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Forthcoming
Kahiga RM, Gatumu JC, Nteere JS. "Sustainability of the implementation of the Preschool physical education curriculum in Nairobi and Nyeri counties.". In: Africa for Research in Comparative Education Society. Kenya Science Campus; Forthcoming.
Cheruiyot EK, Mito CO, Kaduki KA, Laneve G, Khoshelham K. "Aquatic vegetation prediction models based on water quality parameters and meteorological conditions.". Forthcoming.
Barasa L, Kimuyu P, Vermeulen P, Knoben J, Kinyanjui B. "Innovation and efficiency in manufacturing firms in sub-Saharan Africa." European Journal of Innovation Management. Forthcoming.
Kiiru J, Barasa L. "Securing inclusive growth: Mentorship, youth employment and employment creation in Kenya.". In: M. Ramutsindela, & D. Mickler ed., Africa and the Sustainable Development Goals.; Forthcoming.
Kiplagat D. STRATEGY FOR THE IMPLEMENTATION AND ADOPTION OF E-PROCUREMENT IN KENYA PUBLIC SECTOR. Wausi D, ed. Nairobi: University of Nairobi; Forthcoming. Abstract

There is strong consensus among researchers and practitioners regarding the strategic importance of developing efficient purchasing techniques to increase transparency and fairness, reduce corruption, ensure competitiveness and reduce costs. An increasing number of government authorities are adopting e-procurement solutions to reap the above stated benefits (Panayiotou et al., 2004). E-procurement is the process of purchasing goods and services electronically , and can be defined as “the use of integrated (commonly web-based) communication systems for the conduct of part or all of the purchasing process; a process that may incorporate stages from the initial need identification by users, through search, sourcing, negotiation, ordering, receipt, payment and post-purchase review” (Presutti,2003).

In this research proposal I propose to comprehensively study through explorative case study five successful cases of e-procurement in the public sector in Korea, Australia, Italy, Ireland, Philippine's and use their experiences, challenges and strategies employed to come up with a multi-disciplinary framework for the successful implementation and adoption of e-procurement in the public sector in Kenya. In this research critical successes factors (CSFs) and diffusion of innovation theory will be used in the study. Explorative case study and qualitative research design methodology will be used in this research study although aspects on the attitude of the intended users will be analyzed quantitatively.

Kiai, Wambui and Ngugi M. Voices of Media Veterans: Reflections over 70 Years on Communication and Media in Kenya. Nairobi: University of Nairobi & Ford Foundation; Forthcoming.
Gona, George, Wambui Kiai, Muiru Ngugi (Eds.). Women in Public Space(s) in Kenya. University of Nairobi & Ford Foundation; Forthcoming.
Submitted
K. M, Mbote PK, Musembi C. Women's Access to Land Land-based Resources among Forest-dwelling Communities in East Africa:. Nairobi: CASELAP, University of Nairobi; Submitted.
K. M, Mbote PK, Musembi C. Women's Access to Land Land-based Resources among Forest-dwelling Communities in East Africa:. Nairobi: CASELAP, University of Nairobi; Submitted.
Kunyanga CN, Imungi JK, Biesalski HK. " http://www.sciencedirect.com/science/article/pii/S0023643811002659 http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/17023 .". Submitted. AbstractWebsite

Certain indigenous foods commonly consumed by Kenyan vulnerable groups (the malnourished; children under 5 years of age; pregnant and lactating women; malnourished adults in cases of vitamin or mineral deficiencies, TB, diabetes, cancer, AIDS; refugees; orphans the elderly and the disabled) are not yet evaluated for phenolic content and health relevant functionality. The present study was therefore designed to analyze the phenolic content, antioxidant and antidiabetic properties of methanolic extract of raw and traditionally processed food ingredients. The total phenolic contents of the cereals, legumes, oil seeds and vegetables were ranged from 0.41 to 3.00 g/100 g DM. Amaranth grain (Amaranthus cruentus) and drumstick leaves (Moringa oleifera) exhibited significantly higher phenolic content than the other samples. The methanolic extract of the investigated samples showed promising levels of DPPH radical scavenging activity (81–89%); ferric reducing/antioxidant power (FRAP, 44–744 mmolL−1 Fe[II]/g extract DM); α-amylase (10–45%) and α-glucosidase (13–80%) inhibition activities. The food ingredients with high phenolic content exhibited relatively higher antioxidant and antidiabetic activities. The results indicate that soaking + cooking is the mild processing method to preserve the phenolic compounds and their health relevant functionality in the presently investigated cereal, legume and oil grains, while cooking is suitable treatment for vegetables.

Akech M, Kameri-Mbote P. "7) Kenyan Courts and Politics of the Rule of Law in the Post-Authoritarian State ." EAST AFRICAN JOURNAL OF PEACE AND HUMAN RIGHTS. Submitted;18(357 ):2.
Kariuki S, Mirza N, Mitema ES, Olsvik O. "Acquired tetracycline resistance genes in nosocomial Salmonella typhimurium infection in a Kenyan hospital.". Submitted. AbstractWebsite

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

IRIBEMWANGI PI, Kabwana I. Alfa na Omega (Play). Nairobi: Oxford University Press; Submitted. Abstract

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Jani PG, Gill H, Kotecha V. "Difficult Gallbladder Surgery, Improving Patient Outcomes Through Appropriate Surgical Decisions." East and Central African Journal of Surgery. Submitted;17(1).
KAGURE PROFKARANIANNE. "Dr. Peninnah M. Kako, Prof. Anna K. Karani, Prof.Patricia E. Stevens Reactions to HIV Diagnosis from Women Living with HIV in Kenya.". In: Paper presented at Safari Park Hotel STTI Conference on 3rd July, 2010. Dr.Peninnah M.Kako, Prof. Anna K. Karani, Prof.Patricia E. Stevens; Submitted. Abstract

Background: HIV prevalence in Kenya stands at 7.8%, with women being most affected with infection rates being 2-3 times higher than that of their male counterparts.  Studies that focus on health needs of HIV-infected women in Kenya are needed and necessary. Purpose: The purpose of this study was to develop an in-depth understanding of the reactions of 40 urban and rural HIV-infected Kenyan women to HIV diagnosis. Methods: Narrative inquiry principles were employed to guide this qualitative cross-sectional study. We conducted in-depth interviews using open-ended questions in April and May 2006.  Findings: Participants

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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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.
Kiseli J, Kitati EM. Factors That Affect Internal Control Systems In Public Institutions. Riga, Latv ia: LAP LAMBERT Academic Publishing; Submitted. AbstractFactors That Affect Internal Control Systems In Public Institutions

Internal control is the process effected by an organization’s structure, to assist the organization to accomplish specific goals or objectives. It is a means by which an institution’s resources are directed, monitored and measured. It plays an important role in preventing and detecting fraud and protecting the organization’s resources. Internal Control mechanisms’ comprises of the control environment and control procedures. It includes all the policies and procedures adopted by the directors and management of an entity to help in achieving their objectives of ensuring, as far as practicable, the orderly and efficient conduct of its business, including adherence to internal policies, the safeguarding of assets, the prevention and detection of frauds and errors, the accuracy and completeness of the accounting records, and the timely preparation of reliable financial information. The internal control systems extend beyond those matters which relate directly to the accounting system. Internal control is concerned with the control operative in every area of corporate activity, as well as with the way in which individual controls interrelate.

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
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.
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).

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).

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.

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.

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.

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.

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.

Katende J, Pokhariyal G. "A study of Sasakian Manifolds." Far East Journal of Mathematical Sciences. Submitted.
Gripenberg U, Saarinen I, Bwibo NO, Oduori ML, Grayburn JA, Awori NW, Wasunna AE, Kinuthia DM. "Two true hermaphrodites with XX chromosomes.". Submitted.
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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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.

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.
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.
Aduda BOC, Egbe PDDDAM, Musembi RJ, WAITA SEBASTIAN, Kaduki KA, Simiyu J, Agacho A, Nyongesa F. "ANSOLE Mini-Symposium in Kenya (AMSK 2013).". Submitted. Abstract
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AKUMU PROFODIRAPATTSM, K. MRNGARISAMUEL. ""Application of Ground Charcoal as a Coarse Medium in Dual Media Filtration of Water". East African Journal of Engineering.". In: Jadini Beach Hotel, Mombasa. IBIMA Publishing; Submitted. Abstract
Joint exhibition of paintings and sculptures
AKUMU PROFODIRAPATTSM, K. MRNGARISAMUEL. ""Application of Ground Charcoal as a Coarse Medium in Dual Media Filtration of Water". East African Journal of Engineering.". In: Canadian and International Education Journal. VOL: 19, No:1'1990. Prof. James Otieno-Odek; Submitted. Abstract

This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.

AKUMU PROFODIRAPATTSM, K. MRNGARISAMUEL. ""Application of Ground Charcoal in the Removal of Organic Matter in Water Treatment". East African Journal of Engineering.". In: East African Journal of Engineering. IBIMA Publishing; Submitted. Abstract
Joint exhibition of paintings and sculptures
AKUMU PROFODIRAPATTSM, K. MRNGARISAMUEL. ""Application of Ground Charcoal in the Removal of Organic Matter in Water Treatment". East African Journal of Engineering.". In: East African Journal of Engineering. Prof. James Otieno-Odek; Submitted. Abstract

This paper reports the detailed results of a study of the impact of the Health Workers for Change (HWFC) workshop series on clients' perceptions of health services, relationships within the health centre and relations between the health facility and the district health system. The study was carried out in three stages: baseline, intervention and evaluation over a period of 20 months. Data, both qualitative and quantitative, were collected at three levels: client, facility and system. Results indicate that relations between health workers and clients improved a great deal after the intervention while those between the facility and the system remained to a large extent unchanged. The paper concludes that, with external support and help, especially from the health system level, health workers can work towards improving health services and their job satisfaction, which can lead to better health worker-client relations.

MUTUKU DRNZIMBIBERNARD, KIBET DRMOINDISTEPHEN, P PROFPOKHARIYALGANESH. "B.M. Nzimbi, G.P. Pokhariyal and S.K. Moindi, A note on A-self-adjoint and A-skew-adjoint operators and their extensions, Pioneer Journal of Mathematics and Mathematical Sciences, accepted January, 2012, to appear.". In: Pioneer Journal of Mathematics and Mathematical Sciences(PJMMS). Pioneer Journal of Mathematics and Mathematical Sciences; Submitted. Abstract
Aminoglutethimide (AG) 500 mg was administered orally to four normal volunteers and eight patients undergoing treatment for metastatic breast cancer. In each subject the acetylator phenotype was established from the monoacetyldapsone (MADDS)/dapsone (DDS) ratio. Acetylaminoglutethimide (acetylAG) rapidly appeared in the plasma and its disposition paralleled that of AG. A close relationship (P less than 0.01) was observed between the acetyl AG/AG and MADDS/DDS ratio suggesting that AG may undergo polymorphic acetylation like DDS. AG half-life was 19.5 +/- 7.7 h in seven fast acetylators of DDS and 12.6 +/- 2.3 h in five slow acetylators and its apparent metabolic clearance was significantly (P less than 0.01) related to the acetylAG/AG ratio. Over 48 h the fast acetylators excreted 7.7 +/- 4.4% of the administered AG dose in the urine as unchanged AG as compared to 12.4 +/- 2.8% in slow acetylators. A much smaller fraction of the dose was excreted as acetylAG: 3.6 +/- 1.5% by fast and 1.9 +/- 1.0% by slow acetylators respectively. After 7 days treatment with AG at an accepted clinical dose regimen to the eight patients there were significant reductions in the half-lives of AG (P less than 0.01) and acetylAG (P less than 0.01) and a trend (0.1 greater than P greater than 0.05) towards reduction of the acetylAG/AG ratio which became significant (P less than 0.05) if the one patient on a known enzyme inducer was omitted. The mean apparent volume of distribution was not significantly (P greater than 0.1) altered but the mean apparent systemic clearance of AG was increased (P less than 0.05). These changes are attributed to auto-induction of oxidative enzymes involved in AG metabolism.
MUTUKU DRNZIMBIBERNARD, KIBET DRMOINDISTEPHEN, P PROFPOKHARIYALGANESH. "B.M. Nzimbi, G.P. Pokhariyal and S.K. Moindi, A note on A-self-adjoint and A-skew-adjoint operators and their extensions, Pioneer Journal of Mathematics and Mathematical Sciences, accepted January, 2012, to appear.". In: Pioneer Journal of Mathematics and Mathematical Sciences(PJMMS). Pioneer Journal of Mathematics and Mathematical Sciences; Submitted.
MUTUKU DRNZIMBIBERNARD, P PROFPOKHARIYALGANESH, KIBET DRMOINDISTEPHEN. "B.M. Nzimbi, G.P. Pokhariyal and S.K. Moindi, A note on metric equivalence of operators, Far East Math Jourmal (FMJS), accepted March 2012, to appear.". In: Global Journal of Theoretical and Applied Mathematical Sciences(GJTAMS). Far East Math Science Journal; Submitted. Abstract
Aminoglutethimide (AG) 500 mg was administered orally to four normal volunteers and eight patients undergoing treatment for metastatic breast cancer. In each subject the acetylator phenotype was established from the monoacetyldapsone (MADDS)/dapsone (DDS) ratio. Acetylaminoglutethimide (acetylAG) rapidly appeared in the plasma and its disposition paralleled that of AG. A close relationship (P less than 0.01) was observed between the acetyl AG/AG and MADDS/DDS ratio suggesting that AG may undergo polymorphic acetylation like DDS. AG half-life was 19.5 +/- 7.7 h in seven fast acetylators of DDS and 12.6 +/- 2.3 h in five slow acetylators and its apparent metabolic clearance was significantly (P less than 0.01) related to the acetylAG/AG ratio. Over 48 h the fast acetylators excreted 7.7 +/- 4.4% of the administered AG dose in the urine as unchanged AG as compared to 12.4 +/- 2.8% in slow acetylators. A much smaller fraction of the dose was excreted as acetylAG: 3.6 +/- 1.5% by fast and 1.9 +/- 1.0% by slow acetylators respectively. After 7 days treatment with AG at an accepted clinical dose regimen to the eight patients there were significant reductions in the half-lives of AG (P less than 0.01) and acetylAG (P less than 0.01) and a trend (0.1 greater than P greater than 0.05) towards reduction of the acetylAG/AG ratio which became significant (P less than 0.05) if the one patient on a known enzyme inducer was omitted. The mean apparent volume of distribution was not significantly (P greater than 0.1) altered but the mean apparent systemic clearance of AG was increased (P less than 0.05). These changes are attributed to auto-induction of oxidative enzymes involved in AG metabolism.
MUTUKU DRNZIMBIBERNARD, P PROFPOKHARIYALGANESH, KIBET DRMOINDISTEPHEN. "B.M. Nzimbi, G.P. Pokhariyal and S.K. Moindi, A note on metric equivalence of operators, Far East Math Jourmal (FMJS), accepted March 2012, to appear.". In: Global Journal of Pure and Applied Mathematics(GJPAM),2012, to appear. Far East Math Science Journal; Submitted.
KAGURE PROFKARANIANNE. "Challenges in Accessing HIV-related Healthcare in Resource Limited Communities: Lessons from HIV-infected Women in Kenya.". In: Kenya Nursing Journal, 38(1) 24-31. Dr. Peninnah M. Kako,Univ.W1; Prof. Anna K. Karani,UoN & Prof. Patricia E. Stevens, Univ.W1; Submitted. Abstract

 Background: Increasing access to HIV-related health care is very important in access resource limited countries. In Kenya HIV prevalence increased in 2008 to 7.8 from 6.7 in 2003. Women are mostly affected with infection rates 2-3 times more than men. Challenges women face attempting to access HIV care is urgent.Purpose: Study sought to identify health needs of HIV infected women in Kenya grapple with.Method: Forty Urban (Nairobi) and rural (Eastern Province) infected women participated in the study. A cross sectional qualitative narrative study eilicited life stories of health needs. Unstructured in-depth interviews,tape recorded, transcribed and translated to English. Data analysis used N-vivo qualitative analysis soft ware. Multistage narrative analysis was used to explore emergent themes.Findings: Women of mean age 37 years and 3 years since diagnosis described prolonged illnesses sufferred by spouses, themselves and children burdened by inadequate HIV care.Conclusion: Early diagnosis and treatment Interventions are necessary for wellbeing and long life.

