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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. "Rheumatic Fever and Rheumatic Heart Disease (The Stigmas of Sore Throat) - MEDICOM.". In: The African Medical 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. ""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. 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. PROFESHIWANIARTHUR. "Trends in auditors Legal Liability in Kenya: A Professional Under Siege Journal of ICPAK, July-September.". 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; 1998. Abstract
Oral infection with Herpes Simplex Virus (HSV) is a frequent and well documented complication in immunosuppressed individuals including patients on immunosuppressive medication. We report the development of severe oral infection with HSV type 1 in a 34 year old woman with type 1 diabetes mellitus and end stage renal disease (ESRD) following cadaveric renal transplantation at the Western General Hospital, Edinburgh. The role of acyclovir in therapy and chemoprophylaxis is discussed.
A. PROFWAMOLAISAAC. "Temmerman M, Moses S, Kiragu D, Fusallah S, WAMOLA I.A and Piot P. Impact of single session post-partum counseling of HIV infected women on their subsequent reproductive behaviour. Aids Care vol. 2 (3), 1990.". In: Aids Care vol. 2 (3), 1990. IBIMA Publishing; 1990. Abstract
During an ongoing study investigating the impact of maternal HIV infection on pregnancy outcome at a large maternity hospital in Nairobi, Kenya, asymptomatic HIV positive women who had recently delivered were informed of their HIV sero-status and counselled by a trained nurse regarding contraception and reproductive behaviour in a single session. Both HIV infected women and a comparison group of uninfected women matched for pregnancy outcome were followed up after an interval of one year. Contraceptive use, condom use and pregnancy rates were similar in both groups. Only 37% of HIV infected women had informed their partners of their sero-status. The single session of counselling for the HIV positive women did not seem to influence decisions on subsequent condom use or reproductive behaviour. More intensive approaches to counselling need to be developed and evaluated, but may be difficult to implement in the busy maternity and antenatal clinics commonly found in developing countries.
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. Abstract

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

A. PROFWAMOLAISAAC. "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. ""Structure and Function of Distance Learning To-day with Special Reference to Kenya".". In: The State University of New York - Kenya Education Partnership (SKEP) Conference. 13 - 17 March 2000. Nairobi. Kenya. Journal of BiochemiPhysics; 2000. Abstract

 

 

A. DROGENGOJULIUS. "Tharao MK, Saidi H, Kitunguu P, Ogeng.". In: Clin Anat. 2007 Nov;20(8):943-5. Kenya Orthopaedic Association; 2007. Abstract

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

A. PROFWAMOLAISAAC. "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.; Research Priorities in Adult Education in Kenya" Journal of Adult Education, vol.3 No.l, 1996. Nairobi. p7 - 14.". In: Journal of Adult Education, vol.3 No.l, 1996. Nairobi. p7 - 14. Journal of BiochemiPhysics; 1996. Abstract

 

 

A. EO. "Schism and Renewal in Africa; The AICN revisited." Journal of African studies, June 1992 issue; 1992. Abstract
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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. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1993. Abstract

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

A. EO. "The Post-Colonial Historiography of Kenya." University of Nairobi Press; Submitted. Abstract
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A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1990. Abstract

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

A. DRSWAZURIMUHAMMED. ""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. PROFODHIAMBOPETER. "Haemaccel as a Plasma Volume Expander. A Clinical Trial - Bulletin of the Institute of Postgraduate Medical Education and Research.". In: A Clinical Trial - Bulletin of the Institute of Postgraduate Medical Education and Research. Heinrich Boll Foundation.; Submitted. 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.; "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. PROFKETERJOSEPHKIPKORIR. "Okalebo, J.R., J.K.A. Keter and H. Ssali, 1989. Sorghum responses to nitrogen and phosphate fertilizers in four semi-arid sites of Machakos and Kitui Districts, Kenya. E. Afr. Agric. For, J. 54(3):131-145.". 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; 1989. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. PROFODHIAMBOPETER. "Some Unusual Lesions in Chest Injuries - 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. "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. DROGENGOJULIUS. "Outcome and Complications in Women undergoing cervical cerclage in a tertiary hospital in Kenya.". 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. NMKE; A;. "Performance of Bachelor of Science in Nursing Graduates in Nursing Practice in Kenya." Kenya Nursing Journal. 2012;41 (1)(December, 2012):9-15.
A. PROFODHIAMBOPETER. "Science, leisure and common sense.". In: –-Calcutta Medical college Magazine p.69. 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. ""Management of Academic Programmes with special Reference to the Examination Process".". In: The Senate Workshop held at the Kenya School of Monetary Studies, Ruaraka, Nairobi. Kenya. 23 August 2002. Journal of BiochemiPhysics; 2002. Abstract
   
