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A J N Ndathi, Nyangito MM, Musimba NKR, Mitaru BN. "Enhancing output oriented livestock improvement strategies in drylands of Kenya." Livestock Research for Rural Development . 2011;23 ((6) ). Abstract

Farmers in the drylands practice mixed crop and livestock production systems. Both production systems have mutual relationships and understanding of target outputs in each system is important. With increasing demand for livestock products, livestock production is expected to be the major driving enterprise during a predicted food revolution. Targeting the most valued livestock species and the premium products or services from that species will improve the farmers’ interest and adoption of recommended technologies. In this cross sectional survey carried out in Kibwezi District, Kenya, this research team aimed at identifying the most valued livestock species and the premium products or services targeted. Systematic sampling method using road transects was used to select farmers to be involved in the survey. The pair wise ranking method was used in importance ranking during the survey and a focused group discussion held to discuss the survey results.

The farmers’ importance ranking of the livestock species was topped by the goat followed by chicken, cattle and sheep. Draft power was ranked most important followed by beef, milk and lastly manure. To produce the top ranked product (draft power) the most valued livestock age/sex class is the entire bulls followed by the heifers, mature females, castrates and lastly the calves. Therefore, to improve livestock production in Kibwezi District, we recommend that farmers focus on improving the performance of entire bulls for draft power and mature females for milk production.

Keywords: Cattle, draft power, livestock products, milk, mixed production systems

A Kibet, Rose A, P Omusula, Takken W, M Geier, Mweresa CK, B Otieno, Mukabana WR. "Development and optimization of the Suna trap as a tool for mosquito monitoring and control.". 2014.
A Obiero, J Kalai OU. "Effect of Home Related Factors on Students Discipline in Public Secondary Schools in Nairobi County, Kenya. ." International Journal of Education and Social Science. 2018;5(10):2415-1246 .
A. PROFODHIAMBOPETER. "Odhiambo PA, Greenhalgh RM, Devine TJ.The effects of aorto-iliac operations on sexual function in the male and a re-emphasis on possible preventive techniques.East Afr Med J. 1979 Oct;56(10):490-7.". In: East Afr Med J. 1979 Oct;56(10):490-7. Heinrich Boll Foundation.; 1979. Abstract
A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested.
A. PROFKARANIFLORIDA. ""Networking of Universities and Tertiary Middle Level Colleges".". In: Workshop on Linkages between University of Nairobi and Tertiary Colleges. In Nairobi. 15 June 1999. Journal of BiochemiPhysics; 1999. Abstract

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A. PROFKARANIFLORIDA. "Karani F.A.; "Adult Education and Information Development Projections in Distance and Continuing Education" in Information for National Development. Proceedings of the Kenya Library Association Annual Seminar, Nairobi. Published by the National Council fo.". In: Information for National Development. Proceedings of the Kenya Library Association Annual Seminar, Nairobi. Published by the National Council for Science. Journal of BiochemiPhysics; 1986. Abstract
   
A. PROFKARANIFLORIDA. "Karani, F.A. "Higher Education in Africa" in East Africa in Transition: Images, Identities and Institutions Eds. Bahemuka J.M. and Brockington J.I. University of Nairobi Press, (in Press 2002).". In: East Africa in Transition: Images, Identities and Institutions Eds. Bahemuka J.M. and Brockington J.I. University of Nairobi Press, (in Press 2002). Journal of BiochemiPhysics; 2002. Abstract
Tetralones were converted to tetralinylamines via Leuckart reaction.These were then used to protect carboxamide side-chains of glutamine and asparagine. Clevage studies using trifluoroacetic acid and boron tristrifluoroacetate were then done on these derivatives. The groups 1-tetralinyl, 5,7-dimethyl-1-tetralinyl and 7-methoxy-1-tetralinyl were found to be good carboxamide protecting groups in asparagine.
A. DROGENGOJULIUS. "Malek A.K.A, Ogeng.". In: Clin Anat. 2007 Nov;20(8):943-5. Kenya Orthopaedic Association; 2007. Abstract

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

A. PROFKARANIFLORIDA. "Karani F.A.; "Teacher Training Through the Distance Education Mode of Delivery in Kenya" in The Journal of Development Communication. No. 2 Vol 6. December 1995. ISSN 0128 - 3863. Kuala Lumpar. pp 72 to 80.". In: The Journal of Development Communication. No. 2 Vol 6. December 1995. ISSN 0128 - 3863. Kuala Lumpar. pp 72 to 80. Journal of BiochemiPhysics; 1995. Abstract

 

 

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

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

A. PROFWAMOLAISAAC. "Kakai R, Wamola IA, Bwayo JJ, Ndinya-Achola JO.Enteric pathogens in malnourished children with diarrhoea.East Afr Med J. 1995 May;72(5):288-9.". In: East Afr Med J. 1995 May;72(5):288-9. IBIMA Publishing; 1995. Abstract

{ Enteric pathogens were determined from stools of 273 children aged less than 5 years at Kenyatta National Hospital (KNH), 43.6% (119/273) of whom were malnourished according to the Wellcome criteria. Rotavirus was detected by ELISA test, Salmonella, Shigella and E. coli by culture on MacConkey and Salmonella-Shigella agar at 37 degrees C overnight and Campylobacter on Skirrow's selective media at 42 degrees C for 48 hrs. These were identified by biochemical tests and serotyping using specific antisera. Whereas isolation rate for Campylobacter (0.0% vs 5.0%

A. PROFWAMOLAISAAC. "Zimmerman, R R and WAMOLA I.A. A case of Acinetobacterial menegitis. EAMJ Vol. 54 No. 3 (March 1977 pp. 152).". In: EAMJ Vol. 54 No. 3 (March 1977 pp. 152). IBIMA Publishing; 1977. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. "Karani F.A.; Course Design and Development in B. Matiru ed. Towards Academic and Professional Ecxcellence in Higher Education. Part II. Bonn. 1990. pp 69 .". In: B. Matiru ed. Towards Academic and Professional Ecxcellence in Higher Education. Part II. Bonn. 1990. pp 69 . Journal of BiochemiPhysics; 1990. Abstract

 

 

A. DRKITAAJAFREDM. "Mande JD and Kitaa JMA. Microbial profile and antimicrobial susceptibility of isolates from dogs with otitis externa in Kenya.". In: Faculty of Veterinary Medicine Biennial Conference. 2004 Kabete Nairobi. au-ibar; 2004. Abstract
   
A. PROFKARANIFLORIDA. "Karani, F.A; "Research Priorities in Adult and Continuing Education in Kenya" in The State of Adult and Continuing Education in Africa. Eds Indabawa S.A; Oduaran A; Afrik T., and Walters S. ISBN 99916 - 53 - 33-3. John Meinert Printing. Windhoek 2000 p. 1.". In: The State of Adult and Continuing Education in Africa. Eds Indabawa S.A; Oduaran A; Afrik T., and Walters S. ISBN 99916 - 53 - 33-3. John Meinert Printing. Windhoek 2000 p. 107- 114. Journal of BiochemiPhysics; 2000. Abstract
   
A. DROGENGOJULIUS. "Ogeng.". In: The Nairobi Journal of Medicine, Vol. 15 No 2. Kenya Orthopaedic Association; 1989. Abstract

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

A. PROFWAMOLAISAAC. "WAMOLA I.A 1971. Cellular localization of five exoprotein antigens of Staph aureus Ph.D Thesis of University of New Hampshire, U.S.A, 148 pages.". In: Ph.D Thesis of University of New Hampshire, U.S.A, 148 pages. IBIMA Publishing; 1971. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKETERJOSEPHKIPKORIR. "Keter, J.K.A., P.M. Gale and K.R. Reddy. 2000. Phosphate adsorption by various soils of Kenya. Infl. J. BiochemPhysics, Vol. 10, 13-20.". In: East Afr Med J. 2002 Sep;79(9):457-60. University of Nairobi Press; 2000. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. DROKOOLARAPHAELE. "Characteristics of the ITCZ over equatorial Eastern Africa based on station rainfall records.". In: J. Afric. Meteorol. Soc.,3, 61-101. Kenya Met Soc; 1998. Abstract
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A. PROFWAMOLAISAAC. "WAMOLA I.A, Mirza NB and Ichoro O. Bacteriology of Septicaemia at Kenyatta National Hospital, Nairobi. Medicom, vol 3 (6): 1981.". In: Medicom, vol 3 (6): 1981. IBIMA Publishing; 1981. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. DRSWAZURIMUHAMMED. "Prioritizing Research Agena for Public Consumption in Developing Countries", paper presented to a Research Methodology Workshop for Cooperative College of Kenya Lecturers, Nyeri, 5th to 10th January, 1992.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1992. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFESHIWANIARTHUR. "Fighting Two Sides: - Kenyas Chiefs and Politicians: 1918-1940 by Marshalls Clough (Niwot University Press, Colorado, A Review Article of the historic role of chiefs n Kikuyu-land in colonial Politics and administration, JMALR, London.". In: Journal of African Meteorological Society, vol.15, 2001. A Matimba, M Oluka, B Ebeshi, J Sayi, Bolaji, J Del Favero , C Van Broeckhoven, AN Guanta; 1995. Abstract
Oral infection with Herpes Simplex Virus (HSV) is a frequent and well documented complication in immunosuppressed individuals including patients on immunosuppressive medication. We report the development of severe oral infection with HSV type 1 in a 34 year old woman with type 1 diabetes mellitus and end stage renal disease (ESRD) following cadaveric renal transplantation at the Western General Hospital, Edinburgh. The role of acyclovir in therapy and chemoprophylaxis is discussed.
A. PROFODHIAMBOPETER, A. PROFODHIAMBOPETER. "Spontaneous evacuation of an oesophageal foreign body after failed thoracotomy - MEDICOM.". In: The African Journal of Hospital Medicine. Heinrich Boll Foundation.; 1998. Abstract
OBJECTIVE: To determine the bacteriology and antibiotic sensitivity of the bacterial isolates in chronic maxillary sinusitis patients seen at the Kenyatta National Hospital. DESIGN: Cross-sectional study. SETTING: Kenyatta National Hospital, ENT department. SUBJECTS AND METHODS: Seventy-three patients had bilateral sntral washout done and the lavage submitted for culture and anti-microbial sensitivity between January and June 1996. RESULTS: Antral lavage yielded secretions in 63% of patients but bacteria were cultured in only 28.8% of the specimens. The isolates included Streptococcus pneumonia (22.2%), Staphylocococus albus (18.5%), Staphylocococus aureus (11.1%) and Enterobactericiae (11.1%). Anaerobic bacteria were cultured in 22.2% of the specimens. Of the commonly used antibiotics, there was high sensitivity to erythromycin, cefadroxyl, chloramphenicol and amoxicillin and poor sensitivity to ampicillin, cotrimoxazole and perfloxacin. CONCLUSION: The bacteriology of chronic maxillary sinusitis at Kenyatta National Hospital is generally similar to that found elsewhere. The bacteria are susceptible to relatively affordable antibiotics like amoxicillin, erythromycin and cefadroxyl.
A. PROFKARANIFLORIDA. ""Introducing the Adult and Continuing Education Bill - . Board of Adult and Continuing Education Act CAP 223 1966/7".". In: The Kenya Adult Education Association Seminar at the Kenya Institute of Education, Nairobi. Kenya. 4 th May 2002. Journal of BiochemiPhysics; 2002. Abstract

