Majanja J, Bulimo W, Achilla R, Wadegu M, Mukunzi S, Njiri J, Mitei K, Opot B, Ocholla S, Mwangi J, Osuna F, Coldren. R. Seasonal trend of Influenza in Kenya from January - October 2013. Hilton Hotel; Nairobi, Kenya; 2014.
AbstractBackground: Influenza A and B viruses cause annual epidemics of respiratory illness. The Influenza surveillance network in Kenya through its sentinel surveillance sites located throughout the country has established that Influenza is a major cause of respiratory illness in Kenya.Objectives: The objective of the study was to determine the seasonal trend and circulation dynamics of Influenza viruses in Kenya from January to October, 2013.Methods: Nasopharyngeal swab specimens were collected from consenting patients meeting the ILI case definition and transported to the laboratory in liquid nitrogen dry shippers. RNA was extracted from the specimen using the QIAamp Viral RNA Mini Kit. Specimens were tested for influenza A and B viruses by using the Ag Path-ID One Step Real Time Reverse Transcription PCR (RT-PCR) Kit with CDC Human Influenza Virus RT-PCR Detection Panels (CDC, Atlanta, GA). Results: Of 945 specimens tested between January and October, 152 (16.1%) were positive for Influenza viruses. 38.8% tested positive for Influenza A/H3N2, 34.9% were positive for Influenza B while 26.3% were positive for the pdmH1N1 virus. Circulation of Influenza during this period was marked by three distinct peaks. The first peak was seen in the month of February at 22.7% followed by a steady decline to 5% in May. A second peak of 17.9% was seen in June and the highest circulation observed in August with a peak of 28.6%. PdmH1NI and Influenza A/H3N2 viruses co-circulated from January to April and then sharply declined in May. There were low levels of Influenza B in January which gradually increased peaking in June together with pdmH1N1. Influenza B and A/H3N2 co-circulated between July and September with peaks in August and low levels of pdmH1N1 during this period.Conclusion: Influenza viruses co-circulate throughout the year. Continuing surveillance will assist in determining their clinical and virological impact.
OKOTH PROFOGENDOHASTINGW. "
"Seaton and Maliti: Tanzania Treaty Practice".". In:
East African Law Journal (10). Cent. Afri. J. Pharm.Sci. 5(3): 60-66; 1974.
AbstractThe identification of five novel compounds, pseudo-erythromycin A-6,9-hemiketal, 8,9-anhydro-pseudo-erythromycin A-6,9-hemiketal, 8,9-anhydro-pseudo-N-demethylerythromycin A-6,9-hemiketal, 5-O-beta-D-desosaminylerythronolide A and 15-nor-erythromycin C, in mother liquor concentrates of Streptomyces erythraeus is described. The pseudo-erythromycin derivatives are characterized by a 12-membered macrocyclic ring as a result of C13––C11 trans-lactonization. The five compounds have very little antimicrobial activity.
B PROFOJWANGSHADRACK. "
Second look laparotomy–its role in the management of ovarian carcinoma. Second look laparotomy–its role in the management of ovarian carcinoma. East Afr Med J. 1989 Dec;66(12):844-50.". In:
East Afr Med J. 1989 Dec;66(12):844-50. Rao, W. O., Ogonji, J. A.. and Aywa, S.; 1989.
AbstractAlmost 30 years after its introduction into the management of ovarian carcinoma, second-look laparotomy remains controversial. Although its supporters agree on its indications, there is a considerable number of conflicting reports on the actual benefits of the procedure. Diagnostic inaccuracy, invasiveness and expense are some of the reasons raised by opponents against its routine performance and their recommendations range from limited selective application to total avoidance. The role of second-look laparotomy is reviewed, with particular reference to developing countries where scarcity of resources must always be balanced against the need to provide the best care possible to the individual cancer patient. A management schedule for ovarian carcinoma, including second-look laparotomy, appropriate under these circumstances is given.
ATIENO DRODINGOALICE. "
Secondary Crop Choices among Small-Scale Farmers.". In:
Paper presented in ICRD, 2008 Conference, Berne, Switzerland. Departmental seminar; 1998.
AbstractDescription:
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.
Masinde M. "
A security algorithm for wireless sensor networks in the Internet of Things paradigm.". In:
IST-Africa Week Conference, 2016 . Durban, South Africa ; 2016.
AbstractIn this paper we explore the possibilities of having an algorithm that can protect Zigbee wireless sensor networks from intrusion; this is done from the Internet of Things paradigm. This algorithm is then realised as part of an intrusion detection system for Zigbee sensors used in wireless networks. The paper describes the algorithm used, the programming process, and the architecture of the system developed as well as the results achieved.
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.
AbstractThis 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.
E.Odada, D.Olago. "
Sediment impacts in Africa's transboundary lake/river basins: Case study of the East African Great Lakes." London: Taylor and Francis Ltd; 2007.
AbstractThe current population pressure, inappropriate cultivation practices, forest removal and high grazing intensities on forests, wetlands, rangelands and marginal agricultural lands leads to unwanted sediment and stream flow changes that mainly impacts the downstream human and natural communities. Forests and bush are cleared, and wetlands are encroached to create space for human settlement, roads construction and to satisfy wood fuel energy demands. Similarly, pastoral areas are subjected to growing human and livestock populations, leading to land degradation, soil erosion and to an increase in the load of non-point pollutants. Landscape disturbance over many decades, and the resulting increase in soil erosion and sedimentation is the dominant cause of the ongoing eutrophication in many of the lakes in eastern Africa. Increased sedimentation in the rivers and lakes has many impacts. For example, it has altered some aquatic habitats and communities, contributed to increasing eutrophication, abetted the proliferation of algal blooms and water hyacinth reduced the amount of dissolved oxygen, etc. This paper outlines some of the problems created by increased sedimentation within the East African Great Lakes basin, and provides some possible solutions to the mitigation of sediment flux through integrated sediment management approaches.
