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2021
Nyabongo L, Kanduma EG, Bishop RP, Machuka E, Njeri A, Bimenyimana AV, Nkundwanayo C, Odongo DO, Pelle R. "Prevalence of tick-transmitted pathogens in cattle reveals that Theileria parva, Babesia bigemina and Anaplasma marginale are endemic in Burundi." Parasit Vectors. 2021;14(1):6. Abstract

Tick-borne diseases (TBDs) constitute a major constraint for livestock development in sub-Saharan Africa, with East Coast fever (ECF) being the most devastating TBD of cattle. However, in Burundi, detailed information is lacking on the current prevalence of TBDs and on the associated economic losses from mortality and morbidity in cattle as well as the costs associated with TBD control and treatment. The aim of this study was, therefore, to assess the prevalence and spatial distribution of tick-borne pathogens (TBPs) in cattle across the major agro-ecological zones (AEZs) in Burundi.

Gogri PY, Bore MC, Rips AGT, Reddy JC, Rostov AT, Vaddavalli PK. "Femtosecond laser-assisted big bubble for deep anterior lamellar keratoplasty." J Cataract Refract Surg. 2021;47(1):106-110. Abstract

To assess the utility of a femtosecond laser-assisted stromal channel to assist the creation of a big bubble (BB) for deep anterior lamellar keratoplasty (DALK) surgery in cadaveric corneas.

Vogel JP, Vannevel V, Robbers G, Gwako G, Lavin T, Adanikin A, Hlongwane T, Pattinson RC, Qureshi ZP, Oladapo OT. "Prevalence of abnormal umbilical arterial flow on Doppler ultrasound in low-risk and unselected pregnant women: a systematic review." Reprod Health. 2021;18(1):38. Abstract

While Doppler ultrasound screening is beneficial for women with high-risk pregnancies, there is insufficient evidence on its benefits and harms in low- and unselected-risk pregnancies. This may be related to fewer events of abnormal Doppler flow, however the prevalence of absent or reversed end diastolic flow (AEDF or REDF) in such women is unknown. In this systematic review, we aimed to synthesise available data on the prevalence of AEDF or REDF.

Miruka SA, Aboge GO, Macharia RW, George O Obiero, Omwenga IM. "Beta hemolysin gene of Staphylococcus phage 3AJ_2017 genome is a suitable molecular marker for identification and characterization of pathogenic Staphylococcus aureus." Vet Med Sci. 2021. Abstract

Staphylococcus aureus cause diseases both in humans and animals. These diseases range from mild to fatal infections thus necessitating development of a specific molecular method for detection of pathogenic S. aureus.

Gwako GN, Obimbo MM, Gichangi PB, John Kinuthia, James N Kiarie, Gachuno OW, Were F. "Association between obstetric and medical risk factors and stillbirths in a low-income urban setting." Int J Gynaecol Obstet. 2021;154(2):331-336. Abstract

To evaluate the association between obstetric and medical risk factors and stillbirths in a Kenyan set-up.

Yang X, He Z, Zheng Y, Wang N, Mulinge M, Schmit J-C, Steinmetz A, Seguin-Devaux C. "Chemical Constituents of and Their Anti-HIV-1 Activity." Molecules. 2021;26(9). Abstract

Three new (-) and 25 known compounds were isolated from the crude extract of . The chemical structures of new compounds were established by extensive spectroscopic analyses including 1D and 2D NMR and HRESIMS. Cassiabrevone () is the first heterodimer of guibourtinidol and planchol A. Compound was a new chalcane, while was a new naphthalene. Cassiabrevone (), guibourtinidol-(4α→8)-epiafzelechin (), taxifolin (), oleanolic acid (), piceatannol (), and palmitic acid (), exhibited potent anti-HIV-1 activity with IC values of 11.89 µM, 15.39 µM, 49.04 µM, 7.95 µM, 3.58 µM, and 15.97 µM, respectively.

Baguiya A, Bonet M, Cecatti JG, Brizuela V, Curteanu A, Minkauskiene M, Jayaratne K, Ribeiro-do-Valle CC, Budianu M-A, Souza JP, Kouanda S. "Perinatal outcomes among births to women with infection during pregnancy." Arch Dis Child. 2021;106(10):946-953. Abstract

This study is part of the Global Maternal Sepsis Study (GLOSS). It aimed to estimate neonatal near-miss (NNM) and perinatal death frequency and maternal risk factors among births to women with infection during pregnancy in low-income and middle-income countries (LMIC).

Baguiya A, Bonet M, Cecatti JG, Brizuela V, Curteanu A, Minkauskiene M, Jayaratne K, Ribeiro-do-Valle CC, Budianu M-A, Souza JP, Kouanda S. "Perinatal outcomes among births to women with infection during pregnancy." Arch Dis Child. 2021;106(10):946-953. Abstract

This study is part of the Global Maternal Sepsis Study (GLOSS). It aimed to estimate neonatal near-miss (NNM) and perinatal death frequency and maternal risk factors among births to women with infection during pregnancy in low-income and middle-income countries (LMIC).

Brizuela V, Cuesta C, Bartolelli G, Abdosh AA, Abou Malham S, Assarag B, Castro Banegas R, Díaz V, El-Kak F, El Sheikh M, Pérez AM, Souza JP, Bonet M, Abalos E. "Availability of facility resources and services and infection-related maternal outcomes in the WHO Global Maternal Sepsis Study: a cross-sectional study." Lancet Glob Health. 2021;9(9):e1252-e1261. Abstract

Infections are among the leading causes of maternal mortality and morbidity. The Global Maternal Sepsis and Neonatal Initiative, launched in 2016 by WHO and partners, sought to reduce the burden of maternal infections and sepsis and was the basis upon which the Global Maternal Sepsis Study (GLOSS) was implemented in 2017. In this Article, we aimed to describe the availability of facility resources and services and to analyse their association with maternal outcomes.

