;(10/3/2013).
Rintaugu EG, Ngetich EDK. "Motivational gender differences in sport and exercise participation among university sport science students." Journal of Physical Education and Sport (JPES) . Submitted;12(2):180-187.
KAGURE PROFKARANIANNE. "Ms Chore Jane Njambi; Prof. Anna Karani Dr. Margaret Chege. Assessment of Challenges Facing Preceptors at Kenyatta National Hospital Specialized Units.". In: Kenya Nursing Journal, vol. 40:1: 6-13. Impress Communication Printers and Stationers; Submitted. Abstract

The main aim of this cross-sectional descriptive study was to assess challenges faced by preceptors at Kenyatta National Hospital specialized units. The study was conducted among preceptors with more than one year experience at Kenyatta National Hospital specialized units and combined both quantitative and qualitative methods. Data was collected using a self administered semi-structured questionnaire distributed to 113 randomly sampled preceptor nurses and an interview guide was used to collect qualitative data from five unit managers. The data was coded, computed and analyzed by SPSS version 17 (qualitative data was analyzed manually).Commonly reported challenges by preceptors included; heavy patient workload 85.71%, lack of adequate resources 59.52% and a high number of students attached to a preceptor 59.52%. Chi square was used to establish relationships between variables. Motivation to serve as a preceptor was strongly associated with the number of years a participant had served as a nurse. (X=11.30; p=0.01).

P.G. J. "Mucosal changes at the oesophago-gastric junction as visualized at Endoscopy–A prospective pilot study." MEDICOM-The African Journal of Hospital Medicine . Submitted;17(1):5-8.
Parton WJ, Scurlock JMO, Ojima DS, Gilmanov TG, Scholes RJ, Schimel DS, Kinyamario JI. "Observations and modeling of biomass and soil organic matter dynamics for the grassland biome worldwide.". Submitted. AbstractObservations and modeling of biomass and soil organic matter dynamics for the grassland biome worldwide

Century is a model of terrestrial biogeochemistry based on relationships between climate, human management (fire, grazing), soil properties, plant productivity, and decomposition. The grassland version of the Century model was tested using observed data from 11 temperate and tropical grasslands around the world. The results show that soil C and N levels can be simulated to within ±25% of the observed values (100 and 75% of the time, respectively) for a diverse set of soils. Peak live biomass and plant production can be simulated within ± 25% of the observed values (57 and 60% of the time, respectively) for burned, fertilized, and irrigated grassland sites where precipitation ranged from 22 to over 150 cm. Live biomass can be generally predicted to within ±50% of the observed values (57% of the time). The model underestimated the live biomass in extremely high plant production years at two of the Russian sites. A comparison of Century model results with statistical models showed that the Century model had slightly higher r2 values than the statistical models. Data and calibrated model results from this study are useful for analysis and description of grassland carbon dynamics, and as a reference point for testing more physiologically based models prediction's of net primary production and biomass. Results indicate that prediction of plant and soil organic matter (C and N) dynamics requires knowledge of climate, soil texture, and N inputs.

Monyonko NM, Reid JH. "One-loop vacuum polarization in the nonlinear Re gauge." Physical Review D. Submitted;32(Number 4):962-967.
MWANGI EN, KAAYA GP, ESSUMAN S, KIMONDO MG. "Parasitism of Amblyomma variegatum by a Hymenopteran Parasitoid in the Laboratory, and Some Aspects of Its Basic Biology.". Submitted. AbstractParasitism of Amblyomma variegatum by a Hymenopteran Parasitoid in the Laboratory, and Some Aspects of Its Basic Biology

Unfed Amblyomma variegatum F. nymphs were experimentally infected in the laboratory with a hymenopteran parasitoid, Ixodiphagus hookeri (Howard). The parasitoid was originally obtained from ticks collected from cattle in the Trans-Mara area of Kenya where it naturally infects 50% of A. variegatum nymphs. In the field, nymphs collected from cattle were found to be infected, but not those collected from grass. The optimum temperature for emergence of parasitoids from the nymphs in the laboratory was 28°C, but emerged parasitoids were more active and survived longer at 22°C. There was a higher proportion of parasitoid nonemergence from laboratory-infected than from the field-infected nymphs. This study is the first record of infection of A. variegatum in the laboratory with a parasitoid. Possibilities of mass rearing and use of the parasitoid as a biocontrol agent for ticks are discussed.

Onyambu CK. The pattern of chest radiographic findings in immunocompromised patients at the Kenyatta national hospital.; Submitted. Abstract

The pattern of chest radiograph findings were studied in 280 HIV positive individuals.
These were compared to 40 HIV negative patients who acted as controls. The
commonest disease seen was pneumonia 94 (33.9%), followed by pulmonary
tuberculosis 89 (3l.7%). Mixed infections were seen in 34 (12.2%) cases while PCP
occurred in 16(5.6%) cases. The pneumonia seen was more of bronchopneumonia than
lobar pneumonia in-patients with HIV (33.9) than HIV negative patients (23%).
The cases of pulmonary tuberculosis seen showed less upper lobe distribution than in
HIV negative patients. Most of the cases showed mid and lower zone distribution.
There are less cavitations than HIV negative patients. Also more cases with hilar and
mediastinal nodes were seen. There were 34 (12.2%) cases of mixed infection, which
constituted of 3 (1.1 %) cases of non-Hodgkin's lymphoma. These mainly presented
with hilar and mediastinal nodes. The clinical differentiating features were KS skin
nodules in-patients with pulmonary K.S.

Jani PG, Nyaga PN. "Peritonial Drains in Perforated Appendicitis without Generalised Peritonitis:A prospective RandomisedControlled Trail ." East and Central African Journal of Surgery (Online). Submitted;16(2).
Kilonzo BM. A Plastic Anaemia At The Kenyatta National Hospital During The Period 1973-1978.; Submitted. Abstract

A total of 54 patients were diagnosed and treated for plastic anaemia between July, 1973 to December 1978 at the Kenyatta National Hospital. The sex distribution was equal. Most of the age groups were affected with the majority of Cases occurring in the young age groups.
Most tribes in Kenya were found not to be free from a plastic anaemia and there was a predominance of the disease amongst the Kikuyu tribe who lived in and around Nairobi.
Very few factors associated with actiology could. Be elicited and this was partially due to adequate histoties taken at the time of admission by the various physicians. Even though great difficulties are encountered in establishing an aetiologic role for a given agent, so that in large proportion of patients remains unexplained.
The presenting clinical features were those of anaemic haemorrhages due to thrombocytopenia and infections resulting from leucopenia, all of which were observed in all the patients reviewed except for the 4 patients with pure red cell aplasia.
The other 50 patients had hypoplastic marrows. Confirmation of diagnosis was delayed due to initial blood transfusion given before peripheral blood film examination in most patients.
Massive blood transfusion was given to patients on remission. Although platelet concentrates are available and obviate the massive blood transactions, only very few patients received platelet infusions.
Corticosteroid and androgenic asteroids were administered but there was no laid down policy as to the protocol to be followed. Hence administration of these drugs was done in a haphazard manner with a big proportion of patients going without any steroid therapy. This may have accounted to a great extent, for the very poor remission rate noted.
Since it has been observed that pure red cell aplacia remits spontaneously, prolonged therapy of these patients should be pursued vigorously.
Most of the deaths encountered occurred during the first 4 months of admission and they were mainly due to complications of the disease process mainly infections, congestive cardiac failure and excessive haemorrhage.