Keywords: deforestation; erosion; agriculture; eutrophication; ecosystem change; conservation
S PROFIGONSANGWASHIBAIRO. "
Seed source and farmer management practices and their effect on aphid and virus incidence in farmer managed seed potato production in Kenya.". In:
Proceedings. 6th triennial congress of the African Potato Association (APA). 5-10 April, 2004. Agadir, Morocco. Pp.298-299. Taylor & Francis; 2004.
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Hepatocellular carcinoma results when cancerous cells are localized in the liver. It is distributed globally with high prevalence in sub-Saharan African, southern Asia, China and Japan. Diagnosis is experimental and in many cases inaccurate due to unreliability of markers. Prognosis is poor and the cost of treatment prohibitive. Conventional radiation and chemotherapy lead to loss of hair, fertility and general weakening of the body`s immune system increasing a patient`s risk to infection. These observations underscore the need for improved, or additional methods of cancer diagnosis and management. We investigated the effect of polysaccharide rich Pleurotus pulmonarius fruit body extracts on progression of chemically induced hepatocellular carcinoma in CBA mice. Addition of Pleurotus pulmonarius extracts in diet delayed progression of carcinogenesis suggesting that these extracts may be useful as adjuvants to conventional cancer therapies.
Key words: carcinogenesis; mice; mushroom extracts; pleurotus pulmunarius
Corresponding author: Ms Carolyne Wasonga, Department of Biochemistry, University of Nairobi, P.O. Box 30197, Nairobi, Kenya. E-mail: carox27@yahoo.ca
Charles O.A. Omwandho, Susanne E. Gruessner, John Falconer, Hans-R Tinneberg, Timothy K. Roberts. IS OVINE PLACENTAL IGG TOXIC TO HUMAN PERIPHERAL BLOOD NATURAL KILLER CELLS?
Derese S. "
Seed, Foster, Believe, Dream and Act. Capacity Building in Kenya by Novartis Global Discovery Chemistry, Seeding Labs, the International Activities Committee, and the Computers in Chemistry Division of the ACS between 2010−2014.". In:
ACS Symposium Series Vol 1195. Amercian Chemical Society; 2015.
AbstractNovartis initiated a Fellows program for African academic scientists in 2010 in partnership with Seeding Labs, providing a 9 week-long industrial immersion experience at the Novartis Institutes for Biomedical Research (NIBR) in Cambridge Massachusetts. Through their scientific projects and activities, the Fellows explored new laboratory techniques and improved their scientific communication and grant writing skills. A primary aim of the program was to influence the Fellows’ time in the NIBR laboratories into promoting research of potential utility to their scientific and teaching activities on returning home to their academic institutions, thus building strength in scientific capacity in Africa. As chemistry is an essential discipline in the drug-discovery process, it has been an area of focus for several visiting African Fellows and their NIBR scientific mentors. In particular, computational chemistry has minimal laboratory requirements and is ideally suited as an area for scientific capacity building in Africa. In addition, extending drug-discovery capabilities in African laboratories to assist natural products research is of interest, particularly concerning development of treatments for malaria, tuberculosis, HIV and, of recent concern, the West African Ebola outbreak. An ACS International Activities Committee Global Innovation Grant, granted in 2012 added financial momentum to this capacity building project, spurring our efforts in capturing a Canadian Grand Challenges award and the pursuit of funding from IUPAC. In 2014, this initiative reached two significant milestones, creation of its first job, a computational chemistry academic faculty position in Kenya, and the launch of an in-silico database of Kenyan natural products named Mitishamba.
OLE PROFMALOIYGEOFFREYM. "
SEEHERMAN, H.J., TAYLOR, C.R. and MALOIY, G.M.O. (1976) Maximum aerobic power and anaerobic glycolysis during running in lions, horses and dogs. Federation Proceedings 35, 797.". In:
Proceedings of the 7th Pan-African Ornithological Congress, p. 17. EAMJ; 1976.
AbstractSerum acid phosphatase was measured in patients with enlarged benign and malignant prostate before and after rectal examination. Amongst the patients with benign glands, rectal examination did not produce any significant false elevation of the enzyme. Rectal examination, however, caused a rise in the enzyme level in a few untreated cancer patients and in cancer patients who has become refractory to hormonal therapy. This rise would help rather than mislead in the diagnosis of malignant prostate and also in the identifying treated patients who had become refractory to treatment. Thus, when serum acid phosphatase is properly determined, elevated levels should always arouse suspicion of malignant prostate or other lesions associated with high enzyme level even is such determination was preceded by rectal examination. There appears to be no merit in the teaching that the determination of serum acid phosphatase should be delayed after rectal examination.
OLE PROFMALOIYGEOFFREYM. "
SEEHERMAN, H.J., TAYLOR, C.R. MALOIY, G.M.O. and ARMSTRONG,R.B.(1981) Design of the mammalian respiratory system II. Measuring maximum aerobic capacity. Respiratory Physiology 44, 11-23.". In:
Proceedings of the 7th Pan-African Ornithological Congress, p. 17. EAMJ; 1981.