Oreskovic A, Panpradist N, Marangu D, Ngwane WM, Magcaba ZP, Ngcobo S, Ngcobo Z, Horne DJ, Wilson DPK, Shapiro AE, Drain PK, Lutz BR. "Diagnosing Pulmonary Tuberculosis by Using Sequence-Specific Purification of Urine Cell-Free DNA." J Clin Microbiol. 2021;59(8):e0007421. Abstract

Transrenal urine cell-free DNA (cfDNA) is a promising tuberculosis (TB) biomarker, but is challenging to detect because of the short length (<100 bp) and low concentration of TB-specific fragments. We aimed to improve the diagnostic sensitivity of TB urine cfDNA by increasing recovery of short fragments during sample preparation. We developed a highly sensitive sequence-specific purification method that uses hybridization probes immobilized on magnetic beads to capture short TB cfDNA (50 bp) with 91.8% average efficiency. Combined with short-target PCR, the assay limit of detection was ≤5 copies of cfDNA in 10 ml urine. In a clinical cohort study in South Africa, our urine cfDNA assay had 83.7% sensitivity (95% CI: 71.0 to 91.5%) and 100% specificity (95% CI: 86.2 to 100%) for diagnosis of active pulmonary TB when using sputum Xpert MTB/RIF as the reference standard. The detected cfDNA concentration was 0.14 to 2,804 copies/ml (median 14.6 copies/ml) and was inversely correlated with CD4 count and days to culture positivity. Sensitivity was nonsignificantly higher in HIV-positive (88.2%) compared to HIV-negative patients (73.3%), and was not dependent on CD4 count. Sensitivity remained high in sputum smear-negative (76.0%) and urine lipoarabinomannan (LAM)-negative (76.5%) patients. With improved sample preparation, urine cfDNA is a viable biomarker for TB diagnosis. Our assay has the highest reported accuracy of any TB urine cfDNA test to date and has the potential to enable rapid non-sputum-based TB diagnosis across key underserved patient populations.

Mitchell EJ, Pallotti P, Qureshi ZP, Daniels JP, Oliver M, Were F, Osoti A, Gwako G, Kimani V, Opira J, Ojha S. "Parents, healthcare professionals and other stakeholders' experiences of caring for babies born too soon in a low-resource setting: a qualitative study of essential newborn care for preterm infants in Kenya." BMJ Open. 2021;11(6):e043802. Abstract

Prematurity is the leading cause of global neonatal and infant mortality. Many babies could survive by the provision of essential newborn care. This qualitative study was conducted in order to understand, from a family and professional perspective, the barriers and facilitators to essential newborn care. The study will inform the development of an early warning score for preterm and low birthweight infants in low and middle income countries (LMICs).

Gwako GN, Were F, Obimbo MM, John Kinuthia, James N Kiarie, Gachuno OW, Gichangi PB. "Association between utilization and quality of antenatal care with stillbirths in four tertiary hospitals in a low-income urban setting." Acta Obstet Gynecol Scand. 2021;100(4):676-683. Abstract

About 2.6 million stillbirths per year occur globally with 98% occurring in low- and middle-income countries including Kenya, where an estimated 35 000 stillbirths occur annually. Most studies have focused on the direct causes of stillbirth. The aim of this study was to determine the association between antenatal care utilization and quality with stillbirth in a Kenyan set up. This information is key when planning strategies to reduce the stillbirth burden.

Burton MJ, Ramke J, Marques AP, Bourne RRA, Congdon N, Jones I, Ah Tong BAM, Arunga S, Bachani D, Bascaran C, Bastawrous A, Blanchet K, Braithwaite T, Buchan JC, Cairns J, Cama A, Chagunda M, Chuluunkhuu C, Cooper A, Crofts-Lawrence J, Dean WH, Denniston AK, Ehrlich JR, Emerson PM, Evans JR, Frick KD, Friedman DS, Furtado JM, Gichangi MM, Gichuhi S, Gilbert SS, Gurung R, Habtamu E, Holland P, Jonas JB, Keane PA, Keay L, Khanna RC, Khaw PT, Kuper H, Kyari F, Lansingh VC, Mactaggart I, Mafwiri MM, Mathenge W, McCormick I, Morjaria P, Mowatt L, Muirhead D, Murthy GVS, Mwangi N, Patel DB, Peto T, Qureshi BM, Salomão SR, Sarah V, Shilio BR, Solomon AW, Swenor BK, Taylor HR, Wang N, Webson A, West SK, Wong TY, Wormald R, Yasmin S, Yusufu M, Silva JC, Resnikoff S, Ravilla T, Gilbert CE, Foster A, Faal HB. "The Lancet Global Health Commission on Global Eye Health: vision beyond 2020." Lancet Glob Health. 2021;9(4):e489-e551.Website
Vogel JP, Comrie-Thomson L, Pingray V, Gadama L, Galadanci H, Goudar S, Rose Laisser, Lavender T, Lissauer D, Misra S, Pujar Y, Qureshi ZP, Amole T, Berrueta M, Dankishiya F, Gwako G, Homer CSE, Jobanputra J, Meja S, Nigri C, Mohaptra V, Osoti A, Roberti J, Solomon D, Suleiman M, Robbers G, Sutherland S, Vernekar S, Althabe F, Bonet M, Oladapo OT. "Usability, acceptability, and feasibility of the World Health Organization Labour Care Guide: A mixed-methods, multicountry evaluation." Birth. 2021;48(1):66-75. Abstract

The World Health Organization's (WHO) Labour Care Guide (LCG) is a "next-generation" partograph based on WHO's latest intrapartum care recommendations. It aims to optimize clinical care provided to women and their experience of care. We evaluated the LCG's usability, feasibility, and acceptability among maternity care practitioners in clinical settings.

Golden L, Chaya S, Reichmuth K, Visagie A, Ayuk A, Kwarteng Owusu S, Marangu D, Affendi N, Lakhan A, Gray D, Vanker A, Zar H, Zampoli M. "Aetiology and presentation of childhood pleural infections in the post-pneumococcal conjugate vaccine era in South Africa." Afr J Thorac Crit Care Med. 2021;27(4). Abstract

Complications of respiratory infections including pleural effusion (PE) are associated with a high morbidity. Differentiating between PE caused by (Mtb) infection and other bacterial infections in endemic areas is difficult in children, thus, impacting treatment.

Garelick S, Russell JM, Dee S, Verschuren D, Olago DO. "Atmospheric controls on precipitation isotopes and hydroclimate in high-elevation regions in Eastern Africa since the Last Glacial Maximum.". 2021;567:116984. AbstractWebsite