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

A. PROFKARANIFLORIDA. ""Mapping out Directions in Formal Education for the Girl Child in Kenya".". In: Technical Workshop on Mapping out Direction for the Girl Child in Kenya. 13th to 15th October 1993 at the Mary Ward - Karen. Nairobi. Kenya. Journal of BiochemiPhysics; 1993. Abstract
   
A. PROFODHIAMBOPETER. "How to Recognize and Manage Heart Attack - MEDICOM.". In: The African Journal of Hospital Medicine. Heinrich Boll Foundation.; 1979. Abstract
A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested.
A. PROFKARANIFLORIDA. ""University of Nairobi position paper on Base for African Human Capacity Building".". In: The BAHCB Inter-University in East Africa Region Workshop 23 rd to 24 th March 2000. Intercontinental Hotel. Nairobi. Kenya. Journal of BiochemiPhysics; 2000. Abstract

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A. PROFKARANIFLORIDA. ""The Role of External Degree Studies in National Development in Kenya".". In: College of Education and External Studies, University of Nairobi seminar 1988. Journal of BiochemiPhysics; 1988. Abstract
   
A. DROTIENOALFREDT. "Reproductive Preference Implementation Index: An examination of Demographic and Health Surveys Data from 60 Developing Countries.". In: Population of Association of America Annual Meeting 1-3 May, Boston USA. E Afr Med J; 2003. Abstract
Demography India 32 (2): 26-32
A. PROFKARANIFLORIDA. ""The Board of Adult Education Mandates and Goals".". In: The Dissemination Seminar for Adult and Continuing Education (ACE) Strategic Plan". At Machakos Garden Hotel. Kenya. 14 th to 16 th April 2003. Journal of BiochemiPhysics; 2003. Abstract
Tetralones were converted to tetralinylamines via Leuckart reaction.These were then used to protect carboxamide side-chains of glutamine and asparagine. Clevage studies using trifluoroacetic acid and boron tristrifluoroacetate were then done on these derivatives. The groups 1-tetralinyl, 5,7-dimethyl-1-tetralinyl and 7-methoxy-1-tetralinyl were found to be good carboxamide protecting groups in asparagine.
A. DROGENGOJULIUS. "Saidi H, Anangwe D, Ogeng.". In: Clin Anat. 2007 Nov;20(8):943-5. Kenya Orthopaedic Association; 2007. Abstract

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

A. PROFKARANIFLORIDA. "Karani, F.A., "Community Building through Religious Education" in the Christian Educator. Journal of Religious Education vol.9. No.10. May 1996. p3. Nairobi.". In: In the Christian Educator. Journal of Religious Education vol.9. No.10. May 1996. p3. Nairobi. Journal of BiochemiPhysics; 1996. Abstract

 

 

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

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

A. PROFWAMOLAISAAC. "Mirza NB, Estambale BB, Wamola IA, Kariuki N, Onyono E, Kabiru P, Piollet M.Bacterial meningitis in children admitted in hospitals within Nairobi.East Afr Med J. 1998 Feb;75(2):73-6.". In: East Afr Med J. 1998 Feb;75(2):73-6. IBIMA Publishing; 1998. Abstract
Four hundred and ninety nine children (aged between one month and five years) admitted with clinical features of meningitis were recruited in cross-sectional survey of bacterial meningitis in hospitals within Nairobi. Lumbar punctures were done on all of them and the cerebrospinal fluid (CSF) analysed bacteriologically and serologically for the common causative organisms. Two hundred and fifty (50.1%) cases were diagnosed clinically as having meningitis. Of these, 132 (52.8%) had turbid CSF specimens, while 118 (47.2%) were clear. When turbid CSF specimens were cultured, 83 (62.8%) yielded three common bacterial micro-organisms namely; Neisseria meningitidis, Streptococcus pneumoniae and Haemophilus influenzae in that order of frequency. The implications of these findings in paediatric meningitis together with the drug sensitivity patterns is presented and discussed.
A. PROFWAMOLAISAAC. "Kasili, WAMOLA I.A, Pamba, Shiramba and Broakman. Various Pathological Manifestations of Leprosy .". In: EAMJ 56:59 (1979). IBIMA Publishing; 1979. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""Position paper on Academic Staff Management in the University of Nairobi" presented at the Sub-Regional Workshop on Institutional Management in Higher Education".". In: Quatre-Bornes, Republic of Mauritius 6th to 17th September 1993. Journal of BiochemiPhysics; 1991. Abstract

 

 

A. DRKITAAJAFREDM. "Ndurumo SM, Mande JD and Kitaa JMA. Use of a Tiemann.". In: KVA conference 2005 Nairobi. au-ibar; 2005. Abstract
   
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1990. Abstract

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

A. PROFWAMOLAISAAC. "WAMOLA I.A. Itotia, Say and Cruikshank. Diarrhoeal Disease due to Shigella, Salmonella and Enteropathogenic E. coli. Chapter in .". In: Chapter in . IBIMA Publishing; 1974. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. "Karani, F.A., Njiru N. and Ayot R.; Inventory of Training Institutions and Organizations in Kenya. UNICEF, Nairobi : April 1981. 142 pp.". In: UNICEF, Nairobi : April 1981. 142 pp. Journal of BiochemiPhysics; 1981. Abstract

 

 

A. PROFKARANIFLORIDA. ""Hopes on the Horizon, The Rise of the New Africa".". In: The Association of African Universities. Accra. Ghana. 28 September 1999. Journal of BiochemiPhysics; 1999. Abstract
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A. PROFWAMOLAISAAC. "Nduati RW and WAMOLA I.A. Bacteriology of acute septic arthritis J. Trop. Paed 37: 172-175, 1991.". In: J. Trop. Paed 37: 172-175, 1991. IBIMA Publishing; 1991. Abstract
In a study of septic arthritis infants formed the bulk of patients though, notably, neonates were not encountered. Gram-negative bacterial of the Salmonella species, especially Salmonella typhimurium and Klebsiella species were the most important cause of septic arthritis in infants. Staphylococcus aureus was also isolated. The combination of blood cultures and joint aspirate cultures resulted in very high rate (72 per cent) of bacteria isolation. It is strongly recommended that every effort should be made to obtain two bacteriological specimens for culture to improve bacteriological diagnosis of the disease.
A. DROKOOLARAPHAELE. "The importance of improved regional and Global Climate Observations; Eastern and southern Africa regional perspective.". In: Impact; Newsletter of the climate Network Africa, Special Edition. Kenya Met Soc; 2001. Abstract
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A. PROFKETERJOSEPHKIPKORIR. "Keter, J.K.A. and P.M. Ahn. 1986. Profile characteristics, and form and surface activity of inorganic phosphorus in a deep red Kenya coffee soil (Nitosol). J. Soil Sc. 37: 89-97.". In: First International Workshop on Capacity Building in Soil and Water Management in Africa, Kampala, Uganda, 9-11 November, 1992. Academic Science Publishers, Nairobi, Kenya. ISBN: 9966-831-15-0. University of Nairobi Press; 1986. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. DRAGANDAALEX. "Aganda, A. A,, Coney J. E. R., Sheppard, C. G. W. Effect of air maldistribution on performance of an evaporator. Applied Thermal Engineering. 2000.". In: Presented, NUSESA Maintenance of Equipment for the Advancement of Science Regional Conference, Sheraton Hotel, Kampala, Uganda, 3-4 December 2001. J. Kenya Meteorological Soc; 2000.
A. DROGENGOJULIUS. "Pattern of extracranial peripheral aneurysms in a Kenyan referral hospital.". In: BSc. Dissertation University of Nairobi. Kenya Orthopaedic Association; 1986. Abstract

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

A. PROFWAMOLAISAAC. "Mutanda LN, WAMOLA I.A and Kaviti JN. The Relationship Between the most commonly occurring Shigella serotypes and ages of patients. Medicom 4: 147, 1982.". In: Medicom 4: 147, 1982. IBIMA Publishing; 1982. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. DRSWAZURIMUHAMMED. ""Professional Management Practices" paper presented to a Vision Consult Workshop in Kitwe, Zambia, 27th September, to 1st October, 1993.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1993. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFKARANIFLORIDA. "Karani F.A.; "Teacher Training Through the Distance Education Mode of Delivery in Kenya" in The Journal of Development Communication. No. 2 Vol 6. December 1995. ISSN 0128 - 3863. Kuala Lumpar. pp 72 to 80.". In: The Journal of Development Communication. No. 2 Vol 6. December 1995. ISSN 0128 - 3863. Kuala Lumpar. pp 72 to 80. Journal of BiochemiPhysics; 1995. Abstract
   
A. PROFODHIAMBOPETER. "Early Detection of of Lung Cancer.". In: The African Journal of Hospital Medicine. Heinrich Boll Foundation.; 2001. Abstract
Towers are typical structures that can be found in many urban and rural landscapes the world over. From their basic design, they are usually exposed to severe environmental loads. It is therefore prudent to carry out periodic maintenance that includes checking that they are correctly aligned. This paper describes a method that was used for the re-alignment of a guyed tower in Limuru, Kenya. Angular and distance observations, made from two observation points detected a vertical misalignment that was larger than the acceptable tolerance of l/400. An iterative re-alignment procedure was then applied, resulting in an acceptable final misalignment of 1 / 520.
A. PROFKARANIFLORIDA. "Karani, F.A. "Higher Education in Africa" in East Africa in Transition: Images, Identities and Institutions Eds. Bahemuka J.M. and Brockington J.I. University of Nairobi Press, (in Press 2002).". In: East Africa in Transition: Images, Identities and Institutions Eds. Bahemuka J.M. and Brockington J.I. University of Nairobi Press, (in Press 2002). Journal of BiochemiPhysics; 2002. Abstract

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

A. PROFKARANIFLORIDA. ""Gender Issues in Higher Education : What are the Challenges".". In: African Universities Day Seminar Association of Africa Universities (AAU) Kenyatta University 13th and 14th November 1995. Journal of BiochemiPhysics; 1995. Abstract
   