A. PROFWAMOLAISAAC. "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. ""Higher Education in Africa".". In: The second symposium on East Africa in Transition: Images, Identities and Institutions. 2 nd to 4 th July 2001. Nairobi. Kenya. Journal of BiochemiPhysics; 2001. Abstract

 

 

A. 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. "Saidi H, Karanja TM, Ogengo JA.Variant anatomy of the cystic artery in adult Kenyans. Clin Anat. 2007 Nov;20(8):943-5.". In: Clin Anat. 2007 Nov;20(8):943-5. Kenya Orthopaedic Association; 2007. Abstract

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

A. PROFWAMOLAISAAC. "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. ""Relevance of Higher Education in Africa in the 21st century".". In: African Regional Consultation, Preparatory to the World Conference on Higher Education in the 21st Century. UNESCO, DAKAR Senegal. 1st to 4th April 1997. Journal of BiochemiPhysics; 1997. Abstract

 

 

A. 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. 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. PROFWAMOLAISAAC. "Kakai R, Bwayo JJ, Wamola IA, Ndinya-Achola JO, Plummer FA.Effect of human immunodeficiency virus on local immunity in children with diarrhoea. East Afr Med J. 1995 Nov;72(11):699-702.". In: East Afr Med J. 1995 Nov;72(11):699-702. IBIMA Publishing; 1995. Abstract
{ The purpose of this study was to determine the relationship between intestinal mucosal immunity and diarrhoea. Stools were tested for total IgA by radial immunodiffusion, cultured for bacteria and examined for ova/cysts by microscopy. Peripheral blood was screened for HIV-1 antibody by ELISA, CD4 and CD8 enumerated by flow cytometry and phagocytic activity by C. albicans engulfment. A total of 271 children were enrolled with a mean age of 20.3 m (range 0.3-60.0 m). HIV exposed (born to HIV seropositive mothers) had more episodes of diarrhoea than HIV unexposed (born to HIV seronegative mothers) children in the first six months of life (26.0% versus 5.5%
A. PROFKARANIFLORIDA. "Karani, F.A.; "Effective Teaching in University" in F.A.Karani and J.A. Okumbe, University Staff Development, Part Two. German Foundation for International Development, Bonn.1991. pp 48 - 75.". In: .A.Karani and J.A. Okumbe, University Staff Development, Part Two. German Foundation for International Development, Bonn.1991. pp 48 - 75. Journal of BiochemiPhysics; 1991. Abstract

 

 