KAGURE PROFKARANIANNE. "Clinical competence of Nursing Graduates in Kenya. African Journal of Midwifery and Womens.". In: African Journal of Midwifery and Womens. 1. Margaret Njambi Chege, Ephantus W. Kabiru, Anna Karani and Anseline Derese; Submitted. Abstract

{ Abuse of substances of dependence have risen dramatically and spawned major health problems in Kenya. We conducted a study on the effects of post-basic psychiatric training on nurses

KYALO PROFKIEMAJOHNBOSCO. "Flow-Based Structural Modelling and Dynamic Simulation of Lake Water Levels.". In: Handbook of Research on Hydroinformatics: Technologies, Theories and Applications. Canadian Center of Science and Education; Submitted.
K PROFNDELEJOHNSON. "Geriatric Clinical Pharmacology. The Pharmacokinetic .". In: Journal of Medicine Vol. 2 No. 5 pp 2-8. University of Nairobi Press; Submitted. Abstract
The present studies were designed and carried out to determine if hydrogen peroxide (H2O2) is involved in the regulation of erythropoietin (Epo) gene expression and stimulation of Epo production in the hepatocellular (Hep 3B) cells. Hep 3B cells were incubated with varying concentrations of H2O2 for periods of 6 hours or 24 hours. In other experiments Hep 3B cells were incubated for 24 hours with or without increasing concentrations of catalase and in the presence of H2O2. Culture medium levels of Epo were determined and quantitation of Epo mRNA was also made. The results indicate that H2O2 increases the levels of Epo mRNA and Epo hormone production in Hep 3B cells, and that catalase, the specific scavenger of hydrogen peroxide, inhibits Epo production in these cells. Based on these findings, it is concluded that H2O2 takes part in the signal transduction mechanisms in Epo production. It is recommended that further studies be undertaken to find out the source of the hydrogen peroxide in the hepatocellular carcinoma cells.
Kairu WM, Gatari MM, MUIA ML, Mumenya SW,... "Health monitoring of concrete using rebar-guided ultrasound." pdfs.semanticscholar.org. Submitted. AbstractWebsite

Concrete is one of the commonly used materials worldwide in the construction industry due to its durability [1]. Civil infrastructures such as power plants, bridges and large buildings are typically built using concrete. It is typically composed of aggregate, sand, cement, water as …

KYALO PROFKIEMAJOHNBOSCO. "Integrating User Experience in Evaluating Cellular Network Coverage Planning Efficiency.". In: ICASTOR Journal of Engineering. ICASTOR Journal of Engineering; Submitted. Abstract
Normal 0 false false false MicrosoftInternetExplorer4 st1:*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Cellular network coverage planning efficiency is traditionally evaluated through various network metrics assessing the Quality of Service (QoS). When it comes to coverage service, however, user satisfaction can be considered the logical metric of performance. This study presents a hybrid Quality of Experience (QoE) index that can be used as a basis of network coverage planning efficiency assessment. A spatial analysis framework is employed to evaluate the user perceived QoS offered by one of the leading cellular service providers in Kenya as perceived by consumers under everyday conditions of use. Regions where subscribers may be experiencing low service quality service were identified. The study shows that urban based consumers tend to have higher quality expectations than the rural users.
MUTUKU DRNZIMBIBERNARD, KIBET DRMOINDISTEPHEN, MILE DRJUSTUSKITHEKA. "Justus K. Mile, Bernard M. Nzimbi and S.K. Moindi, On the characterization of Class R_1 of non-normal operators in a Hilbert space, Pioneer Journal of Mathematics and Mathematical Sciences(PMMS), accepted March 2012, to appear.". In: Pioneer Journal of Mathematics and Mathematical Sciences(PJMMS). Journal of Mathematics and Mathematical Sciences(PMMS); Submitted. Abstract
Aminoglutethimide (AG) 500 mg was administered orally to four normal volunteers and eight patients undergoing treatment for metastatic breast cancer. In each subject the acetylator phenotype was established from the monoacetyldapsone (MADDS)/dapsone (DDS) ratio. Acetylaminoglutethimide (acetylAG) rapidly appeared in the plasma and its disposition paralleled that of AG. A close relationship (P less than 0.01) was observed between the acetyl AG/AG and MADDS/DDS ratio suggesting that AG may undergo polymorphic acetylation like DDS. AG half-life was 19.5 +/- 7.7 h in seven fast acetylators of DDS and 12.6 +/- 2.3 h in five slow acetylators and its apparent metabolic clearance was significantly (P less than 0.01) related to the acetylAG/AG ratio. Over 48 h the fast acetylators excreted 7.7 +/- 4.4% of the administered AG dose in the urine as unchanged AG as compared to 12.4 +/- 2.8% in slow acetylators. A much smaller fraction of the dose was excreted as acetylAG: 3.6 +/- 1.5% by fast and 1.9 +/- 1.0% by slow acetylators respectively. After 7 days treatment with AG at an accepted clinical dose regimen to the eight patients there were significant reductions in the half-lives of AG (P less than 0.01) and acetylAG (P less than 0.01) and a trend (0.1 greater than P greater than 0.05) towards reduction of the acetylAG/AG ratio which became significant (P less than 0.05) if the one patient on a known enzyme inducer was omitted. The mean apparent volume of distribution was not significantly (P greater than 0.1) altered but the mean apparent systemic clearance of AG was increased (P less than 0.05). These changes are attributed to auto-induction of oxidative enzymes involved in AG metabolism.
J PROFCHINDIAMARK, KAVIN DRWAKOLI. "Koech KJ, Chindia ML, Wakoli KA, Gathece LW. Prevalence of oral lesions in HIV infection and their relationship with CD4 count at a Nairobi centre. African journal of oral health sciences,Vol 5 no2, 4-9.". In: African Journal of Oral Health Sciences,Vol 5 no2, 4-9. Hekima III (1) 27-42; Submitted. Abstract
Savanna ecosystems and origins of modern human behavior Hekima III (1) 27-42: (Journal of the Humanities and Social Sciences, University of Nairobi).
J PROFCHINDIAMARK, KAVIN DRWAKOLI. "Koech KJ, Chindia ML, Wakoli KA, Gathece LW. Prevalence of oral lesions in HIV infection and their relationship with CD4 count at a Nairobi centre. African journal of oral health sciences,Vol 5 no2, 4-9.". In: African Journal of Oral Health Sciences,Vol 5 no2, 4-9. Korean Society of Crop Science and Springer; Submitted. Abstract
OBJECTIVE: To determine the dental caries experience and knowledge on the causes and preventive measures for dental diseases. DESIGN: A community based cross-sectional descriptive study. SETTING: Elwak sub-district hospital, North Eastern Province, Kenya. SUBJECTS: One hundred and forty one adults who presented themselves during a dental check up at a sub-district hospital and gave written consent. MAIN OUTCOME MEASURES: Dental caries status and knowledge on its causes and preventive measures. The importance of outreach programmes in obtaining information as well as helping to alleviate the pain and suffering caused by dental diseases among communities living in remote areas is also revealed. RESULTS: Of the one hundred and forty one individuals, who were included in the study, 63.1% were women and 36.9% were men. Their ages ranged between 18 and over 65 years. 41.1% were in the 18-24-year age bracket. Regarding the oral health knowledge, 43% did not know any causes of dental diseases while 36%, 17% and 12% knew that diet, "dirt" on teeth and bacteria were possible causes, respectively. Fifty percent did not know any preventive measures for dental diseases while the rest indicated abstention from the consumption of sugary foods; and only 0.8% mentioned use of fluoridated toothpaste as a preventive measure for dental caries. 56.7% of the subjects were caries free. The mean DMFT for all ages was 3.4. Of those with caries 72.1% were women. CONCLUSION: There is a low level of oral health awareness and a moderately high level of dental caries experience in this community with women apparently carrying the biggest burden of dental caries.
KICHAMU MRAKIVAGASYMONDS. "Local Authorities in Kenya (H.E.B.) . forthcoming.". 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.
K. DRMANGOLIMAURICE. "Mangoli. M.K. "Optimal Long-term Reactive Power Planning Using Decomposition Techniques", Ph.D. Thesis. The Pennsylvania State University, U.S.A., Dec. 1991.". In: Published in a Journal Kenyan Geographer. ELOQUENT BOOKS NY, Strategic Book Group, Connecticut, USA. ISBN-978-1-60911-081-9.Pages1; Submitted. Abstract
Normal 0 false false false MicrosoftInternetExplorer4 st1:*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Macrophytes have been shown to perform important ecological roles in Lake Naivasha. Consequently, various studies regarding the impact of biotic factors on the macrophytes have been advanced but related studies on environmental parameters have lagged behind. In an attempt to address this gap, sampling on floating species and submergents was carried out in eight sampling sites in 2003 to investigate how they were influenced by a set of environmental factors. Soil texture (sandy sediments; P < 0.05, regression coefficient = - 0.749) and wind were the most important environmental parameters influencing the distribution and abundance of floating macrophytes. Combination of soil texture and lake-bed slope explained the most (86.3%) variation encountered in the submergents. Continuous translocation of the floating dominant water hyacinth to the western parts by wind has led to displacement of the submergents from those areas. In view of these findings, the maintenance and preservation of the steep Crescent Lake basin whose substratum is dominated by sand thus hosting most submergents remain important, if the whole functional purpose of the macrophytes is to be sustained.
KYALO PROFKIEMAJOHNBOSCO. "Microwave Route Surveying using Differential GPS.". In: Survey Review. Canadian Center of Science and Education; Submitted. Abstract
A microwave path survey is critical before any wireless communication infrastructure can be put into place. It is on the basis of this that the line of sight possibility between any pair of stations is established. This survey can also be used to determine whether there is sufficient space available on existing telecommunication towers, where additional telecommunication facilities can be hosted. This study has demonstrated that differential GPS techniques can successfully be used in microwave path surveys within the framework of telegeoinformatics. The adopted methodology simulated a levelling circuit for the defined observation network. This resulted in an acceptable misclosure of 0.039m which was distributed among the various stations in proportion to the relative length of each link. Natural and man-made obstacles (critical points) along the various telecommunication links were also determined.
MUTUKU DRNZIMBIBERNARD, KIBET DRMOINDISTEPHEN, P PROFPOKHARIYALGANESH. "Moindi, S.K., Pokhariyal, G.P. and Nzimbi, B.M., W_4-Curvature tensor on a A-Einstein Sasakian manifold, Global Journal of Theoretical and Applied Mathematical Sciences(GJTAMS), accepted Feb 2012, to appear.". In: Global Journal of Theoretical and Applied Mathematical Sciences(GJTAMS). Global Journal of Theoretical and Applied Mathematical Sciences(GJTAMS); Submitted. Abstract
Aminoglutethimide (AG) 500 mg was administered orally to four normal volunteers and eight patients undergoing treatment for metastatic breast cancer. In each subject the acetylator phenotype was established from the monoacetyldapsone (MADDS)/dapsone (DDS) ratio. Acetylaminoglutethimide (acetylAG) rapidly appeared in the plasma and its disposition paralleled that of AG. A close relationship (P less than 0.01) was observed between the acetyl AG/AG and MADDS/DDS ratio suggesting that AG may undergo polymorphic acetylation like DDS. AG half-life was 19.5 +/- 7.7 h in seven fast acetylators of DDS and 12.6 +/- 2.3 h in five slow acetylators and its apparent metabolic clearance was significantly (P less than 0.01) related to the acetylAG/AG ratio. Over 48 h the fast acetylators excreted 7.7 +/- 4.4% of the administered AG dose in the urine as unchanged AG as compared to 12.4 +/- 2.8% in slow acetylators. A much smaller fraction of the dose was excreted as acetylAG: 3.6 +/- 1.5% by fast and 1.9 +/- 1.0% by slow acetylators respectively. After 7 days treatment with AG at an accepted clinical dose regimen to the eight patients there were significant reductions in the half-lives of AG (P less than 0.01) and acetylAG (P less than 0.01) and a trend (0.1 greater than P greater than 0.05) towards reduction of the acetylAG/AG ratio which became significant (P less than 0.05) if the one patient on a known enzyme inducer was omitted. The mean apparent volume of distribution was not significantly (P greater than 0.1) altered but the mean apparent systemic clearance of AG was increased (P less than 0.05). These changes are attributed to auto-induction of oxidative enzymes involved in AG metabolism.
MUTUKU DRNZIMBIBERNARD, KIBET DRMOINDISTEPHEN, P PROFPOKHARIYALGANESH. "Moindi, S.K., Pokhariyal, G.P. and Nzimbi, B.M., W_4-Curvature tensor on a A-Einstein Sasakian manifold, Global Journal of Theoretical and Applied Mathematical Sciences(GJTAMS), accepted Feb 2012, to appear.". In: Global Journal of Theoretical and Applied Mathematical Sciences(GJTAMS). Global Journal of Theoretical and Applied Mathematical Sciences(GJTAMS); Submitted.
KAGURE PROFKARANIANNE. "Ms Emma Matheka, Prof. Anna Karani, Mr. L.P.Oteba, Mr. M.F. Otieno, Prof. Simon Kangehte THE ROLE OF HORMONAL CONTRACEPTIVES IN HIV INFECTION AMONG ANTENATAL MOTHERS IN MACHAKOS DISTRICT HOSPITAL.". In: Kenya Nursing Journal, vol. 40:1: 6-13. Ms Emma Matheka, Prof. Anna Karani, Mr. L.P.Oteba, Mr. M.F. Otieno, Prof. Simon Kangehte; Submitted. Abstract

This study was done at Machakos District Hospital in the Eastern province of Kenya between May and August 2007.Aim was to find out the role of hormonal contraceptives in HIV infection among antennal mothers. Analytical cross- sectional study design was used. Methodology. The sample size consisted of 144 antenatal mothers visiting the MCH clinic for PMTCT services among other services. The simple random sampling technique included every 8th antenatal mother visiting the PMTCT clinic who had no history of consisted condom use. All antenatal mothers who had not used condoms consistedly both contraceptive and non-contraceptive users who fell in the sampling frame acted as study subjects. This was on condition that they consented to participate in the study. A self

KAGURE PROFKARANIANNE. "Ms Gichigi Esther, Prof. Anna Karani Dr Margaret Chege .". In: Kenya Nursing Journal June, Vol. 39(1) 57-61. Ms Gichigi Esther, Prof. Anna Karani Dr Margaret Chege; Submitted. Abstract