Ikiara GK. "Political economy of cash transfers In Kenya.". Submitted. AbstractWebsite

As a result of socio-economic and political challenges facing Kenya: 46% of the country‟s 38 million people are living below the poverty line; there are a rapidly growing number of orphans and vulnerable children - half of which have resulted from a HIV/AIDs pandemic which has hit the country in the last two decades; frequent droughts, and the recently unprecedented post-election violence following the disputed 2007 general elections, social protection programmes for the country‟s poor and vulnerable population have become increasingly important both economically and politically.
This study, using data and information obtained from government and donor representatives closely involved with Kenya‟s CT programmes and secondary data, examines Kenya‟s Social Protection Programmes with special focus on CT programmes.
Starting with a brief review of the prevailing poverty and economic conditions and challenges facing the country, the paper examines government attitude and attention towards Cash Transfer (CT) and non-cash social protection programmes; the evolution, coverage and other features of the existing CT programmes in the country; the roles of the government and development partners in the programmes; domestic and external influences in the establishment of the various social protection programmes; estimated costs of the required CT programmes and the affordability and sustainability of the programme in view of the prevailing economic conditions and capacities; and the political economy and the overall ownership of the implementation of CT programme in the country.
While Kenya has had a long history of implementation of non-cash transfer programmes, such as: food relief in the drought stricken areas; emergency and special programmes; school bursaries for needy children, and a wide range of other interventions, CTs are new, mainly in their pilot or early stages and have been in existence only in the last 5 years.
The existing CT programmes have a limited coverage of the targeted members in three programmes, viz the Orphans and Vulnerable Children (OVC), the Elderly and the Hunger Safety Net programme. With the on-going discussions to finalise the country‟s Policy on Social Protection and the Social Protection Strategy (2009-2012) and a large increase in government‟s financing of the CT programmes through national budget, the national coverage of these programmes is expected to rise substantially by 2012.
There are high prospects of enhancing and institutionalising CT and non-CT social protection programmes in the country‟s budgetary system in view of the broad political support the programmes have received from a wide spectrum of political actors in the country. The liberalisation of the country‟s political system in 1992 which ushered in a highly vibrant and competitive multi-party political environment, has favoured introduction and expansion of social protection initiatives, both cash and non-cash.
A number of donors, notably UNICEF, DFID, World Bank and SIDA played key technical and financial roles in the establishment of CT programmes in the country creating the perception that the programmes were donor driven and that the government was more in favour of non-cash interventions. With increasing government and public appreciation of CT programmes as an appropriate tool for reaching more effectively a special group of the population the extremely poor or hard-core poor, who cannot participate in productive economic activities, the government participation in financing the programmes has risen dramatically, in the last two years. The government is expected to shoulder the bulk of the required resources for these programmes in the coming years but with supplementary resources from willing development partners.
There is considerable consensus among the stakeholders that the CT programmes are affordable and sustainable even without external donors, so long as the programmes are expanded gradually, taking into account the capacity of the national economy to support the programmes at various levels. The successful implementation of much larger non-cash social protection programmes such as the Free Primary Education for 8 million pupils and Free Day Secondary Education and the Constituency Development Fund are generally taken as good indicators of the ability of the country to sustain CT programmes as long as political will is there.
Most of the stakeholders were of the view the CT programmes are too socially and politically sensitive to be heavily dependent on external support which was often determined by exogenous factors beyond the government‟s control.
Kenya‟s draft National Social Protection Strategy, estimates that the country could escalate the Cash Transfer Programme nationally to cover all the extremely poor consisting of the People with Disabilities (PWD), Orphans and Vulnerable Children (OVC), and Households with Older Persons above 65 years, at a total cost of approximately Ksh 12 billion annually (about 3.3% of the national budget), at a monthly cash “transfer” of Ksh 1,000 per household.

Shiundu PM, Munguti SM, Williams KRS. "Practical implications of ionic strength effects on particle retention in thermal field-flow fractionation.". Submitted. AbstractPractical implications of ionic strength effects on particle retention in thermal field-flow fractionation

Modification of ionic strength of an aqueous or non-aqueous carrier solution can have profound effects on the particle retention behavior in thermal field-flow fractionation (ThFFF). These effects can be considered as either advantageous or not depending on the performance criteria under consideration. Aside from the general increase in retention time of particulate material (latexes and silica particles), our experiments indicate improvement in resolution with increases in electrolyte concentration. Absence of an electrolyte in the carrier solution causes deviations from the theoretically expected linear behavior between the retention parameter l (a measure of the extent of interaction between the applied field and the particle) and the reciprocal temperature drop across the channel walls. A negative interaction parameter d of about 20.170 was determined for 0.105- and 0.220-mm polystyrene (PS) latex particles suspended in either a 0.25 or a 1.0 mM TBAPcontaining acetonitrile carrier and for 0.220 mm PS in 0.50 and 1.0 mM NaCl-containing aqueous medium. This work also demonstrates that optimum electrolyte concentrations can be chosen to achieve reasonable experimental run-times, good resolution separations, and shifts in the steric inversion points at lower field strengths, and that too high electrolyte concentrations can have deleterious effects such as band broadening and sample loss through adsorption to the channel accumulation surface. The advantages of using ionic strength rather than field strength to effect desired changes are lowered power consumption and possible application of ThFFF to high temperature-labile samples.