Tropical Africa experienced large changes in hydroclimatic conditions since the Last Glacial Maximum (LGM), ∼26.5 to 19 thousand years (ka or kyr) ago. The hydrogen isotopic composition of fossil leaf waxes (δDwax), assumed to record past variations in the hydrogen isotopic composition of precipitation (δDprecip), is increasingly being used to study past hydroclimatic change in Africa, and are commonly interpreted to reflect variation in the amount of precipitation through time (i.e., the amount effect). Although there are now many such δDprecip records from tropical Africa, there are few robust δDprecip records from easternmost equatorial Africa of sufficient length and resolution to evaluate the mechanisms governing hydroclimate variation during and since the LGM. We produced a new δDprecip record based on analyses of δDwax in sediment cores collected from Lake Rutundu, situated at an elevation of 3,078 meters above sea level (m asl) on Mt. Kenya. This record displays large variations in δDprecip corresponding with known climate events over the past 25 kyr, including D-enrichment during the Heinrich 1 stadial (H1) and the Younger Dryas (YD), and D-depletion during the Holocene portion of the African Humid Period (AHP). We also observe D-depletion during the LGM relative to the late Holocene, which, considering the amount effect, could be interpreted to imply that LGM climate conditions were wetter than today. However, because other hydroclimate proxies at this site indicate a drier LGM climate at Lake Rutundu, and since precipitation isotopes at this high-elevation site are likely influenced by different processes than at low elevations, we used a single-column Rayleigh distillation model to evaluate temperature and altitude-related effects on high-elevation δDprecip. This revealed that a change in the temperature lapse rate exerts strong control on δDprecip in this high-elevation setting, and that a steeper lapse rate could explain the observed D-depletion during the LGM at our site. Comparison of the Lake Rutundu δDprecip record with other leaf-wax based δDprecip records from East Africa indicates that changes in the meridional precipitation gradient associated with the mean annual position and intensity of the tropical rain belt, in turn driven by precessional insolation forcing, were likely a primary control on East African hydroclimate over the past 25 kyr, thereby contributing to overall regional drying during the LGM.

Garelick S, Russell JM, Dee S, Verschuren D, Olago DO. "Atmospheric controls on precipitation isotopes and hydroclimate in high-elevation regions in Eastern Africa since the Last Glacial Maximum.". 2021;567:116984. AbstractWebsite

Tropical Africa experienced large changes in hydroclimatic conditions since the Last Glacial Maximum (LGM), ∼26.5 to 19 thousand years (ka or kyr) ago. The hydrogen isotopic composition of fossil leaf waxes (δDwax), assumed to record past variations in the hydrogen isotopic composition of precipitation (δDprecip), is increasingly being used to study past hydroclimatic change in Africa, and are commonly interpreted to reflect variation in the amount of precipitation through time (i.e., the amount effect). Although there are now many such δDprecip records from tropical Africa, there are few robust δDprecip records from easternmost equatorial Africa of sufficient length and resolution to evaluate the mechanisms governing hydroclimate variation during and since the LGM. We produced a new δDprecip record based on analyses of δDwax in sediment cores collected from Lake Rutundu, situated at an elevation of 3,078 meters above sea level (m asl) on Mt. Kenya. This record displays large variations in δDprecip corresponding with known climate events over the past 25 kyr, including D-enrichment during the Heinrich 1 stadial (H1) and the Younger Dryas (YD), and D-depletion during the Holocene portion of the African Humid Period (AHP). We also observe D-depletion during the LGM relative to the late Holocene, which, considering the amount effect, could be interpreted to imply that LGM climate conditions were wetter than today. However, because other hydroclimate proxies at this site indicate a drier LGM climate at Lake Rutundu, and since precipitation isotopes at this high-elevation site are likely influenced by different processes than at low elevations, we used a single-column Rayleigh distillation model to evaluate temperature and altitude-related effects on high-elevation δDprecip. This revealed that a change in the temperature lapse rate exerts strong control on δDprecip in this high-elevation setting, and that a steeper lapse rate could explain the observed D-depletion during the LGM at our site. Comparison of the Lake Rutundu δDprecip record with other leaf-wax based δDprecip records from East Africa indicates that changes in the meridional precipitation gradient associated with the mean annual position and intensity of the tropical rain belt, in turn driven by precessional insolation forcing, were likely a primary control on East African hydroclimate over the past 25 kyr, thereby contributing to overall regional drying during the LGM.

Baba MM, Bitew M, Fokam J, Lelo EA, Ahidjo A, Asmamaw K, Beloumou GA, Bulimo WD, Buratti E, Chenwi C, Dadi H, D'Agaro P, De Conti L, Fainguem N, Gadzama G, Maiuri P, Majanja J, Meshack W, Ndjolo A, Nkenfou C, Oderinde BS, Opanda SM, Segat L, Stuani C, Symekher SL, Takou D, Tesfaye K, Triolo G, Tuki K, Zacchigna S, Marcello A. "Diagnostic performance of a colorimetric RT -LAMP for the identification of SARS-CoV-2: A multicenter prospective clinical evaluation in sub-Saharan Africa.". 2021;40:101101. Abstract1-s2.0-s2589537021003813-main-1.pdf1-s2.0-s2589537021003813-main-1.pdfWebsite

BackgroundManagement and control of the COVID-19 pandemic caused by the severe acute respiratory syndrome coronavirus SARS-CoV-2 is critically dependent on quick and reliable identification of the virus in clinical specimens. Detection of viral RNA by a colorimetric reverse transcription loop-mediated isothermal amplification (RT-LAMP) is a simple, reliable and cost-effective assay, deployable in resource-limited settings (RLS). Our objective was to evaluate the intrinsic and extrinsic performances of RT-LAMP in RLS.
Methods
This is a multicenter prospective observational study of diagnostic accuracy, conducted from October 2020 to February 2021 in four African Countries: Cameroon, Ethiopia, Kenya and Nigeria; and in Italy. We enroled 1657 individuals who were either COVID-19 suspect cases, or asymptomatic and presented for screening. RNA extracted from pharyngeal swabs was tested in parallel by a colorimetric RT-LAMP and by a standard real time polymerase chain reaction (RT-PCR).
Findings
The sensitivity and specificity of index RT LAMP compared to standard RT-PCR on 1657 prospective specimens from infected individuals was determined. For a subset of 1292 specimens, which underwent exactly the same procedures in different countries, we obtained very high specificity (98%) and positive predictive value (PPV = 99%), while the sensitivity was 87%, with a negative predictive value NPV = 70%, Stratification of RT-PCR data showed superior sensitivity achieved with an RT-PCR cycle threshold (Ct) below 35 (97%), which decreased to 60% above 35.
Interpretation
In this field trial, RT-LAMP appears to be a reliable assay, comparable to RT-PCR, particularly with medium-high viral loads (Ct < 35). Hence, RT-LAMP can be deployed in RLS for timely management and prevention of COVID-19, without compromising the quality of output.

Sura M, Osoti A, Gachuno O, Musoke R, Kagema F, Gwako G, Ondieki D, Ndavi PM, Ogutu O. "Effect of umbilical cord milking versus delayed cord clamping on preterm neonates in Kenya: A randomized controlled trial." PLoS One. 2021;16(1):e0246109. Abstract

Delayed cord clamping (DCC) is a placental to new-born transfusion strategy recommended by obstetric and gynaecological societies. Though not widely adopted, umbilical cord milking (UCM) may achieve faster transfusion when DCC cannot be performed such as when a neonate requires resuscitation.