Mentorship programs are offered to support students in program completion, confidence building and transitioning to further education or the work force. However mentoring relationships have been faced by challenges such as inadequate knowledge and negative attitude. This study aimed at evaluating knowledge, attitude and perceived benefits on mentorship among the nursing students in Kenyan universities. The study was conducted in September, 2009.  A descriptive cross sectional survey  used both qualitative and quantitative methods to gather information. The study participants were students from University of Nairobi (U.O.N) and Kenya Methodist University (K.E.M.U). A sample of 188 students was selected from a total population of 403 in both universities. The data were coded, entered and analyzed using statistical package for social sciences (SPSS). Presentation of data was done in form of descriptive statistics, frequency distribution and graphs. Pearsons chi square tests were used to compare the two groups. The tests level of significance was set at 5%. Results showed that there was a significance difference between mentorship programmes in the two institutions ( χ 2= 17.02,  d.f=1 , p < 0.001)           . Fourty four (72%) of the students at K.E.M.U felt that the program had positive impact on students

KAGURE PROFKARANIANNE. "Ms Grace Gachuiri, Prof. Anna Karani, Dr Margaret Chege THE ROLE OF CLINICAL PLACEMENT ON KRCHN GRADUATES PERFORMANCE IN THE NCK REGISTRATION EXAMINATION.". In: Kenya Nursing Journal 1st.July 2010. Ms Grace Gachuiri, Prof. Anna Karani, Dr Margaret Chege; Submitted. Abstract

The study sought to establish the factors affecting the diploma graduates performance in the Nursing registration examination. Necessitated by poor performance recorded in recent years, this study was aimed at seeking to establish the reasons why. This was a descriptive study. Quantitative data was collected using self-administered semi structured questionnaires from 75 KRCHN graduates working at Kenyatta National Hospital. The study areas were purposively selected and the study subjects selected through simple random sampling. Qualitative data was collected using a study from lecturers

KAGURE PROFKARANIANNE. "Ms Grace Wangechi Gachuiri, Prof. Anna Karani, Dr Margaret Chege IMPACT OF STUDENTS AND TEACHER CHARACTERISTICS ON PERFORMANCE OF DIPLOMA NURSE GRADUATES.". In: Kenya Nursing Journal June, Vol. 39(1) 57-61. Ms Grace Wangechi Gachuiri, Prof. Anna Karani, Dr Margaret Chege; Submitted. Abstract

Necessitated by poor performance recorded in recent years, this descriptive study sought to establish the impact of students and teacher characteristics on performance in the Nursing registration examination. The study combined both qualitative and quantitative methods. Quantitative data was collected using self-administered semi structured questionnaires from 75 KRCHN graduates working at Kenyatta National Hospital. The study areas were purposively selected and the study subjects selected through simple random sampling. Qualitative data was collected using a study guide from lecturers

KYALE DRKISUMBIBERNINA, M DRWAKIAGAJOHN. "Mungai T.C. Kisumbi B.K Wakiaga J.M and Ireri S.K : Patients.". In: Journal of Dental Research. University of Nairobi Press; Submitted. Abstract
This study was done to determine the nature of utilization of dental auxiliaries and medical emergencies in private dental surgeries in Kenya. A self administering questionnaire with pre-paid postage was mailed to 138 dentists. 27.5% responded. 81.6% used dental auxiliaries and the main reason was to improve efficiency in managing patients. 93.5% of the auxiliaries were on job trained secondary school graduates. 63.2% of the respondents delegated duties which were mainly non-clinical. 26.3% did not delegate any duties. In a descending order, the reasons for non delegation were: that it would be risky to patients, not allowed by law, they did not find it necessary and that auxiliaries were not held responsible if something went wrong. The main duties delegated to the auxiliaries were cleaning of instruments and sterilization, mixing of restorative materials and preparing amalgam. Delegation was done primarily based on auxiliaries capability to perform the procedure and meet the set standards. 57.9% indicated that they rarely encountered medical emergencies. Syncope was the commonest emergency encountered. 72.7% indicated that auxiliaries could not handle medical emergencies because they were not trained. It is concluded that most dentists did not delegate clinical duties to dental auxiliaries and medical emergencies were rare.
KYALE DRKISUMBIBERNINA. "Mutave R.J. and Kisumbi B.K: Attitude of urban Kenyan population towards replacement of teeth. Preliminary findings. Journal of Dental Research.". In: Journal of Dental Research. Taylor & Francis; Submitted. Abstract
OBJECTIVES: The aim was to study dimensional time-dependence of resin/ionomer formulations from 5 min age to one month and to separate out the intrinsic setting shrinkage and hygroscopic expansion effects, by using non-aqueous and aqueous storage media, respectively. METHODS: Materials studied included: A: resin-, B: metal- and C: polyphosphonate-modified glass-ionomer cements [GICs]; and controls of D: poly-acid modified composite [compomer]; and E: resin-composite. Separate specimen groups (n = 5) were stored in different storage-media: (i) silicone fluid; (ii) de-ionized water. Experiments were repeated at 23 and 37 degrees C. Volumetric changes of specimens (4 mm diameter x 6 mm height) were obtained via accurate mass measurements (to 10(-4) g), using Archimedes principle, with silicone or water also used as the Archimedean fluid. These measurements were made periodically over a 30 day period, post fabrication. RESULTS: In silicone at 23 degrees C, all materials underwent further gradual intrinsic shrinkage (after 5 min from mix). This was highly significant (p < 0.05) for the RM-GIC (A). At 37 degrees C, however the RM-GIC expanded, indicating that its cure is temperature-sensitive. In water, at 23 and 37 degrees C, the shrinkage was either partially offset (materials C, D, E), or replaced by appreciable expansions (materials A and B). Differences between RM-GIC (A) and MM-GIC (B) were significant (p < 0.05). SIGNIFICANCE: The deployment of dual storage media made an important contribution to the separate analysis of the volumetric changes due to the on-going setting chemistry in these systems and the time-dependent effects of an aqueous environment.
KAGURE PROFKARANIANNE. "NURSE.". In: Annual Scientific Conference on 5th-7th Oct. 2011 at Kagumo Teachers College - Nyeri, Kenya. National Nurses Association of Kenya; Submitted. Abstract

 Prof. Anna Karani on - Authentic Leadership focus on impact of integrity so that leadership is better prepared to face the toughest challenges, inspire transparency and trust. It requires building in mind the customers served. Behaviour change is essential for long term growth and it avoids peripheral vision. Focused leadership identifies the missing link, addresses priority issues and information that is accurate, complete, economical, flexible, reliable, simple, timely, and verifiable. Nurses have a purpose, a destiny and need to accomplish things. They are trained to make a difference in peoples

KAGURE PROFKARANIANNE. "Nyangena, E., Mutema, A. & Karani, A. Evaluation of clinical training in nursing in Kenya.". In: Baraton Interdisciplinary Research Journal - Dec. 2011 1(2) 22-30. Baraton Interdisciplinary Research Journal; Submitted. Abstract

 The  research evaluated clinical training provided by the academic institutions that offer Bachelor of Science in Nursing (BScN) program. The purpose of the study was to describe the adequacy of clinical training and the graduates preparedness for nursing practice. The study was conducted from Sept. 2008 to March 2010. Design was cross sectional using questionnaires and focus group interviews (FGI) methods to collect data. The sample comprised of 232 subjects including pre-service BScN graduates and nursing supervisors at four teaching and referral hospitals in Kenya. Results revealed that clinical training provided by academic institutions was adequate but quality of training varied widely among the training institutions. The conclusion was that clinical training provided by BScN programs in Kenya was of high quality. The study recommends that urgent attention was required by nurse educators to address identified gaps in clinical training especially clinical instruction and supervision.   

KIRETI DRVICTORN. "Osgood Schlatter disease: An Audit Profile of 35 Adolescents.". In: The Annals of African Surgery Volume 6 . Kireti VM, Atinga JEO; Submitted. Abstract
BackgroundOsgood-Schlatter disease is a common cause of anterior knee pain inthe adolescent. Treatment is usually conservative with surgery reservedfor those who do not respond to this treatment. There is little publishedwork regarding the experience with the disease in our local set up. This series documents the experience with 35 adolescents treated for the disease.DesignCase seriesSubjectsThirty five adolescents with clinical and radiological diagnoses ofOsgood-Schlatter disease at Nairobi and Kenyatta National Hospitals,between 2001and 2007.MethodPatients were evaluated for demographics, knee involvement, activitiesassociated with pain and treatment outcomeResultsThere were 28 males and 7 females, aged 10 to 16 years (mean 12.8years). Thirteen had bilateral knee involvement. Twenty two were involved in active sports while the rest had constant pain and unable to sit or kneel. A family history of the disease was documented in one case.Thirty adolescents responded well to the conservative treatment. Inthe five adolescents who underwent surgery, the patella tendon wasedematous with thickening of the tendon sheath and neovascularisation.All the operated adolescents returned to active sports with 6 weeks after the surgery.ConclusionOsgood-Schlatter disease is a self-limiting condition in majority ofadolescents. Surgery when indicated has an excellent outcome.
KAGURE PROFKARANIANNE. "Prof. Anna K. Karani ; Stephen Kainga; Prof. Simon Kangethe; Diana Mwarania - PERCEPTION OF BACHELOR OF SCIENCE IN NURSING (BScN) ON THEIR ROLE ON NURSING IN A HOSPITAL SETTING.". In: KNJ Dec. 2011; vol.41:2. 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

KAGURE PROFKARANIANNE. "Prof. Anna K. Karani RE - DISCOVERING THE CHRISTIAN NURSE.". In: Kenya Nursing Journal 1st.July 2010. Prof. Anna K. Karani; Submitted. Abstract

The old nurse was there during the colonial  era. They were trained mainly by missionaries who were Christians. Therefore, they had the discipline and the Christian foundation principles. The joy of a Christian institution like Kijabe is that it still has that foundation. So all is not lost. We have to make sure that the lost PASSION, LOVE & CARE are back in the nursing profession. We have to restore that passion. That idea or feeling

KAGURE PROFKARANIANNE. "Prof. Anna Karani Facing Today.". In: Paper presented at Safari Park Hotel STTI Conference on 3rd July, 2010. Prof. Anna K. Karani; Submitted. Abstract

A leader is one who has the  Vision to see, Faith to believe, Will to learn, Humility to serve, Courage to do, Resilience to rise up in times of knock downs. What  is leadership? The ability to get things done through people.  What challenges have you encountered in leadership as you work? How have you overcome these challenges? What sets you apart from everybody else? What is it that you do differently from the nurse of to-day? It is your leadership. The way you do things for the community you serve. The commitment to serve selflessly. The way you are disciplined. It is not just money.  We all want to learn how to become more effective leaders in providing health care to the  community. We have to prepare for many challenges with the advanced technology, rapid development, and fast changing health systems, emerging diseases, rising poverty, hard economic times, changing social systems, Education , political , environment, climate among many others that affect the communities we serve. Facing Today

KAGURE PROFKARANIANNE. "Prof. Anna karani, Prof. Simon Kangethe, Mr. Johannes Njagi, Njoka ,Media Resources in Medical Education: Critical issues and factors to consider in instructional media development in the training of health professionals.". In: African Journal of Midwifery and Womens. Prof. Anna karani, Prof. Simon Kangethe & Johannes Njagi Njoka; Submitted. Abstract

 Media resources are critical component in teaching and learning process. Studies indicate that media resources provide the substitute for direct learning experiences during instruction and enable educators to present the learners with the requisite experience necessary for the acquisition of appropriate knowledge, skills and attitudes.The researchers set out to explore the philosophical, psychological and educational basis that provides guidelines on the development of media resources in the effective education and training of health professionals. Methodology was a historical critique of information from books, journals,magazines and internet on media resources in Medical education.  The findings indicate that the process of media resources development and administration is highly creative venture according to Mason (1977).plan, prepare, present, preview and follow up activities after use of equipment. Therefore educators must be able to demonstrate these issues when developing and administering them. 

KAGURE PROFKARANIANNE. "Prof. Karani Anna : NURSE.". In: Annual Scientific Conference of National Nurses Association of Kenya on 5th - 7th October, 2011 at Kagumo Teachers College in Nyeri, Kenya. National Nurses Association of Kenya; Submitted. Abstract

Authentic Leadership focus on impact of integrity so that leadership is better prepared to face the toughest challenges, inspire transparency and trust. It requires building in mind the customers served. Behaviour change is essential for long term growth and it avoids peripheral vision. Focused leadership identifies the missing link, addresses priority issues and information that is accurate, complete, economical, flexible, reliable, simple, timely, and verifiable. Nurses have a purpose, a destiny and need to accomplish things. They are trained to make a difference in peoples

MWANIA MJM, GATARI MJ, MAINA MDM, KINYUA R. "Recycled waste plastics composite: Possible construction material for wind turbine blades." promitheasnet.kepa.uoa.gr. Submitted. AbstractWebsite

Electrical power supply in Sub Saharan Africa (SSA) is expensive and very low, and most families have no chance of accessing clean lighting and cooking power. Off grid systems are the best viable solution in SSA and wind energy has a potential. However, the components …

KAGURE PROFKARANIANNE. "ROLES OF MEDICAL EDUCATORS IN THE ADVANCEMENT OF HEALTH PROFESSIONS .". In: Kenya Nursing Journal - KNJ Vol. 41(2) 65-67. Impress Communications; Submitted. Abstract

Health care professionals are absorbed daily in the practices of their professional areas of specialization. Medical Educators,  spend their time catering to the educational needs of all health care professionals, whatever their specialization. A recent area of concern in the medical education curricula has been the inclusion of the topic

KAGURE PROFKARANIANNE. "S. Kangethe, A. Karani, J. Njagi, E Kamaara, C, Syallow, J.M. Ole Kiu, Mengich, Gladys. ROLES OF MEDICAL EDUCATORS IN THE ADVANCEMENT OF HEALTH PROFESSIONS .". In: KNJ Dec. 2011; vol.41:2. Impress Communications; Submitted. Abstract

Health care professionals are absorbed daily in the practices of their professional areas of specialization. Pediatricians, for example spend most of their time catering to the needs of children, while nurses, pharmacists and dentists in their own areas. Medical Educators, however, spend their time catering to the educational needs of all health care professionals, whatever their specialization. A recent area of concern in the medical education curricula has been the inclusion of the topic

KAGURE PROFKARANIANNE. "S. Kangethe, A. Karani, J. Njagi, E Kamaara, C, Syallow, J.M. Ole Kiu, Mengich, Gladys. ROLES OF MEDICAL EDUCATORS IN THE ADVANCEMENT OF HEALTH PROFESSIONS .". In: KNJ Dec. 2011; vol.41:2. Impress Communications; Submitted. Abstract

Health care professionals are absorbed daily in the practices of their professional areas of specialization. Pediatricians, for example spend most of their time catering to the needs of children, while nurses, pharmacists and dentists in their own areas. Medical Educators, however, spend their time catering to the educational needs of all health care professionals, whatever their specialization. A recent area of concern in the medical education curricula has been the inclusion of the topic