Mutahi WT, Thiong'o FW. "Prevalence and intensity of Schistosomiasis mansoni in irrigation and non-irrigation areas of central Kenya.". Submitted. AbstractPrevalence and intensity of Schistosomiasis mansoni in irrigation and non-irrigation areas of central Kenya

OBJECTIVE: To compare the extent of intestinal schistosomiasis among school children attending school in an irrigation and non-irrigation area of Central Kenya. DESIGN: A cross sectional study. SETTING: Three separate parasitological surveys involving four primary schools in Mwea irrigation scheme, Kirinyaga District and two from a non-irrigation area in Machakos District. SUBJECTS: One thousand two hundred and twenty two children aged between five and nineteen years were examined for Schistostoma mansoni infection by Kato thick smear technique. RESULTS: High prevelances ranging from 73% to 94% were noted among children in all the participating schools. Overall 41% of the infected children had heavy infection (>400 eggs per gram), 27% had moderate infection (101-400 epg) and 32% had light infection (10-100epg). When data from the two areas were analysed seperately, peak eggs output were found in 5-9 year olds among children in Kirinyaga while this situation shifted to the 10-14 year olds in Machakos children. In Kirinyaga District, boys in the 10-14 years age group had a significantly higher output than girls (P<0.01), but this situation was reversed in the older children (P<0.05). Girls in Machakos District had consistently but non-significantly higher output than boys. CONCLUSION: Intestinal schistomiasis is more prevalent and with a higher intensity in the irrigated than in non-irrigated areas. There were also pronounced age and gender related differences in the pattern of infection between the two study areas.

Mutahi WT, Thiong'o FW. "Prevalence and intensity of Schistosomiasis mansoni in irrigation and non-irrigation areas of central Kenya.". Submitted. AbstractPrevalence and intensity of Schistosomiasis mansoni in irrigation and non-irrigation areas of central Kenya

OBJECTIVE: To compare the extent of intestinal schistosomiasis among school children attending school in an irrigation and non-irrigation area of Central Kenya. DESIGN: A cross sectional study. SETTING: Three separate parasitological surveys involving four primary schools in Mwea irrigation scheme, Kirinyaga District and two from a non-irrigation area in Machakos District. SUBJECTS: One thousand two hundred and twenty two children aged between five and nineteen years were examined for Schistostoma mansoni infection by Kato thick smear technique. RESULTS: High prevelances ranging from 73% to 94% were noted among children in all the participating schools. Overall 41% of the infected children had heavy infection (>400 eggs per gram), 27% had moderate infection (101-400 epg) and 32% had light infection (10-100epg). When data from the two areas were analysed seperately, peak eggs output were found in 5-9 year olds among children in Kirinyaga while this situation shifted to the 10-14 year olds in Machakos children. In Kirinyaga District, boys in the 10-14 years age group had a significantly higher output than girls (P<0.01), but this situation was reversed in the older children (P<0.05). Girls in Machakos District had consistently but non-significantly higher output than boys. CONCLUSION: Intestinal schistomiasis is more prevalent and with a higher intensity in the irrigated than in non-irrigated areas. There were also pronounced age and gender related differences in the pattern of infection between the two study areas.

Mutahi WT, Thiong'o FW. "Prevalence and intensity of Schistosomiasis mansoni in irrigation and non-irrigation areas of central Kenya.". Submitted. AbstractPrevalence and intensity of Schistosomiasis mansoni in irrigation and non-irrigation areas of central Kenya

OBJECTIVE: To compare the extent of intestinal schistosomiasis among school children attending school in an irrigation and non-irrigation area of Central Kenya. DESIGN: A cross sectional study. SETTING: Three separate parasitological surveys involving four primary schools in Mwea irrigation scheme, Kirinyaga District and two from a non-irrigation area in Machakos District. SUBJECTS: One thousand two hundred and twenty two children aged between five and nineteen years were examined for Schistostoma mansoni infection by Kato thick smear technique. RESULTS: High prevelances ranging from 73% to 94% were noted among children in all the participating schools. Overall 41% of the infected children had heavy infection (>400 eggs per gram), 27% had moderate infection (101-400 epg) and 32% had light infection (10-100epg). When data from the two areas were analysed seperately, peak eggs output were found in 5-9 year olds among children in Kirinyaga while this situation shifted to the 10-14 year olds in Machakos children. In Kirinyaga District, boys in the 10-14 years age group had a significantly higher output than girls (P<0.01), but this situation was reversed in the older children (P<0.05). Girls in Machakos District had consistently but non-significantly higher output than boys. CONCLUSION: Intestinal schistomiasis is more prevalent and with a higher intensity in the irrigated than in non-irrigated areas. There were also pronounced age and gender related differences in the pattern of infection between the two study areas.

Bolton P;, Neugebauer R;, Ndogoni L. "Prevalence of Depression in Rural Rwanda Based on Symptom and Functional Criteria.". Submitted. AbstractWebsite

The authors' objective was to estimate the prevalence of major depressive disorder among Rwandans 5 years after the 1994 genocidal civil war. They interviewed a community-based random sample of adults in a rural part of Rwanda using the Hopkins Symptom Checklist and a locally developed functional impairment instrument. The authors estimated current rates of major depression using an algorithm based on the DSM-IV symptom criteria (A), distress/functional impairment criteria (C), and bereavement exclusionary criteria (E). They also examined the degree to which depressive symptoms compromise social and occupational functioning. Three hundred sixty-eight adults were interviewed, of whom 15.5% met Criteria A, C, and E for current major depression. Depressive symptoms were strongly associated with functional impairment in most major roles for men and women. The authors conclude that a significant part of this population has seriously disabling depression. Work on appropriate, feasible, safe, and effective mental health interventions should be a priority for this population.

Muma MK, Kimani K, Kariuki – Wanyoike MM, ILAKO DR, Njuguna MW. "Prevalence of Refractive errors among Primary School Pupils in Kilungu Division of Makueni District, Kenya.". Submitted. Abstract

To determine the magnitude and pattern of significant refractive errors in primary school children in Kilungu division of Makueni District, Kenya. Design: A cross – sectional primary school based study. Setting: Eight (8) Primary school in Kilungu division of Makueni District, Kenya. Target population: 1439 Primary school pupils aged between 12 and 15 years. Results: The prevalence of significant refractive error was 5.2%, 75/1439, (95% CI) being responsible for 92.6 % of all causes of poor eyesight. Hypermetropia accounted for 3.2% (95% CI), myopia 1.7% (95% CI) and astigmatism 0.3% (95% CI) of refractive errors. Myopia was more likely to be present in the pupils aged 14 to 15 years than those aged 12 to 13 years with OR 2.9 (0.1 – 9.2) which was statistically significant (p = 0.022). Conclusion: The overall prevalence of significant refractive errors in pupils aged 12 to 15 years in Makueni's Kilungu division at 5.2% (95% CI) was high enough to justify a regular school eye screening in primary schools in Kenya.