Kaoga J, Olago D, Ouma G, Ouma G, Onono J. "The evolving cultural values and their implications on the Maasai Pastoralists, Kajiado County, Kenya.". 2021;13:e00881. AbstractWebsite

The Maasai pastoralists inhabiting Kajiado County have been known for their rich cultural values which have sustained their livelihoods. However, these cultural practices are evolving under the swift development context with the private holding of land becoming more prevalent. Before these disturbances, customary land was available for the Maasai pastoralists to carry out traditional production systems. The disturbance in their social-cultural ways following land fragmentation has rendered their traditional governance system untenable. Moreover, the Maasai pastoralists have been dispossessed from their customary land and social institutions which have shaped their customs. Thus, concerns have been raised over the sustenance of pastoralism considering that the required resources are either unavailable or not enough. To address this gap, there was the need to understand cultural adjustments and their impacts on the Maasai pastoralists’ societal needs. The study employed a cross-sectional design which consisted of 195 Household survey questionnaires, 8 Focus Group Discussions and 18 Key Informant Interviews. The qualitative and quantitative data from the study were summarized and thematic perceptions generated. The results of this study revealed the uniqueness of the Maasai pastoralists’ traditional social structures. Also highlighted by the study was the erosion of the traditional social relations exposing the Maasai pastoralists to increasing vulnerability. These findings support the need for external support to supplement the traditional coping strategies to balance the ecological, social and economic systems of the Maasai pastoralists.

Kimani E, Muhula S, Kiptai T, Orwa J, Odero T, Gachuno O. "Factors influencing TB treatment interruption and treatment outcomes among patients in Kiambu County, 2016-2019." PLoS One. 2021;16(4):e0248820. AbstractWebsite

Tuberculosis (TB) is the leading cause of mortality as a single infectious agent globally with increasing numbers of case notification in developing countries. This study seeks to investigate the clinical and socio-demographic factors of time to TB treatment interruption among Tuberculosis patients in Kiambu County, 2016-2019. We retrospectively analyzed data for all treatment outcomes patients obtained from TB tracing form linked with the Tuberculosis Information Basic Unit (TIBU) of patients in Kiambu County health facilities using time to treatment interruption as the main outcome. Categorical variables were presented using frequency and percentages. Kaplan-Meir curve was used to analyze probabilities of time to treatment interruptions between intensive and continuation phases. Log-rank test statistics was used to compare the equality of the curves. Cox proportion model was used to determine determinants of treatment interruption. A total of 292 participants were included in this study. Males were 68%, with majority (35%) of the participants were aged 24-35 years; 5.8% were aged 0-14 years and 5.1% aged above 55 years. The overall treatment success rate was 66.8% (cured, 34.6%; completed 32.2%), 60.3% were on intensive phase of treatment. Lack of knowledge and relocation were the major reasons of treatment interruptions. Patients on intensive phase were 1.58 times likely to interrupt treatment compared to those on continuation phase (aHR: 1.581; 95%CI: 1.232-2.031). There is need to develop TB interventions that target men and middle aged population in order to reduce treatment interruption and increase the treatment success rates in the County and Country.

Ngayo MO, Oluka M, Bulimo WD, Okalebo FA. Influence of Social Psychological Status On Efavirenz And Nevirapine Plasma Concentration Among HIV Patients In Kenya. Research Square; 2021. Abstract

HIV-related stigma, lack of disclosure and social support are still a hindrance to HIV testing, care, and prevention. We evaluated the influence of these socio-phycological status on nevirapine (NVP) and efavirenz (EFV) plasma concentrations among HIV patients in Kenya. Blood samples were obtained from 254 and 312 consenting HIV patients on NVP and EFV based first-line Antiretroviral therapy (ART) respectively and a detailed structured questionnaire was administered. The NVP and EFV plasma level was measured by liquid chromatography - tandem mass spectrometry (LC-MS/MS). The median duration of living with HIV infection was 5 years (IQR = 1–11years) and a median duration since ART initiation was 3 years (IQR = 1–8 years). There were 68.1% and 65.4% of the patients on NVP and EFV respectively who did not feel guilty for being HIV positive. The disclosure rate was about 96.1% and 94.6% of patients on NVP and EFV respectively. About 85% and 78.2% of patients on NVP and EFV respectively who got social support as much as needed. The non-adherence to ART in the past 30 days was 64.6% and 66.3% patients on NVP and EFV respectively. The median (IQR) plasma concentration were [6237.5 ng/mL, IQR 45188–8964 ng/mL] for NVP and [2739.5 ng/mL, IQR 1878 –4891.5 ng/mL] for EFV. There were 14.2% and 4.5% patients on NVP and EFV respectively with suboptimal plasma concertation associated with poor viral suppression. Multivariate linear regression analysis showed feeling guilty for being HIV positive (adjusted β = 954 , 95% CI = 192.7 to 2156.6 ; p =0.014) or feeling worthless for being HIV positive (adjusted β = 852 , 95% CI = 64.3 to 1639.7 ; p =0.034); being certain of telling the primary sexual partner about HIV positive status (adjusted β 363, 95% CI, 97.9 to 628.1; p = 0.007); disclosing HIV status to neighbors (adjusted β = 1731 , 95% CI = 376 to 3086 ; p =0.012) and getting transportation to hospital whenever needed (adjusted β = -1143.3, 95% CI = -1914.3 to -372.4 ; p =0.004) were associated with NVP/EFV plasma levels. The NVP and EFV plasma level was highly heterogenous with a significant proportion of patients reporting levels correlated with poor viral suppression. The patient’s stigma, lack of disclosure and social support contributes significantly on the overall ART treatment outcome. Taking these factors into consideration, HIV treatment may be personalized to achieve optimal treatment success

Nyabongo L, Odongo DO, Milton G, Machuka E, Vudriko P, Pelle R, Kanduma EG. "Molecular survey of cattle ticks in Burundi: First report on the presence of the invasive Rhipicephalus microplus tick." PLoS One. 2021;16(12):e0261218. Abstract