AbstractSerum acid phosphatase was measured in patients with enlarged benign and malignant prostate before and after rectal examination. Amongst the patients with benign glands, rectal examination did not produce any significant false elevation of the enzyme. Rectal examination, however, caused a rise in the enzyme level in a few untreated cancer patients and in cancer patients who has become refractory to hormonal therapy. This rise would help rather than mislead in the diagnosis of malignant prostate and also in the identifying treated patients who had become refractory to treatment. Thus, when serum acid phosphatase is properly determined, elevated levels should always arouse suspicion of malignant prostate or other lesions associated with high enzyme level even is such determination was preceded by rectal examination. There appears to be no merit in the teaching that the determination of serum acid phosphatase should be delayed after rectal examination.
KAUR DRSEHMIJASWANT, KAUR DRSEHMIJASWANT. "
Sehmi J.K. et. Al.; Self Sufficiency. M.oH., NPHLS, Nutrition / Food Contaminant Laboratory, Nairobi International Show.". In:
M.Sc. thesis, University of Nairobi, Kenya. Canadian Center of Science and Education; 1982.
AbstractTwenty variceal banding sessions were performed in eight patients between February 1995 and September 1996. A total of 69 rings were used to band the varices and at each session between two to six rings were used. Two of the eight had active bleeding and both underwent variceal banding to successfully arrest their bleeding as inpatients. Sixteen other variceal banding sessions were performed on an outpatient basis to obliterate their varices. Four of the eight patients had had sclerotherapy before and varices were still present. No acute or long term complications were noted. In one patient, variceal banding could not be performed as he developed stridor upon placement of the overtube. All the patients had advanced varices (Grade III or IV) and extended for more than 15 cms in the oesophagus. Endoscopic variceal obliteration remains the treatment of choice for patients with portal hypertension with variceal bleeding. Variceal banding is associated with a superior outcome when compared with sclerotherapy; the variceal kill time is shorter, infective complications less, rebleeding occurs less commonly and transfusion requirements are lower.
KAUR DRSEHMIJASWANT, KAUR DRSEHMIJASWANT. "
Sehmi J.K.; Dietary Treatment of Diabetes, relevant to the Developing countries. J. Asean Fed. Of Endocrine Soc., 3(2).". In:
M.Sc. thesis, University of Nairobi, Kenya. Canadian Center of Science and Education; 1983.
AbstractTwenty variceal banding sessions were performed in eight patients between February 1995 and September 1996. A total of 69 rings were used to band the varices and at each session between two to six rings were used. Two of the eight had active bleeding and both underwent variceal banding to successfully arrest their bleeding as inpatients. Sixteen other variceal banding sessions were performed on an outpatient basis to obliterate their varices. Four of the eight patients had had sclerotherapy before and varices were still present. No acute or long term complications were noted. In one patient, variceal banding could not be performed as he developed stridor upon placement of the overtube. All the patients had advanced varices (Grade III or IV) and extended for more than 15 cms in the oesophagus. Endoscopic variceal obliteration remains the treatment of choice for patients with portal hypertension with variceal bleeding. Variceal banding is associated with a superior outcome when compared with sclerotherapy; the variceal kill time is shorter, infective complications less, rebleeding occurs less commonly and transfusion requirements are lower.
KAUR DRSEHMIJASWANT. "
Sehmi J.K; National Goitre Prophylaxis in Kenya. Ministry of Health, Nairobi.". In:
M.Sc. thesis, University of Nairobi, Kenya. Canadian Center of Science and Education; 1974.
AbstractTwenty variceal banding sessions were performed in eight patients between February 1995 and September 1996. A total of 69 rings were used to band the varices and at each session between two to six rings were used. Two of the eight had active bleeding and both underwent variceal banding to successfully arrest their bleeding as inpatients. Sixteen other variceal banding sessions were performed on an outpatient basis to obliterate their varices. Four of the eight patients had had sclerotherapy before and varices were still present. No acute or long term complications were noted. In one patient, variceal banding could not be performed as he developed stridor upon placement of the overtube. All the patients had advanced varices (Grade III or IV) and extended for more than 15 cms in the oesophagus. Endoscopic variceal obliteration remains the treatment of choice for patients with portal hypertension with variceal bleeding. Variceal banding is associated with a superior outcome when compared with sclerotherapy; the variceal kill time is shorter, infective complications less, rebleeding occurs less commonly and transfusion requirements are lower.
Mulwa JK, Kimata F, Duong NA. "
Seismic hazards in Kenya.". In:
Developments in Earth Surface Processes. Amsterdam: Elsevier B.V.; 2013.
AbstractThe East African Rift System (EARS), and by extension the Davie Ridge, which is considered as the seaward extension of eastern branch (Kenya Rift Valley) of the East African Rift Valley (Mougenot et al., 1986), are characterized by divergence whose maximum rate is estimated to be about 7 mm/year (Chase, 1978). This rate of divergence is somewhat much slower than that found at most active mid-ocean ridges, or even the convergence of India-Burma plates or that between the Australian-Sunda plates (Stein and Okal, 2006). Despite this slow rate of divergence, the East African Rift Valley and the Davie Ridge are characterized by frequent seismicity with large and shallow earthquakes occurring occasionally.