Chepchirchir A. Primary school children in Kibera, Nairobi, Kenya.; Submitted. Abstract

Study objective was to determine the prevalence and etiology of dermatophyte
infections and establish the relationship between type of infection and age and gender
of the primary school children in Kibera during the period between September 2006
and January 2007.
Study design, was a cross- sectional descriptive study that focused on the prevalence,
distribution and species differentiation of the causative agents of dermatophytosis in
city council sponsored primary schools in Kibera, Nairobi.
The setting. The study was conducted in Kibera, the largest of the informal
settlements within the capital city, Nairobi which is home to between 700-1,000,000
inhabitants.
Subjects. The study targeted primary school children from the ages of 5 years to 15
years from four government sponsored primary schools namely Olympic, Kibera,
Ayany and Mbagathi Way. A sample of 424 pupils was selected from a population of
8904 pupils in the four schools.
Materials and Methods. The pupils responded to questions from a structured
questionnaire that was prepared to elicit socio economic and demographic data from
the participants. Physical examination was carried out on every participant to
determine presence of skin infection. Photography was done for those with skin
lesions and specimens collected from the infected sites. The specimens were
processed in the mycology laboratory to determine the etiological agents of the skin
infections.
Results. From the participants, 11.2% had ringworm infection with tinea capitis
being the commonest type while the grey patch type was the dominant clinical
manifestation.
The distribution of ringworm among schools was statistically significant with
Olympic primary school registering the highest ratio of those infected to those not
infected.
(P=O.OOI).
xu
Both male and female pupils within the age bracket of 6-8 years were significantly
infectedthan other age categories. Infection rate decreased with increase in age.
(p= 0.002)
Gender related prevalence was statistically significant with girls registering more
infectionsthan boys in their categories. (P=O.033)
All the three genera of fungi associated with dermatophytes were isolated with a number
of species namely T violecium (35), T mentagrophytes(3), T terestre(3), T
schoenleinii(2), and T interdigitale( 1), M canis(2), M. equinum( 1), E. jlocossum(1).
T. violecium was the predominant species isolated, at (35)71% followed by T.
mentagrophytes and T terrestre at (3)6% each.
Conclusion: The study shows a high prevalence of 11.2% dermatophyte infection among
the school children in this locality. Contributing factors to the high frequency and chronic
occurrences of ring worm in this area include poor living environment, children
interaction patterns and poor health seeking behaviour. There is need for health education
to create awareness among the communities in urban informal settlements to seek
treatment and improve on hygiene to reduce the prevalence of these infections.

Akech M. "Privatization and Democracy in East Africa: The Promise of Administrative Law.". Submitted. Abstractprivatization_and_democracy.pdfWebsite

This book explores the role of democracy and Public Law in privatization processes in the three East African countries of Kenya, Uganda and Tanzania. In particular, the book recommends the creation of strongly institutionalized Administrative Law frameworks to facilitate meaningful democratization of privatization processes in these countries. The book anticipates that such reforms would enhance the day-to-day accountability of, and public participation in, privatization processes in the three countries. The book seeks to contribute to the study of the relationship between Public Law, markets and democracy in African countries. Its particular contribution is the argument that privatization processes can only be efficient, fair and legitimate if they are democratic, that is, participatory and accountable.

Odote C. "Public Interest Litigation and Climate Change: An Emerging Response Mechanism.". In: International Climate Law and Global Governance: Legal Response to a Changing Environment . Baden-Baden, Germany: Nomos Publishers; Submitted.
Bhatt B, Angeyo KH, Dehayem-Kamadjeu A. Rapid Nuclear Forensics Analysis via Laser Based Microphotonic Techniques Coupled with Chemometrics. Hangzhou, China; Submitted.
MEROKA PROFMBECHEISAAC, NJIHIA JM. "Road Maintenance in Kenya: A Soft Systems Approach.". In: Conference Proceedings, all Africa Conference of Engineers,. IBIMA Publishing; Submitted. Abstract

Kenya Literature Bureau, Nairobi, Kenya.

Rajab JA. The role of trephine needle bone marrow biopsy in the evaluation of various haematological and non-haematological diseases At Kenyatta National Hospital, Nairobi.; Submitted. Abstract

This is a descriptive retrospective and prospective
study of 101 patients admitted to Kenyatta National Hospital
(KNH) between 1st October, 1985 and 30th January, 1990 and
had bone marrow examination done by aspiration and trephine
needle biopsy. At KNH trephine needle bone marrow (TNBM)
biopsy has been performed over the years when aspiration
results in 'dry tap'. It is only available for the use by a
few specialists (haematologists) and it is rarely performed
in staging malignant lymphomas or as a routine diagnostic
technique in various other diseases. The study was done to
evaluate the role of the technique in patient care at this
hospital. The relevant data and the diagnostic outcome of
50 patients admitted to the hospital between 1st October,
1985 and 30th June, 1989 were collected retrospectively.
Trephine needle biopsies were performed by the investigator
on 51 patients during the last 7 months of the study. Data
collected included: the age and sex, the indications for
bone biopsy, the quality of the specimen, the reporting
format and the final diagnosis on the trephine biopsies.
The 101 patients studied were between 2 and 75 years of
age. The mean age was 23.9 years. There were 62 males and
39 females. A 'dry tap' aspirate, the commonest indication
for TNBM biopsy was reported in 37 (36.6%) cases. In twelve
cases, the aspirate and needle biopsy were performed at the
same time using the same needle. Ten of these were in the
staging of malignant lymphomas. Good or satisfactory
specimens were obtained in at least 86% of the biopsies

performed. Aplastic anaemia, the commonest abnormality
detected was found in 28 (27.7%) of the patients studied. A
review of the reporting format showed that in only 20% cases
in the retrospective study was a full report of the biopsy
given by the haematologist.
This study shows that TNBM biopsy is a simple and safe
procedure yielding a good or satisfactory specimen in most

instances. The biopsy will most likely provide a diagnosis
when bone marrow aspirate fails due to 'dry tap' or scanty
yield. The procedure may be of value in routine
investigation of various diseases such as aplastic anaemia
and in staging of malignant lymphomas although larger
studies need to be done in this area (only ten cases in this
study). A standard format should be formulated and adhered
to by haematologists and pathologists reporting on the TNBM
biopsies in this hospital.

YABS DRJOHN. "Small Business Powers Development. The role of Small Scale Business in Economic Developent in Kenya.". In: Ufanisi Journal No.47. Lelax Global (K) Ltd; Submitted. Abstract

The book is a biography of the author. He begins with fundamenbtal question whether we can determine our destiny or we are just fulfiling what has already been ordained. He then explains how he has grown over the yeas experiencing changes.  