A. 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: Health Digest. Kenya Orthopaedic Association; 1991. Abstract

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

A. DRSWAZURIMUHAMMED. ""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. "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. 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. 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. PROFWAMOLAISAAC. "Temmerman M, WAMOLA I.A and Piot P. A review of the impact of sexually transmitted diseases and HIV infection pregnancy outcome in Nairobi. J. Obs Gynae. East Africa 9: 54, 1991.". In: J. Obs Gynae. East Africa 9: 54, 1991. 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. PROFKETERJOSEPHKIPKORIR. "Owino-Gerroh, C., and J.K.A. Keter. 1993. The effects of Nutrient Solution Acidity (pH), Aluminum Content and Rhizobium Inoculation on Taproot Elongation, Root Growth and Nodule Formation on Field Bean (Phaseolus Vulgaris L.) cv .". 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; 1993. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. PROFODHIAMBOPETER. "Carcinoma of the Esophagus - II. An experience in Kenya.". In: The Nairobi Journal of 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. ""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. 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. PROFODHIAMBOPETER, G PROFGATEIDAVID. "Is Bronchial Carcinoma Increasing in Kenya?". In: East African Medical Journal. 53 (7): 383 - 388. Heinrich Boll Foundation.; 1976. Abstract
A clinical, radiological, histological, and geographical study of carcinoma of the esophagus in Kenya is reported. It was found that this cancer is diagnosed more often in males than in females, with a ration of 8:1 (Kenya Cancer Registry). The most common age in males and females is 50 to 59 years. The regions of the esophagus most commonly involved are the middle and lower thirds, in almost equal proportions. An unexplained tendency for the tumor to be poorly differentiated towards the lower third is noted. In addition a review on the possible etiological factors is presented.
A. PROFKARANIFLORIDA. "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. PROFWAMOLAISAAC. "WAMOLA I.A, Mirza NB. Problems of Salmonella infections in a hospital in Kenya. EAMJ vol 58 (9): 677, 1981.". In: EAMJ vol 58 (9): 677, 1981. IBIMA Publishing; 1981. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""Literacy and Education".". In: The OSSREA Kenya Chapter National Conference on Poverty, Literacy, Health and Environmental Issues in Kenya : Exploring the Alternative Strategies. 28 th to 30 th March 2001. Stem Hotel. Nakuru. Kenya. Journal of BiochemiPhysics; 2001. Abstract

 

 

A. 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. ""Student Unrest in Public Universities".". In: Workshop on Working Together for Sustainable Development in Planning, Management and Gender Issues, organized for Vice Chancellors, Deputy Vice Chancellors and Principals of Public Universities in Kenya. Lake Elementaita Lodge, Gilgil, Kenya. 24 th t. Journal of BiochemiPhysics; 1998. Abstract

.