Seismic reflection, gravity and magnetic data from offshore East Africa allow the Davie Fracture Zone to be traced from 11°S to its intersection with the Kenyan coast at 2°S, constraining the relative motion of Madagascar and Africa (Coffin and Rabinowitz, 1987). Further, numerous faults and fractures probably associated with the Davie fracture have been mapped using recent gravity and magnetic data between latitudes 2o21'S and 3o03'S and longitudes 40o08'E and 40o45'E by Gippsland Offshore Petroleum Limited (2009). Seasat-derived free air gravity anomalies and slope/rise positive magnetic anomalies observed in shipboard data help to locate the continent-ocean boundaries (COB) off the shore of East Africa and Madagascar.
Furthermore, the East African Rift System, and precisely the Kenya Rift Valley is characterized by ~3 km thick sediments and normal faulting mechanism. Deformation has been active along the Kenya Rift valley as evidenced by high seismic activity. Surface deformation studies from SAR Interferometry in the southern sector of the Kenya rift valley in Magadi show that it is characterized by 14 cm of deformation over 10 km long stretches (Kuria et al., in press). If the Davie ridge is an extension of the East African Rift Valley, we cannot rule out the occurrence of tsunami generating earthquakes, which are bound to have devastating consequences on the eastern coast of Africa.
Earthquakes as deep as 40 km have been recorded below Davie Ridge (Grimison and Chen, 1988). However, evaluation of recent seismic data shows that magnitude 6.0 – 7.2 earthquakes at relatively shallow depths of 10 - 30 km are a common occurrence along the Kenya Rift Valley and the Davie Ridge in the Mozambique channel. The focal mechanism of these earthquakes supports what has previously been proposed that the Davie Ridge is a southward extension of the eastern arm of the East African Rift System. The earthquake focal mechanism indicates that the Davie ridge is characterized by predominantly normal faulting with occasional obligue faulting. Consequently, Kenya and generally the East African coast are prone to both seismic hazards on land as well as tsunami generating earthquakes.
Chapter 19 begins with general overview of the seismicity in Kenya from 1900s’ to present. Seismcity in Kenya up to 1963 is mainly based on macroseismic data while that from 1963 to present is based on data from instrumental recordings. In the past, a number of microseismic and seismicity studies in Kenya have previously been undertaken and the results from these studies are rather disjointed. In this chapter, we have made an attempt to merge all the existing results into one database from which the general seismicity, and subsequently seismic hazard in Kenya has been evaluated. The main goal of this chapter is to bring into focus the area(s) in Kenya more prone to seismic hazards either due to ground shaking occasioned by an earthquake or due to tsunami as a result of earthquakes occurring along the Davie ridge.
S PROFKIGONDUCHRISTINE. "
Sekadde- Kigondu C.B. The role of Women in Biomedical Research in Kenya. Proceedings of the conference by the Canadian International Development Agency and the Third World Academy of Sciences , Published by World Scientific Editors, A.M Faruqui, M.H.A. Ha.". In:
A.M Faruqui, M.H.A. Hassan and G. Sandri, page 279, 1991. uon press; 1991.
AbstractForty females, age 14 to 35 years (mean 28.6 years) with chronic renal failure (CRF) were included in the study. Their menstrual patterns were noted. The function of their hypothalamo-pituitary-ovarian axis was assessed by the serum levels of follicle stimulating hormone (FSH), Luteinising hormone (LH), prolactin (PrL), estradiol (E2) and progesterone (P) at different phases of the menstrual cycle in patients who continued to have normal menses (Group 1) and at weekly intervals for six weeks in patients with menstrual disturbances (Group II). The mean hormone levels during the initial contact Luteal phase in group I were FSH 12.0 IU/L (N, 1.0-3.0 IU/L), LH 1.8IU/L (N 1.5-101U/L), PrL 652mIU/L (N, 100-600 mIU/L) mE2 160 pmol/L (N 400-1400 pmol/L) and P5 nmol/L (N 14-60 nmol/L) for group I. Corresponding values for group II were 1.2, 10.3, 250, 600 and 3.0 in relevant units. All patients (fourteen) with end stage renal disease (ESRD) had amenorrhoae. On the other hand, most patients with stable CRF (22/26) had normal menses. Following initiation of therapy (conservative or dialytic), there was no significant alteration in the hormonal profile or menstrual pattern. We conclude that other factors apart from the hormonal imbalances, may be responsible for the menstrual disturbances noted in patients with CRF.
G PROFKARANJAJOSEPH, OTIENO DRODAWAFRANCISXAVIER. "
SEKADDE-KIGONDU C, QURESHI Z, KARANJA JG, JALDESA GW AND KAIHURA DMM: Compilers Abstracts of research in reproductive health by the department of OBS/GYN, College of Health Sciences, UON, 1971-1995.I: OBSTETRICS.". In:
College of Health Sciences, UON, 1971-1995.I: OBSTETRICS. Korean Society of Crop Science and Springer; 1995.