Muia JMK, Kariuki JN, Mbugua PN, Gachuiri CK, Lukibisi LB, Ayako WO, Ngunjiri WV. "Smallholder dairy production in high altitude Nyandarua milk-shed in Kenya: Status, challenges and opportunities.". Submitted. AbstractWebsite

A stratified sampling method was used to select 156 dairying households from representative Divisions in Nyandarua County. The stratification was based on cattle grazing systems (CGS) and agro-ecological zones (AEZs) across the Divisions. The objectives of the study were to assess status of smallholder dairy cattle production in relationship to CGS and AEZ, major challenges facing smallholder dairy production, and the opportunities for improvement. Data collected included the characteristics of the farm, family, farmer, feeds and feeding, dairy cattle and their performance, milk uses and markets, and the dairy production services. The information on the challenges facing dairy production and the opportunities for improvement was obtained from discussions with livestock extension workers, dairy co-operatives, milk processors, and from secondary sources. The present results indicated that the average farm size was 3.5 Ha and 41, 38, and 44% of the households fed dairy stock with improved fodders, grass hay, and concentrate supplements, respectively. Among the households, about 44, 38 and 32% had access to artificial insemination (AI), extension, and all weather roads services, respectively. Households keeping crosses of the dairy breeds were 59% while the average herd size was 5.3 heads consisting of 40% cows in milk. The average calf live-weight gain was 322g/ day and milk yield per cow was 8.4kg/day. About 65% of the milk was marketed at an average price of 15.00 KES/kg, equivalent to 0.205 US$/kg. As the levels of dairy intensification increased, there were significant increase in milk production per hectare and decrease in calf live-weight gains (P<0.05). On the other hand, as the level of agricultural potential increased, there were significant decreases in milk production and marketed milk per farm (P<0.05). It was concluded that smallholder dairy cattle production was below the potential for Nyandarua County and was influenced by the CGS and AEZs. The major challenges in smallholder dairy production included poor road network and milk marketing, high costs and inaccessibility of dairy production inputs and support services, inappropriate dairy production technologies, and limited value addition of milk.

Monyonko NM, Reid JH, Sen A. "SOME PROPERTIES OF GREEN'S FUNCTIONS IN THE NON LINEAR R GAUGE." Physics Letters. Submitted;136B(Number 4):265-268.
Katende J, Pokhariyal G. "A study of Sasakian Manifolds." Far East Journal of Mathematical Sciences. Submitted.
A Study Of Some Clinical And Laboratory Aspects Of The African Suffering From Duodenal Ulceration.; Submitted. Abstract

This is a prospective study of 50 patients with duodenal
ulcer proved by endoscopy. The clinical and laboratory features
of these patients were analysed and where possible compared to a
group of 30 control subjects.
It was found that a significant number of duodenal ulcer
patients do not present with the classical clinical picture. The
frequency of blood group Q was more in the duodenal ulcer patients as
compared to the controls and duodenal ulcer patients had higher basal
and maximal acid output values. An attempt at interpreting these results
in the Kenyatta Hospital set up has been made.

Gitao CG, Bebora L. "Subclinical mastitis affecting hygienic quality of marketed camel milk from North - Eastern Province, Kenya.". Submitted. Abstractsubclinical_mastitis_affecting_hygienic_quality_of.pdfWebsite

North Eastern Province, camel is the dominant livestock; it provides subsistence to many people especially during the frequent droughts when other animals either die or are unthrifty. This is beca use camel is highly suited for hot environments. In this region, camels number approximately 3 million and are the main producers of milk for the residents, who are mainly of Somali origin, and are pastoralists. Currentl y, the milk is also sold in Nairobi and other far places; and there is a fast growing demand for it. This has necessitated examination of the milk quality, in response to food safety awareness, especially noting that some of the bacteria causing subclinical mastitis can cause disease in humans. This study was carried out to establish the hygienic quality of camel milk from this area, zeroing down to 2 districts, Garissa and Wajir. T hree hundred and eighty four bulk camel milk samples were collected in volumes of 200 to 300 ml. They wer e transport ed to the laboratory in cold/ice boxes and bacterial isolation and characterization done not later than 24 h after arrival at the laboratory. Before culturing, the milk samples were screened using Ca lifornia Mastitis Test (CMT); samples testing positive (a n indication of subclinical mastitis) were then subjected to bacteriological investigation, using standard methods. Results of this study have shown that subclin ical mastitis is prevalent in dromedary camels of Garissa and Wajir districts of North Eastern province of Kenya, and that Gram positive cocci ( Staphylococcus and Streptococcus) are the dominant mastitis pathogens isolated. Other isolated bacteria included Klebsiella/Enterobacter, E scherichia coli and Bacillus. The positive correlation of CMT with the presen ce of mastitis pathogens in camel milk showed that CMT is a useful screening test in the detection of subclinical mastitis in camels; it is thus a useful tool for farm ers, aiding them in picking the affected animals, segregating and treating them. The resu lts also contribute towards coming up with respective control measures so as to keep camel milk fresh for longer periods and als o make it safe for human consumption.

Mumo PM. "Sunday schools as the Foundation of Christian Nurture and their Relevance for Theological Education in Africa.". In: Handbook of Theological Education in Africa. London: Regnum Books International; Submitted.
Katithi" "DM, Michira" "IN, Guto" "PM, Baker" "P, Kamau' "GN, Iwuoha" "E. "SYNTHESIS AND CHARACTERIZATION OF GREEN TEA STABILIZED IRON NANOCATALYSTS FOR BRYMOTHYMOL BLUE (BTB) DEGRADATION." Journal of Nano Research. Submitted.
BHALENDU PROFBHATT. "Synthesis of carboxamide protactel glutamine and isoasparagine derivatives and their cleavages in Triflouracetic Acid - Methyylene chloride and Boran Triflouride with Acetic acid.". In: Journal of the Kenya Chemical Society. B.M. Bhatt and P.M. Gitu; Submitted. Abstract

We surveyed the phytoseid mites in four different geographical zones of Kenya: Zone I, upper highland and tropical alpine (2400-4400m): Zone II, lower highland (1800-2400m); zone III, midland (800-1800m); Zone IV, tropical, hot and humid( 0-800m ). A total of 107 species was found. In the sub family, amblyseeinae there were 14 species in the genus Neoseilus , one in Aspereroseius Chant, one in Paraphytoseius Swirski &Schechter, five in typhlodromips De Leon, five in Transeius Chant & McMurty, one in Graminaseius Chant &McMurty, 11 in Amblyseius Berlese, one in Arrenoseius Wanstein, two in Typhlodromalus muma, seven in Ueckemannseius Chant &McMurty, one in Ambylodromalus Chant &Mcmurty,, 20 in Euseius Wanstein, one in Iphiseius Berlese, one in Phytoseilus Evans and one in Gynaseius Ehara & Imano. In the subfamily Phytoseiinae Berlese there were four species in the genus Phytoseiius Ribaga. In the subfamily Typhlodrominae Wanstein, there were four species in the genus Kuzinellus Wainstein and 27 in Typhlodromus Scheuten