MUTUKU DRNZIMBIBERNARD, KIBET DRMOINDISTEPHEN, P PROFPOKHARIYALGANESH. "Stephen Moindi Kibet, G.P. Pokhariyal and B.M. Nzimbi, W_2-Recurrent LP-Sasakian manifold, Universal Journal of Mathematics and Mathematical Sciences(UMMS) accepted in May 2012. Paper under review.". In: E.A.M. J. 58: 401-404, 1981. Universal Journal of Mathematics and Mathematical Sciences(UMMS); Submitted. Abstract
Aminoglutethimide (AG) 500 mg was administered orally to four normal volunteers and eight patients undergoing treatment for metastatic breast cancer. In each subject the acetylator phenotype was established from the monoacetyldapsone (MADDS)/dapsone (DDS) ratio. Acetylaminoglutethimide (acetylAG) rapidly appeared in the plasma and its disposition paralleled that of AG. A close relationship (P less than 0.01) was observed between the acetyl AG/AG and MADDS/DDS ratio suggesting that AG may undergo polymorphic acetylation like DDS. AG half-life was 19.5 +/- 7.7 h in seven fast acetylators of DDS and 12.6 +/- 2.3 h in five slow acetylators and its apparent metabolic clearance was significantly (P less than 0.01) related to the acetylAG/AG ratio. Over 48 h the fast acetylators excreted 7.7 +/- 4.4% of the administered AG dose in the urine as unchanged AG as compared to 12.4 +/- 2.8% in slow acetylators. A much smaller fraction of the dose was excreted as acetylAG: 3.6 +/- 1.5% by fast and 1.9 +/- 1.0% by slow acetylators respectively. After 7 days treatment with AG at an accepted clinical dose regimen to the eight patients there were significant reductions in the half-lives of AG (P less than 0.01) and acetylAG (P less than 0.01) and a trend (0.1 greater than P greater than 0.05) towards reduction of the acetylAG/AG ratio which became significant (P less than 0.05) if the one patient on a known enzyme inducer was omitted. The mean apparent volume of distribution was not significantly (P greater than 0.1) altered but the mean apparent systemic clearance of AG was increased (P less than 0.05). These changes are attributed to auto-induction of oxidative enzymes involved in AG metabolism.
MUTUKU DRNZIMBIBERNARD, KIBET DRMOINDISTEPHEN, P PROFPOKHARIYALGANESH. "Stephen Moindi Kibet, G.P. Pokhariyal and B.M. Nzimbi, W_2-Recurrent LP-Sasakian manifold, Universal Journal of Mathematics and Mathematical Sciences(UMMS) accepted in May 2012. Paper under review.". In: Asynchronous Content Development Workshop,Kenya Wildlife Service Training Institute, Naivasha, Kenya,31st March 2004. Universal Journal of Mathematics and Mathematical Sciences(UMMS); Submitted.
ASIAGO DORCAH, GATHII ALICE, Ngesu LM, Gunga SO, Gakuru A, Kahigi C, Nyaga VK, Oundo MB, Kamoyo JM, ADEGBORO JS, others. "TEACHERS’PERCEPTIONS OF PERFORMANCE APPRAISAL PRACTICES IN PUBLIC SECONDARY SCHOOLS IN LIMURU DISTRICT.". Submitted. Abstract
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Mutua M, Kinuthia W, Otieno NE, Muriuki JM, Lange CN, Muchai M, Ingrisch S, Oyieke H, Lampe KH. "Type specimen of the insect order Coleoptera in the scientific collection of the National Museums of Kenya, Nairobi.". Submitted. Abstract
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KAGURE PROFKARANIANNE. "Utrasound findings; Their Importance and their Nursing and Medical Education Implication- The Case of Ectopic Pregnancies.". In: Kenya Nursing Journal, 38 (1) 55-59. Dr. Onditi Elias G.D, Prof. Anna K. Karani & Prof. Simon Kangethe; Submitted. Abstract

Background: Utrasound  technology continues advancing in techniques and diagnosis. It remains a field of specialists where nurses and other health workers are uneducated on it. Objectives: Determine pattern of ultrasound findings in ectopic pregnancy, involvement of nursing staff, determine medical education implications.Design: Retrospective, prospective and on-going study over 8 year period. Focus group discussions with nursing and medical education analysts. Setting: Memorial Hospital Eldoret, Kenya.Participants - 81 patients with ectopic pregnancy diagnosed by ultrasound.Results: Age range 19-39 years - 34.6% Unruptured ectopic pregnancy - 44.5%, Ruptured 43.2%, chronic leaking 2.3%.Conclusion: Ultrasound aids diagnosis and can grade type of pregnancy. Need to demystify science to nurses, clinical officers and other health workers.Recommendation: Medical education to include ultrasound to existing curriculaspecifying roles by health workers. Use participatory teaching methods for ultrasound technology. 

KYALE DRKISUMBIBERNINA, M DRWAKIAGAJOHN. "Wakiaga J.M and Kisumbi B.K: In-vitro colour changes of resin composites in beverages. Journal of Dental Research.". In: Journal of Dental Research. University of Nairobi Press; Submitted. Abstract
This study was done to determine the nature of utilization of dental auxiliaries and medical emergencies in private dental surgeries in Kenya. A self administering questionnaire with pre-paid postage was mailed to 138 dentists. 27.5% responded. 81.6% used dental auxiliaries and the main reason was to improve efficiency in managing patients. 93.5% of the auxiliaries were on job trained secondary school graduates. 63.2% of the respondents delegated duties which were mainly non-clinical. 26.3% did not delegate any duties. In a descending order, the reasons for non delegation were: that it would be risky to patients, not allowed by law, they did not find it necessary and that auxiliaries were not held responsible if something went wrong. The main duties delegated to the auxiliaries were cleaning of instruments and sterilization, mixing of restorative materials and preparing amalgam. Delegation was done primarily based on auxiliaries capability to perform the procedure and meet the set standards. 57.9% indicated that they rarely encountered medical emergencies. Syncope was the commonest emergency encountered. 72.7% indicated that auxiliaries could not handle medical emergencies because they were not trained. It is concluded that most dentists did not delegate clinical duties to dental auxiliaries and medical emergencies were rare.
KYALE DRKISUMBIBERNINA, M DRWAKIAGAJOHN. "Wakiaga J.M., Maina S.W., Kisumbi B.K. : Incidence of the second Canal in the upper Second Premolar. (Journal of Dental Research).". In: Journal of Dental Research. Taylor & Francis; Submitted. Abstract
OBJECTIVES: The aim was to study dimensional time-dependence of resin/ionomer formulations from 5 min age to one month and to separate out the intrinsic setting shrinkage and hygroscopic expansion effects, by using non-aqueous and aqueous storage media, respectively. METHODS: Materials studied included: A: resin-, B: metal- and C: polyphosphonate-modified glass-ionomer cements [GICs]; and controls of D: poly-acid modified composite [compomer]; and E: resin-composite. Separate specimen groups (n = 5) were stored in different storage-media: (i) silicone fluid; (ii) de-ionized water. Experiments were repeated at 23 and 37 degrees C. Volumetric changes of specimens (4 mm diameter x 6 mm height) were obtained via accurate mass measurements (to 10(-4) g), using Archimedes principle, with silicone or water also used as the Archimedean fluid. These measurements were made periodically over a 30 day period, post fabrication. RESULTS: In silicone at 23 degrees C, all materials underwent further gradual intrinsic shrinkage (after 5 min from mix). This was highly significant (p < 0.05) for the RM-GIC (A). At 37 degrees C, however the RM-GIC expanded, indicating that its cure is temperature-sensitive. In water, at 23 and 37 degrees C, the shrinkage was either partially offset (materials C, D, E), or replaced by appreciable expansions (materials A and B). Differences between RM-GIC (A) and MM-GIC (B) were significant (p < 0.05). SIGNIFICANCE: The deployment of dual storage media made an important contribution to the separate analysis of the volumetric changes due to the on-going setting chemistry in these systems and the time-dependent effects of an aqueous environment.
KYALE DRKISUMBIBERNINA, M DRWAKIAGAJOHN. "Wakiaga J.M., Maina S.W., Kisumbi B.K. : Incidence of the second Canal in the upper Second Premolar. (Journal of Dental Research).". In: Journal of Dental Research. University of Nairobi Press; Submitted. Abstract
This study was done to determine the nature of utilization of dental auxiliaries and medical emergencies in private dental surgeries in Kenya. A self administering questionnaire with pre-paid postage was mailed to 138 dentists. 27.5% responded. 81.6% used dental auxiliaries and the main reason was to improve efficiency in managing patients. 93.5% of the auxiliaries were on job trained secondary school graduates. 63.2% of the respondents delegated duties which were mainly non-clinical. 26.3% did not delegate any duties. In a descending order, the reasons for non delegation were: that it would be risky to patients, not allowed by law, they did not find it necessary and that auxiliaries were not held responsible if something went wrong. The main duties delegated to the auxiliaries were cleaning of instruments and sterilization, mixing of restorative materials and preparing amalgam. Delegation was done primarily based on auxiliaries capability to perform the procedure and meet the set standards. 57.9% indicated that they rarely encountered medical emergencies. Syncope was the commonest emergency encountered. 72.7% indicated that auxiliaries could not handle medical emergencies because they were not trained. It is concluded that most dentists did not delegate clinical duties to dental auxiliaries and medical emergencies were rare.
In Press
S. Z, G. C, I. V, G. B, D.M. H, K.M. M, J.R. B. "Adaptive radiation of the endemic Alcolapia cichlids of the East African soda lakes: genetic and morphological perspectives." Journal of Evolutionary Biology. In Press.
Etenyi JO, Okalebo FA, S.A. Opanga, K. A. Sinei, Osanjo GO, Kurdi A, Goodman B. Comparison of zidovudine and tenofovir based regimens with regard to quality of life and prevalence of syptoms in HIV patients in Kenya. Prague; In Press.
Kyule MD, Oyamo M. "Cultural resource management in Kenya: a case for legislation review.". In: Kenya from Independence to early 21st century. Nairobi: Nairobi University Press; In Press. Abstract

This paper builds a case for a reconsideration of Kenya’s legislation that relates to cultural and societal heritage resources management by briefly revisiting the circumstances that informed the enactment of the related laws. We present the view that existing legislation has tended to serve corporate, multinational and foreign interests at the expense of local and national interests, and that although these Acts may have somewhat served the country in the past, the legislations have turned the cultural heritage management in Kenya into a lame duck framework of abstractions of policy matters, that are irrelevant and unresponsive to changing local and international circumstances. We highlight contradictions between and within varied Acts, and offer suggestions for remedy that are geared toward the development of a cultural management policy with local ownership and universal compatibility.

Kemoli AM. "Dilemma of managing multi-surface dental caries in the primary dentition using the atraumatic restorative treatment: renaissance or dimming hope." East Afr Med J . In Press. Abstract

Background: Alot of research work has been carried out to determine the effectiveness of using atraumatic restorative treatment (ART) in the management of dental caries, but there are still unresolved issues surrounding the use of the technique particularly in very large carious lesions.
Objective: To determine the current survival rates of multi-surface ARTrestorations placed in the primary dentition and any consequences to the restored tooth after premature loss of the restoration.
Study selection: Using a set of specific key words, a Pubmed/Medline search was carried out to retrieve all publications on ARTrestorations placed in primary teeth in the period January 2000 to December 2011. Only publications whose studies had multi-surface ARTrestorations as an item of study were retrieved and relevant data extracted.
Data synthesis: Twelve studies contained in 12 publications fulfilled the selection criteria and were included in the study. The selected publications were analysed by the author to establish the study follow-up period and the survival rate of the multi-surface ARTrestorations for the different follow-up periods. Further information was adduced on any other effects of restoration on the tooth after premature loss of the restoration.
Results: The search findings indicated that the survival rate for most of the multi-surface restorations were generally very low. Further, there were indications that even after the premature loss of the ARTrestorations, most of the affected teeth survived for the period of the study with a number of them having shown no signs of secondary caries or associated dental abscessees.
Conclusion: While the survival rates of multi-surface ARTrestorations in the studies documenetd in the review were low, the ART restorations appeared to provide some beneficial effects to the retention-longevity of the restored tooth even after their premature loss.

KIPKEMOI DRTOWETPHILEMON. "Maloiy, G.M.O., Rowe, M.F., Towett, P.K. and Kanui, T.I. Temperature regulation and evaporative water loss in the bat-eared fox (Otocyion megalotis). J. Zoology, London (in press).". In Press. AbstractWebsite

Samples of burnt clay from kilns in various parts of the country were tested for their cementatious qualities and found to have high silica contents.Results showed that additing upto 40% of the cly to portland cement produced good binders for mass concre and plaster work,particularly for low cost housing.

Nzimbi BM, Kiratu BN, Sitati IN, Kipkemoi ST. "Remarks on the Murray-von Neumann equivalence of projections." International Journal of Pure and Applied Mathematics(IJPMAS)-accepted June 6, 2016. In Press.
Njau DG, Muge EK, Kinyanjui PW, Omwandho COA, Mukhwana S. "STR analysis of human DNA from maggots fed on decomposing bodies: Assessment of the time period for successful analysis." Egyptian Journal of Forensic Sciences. In Press.
MUTUKU DRNZIMBIBERNARD, KIBET DRMOINDISTEPHEN, P PROFPOKHARIYALGANESH. "W_4-Curvature tensor on a A-Einstein Sasakian manifold." Global Journal of Theoretical and Applied Mathematical Sciences(GJTAMS). In Press. Abstract

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2020
Naidoo K, Kempen JH, Gichuhi S, Braithwaite T, Casson RJ, Cicinelli MV, Das A, Flaxman SR, Jonas JB, Keeffe JE, Leasher J, Limburg H, Pesudovs K, Resnikoff S, Silvester AJ, Tahhan N, Taylor HR, Wong TY, Bourne RRA. "Prevalence and causes of vision loss in sub-Saharan Africa in 2015: magnitude, temporal trends and projections." Br J Ophthalmol. 2020. AbstractWebsite

Background: This study aimed to assess the prevalence and causes of vision loss in sub-Saharan Africa (SSA) in 2015, compared with prior years, and to estimate expected values for 2020.

Methods: A systematic review and meta-analysis assessed the prevalence of blindness (presenting distance visual acuity <3/60 in the better eye), moderate and severe vision impairment (MSVI; presenting distance visual acuity <6/18 but ≥3/60) and mild vision impairment (MVI; presenting distance visual acuity <6/12 and ≥6/18), and also near vision impairment (

Arunga S, Kintoki GM, Mwesigye J, Ayebazibwe B, Onyango J, Bazira J, Newton R, Gichuhi S, Leck A, Macleod D, Hu VH, Burton MJ. "Epidemiology of Microbial Keratitis in Uganda: A Cohort Study." Ophthalmic Epidemiol. 2020;27(2):121-131. AbstractWebsite

: To describe the epidemiology of Microbial Keratitis (MK) in Uganda.: We prospectively recruited patients presenting with MK at two main eye units in Southern Uganda between December 2016 and March 2018. We collected information on clinical history and presentation, microbiology and 3-month outcomes. Poor vision was defined as vision < 6/60).: 313 individuals were enrolled. Median age was 47 years (range 18-96) and 174 (56%) were male. Median presentation time was 17 days from onset (IQR 8-32). Trauma was reported by 29% and use of Traditional Eye Medicine by 60%. Majority presented with severe infections (median infiltrate size 5.2 mm); 47% were blind in the affected eye (vision < 3/60). Microbiology was available from 270 cases: 62% were fungal, 7% mixed (bacterial and fungal), 7% bacterial and 24% no organism detected. At 3 months, 30% of the participants were blind in the affected eye, while 9% had lost their eye from the infection. Delayed presentation (overall = .007) and prior use of Traditional Eye Medicine (aOR 1.58 [95% CI 1.04-2.42], = .033) were responsible for poor presentation. Predictors of poor vision at 3 months were: baseline vision (aOR 2.98 [95%CI 2.12-4.19], < .0001), infiltrate size (aOR 1.19 [95%CI 1.03-1.36], < .020) and perforation at presentation (aOR 9.93 [95% CI 3.70-26.6], < .0001).: The most important outcome predictor was the state of the eye at presentation, facilitated by prior use of Traditional Eye Medicine and delayed presentation. In order to improve outcomes, we need effective early interventions.