A. PROFODHIAMBOPETER. "Open Heart Surgery - MEDICOM.". In: The African Journal of Hospital Medicine. Heinrich Boll Foundation.; 1980. Abstract
A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested.
A. PROFKARANIFLORIDA. ""Students the Primary Clients of Higher Education Issues and Perspectives".". In: The International Conference on Transformation of Higher Education Management and Leadership for Efficacy in Africa. 12 th to 16 th November 2001. Kenyatta University. Kenya. Journal of BiochemiPhysics; 2001. Abstract

 

 

A. PROFKARANIFLORIDA. "Karani F.A.; Course Design and Development in B. Matiru ed. Towards Academic and Professional Ecxcellence in Higher Education. Part II. Bonn. 1990. pp 69 .". In: B. Matiru ed. Towards Academic and Professional Ecxcellence in Higher Education. Part II. Bonn. 1990. pp 69 . Journal of BiochemiPhysics; 1990. Abstract
   
A. K. Survival rate of proximal ART restorations. Germany: LAP Lambert Academic Publishing GmbH & Co, Saarbrucken; 2011.
A. DROGENGOJULIUS. "Ongeti K, Hassanali J, Ogeng.". In: East African Orthopaedic Journal. Kenya Orthopaedic Association; 2008. Abstract
Background: Prolapsed intervertebral disk (PID) disease can be managed conservatively or surgically with different reported outcomes.Objective: The present study aimed at assessing the management and outcomes of slipped intervertebral disk disease at the Kenyatta National hospital.Study Design: A retrospective cross-sectional study.Setting: Kenyatta National Hospital (KNH) a referral and teaching Hospital in Kenya.Patients and Methods: Consecutive files of all cases of slipped intervertebral disk disease from January1997 to December 2007 were retrieved from the Medical records at the Kenyatta National Hospital. The biodata, management methods and the outcomes of the procedures were recorded. The collecteddata was analyzed using the SPSS 17.0 for Windows.Results: Six hundred and three cases were reviewed. All patients received analgesics and bed rest.Five percent of the patients were put on bilateral traction for two weeks while 4% of the patients had corsets. Thirty five per cent of the patients were surgically managed. Over a third of the surgically managed patients had laminectomies. Microdiscectomy was increasingly popular in the latter half ofthe study period. Of the managed patients 95% reported improvement while 92% were complication free. The rate of reherniation and reoperation was 1.5% and 1.2% respectively.Conclusion: The management of PID at Kenyatta National Hospital is largely successful with few cases of complications. In selected patients both conservative and surgical care are used in tandem. Microdiscectomy is an increasingly popular surgical procedure at the KNH.
A. PROFODHIAMBOPETER. "Application of Microvascular Surgery in the Reconstruction of Thoracic Oesophagus (Preliminary Communication).". In: East African Medical Journal 56: (6) 248 - 253. Heinrich Boll Foundation.; 1967. Abstract
A clinical, radiological, histological, and geographical study of carcinoma of the esophagus in Kenya is reported. It was found that this cancer is diagnosed more often in males than in females, with a ration of 8:1 (Kenya Cancer Registry). The most common age in males and females is 50 to 59 years. The regions of the esophagus most commonly involved are the middle and lower thirds, in almost equal proportions. An unexplained tendency for the tumor to be poorly differentiated towards the lower third is noted. In addition a review on the possible etiological factors is presented.
A. PROFKARANIFLORIDA. ""Curriculum Issues - Bachelor of Pharmacy Syllabus Review &. Development.".". In: Workshop on Bachelor of Pharmacy Syllabus Review and Development; at Machakos Garden Hotel on llth April 1997. Kenya. Journal of BiochemiPhysics; 1997. Abstract

 

 

A. PROFKARANIFLORIDA. ""Management of Academic Programmes with special Reference to the Examination Process".". In: The Senate Workshop held at the Kenya School of Monetary Studies, Ruaraka, Nairobi. Kenya. 23 August 2002. Journal of BiochemiPhysics; 2002. Abstract
   
A. DROGENGOJULIUS. "Ogeng.". In: A potentially lethal Disease. Kenya Orthopaedic Association; 1995. Abstract

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

A. PROFWAMOLAISAAC. "Cunnington AJ, Kendrick SF, Wamola B, Lowe B, Newton CR.Carboxyhemoglobin levels in Kenyan children with Plasmodium falciparum malaria.Am J Trop Med Hyg. 2004 Jul;71(1):43-7.". In: Am J Trop Med Hyg. 2004 Jul;71(1):43-7. IBIMA Publishing; 2004. Abstract
Heme oxygenase (HO) is thought to be induced in severe malaria, but the pathophysiologic consequences have not been examined. It is induced by hemolysis, oxidative stress, and inflammation. It degrades heme, producing carbon monoxide (CO), which causes elevated levels of carboxyhemoglobin (COHb). In a prospective study of 1,520 children admitted to a Kenyan district hospital, COHb levels were no higher in children with malaria than with other infections. The COHb levels in children with severe malarial anemia were higher than in other children with malaria, but significantly lower than in children with other causes of severe anemia such as sickle cell disease. Levels of COHb were not significantly higher in children with cerebral malaria or in those dying of malaria. These results do not support a systemic increase in HO activity in malaria compared with other infectious diseases, but the roles of HO and CO in malaria require further study.
A. PROFWAMOLAISAAC. "Ngoka, WAMOLA I.A and Dunlop. The role of Neisseria gonorrhoea in causing infertility. Paper read and published by Society of Obs and Gynae. Nairobi, (1979).". In: Society of Obs and Gynae. Nairobi, (1979). IBIMA Publishing; 1979. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""National Goals and Aims and Instructional Objectives".". In: Bachelor of Education and External Studies University of Nairobi seminar 1991. Journal of BiochemiPhysics; 1991. Abstract

 

 

A. PROFKARANIFLORIDA. ""Development of Education in East Africa. Trends and Issues Affecting Development".". In: The Symposium on East Africa in Transition. Nairobi. Kenya. July 2001. Journal of BiochemiPhysics; 2001. Abstract
   
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1990. Abstract

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

A. PROFWAMOLAISAAC. "Slack RCB WAMOLA I.A and Douglas WS. A Comparison of Oral Doxycycline and Intramuscular Penicillin in the Treatment of Acute Gonorrhoea in Male (Paper presented to East and Central Physicians Conference, Zambia, June, 1975).". In: (Paper presented to East and Central Physicians Conference, Zambia, June, 1975). IBIMA Publishing; 1975. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""Community Approach".". In: The Women's Workshop in Gambia. March 1984. Journal of BiochemiPhysics; 1984. Abstract

 

 

A. PROFKARANIFLORIDA. ""Development of Education in Kenya".". In: The 1 st Symposium on East Africa in Transition; Communities, Cultures and Change. Nairobi. Kenya. 4 - 7 th July 2000. Journal of BiochemiPhysics; 2000. Abstract
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A. PROFWAMOLAISAAC. "Cameron W, Clementson D, D.". In: J. Inf. Diseases. 1991. IBIMA Publishing; 1991. Abstract
OBJECTIVE: To measure the proportion of nosocomial diarrhea cases associated with Salmonella and Shigella species. DESIGN: Prospective 6-month survey. SETTING: Tertiary care center in a developing country. PATIENTS: Pediatric and adult patients admitted with the previous 24 hours and all consenting adult or pediatric medical patients with nosocomial diarrhea. OUTCOME MEASURES: Prevalence of Salmonella and Shigella species isolated from rectal swabs at admission and among subjects with nosocomial diarrhea. RESULTS: Salmonella species and Shigella species were isolated from 3.0% and 2.5%, respectively, of 667 patients screened on admission. All admission Salmonella isolates were identified in children under 13 years of age; Shigella prevalence was similar for children and adults. Children with Salmonella at admission were significantly older and more likely to have diarrhea, fever, and some indicators of malnutrition than those from whom Salmonella was not isolated. Salmonella and Shigella were isolated from rectal cultures in 36 (10%) and 9 (2.5%) of 360 nosocomial gastroenteritis cases, respectively. Nosocomial cases occurred equally in adults and children. In adults, nosocomial Salmonella acquisition was associated with sharing a room with a diarrhea patient and previous institutionalization. In children, it was associated with recent antimicrobial therapy, crowding at home, and age between 6 months and 6 years. Nine (41%) of 22 nosocomial Salmonella cases in adults occurred in patients with human immunodeficiency virus-type 1 (HIV-1) infection, while none of 79 HIV-1-positive patients had Salmonella isolated at admission. CONCLUSIONS: Salmonella is a frequent cause of nosocomial gastroenteritis in this tertiary care institution in a developing country. Risk factors appear to differ for children and adults, and HIV-1-infected subjects may be at increased risk of acquisition. Control measures feasible for the limited resources available to such institutions require evaluation. PIP: Researchers analyzed data on 667 patients admitted between March 9 and September 14, 1988 to the Kenyatta National Hospital in Nairobi, Kenya to verify the contribution of Salmonella and Shigella species to hospital acquired infections and to identify factors associated with admission and nosocomial infection. Laboratory personnel isolated Salmonella and Shigella in 12.5% (10% and 2.5% respectively) of the 360 patients with nosocomial diarrhea. Their overall prevalence was 3% and 2.5% respectively. These 2 bacteria were isolated from rectal swabs from 19 of the 27 hospital units. Most of the isolates were restricted to 5 units. All of the Salmonella isolates at admission were children under 13 years old (3.6% of 556 children). Shigella prevalence at admission was 2.5% for children and 3.6% for adults. The risk of nosocomial diarrhea caused by these 2 bacteria was much greater in children older than 6 months and younger than 6 years than in children of other ages (odds ratio [OR]=21.7; p=.006). The most significant variables which independently affected nosocomial diarrhea caused by these bacteria in children were recent antimicrobial therapy (OR=26.4; p=.001) and living in crowded homes (OR=1.2; p=.02). Another determinant was poor hair color indicating malnutrition (p=.03). Even though there were no significant differences between adults with nosocomial diarrhea caused by these bacteria and those with no nosocomial diarrhea, sharing a room with people with diarrhea, being in the hospital within the last 30 days, and being HIV-1 positive were factors that almost reached significance. In fact, 9 of their 22 (41%) adults with positive cultures of Salmonella were HIV=1 positive yet Salmonella was not isolated from any of the 70 HIV-1 positive patients at admission. Salmonella contributed greatly to nosocomial diarrhea at this hospital. The hospital should evaluate and redesign its control measures within available limited resources.
A. DROKOOLARAPHAELE. "Transition from the Southern to the Northern Hemisphere summer of zones of active convection over the Congo Basin.". In: Meteorol. and Atmos. Phys., 84, 255-265. Kenya Met Soc; 2003. Abstract
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A. HASHIM. Crown and Crescent: Competing Policies on the Administration of Islamic Law in the East African Coast. University of Johannesburg, South Africa: Research Centre for Islamic History, Art and Culture (IRCICA) Istanbul; 2009.crown_and_cresecent.pdf
A. PROFKETERJOSEPHKIPKORIR. "Waithaka, J., and J.K.A. Keter. 1992. The distribution of total and double-acid extractable copper in the A and B horizons of selected soils of Kenya. East Africa Journal of Sciences 1(1): 33-45.". In: First International Workshop on Capacity Building in Soil and Water Management in Africa, Kampala, Uganda, 9-11 November, 1992. Academic Science Publishers, Nairobi, Kenya. ISBN: 9966-831-15-0. University of Nairobi Press; 1992. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. PROFWAMOLAISAAC. "Mutanda LN, Omari AM and WAMOLA I.A. Adaptation of a method of measuring zone diameters of bacterial growth inhibition by antibiotics to suit developing countries. East Afr Med J. 1989 Jul;66(7):441-7.". In: East Afr Med J. 1989 Jul;66(7):441-7. IBIMA Publishing; 1989. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. DRSWAZURIMUHAMMED. ""Characteristics of Real Property," paper presented to a Vision Consult Workshop in Kitwe, Zambia, 27th September, to 1st October, 1993.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1993. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFKARANIFLORIDA. "Karani, F.A., "Community Building through Religious Education" in the Christian Educator. Journal of Religious Education vol.9. No.10. May 1996. p3. Nairobi.". In: In the Christian Educator. Journal of Religious Education vol.9. No.10. May 1996. p3. Nairobi. Journal of BiochemiPhysics; 1996. Abstract
   