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. M, C.K. M. "Ferula communis – a potential rodenticide.". In: Current Medical Research in East Africa Proc. 3rd Ann. Sci. conference. Nairobi; 1982.
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: Health Digest. 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. 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. PROFWAMOLAISAAC. "Kakai R, Wamola IA.Minimising antibiotic resistance to Staphylococcus aureus in developing countries.East Afr Med J. 2002 Nov;79(11):574-9.". In: East Afr Med J. 2002 Nov;79(11):574-9. IBIMA Publishing; 2002. Abstract
OBJECTIVE: To assess the role of rational drug use and laboratory service in preventing the emergence of multiple antibiotic resistant Staphylococcus aureus in developing countries. DATA SOURCE: Literature search on compact disk-read only memory (CD-ROM) Medline and Internet using the key words: Staphylococcus and antibiotic resistance. A few articles were manually reviewed. STUDY SELECTION: Relevant studies or articles on antibiotic resistance with special reference to Eastern Africa, region are included in the review. DATA EXTRACTION: From individual studies or articles. DATA SYNTHESIS: Evidence for the spread of S. aureus multiple antibiotic resistance is synchronized under the headings: Introduction, current situation, antibiotic resistance control strategies, are outlined. CONCLUSION: There is need for concerted efforts between different groups to monitor changes in the epidemiology and antibiotic resistance of S. aureus. Strategies aimed at preventing transmission of resistant strains are remarkably effective when strictly enforced. Necessary attention should be given on the subject so that meaningful control measures preventing the expansion of antimicrobial resistance can be formulated, thereby ensuring the future successful treatment of Staphylococcal infections.
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. 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. 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. 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. 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. PROFWAMOLAISAAC. "Paton S, Nicolie L, Mwongera M, Kabiru P, Mirza N, Plummer F and WAMOLA I.A. Salmonella and Shigella Gastroenteritis at a public teaching hospital in Nairobi, Kenya. Inf. Control and Hosp. Epidemiol. 12(12): 710 1991.". In: Inf. Control and Hosp. Epidemiol. 12(12): 710 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. 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: Proceedings of the 15th General Meeting, SSSEA, held in Nanyuki, Kenya. ISBN 9966-879-27-7. University of Nairobi Press; 1996. Abstract
OBJECTIVE: To determine the accuracy and sensitivity of diagnostic peritoneal lavage in the assessment of intra-abdominal injury using the dipstick method. DESIGN: Prospective study, involving the performance of diagnostic peritoneal lavage in the out patient department and surgical wards prior to surgical intervention. SETTING: Kenyatta National Hospital-General Surgical and Orthopaedic wards and outpatient department. The study was conducted over a duration of six months, starting from January 1995 to July 1995. RESULTS: Ninety six patients with penetrating (68) and blunt (28) abdominal trauma underwent diagnostic peritoneal lavage as evaluation of the severity of abdominal trauma. Dipstick (combur 9 strips) was used to evaluate lavage effluent for red blood cells, white blood cells, protein and bilirubin. Forty three patients had positive diagnostic peritoneal lavage (DPL) results, of which 40 (93%) had positive findings at laparatomy and three (7%) had negative findings at laparatomy. The remaining 53 patients had negative DPL results and were managed conservatively. One patient with a negative DPL result became symptomatic and had a positive laparatomy. Conservatively managed patients were discharged after 24 hours observations without any complications. DPL had an accuracy and sensitivity of 93% and specificity of 98%. CONCLUSION: Diagnostic peritoneal lavage is a cheap, safe and reliable method for assessment of abdominal trauma. The method is easy to perform by trained junior doctors in the OPD, or as a bedside procedure. Use of this method reduced negative laparotomy rate from 50% to 6.9% and average duration of stay from 6.5 days to 1.9 days. This method is recommended as a basic tool in the assessment of abdominal trauma patients.
A. PROFODHIAMBOPETER. "The First Ten Years of Open Heart Surgery - Dilemmas, Tribulations and Possibilities.". In: The East African Journal 69. Heinrich Boll Foundation.; 1992. 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. ""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. PROFODHIAMBOPETER, G PROFGATEIDAVID, O PROFORINDADA. "Retrospective Study of Cancer of the Esophagus in Kenya.". In: Cancer Research, 38: 303 - 305. Heinrich Boll Foundation.; 1978. Abstract
Retrospective Sturdy of Cancer of the Esophagus in Kenya - Cancer Research, 38: 303 - 305, February 1978. (Second of five authors - D.G. Gatei, A.E.O. Wasunna, D.A. Orinda and J. Muruka).
A. PROFKARANIFLORIDA. ""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. PROFESHIWANIARTHUR. "Taxation for Environmental Conservation: A Nomadic Survey of Determinative Factors fr Kenya: The African Centre for Technology Studies.". In: The Scottish Law Gazette Vol. 52, No. 4: 119. A Matimba, M Oluka, B Ebeshi, J Sayi, Bolaji, J Del Favero , C Van Broeckhoven, AN Guanta; 1984. Abstract
Oral infection with Herpes Simplex Virus (HSV) is a frequent and well documented complication in immunosuppressed individuals including patients on immunosuppressive medication. We report the development of severe oral infection with HSV type 1 in a 34 year old woman with type 1 diabetes mellitus and end stage renal disease (ESRD) following cadaveric renal transplantation at the Western General Hospital, Edinburgh. The role of acyclovir in therapy and chemoprophylaxis is discussed.
A. PROFWAMOLAISAAC. "Nsanzumuhire, WAMOLA I.A and Mirza. Clinical Presentation and Management of Penicillin Resistant Pneumococcal Meningtitis. EAMJ 58: 611, 1981.". In: EAMJ 58: 611, 1981. IBIMA Publishing; 1981. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""University of Nairobi Students Management Information Systems. Present and Way Forward / Policy Issues".". In: The Joint Committee and University Management Workshop at the Kenya School of Monetary Studies. Ruaraka, Nairobi. Kenya. 24 th and 25 th September 2002. Journal of BiochemiPhysics; 2002. Abstract