AbstractThis was a cross sectional descriptive study to discuss the median age of menopause in a rural area of Western Kenya. The broad objective of the study was to describe the demographic and biophysical characteristics of the study population and determine the age of menopause. A review of the current and medieval records shows average age of menopause has remained relatively constant at 50 years in contrast to the receeding age of menarche. A total of 1078 women aged between 40-60 years were interviewed. The majority (98.8%) were from one ethnic group, the Luhya. Of the 1078 women, 880 (81.4%) were married and 198 (18.6%) were single. The average number of children per woman was 7.74. Most of the women (75.1%) had attained primary school education. Their husbands were unskilled workers in 30.1% of the cases. The mean weight and height of the women was 60.74 kg and 161.1 cm respectively. Using methods of probit analysis, the median and modal age of menopause was found to be 48.28 years in this group of western Kenya women. If generalised for the whole country, these results suggest that an average Kenyan woman lives for over ten years beyond menopause. It is recommended that more attention should be given to the special health problems of postmenopausal population. PIP: This study describes the demographic and biophysical characteristics of rural menopausal women in Western Kenya. Menopause occurs as the gradual unresponsiveness of the human ovary to gonadotropins, premature ovarian failure at under 40 years, and menopause following surgical procedures of the uterus and ovaries. A 3-phase process starts with low serum estradiol and progesterone, followed by a rise in follicle stimulating hormone, and a rise in luteinizing hormone. Clinical symptoms include vasomotor ones, genitourinary ones, osteoporosis and increased incidence of bone fractures, increased incidence of thromboembolic and ischemic heart disease, and psychological symptoms of anxiety, depression, and memory loss. The age of menopause varies with socioeconomic conditions, race, parity, height, weight, skinfold thickness, lifestyle, and education. Data were obtained for this study from a sample of 1078 women from 7 sublocations in Vihiga division, Kenya. Women were aged 40-60 years. The most populous ethnic group was the Luhya. 81.6% were married, 15.6% were widowed, and 0.7% were divorced. 4 women had never been married. 75.1% had a primary school education; 18.6% had not received any formal education. 30.1% had husbands who were unskilled workers, 28.8% had husbands who were farmers, and 20.6% had husbands who were skilled workers. 1.3% had no children, and 1 woman had 17 children. The average number of children was 7.74. 9 of the nulliparous women were menopausal. The mean height was 161.1 cm. The median age at menopause was 48.28 years. Almost all women were menopausal by 55 years. The total fertility period averaged 35 years. Female life expectancy was 59 years
G PROFKARANJAJOSEPH, OTIENO DRODAWAFRANCISXAVIER. "
SEKADDE-KIGONDU C, QURESHI Z, KARANJA JG, JALDESA GW AND KAIHURA DMM: Compilers Abstracts of research in reproductive health by the department of OBS/GYN, College of Health Sciences, UON, 1971-1995.I: OBSTETRICS.". In:
College of Health Sciences, UON, 1971-1995.I: OBSTETRICS. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 1995.
AbstractOBJECTIVE: In sub-Saharan Africa, many family planning programmes do not encourage advance provision of oral contraceptives to clients who must wait until menses to initiate pill use. Since some resistance to advance provision of pills is due to provider fears that the practice may be harmful, we conducted a study in Kenya in 1997 to compare pill-taking outcomes between 20 "advance provision" clients and 280 "standard" clients. DESIGN: Prospective observational study. SETTING: Six family planning clinics in Central and Western Kenya. SUBJECTS: Women presenting as new clients at MOH family planning clinics. INTERVENTIONS: Researchers used prospective tracking to compare indicators of pill-taking success between non-menstruating clients given pills to carry home for later use and menstruating clients who began pill use immediately. MAIN OUTCOME MEASURES: Pill-taking outcomes such as side effects, compliance, knowledge, satisfaction, and a continuation proxy. RESULTS: Among clients returning for re-supply, those receiving advance provision of pills did no worse than, and often had superior outcomes to, their counterparts who started taking pills immediately after the clinic visit. CONCLUSIONS: Advance provision of pills, already practiced worldwide, is safe and feasible. Explicit mention should be made of advance provision of pills in national family planning guidance documents and training curricula in Kenya and throughout sub-Saharan Africa.
G PROFKARANJAJOSEPH, OTIENO DRODAWAFRANCISXAVIER. "
SEKADDE-KIGONDU C, QURESHI Z, KARANJA JG, JALDESA GW AND KAIHURA DMM: Compilers Abstracts of research in reproductive health by the department of OBS/GYN, College of Health Sciences, UON, 1971-1995.II: GYNAECOLOGY AND FAMILY PLANNING.". In:
College of Health Sciences, UON, 1971-1995.II: GYNAECOLOGY AND FAMILY PLANNING. Korean Society of Crop Science and Springer; 1995.
AbstractThis was a cross sectional descriptive study to discuss the median age of menopause in a rural area of Western Kenya. The broad objective of the study was to describe the demographic and biophysical characteristics of the study population and determine the age of menopause. A review of the current and medieval records shows average age of menopause has remained relatively constant at 50 years in contrast to the receeding age of menarche. A total of 1078 women aged between 40-60 years were interviewed. The majority (98.8%) were from one ethnic group, the Luhya. Of the 1078 women, 880 (81.4%) were married and 198 (18.6%) were single. The average number of children per woman was 7.74. Most of the women (75.1%) had attained primary school education. Their husbands were unskilled workers in 30.1% of the cases. The mean weight and height of the women was 60.74 kg and 161.1 cm respectively. Using methods of probit analysis, the median and modal age of menopause was found to be 48.28 years in this group of western Kenya women. If generalised for the whole country, these results suggest that an average Kenyan woman lives for over ten years beyond menopause. It is recommended that more attention should be given to the special health problems of postmenopausal population. PIP: This study describes the demographic and biophysical characteristics of rural menopausal women in Western Kenya. Menopause occurs as the gradual unresponsiveness of the human ovary to gonadotropins, premature ovarian failure at under 40 years, and menopause following surgical procedures of the uterus and ovaries. A 3-phase process starts with low serum estradiol and progesterone, followed by a rise in follicle stimulating hormone, and a rise in luteinizing hormone. Clinical symptoms include vasomotor ones, genitourinary ones, osteoporosis and increased incidence of bone fractures, increased incidence of thromboembolic and ischemic heart disease, and psychological symptoms of anxiety, depression, and memory loss. The age of menopause varies with socioeconomic conditions, race, parity, height, weight, skinfold thickness, lifestyle, and education. Data were obtained for this study from a sample of 1078 women from 7 sublocations in Vihiga division, Kenya. Women were aged 40-60 years. The most populous ethnic group was the Luhya. 81.6% were married, 15.6% were widowed, and 0.7% were divorced. 4 women had never been married. 75.1% had a primary school education; 18.6% had not received any formal education. 30.1% had husbands who were unskilled workers, 28.8% had husbands who were farmers, and 20.6% had husbands who were skilled workers. 1.3% had no children, and 1 woman had 17 children. The average number of children was 7.74. 9 of the nulliparous women were menopausal. The mean height was 161.1 cm. The median age at menopause was 48.28 years. Almost all women were menopausal by 55 years. The total fertility period averaged 35 years. Female life expectancy was 59 years
G PROFKARANJAJOSEPH, OTIENO DRODAWAFRANCISXAVIER. "
SEKADDE-KIGONDU C, QURESHI Z, KARANJA JG, JALDESA GW AND KAIHURA DMM: Compilers Abstracts of research in reproductive health by the department of OBS/GYN, College of Health Sciences, UON, 1971-1995.II: GYNAECOLOGY AND FAMILY PLANNING.". In:
College of Health Sciences, UON, 1971-1995.II: GYNAECOLOGY AND FAMILY PLANNING. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 1995.