Mwangi N, Bascaran C, Ng'ang'a M, Ramke J, Kipturgo M, Gichuhi S, Kim M, Macleod D, Moorman C, Muraguri D, Gakuo E, Muthami L, Foster A. "Feasibility of a cluster randomized controlled trial on the effectiveness of peer-led health education interventions to increase uptake of retinal examination for diabetic retinopathy in Kirinyaga, Kenya: a pilot trial." Pilot Feasibility Stud. 2020;6:102. AbstractWebsite

Background: People living with diabetes can reduce their risk of vision loss from diabetic retinopathy by attending screening, which enables early detection and timely treatment. The aim of this pilot trial was to assess the feasibility of a full-scale cluster randomized controlled trial of an intervention to increase uptake of retinal examination in this population, as delivered within existing community-based diabetes support groups (DSGs).

Methods: All 16 DSGs in Kirinyaga county were invited to participate in the study. The first two groups recruited took part in the pilot trial. DSG members who met the eligibility criteria were recruited before the groups that were randomized to the two arms. In the intervention group, two peer educators were trained to deliver monthly DSG-based eye health education and individual telephone reminders to attend screening. The control group continued with usual DSG practice which is monthly meetings without eye health education. The recruitment team and outcome assessors were masked to the allocation. We documented the study processes to ascertain the feasibility, acceptability, and potential effectiveness of the intervention. Feasibility was assessed in terms of clarity of study procedures, recruitment and retention rates, level of acceptability, and rates of uptake of eye examination. We set the target feasibility criteria for continuation to the main study to be recruitment of 50 participants in the trial, 80% monthly follow-up rates for individuals, and no attrition of clusters.

Results: Of the 122 DSG members who were assessed for eligibility, 104 were recruited and followed up: 51 (intervention) and 53 (control) arm. The study procedures were well understood and easy to apply. We learnt the DSG meeting days were the best opportunities for recruitment. The study had a high acceptance rate (100% for clusters, 95% for participants) and high follow-up and retention rate (100% of those recruited). All clusters and participants were analysed. We observed that the rate of incidence of eye exam was about 6 times higher in the intervention arm as compared to the control arm. No adverse unexpected events were reported in either arm.

Conclusions: The study is feasible and acceptable in the study population. The results support the development of a full-scale cluster RCT, as the success criteria for the pilot were met.

Mwangi N, Bascaran C, Ramke J, Kipturgo M, Kim M, Ng'ang'a M, Gichuhi S, Mutie D, Moorman C, Muthami L, Foster A. "Peer-support to increase uptake of screening for diabetic retinopathy: process evaluation of the DURE cluster randomized trial." Trop Med Health. 2020;48:1. AbstractWebsite

Background: There is limited evidence on how implementation of peer support interventions influences effectiveness, particularly for individuals with diabetes. We conducted a cluster randomized controlled trial to compare the effectiveness of a peer-led health education package versus usual care to increase uptake of screening for diabetic retinopathy (DR).

Methods: Our process evaluation used a mixed-method design to investigate the recruitment and retention, reach, dose, fidelity, acceptability, and context of implementation, and was guided by the Consolidated Framework for Implementation Research (CFIR). We reviewed trial documents, conducted semi-structured interviews with key informants (n = 10) and conducted four focus group discussions with participants in both arms of the trial. Three analysts undertook CFIR theory-driven content analysis of the qualitative data. Quantitative data was analyzed to provide descriptive statistics relevant to the objectives of the process evaluation.

Results: The trial had positive implementation outcomes, 100% retention of clusters and 96% retention for participants, 83% adherence to delivery of content of group talks (fidelity), and 78% attendance (reach) to at least 50% (3/6) of the group talks (dose). The data revealed that intervention characteristics, outer setting, inner setting, individual characteristics, and process (all the constructs of CFIR) influenced the implementation. There were more facilitators than barriers to the implementation. Facilitators included the relative advantage of the intervention compared with current practice (intervention characteristics); awareness of the growing prioritization of diabetes in the national health policy framework (outer setting); tension for change due to the realization of the vulnerability to vision loss from DR (inner setting); a strong collective sense of accountability of peer supporters to implement the intervention (individual characteristics); and regular feedback on the progress with implementation (process). Potential barriers included the need to queue at the eye clinic (intervention characteristic), travel inconveniences (inner setting), and socio-political disruption (outer setting).

Conclusions: The intervention was implemented with high retention, reach, fidelity, and dose. The CFIR provided a valuable framework for evaluating contextual factors that influenced implementation and helped to understand what adaptations may be needed during scale up.

Muia BM, Mbaria JM, Kanja LW, Gitahi N, Okumu PO, Okumu MO. "Acute and sub-acute toxicity study of the root extracts of Fagaropsis hildebrandtii in mice and evaluation of their antimicrobial effects." F1000Research,. 2020;8(1444).
Obiero K, Lawrence T, Ives J, Smith S, Njaya F, Kayanda R, Waidbacher H, Olago D, Miriti E, Hecky RE. "Advancing Africa’s great lakes research and academic potential: Answering the call for harmonized, long-term, collaborative networks and partnerships." Journal of Great Lakes Research. 2020. Abstractdio.org

Abstract
The African Great Lakes (AGL) have rich fisheries and are renowned “biodiversity hotspots”. Consequently the AGLand the ecosystem services they provide, underpin the welfare and livelihoods of over 50 million people across 10 countries. Despite the recognized importance of the AGL, these vital ecosystems and their livelihood support systems are threatened by numerous anthropogenic stressors at local, regional, and global scales. Past and continued efforts to address critical challenges on these lakes are often short-term, parochial, disparate, and uncoordinated resulting in a lack of comprehensive and comparable scientific data and inadequate resources to influence evidence-based policy. Over the past two decades, several international workshops, conferences and scientific publications have identified the need for collaboration, knowledge sharing, and harmonization of research and management as key elements to enhance conservation efforts in the AGL. In this commentary, we introduce the African Center for Aquatic Research and Education (ACARE), which aims to strengthen research and provide the scientific evidence needed to make informed decisions related to sustainable fisheries and aquatic resource management in the AGL. To do this, ACARE will administer a highly collaborative network of experts with three long-term goals: (1) strengthen global and regional research partnerships; (2) establish transboundary and inter-jurisdictional lake advisory groups; and (3) build capacity of freshwater scientists through experiential education and public engagement.

Keywords
African Great Lakes Collaborative networks Transboundary lake advisory groups, educationResearch partnerships

Nunow A, Nzioka JM, Kinama JM. "Analysis of gender parity in climate change adaptation actions within Kajiado and Kiambu counties, Kenya." East African Journal of Science, Technology and Innovation. 2020;1(2).
Kaoga J, Olago D, Ouma G, Ouma G, Onono J. "Appraisal of Land Use Transformation using Remote Sensing in Kajiado County, Kenya." International Journal of Ecology and Environmental Sciences. 2020;46(2):177-186. Abstractenieindia.org

Kajiado County is predominantly inhabited by the Maasai nomadic pastoralists who rely on natural systems for their provisions and production needs. Traditionally, communal land management has been the norm in the area but that has evolved under the swift development context with the private holding of land becoming prevalent. The land-use transformation has curtailed the traditional seasonal movement of livestock and that has exposed the Maasai community to production risks which have contributed to the widespread food insecurity in the area. To address this gap, the study investigated land-use transformation in the area using Landsat 8, 4 and 5 datasets, where 1987, 2000 and 2015 epochs with a spatial resolution of 30*30m were sourced from www.glovis.usgs.org Remote sensing technology used to evaluate biophysical attributes showed changes in land-use patterns with the bare area, built-up area, cropland, forested land, grassland, riverine, shrubland, waterbody and wetland having undergone significant changes in their respective sizes. These land-use transformations have been compounded with the spread of invasive species to the point of threatening pastoralism. However, the successive governments have shown a marked disdain for resource use patterns. Thus, there is need for an all-inclusive land-use policies to inform adaptation and resilience planning in Kajiado County, Kenya.

Keywords

Natural Resource; Pastoralism; Biophysical Attributes, Land-Use Transformation; Remote Sensing; Masai Pastoralists

Kaoga J, Olago D, Ouma G, Ouma G, Onono J. "Appraisal of Land Use Transformation using Remote Sensing in Kajiado County, Kenya." International Journal of Ecology and Environmental Sciences. 2020;46(2):177-186. Abstractnieindia.org

Kajiado County is predominantly inhabited by the Maasai nomadic pastoralists who rely on natural systems for their provisions and production needs. Traditionally, communal land management has been the norm in the area but that has evolved under the swift development context with the private holding of land becoming prevalent. The land-use transformation has curtailed the traditional seasonal movement of livestock and that has exposed the Maasai community to production risks which have contributed to the widespread food insecurity in the area. To address this gap, the study investigated land-use transformation in the area using Landsat 8, 4 and 5 datasets, where 1987, 2000 and 2015 epochs with a spatial resolution of 30*30m were sourced from www.glovis.usgs.org Remote sensing technology used to evaluate biophysical attributes showed changes in land-use patterns with the bare area, built-up area, cropland, forested land, grassland, riverine, shrubland, waterbody and wetland having undergone significant changes in their respective sizes. These land-use transformations have been compounded with the spread of invasive species to the point of threatening pastoralism. However, the successive governments have shown a marked disdain for resource use patterns. Thus, there is need for an all-inclusive land-use policies to inform adaptation and resilience planning in Kajiado County, Kenya.

Keywords

Natural Resource; Pastoralism; Biophysical Attributes, Land-Use Transformation; Remote Sensing; Masai Pastoralists

S.Senda T, Lance W. Robinson, K.K.Gachene C, Kironchi G, Doyo J. "An assessment of the implications of alternative scales of communal land tenure formalization in pastoral systems." Land use Policy. 2020;94.
Chebet EB, Kibet JK, Mbui D. "The assessment of water quality in river Molo water basin, Kenya." Applied Water Science. 2020;10(4):1-10. AbstractApplied Water Science

Description
The monitoring of water quality for both domestic and commercial use is absolutely essential for policy formulation that affects both public and environmental health. This study investigates the quality of water of river Molo system which lies in the Kenyan Rift Valley. The river is considered a vital source of water for the residents and industrial activities in Nakuru and Baringo Counties. Six water samples were collected during the dry season of December 2017. Various physicochemical parameters were determined in situ by use of a portable pH meter. These parameters included pH, temperature, electrical conductivity and total dissolved solids (TDS). Anions such as fluorides, sulfates, phosphates, nitrates, chlorides, carbonates and bicarbonates were determined using conventional methods such as titrimetry and (ultra-violet visible) UV–Vis techniques. The cations including sodium, potassium, calcium and …
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OdongoMahacla, BeboraLillyCaroline, KagunyaDavid, KarabaW, MbuthisPG. Bacteriology and Mycology Handbook for Veterinary students.. Mauritius: LAP Lambert Academic Publishing; 2020.
Rop K, Mbui D, Karuku GN, Michira I, Njomo N. "Characterization of water hyacinth cellulose-g-poly (ammonium acrylate-co-acrylic acid)/nano-hydroxyapatite polymer hydrogel composite for potential agricultural application." Results in Chemistry. 2020;2:100020. AbstractResults in Chemistry

Description
Polymer nano-composite was prepared by grafting partially neutralized acrylic acid onto swollen cellulose isolated from water hyacinth in the presence of nano-hydroxyapatite (nano-HA) using N,N-methylene-bis-acrylamide (MBA) as the cross-linker and ammonium persulphate (APS) as the free radical initiator. Water absorption tests showed an increase in swelling ratio of the copolymer with increased nano-HA content to value of 120 g/g at 2.5% w/v above which it declined. FTIR spectrum of nano-composite revealed grafting of the monomer (acrylic acid/ammonium acrylate) onto cellulose and nano-HA. Transmission electron microscopy (TEM) images of nano-HA synthesized in the presence of Triton X-100 (non-ionic surfactant) displayed rod-shaped agglomerates and nano-particle dispersion within the copolymer matrix. Energy dispersive X-ray (EDX) spectra revealed the constituents of nano-composite to be …

Rop K, Mbui D, Karuku GN, Michira I, Njomo N. "Characterization of water hyacinth cellulose-g-poly (ammonium acrylate-co-acrylic acid)/nano-hydroxyapatite polymer hydrogel composite for potential agricultural application." Results in Chemistry. 2020;2:100020. AbstractResults in Chemistry

Description
Polymer nano-composite was prepared by grafting partially neutralized acrylic acid onto swollen cellulose isolated from water hyacinth in the presence of nano-hydroxyapatite (nano-HA) using N,N-methylene-bis-acrylamide (MBA) as the cross-linker and ammonium persulphate (APS) as the free radical initiator. Water absorption tests showed an increase in swelling ratio of the copolymer with increased nano-HA content to value of 120 g/g at 2.5% w/v above which it declined. FTIR spectrum of nano-composite revealed grafting of the monomer (acrylic acid/ammonium acrylate) onto cellulose and nano-HA. Transmission electron microscopy (TEM) images of nano-HA synthesized in the presence of Triton X-100 (non-ionic surfactant) displayed rod-shaped agglomerates and nano-particle dispersion within the copolymer matrix. Energy dispersive X-ray (EDX) spectra revealed the constituents of nano-composite to be …

Rop K, Mbui D, Karuku GN, Michira I, Njomo N. "Characterization of water hyacinth cellulose-g-poly (ammonium acrylate-co-acrylic acid)/nano-hydroxyapatite polymer hydrogel composite for potential agricultural application." Results in Chemistry. 2020;2:100020. AbstractResults in Chemistry

Description
Polymer nano-composite was prepared by grafting partially neutralized acrylic acid onto swollen cellulose isolated from water hyacinth in the presence of nano-hydroxyapatite (nano-HA) using N,N-methylene-bis-acrylamide (MBA) as the cross-linker and ammonium persulphate (APS) as the free radical initiator. Water absorption tests showed an increase in swelling ratio of the copolymer with increased nano-HA content to value of 120 g/g at 2.5% w/v above which it declined. FTIR spectrum of nano-composite revealed grafting of the monomer (acrylic acid/ammonium acrylate) onto cellulose and nano-HA. Transmission electron microscopy (TEM) images of nano-HA synthesized in the presence of Triton X-100 (non-ionic surfactant) displayed rod-shaped agglomerates and nano-particle dispersion within the copolymer matrix. Energy dispersive X-ray (EDX) spectra revealed the constituents of nano-composite to be …

Rop K, Mbui D, Karuku GN, Michira I, Njomo N. "Characterization of water hyacinth cellulose-g-poly (ammonium acrylate-co-acrylic acid)/nano-hydroxyapatite polymer hydrogel composite for potential agricultural application." Results in Chemistry. 2020;2:100020. AbstractResults in Chemistry

Description
Polymer nano-composite was prepared by grafting partially neutralized acrylic acid onto swollen cellulose isolated from water hyacinth in the presence of nano-hydroxyapatite (nano-HA) using N,N-methylene-bis-acrylamide (MBA) as the cross-linker and ammonium persulphate (APS) as the free radical initiator. Water absorption tests showed an increase in swelling ratio of the copolymer with increased nano-HA content to value of 120 g/g at 2.5% w/v above which it declined. FTIR spectrum of nano-composite revealed grafting of the monomer (acrylic acid/ammonium acrylate) onto cellulose and nano-HA. Transmission electron microscopy (TEM) images of nano-HA synthesized in the presence of Triton X-100 (non-ionic surfactant) displayed rod-shaped agglomerates and nano-particle dispersion within the copolymer matrix. Energy dispersive X-ray (EDX) spectra revealed the constituents of nano-composite to be …

Nyamweya NN, Kimani SN, Abuga KO. "Chewable Antacid Tablets: Are Disintegration Tests Relevant?" AAPS PharmSciTech . 2020;21:139. Abstract

A recently published FDA guidance on chewable tablets has addressed the quality attributes of this class of dosage forms. This study evaluated disintegration as a quality attribute for a number of commercially available chewable antacid tablets. Additionally, acid-neutralizing-capacity values were evaluated. A number of the products exhibited prolonged disintegration times—which were far longer than those of conventional immediate-release tablets. The mean disintegration times ranged from 6 to more than 60 min in distilled water and from 9 to over 60 min in 0.1 N HCl. The products with longer disintegration times had higher breaking force and tensile strength values. Despite the range in disintegration times, all products met the criteria for acid-neutralizing capacity. These results indicate a need for patients to be aware of the need to thoroughly chew antacid tablets upon administration. Given these considerations, disintegration testing would be a useful quality control test in evaluating these dosage forms as the implicit assumption by the manufacturer that patients will chew the product sufficiently may not be met in every case.