 

 

A. 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. "Saidi H, Kitunguu PK, Ogeng.". In: East African Orthopaedic Journal. Kenya Orthopaedic Association; 2008. Abstract
Background: Prolapsed intervertebral disk (PID) disease can be managed conservatively or surgically with different reported outcomes.Objective: The present study aimed at assessing the management and outcomes of slipped intervertebral disk disease at the Kenyatta National hospital.Study Design: A retrospective cross-sectional study.Setting: Kenyatta National Hospital (KNH) a referral and teaching Hospital in Kenya.Patients and Methods: Consecutive files of all cases of slipped intervertebral disk disease from January1997 to December 2007 were retrieved from the Medical records at the Kenyatta National Hospital. The biodata, management methods and the outcomes of the procedures were recorded. The collecteddata was analyzed using the SPSS 17.0 for Windows.Results: Six hundred and three cases were reviewed. All patients received analgesics and bed rest.Five percent of the patients were put on bilateral traction for two weeks while 4% of the patients had corsets. Thirty five per cent of the patients were surgically managed. Over a third of the surgically managed patients had laminectomies. Microdiscectomy was increasingly popular in the latter half ofthe study period. Of the managed patients 95% reported improvement while 92% were complication free. The rate of reherniation and reoperation was 1.5% and 1.2% respectively.Conclusion: The management of PID at Kenyatta National Hospital is largely successful with few cases of complications. In selected patients both conservative and surgical care are used in tandem. Microdiscectomy is an increasingly popular surgical procedure at the KNH.
A. PROFWAMOLAISAAC. "WAMOLA I. A, 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. "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; 1998. Abstract

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

A. PROFWAMOLAISAAC. "Ogutu BR, Nzila AM, Ochong E, Mithwani S, Wamola B, Olola CH, Lowe B, Kokwaro GO, Marsh K, Newton CR.The role of sequential administration of sulphadoxine/pyrimethamine following quinine in the treatment of severe falciparum malaria in children.Trop Med I.". In: Trop Med Int Health. 2005 May;10(5):484-8. IBIMA Publishing; 2005. Abstract
Sulphadoxine/pyrimethamine (SP) is often administered with quinine in the treatment of severe falciparum malaria to shorten the course of quinine. The efficacy of SP alone in the treatment of non-severe malaria has been declining rapidly in East Africa, raising concerns of the usefulness of a shortened course of quinine followed SP. We audited the efficacy of quinine/SP in the treatment of severe malaria in Kenyan children. Children with severe falciparum malaria were treated with parenteral quinine followed by a single oral dose of SP. A clinical evaluation was performed 3 weeks later in which a blood sample was obtained for full haemogram, blood slide and analysis of the parasite dihydrofolate reductase (DHFR) and dihydropteroate synthase (DHPS) codons, mutations of which are associated with resistance to SP. A total of 452 children were enrolled, of whom 374 completed the study. Fifty-two (13.9%) children were parasitaemic by 3 weeks of whom 17 (4.5%) had fever as well. The treatment failure group had a significantly higher parasitaemia (129 061 vs. 43 339; P<0.001) and haemoglobin on admission, but only admission parasitaemia independently predicted treatment failure. Those with treatment failure had a significantly lower rise in haemoglobin at 3 weeks compared with treatment successes (9.0 vs. 10.0 g/dl). Of the 76 parasite isolates collected before treatment, 40 (53%) were triple mutant DHFR-double DHPS (Tp-Db), the genotype most associated with SP resistance. Three weeks after SP treatment, the proportion of Tp-Db increased to 72% (31/43). The high treatment failure rate and proportion of parasites with Tp-Db negate the use of SP to shorten the course of quinine treatment in East Africa.
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. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1992. Abstract