AbstractOBJECTIVE: In sub-Saharan Africa, many family planning programmes do not encourage advance provision of oral contraceptives to clients who must wait until menses to initiate pill use. Since some resistance to advance provision of pills is due to provider fears that the practice may be harmful, we conducted a study in Kenya in 1997 to compare pill-taking outcomes between 20 "advance provision" clients and 280 "standard" clients. DESIGN: Prospective observational study. SETTING: Six family planning clinics in Central and Western Kenya. SUBJECTS: Women presenting as new clients at MOH family planning clinics. INTERVENTIONS: Researchers used prospective tracking to compare indicators of pill-taking success between non-menstruating clients given pills to carry home for later use and menstruating clients who began pill use immediately. MAIN OUTCOME MEASURES: Pill-taking outcomes such as side effects, compliance, knowledge, satisfaction, and a continuation proxy. RESULTS: Among clients returning for re-supply, those receiving advance provision of pills did no worse than, and often had superior outcomes to, their counterparts who started taking pills immediately after the clinic visit. CONCLUSIONS: Advance provision of pills, already practiced worldwide, is safe and feasible. Explicit mention should be made of advance provision of pills in national family planning guidance documents and training curricula in Kenya and throughout sub-Saharan Africa.
S PROFKIGONDUCHRISTINE. "
Sekadde-Kigondu C,B and Tantchou J.Laboratory support for Maternal Health in Africa . Chapter 12, pages 169-196, 1994 in a book Contemporary issues in Maternal Health Care in Africa.1994, Edited by JKG Mati, J.M. Kasonde and B. Nasah.". In:
Chapter 12, pages 169-196, 1994 in a book Contemporary issues in Maternal Health Care in Africa.1994, Edited by JKG Mati, J.M. Kasonde and B. Nasah. uon press; 1994.
AbstractNormal postpartum women, who had a spontaneous vaginal delivery of one full-term male infant, free of congenital abnormalities and other diseases, were recruited for this study. Thirteen women received 150 mg depot-medroxy-progesterone acetate (DMPA), intramuscularly on days 42 + 1 and 126 + 1 postpartum. Infants of nine mothers, who did not receive DMPA, served as controls. Blood samples were collected from treated mothers on days 44, 47, 74, 124, 128, and 130 postpartum for medroxyprogesterone acetate (MPA) measurements. Four-hour urine collections were obtained from all 22 infants in the morning on days 38, 40, 42, 44, 46, 53, 60, 67, 74, 88, 102, 116, 122, 124, 126, 128, 130, and 137. Urinary follicle stimulating hormone (FSH), luteinizing hormone (LH), unconjugated testosterone, and unconjugated cortisol were measured by radioimmunoassay, and serum MPA and urinary MPA metabolites were measured by gas chromatography-mass spectrometry (GC-MS). No MPA metabolites could be detected in the urine of the infants from the DMPA-receiving mothers. Hormonal profiles in the urine samples were not suppressed in comparison with those of the control infants. The present study demonstrates that DMPA, administered to the mother, does not influence the hormonal regulation of the breast-fed normal male infant.
S PROFKIGONDUCHRISTINE. "
Sekadde-Kigondu C,B, Ogutu C, et al 3. Condom acceptability and use among patient attending a sexually transmitted diseases clinic. J. Obstet Gyneacol for East And Central Africa. 10 (1), 25, 1992.". In:
J. Obstet Gyneacol for East And Central Africa. 10 (1), 25, 1992. uon press; 1992.
AbstractForty females, age 14 to 35 years (mean 28.6 years) with chronic renal failure (CRF) were included in the study. Their menstrual patterns were noted. The function of their hypothalamo-pituitary-ovarian axis was assessed by the serum levels of follicle stimulating hormone (FSH), Luteinising hormone (LH), prolactin (PrL), estradiol (E2) and progesterone (P) at different phases of the menstrual cycle in patients who continued to have normal menses (Group 1) and at weekly intervals for six weeks in patients with menstrual disturbances (Group II). The mean hormone levels during the initial contact Luteal phase in group I were FSH 12.0 IU/L (N, 1.0-3.0 IU/L), LH 1.8IU/L (N 1.5-101U/L), PrL 652mIU/L (N, 100-600 mIU/L) mE2 160 pmol/L (N 400-1400 pmol/L) and P5 nmol/L (N 14-60 nmol/L) for group I. Corresponding values for group II were 1.2, 10.3, 250, 600 and 3.0 in relevant units. All patients (fourteen) with end stage renal disease (ESRD) had amenorrhoae. On the other hand, most patients with stable CRF (22/26) had normal menses. Following initiation of therapy (conservative or dialytic), there was no significant alteration in the hormonal profile or menstrual pattern. We conclude that other factors apart from the hormonal imbalances, may be responsible for the menstrual disturbances noted in patients with CRF.