A. PROFODHIAMBOPETER. "Tuberculosis of the Thoracic Spine Managed by Trans-thoracic Decompression, Rib-grafting and Chemotherapy.". In: The African Journal Of Hospital Medicine. Heinrich Boll Foundation.; 2004. Abstract
Towers are typical structures that can be found in many urban and rural landscapes the world over. From their basic design, they are usually exposed to severe environmental loads. It is therefore prudent to carry out periodic maintenance that includes checking that they are correctly aligned. This paper describes a method that was used for the re-alignment of a guyed tower in Limuru, Kenya. Angular and distance observations, made from two observation points detected a vertical misalignment that was larger than the acceptable tolerance of l/400. An iterative re-alignment procedure was then applied, resulting in an acceptable final misalignment of 1 / 520.
A. PROFKARANIFLORIDA. "Forthcoming: History of Adult Education in Africa to be published by Pearson Education, South Africa and UNESCO.". In: To be published by Pearson Education, South Africa and UNESCO. Journal of BiochemiPhysics; Forthcoming. Abstract

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

A. PROFODHIAMBOPETER. "Peritonitis - Definitions, Interventions and Contravention.". In: The African Journal of Hospital Medicine,. Heinrich Boll Foundation.; 1988. Abstract
A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested.
A. PROFKARANIFLORIDA. ""Women in Management".". In: The Phase III of the Ford Foundation Management Development Seminar for Women Managers in the Public Sector. Nairobi Province. 2 nd April 2001. Journal of BiochemiPhysics; 2001. Abstract

 

 

A. PROFKARANIFLORIDA. ""Position paper on Academic Staff Management in the University of Nairobi" presented at the Sub-Regional Workshop on Institutional Management in Higher Education".". In: Quatre-Bornes, Republic of Mauritius 6th to 17th September 1993. Journal of BiochemiPhysics; 1991. Abstract
   
A. DROGENGOJULIUS. "Obimbo MM, Bundi PK, Collis F, Ogeng.". In: East African Orthopaedic Journal. Kenya Orthopaedic Association; 2008. Abstract
Background: Prolapsed intervertebral disk (PID) disease can be managed conservatively or surgically with different reported outcomes.Objective: The present study aimed at assessing the management and outcomes of slipped intervertebral disk disease at the Kenyatta National hospital.Study Design: A retrospective cross-sectional study.Setting: Kenyatta National Hospital (KNH) a referral and teaching Hospital in Kenya.Patients and Methods: Consecutive files of all cases of slipped intervertebral disk disease from January1997 to December 2007 were retrieved from the Medical records at the Kenyatta National Hospital. The biodata, management methods and the outcomes of the procedures were recorded. The collecteddata was analyzed using the SPSS 17.0 for Windows.Results: Six hundred and three cases were reviewed. All patients received analgesics and bed rest.Five percent of the patients were put on bilateral traction for two weeks while 4% of the patients had corsets. Thirty five per cent of the patients were surgically managed. Over a third of the surgically managed patients had laminectomies. Microdiscectomy was increasingly popular in the latter half ofthe study period. Of the managed patients 95% reported improvement while 92% were complication free. The rate of reherniation and reoperation was 1.5% and 1.2% respectively.Conclusion: The management of PID at Kenyatta National Hospital is largely successful with few cases of complications. In selected patients both conservative and surgical care are used in tandem. Microdiscectomy is an increasingly popular surgical procedure at the KNH.
A. PROFODHIAMBOPETER. "Enlargements of the Prostate.". In: M. Med. Dissertation. Heinrich Boll Foundation.; 1975. Abstract
A clinical, radiological, histological, and geographical study of carcinoma of the esophagus in Kenya is reported. It was found that this cancer is diagnosed more often in males than in females, with a ration of 8:1 (Kenya Cancer Registry). The most common age in males and females is 50 to 59 years. The regions of the esophagus most commonly involved are the middle and lower thirds, in almost equal proportions. An unexplained tendency for the tumor to be poorly differentiated towards the lower third is noted. In addition a review on the possible etiological factors is presented.
A. AA, J.K. I, A.M. M, O. OF, RW. N. "Knowledge attutudes and use of bovine blood as food in Kisumu County, Kenya." AJFAND. 2016.
A. PROFKARANIFLORIDA. ""Innovations in Curricula and Programmes".". In: UNESCO World Conference on Higher Education. Paris. 5 th to 9 th October 1998. Journal of BiochemiPhysics; 1998. Abstract

 

 

A. PROFKARANIFLORIDA. "Karani, F.A., Njiru N. and Ayot R.; Inventory of Training Institutions and Organizations in Kenya. UNICEF, Nairobi : April 1981. 142 pp.". In: UNICEF, Nairobi : April 1981. 142 pp. Journal of BiochemiPhysics; 1981. Abstract
   
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1997. Abstract

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

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

 

 

A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1991. Abstract

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

A. PROFWAMOLAISAAC. "Ejide AO and WAMOLA I.A. The bacteriology of burns at Kenyatta National Hospital. EAMJ Vol 53 pp. 415 (1976).". In: EAMJ Vol 53 pp. 415 (1976). IBIMA Publishing; 1976. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""Writing a Project Proposal".". In: Pan- African Institute, Project Management Workshop, Kabwe, Zambia. 1984 and 1985. Journal of BiochemiPhysics; 1985. Abstract

 

 

A. MRJALEHAALEXC. "Currently developing a manual for distance learning undergraduate students, " Principles of Management.". In: Department of Clinical Studies University of Nairobi 2008. Departmental seminar; 1993. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
A. PROFKARANIFLORIDA. ""Facilitating and Managing Learning Diversity in Non-Formal Education in Kenya".". In: The ADEA Non- Formal Education (NFE) Ministry of Education, Science and Technology Symposium and the Establishment of an NFE Country Working Group. Mombasa 11 th to 14 th April 2000. Journal of BiochemiPhysics; 2000. Abstract
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A. DROGENGOJULIUS. "Ogeng.". In: The Nairobi Journal of Medicine, Vol. 14 No. 1. Kenya Orthopaedic Association; 1988. Abstract

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

A. PROFWAMOLAISAAC. "Embree J E, Datta P, Stackiw W, Sekla L, Braddick J, Kreiss J K, Pamba HO, WAMOLA I.A . Increased risk of early measles in infants of HIV-1 seropositive mothers. J. Inf. Dis. 165: 262-7, 1992.". In: J. Inf. Dis. 165: 262-7, 1992. IBIMA Publishing; 1992. Abstract
An increase in illness due to measles is one of the potential consequences of the human immunodeficiency virus (HIV) epidemic in Africa. During a study of perinatal HIV transmission conducted in Kenya, the risk of acquiring measles before vaccination (9 months of age) was found to be 3.8 times higher in infants born to HIV-seropositive mothers than in control infants (10 [9%] of 109 vs. 5 [3%] of 194 infants; P = .02; odds ratio, 3.8; 95% confidence interval, 1.2-13.2). The majority of infants who developed measles in this study had significant sequelae related to their measles infection. The increased risk of measles appeared to be related to relatively lower anti-measles antibody titers detected in cord blood samples of affected infants born to HIV-seropositive mothers. However, 94% of all infants were susceptible to measles on the basis of ELISA testing at age 6 months regardless of maternal HIV serology. These observations highlight the need for improved measles vaccination strategies in Africa and for studies to delineate the effects of HIV infection on the incidence,
A. DROKOOLARAPHAELE. "Okoola, R.E., 2006: Invited Book Review ; .". In: Jour. Kenya Meteorol. Soc. Vol 2 No. 1, 67 - 83. Kenya Met Soc; 2006. Abstract
Kindly check later
A. HASHIM. "). Bonding through Faith: Enhancing Cohesion and Integration Values in the Islamic Religious Education Curricula for Primary and Secondary Schools.". In: Mainstreaming National Cohesion and Integration in Kenya’s Educational Curriculum. Nairobi: National Cohesion and Integration Commission in partnership with the Kenya Institute of Curriculum Development; 2014.bonding_through_faith.pdf
A. PROFKETERJOSEPHKIPKORIR. "Gikonyo, E.W., J.K.A. Keter, S.M. Kanyanjua, and P.O.S. Oduor, 1996. Phosphate sorption by some Kenyan soils as evaluated by the Langmuir and Freundlich Adsorption Equations, p. 6-12. In: Proceedings of the 15th General Meeting, SSSEA, held in Nanyuki, Ke.". In: 15th General Meeting, SSSEA, held in Nanyuki, Kenya. ISBN 9966-879-27-7. University of Nairobi Press; 1996. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. PROFKARANIFLORIDA. ""Innovations in Curricula and Programmes".". In: UNESCO World Conference on Higher Education. Paris. 5 th to 9 th October 1998. Journal of BiochemiPhysics; 1998. Abstract
   