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

A. DROKOOLARAPHAELE. "The characteristics of cold air outbreaks over the Eastern Highlands of Kenya.". In: Meteorol. Atmos. Phys., 73, 177-187. Kenya Met Soc; 2000. Abstract
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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. PROFKARANIFLORIDA. "“Conceptual Understanding and Current Policies and practice in Open Learning and Distance Education.". In: Ministry of Education Consultative Forum on Open Learning and Distance . Windsor Country Club ; 2004.
A. HASHIM. Revelation and Reason: Extending Divine Injunctions to Accommodate Challenging Situations. University of Nairobi: Department of Philosophy and Religious Studies, University of Nairobi in collaboration with the Cultural Council of the Embassy of the Islamic Republic of Iran; 2011.revelation_and_reason.pdf
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1989. Abstract

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

A. DRSWAZURIMUHAMMED. "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. PROFWAMOLAISAAC. "Petit PL, Wamola IA.Typhoid fever: a review of its impact and diagnostic problems. East Afr Med J. 1994 Mar;71(3):183-8.". In: East Afr Med J. 1994 Mar;71(3):183-8. IBIMA Publishing; 1994. Abstract
A retrospective analysis was done on the diagnosis of typhoid fever based on clinical symptoms and available laboratory data over the last 16 years from rural areas of four African countries. This analysis concentrated on the reliability of diagnosis without cultures which cannot be performed in most rural hospitals due to lack of the necessary expertise and equipment. The analysis showed the problem to be increasing perhaps because of interaction of salmonella infection with human immunodeficiency virus (HIV), malnutrition and other infections together with neglected sanitary facilities and lack of clean water. The use of certain cardinal clinical symptoms combined with available laboratory tests were shown to enhance the diagnosis of typhoid fever, especially in vulnerable persons. In conclusion the paper suggests that using the approach followed to obtain this data in rural tropical areas one can confidently make a diagnosis of typhoid fever.
A. PROFKETERJOSEPHKIPKORIR. "Owino-Gerroh, C., J.K.A. Keter and J.P. Mbuvi. 1998. Phosphate sorption characteristics of soils in a tea-growing area in Kenya. Intl. J. BioChem Physics, Vol. 6 & 7, Nos. 1&2, 86-89.". In: East Afr Med J. 2002 Sep;79(9):457-60. University of Nairobi Press; 1998. 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: The Nairobi Journal of Medicine, Vol. 13 No. 1. Kenya Orthopaedic Association; 1987. Abstract

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

A. PROFODHIAMBOPETER, 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. "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: BSc. Dissertation, University of Nairobi. Kenya Orthopaedic Association; 1986. Abstract

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

A. PROFODHIAMBOPETER. "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. ""Writing a Project Proposal".". In: Pan- African Institute, Project Management Workshop, Kabwe, Zambia. 1984 and 1985. Journal of BiochemiPhysics; 1985. Abstract
   