A recent research study on prevalence of tick-borne pathogens in Burundi reported high prevalence and endemicity of Theileria parva, Anaplasma marginale and Babesia bigemina infections in cattle. Detailed information about tick species infesting animals, their distribution and genetic diversity in Burundi is outdated and limited. This study therefore assessed the prevalence and genetic diversity of tick species infesting cattle across agroecological zones (AEZs) in Burundi. A cross-sectional study on the occurrence of tick species was conducted in 24 districts of Burundi between October and December 2017. Differential identification and characterization of ticks collected was conducted using tick morphological keys and molecular tools (cox1 and 12S rRNA gene). Chi-square test was used to test for association between agroecological zones and the prevalence of tick species. Phylogenetic relationships were inferred using bayesian and maximum likelihood algorithms. A total of 483 ticks were collected from the five AEZs sampled. Six tick species comprising of Rhipicephalus appendiculatus, R. sanguineus, R. evertsi evertsi, R. microplus, R. decoloratus and Amblyomma variegatum were observed. Rhipicephalus appendiculatus were the most prevalent ticks (~45%). A total of 138 specimens (28%) were found to be Rhipicephalus microplus, suggesting an emerging threat for cattle farmers. Twelve R. appendiculatus cox1 haplotypes were obtained from 106 specimens that were sequenced. Two cox1 haplotypes of R. microplus which clustered into previously reported Clade A were observed. Rhipicephalus sanguineus and R. evertsi evertsi ticks, the vectors of numerous zoonotic pathogens, were collected from cattle, which constitute a high risk for public health. These findings reveal an overlapping distribution of tick vectors in Burundi. The design of ticks and tick-borne diseases control strategies should consider the distribution of different vectors across the AEZs particularly the presence of the highly invasive R. microplus tick in Burundi and the potential risk of introducing the pathogenic Babesia bovis.

Peter SG, Kariuki HW, Aboge GO, Gakuya DW, Maingi N, Mulei CM. "Prevalence of Ticks Infesting Dairy Cattle and the Pathogens They Harbour in Smallholder Farms in Peri-Urban Areas of Nairobi, Kenya." Veterinary Medicine International. 2021;2021:9501648. AbstractWebsite

This study aimed at determining the tick species infesting dairy cattle in Nairobi, Kenya, and the pathogens they harbour. While ticks are well-known vectors of major bacterial pathogens of both veterinary importance and public health importance, few studies have investigated the range of the tick species and the associated pathogens, especially present in unique dairy production systems, which compromise animal welfare, such as those in peri-urban areas. A cross-sectional study was undertaken involving 314 randomly selected dairy cattle in 109 smallholder farms. Each animal was examined for attached ticks followed by morphological tick identification at the species level. Genomic DNA was extracted from each of the ticks, and 16S rDNA gene was amplified for pathogen identification. Sequencing of the amplicons and subsequent BLASTn analysis, multiple sequence alignment, and phylogenetic reconstruction were performed to confirm the species of the pathogens. Sixty-six (21.0%) of the cattle examined had ticks. A total of 94 adult ticks were found on the cattle, and of these, 63 (67.0%), 18 (19.1%), and 13 (13.8%) were in the genera Rhipicephalus, Amblyomma, and Hyalomma, respectively. Twelve tick species in Rhipicephalus genus and two in Amblyomma and Hyalomma genera were identified. Although Rh. decoloratus was the most prevalent tick (24.5% (23/94)), the emerging Rh. microplus (6.4% (6/94)) was also identified. The DNA of Rickettsia was detected in the ticks, with Rickettsia conorii in H. rufipes and A. variegatum, and Rickettsia aeschlimannii in Rh. microplus and H. rufipes, while Ehrlichia ruminantium and E. canis were in A. variegatum. In conclusion, the study reported a wide range of tick species present in the study area including Rhipicephalus microplus, which is an emerging tick species in parts of Kenya. The ticks harboured DNA of Rickettsia and Ehrlichia, highlighting possible animal and human health concerns. Hence, effective tick control strategies remain paramount to prevent potential diseases associated with the harboured pathogens.

MM B, M B, J F, EA L, A A, K A, GA B, WD B, E B, C C, H D, P D'A, L DC, N F, A M. "Diagnostic performance of a colorimetric RT -LAMP for the identification of SARS-CoV-2: A multicenter prospective clinical evaluation in sub-Saharan Africa." EClinicalMedicine. 2021. Abstract
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Maingey Y, Opondo M, Olago D, Ouma G. "{The impacts of increasing water scarcity and the potential for water-related conflict in Lamu, Kenya}." Water Supply. 2021;22:1983-1994. AbstractWebsite

{In the age of climate change, the efficient allocation, distribution and use of water raises complex issues for water management, with far-reaching and often contentious consequences. As water becomes scarcer, water-related tensions are imminent on different scales. It is the interplay of these tensions with a number of socioeconomic, political, environmental and cultural factors that determine the probability of conflict. Lamu, found in the coastal part of Kenya, is a unique location in that access to water is already a major challenge. Combined with the negative impacts of climate change, and the ongoing large infrastructural development in the region, Lamu is on the verge of a water crisis. As such, there is a need for research into the context-specific factors that play a part in heightening the potential for water-related conflict amidst increasing water scarcity. The focus of this study was to identify and evaluate the context-specific factors that will amplify the potential for water-related conflict in Lamu. The findings suggest religion, migration, and poverty are factors that would heighten the potential for water-related conflict in the region amidst increasing water scarcity. The study recommends that these factors need to be addressed urgently and should be part of any water management mechanism in Lamu, in order to avoid water-related conflicts. Additionally, the findings imply that anticipating the stressors for water-related conflict in Lamu will play a significant role in managing conflict and facilitating negotiations over the region's water resources.}

Imonje RK. 100 Curriculum Theory, Principles and Processes in Education. LAP Lambert Academic Publishing; 2021.
Araka E, Oboko R, Maina E, Gitonga RK. " A Conceptual Educational Data Mining Model for Supporting Self-Regulated Learning in Online Learning Environments." https://www.igi-global.com/. 2021:15. Abstract

Self-regulated learning is attracting tremendous researches from various communities such as information communication technology. Recent studies have greatly contributed to the domain knowledge that the use self-regulatory skills enhance academic performance. Despite these developments in SRL, our understanding on the tools and instruments to measure SRL in online learning environments is limited as the use of traditional tools developed for face-to-face classroom settings are still used to measure SRL on e-learning systems. Modern learning management systems (LMS) allow storage of datasets on student activities. Subsequently, it is now possible to use Educational Data Mining to extract learner patterns which can be used to support SRL. This chapter discusses the current tools for measuring and promoting SRL on e-learning platforms and a conceptual model grounded on educational data mining for implementation as a solution to promoting SRL strategies.