A. DROGENGOJULIUS. "Ogeng.". In: BSc. Dissertion, University of Nairobi. Kenya Orthopaedic Association; 1986. Abstract

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

A. DRSWAZURIMUHAMMED. ""Security of Tenure Among the Low Income People in the Next Millennium". Paper presented to the Shelter Forum Event, 4-5 November, 1999, Nairobi.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1999. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFKARANIFLORIDA. ""Curriculum Issues - Bachelor of Pharmacy Syllabus Review &. Development.".". In: Workshop on Bachelor of Pharmacy Syllabus Review and Development; at Machakos Garden Hotel on llth April 1997. Kenya. Journal of BiochemiPhysics; 1997. Abstract
   
A. DRSWAZURIMUHAMMED. "M. A.,Thesis entitled "An Estimation of Housing Needs: A Case Study of Malindi Town in Kenya", 1986.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1986. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFESHIWANIARTHUR. "Legal Implications of Managerial Decisions.". In: The Kenya Account, Vol. iv No. 3.9. A Matimba, M Oluka, B Ebeshi, J Sayi, Bolaji, J Del Favero , C Van Broeckhoven, AN Guanta; 1983. Abstract
Oral infection with Herpes Simplex Virus (HSV) is a frequent and well documented complication in immunosuppressed individuals including patients on immunosuppressive medication. We report the development of severe oral infection with HSV type 1 in a 34 year old woman with type 1 diabetes mellitus and end stage renal disease (ESRD) following cadaveric renal transplantation at the Western General Hospital, Edinburgh. The role of acyclovir in therapy and chemoprophylaxis is discussed.
A. PROFODHIAMBOPETER. "Odhiambo PA.The first ten years of heart surgery in Kenya–aspirations, dilemmas and possibilities.East Afr Med J. 1992 Sep;69(9):520-4.". In: East Afr Med J. 1992 Sep;69(9):520-4. Heinrich Boll Foundation.; 1992. Abstract
This paper looks at the beginnings of cardiac surgery in Kenya with relevant clinical data as well as the overall historical background to various cardiovascular operations which preceded formal establishment of the Thoracic and Cardiovascular Surgical Unit at the Kenyatta National Hospital. Similar activities in other hospitals in Nairobi and elsewhere in Kenya have been excluded. The Unit separated from general surgical wards in January 1973. By the end of 1983, a total of 208 open heart operations had been done by various teams in the Unit. A number of other heart operations were also undertaken. Those done before that decade are also highlighted back to 1950. The many problems that the Unit faced and still faces are also identified in this paper and the dream of making it a Centre of Excellence revisited.
A. PROFKARANIFLORIDA. "Karani, F.A. "Development of Education in East Africa. Trends and Issues" in Realizing African Development, A Millenium Analysis. P.C. Samantha and Raj Kumar Sen Eds. CIADS and I IDS. Kolkata, India. 2001.". In: Realizing African Development, A Millenium Analysis. P.C. Samantha and Raj Kumar Sen Eds. CIADS and I IDS. Kolkata, India. 2001. Journal of BiochemiPhysics; 2001. Abstract

 

 

A. PROFKARANIFLORIDA. ""National Goals and Aims and Instructional Objectives".". In: Bachelor of Education and External Studies University of Nairobi seminar 1991. Journal of BiochemiPhysics; 1991. Abstract
   
A. DROTIENOALFREDT. "An Event History Analysis of Factors influencing entry into Parenthood in Nairobi.". In: Published African Population studies. March 2006. E Afr Med J; 2004. Abstract
African Population Studies 19 (2): 42-62
A. DROGENGOJULIUS. "Ongeti KW, Ogeng.". In: journal. Surgical Society of Kenya; 2009. Abstract
Background: Accurate evaluation of low back pain is essential for its rational management. The extent of use of clinical and imaging findings in identificationof prolapsed intervertebral disk varies between centers. In Kenya, thediagnostic procedure is obscure.Objective: To assess the evaluation of low back pain patients for prolapsed intervertebral disk at a Kenyatta National Hospital, a teaching and referralhospital in Kenya.Study Design: A retrospective chart studyPatients and Methods: Historical, physical and imaging findings of patients who presented with low back pain and subsequently diagnosed with prolapsed inter-vertebral disk between Jan 1997 and December 2007 were evaluated.Results: Of the six hundred and three patients (267 males, 336 females) whowere evaluated, risk factors were recorded in 39.5% patients, 35.3%patients had sciatica while straight leg raising test was performed in52.2% patients. Investigations performed in these patients included plainroentograms (38.5%), CT scan (9.1%) and MRI (44.1%).Conclusion: The evaluation of low back pain for prolapsed inter-vertebral disk was incomplete. History of sciatica, SLRT, crossed SLRT and MRI use arerecommended for routine evaluation of low back pain for PID.
A. PROFODHIAMBOPETER. "Gatei DG, Odhiambo PA, Orinda DA, Muruka FJ, Wasunna A.Retrospective study of carcinoma of the esophagus in Kenya.Cancer Res. 1978 Feb;38(2):303-7.". In: Cancer Res. 1978 Feb;38(2):303-7. Heinrich Boll Foundation.; 1978. Abstract
A clinical, radiological, histological, and geographical study of carcinoma of the esophagus in Kenya is reported. It was found that this cancer is diagnosed more often in males than in females, with a ration of 8:1 (Kenya Cancer Registry). The most common age in males and females is 50 to 59 years. The regions of the esophagus most commonly involved are the middle and lower thirds, in almost equal proportions. An unexplained tendency for the tumor to be poorly differentiated towards the lower third is noted. In addition a review on the possible etiological factors is presented.
A. PROFKARANIFLORIDA. ""Community Approach".". In: The Women's Workshop in Gambia. March 1984. Journal of BiochemiPhysics; 1984. Abstract
   
A. PROFKARANIFLORIDA. "Karani, F.A.; "Women in Higher Education in Africa" in the Kenya Adult Educator Journal of the Kenya Adult Education Association - Nairobi (in press Nairobi 2002).". In: Kenya Adult Educator Journal of the Kenya Adult Education Association - Nairobi (in press Nairobi 2002). Journal of BiochemiPhysics; 2002. Abstract
Tetralones were converted to tetralinylamines via Leuckart reaction.These were then used to protect carboxamide side-chains of glutamine and asparagine. Clevage studies using trifluoroacetic acid and boron tristrifluoroacetate were then done on these derivatives. The groups 1-tetralinyl, 5,7-dimethyl-1-tetralinyl and 7-methoxy-1-tetralinyl were found to be good carboxamide protecting groups in asparagine.
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 2000. Abstract

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

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

 

 

A. PROFKARANIFLORIDA. "Karani, F.A. "Development of Education in Kenya" "in East Africa Transition Communities, Cultures and Change. Eds Bahemuka J.M. & Brockington J.I. Action Publishers Nairobi 2001.". In: East Africa Transition Communities, Cultures and Change. Eds Bahemuka J.M. & Brockington J.I. Action Publishers Nairobi 2001. Journal of BiochemiPhysics; 2001. Abstract
   
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1992. Abstract

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

A. PROFWAMOLAISAAC. "WAMOLA I. A, Zimmerman, R R; and Slack RCB. Salmonella typhimurium .". In: Proceedings of the 1976 Annual Scientific Conference of the East African Medical Research Council (Book on Delivery of Health Care in Africa). IBIMA Publishing; 1976. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""Problems of Curriculum Development for Self Employment in Kenya".". In: First Regional Seminar on Transitional Education, Nairobi, Kenya. June 1988 sponsored by the Friendrich Ebert Foundation. Journal of BiochemiPhysics; 1988. Abstract

 

 

A. PROFWAMOLAISAAC. "Kakai R, Bwayo JJ, Wamola IA, Ndinya-Achola JO, Nagelkerke NJ, Anzala AO, Plummer FA.Breastfeeding and immunity to intestinal infections.East Afr Med J. 1995 Mar;72(3):150-4.". In: East Afr Med J. 1995 Mar;72(3):150-4. IBIMA Publishing; 1995. Abstract
{ The purpose of this study was to compare immune response in breast and non breastfed children presenting with diarrhoea at Paediatric Observation Ward, Kenyatta National Hospital (KNH-POW) and Maternal and Child Health Clinic, Pumwani Maternity Hospital (PMH-MCH). Blood and stool samples were collected from the first four consecutive children aged 5 years and below per day, presenting with or without diarrhoea from January to December, 1992. The stools were tested for total IgA by single radial immunodiffusion (SRID) and specific IgA by enzyme linked immunosorbent assay (ELISA). Peripheral blood CD4 and CD8 enumeration was done by flow cytometry. Stools were cultured for bacteria on selective media while ova and cysts of parasites were identified by wet preparation microscopy. A total of 457 children were enrolled into the study, 69.6% of whom presented with diarrhoea. Breastfed children tended to have a shorter duration of diarrhoea than either mixed fed or bottle fed (8.3 vs 9.8 vs 11.2 days
A. DROKOOLARAPHAELE. "Nyakwada, W., Ogallo, L.A. and Okoola, R. E, 2009: The Atlantic-Indian Ocean Dipole and its influence on East African seasonal rainfall , J. Meteorol. & Rel. Sci., 3, 21.". In: J. Meteorol. & Rel. Sci., 3, 21 . Journal of School of Continuous and Distance Education ; 2009. Abstractjkms_vol3_n01_for_editing_kinguyu.pdf

Sudden death in the young after low energy anterior chest wall impact is an under-recognised phenomenon in this country. Review of the literature yields several American references to commotio cordis, mainly in the context of sporting events. Two cases are reported of sudden death in young men as a result of blunt impact anterior chest wall trauma. It is suggested that these cases draw attention to a lethal condition of which many practitioners are unaware.
J Accid Emerg Med 2000 Nov 17 (6): 421-422. PMID: 11104247 [PubMed - indexed for MEDLINE]PMCID: PMC1725482
 

A. PROFKETERJOSEPHKIPKORIR. "Chui, J.N. and J.K.A. Keter. 1997. Effects of N fertilization, bean spatial arrangements and residue on maize performance in a semi-arid area of Kenya. African Crop Sci. Soc. J. Vol. 3, pp. 499-508.". In: East Afr Med J. 2002 Sep;79(9):457-60. University of Nairobi Press; 1997. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. DROGENGOJULIUS. "Ogeng.". In: BSc. Dissertation, University of Nairobi. Kenya Orthopaedic Association; 1986. Abstract