A. PROFESHIWANIARTHUR. "Politics and the Law: A Sampling o Pointers from the Bench.". In: Nairobi University Law Journal, Vol. 1:69. A Matimba, M Oluka, B Ebeshi, J Sayi, Bolaji, J Del Favero , C Van Broeckhoven, AN Guanta; 1984. Abstract
Oral infection with Herpes Simplex Virus (HSV) is a frequent and well documented complication in immunosuppressed individuals including patients on immunosuppressive medication. We report the development of severe oral infection with HSV type 1 in a 34 year old woman with type 1 diabetes mellitus and end stage renal disease (ESRD) following cadaveric renal transplantation at the Western General Hospital, Edinburgh. The role of acyclovir in therapy and chemoprophylaxis is discussed.
A. PROFWAMOLAISAAC. "WAMOLA I.A. Role of the Laboratory in Infectious Disease. Fiji Medical Association Annual Seminar. (14th .". In: Fiji Medical Association Annual Seminar. (14th . IBIMA Publishing; 1984. 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. ""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. AA, J.K. I, A.M. M, RW. N. "Knowledge and practices related to iron deficiency anaemia in the Lake Victoria region of Kenya." Journal of International Academic Research for Multidisciplinary . 2015;3(3):2320-5083.
A. DROGENGOJULIUS. "Ongeti K, Saidi H, Ogeng.". In: journal. Surgical Society of Kenya; 2009. Abstract
Background: Accurate evaluation of low back pain is essential for its rational management. The extent of use of clinical and imaging findings in identificationof prolapsed intervertebral disk varies between centers. In Kenya, thediagnostic procedure is obscure.Objective: To assess the evaluation of low back pain patients for prolapsed intervertebral disk at a Kenyatta National Hospital, a teaching and referralhospital in Kenya.Study Design: A retrospective chart studyPatients and Methods: Historical, physical and imaging findings of patients who presented with low back pain and subsequently diagnosed with prolapsed inter-vertebral disk between Jan 1997 and December 2007 were evaluated.Results: Of the six hundred and three patients (267 males, 336 females) whowere evaluated, risk factors were recorded in 39.5% patients, 35.3%patients had sciatica while straight leg raising test was performed in52.2% patients. Investigations performed in these patients included plainroentograms (38.5%), CT scan (9.1%) and MRI (44.1%).Conclusion: The evaluation of low back pain for prolapsed inter-vertebral disk was incomplete. History of sciatica, SLRT, crossed SLRT and MRI use arerecommended for routine evaluation of low back pain for PID.
A. PROFWAMOLAISAAC. "Slack, RCB, WAMOLA I. A 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. ""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. MRMUNGAGILBERT. "(1995). Construction practices on expansive soils in Kenya. Proceedings of Symposium on Unsaturated Soil Behaviour and Applications. 22-23 August 1995, University of Nairobi, Kenya. Pp 146-151.". In: Presented at the Commonwealth Association of Surveying and Land Economy (CASLE) and the International Federation of Surveyors (FIG) Seminar, Harare,. Survey Review; 1995. 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. "Mungai JM, Ogeng.". In: Clin Anat. 2007 Nov;20(8):943-5. Kenya Orthopaedic Association; 2001. 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. 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. 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. 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. 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. "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. HASHIM. Theologies of Hope: An Islamic Perspective. London: The Centre on Religion and Global Affairs; 2016.theologies_of_hope_an__islamic_perspective.pdf
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. 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. 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. 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. 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. K. . Developmental Defects of Enamel.. Saarbrucken,: LAP Lambert Academic Publishing GmbH & Co, Saarbrucken,; 2011.
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. ""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. "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. ""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. 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. 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. PROFWAMOLAISAAC. "Chunge R, WAMOLA I.A, Kinoti J, Mutunga LN etc. Mixed infections in childhood diarrhoea: Results of a community study in Kiambu district, Kenya.East Afr Med J. 1989 Nov;66(11):715-23.". In: East Afr Med J. 1989 Nov;66(11):715-23. IBIMA Publishing; 1989. Abstract
One thousand four hundred and twenty diarrhoea specimens from 846 children aged 0 to 60 months were collected and analysed for bacteria, parasites and rotavirus over a 16 month period, from June 1985 to September 1986 inclusive. The study was conducted in 4 villages situated in Kiambu District, Kenya. All the specimens were analysed for rotavirus and parasites, including Cryptosporidium. The majority of the specimens were analysed for enteropathogenic Escherichia coli (EPEC), Shigella, Salmonella, Campylobacter and Aeromonas. Only 387 specimens were analysed for enterotoxigenic E. coli (ETEC). However, of this proportion analysed for ETEC, 33% were positive. A total of 344 specimens were negative for any organisms while a further 140 were only positive for parasites which have been implicated as being pathogenic, including Ascaris lumbricoides, Hymenolepis nana, Trichomonas hominis and Blastocysts hominis were considered to be at least potentially pathogenic and capable of causing diarrhoea. An average of only 29.4% of these organisms occurred as single isolates. The remaining infections were mixed, with a maximum of 7 potentially pathogenic organisms occurring together in a single specimen. The associations of certain organisms were significant, notably Campylobacter with Giardia lamblia. Campylobacter with EPEC, EPEC with Ascaris, and G. lamblia with rotavirus. The latter was a negative association.
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. 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. ""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

.