KURIA JOSEPHNGEIK, MOGOI DONALD, GACHUHI SAMUELGUCHU. "Co-infection by dimorphic fungi in tuberculosis patients in Kenya." International Journal of Mycobacteriology. 2020;9:116-120.
Richard N. Onwonga, Ruth C. Sitienei, Joyce J. Lelei, Kamoni P. "Complementary Effects of Legume Integration and Fertilizer application on Soil Moisture and Long-Term Carbon Stocks in Maize Systems of Kabete Sub-County, Kenya." Tropical and Subtropical Agroecosystems. 2020.
Gawriluk TR, Simkin J, Hacker CK, Kimani JM, Kiama SG, Ezenwa VO, Seifert AW. "Complex Tissue Regeneration in Mammals Is Associated With Reduced Inflammatory Cytokines and an Influx of T Cells." Front. Immunol.. 2020;11(1695):1-19.
Sola L, Levin NW, Johnson DW, Pecoits-Filho R, Aljubori HM, Chen Y, Claus S, Collins A, Cullis B, Feehally J, Harden PN, Hassan MH, Ibhais F, Kalantar-Zadeh K, Levin A, Saleh A, Schneditz D, Tchokhonelidze I, Kazancioglu RT, Twahir A, Walker R, Were AJO, Yu X, Finkelstein FO. "Development of a framework for minimum and optimal safety and quality standards for hemodialysis and peritoneal dialysis." Kidney International Supplements. 2020.
Brizuela V, Bonet M, Romero CLT, Abalos E, Baguiya A, Fawole B, Knight M, Lumbiganon P, Minkauskienė M, Nabhan A, Osman NB, Qureshi ZP, Souza JP. "Early evaluation of the ‘STOP SEPSIS!’ WHO Global Maternal Sepsis Awareness Campaign implemented for healthcare providers in 46 low, middle and high-income countries." British Medical Journal . 2020;10(5). AbstractWebsite

Objective To evaluate changes in awareness of maternal sepsis among healthcare providers resulting from the WHO Global Maternal Sepsis Study (GLOSS) awareness campaign.

Design Independent sample precampaign/postcampaign through online and paper-based surveys available for over 30 days before campaign roll-out (pre) and after study data collection (post). Descriptive statistics were used for campaign recognition and exposure, and odds ratio (OR) and percentage change were calculated for differences in awareness, adjusting for confounders using multivariate logistic regression.

Setting and participants Healthcare providers from 398 participating facilities in 46 low, middle and high-income countries.

Intervention An awareness campaign to accompany GLOSS launched 3 weeks prior to data collection and lasting the entire study period (28 November 2017 to 15 January 2018) and beyond.

Main outcome measures Campaign recognition and exposure, and changes in awareness.

Results A total of 2188 surveys were analysed: 1155 at baseline and 1033 at postcampaign. Most survey respondents found the campaign materials helpful (94%), that they helped increase awareness (90%) and that they helped motivate to act differently (88%). There were significant changes with regard to: not having heard of maternal sepsis (−63.4% change, pre-OR/post-OR 0.35, 95% CI 0.18 to 0.68) and perception of confidence in making the right decisions with regard to maternal sepsis identification and management (7.3% change, pre-OR/post-OR 1.44, 95% CI 1.01 to 2.06).

Conclusions Awareness raising campaigns can contribute to an increase in having heard of maternal sepsis and an increase in provider perception of confidence in making correct decisions. Offering the information to make accurate and timely decisions while promoting environments that enable self-confidence and support could improve maternal sepsis identification and management.

Mwangi M, Kituyi E, Ouma G. "Enhancing adoption of climate services through an innovation systems approach." Scientific African. 2020:e00445. Abstractdoi.org

Abstract
Recent years have marked the emergence of the innovation systems approach as a shift from the conventional linear models of technology transfer. Linear technology diffusion models hinder participatory approaches of local actors such as smallholder farmers and regards them as spectators in the development process, which impedes wide adoption of technology by the intended beneficiary. This article sought to understand the potential of the innovations systems approach as an incentive to enhance the adoption of climate services by smallholder farmers through regarding them and other relevant stakeholders as part of the process, fostering knowledge sharing and interactive learning. The methodology included stakeholder/actor identification, mapping of stakeholder linkages, capacity building and active involvement of stakeholders through the climate services process. The results showed that unlike the conventional linear knowledge delivery process, the innovation systems approach takes into consideration the complex processes that are highlighted by non-linear processes, feedback loops, and other complex interactions that occur among heterogeneous actors. As such in place of the linear knowledge delivery approach, a more systems approach is necessary to help mobilize science and technology such as climate services to deliver benefits, which has the potential to enhance access, salience, credibility, and legitimacy of the scientific information.

Keywords
Innovation systems approach; Climate services; Stakeholder linkages; Adoption

Bohlin-Nizzetto P, Melymuk L, B.White K, Kalina J, Madadi VO, SamAdu-Kumi, Prokeš R, Přibylová P, Klánová J. "Field- and model-based calibration of polyurethane foam passive air samplers in different climate regions highlights differences in sampler uptake performance." Atmospheric Environment. 2020;238(117742).
SM Mwendwa, Mbuvi JP, Kironchi G, Gachene CKK. "A geopedological approach to soil classification to characterize soils of Upper Kabete Campus Field, University of Nairobi, Kenya ." Tropical and Subtropical Agroecosystems. 2020.
SM Mwendwa, Mbuvi JP, Kironchi G, Gachene CKK. "A geopedological approach to soil classification to characterize soils of Upper Kabete Campus Field, University of Nairobi, Kenya ." Tropical and Subtropical Agroecosystems. 2020.
Tanui F, Olago D, Dulo SI, Ouma G, Kuria Z. "Hydrogeochemistry of a strategic alluvial aquifer system in a semi-arid setting and its implications for potable urban water supply: The Lodwar Alluvial Aquifer System (LAAS)." Groundwater for Sustainable Development. 2020;11:100451. Abstractdio.org

Lodwar Municipality is one of the fastest-growing urban areas of Sub-Saharan Africa that depends mainly on groundwater for its municipal water supply. Most of the groundwater sources are located within the riparian zones of the Turkwel River. With limited understanding of its aquifers, the groundwater of Lodwar may be at risk of natural processes and anthropogenic activities. Statistical techniques and geochemical methods were applied to determine the aquifer hydrogeochemistry. Three distinct aquifers, which we collectively refer to as the Lodwar Alluvial Aquifer System, underlie Lodwar and its environs, the shallow alluvial, intermediate, and deep aquifers which are the main source of fresh water. A fourth, the shallow aquifer of the Turkana grit, is highly saline and with fluoride contamination. Just as the Turkwel River, the shallow alluvial aquifer (SAA) was dominated by Ca–HCO3 water type, while the TGSA was Na–Cl water type and became Na–HCO3 near the Holocene sediments. The intermediate aquifer (IA) was Na–HCO3water type. Pockets of Mg–HCO3 water occurred in the shallow alluvial and intermediate aquifers. The natural processes in the SAA include rock-water interaction, recharge by surface water, and oxidation reactions, while evaporation and dissolution are the major factors controlling the chemistry of the TGSA. Ion exchange, dilution, and dissolution are the major processes in the IA. Elevated levels of NO3− and SO42− during the wet season within the SAA and the IA reflects their vulnerability to pollution. Saline intrusion into the shallow and intermediate aquifers from the Turkana grit aquifers is likely to occur.

Tanui F, Olago D, Dulo SI, Ouma G, Kuria Z. "Hydrogeochemistry of a strategic alluvial aquifer system in a semi-arid setting and its implications for potable urban water supply: The Lodwar Alluvial Aquifer System (LAAS)." Groundwater for Sustainable Development. 2020;11:100451. Abstractdio.org

Lodwar Municipality is one of the fastest-growing urban areas of Sub-Saharan Africa that depends mainly on groundwater for its municipal water supply. Most of the groundwater sources are located within the riparian zones of the Turkwel River. With limited understanding of its aquifers, the groundwater of Lodwar may be at risk of natural processes and anthropogenic activities. Statistical techniques and geochemical methods were applied to determine the aquifer hydrogeochemistry. Three distinct aquifers, which we collectively refer to as the Lodwar Alluvial Aquifer System, underlie Lodwar and its environs, the shallow alluvial, intermediate, and deep aquifers which are the main source of fresh water. A fourth, the shallow aquifer of the Turkana grit, is highly saline and with fluoride contamination. Just as the Turkwel River, the shallow alluvial aquifer (SAA) was dominated by Ca–HCO3 water type, while the TGSA was Na–Cl water type and became Na–HCO3 near the Holocene sediments. The intermediate aquifer (IA) was Na–HCO3water type. Pockets of Mg–HCO3 water occurred in the shallow alluvial and intermediate aquifers. The natural processes in the SAA include rock-water interaction, recharge by surface water, and oxidation reactions, while evaporation and dissolution are the major factors controlling the chemistry of the TGSA. Ion exchange, dilution, and dissolution are the major processes in the IA. Elevated levels of NO3− and SO42− during the wet season within the SAA and the IA reflects their vulnerability to pollution. Saline intrusion into the shallow and intermediate aquifers from the Turkana grit aquifers is likely to occur.

Alkizim FO, Kimani JM, Otieno ES, Thairu K. "In vivo study on the effect of African black tea extract on wound healing." International journal of Medical and Health Research. 2020;6(6):67-74.
Mwangi M, Kituyi E, Ouma G, Macharia D. "Indicator approach to assessing climate change vulnerability of communities in Kenya: a case study of Kitui county." Scientific Research. 2020. Abstractscirp.org

Community vulnerability to climate change can be conceptualized as an aggregate of three vulnerability components: exposure to climatic stress, sensitivity to climate stress and adaptive capacity. However, even within similar regions these vulnerability components are spatially differentiated necessitating the understanding of a regions vulnerability pattern before targeting adaptation assistance. This research sought to understand the differentiated vulnerability patterns of communities in Kitui County as well as the existing coping strategies to guide implementation of adaptation assistance. Indicator approach to vulnerability assessment and focus group discussions were used to understand the vulnerability pattern and coping strategies respectively. Results showed a differentiated vulnerability pattern with a west to east gradient across Kitui County. The pattern exhibited less vulnerability scores on the western and central parts and more vulnerability scores on the eastern and northern parts of the County. Existing coping strategies have become inadequate with increasing climate variability, severity and frequency of extreme climate events, which render the communities even more vulnerable. The patterns of vulnerability can guide appropriate targeting of adaptation assistance and in turn lead to improved climate change resilience and community livelihoods.

Guthua SW, Kamau M, ABINYA N. "Management of Maxillofacial of Osteosarcomas in Kenya: A case Series." The Annals of African Surgery. 2020;17 (1).
Nambati EA, Njoka M, Eyase F, Majanja J, Njuguna N, Gitonga SM, Mwikwabe N, Lelo E, Mwangi M, kingoro A, Kimani F, Lubano K, Bulimo W. "Multidisciplinary approach towards training of the next generation of forensic DNA analysts in Africa; a Kenyan perspective." Forensic Science International: Synergy. 2020;2:123-125. Abstract1-s2.0-s2589871x20300267-main.pdfWebsite

The uptake of forensic DNA testing technologies in Africa has been slow despite the revolutionary technology being discovered and adopted 3 decades ago. African governments and partners have invested in construction and equipping of forensic laboratories in Africa but the benefits are yet to be realised as the laboratories are still faced with the challenge of shortage of adequately trained personnel. This paper describes an innovative multidisciplinary training approach that was developed and used to train officers from the Directorate of Criminal Investigations Kenya. We report on the structure, implementation and effectiveness of the training. It is expected that with the increased number of trained forensic DNA analysts, there will be an improvement in quality of forensic DNA evidence presented in courts and a reduction in backlog in the forensic biology laboratories in Kenya.

Mwenda JN, Wandiga SO, Kariuki DK, Madadi VO. "Occurrence and Distribution of Aflatoxin in Maize from Selected Counties, Eastern Region, Kenya." Journal of Agricultural Policy. 2020;3(2).
Luketero SW, Khalagai JM. "On unitary equivalence of some classes of operators in Hilbertspaces." International Journal of Statistics and Applied Mathematics. 2020;5(2):35-37. Abstractfull text link

It is a well-known result in operator theory that whenever two operators are similar then they have equal spectra even though they do not have to belong to the same class of operators. However under a stronger relation of unitary equivalence it can be shown that two unitarily equivalent operators may belong to the same class of op erators. In this paper we endeavor to exhibit results on such classes of operators which belong to same class under unitary equivalence.