Derese S. " A coumestan and a coumaronochromone from Millettia lasiantha ." Biochemical Systematics and Ecology. 2021;97:104277.
C BK, M.F O. " A Critical Review of Literature on Employment Selection Tests." Journal of Human Resource and Sustainability Studies. 2021;2021(9):451-469.
Kamunya SM, Oboko RO, Maina EM, Miriti EK. " A Systematic Review of Gamification Within E-Learning." igi-global.com. 2021:18. AbstractWebsite

The focus of this study was to review and evaluate the effectiveness of gamification within e-learning platforms. The study deployed systematic literature review methodology to evaluate how effective gamification has been used within e-learning platforms. The study used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Approach (PRISMA), starting with 366 articles, shifting to a final 34 articles for consideration. It was established that gamification positively influences and enhances learning within the e-learning platform. Therefore, the study recommends policy makers, designers, and implementers of e-learning platforms to consider incorporating gamification elements in order to increase user motivation and engagement for enhanced learning.

Mugo, N, Nancy N. Karanja, Gachene CN, Klaus Dittert, Harun I. Gitari, E. S-G. " Response of potato crop to selected nutrients in central and eastern highlands of Kenya. ." Cogent Food & Agriculture. . 2021;7(1):1898762..
Nicholas B, Derrick S, Dorcas C, Patrick M, Joshua O, Thomas LF. "). Food Safety & Animal Welfare in the Pork Value Chain of Nairobi.". 2021:DOI: 10.17638/datacat.liverpool.ac.uk/1441.
Debrah I, Afrane YA, Amoah LE, Ochwedo KO, Mukabana WR, Zhong D, Zhou G, Lee M, Onyango SA, Magomere EO, Atieli HE, Githeko AK, Yan G. ", Larval ecology and bionomics of Anopheles funestus in highland and lowland sites in western Kenya." PLoS ONE . 2021;16(10):e0255321.
Kalele DN, Ogara WO, Oludhe C, Onono JO. ", Climate change impacts and relevance of smallholder farmers’ response in arid and semi-arid lands in Kenya." Scientific African. 2021;12:https://doi.org/10.1016/j.sciaf.2021.e00814.
EA O. 1. Advances in Parasitology: Helminthology. MUMBAI: EXCELLER PUBLISHERS; 2021.
GIKONYO NAOMI, Ndiritu A. "1. Transformational Leadership in Adopting Online Learning. Kenya policy briefs .Volume 2 No. 1.". 2021. Abstract

Key messages
Effective training is a key determinant for adopting online learning in educational institutions.
Transformational leadership characteristics are important in managing change that is required in learning
institutions during the COVID-19 pandemic and beyond.
Modelling the way is a necessity in university management of online teaching and learning through COVID-19 Season

Ireri C, KRHODA GO, Mukhovi MS. "2. Social-Economic Threshold Factors for Gully Erosion Stabilization in Semi-Arid Environment of Wanjoga River Catchment, Upper Tana Basin, Kenya." International Journal of Agriculture, Environment and Bioresearch. 2021;6(5):172-187.
Musiny RI, Mbari JM, Ole-Mapenay IM. "Acute and Sub-acute toxicity of the aqueous leaf extract of Lantana trifolia (Verbenaceae) in experimental rodents." The Journal of Phytopharmacolog. 2021;10(5):350-356.
Wangusi BMUYUKANI, Kanja LW, Ole-Mapenay IM, Onyancha JM. "Acute Toxicity, Phytochemical Screening, Analgesic, and Anti-Inflammatory Activities of Aqueous and Methanol Root Extracts of Maerua triphylla A. Rich. (Capparaceae)." Evidence-Based Complementary and Alternative Medicine. 2021;Volume 2021, Article ID 3121785, :9 pages.
Wangusi BMUYUKANI, Kanja LW, Ole-Mapenay IM, Onyancha JM. "Acute Toxicity, Phytochemical Screening, Analgesic, and Anti-Inflammatory Activities of Aqueous and Methanol Root Extracts of Maerua triphylla A. Rich. (Capparaceae)." Evidence-Based Complementary and Alternative Medicin. 2021;2021:11.
Josephine Wangechi Kirui, Muthama NJ, Gachuiri CK, Ngaina JN. "Adaptation and mitigation strategies to climate change by smallholder dairy farmers: A case of Nandi county in Kenya." Journal of Sustainability, Environment and Peace. 2021;4(1):39-47.
Missiame A, Irungu P, Nyikal RA, Appiah-Kubi GD. ""Adoption of rural bank credit programs among smallholder farmers in Ghana: an average treatment effect estimation of rates of exposure and adoption and their determinants"." gricultural Finance Review. 2021. AbstractWebsite

Purpose
The study aims to estimate the rates of exposure to, and adoption of, rural bank credit programs by smallholder farmers in rural Ghana and the factors responsible for those rates.

Design/methodology/approach
The study used a random sample of 300 smallholder farmers in the Fanteakwa District of Ghana, obtained through the multistage sampling technique. The study also employed the average treatment effects approach to estimate the average treatment effect of farmers’ exposure to rural bank credit programs, on their adoption of such programs.

Findings
The actual adoption rate is approximately 41%, and the potential, conditional on the whole population being aware of rural bank credit programs, is approximately 61%. Accordingly, there is a gap of about 20% in the adoption of rural bank credit programs, and is due to the incomplete exposure of smallholder farmers to the rural bank credit programs. Age of the household head, access to extension services, membership in farmer-based organizations and active savings accounts with a rural bank are the major contributors to smallholder farmer exposure to and the adoption of rural bank credit programs.

Originality/value
The current study is the first of its kind to be conducted in Ghana on rural bank credit programs. It takes into account the extent to which smallholder farmers are exposed to such credit programs and how it influences their decisions to access or adopt.

Shagwira H, Mwema FM, MBUYA TO. "Advances in animal/plant–plastic composites: preparation, characterization and applications.". In: Plant and Animal Based Composites. Berlin: De Gruyter; 2021. Abstract

This book chapter aims at exploring the preparation, characterization and applications of plant/animal fiber-reinforced polymer composites. The book addresses several key research work that have been happening as well as some of the drawbacks that affect the application of these composites in real-life applications. Each chapter begins with an overview of the various forms of plant/animal fiber-reinforced polymer composites, followed by examples of composites made up of plant/animal fibers and their promising future in terms of research and development and application in domestic and engineering products. Today, man has realized that if the environment is not preserved, the over-consumption of naturally existing resources and a drastic reduction in the amount of fresh air generated in the world would endanger him. Forest conservation and the efficient use of agricultural as well as other renewable resources such as solar, wind and tidal energy have already become critical issues globally.With this kind of concern, the utilization of renewable materials such as plant/animal fiber-reinforced polymeric composites is slowly becoming a key design requirement for the design and development of parts for a wide range of industrial products. An extensive research into such composites can, to an extent, lead to an even greener and healthier environment