S PROFKIGONDUCHRISTINE. "
Sekadde-Kigondu, C.B., Mwathe,E.G., Ruminjo, J.K., Nichols, D. et al. Discontinuation of Depo-provera, IUCD, and Combined Pills, E.A. Med.J. 73:786, 1996.". In:
E.A. Med.J. 73:786, 1996. uon press; 1996.
AbstractThis pilot study aimed to determine the feasibility of a larger study of contraception and risk of HIV infection in women. We also measured risk factors for and occurrence of HIV infection in the participants. A cohort of 1537 seronegative women attending a family planning clinic in Nairobi, Kenya was enrolled and followed for up to 12 months per woman. HIV testing was done quarterly. A nested case-control analysis was done with seroconverting women (cases) and 3 matched controls per case, who had detailed interviews and received physical examinations and STD tests. The prevalence of HIV at enrollment was 6.1%; seropositive women were excluded from further analysis. The 12-month life-table cumulative incidence of HIV was 2.1 per 100 women (95% confidence interval [CI] 1.1-3.2). In the nested case-control analysis (17 cases and 51 controls), the crude odds ratio of HIV infection comparing oral contraceptive (OC) users with other women was 3.5 (95%) CI 0.8-21.5), which persisted after control for single confounders at a time. The putative association between OC use sand HIV infection is critical to public health policy, yet no study has been conducted specifically to measure it, yielding weak and conflicting evidence. We intend to conduct a larger study with a similar design as the current pilot study, which confirmed the feasibility of a more definitive project.
S PROFKIGONDUCHRISTINE. "
Sekadde-Kigondu,C.B., Kirumbi, L.W., Njoroge, J.W., Njoroge, J.K., et al. The Prevalence of Hyperprolactinemia in Infertile Women in a Rural Area in Kenya. J. Obstet. Gynaecol. E. and Centr. Afr. 13;21, 1997.". In:
E.A.Med. J. 74: 561,1997. uon press; 1997.
AbstractAga Khan Hospital, Nairobi. Forty females, age 14 to 35 years (mean 28.6 years) with chronic renal failure (CRF) were included in the study. Their menstrual patterns were noted. The function of their hypothalamo-pituitary-ovarian axis was assessed by the serum levels of follicle stimulating hormone (FSH), Luteinising hormone (LH), prolactin (PrL), estradiol (E2) and progesterone (P) at different phases of the menstrual cycle in patients who continued to have normal menses (Group 1) and at weekly intervals for six weeks in patients with menstrual disturbances (Group II). The mean hormone levels during the initial contact Luteal phase in group I were FSH 12.0 IU/L (N, 1.0-3.0 IU/L), LH 1.8IU/L (N 1.5-101U/L), PrL 652mIU/L (N, 100-600 mIU/L) mE2 160 pmol/L (N 400-1400 pmol/L) and P5 nmol/L (N 14-60 nmol/L) for group I. Corresponding values for group II were 1.2, 10.3, 250, 600 and 3.0 in relevant units. All patients (fourteen) with end stage renal disease (ESRD) had amenorrhoae. On the other hand, most patients with stable CRF (22/26) had normal menses. Following initiation of therapy (conservative or dialytic), there was no significant alteration in the hormonal profile or menstrual pattern. We conclude that other factors apart from the hormonal imbalances, may be responsible for the menstrual disturbances noted in patients with CRF.
PARVEEN DRQURESHIZAHIDA, OTIENO DRODAWAFRANCISXAVIER. "
Sekkade -Kigondu C, Qureshi Z P, Karanja JG, Jaldesa GW, Kaihura DMM Abstracts of Research in Gynaecology and Family Planning by Department of Obstetrics and Gynaecology 1971 - 1995. Published 1996.". In:
Department of Obstetrics and Gynaecology 1971 - 1995. Published 1996. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 1995.
AbstractPIP: In November and December, 1993, a self-administered questionnaire was distributed to men in the town of Machakos and to nonmedical hospital workers of Machakos General Hospital. The purpose of the study was to assess their knowledge about and attitude towards vasectomy. The majority of men were in the age group of 30-44 years and were married; the hospital group was more educated. The town men perceived the pill to be the best contraceptive method for women in contrast to the hospital group who gave more importance to bilateral tubal ligation. The hospital group also perceived vasectomy as the best method for men. Overall, 53.2% men were aware of the correct procedure of vasectomy, but only 24% had correct knowledge of how the procedure affects masculinity. The knowledge of the procedure among hospital workers was not very different from that of the town group. Recommendations were made to increase information and education to all groups of people through various media. author's modified
PARVEEN DRQURESHIZAHIDA, OTIENO DRODAWAFRANCISXAVIER. "
Sekkade -Kigondu C, Qureshi Z P, Karanja JG, Jaldesa GW, Kaihura DMM Abstracts of Research in Reproductive Health by Department of Obstetrics and Gynaecology 1971 - 1995. Published 1996.". In:
Reproductive Health by Department of Obstetrics and Gynaecology 1971 - 1995. Published 1996. Far East Journal of Theoretical Statistics; 1996.