Buyana K, Lwasa S, Tugume D, Mukwaya P, Walubwa J, Owuor S, Kasaija P, Sseviiri H, Nsangi G, Byarugaba D. "Pathways for resilience to climate change in African cities. Environ. Res. Lett. 15 (2020) 073002.". 2020.2020_environmental_research_letters_journal.pdf
Awori MN, Mehta NP, Kebba N, Mutie JM. "Possible impairment of surgical decision making and confounded outcome in Fontan surgery by Nakata Index." African Annals of Thoracic and Cardiovascular Surgery. 2020. AbstractWebsite

Since cardiac structuring dimensions inform surgical decisions making, Z-score systematic error impairs surgical decision making and confounds outcome measurement, hence a similar error may affect the Nakata index. In this study, PubMed was searched using the terms: “pulmonary,” “artery,” “size,” “Nakata,” “Fontan,” and “outcome”. Studies that did not describe the outcome of the Fontan procedure and the size of the branch pulmonary arteries were excluded. Outcome measures of interest, in relation to BPA size, included: Operative mortality, Fontan “take-down”, length of ICU stay, pleural effusions and functional capacity. The results revealed that of 116 papers retrieved, 9 were included representing 1,042 patients who underwent the Fontan procedure. Six out of 9 papers representing 645 (61.9%) patients reported that BPA size had no relationship with the outcome of the Fontan procedure; while 2 out of 9 papers representing 366 (35.1%) patients found that BPA size did affect the outcome. One paper representing 31 (3%) patients was unable to find any relationship. All the papers that concluded that there was no relationship labelled normal sized BPAs as small because of a systematic error introduced by the Nakata index. Papers that found a relationship did not use the Nakata index. Thus, Nakata index systematic error may impair surgical decision making and confound outcome measurement in Fontan surgery. In addition, continued use of the Fontan index may have similar implications for other congenital heart lesions.

Gathumbi JK, Kemboi DC, Antonissen G, Ochieng PE, Croubels S, Kangethe EK, Okoth S, Faas J, Lindahl JF. "A Review of the Impact of Mycotoxins on Dairy Cattle Health: Challenges for Food Safety and Dairy Production in Sub-Saharan Africa." Toxins 2020. 2020;12(4).
J.O'Connell P, Brown M, Chan TM, Granado RC-D, J.Davies S, Eiam-Ong S, H.Hassan M, Kalantar-Zadeh K, Levin A, E.Martin D, Muller E, Ossareh S, Tchokhonelidze I, Trask M, Twahir A, J.O.Were A, Yang C-W, Zemchenkov A, N.Harden P. "The role of kidney transplantation as a component of integrated care for chronic kidney disease." Science Direct. 2020.Website
Kithuka, J.M., Irandu EM, Moronge JM. "The role of periodic markets in provision of manufactured goods and creation of income in rural areas: a case study of selected markets in Mukaa Sub County; Kenya." International Journal of Scientific Research and Innovative Technology. 2020;7(5 ):65-79.
Kanoti, Olago, D. O., Akech, Nyamai, C.M., Dulo, Ayah, Taylor, D. "Sanitation challenges, groundwater perspectives and their intertwined relationships in Kisumu." Kenya Policy Briefs . 2020;1(1).
Kanoti J, Olago D, Nyamaoi C, Dulo SI, Ayah R, Taylor R. "Sanitation challenges, groundwater perspectives and their intertwined relationships in Kisumu, Kenya." Kenya Policy Briefs. 2020;1(1):15-16. AbstractSanitation challenges, groundwater perspectives and their intertwined relationships in Kisumu, Kenyauonresearch.org

Groundwater is the preferred alternative water source during times of shortages and in areas not served by piped water supplies. Pit latrines are the main sanitation facilities in Kisumu where sewerage extends over less than 20 per cent of the city. Pit latrines contribute to microbial contamination of shallow groundwater in Kisumu.

Kipyego ES, Gitau G, Vanleeuwen J, Kimeli P, Abuom TA, Gakuya D, Muraya J, Makau D. "Sero-prevalence and risk factors of Infectious rhinotracheatis virus( type1) in Meru county, Kenya." Preventive Veterinary Medicine . 2020;104863.(175).
Kamau S, Barrios E, K.Karanja N, O.Ayuke F, Lehmann J. "Short-term casting activity of earthworm Pontoscolex corethrurus (Oligochaeta: Glossoscolecidae) after biochar additions." Soil Biology and Biochemistry . 2020;143.
Kamau S, Barrios E, K.Karanja N, O.Ayuke F, Lehmann J. "Short-term casting activity of earthworm Pontoscolex corethrurus (Oligochaeta: Glossoscolecidae) after biochar additions." Soil Biology and Biochemistry. 2020;143:107736.
Mbugua M, Nzuma JM, Muange E, Kunyanga C. "Social Networks and Household Food Consumption Smoothing in the Presence of Idiosyncratic Shocks: Insights from Rural Kenya." Development in Practice. 2020;DOI: 10.1080/09614524.2020.1715344.
Masila VM, Ndakala AJ, Byamukama R, Midiwo JO, Kamau RW, Wang M, Kumarihamy M, Zhao J, Heydreich M, Muhammad I. "Synthesis, structural assignments and antiinfective activities of 3-O-benzyl-carvotacetone and 3-hydroxy-2-isopropyl-5-methyl-p-benzoquinone." Natural Product Research. 2020:1-9. AbstractJournal Abstract

Description
In an attempt to synthesize carvotacetone analogues, new 3-O-benzyl-carvotacetone (10) and previously reported 3-hydroxy-2-isopropyl-5-methyl-p-benzoquinone (11) were synthesized from piperitone (7). In this work, we describe the synthesis of 10 and other analogues from 7. Luche reduction of 7 to cis-piperitol (8), followed by benzylation yielded 3-O-benzyl-piperitol (9). Riley oxidation of 9 afforded corresponding ketone 10, 11 and 3-benzyloxy-4-isopropylcyclohex-1-enecarbaldehyde (12). Structures of these compounds were determined based on NMR, IR and LC-MS spectral data. Compound 11, exhibited antiplasmodial activities against chloroquine-sensitive (D6) and resistant (W2) strains of Plasmodium falciparum with IC50 values of 0.697 and 0.653 µg/mL, respectively. In addition, compound 11 was active against Cryptococcus neoformans with an IC50 value of 3.11 µg/mL, compared to reference …

Masila VM, Ndakala AJ, Byamukama R, Midiwo JO, Kamau RW, Wang M, Kumarihamy M, Zhao J, Heydreich M, Muhammad I. "Synthesis, structural assignments and antiinfective activities of 3-O-benzyl-carvotacetone and 3-hydroxy-2-isopropyl-5-methyl-p-benzoquinone." Natural Product Research. 2020:1-9. AbstractNatural Product Research

Description
In an attempt to synthesize carvotacetone analogues, new 3-O-benzyl-carvotacetone (10) and previously reported 3-hydroxy-2-isopropyl-5-methyl-p-benzoquinone (11) were synthesized from piperitone (7). In this work, we describe the synthesis of 10 and other analogues from 7. Luche reduction of 7 to cis-piperitol (8), followed by benzylation yielded 3-O-benzyl-piperitol (9). Riley oxidation of 9 afforded corresponding ketone 10, 11 and 3-benzyloxy-4-isopropylcyclohex-1-enecarbaldehyde (12). Structures of these compounds were determined based on NMR, IR and LC-MS spectral data. Compound 11, exhibited antiplasmodial activities against chloroquine-sensitive (D6) and resistant (W2) strains of Plasmodium falciparum with IC50 values of 0.697 and 0.653 µg/mL, respectively. In addition, compound 11 was active against Cryptococcus neoformans with an IC50 value of 3.11 µg/mL, compared to reference …

Ouko I, Obimbo MM, Kigera J, Ogeng’o JA. "Valve distribution of the popliteal vein: A structural basis for deep venous thrombosis?". 2020. AbstractWebsite

Abstract
Objective

To describe the relationship between number and distribution of valves.
Methods

Sixty-six popliteal vein specimens were used for the study after routine dissection at the Department of Human Anatomy, University of Nairobi. The extents of the popliteal vein were identified at the adductor hiatus and soleal arch, cut at these points and then longitudinally sliced open. The number and distribution of valves were then recorded. Data were presented using photomacrographs and tables.
Results

The median number of valves was 1 (mean 0.8; range 0–2), with the lower part of the popliteal vein as the most consistent valve position. Most striking was the valve absence noted in 27 (41%) of the veins.
Conclusion

These findings suggest that a significant proportion of popliteal veins do not have valves thus providing a credible structural link that may predispose the popliteal vein to deep venous thrombosis in the study population.

2019
Karimurio J, Gichuhi S, Nyamori J, Gachago M, Rono H, Gichangi M, Mwangi A, Kefa R. "Is task-shifting of screening for diabetic retinopathy (DR) from eye specialists to technicians accurate?". In: East African Community East African Health Research Commission 7th East African Health and Scientific Conference. Dar es Salaam; 2019.invitation_letter_7th_eahsc_pg1_jefitha_karimurio1.pdfuse_of_technology_to_taskshift__prof_jefitha_karimurio.pdf
Kanoti J, Olago D, Opiyo N, Nyamai C, Dulo SI, Taylor R. "Characterisation of geogenic controls on groundwater quality in a volcano-sedimentary aquifer in Kenya using graphical and statistical methods.". In: 46th IAH Congress. Malaga, Spain; 2019. Abstractcontribution.pdf

Geogenic controls on groundwater quality are often dominant but remain inadequately characterized for many aquifer systems. The volcano-sedimentary aquifer of Kisumu (Kenya) is used widely to provide safe water to the informal settlements and acts as a strategic, supplementary supply to the city during interruptions in service from the main piped water supply network drawing from Lake Victoria. Little is known, however, of the geogenic controls on groundwater quality in the Kisumu aquifer. We characterize the origin and composition of solutes in groundwaters sampled from the Kisumu aquifer using a range of techniques. Classical graphical methods (i.e. Durov, Piper, Schoeller, Stiff and Ternary plots) were used as interpretative tools of the main hydrogeochemical processes whereas principal component analysis (PCA) and hierarchical cluster analysis (HCA) methods were used to assess hydrochemical variations and water types. An agglomeration schedule with five cluster solutions and between-groups linkage method of clustering using the squared Euclidian distance was employed. Variables were standardized to z-scores so that each variable contributed equally to the clusters. The study identifies three main groundwater geochemical signatures in the Kisumu study area: cation exchange (Ca-Na, Ca-Mg) between aqueous and solid phases, the chemistry of recharge water, and groundwater mixing. The concentration of major ions in groundwater varies with geology and also seasonally. The dominant water facies is Na-Ca-HCO3 type; other hydrochemical facies include Ca-Mg-HCO3 and Na-HCO3. Hydrochemical plots suggest that dissolution of carbonates and halite are the other major chemical processes, in addition to cation exchange, that control the groundwater chemistry in the Kisumu aquifer. Hierarchical cluster analysis of the main cations and anions discriminated satisfactorily the various water types in the study area.

Gitao, C.G., Toroitich, K, Khalif, Field, C, Wario, S. Mass Livestock Deaths In EL-HADI Of North-Horr Sub-County, MARSABIT COUNTY. Nairobi: RPLP; 2019.marsabit_camel_deaths-paper_-1.docx
omari HK, Kayeli E. "Comprehensive sex education in Kenya: Islamic perspective.". In: THE 2ND ANNUAL INTERNATIONAL CONFERENCE MACHAKOS UNIVERSITY, KENYA. machakos university; 2019.
Arunga S, Kintoki GM, Gichuhi S, Onyango J, Ayebazibwe B, Newton R, Leck A, Macleod D, Hu VH, Burton MJ. "Risk Factors of Microbial Keratitis in Uganda: A Case Control Study." Ophthalmic Epidemiol. 2019:1-7. AbstractWebsite

Purpose: Microbial keratitis (MK), is a frequent cause of sight loss worldwide, particularly in low and middle-income countries. This study aimed to investigate the risk factors of MK in Uganda.
Methods: Using a nested case control, we recruited healthy community controls for patients presenting with MK at the two main eye units in Southern Uganda between December 2016 and March 2018. Controls were individually matched for age, gender and village of the cases on a 1:1 ratio. We collected information on demographics, occupation, HIV and Diabetes Mellitus status. In STATA version 14.1, multivariable conditional logistic regression was used to generate odds ratios for risk factors of MK and a likelihood ratio test used to assess statistical significance of associations.
Results: Two hundred and fifteen case-control pairs were enrolled. The HIV positive patients among the cases was 9% versus 1% among the controls, = .0003. Diabetes 7% among the cases versus 1.4% among the controls, = .012. Eye trauma was 29% versus 0% among the cases and controls. In the multivariable model adjusted for age, sex and village, HIV (OR 83.5, 95%CI 2.01-3456, = .020), Diabetes (OR 9.38, 95% CI 1.48-59.3, = .017) and a farming occupation (OR 2.60, 95%CI 1.21-5.57, = .014) were associated with MK. Compared to a low socio-economic status, a middle status was less likely to be associated with MK (OR 0.29, 95%CI 0.09-0.89, < .0001).
Conclusion: MK was associated with HIV, Diabetes, being poor and farming as the main occupation. More studies are needed to explore how these factors predispose to MK.

Arunga S, Kintoki GM, Gichuhi S, Onyango J, Newton R, Leck A, Macleod D, Hu VH, Burton MJ. "Delay Along the Care Seeking Journey of Patients with Microbial Keratitis in Uganda." Ophthalmic Epidemiol. 2019:1-10. AbstractWebsite

PURPOSE:To describe the care seeking journey and causes of delay among patients with Microbial Keratitis in Uganda.
METHODS:A prospective cohort of patients presenting with microbial keratitis at the two main eye units in Southern Uganda (2016-2018). We collected information on demographics, home address, clinical history, and presentation pathway including, order of facilities where patients went to seek care, treatment advice, cost of care, and use of Traditional Eye Medicine. Presentation time was noted. We compared "direct" presenters versus "indirect" presenters and analysed predictors of delay.
RESULTS: About 313 patients were enrolled. All were self-referred. Only 19% of the patients presented directly to the eye hospital. Majority (52%) visited one facility before presenting, 19% visited two facilities, 9% visited three facilities, and 2% visited four facilities. The cost of care increased with increase in the number of facilities visited. People in a large household, further distance from the eye hospital and those who used Traditional Eye Medicine were less likely to come directly to the eye hospital. Visiting another facility prior to the eye hospital and use of Traditional Eye Medicine aOR 1.58 (95%CI 1.03-2.43), p = .038 were associated with delayed presentation to the eye hospital.
CONCLUSION: This study provided information on patient journeys to seek care. Delay was largely attributable to having visited another health facility: a referral mechanism for microbial keratitis was non-existent. There is need to explore how these health system gaps can be strengthened.

Karthik S, Djukic T, Kim J-D, Zuber B, Makanya A, Odriozola A, Hlushchuk R, Filipovic N, Jin SW, Djonov V. "Publisher Correction: Synergistic interaction of sprouting and intussusceptive angiogenesis during zebrafish caudal vein plexus development." Sci Rep. 2019;9(1):4152. Abstract

A correction to this article has been published and is linked from the HTML and PDF versions of this paper. The error has been fixed in the paper.