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

A. DRSWAZURIMUHAMMED. ""The Origins and Valuation". Seminar paper presented t o the Department of Land Development, University of Nairobi, 2nd June, 1988.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1988. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFESHIWANIARTHUR. "The 1984-85 Budgetary Measures: Some Comments for Foreign Investors, Bulletin for International Fiscal Documentation, Amsterdam, Holland, Vol. 38, No.12:543.". In: Nairobi University Law Journal, Vol. 1:69. A Matimba, M Oluka, B Ebeshi, J Sayi, Bolaji, J Del Favero , C Van Broeckhoven, AN Guanta; 1984. Abstract
Oral infection with Herpes Simplex Virus (HSV) is a frequent and well documented complication in immunosuppressed individuals including patients on immunosuppressive medication. We report the development of severe oral infection with HSV type 1 in a 34 year old woman with type 1 diabetes mellitus and end stage renal disease (ESRD) following cadaveric renal transplantation at the Western General Hospital, Edinburgh. The role of acyclovir in therapy and chemoprophylaxis is discussed.
A. PROFODHIAMBOPETER. "Odhiambo PA.The application of micro-vascular surgery to the reconstruction of the thoracic oesophagus. Preliminary communication.East Afr Med J. 1979 Jun;56(6):248-54.". In: East Afr Med J. 1979 Jun;56(6):248-54. Heinrich Boll Foundation.; 1979. Abstract
A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested.
A. PROFKARANIFLORIDA. ""Hopes on the Horizon, The Rise of the New Africa".". In: The Association of African Universities. Accra. Ghana. 28 September 1999. Journal of BiochemiPhysics; 1999. Abstract

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A. PROFKARANIFLORIDA. ""Writing a Project Proposal".". In: Pan- African Institute, Project Management Workshop, Kabwe, Zambia. 1984 and 1985. Journal of BiochemiPhysics; 1985. Abstract
   
A. MRMUNGAGILBERT. "(2001). Concrete Practices in Kenya (2001). Jomo Kenyatta University of Agriculture and Technology Symposium.". In: Presented at the Commonwealth Association of Surveying and Land Economy (CASLE) and the International Federation of Surveyors (FIG) Seminar, Harare,. Survey Review; 2001. Abstract
Towers are typical structures that can be found in many urban and rural landscapes the world over. From their basic design, they are usually exposed to severe environmental loads. It is therefore prudent to carry out periodic maintenance that includes checking that they are correctly aligned. This paper describes a method that was used for the re-alignment of a guyed tower in Limuru, Kenya. Angular and distance observations, made from two observation points detected a vertical misalignment that was larger than the acceptable tolerance of l/400. An iterative re-alignment procedure was then applied, resulting in an acceptable final misalignment of 1 / 520.
A. DROGENGOJULIUS. "Pulei AN, Ogeng.". In: Clin Anat. 2007 Nov;20(8):943-5. Kenya Orthopaedic Association; 2007. Abstract

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

A. PROFKARANIFLORIDA. "Karani, F.A.; Utilization of Distance Education in Teacher Education in Kenya in Report of Third Teacher Education Conference, The Concern of Kenya. The Quality Teacher for the 21st century & Beyond held from 5th to 9th December 1994. Ministry of Educatio.". In: The Journal of Development Communication. No. 2 Vol 6. December 1995. ISSN 0128 - 3863. Kuala Lumpar. pp 72 to 80. Journal of BiochemiPhysics; 1995. Abstract

 

 

A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1992. Abstract

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

A. PROFWAMOLAISAAC. "Kakai R, Wamola IA, Bwayo JJ.Association of human rotavirus infection and intestinal rotavirus-specific immunoglobulin A in children with diarrhoea. East Afr Med J. 1995 Apr;72(4):217-9.". In: East Afr Med J. 1995 Apr;72(4):217-9. IBIMA Publishing; 1995. Abstract
The purpose of this study was to determine the role of intestinal specific rotavirus IgA antibody in protection against diarrhoea due to rotavirus infection. Stool from children aged below 5 years with diarrhoea who reported to the Paediatric Observation Ward, Kenyatta National Hospital were examined for micro-organisms and IgA antibody. Specific rotavirus IgA antibody and antigen were determined using enzyme linked immunosorbent assay technique. Out of 153 stool specimens, 22% (34/153) were positive for rotavirus antigen and 15% (23/153) had IgA specific antibody to rotavirus. Children with specific IgA to rotavirus had no rotavirus except in two cases (p < 0.05). There was no difference in levels of specific IgA antibody between normal and malnourished children (p = 0.4). It is probable that intestinal specific IgA to rotavirus protects children against rotavirus diarrhoea.
A. PROFWAMOLAISAAC. "Slack, RCB, WAMOLA I. A and Douglas, S W. Antimicrobial Sensitivities of Neisseria gonorrhoea in Nairobi and Treatment of Schedules. EAMJ research, Vol. No. 2.3 (1977), Pg 83-87.". In: EAMJ research, Vol. No. 2.3 (1977), Pg 83-87. IBIMA Publishing; 1977. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""Position Paper : College of Education and External Studies, University of Nairobi".". In: Sub- Regional Workshop in Towards Professional Excellence in Higher Education, Part II : 17th to 30th June 1990. Kassel-Witzenhausen, West Berlin. Journal of BiochemiPhysics; 1990. Abstract

 

 

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

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

A. PROFWAMOLAISAAC. "WAMOLA I.A and Chesbro 1970. Identification of antigens in Jensen.". In: Bacteriology proceedings Pg. 79. IBIMA Publishing; 1970. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKETERJOSEPHKIPKORIR. "Owino-Gerroh, C., J.K.A. Keter and J.P. Mbuvi. 1999. Response of Field Bean s (Phaseoulus valgaris L.) to unacidulated phosphorus source on an andosol in Kenya. J. Agric. Sci. & Tech. Vol. 2, No. 1:32-45.". In: East Afr Med J. 2002 Sep;79(9):457-60. University of Nairobi Press; 1999. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. PROFKARANIFLORIDA. "Keynote Address on "Efficient Management of Teaching Practice".". In: College of Education and External Studies Workshop. Garden Hotel Machakos, Kenya 15.1.1998. Journal of BiochemiPhysics; 1998. Abstract
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A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1988. Abstract

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

A. M, C.K. M. "Ferula communis – a potential rodenticide.". In: Current Medical Research in East Africa Proc. 3rd Ann. Sci. conference. Nairobi; 1982.
A. PROFWAMOLAISAAC. "Mirza NB, WAMOLA I.A and Bubi J. Resistance Patterns of Gram Negative Pathogens from Clinical Material. Medicom Vol 3 (4): 105. 1981.". In: Medicom Vol 3 (4): 105. 1981. IBIMA Publishing; 1981. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. DRSWAZURIMUHAMMED. "Gati na Mikoko: The Management of Waterfront Lands in Mombasa", joint paper with Prof. S. S. Yahya presented to the International Workshop on Urban and Regional Planning, Mombasa, 18th to 22nd May, 1992.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1992. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFESHIWANIARTHUR. "The Decentralization Process in Kenya: The Place of Local Authorities - The African Centre for Technology Studies, (ACTOS), Nairobi, Research Memorandum Series.". In: Journal of African Meteorological Society, vol.15, 2001. A Matimba, M Oluka, B Ebeshi, J Sayi, Bolaji, J Del Favero , C Van Broeckhoven, AN Guanta; 1994. Abstract
Oral infection with Herpes Simplex Virus (HSV) is a frequent and well documented complication in immunosuppressed individuals including patients on immunosuppressive medication. We report the development of severe oral infection with HSV type 1 in a 34 year old woman with type 1 diabetes mellitus and end stage renal disease (ESRD) following cadaveric renal transplantation at the Western General Hospital, Edinburgh. The role of acyclovir in therapy and chemoprophylaxis is discussed.
A. PROFODHIAMBOPETER. "Odhiambo PA.Patient follow up care after open heart surgery.East Afr Med J. 1998 Dec;75(12):673-4.". In: East Afr Med J. 1998 Dec;75(12):673-4. Heinrich Boll Foundation.; 1998. Abstract
OBJECTIVE: To determine the bacteriology and antibiotic sensitivity of the bacterial isolates in chronic maxillary sinusitis patients seen at the Kenyatta National Hospital. DESIGN: Cross-sectional study. SETTING: Kenyatta National Hospital, ENT department. SUBJECTS AND METHODS: Seventy-three patients had bilateral sntral washout done and the lavage submitted for culture and anti-microbial sensitivity between January and June 1996. RESULTS: Antral lavage yielded secretions in 63% of patients but bacteria were cultured in only 28.8% of the specimens. The isolates included Streptococcus pneumonia (22.2%), Staphylocococus albus (18.5%), Staphylocococus aureus (11.1%) and Enterobactericiae (11.1%). Anaerobic bacteria were cultured in 22.2% of the specimens. Of the commonly used antibiotics, there was high sensitivity to erythromycin, cefadroxyl, chloramphenicol and amoxicillin and poor sensitivity to ampicillin, cotrimoxazole and perfloxacin. CONCLUSION: The bacteriology of chronic maxillary sinusitis at Kenyatta National Hospital is generally similar to that found elsewhere. The bacteria are susceptible to relatively affordable antibiotics like amoxicillin, erythromycin and cefadroxyl.
A. PROFKARANIFLORIDA. ""Provision of Basic Education to Nomadic Pastoralists in Kenya".". In: The Ministry of Science and Technology and presented at the Re-Assessment Workshop KCCT Mbagathi, Nairobi. Kenya 6 th to 8 th May 2002. Journal of BiochemiPhysics; 2002. Abstract

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

A. PROFKARANIFLORIDA. "Karani F.A. ; "The Role of the University in Rural Development in Kenya" in Orieko Chitere and Roberta Mutiso (eds). Working with Rural Communities : A Participatory Action Research in Kenya, Nairobi University Press, Nairobi. 1991. pp 19 - 25.". In: Orieko Chitere and Roberta Mutiso (eds). Working with Rural Communities : A Participatory Action Research in Kenya, Nairobi University Press, Nairobi. 1991. pp 19 - 25. Journal of BiochemiPhysics; 1991. Abstract
   
A. PROFODHIAMBOPETER. "Femoro-popliteal Vascular Surgery as an Experience - MEDICOM.". In: The African Journal of Hospital 59 - 64. Heinrich Boll Foundation.; 1979. Abstract
A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested.
A. PROFKARANIFLORIDA. ""Facilitating and Managing Learning Diversity in Non-Formal Education in Kenya".". In: The ADEA Non- Formal Education (NFE) Ministry of Education, Science and Technology Symposium and the Establishment of an NFE Country Working Group. Mombasa 11 th to 14 th April 2000. Journal of BiochemiPhysics; 2000. Abstract

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A. PROFKARANIFLORIDA. ""Problems of Curriculum Development for Self Employment in Kenya".". In: First Regional Seminar on Transitional Education, Nairobi, Kenya. June 1988 sponsored by the Friendrich Ebert Foundation. Journal of BiochemiPhysics; 1988. Abstract
   