AbstractOBJECTIVE: In sub-Saharan Africa, many family planning programmes do not encourage advance provision of oral contraceptives to clients who must wait until menses to initiate pill use. Since some resistance to advance provision of pills is due to provider fears that the practice may be harmful, we conducted a study in Kenya in 1997 to compare pill-taking outcomes between 20 "advance provision" clients and 280 "standard" clients. DESIGN: Prospective observational study. SETTING: Six family planning clinics in Central and Western Kenya. SUBJECTS: Women presenting as new clients at MOH family planning clinics. INTERVENTIONS: Researchers used prospective tracking to compare indicators of pill-taking success between non-menstruating clients given pills to carry home for later use and menstruating clients who began pill use immediately. MAIN OUTCOME MEASURES: Pill-taking outcomes such as side effects, compliance, knowledge, satisfaction, and a continuation proxy. RESULTS: Among clients returning for re-supply, those receiving advance provision of pills did no worse than, and often had superior outcomes to, their counterparts who started taking pills immediately after the clinic visit. CONCLUSIONS: Advance provision of pills, already practiced worldwide, is safe and feasible. Explicit mention should be made of advance provision of pills in national family planning guidance documents and training curricula in Kenya and throughout sub-Saharan Africa.
PARVEEN DRQURESHIZAHIDA, OTIENO DRODAWAFRANCISXAVIER. "
Sekkade -Kigondu C, Qureshi Z P, Karanja JG, Jaldesa GW, Kaihura DMM Abstracts of Research in Reproductive Health by Department of Obstetrics and Gynaecology 1971 - 1995. Published 1996.". In:
Reproductive Health by Department of Obstetrics and Gynaecology 1971 - 1995. Published 1996. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 1996.
AbstractOBJECTIVE: In sub-Saharan Africa, many family planning programmes do not encourage advance provision of oral contraceptives to clients who must wait until menses to initiate pill use. Since some resistance to advance provision of pills is due to provider fears that the practice may be harmful, we conducted a study in Kenya in 1997 to compare pill-taking outcomes between 20 "advance provision" clients and 280 "standard" clients. DESIGN: Prospective observational study. SETTING: Six family planning clinics in Central and Western Kenya. SUBJECTS: Women presenting as new clients at MOH family planning clinics. INTERVENTIONS: Researchers used prospective tracking to compare indicators of pill-taking success between non-menstruating clients given pills to carry home for later use and menstruating clients who began pill use immediately. MAIN OUTCOME MEASURES: Pill-taking outcomes such as side effects, compliance, knowledge, satisfaction, and a continuation proxy. RESULTS: Among clients returning for re-supply, those receiving advance provision of pills did no worse than, and often had superior outcomes to, their counterparts who started taking pills immediately after the clinic visit. CONCLUSIONS: Advance provision of pills, already practiced worldwide, is safe and feasible. Explicit mention should be made of advance provision of pills in national family planning guidance documents and training curricula in Kenya and throughout sub-Saharan Africa.
.O PROFGUMBELAWRENCE. "
Selected Physical Properties of Sorghum Grains. K1FST Review. 4(2): 49 - 67.". In:
Gabbay R. &Siddique A., ed., Good Governance Issues and Sustainable Development: The Indian Ocean Region (New Delhi: Vedams Books). ISCTRC; 1993.
AbstractDifferentiation of bloodstream-form trypanosomes into procyclic (midgut) forms is an important first step in the establishment of an infection within the tsetse fly. This complex process is mediated by a wide variety of factors, including those associated with the vector itself, the trypanosomes and the bloodmeal. As part of an on-going project in our laboratory, we recently isolated and characterized a bloodmeal-induced molecule with both lectin and trypsin activities from midguts of the tsetse fly, Glossina longipennis [Osir, E.O., Abubakar, L., Imbuga, M.O., 1995. Purification and characterization of a midgut lectin-trypsin complex from the tsetse fly, Glossina longipennis. Parasitol. Res. 81, 276-281]. The protein (lectin-trypsin complex) was found to be capable of stimulating differentiation of bloodstream trypanosomes in vitro. Using polyclonal antibodies to the complex, we screened a G. fuscipes fuscipes cDNA midgut expression library and identified a putative proteolytic lectin gene. The cDNA encodes a putative mature polypeptide with 274 amino acids (designated Glossina proteolytic lectin, Gpl). The deduced amino acid sequence includes a hydrophobic signal peptide and a highly conserved N-terminal sequence motif. The typical features of serine protease trypsin family of proteins found in the sequence include the His/Asp/Ser active site triad with the conserved residues surrounding it, three pairs of cysteine residues for disulfide bridges and an aspartate residue at the specificity pocket. Expression of the gene in a bacterial expression system yielded a protein (M(r) approximately 32,500). The recombinant protein (Gpl) bound d(+) glucosamine and agglutinated bloodstream-form trypanosomes and rabbit red blood cells. In addition, the protein was found to be capable of inducing transformation of bloodstream-form trypanosomes into procyclic forms in vitro. Antibodies raised against the recombinant protein showed cross-reactivity with the alpha subunit of the lectin-trypsin complex. These results support our earlier hypothesis that this molecule is involved in the establishment of trypanosome infections in tsetse flies.