Mutwedu VB, Ayagirwe RBB, Bacigale SB, Mwema LM, Butseme S, Kashosi T, Mitima B, Manyawu GJ, Nyongesa AW. "Effect of dietary inclusion of small quantities of Mucuna pruriens seed meal on sexual behavior, semen characteristics, and biochemical parameters in rabbit bucks (Oryctolagus cuniculus)." Trop Anim Health Prod. 2019;51(5):1195-1202. Abstract

The aim of this work was to investigate the effects of Mucuna pruriens seed meal (MSM) on sexual behavior, semen, and biochemical parameters in rabbit bucks. Twenty-four 12-week-old rabbit bucks weighing 1002 to 1156 g were randomly allocated to three experimental diets containing 0, 1.5, and 3% of MSM in a 3-month trial. Sexual behavior parameters such as mounting latency, mounting frequency, successful mounting frequency, intromission latency, and post ejaculatory interval were monitored at the end of the experiment by mating with receptive females. Thereafter, rabbits were weighed, stunned, and humanely sacrificed and testes, epididymis, and vas deferens were harvested for evaluation of organ weights and semen characteristics. Results indicate that supplementing rabbit diet with MSM induced a significant decrease (P < 0.05) in mounting latency (69.7%) and intromission latency (19.7%), while it significantly (P < 0.05) increased successful mounting frequency (60%) as well as relative weight of testis (33.3%) and vas deferens (54.5%). There was a dose-dependent increase (P < 0.05) in sperm motility (35.7%) and concentration (65.9%), serum albumin (19.1%) and protein concentration (9.9%), and a decrease in sperm morphological alterations (68.3%), serum cholesterol (13.4%), and urea (11.6%) in treatment groups where MSM was supplemented at 3% compared to controls. From the findings, it appears MSM is a potential enhancer of male reproductive performance that can be recommended to rabbit farmers for improving reproductive performance and quality of semen, hence a boon to reproduction and production in rabbit farming industry.

Dimova I, Karthik S, Makanya A, Hlushchuk R, Semela D, Volarevic V, Djonov V. "SDF-1/CXCR4 signalling is involved in blood vessel growth and remodelling by intussusception." J. Cell. Mol. Med.. 2019;23(6):3916-3926. Abstract

The precise mechanisms of SDF-1 (CXCL12) in angiogenesis are not fully elucidated. Recently, we showed that Notch inhibition induces extensive intussusceptive angiogenesis by recruitment of mononuclear cells and it was associated with increased levels of SDF-1 and CXCR4. In the current study, we demonstrated SDF-1 expression in liver sinusoidal vessels of Notch1 knockout mice with regenerative hyperplasia by means of intussusception, but we did not detect any SDF-1 expression in wild-type mice with normal liver vessel structure. In addition, pharmacological inhibition of SDF-1/CXCR4 signalling by AMD3100 perturbs intussusceptive vascular growth and abolishes mononuclear cell recruitment in the chicken area vasculosa. In contrast, treatment with recombinant SDF-1 protein increased microvascular density by 34% through augmentation of pillar number compared to controls. The number of extravasating mononuclear cells was four times higher after SDF-1 application and two times less after blocking this pathway. Bone marrow-derived mononuclear cells (BMDC) were recruited to vessels in response to elevated expression of SDF-1 in endothelial cells. They participated in formation and stabilization of pillars. The current study is the first report to implicate SDF-1/CXCR4 signalling in intussusceptive angiogenesis and further highlights the stabilizing role of BMDC in the formation of pillars during vascular remodelling.

Lokken EM, Manguro GO, Abdallah A, Ngacha C, Shafi J, Kiarie J, Jaoko W, Srinivasan S, Fiedler TL, Munch MM, Fredricks DN, McClelland SR, Balkus JE. "Association between vaginal washing and detection of by culture and quantitative PCR in HIV-seronegative Kenyan women: a cross-sectional analysis." Sex Transm Infect. 2019. Abstract

Vaginal washing has been associated with reductions in cultivable and an increased risk of both bacterial vaginosis (BV) and HIV infection. The effect of vaginal washing on the quantity of individual species is not well characterised. This analysis tested the hypothesis that vaginal washing would be associated with a lower likelihood of spp. detected by both culture and quantitative PCR (qPCR).

Perciani CT, Farah B, Kaul R, Ostrowski MA, Mahmud SM, Anzala O, Jaoko W, MacDonald KS. "Live attenuated varicella-zoster virus vaccine does not induce HIV target cell activation." J. Clin. Invest.. 2019;129(2):875-886. Abstract

Varicella-zoster virus (VZV) is under consideration as a promising recombinant viral vector to deliver foreign antigens including HIV. However, new vectors have come under increased scrutiny, since trials with adenovirus serotype 5-vectored (Ad5-vectored) HIV vaccine demonstrated increased HIV risk in individuals with pre-immunity to the vector that was thought to be associated with mucosal immune activation (IA). Therefore, given the prospect of developing an HIV/VZV chimeric vaccine, it is particularly important to define the impact of VZV vaccination on IA.

Perciani CT, Farah B, Kaul R, Ostrowski MA, Mahmud SM, Anzala O, Jaoko W, MacDonald KS. "Live attenuated varicella-zoster virus vaccine does not induce HIV target cell activation." J. Clin. Invest.. 2019;129(2):875-886. Abstract

Varicella-zoster virus (VZV) is under consideration as a promising recombinant viral vector to deliver foreign antigens including HIV. However, new vectors have come under increased scrutiny, since trials with adenovirus serotype 5-vectored (Ad5-vectored) HIV vaccine demonstrated increased HIV risk in individuals with pre-immunity to the vector that was thought to be associated with mucosal immune activation (IA). Therefore, given the prospect of developing an HIV/VZV chimeric vaccine, it is particularly important to define the impact of VZV vaccination on IA.

Karuga, SW, MJ G, Kelder EM, JCM M. "Morphological control of thin films: Application of electrospray technique.". In: European Aerosol Conference (EAC) 2019 . Gothenburg, Sweden; 2019.
Cheng C-Y, Wang N, Wong TY, Congdon N, He M, Wang YX, Braithwaite T, Casson RJ, Cicinelli MV, Das A, Flaxman SR, Jonas JB, Keeffe JE, Kempen JH, Leasher J, Limburg H, Naidoo K, Pesudovs K, Resnikoff S, Silvester AJ, Tahhan N, Taylor HR, Bourne RRA, of the of Study VLEGGBD. "Prevalence and causes of vision loss in East Asia in 2015: magnitude, temporal trends and projections." Br J Ophthalmol. 2019. AbstractWebsite

BACKGROUND: To determine the prevalence and causes of blindness and vision impairment (VI) in East Asia in 2015 and to forecast the trend to 2020.
METHODS: Through a systematic literature review and meta-analysis, we estimated prevalence of blindness (presenting visual acuity <3/60 in the better eye), moderate-to-severe vision impairment (MSVI; 3/60≤presenting visual acuity <6/18), mild vision impairment (mild VI: 6/18≤presenting visual acuity <6/12) and uncorrected presbyopia for 1990, 2010, 2015 and 2020. A total of 44 population-based studies were included.
RESULTS: In 2015, age-standardised prevalence of blindness, MSVI, mild VI and uncorrected presbyopia was 0.37% (80% uncertainty interval (UI) 0.12%-0.68%), 3.06% (80% UI 1.35%-5.16%) and 2.65% (80% UI 0.92%-4.91%), 32.91% (80% UI 18.72%-48.47%), respectively, in East Asia. Cataract was the leading cause of blindness (43.6%), followed by uncorrected refractive error (12.9%), glaucoma, age-related macular degeneration, corneal diseases, trachoma and diabetic retinopathy (DR). The leading cause for MSVI was uncorrected refractive error, followed by cataract, age-related macular degeneration, glaucoma, corneal disease, trachoma and DR. The burden of VI due to uncorrected refractive error, cataracts, glaucoma and DR has continued to rise over the decades reported.
CONCLUSIONS:Addressing the public healthcare barriers for cataract and uncorrected refractive error can help eliminate almost 57% of all blindness cases in this region. Therefore, public healthcare efforts should be focused on effective screening and effective patient education, with access to high-quality healthcare.

Kivata MW, Mbuchi M, Eyase FL, Bulimo WD, Kyanya CK, Oundo V, Muriithi SW, Andagalu B, Mbinda WM, Soge OO, McClelland SR, Sang W, Mancuso JD. "gyrA and parC mutations in fluoroquinolone-resistant Neisseria gonorrhoeae isolates from Kenya." BMC Microbiol.. 2019;19(1):76. Abstractkivata_et_al-2019-bmc_microbiology.pdf

Phenotypic fluoroquinolone resistance was first reported in Western Kenya in 2009 and later in Coastal Kenya and Nairobi. Until recently gonococcal fluoroquinolone resistance mechanisms in Kenya had not been elucidated. The aim of this paper is to analyze mutations in both gyrA and parC responsible for elevated fluoroquinolone Minimum Inhibitory Concentrations (MICs) in Neisseria gonorrhoeae (GC) isolated from heterosexual individuals from different locations in Kenya between 2013 and 2017.

Katz MA, Marangu D, Attia EF, Bauwens J, Bont LJ, Bulatovic A, Crane J, Doroshenko A, Ebruke BE, Edwards KM, Fortuna L, Jagelaviciene A, Joshi J, Kemp J, Kovacs S, Lambach P, Lewis KDC, Ortiz JR, Simões EAF, Turner P, Tagbo BN, Vaishnavi V, Bonhoeffer J. "Acute wheeze in the pediatric population: Case definition & guidelines for data collection, analysis, and presentation of immunization safety data." Vaccine. 2019;37(2):392-399.
Kamau F, Strijdom H, Mwangi P, Blackhurst D, Imperial E, Salie R. "Antiretroviral drug-induced endothelial dysfunction is improved by dual PPARα/γ stimulation in obesity.". 2019;121:106577. AbstractWebsite

Obesity rates are rising in HIV-infected populations; however, the putative role of highly active antiretroviral therapy (HAART) in the development of endothelial and cardiovascular derangements in the presence of pre-existing overweight/obesity is unclear. Although dual peroxisome proliferator-activated receptors-alpha/gamma (PPARα/γ) stimulation mitigates HAART-induced metabolic dysfunction, vascular effects are unresolved. To investigate whether HAART induces vascular dysfunction in obesity and to explore the underlying mechanisms of PPARα/γ stimulation, male Wistar rats were placed on a high-calorie diet for 16 weeks. After 10 weeks, HAART (lopinavir/ritonavir, azidothymidine/lamivudine) with/without PPARα/γ agonist, Saroglitazar, was administered daily for six weeks. Excised thoracic aorta rings were subjected to isometric tension studies and Western blot measurements. HAART+Saroglitazar-treated obese animals recorded lower adiposity indices (4.3 ± 0.5%) vs. HAART only-treated obese rats (5.6 ± 0.3%; p < .01). Maximum acetylcholine-induced vasorelaxation (Rmax), was lower in obese+HAART group (76.10 ± 3.58%) vs. obese control (101.40 ± 4.75%; p < .01). However, Rmax was improved in obese+ HAART+Saroglitazar (101.00 ± 3.12%) vs. obese+HAART rats (p < .001). The mean LogEC50 was improved in obese+HAART+Saroglitazar vs. obese+HAART group; p = .003. Improved endothelial function in obese+ HAART+Saroglitazar group was associated with upregulation of eNOS, PKB/Akt and downregulated p22-phox expression vs. obese+HAART group. Therefore, PPARα/γ stimulation attenuated HAART-induced endothelial dysfunction by upregulating vasoprotective eNOS, PKB/Akt signaling and downregulating pro-oxidative p22-phox expression.

Wangai FK, Masika MM, Lule GN, Karari EM, Maritim MC, Jaoko WG, Museve B, Kuria A. "Bridging antimicrobial resistance knowledge gaps: The East African perspective on a global problem." PLoS ONE. 2019;14(2):e0212131. Abstract

There is worldwide concern of rapidly increasing antimicrobial resistance (AMR). However, there is paucity of resistance surveillance data and updated antibiograms in Africa in general. This study was undertaken in Kenyatta National Hospital (KNH) -the largest public tertiary referral centre in East & Central Africa-to help bridge existing AMR knowledge and practice gaps.

Kalai, J.M., Mulu C. "Determinants of Female Teachers' Progression to Governance Positions in Public Primary Schools in Mutitu Sub County , Kenya.". In: International Conference on Research and Innovation in Education University of Nairobi.; 2019.
Hammadi R, Kúsz N, Mwangi PW, Kulmány Á, Zupkó I, Orvos P, Tálosi L, Hohmann J, Vasas A. "Isolation and Pharmacological Investigation of Compounds From Euphorbia matabelensis." Natural Product CommunicationsNatural Product Communications. 2019;14(7):1934578X19863509. AbstractWebsite

This work deals with the isolation and pharmacological investigations of compounds of Euphorbia matabelensis. After multiple separation process, including thin layer chromatography (TLC), vacuum liquid chromatography, preparative TLC, and high-performance liquid chromatography, 1 diterpene (ingenol) and 2 flavonoids (naringenin and eriodictyol) were obtained from the methanol extracts prepared from the stems and roots of the plant. The structures of the isolated compounds were determined by nuclear magnetic resonance (NMR) and MS measurements and comparison with literature data. All compounds were isolated for the first time from the plant. Eriodictyol was detected for the first time from a Euphorbia species. The compounds were tested for their antiproliferative (on HeLa, C33a, MCF-7, and MDA-MB-231 cell lines) and GIRK channel blocking activities. None of the compounds proved to be active in these test systems.

Dean W, Gichuhi S, Buchan J, Matende I, Graham R, Kim M, Arunga S, Makupa W, Cook C, Visser L, Burton M. "Survey of ophthalmologists-in-training in Eastern, Central and Southern Africa: A regional focus on ophthalmic surgical education." Wellcome Open Res. 2019;4:187. AbstractWebsite

There are 2.7 ophthalmologists per million population in sub-Saharan Africa, and a need to train more. We sought to analyse current surgical training practice and experience of ophthalmologists to inform planning of training in Eastern, Central and Southern Africa. This was a cross-sectional survey. Potential participants included all current trainee and recent graduate ophthalmologists in the Eastern, Central and Southern African region. A link to a web-based questionnaire was sent to all heads of eye departments and training programme directors of ophthalmology training institutions in Eastern, Central and Southern Africa, who forwarded to all their trainees and recent graduates. Main outcome measures were quantitative and qualitative survey responses. Responses were obtained from 124 (52%) trainees in the region. Overall level of satisfaction with ophthalmology training programmes was rated as 'somewhat satisfied' or 'very satisfied' by 72%. Most frequent intended career choice was general ophthalmology, with >75% planning to work in their home country post-graduation. A quarter stated a desire to mainly work in private practice. Only 28% of junior (first and second year) trainees felt surgically confident in manual small incision cataract surgery (SICS); this increased to 84% among senior trainees and recent graduates. The median number of cataract surgeries performed by junior trainees was zero. 57% of senior trainees were confident in performing an anterior vitrectomy. Only 29% of senior trainees and 64% of recent graduates were confident in trabeculectomy. The mean number of cataract procedures performed by senior trainees was 84 SICS (median 58) and 101 phacoemulsification (median 0). Satisfaction with post-graduate ophthalmology training in the region was fair. Most junior trainees experience limited cataract surgical training in the first two years. Focused efforts on certain aspects of surgical education should be made to ensure adequate opportunities are offered earlier on in ophthalmology training.

Ang'u C, Muthama NJ, Kong'ani LNS. "Towards Replacing Kerosene with Bioethanol in Developing Countries: A Review.". In: Conference on the Status of African Women. University of Nairobi; 2019.
K O. "Institutional Independence & Accountability: Some Ideas for Enhancing Accountability of the Judiciary to Address Corruption.". In: Kabarak Law School International Conference on Corruption. Kabarak Law School, Nakuru, Kenya; 2019.
Sorensen, Olago, D. O., Dulo, Kanoti, Gaye, Faye, Pouye, Owor. "Real-time indication of faecally contaminated drinking water with fluorescence spectroscopy: towards understanding the causation.". In: 10th International Groundwater Quality Conference (GQ 2019). Liège, Belgium; 2019.

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