A. M, M E. "Sheria." Iren; 2012. Abstract
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A. PROFKARANIFLORIDA. ""Women Scholars' role in perpetrating change : How the participation of Women in the Education Sector can encourage positive Development in Kenya".". In: The International Womens' Day Seminar on Woman, Her Diversity at the United States International University Africa (USIU-A) Nairobi. Kenya. 5 th March 2003. Journal of BiochemiPhysics; 2003.
A. DROGENGOJULIUS. "Olabu BO, Saidi HS, Hassanali J, Ogeng.". In: Clin Anat. 2007 Nov;20(8):943-5. Kenya Orthopaedic Association; 2007. Abstract

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

A. PROFKARANIFLORIDA. "Karani, F.A, "Satellite Education Demonstration Project between University of Nairobi, Texas A & M University and the University of Zimbabwe in UNESCO AFRICA, Six- Monthly Journal of the Dakar Regional Office ISSN 0850- 1432 No. 12 March 1996. UNESCO. Dak.". In: Six- Monthly Journal of the Dakar Regional Office ISSN 0850- 1432 No. 12 March 1996. UNESCO. Dakar p78-82. Journal of BiochemiPhysics; 1996. Abstract

 

 

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

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

A. PROFWAMOLAISAAC. "Muriuki SM, McDermott JJ, Arimi SM, Mugambi JT, Wamola IA.Criteria for better detection of brucellosis in the Narok District of Kenya.East Afr Med J. 1997 May;74(5):317-20.". In: East Afr Med J. 1997 May;74(5):317-20. IBIMA Publishing; 1997. Abstract
Monthly disease summary sheets from 1986-1992 of 60 dispensaries, clinics and hospitals in Narok district, Kenya were reviewed for the occurrence of brucellosis and other diseases with "flu-like symptoms". Diseases with these symptoms accounted for about 52% of the 1,037,875 cases reported for the time period. These were classified as malaria (79.3%), rheumatism (7.1%), PUO (2.4%), and brucellosis (0.8%). Brucellosis was diagnosed by a positive Rose Bengal (RB) test routinely conducted in seven out of the 60 health units. In these units, 55% of flu-like cases were classified as malaria and 21.2% as brucellosis. Individual case records of patients at four dispensaries using the RB test during 1991-92 were assessed for specific predictor symptoms. For 625 RB tested patients, a positive test result was associated with joint pain, headache, and the combinations of joint pain with headache and lameness with headache. A logistic regression model correctly predicted the RB test result in 62.3% of the time. For the 465 patients examined by the blood smear examination, identification of malaria parasites was associated with, headache, joint pain and combinations of emesis with pale mucous membranes. This regression model correctly predicted positive results 67.2% of the time. Both models indicate that selected clinical predictors represented significantly increased odds of being positive to the respective tests. However, for both diseases, clinical signs alone appear insufficient for reliable diagnosis and differentiation probably due to resemblance in symptomatology between these two and other diseases.
A. PROFWAMOLAISAAC. "WAMOLA I.A and Slack RCB. Anaerobic Infection in Kenyatta National Hospital: Bacteriological Isolations. EAMJ Vol. 55 (6): 278, 1978.". In: EAMJ Vol. 55 (6): 278, 1978. IBIMA Publishing; 1978. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. "Karani F.A.; "Some Issues in University Education in Kenya and the United States of America", in Henry Indangasi et al eds. American Studies in Eastern Africa. Nairobi University Press, Nairobi. 1990. pp 119 -125.". In: Henry Indangasi et al eds. American Studies in Eastern Africa. Nairobi University Press, Nairobi. 1990. pp 119 -125. Journal of BiochemiPhysics; 1990. Abstract

 

 

A. PROFKARANIFLORIDA. ""Students the Primary Clients of Higher Education Issues and Perspectives".". In: The International Conference on Transformation of Higher Education Management and Leadership for Efficacy in Africa. 12 th to 16 th November 2001. Kenyatta University. Kenya. Journal of BiochemiPhysics; 2001. Abstract
   
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1990. Abstract

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

A. PROFWAMOLAISAAC. "WAMOLA I.A. and Gathaiya (1974). Some aspects of Gonorrhoea in Nairobi. The Nairobi Journal of Medicine. Vol 7:36-40.". In: The Nairobi Journal of Medicine. Vol 7:36-40. IBIMA Publishing; 1974. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. "Karani, F.A.; "Application of Interaction Analysis to the Training of Preservice Teachers in Kenya" PH.D Dissertation University of Pittsburgh U.S. A 1979.". In: PH.D Dissertation University of Pittsburgh U.S. A 1979. Journal of BiochemiPhysics; 1979.
A. PROFKETERJOSEPHKIPKORIR. "Chui, J.N. , and J.K.A. Keter. 2000. Changes in soil chemical properties due to nitrogen fertilizer application and maize-bean cropping systems in a semi-arid region of Eastern Kenya. Intl. J. Biochem Physics, Vol. 10 & 11, 6-11.". In: East Afr Med J. 2002 Sep;79(9):457-60. University of Nairobi Press; 2002. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. DROKOOLARAPHAELE. "The characteristics of cold air outbreaks over the Eastern Highlands of Kenya.". In: Meteorol. Atmos. Phys., 73, 177-187. Kenya Met Soc; 2000. Abstract
Kindly check later
A. PROFKETERJOSEPHKIPKORIR. "Keter, J.K.A. and J.G.A. Fiskell. 1982. Maize response to phosphate sources and rates and to auxin on two Kenya soils. Soil Crop Sci. Soc. Fla. 41 :188-192.". In: First International Workshop on Capacity Building in Soil and Water Management in Africa, Kampala, Uganda, 9-11 November, 1992. Academic Science Publishers, Nairobi, Kenya. ISBN: 9966-831-15-0. University of Nairobi Press; 1982. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. DRAGANDAALEX. "Aganda, A. A., Murray, P. W., Kionga-Kamau, S. Temperature profiles in a wood packed bed heated by hot inert gases. Trans. Institution of Chemical Engineers. Vol. 75. Part A, October 1997.". In: Presented, NUSESA Maintenance of Equipment for the Advancement of Science Regional Conference, Sheraton Hotel, Kampala, Uganda, 3-4 December 2001. J. Kenya Meteorological Soc; 1997.
A. PROFWAMOLAISAAC. "WAMOLA I.A, Mirza NB and Nsazumuhire H. Penicillin resistant Pneumococcal Meningitis in Kenyatta National Hospital, Nairobi, Kenya. EAMJ Vol 58: 112. Jan 1981.". In: EAMJ Vol 58: 112. Jan 1981. IBIMA Publishing; 1981. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. DRSWAZURIMUHAMMED. ""Development Priorities for Malindi", a research report prepared for the Malindi Constituency Development Fund, March, 1993.". In: Key issues for Developing Countries. 1992 Ed., Bhatnagar S.C., pp. 103-114. Tata-Mcgraw-Hill. African International Business and Management Conference, Nairobi, Kenya; 1993. Abstract
This article reveals that the concept of education as a process of growth is a difficult one. Philosophers are, therefore, justified in being weary when pondering over its meaning, both in theory and practice. By way of conclusion, the article appreciates the complexities inherent in the growth theory of education, summarizing its major strength and weaknesses. Then it cautions educational planners and practitioners to be weary when, and if, they translate the theory into practice, so that they utilize the strengths inherent in the theory whilst paying attention to the dangers of its inherent weaknesses.
A. PROFESHIWANIARTHUR. "The Company Secretary: Reflections on a Dying Profession in Kenya(JICGK0.". In: Journal of African Meteorological Society, vol.15, 2001. A Matimba, M Oluka, B Ebeshi, J Sayi, Bolaji, J Del Favero , C Van Broeckhoven, AN Guanta; 2000. Abstract
Oral infection with Herpes Simplex Virus (HSV) is a frequent and well documented complication in immunosuppressed individuals including patients on immunosuppressive medication. We report the development of severe oral infection with HSV type 1 in a 34 year old woman with type 1 diabetes mellitus and end stage renal disease (ESRD) following cadaveric renal transplantation at the Western General Hospital, Edinburgh. The role of acyclovir in therapy and chemoprophylaxis is discussed.
A. PROFKARANIFLORIDA. "Karani, F.A.; Utilization of Distance Education in Teacher Education in Kenya in Report of Third Teacher Education Conference, The Concern of Kenya. The Quality Teacher for the 21st century & Beyond held from 5th to 9th December 1994. Ministry of Educatio.". In: The Journal of Development Communication. No. 2 Vol 6. December 1995. ISSN 0128 - 3863. Kuala Lumpar. pp 72 to 80. Journal of BiochemiPhysics; 1995. Abstract
   
A. PROFODHIAMBOPETER. "Kamau JK, Macharia IM, Odhiambo PA.Bacteriology of chronic maxillary sinusitis at Kenyatta National Hospital, Nairobi.East Afr Med J. 2001 Jul;78(7):343-5.". In: East Afr Med J. 2001 Jul;78(7):343-5. Heinrich Boll Foundation.; 2001. Abstract
OBJECTIVE: To determine the bacteriology and antibiotic sensitivity of the bacterial isolates in chronic maxillary sinusitis patients seen at the Kenyatta National Hospital. DESIGN: Cross-sectional study. SETTING: Kenyatta National Hospital, ENT department. SUBJECTS AND METHODS: Seventy-three patients had bilateral sntral washout done and the lavage submitted for culture and anti-microbial sensitivity between January and June 1996. RESULTS: Antral lavage yielded secretions in 63% of patients but bacteria were cultured in only 28.8% of the specimens. The isolates included Streptococcus pneumonia (22.2%), Staphylocococus albus (18.5%), Staphylocococus aureus (11.1%) and Enterobactericiae (11.1%). Anaerobic bacteria were cultured in 22.2% of the specimens. Of the commonly used antibiotics, there was high sensitivity to erythromycin, cefadroxyl, chloramphenicol and amoxicillin and poor sensitivity to ampicillin, cotrimoxazole and perfloxacin. CONCLUSION: The bacteriology of chronic maxillary sinusitis at Kenyatta National Hospital is generally similar to that found elsewhere. The bacteria are susceptible to relatively affordable antibiotics like amoxicillin, erythromycin and cefadroxyl.
A. PROFKARANIFLORIDA. "Karani, F.A. "Literacy Education and the Distance Education Mode of Delivery" in Kenya Adult Educator Journal of the Kenya Adult Education Association Nairobi. (In press Nairobi 2002) .". In: Kenya Adult Educator Journal of the Kenya Adult Education Association Nairobi. (In press Nairobi 2002) . Journal of BiochemiPhysics; 2002. Abstract

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

A. PROFKARANIFLORIDA. ""Strengthening Female Participation and Leadership in Higher Education".". In: Forum for African Women Educationalists (FAWE) Vice Chancellors meeting at the Mount Kenya Safari Hotel. Kenya 27th July 1996. Journal of BiochemiPhysics; 1995. Abstract
   