Okeng'o GO, Malo JO, Awuor JB, Genga RO. "Testing Structure Formation in the Universe via Coupled Matter Fluids.". Submitted.
Mbuthia PG, Njagi AW, Bebora LC, Minga UM, Christensen JP, Olsen JE. "Time-course investigation of infection with a low virulent Pasteurella multocida strain in normal and immune-suppressed 12-week-old free-range chickens.". Submitted. AbstractWebsite

Twelve-week-old indigenous chickens, either immune-suppressed using dexamethasone (IS) or non-immunesuppressed (NIS), were challenged with a low virulent strain, Pasteurella multocida strain NCTC 10322T, and developed clinical signs and pathological lesions typical of chronic fowl cholera. NIS birds demonstrated much more severe signs of fowl cholera than IS birds. With few exceptions, signs recorded in IS and NIS birds were of the same types, but significantly milder in the IS birds, indicating that immune suppression does not change the course of infection but rather the severity of signs in fowl cholera. P. multocida signals by fluorescent in situ hybridization (FISH) were observed between 1 h and 14 days in the lungs, trachea, air sacs, liver, spleen, bursa of Fabricius and caecal tonsils, while signals from other organs mostly were observed after 24 h. More organs had FISH signals in NIS birds than in IS birds and at higher frequency per organ. Many organs were positive by FISH even 14 days post infection, and it is suggested that these organs may be likely places for long-term carriage of P. multocida following infection. The present study has demonstrated the spread of P. multocida in different tissues in chickens and distribution of lesions associated with chronic fowl cholera, and pointed to a decrease of pathology in IS birds. Since dexamethasone mostly affects heterophils, the study suggests that these cells play a role in the development of lesions associated with chronic fowl cholera in chickens.

Kihurani DO, Nantulya VM, Mbiuki SM, Mbithi PMF. "Trypanosoma brucei, T. congolense and T. vivax infections in horses on a farm in Kenya.". Submitted.Website
Gripenberg U, Saarinen I, Bwibo NO, Oduori ML, Grayburn JA, Awori NW, Wasunna AE, Kinuthia DM. "Two true hermaphrodites with XX chromosomes.". Submitted.
Obiero JA, Mburu MN, Ndung’u BM, Waititu KK, Farah IO, Mwethera PG. "UniPron is A Fully Effective Non-hormonal Reversible Contraceptive in Baboon Model (Papio Anubis).". Submitted. AbstractWebsite

Objective To determine the safety and efficacy of UniPron as a reversible contraceptive. Methods Vaginal swabs were obtained before and after UniPron administration, cultured onto appropriate culture media and bacteria identification was done based on type of media used, Gram stain reactions, colony morphology and biochemical tests. Vaginal biopsy tissues were processed using paraffin wax method, stained with hematoxylin and eosin and examined under light microscopy to determine the effect of the product on vaginal tissues. The effect of UniPron on sperm was examined by mixing the product with electroejaculated spermatozoa in vitro at different concentrations. For efficacy studies, male baboons of proven fertility were mated with UniPron treated or untreated females of proven fertility during the fertile stages. Results All the five females (100%) that were treated with UniPron did not conceive and they regained total fertility when the treatment was stopped while all the controls conceived. At a concentration of 40%,UniPron completely immobilized spermatozoa in an in-vitro system. UniPron mechanism of action was by lowering the vaginal pH and on application in baboon, the pH was lowered for at least 3 h after which it went back to normal. Conclusions As we plan for a study to test UniPron as a microbicide to prevent STIs including HIV, our current study has established that this novel product is effective in contraception and harmless to vaginal tissues and vaginal microbial flora in a baboon model (Papio anubis).

Kanali CL, Kaumbutho PG, Maende CM. "The use of soil compaction levels in the selection of field-safe sugarcane transport vehicles.". Submitted. AbstractWebsite

Data was collected for single bundle and nucleus estate trailers aimed at selecting the trailer units that could safely travel in the sugarcane fields without causing detrimental soil compaction. The proportion of trailers carrying loads in excess of established safe axle loads was assessed. Over 60% single bundle trailers traveling in sandy loam and sandy clay loam fields were found not to induce detrimental soil compaction. Nucleus estate trailers, however, were sufficiently loaded to cause significant soil compaction. Working under soil moisture contents of 21.4–27.1% (dry basis), safe loads were found to be payloads of 64.9 and 46.1 kN carried by single bundle and nucleus estate trailers (respectively) on a single axle having two 10 ply 18.4×30 tires with an inflation pressure of 207 kPa.

Akunda EM, Kumar B. "Using internal plant water status as a criterion for scheduling irrigation in coffee in east of rift valley Kenya.". In: Kenya coffee vol. 47. No. 560, 281- 284. Kisipan, M.L.; Submitted. Abstract

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Githigia SM, Njagi LW, Mbuthia PG, Gathumbi PK, Cooper ME, Cooper JE. "veterinary forensic medicine: an emerging and important discipline.". Submitted.Website
Njagi LW, Mbuthia PG, Bebora LC, Minga UM. "Viral nucleoprotein localization and lesions of Newcastle disease in tissues of indigenous ducks.". Submitted. AbstractWebsite

Localization of Newcastle disease viral nucleoprotein and pathological lesions was valuated in tissues of 55 indigenous ducks (45 experimentally infected and 10 sentinel ones). In addition, ten Newcastle disease infected chickens were used to ensure that the virus inoculum administered to the ducks produced the disease in chickens, the susceptible hosts. Ducks were killed on day 1, 4, 8 and 14 post-infection. Postmortem examination was done with six tissues (liver, spleen, lung, caecal tonsils, kidneys and brain) being collected from each bird. The tissues were preserved in 10% neutral formalin for 24 h. They were then transferred to 70% ethanol for histology and immunohistochemical staining. Airsacculitis, necrotic splenic foci, congested intestines, lymphoid depleted caecal tonsils and focal infiltrations by mononuclear cells were the main pathological lesions in infected ducks. Over 28.9% of the infected ducks had Newcastle disease viral nucleoprotein in macrophage-like large mononuclear cells in the caecal tonsils and kidney tubular epithelium. The viral antigens were located in the cytoplasm and nucleolus of the cells. The other organs had no detectable viral antigens. This study shows that the kidneys and caecal tonsils are the likely predilection sites for the virus in ducks. They thus need to be considered as diagnostic indicators for the viral carriage in ducks.