Amecha SC, Njue PN. "Agile Risk Management as a Solution to the Failure of Kenyan Public Projects." American Journal of Engineering and Technology Management. 2021;6(3):35-40.
Muchiri J, Osaaji M, Odari M. "The Agile Thinking and Subversion in Chinua Achebe’s The Education of a British-Protected Child." Nairobi Journal of Literature. 2021;9:124-143.
Abuga K, Nyamweya N. "Alcohol-Based Hand Sanitizers in COVID-19 Prevention: A Multidimensional Perspective." Pharmacy. 2021;9(1):64. Abstract

The global use of alcohol-based hand sanitizers (ABHS) as an important means of controlling the transmission of infectious disease has increased significantly as governments and public health agencies across the world advocated hand hygiene as a preventative measure during the COVID-19 pandemic. Although the performance of these products is most commonly defined as a function of their alcohol concentration, they are multifaceted products in which an interplay of several factors is important in determining efficacy. This paper discusses the interplay between ABHS input (formulation) factors and output (product performance) factors in the context of a multidimen-sional perspective using a novel representative paradigm. In the model, represented in the form of a three-dimensional tetrahedron, each of the faces represents inputs in the manufacturing of the ABHS product, which are the type and amount of alcohol, the inactive ingredients, the formulation and the manufacturing practices. The four corners of the tetrahedron represent the product per-formance factors which include product efficacy, sensory characteristics, usage and compliance and product safety. The multidimensional approach to the formulation and evaluation of ABHS shows that several factors contribute to the effectiveness and utility of these products. The paradigm provides a useful framework for manufacturers of ABHS and related healthcare products.

Babiaka SB, Simoben CV, Abuga KO, Mbah JA, Karpoormath R, Ongarora D, Mugo H, Monya E, Cho-Ngwa F, Sippl W, Loveridge JE, Ntie-Kang F. "Alkaloids with Anti-Onchocercal Activity from Voacanga africana Stapf (Apocynaceae): Identification and Molecular Modeling." Molecules. 2021;26(1):70. Abstract

A new iboga-vobasine-type isomeric bisindole alkaloid named voacamine A (1), along with eight known compounds—voacangine (2), voacristine (3), coronaridine (4), tabernanthine (5), ibox-ygaine (6), voacamine (7), voacorine (8) and conoduramine (9)—were isolated from the stem bark of Voacanga africana. The structures of the compounds were determined by comprehensive spec-troscopic analyses. Compounds 1, 2, 3, 4, 6, 7 and 8 were found to inhibit the motility of both the microfilariae (Mf) and adult male worms of Onchocerca ochengi, in a dose-dependent manner, but were only moderately active on the adult female worms upon biochemical assessment at 30 μM drug concentrations. The IC50 values of the isolates are 2.49–5.49 µM for microfilariae and 3.45–17.87 µM for adult males. Homology modeling was used to generate a 3D model of the O. ochengi thioredoxin reductase target and docking simulation, followed by molecular dynamics and binding free energy calculations attempted to offer an explanation of the anti-onchocercal struc-ture–activity relationship (SAR) of the isolated compounds. These alkaloids are new potential leads for the development of antifilarial drugs. The results of this study validate the traditional use of V. africana in the treatment of human onchocerciasis.

Okeyo MP, Rambo CM, NYONJE RO. "Alternative Dispute Resolution mechanism and Resolution of Contractual Disputes in Construction Industry: the case of Road Construction Projects in Kenya. ." American Journal of Engineering Research (AJER) . 2021;10(2):61-70 .
Gichure M, Onono J, Wahome R, Gathura P. "Analysis of the benefits and production challenges of working donkeys in smallholder farming systems in Kenya." Veterinary World. 2021;13(11):2346.
Onyambu CK, Angeline Anyona Aywak, Osiemo SK, Mutala TM. "Anaphylactic Reactions in Radiology Procedures.". In: Asthma. London: IntechOpen; 2021.
Onyambu CK, Tharamba NM. "Antenatal Diagnosis of Congenital Anomalies on Ultrasound Screening.". In: Midwifery. London: IntechOpen; 2021.
"Antibacterial Activities and Phytochemical Screening of Crude Extracts from Kenyan Macaranga Species Towards MDR Phenotypes Expressing Efflux Pumps." Pharmacognosy Communications. 2021;11(2). AbstractPharmacognosy Communications

Description
Introduction:
Macaranga species are traditionally used for the treatment and management of coughing, fungal infection, and wounds. In this study, the phytochemical screening and antibacterial activities of nine crude extracts from Macaranga conglomerata, Macaranga kilimandscharica and Macaranga capensis were determined against 13 bacterial strains expressing multi-drug resistance (MDR) phenotypes.
Methods:
Phytochemical screening of the extracts were carried out according to the standard methods, while the iodonitrotetrazolium chloride (INT) colorimetric assay was used to determine the minimal inhibitory concentration (MIC) and minimal bactericidal concentration (MBC) of the plants extracts.
Results:
Flavonoids, terpenoids, saponins and coumarins were the major secondary metabolites found in all the plant extracts. The results of antibacterial studies revealed that all the plant extracts displayed good activities with MIC values ranging from 4–128 µg/mL against the tested micro-organisms. Most of the extracts exhibited a bactericidal effect against E. coli, E. aerogenes, K. pneumoniae, P. stuartii, P. aeruginosa, and

Hashim I, Omosa LK, Nchiozem-Ngnitedem V-A, Onyari JM, Maru SM, Guefack M-GF, Mbaveng AT, Kuete V. "Antibacterial Activities and Phytochemical Screening of Crude Extracts from Kenyan Macaranga Species Towards MDR Phenotypes Expressing Effux Pumps." Pharmacognosy Communications. 2021;11(2):119-126.hashim_et_al_2021_pharmacognosy_communications.pdf
Jepkoech C, Omosa LK, Nchiozem-Ngnitedem V-A, Kenanda EO, Guefack M-GF, Mbaveng AT, Kuete V, Heydenreich M. "Antibacterial secondary metabolites from Vernonia auriculifera Hiern (Asteraceae) against MDR phenotypes." Natural Products Research. 2021:https://doi.org/10.1080/14786419.2021.1953024.jepkoech_et_al_2021_natural_products_research.pdf
Armah FA, Henneh IT, Amponsah IK, Biney RP, F M, J A, W A, Ahmed MA, Adokoh CK, Adukpo G, O AD, Gathumbi PK. "Antidepressant and Anxiolytic Effects and Subchronic Toxicity of the Aerial Parts of Psychotria ankasensis J.B.Hall (Rubiaceae) in Murine Models." Hindawi Veterinary Medicine International. 2021;Volume 2021, Article ID 5543320, 18 pages.armah_et_al_2021.pdf
Andima M, Ndakala A, Derese S, Biswajyoti S, Hussain A, Yang LJ, Akoth OE, Coghi P, Pal C, Heydenreich M, Wong VK-W, Yenesew A. "Antileishmanial and cytotoxic activity of secondary metabolites from Taberneamontana ventricosa and two aloe species." Natural Product Research. 2021:1-5. AbstractNatural Product Research