A. PROFODHIAMBOPETER. "Congenital Heart Disease - MEDICOM.". In: The African Journal of Hospital Medicine 2. Heinrich Boll Foundation.; 1980. Abstract
A retrospective study of 42 patients with perforations of the oesophagus during the period 1981-1987 indicated that 57.1% of the perforations were iatrogenic. Diseases of the oesophagus and in contiguous structures and foreign bodies in the oesophagus caused perforations in 31% of the cases. Perforations in 35.7% of the patients were located in the middle third of the oesophagus. The lower and upper thirds were affected in 31% of the patients in each site. The presenting physical signs included tachycardia (78.6%), fever (76.2%) and dyspnoea (59.5%). The main accompanying symptoms were chest pain and coughs in 100% and in 50% of the patients respectively. Radiographic findings showed hydropneumothorax in 40.5% of the cases and consolidation in 38.1% of the patients. Oesophagoscopy was positive in 78% of cases tested while thoracocentesis was positive in all cases that were tested.
A. PROFKARANIFLORIDA. "Karani, F.A; "Research Priorities in Adult and Continuing Education in Kenya" in The State of Adult and Continuing Education in Africa. Eds Indabawa S.A; Oduaran A; Afrik T., and Walters S. ISBN 99916 - 53 - 33-3. John Meinert Printing. Windhoek 2000 p. 1.". In: The State of Adult and Continuing Education in Africa. Eds Indabawa S.A; Oduaran A; Afrik T., and Walters S. ISBN 99916 - 53 - 33-3. John Meinert Printing. Windhoek 2000 p. 107- 114. Journal of BiochemiPhysics; 2000. Abstract

 

 

A. PROFKARANIFLORIDA. ""Position Paper : College of Education and External Studies, University of Nairobi".". In: Sub- Regional Workshop in Towards Professional Excellence in Higher Education, Part II : 17th to 30th June 1990. Kassel-Witzenhausen, West Berlin. Journal of BiochemiPhysics; 1990. Abstract
   
A. DROGENGOJULIUS. "Kilonzi PJ, Saidi HS, Hassanali J, Ogeng.". In: East African Orthopaedic Journal. Kenya Orthopaedic Association; 2008. Abstract
Background: Prolapsed intervertebral disk (PID) disease can be managed conservatively or surgically with different reported outcomes.Objective: The present study aimed at assessing the management and outcomes of slipped intervertebral disk disease at the Kenyatta National hospital.Study Design: A retrospective cross-sectional study.Setting: Kenyatta National Hospital (KNH) a referral and teaching Hospital in Kenya.Patients and Methods: Consecutive files of all cases of slipped intervertebral disk disease from January1997 to December 2007 were retrieved from the Medical records at the Kenyatta National Hospital. The biodata, management methods and the outcomes of the procedures were recorded. The collecteddata was analyzed using the SPSS 17.0 for Windows.Results: Six hundred and three cases were reviewed. All patients received analgesics and bed rest.Five percent of the patients were put on bilateral traction for two weeks while 4% of the patients had corsets. Thirty five per cent of the patients were surgically managed. Over a third of the surgically managed patients had laminectomies. Microdiscectomy was increasingly popular in the latter half ofthe study period. Of the managed patients 95% reported improvement while 92% were complication free. The rate of reherniation and reoperation was 1.5% and 1.2% respectively.Conclusion: The management of PID at Kenyatta National Hospital is largely successful with few cases of complications. In selected patients both conservative and surgical care are used in tandem. Microdiscectomy is an increasingly popular surgical procedure at the KNH.
A. PROFKARANIFLORIDA. ""Education systems in East Africa. Trends and Issues".". In: The KAAD Association of Scholars in East Africa (KASEA) Seminar on the "Impact of Brain Drain of the Economic Situation on Higher Education in East Africa" 17th to 21st Sept 1997 Nairobi. Kenya (co- authored with Prof. J. Shiundu). Journal of BiochemiPhysics; 1997. Abstract

 

 

A. PROFODHIAMBOPETER, G PROFGATEIDAVID. "Is Bronchial Carcinoma Increasing in Kenya?". In: East African Medical Journal. 53 (7): 383 - 388. RIVERBRROKS COMMUNICATIONS; 1976. Abstract
PMID: 614126 [PubMed - indexed for MEDLINE]
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1994. Abstract

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

A. PROFWAMOLAISAAC. "English M, Ngama M, Musumba C, Wamola B, Bwika J, Mohammed S, Ahmed M, Mwarumba S, Ouma B, McHugh K, Newton C.Causes and outcome of young infant admissions to a Kenyan district hospital. Arch Dis Child. 2003 May;88(5):438-43.". In: Arch Dis Child. 2003 May;88(5):438-43. IBIMA Publishing; 2003. Abstract
AIMS: To provide a comprehensive description of young infant admissions to a first referral level health facility in Kenya. These data, currently lacking, are important given present efforts to standardise their care through the integrated management of childhood illness (IMCI) and for prioritising both health care provision and disease prevention strategies. METHODS: Prospective, 18 month observational study in a Kenyan district hospital of all admissions less than 3 months of age to the paediatric ward. RESULTS: A total of 1080 infants were studied. Mortality was 18% overall, though in those aged 0-7 days it was 34%. Within two months of discharge a further 5% of infants aged <60 days on admission had died. Severe infection and prematurity together accounted for 57% of inpatient deaths in those aged <60 days, while jaundice and tetanus accounted for another 27%. S pneumoniae, group B streptococcus, E coli, and Klebsiella spp. were the most common causes of invasive bacterial disease. Hypoxaemia, hypoglycaemia, and an inability to feed were each present in more than 20% of infants aged 0-7 days. Both hypoxaemia and the inability to feed were associated with inpatient death (OR 3.8 (95% CI 2.5 to 5.8) and 7.4 (95% CI 4.8 to 11.2) respectively). CONCLUSIONS: Young infants contribute substantially to paediatric inpatient mortality at the first referral level, highlighting the need both for basic supportive care facilities and improved disease prevention strategies.
A. PROFWAMOLAISAAC. "Slack RCB and WAMOLA I.A. Amoxil Single Dose in Treatment of Male Uncomplicated Gonorrhoea. Brit. J. of Venerology (1979).". In: Brit. J. of Venerology (1979). IBIMA Publishing; 1979. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""Principles of Learning".". In: College of Education and External Studies University of Nairobi seminar 1991. Journal of BiochemiPhysics; 1991. Abstract

 

 

A. DRKITAAJAFREDM. "Kirui GK, Mande JD and Kitaa JMA. Spectrophotometric analysis of cytoliths from a German Shepherd dog.". In: KVA conference 2005 Nairobi. au-ibar; 2005. Abstract
   
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1990. Abstract

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

A. PROFWAMOLAISAAC. "Say, and WAMOLA I. A. Problems of Salmonellosis Chapter in .". In: (Paper presented to East and Central Physicians Conference, Zambia, June, 1975). IBIMA Publishing; 1974. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""Evaluating the Process and Products of a Programme".". In: Presented at the UNICEF second Sub-Regional workshop: Nazareth, Ethiopia, November 1982. Journal of BiochemiPhysics; 1982. Abstract

 

 

A. PROFKARANIFLORIDA. ""Networking of Universities and Tertiary Middle Level Colleges".". In: Workshop on Linkages between University of Nairobi and Tertiary Colleges. In Nairobi. 15 June 1999. Journal of BiochemiPhysics; 1999. Abstract
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A. PROFWAMOLAISAAC. "Odhiambo F A, WAMOLA I.A and Ndinya-Achola J O. Aerobic and facultative bacterial isolates from blood cultures of children with clinically diagnosed septicaemia.East Afr Med J. 1991 Nov;68(11):869-74.". In: East Afr Med J. 1991 Nov;68(11):869-74. IBIMA Publishing; 1991. Abstract
A total of 120 sets of blood cultures were performed aerobically from 60 children with clinically diagnosed septicaemia at Kenyatta National Hospital, Nairobi. Out of these, 36 (30%) sets from 19 (31.7%) patients yielded bacterial growth while 84 (70%) sets from 41 (68.3%) were negative. Salmonella typhimurium was the most frequently isolated bacteria (63%), followed by Staphylococcus aureus (15.8%). Salmonella typhimurium isolates were mostly multi-antibiotic resistant, most of them only sensitive to amikacin and cefotaxime, while all were resistant to ampicillin and co-trimoxazole, the most frequently used antibiotic in this hospital. PIP: Between March 1987-January 1988, physicians enrolled 60 pediatric patients with a fever who were admitted to the Kenyatta National Hospital in Nairobi, Kenya for various clinical conditions in a study to determine the types, frequency, and antibiotic sensitivity patterns of aerobic and facultative bacterial isolates. Most of the patients were 13 months-4 years old (45%). 31.7% of the patients had positive blood cultures. Staphylococcus aureus was the 2nd most common bacteria (15.8%) among these patients. Laboratory personnel isolated Salmonella typhimurium in most patients (63%). In fact, during the same period, the Diagnostic Microbiology Laboratory at the hospital identified Salmonella species in 48% of all isolated bacteria and 35% of these were S. typhimurium. S. typhimurium tended to be present in children with gastroenteritis (41.8%) or a fever of unknown origin (33.3%). S. typhimurium was very sensitive to amikacin and cefotaxime, but resistant to ampicillin and sulfamethoxazole-trimethoprim. Health workers in Kenya have frequently administered ampicillin and sulfamethoxazole-trimethoprim, but not amikacin and cefotaxime. 67% of the strains of S. typhimurium were resistant to gentamicin and 33% to chloramphenicol. These results along with those of other reports from this hospital indicated a dramatic rise in Gram negative bacteria resistance to antibiotics. Therefore physicians should no longer consider gentamicin as a 1st line antibiotic in treating suspected septicemia patients.
A. DROKOOLARAPHAELE. "The onset and cessation of the "Long Rains"in Eastern Africa and their interannual variability.". In: Theor. and Appl. Climatol., 75, 43 - 54. Kenya Met Soc; 2003. Abstract
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A. PROFKETERJOSEPHKIPKORIR. "Waithaka, J., and J.K.A. Keter 1992. Cooper adsorption in the A horizons of selected soils of Kenya. East Africa Journal of Sciences 1(1):63-83.". In: First International Workshop on Capacity Building in Soil and Water Management in Africa, Kampala, Uganda, 9-11 November, 1992. Academic Science Publishers, Nairobi, Kenya. ISBN: 9966-831-15-0. University of Nairobi Press; 1992. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. PM. "Women Should Focus on Whole Judiciary." Nairobi Star, July 20, 2020.

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