Adwok JA, Githaiga JW. "Wandering spleen presenting as a right hypochondrial mass and intestinal obstruction.". Submitted. Abstract

This is a case report of a 23 year old multiparous woman who presented with intestinal obstruction and a right hypochondrial mass. Laparatomy revealed an infarcted 1.4 Kg spleen in the right lumbar region compressing the ascending colon. There was also ileal volvulus around the splenic pedicle. This is probably the first documented case of wandering spleen in the right hypochondrium, presenting as right large bowel obstruction, to be reported in our region. Wandering spleen is a rare condition, often asymptomatic, but may present as an acute abdomen. Pre-operative diagnosis is difficult and rarely made. Laboratory tests are seldom useful, but imaging studies do assist. Up to 1971 only 350 cases had been reported in the western literature. Review of English literature from 1900 to 1991 reported only 51 cases in children. In our region 11 cases were reported in Uganda between 1968 and 1971. No other literature is available from our region. Clinical presentation, aetiology, investigation, and management of wandering spleen is discussed

Githaiga JW, Adwok JA. "Wandering spleen presenting as a right hypochondrial mass and intestinal obstruction.". Submitted. Abstract

This is a case report of a 23 year old multiparous woman who presented with intestinal obstruction and a right hypochondrial mass. Laparatomy revealed an infarcted 1.4 Kg spleen in the right lumbar region compressing the ascending colon. There was also ileal volvulus around the splenic pedicle. This is probably the first documented case of wandering spleen in the right hypochondrium, presenting as right large bowel obstruction, to be reported in our region. Wandering spleen is a rare condition, often asymptomatic, but may present as an acute abdomen. Pre-operative diagnosis is difficult and rarely made. Laboratory tests are seldom useful, but imaging studies do assist. Up to 1971 only 350 cases had been reported in the western literature. Review of English literature from 1900 to 1991 reported only 51 cases in children. In our region 11 cases were reported in Uganda between 1968 and 1971. No other literature is available from our region. Clinical presentation, aetiology, investigation, and management of wandering spleen is discussed

OLIECH JS. "WATER,HUMAN HEALTH/WELLNESS.". In: the fifth regional workshop on water is life. PROF.J.S.OLIECH; Submitted. Abstract

Scientific paper presented during the FIFTH ANNUAL REGIONAL WORKSHOP  ON THE THEME;`` WATER IS LIFE``. Abstract: The paper illustrates the health status of water in the human body in health and in disease situations and how body water content depends on many variables including age, sex, fat content,leaness of muscles ,the internal environment of body cells and the external envronmental air and  temperature.

Nkonya E, Xiong W, Deustua J, Kato E. "Why do many smallholder farmers fail to adopt improved land management practices which can improve yields and incomes? The reason is not always because these practices are uneconomical but sometimes it is because resource poverty prevents farmers from tak.". Submitted. AbstractWebsite

Why do many smallholder farmers fail to adopt improved land management practices which can improve yields and incomes? The reason is not always because these practices are uneconomical but sometimes it is because resource poverty prevents farmers from taking advantage of yield and income enhancing agricultural practices. In this study we examine the relative merits of using a carbon payment scheme compared to a subsidy policy to help reduce the cost of specific land management practices with productivity and ecosystem benefits such as carbon sequestration. Using a 30-year crop simulation model, we examine the impacts of different soil fertility management treatments (SFTs) on yields and soil carbon and proceed to compute discounted incremental revenue streams over the same period. We find that the SFTs simulated are on average profitable given the conditions assumed in our DSSAT simulations. When carbon was priced at $8 or $12/t CO2e, the increase in incremental incomes generated from a carbon payment were invariably higher than those imputed from a 50% fertilizer subsidy. When carbon was priced at $4/Co2e, the increase was almost similar and sometimes higher than that from the imputed income transfer from a 50% subsidy. If these indications hold in further research, it could imply that using fertilizer subsidies as the sole mechanism for stimulating adoption of improved soil fertility management practices may unnecessarily forgo other complementary and possibly superior alternatives. Depending on the specific economic equity considerations, we conclude that either of these instruments can be used to help farmers break through resource barriers that prevent them from adopting productivity-enhancing and environmentally beneficial agricultural practices. However, given the fiscal burden on public finances and possible opportunity costs of any substantial subsidy program, it is possible that a carbon payment system can be a reasonable alternative assuming the range of carbon prices used in this study and especially if accompanied by measures to ameliorate the costs of fertilizer to farmers.

with others. `We Are the Government: a Handbook for Civic Education'. . Nairobi, CLARIPRESS.; Submitted.
Seth D. Goldstein, MD1; Dominic Papandria MD2; ALMDMPH3;, ani Georges Azzies, MD4; Eric Borgstein FRCS5; CMD6; SFMDMPH7; PJMBCB;RG, Mary Klingensmith, MD9; Mohamed Labib10 FLMD; MMMD11; EO’F12; RRMDMPH7;A, Fizan Abdullah, MD PD1. “Innovative approaches to educating the global surgical worldforce: A pilot camparison of online curricula for use in low and middle income countries”.; Submitted.
Mwendarani B. “Taswira ya mwanamke katika tamthilia mbili za kiswahili’’. Mbuthia DE, Musyoka DF, eds. Nairobi: University of Nairobi; Submitted.
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N PROFNZOMODAUDI. """Accounting Standards and the Kenya Institute o Certified Public Accountants." by J.D.Newton and N.D. Nzomo. This paper reviews briefly the status and development of Accounting Standards in several major countries of the world as background for standard .". In: The Accountant, Journal of the Institute of Certified Public Accountants of Kenya, (pages 16-19. RIVERBRROKS COMMUNICATIONS; Submitted. Abstract
No abstract available
O DROUTAGEORGE. ". .". In: Mid American Alliance for African Studies conference (MAAAS). Kansas State University, USA,; Submitted. Abstract
No abstract available. PMID: 11957248 [PubMed - indexed for MEDLINE]
KAGURE PROFKARANIANNE. "1. Naruse Kazuko, Tashiro Junko, Sankyo Yumi, Ichikawa Wakako, Karani Anna Stakeholders.". In: Annual Scientific Conference of National Nurses Association of Kenya on 5th - 7th October, 2011 at Kagumo Teachers College in Nyeri, Kenya. Blackwell Publishing Co.; Submitted. Abstract