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. "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. 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., "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. 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. DRSWAZURIMUHAMMED. ""Principles and Concepts in Real Property Management." 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. ""Community Approach".". In: The Women's Workshop in Gambia. March 1984. Journal of BiochemiPhysics; 1984. 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. "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. 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. 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. ""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. DROTIENOALFREDT. "Other proximate determinants of fertility.". In: Chapter 6, Kenya Demographic and Health Survey, 2003.Columbia, MD: CBS, NCPD and IRD/Macro International. E Afr Med J; 2004. Abstract
n/a
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. "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. 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. ""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. "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. 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. ""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. ""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. 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. 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. OF. Mechanical Transmission of Trypanosoma evansi steele, by Stomoxys calcitrans.. Nairobi, Kenya: University of Nairobi ; 1983.
A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1990. Abstract

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

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

 

 

A. DRSWAZURIMUHAMMED. ""An Assessment of the Social Needs of Muslims in Kenya", a research consultancy project for Saad Yahya and Associated, September, 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. 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. 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. 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. 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. "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. 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. 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. 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. 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. PROFWAMOLAISAAC. "WAMOLA I.A. Bacterial Stool Pathogens in Kenyatta National Hospital, Nairobi. EAMJ 57: 867-871, 1980.". In: EAMJ 57: 867-871, 1980. IBIMA Publishing; 1980. Abstract
A study that devised a modified method of reporting antibiotic sensitivity results was undertaken. Enterobacteriaceae and Gram positive cocci were tested for drug sensitivity by a disc diffusion method. Zones of bacterial growth inhibition were measured, dividing the isolates into four groups: the highly sensitive, the moderately sensitive, the slightly sensitive and the resistant ones. The slightly sensitive isolates were taken as indicators of antibiotic resistance acquisition. By that system, when more than 50% of the isolates fell into the slightly and resistant groups, that meant that the antibiotic concerned would be discontinued for some time until the bacteria reverted to being moderately sensitive. The study also provided a method of making antibiotic discs from local blotting papers, and a sample of a form on which antibiotic sensitivity results could be recorded was presented. The method is considered to be easy and very appropriate for developing countries in detecting gradual and abrupt acquisition of antibiotic resistance by bacteria.
A. PROFKARANIFLORIDA. ""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. 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. 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. 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. PROFWAMOLAISAAC. "Ayim EN, WAMOLA I.A and Oduori ML. Throat and Respiratory Diptheria in Kenya Africa. EAMJ Vol. 53 No. 8: 468-474. (1976).". In: EAMJ Vol. 53 No. 8: 468-474. (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. ""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. MRJALEHAALEXC. "Managing Risk and Insurance for Small Business Entrepreneurs: (Published by Stellagraphics).". In: Department of Clinical Studies University of Nairobi 2008. Departmental seminar; 1986. Abstract
Description: This book describes four types of indigenous water retention structures used in East Africa. These structures are the Berkad tank, the Charco dam, sand wiers and hillside water retention ditches.
A. DROGENGOJULIUS. "Ogeng.". In: 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. "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. 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. PROFKARANIFLORIDA. "Introductory Address.". In: The National Consultation meeting on Post Literacy Curriculum in Kenya; at the Kenya College of Communications Technology, Mbagathi, Nairobi. Kenya 30th March 1998. Journal of BiochemiPhysics; 1998. Abstract
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A. DROGENGOJULIUS. "Ogeng.". In: Health Digest. Kenya Orthopaedic Association; 1991. Abstract

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

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

 

 

A. O. ""The Quest for Cooperation in the Nile Water Conflicts: The Case of Eritrea,”." African Sociological Review. 2007;Vol. 11(1).
A. WG, D. A, Aluoch A. O., G.N. K, I. M. "Application of Eburru Rocks from Kenya as Urea Carrier Agents." International Journal of Recent advances in Multidisplinary Research. 2017;4(4):2532-2541.
A. 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

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