After the World Health Assembly approved WHA 45.5 in 1992 addressing the nursing shortage by refocusing nurses and midwifes to meet community health needs, community demands for educated nurses and the needs of higher nursing education in developing countries increased.  Therefore in Kenyan a major university school of nursing initiated a collaborative study with a well established Japanese nursing college to determine the service-providers

KAGURE PROFKARANIANNE. ": PERCEPTION OF BACHELOR OF SCIENCE IN NURSING (BScN) ON THEIR ROLE ON NURSING IN A HOSPITAL SETTING Prof. Anna K. Karani University of Nairobi, Stephen Kainga,(MScN) University of Nairobi Prof. Simon Kangethe Moi University. Diana Mwarania BScN (graduate.". In: Kenya Nursing Journal: Dec. KNJ Vol. 41(2) 23-33. Impress Communications; Submitted. Abstract

The study was conducted to investigate the clinical Competence of Bachelor of Science Nursing graduates working at Kenyatta National Hospital in March 2011. The objective was to assess the perceptions of graduate nurses about the nursing profession and the implications on the development of BScN undergraduates from the University of Nairobi and other Universities with a view to improving their perception about the profession  through continuing education and curriculum review. It was a cross sectional study with a sample size of 50 nurses, total population selected on purpose. A supervised questionnaire and focus group discussion tools were used for data collection.  The findings indicated that majority of the Bachelor of Science Nursing graduates

K PROFNDELEJOHNSON. "Academia .". In: The Nairobi Journal of Medicine Vo. 19 No. 2 pp 30-34. University of Nairobi Press; Submitted. Abstract
The present studies were designed and carried out to determine if hydrogen peroxide (H2O2) is involved in the regulation of erythropoietin (Epo) gene expression and stimulation of Epo production in the hepatocellular (Hep 3B) cells. Hep 3B cells were incubated with varying concentrations of H2O2 for periods of 6 hours or 24 hours. In other experiments Hep 3B cells were incubated for 24 hours with or without increasing concentrations of catalase and in the presence of H2O2. Culture medium levels of Epo were determined and quantitation of Epo mRNA was also made. The results indicate that H2O2 increases the levels of Epo mRNA and Epo hormone production in Hep 3B cells, and that catalase, the specific scavenger of hydrogen peroxide, inhibits Epo production in these cells. Based on these findings, it is concluded that H2O2 takes part in the signal transduction mechanisms in Epo production. It is recommended that further studies be undertaken to find out the source of the hydrogen peroxide in the hepatocellular carcinoma cells.
N PROFNZOMODAUDI. ""Accountancy - The Making of Professional Accountants." Part II, by J.D. Newtron ad N.D. Nzomo. This article continues the analysis and discussions started in Part 1 above.It presents data on citizenship, age, education and projects into the future of the.". In: Journal of the Kenya Institute of Management, (pages 24-25). RIVERBRROKS COMMUNICATIONS; Submitted. Abstract
Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)
N PROFNZOMODAUDI. ""Accountancy - The Making of Professional Accountants." Part II, by J.D. Newtron ad N.D. Nzomo. This article continues the analysis and discussions started in Part 1 above.It presents data on citizenship, age, education and projects into the future of the.". In: Journal of the Kenya Institute of Management, (pages 24-25).; Submitted. Abstract

Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)

N PROFNZOMODAUDI. ""Accounting for Harambee" This article presents the rationale for auditing harambee funds, discusses practical procedures for doing so and then calls for legislation to regulate authorization, safe custody, management and reporting as aspects of national .". In: Journal of the Accounting Students Association, Faculty of Commerce, University of Nairobi, pages 3 & 4. RIVERBRROKS COMMUNICATIONS; Submitted. Abstract
Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)
N PROFNZOMODAUDI. ""Accounting for Harambee" This article presents the rationale for auditing harambee funds, discusses practical procedures for doing so and then calls for legislation to regulate authorization, safe custody, management and reporting as aspects of national .". In: Journal of the Accounting Students Association, Faculty of Commerce, University of Nairobi, pages 3 & 4.; Submitted. Abstract

Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)

N PROFNZOMODAUDI. ""Accounting for Stock-Devidends" . This article discusses the theoretical inconsistencies in the Accounting treatment of stock dividends and the commensurate capitalization of Retained Earnings.". In: National Association of Black Accountants, USA Spectrum, Vol. 7, , New York, (pages 8-10). RIVERBRROKS COMMUNICATIONS; Submitted. Abstract
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N PROFNZOMODAUDI. ""Accounting Versus Accountability." This article highlights the need for financial accountability in our economy. It cites the collapsing financial institutions and the costly mismanagement exposed by the likes of "the multi-billion Bura Irrigation Scheme.". In: Journal for the Institute of Certified Public Accountants of Kenya. (pages 4-6). RIVERBRROKS COMMUNICATIONS; Submitted. Abstract
Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)
N PROFNZOMODAUDI. ""Accounting Versus Accountability." This article highlights the need for financial accountability in our economy. It cites the collapsing financial institutions and the costly mismanagement exposed by the likes of "the multi-billion Bura Irrigation Scheme.". In: Journal for the Institute of Certified Public Accountants of Kenya. (pages 4-6).; Submitted. Abstract

Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)

N PROFKAMAUGEOFREY. "Accumulation of DDT residues in aquarium fish, sediment, plant and water," Accepted, J. Environment International.". In: Submitted to Journal of Electrochimica Acta. Survey Review; Submitted. Abstract
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KICHAMU MRAKIVAGASYMONDS. "Adult Education and political culture, S.K. Akivaga.". In: East Afr. Medi. Journal. Elsevier; Submitted. Abstract
Analysis of 355 cases with fractures of the mandible indicated that 74.9% of the cases were due to interpersonal violence and 13.8% were caused by road traffic accidents. The men to women ratio was 8.4:1 and 75.5% of the fracture cases had single fractures while 24.5% had multiple fractures. In cases with a single fracture, the most commonly involved mandibular site was the body (42.2%). The angle of mandible was most frequently fractured (50.5%) in cases with multiple fractures.
CLAUDIO MRACHOLA. "Algebra 1 and 11 (O.D.L Lecture Notes).". In: E.A.E.P. Journal of British Ceramic Transactions, 99 [5], 206-211.; Submitted.
N PROFNZOMODAUDI. ""All Expenditures must be properly authorized." Continuing on the theme of planning and management control, this article delineates and discusses some of the most effective financial control mechanisms. Management:.". In: Journal of the Kenya Institute of Management. (pages 9-10). RIVERBRROKS COMMUNICATIONS; Submitted. Abstract
Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)

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