Description
In this study, the antileishmanial and cytotoxic activities of secondary metabolites isolated from Tabernaemontana ventricosa Hochst. ex A. DC., Aloe tororoana Reynolds, and Aloe schweinfurthii var. labworana Reynolds were investigated. Overall, nineteen known compounds were isolated from the three plant species. The compounds were characterized based on their spectroscopic data. Voacristine and aloenin were the most active compounds against promastigotes of antimony-sensitive Leishmania donovani (IC50 11 ± 5.2 μM and 26 ± 6.5 µM, respectively) with low toxicity against RAW264.7, murine monocyte/macrophage-like cells. The in silico docking evaluation and in vitro NO generation assay also substantially support the antileishmanial effects of these compounds. In a cytotoxicity assay against cancer and normal cell lines, ursolic acid highly inhibited proliferation of lung cancer cells, A549 …

Andima M, Ndakala A, Derese S, Biswajyoti S, Hussain A, Yang LJ, Akoth E, Coghi P, Pal C, Heydenreich M, Wong VK-W, Yenesew A. "Antileishmanial and Cytotoxic Activity of Secondary Metabolites from Taberneamontana ventricosa and Two Aloe Species." Natural Product Research. 2021.
Mbindyo CM, Gitao CG, Plummer PJ, Kulohoma BW, Mulei CM, Bett R. "Antimicrobial Resistance Profiles and Genes of Staphylococci Isolated from Mastitic Cow’s Milk in Kenya." Antibiotics. 2021;10(772):https://doi.org/10.3390/antibiotics10070772.antibiotics-10-00772_1.pdf
Juma M, Sankaradoss A, Ndomb R, Mwaura P, Damodar T, Nazir J, Pandit A, Khurana R, Masika M, Chirchir R, Gachie J, Krishna S, Sowdhamin R, Anzala O, Iyer MS. "Antimicrobial resistance profiling and phylogenetic analysis of Neisseria gonorrhoeae clinical isolates from Kenya in resource limited setting." Frontiers in Microbiology. 2021. AbstractWebsite

Background: Africa has one of the highest incidences of gonorrhea. Neisseria gonorrhoeae is gaining resistance to most of the available antibiotics, compromising treatment across the world. Whole-genome sequencing (WGS) is an efficient way of predicting AMR determinants and their spread in the population. Recent advances in next-generation sequencing technologies like Oxford Nanopore Technology (ONT) have helped in the generation of longer reads of DNA in a shorter duration with lower cost. Increasing accuracy of base-calling algorithms, high throughput, error-correction strategies, and ease of using the mobile sequencer MinION in remote areas lead to its adoption for routine microbial genome sequencing. To investigate whether MinION-only sequencing is sufficient for WGS and downstream analysis in resource-limited settings, we sequenced the genomes of 14 suspected N. gonorrhoeae isolates from Nairobi, Kenya.

Methods: Using WGS, the isolates were confirmed to be cases of N. gonorrhoeae (n = 9), and there were three co-occurrences of N. gonorrhoeae with Moraxella osloensis and N. meningitidis (n = 2). N. meningitidis has been implicated in sexually transmitted infections in recent years. The near-complete N. gonorrhoeae genomes (n = 10) were analyzed further for mutations/factors causing AMR using an in-house database of mutations curated from the literature.

Results: We observe that ciprofloxacin resistance is associated with multiple mutations in both gyrA and parC. Mutations conferring tetracycline (rpsJ) and sulfonamide (folP) resistance and plasmids encoding beta-lactamase were seen in all the strains, and tet(M)-containing plasmids were identified in nine strains. Phylogenetic analysis clustered the 10 isolates into clades containing previously sequenced genomes from Kenya and countries across the world. Based on homology modeling of AMR targets, we see that the mutations in GyrA and ParC disrupt the hydrogen bonding with quinolone drugs and mutations in FolP may affect interaction with the antibiotic.

Conclusion: Here, we demonstrate the utility of mobile DNA sequencing technology in producing a consensus genome for sequence typing and detection of genetic determinants of AMR. The workflow followed in the study, including AMR mutation dataset creation and the genome identification, assembly, and analysis, can be used for any clinical isolate. Further studies are required to determine the utility of real-time sequencing in outbreak investigations, diagnosis, and management of infections, especially in resource-limited settings.

Chepkirui C, Ochieng PJ, Sarkar B, Hussain A, Pal C, Yang LJ, Coghi P, Akala HM, Derese S, Ndakala A, Heydenreich M, Wong VKW, Erdélyi Máté, Yenesew A. "Antiplasmodial and antileishmanial flavonoids from Mundulea sericea." Fitoterapia. 2021;149:104796. AbstractView Website

Description
Five known compounds (1–5) were isolated from the extract of Mundulea sericea leaves. Similar investigation of the roots of this plant afforded an additional three known compounds (6–8). The structures were elucidated using NMR spectroscopic and mass spectrometric analyses. The absolute configuration of 1 was established using ECD spectroscopy. In an antiplasmodial activity assay, compound 1 showed good activity with an IC50 of 2.0 μM against chloroquine-resistant W2, and 6.6 μM against the chloroquine-sensitive 3D7 strains of Plasmodium falciparum. Some of the compounds were also tested for antileishmanial activity. Dehydrolupinifolinol (2) and sericetin (5) were active against drug-sensitive Leishmania donovani (MHOM/IN/83/AG83) with IC50 values of 9.0 and 5.0 μM, respectively. In a cytotoxicity assay, lupinifolin (3) showed significant activity on BEAS-2B (IC50 4.9 μM) and HePG2 (IC50 10.8 μM …

Derese S. "Antiplasmodial and antileishmanial flavonoids from Mundulea sericea." Fitoterapia . 2021;149:104796.
Chikwana N, Maina EN, Gavamukulya Y, Bulimo W, Wamunyokoli F. "Antiproliferative Activity, c-Myc and FGFR1 Genes Expression Profiles and Safety of Annona muricata Fruit Extract on Rhabdomyosarcoma and BALB/c Mice." Journal of Complementary and Alternative Medical Research. 2021;14(4):30-46.
Mamadou Alieu Jallow, Weke Patrick, Lukman Abiodun Nafiu, Ogutu C. "Application of a Discrete time Semi–Markov Model to the Stochastic Forecasting of Capital Assets as Stock." Far East Journal of Theoretical Statistics, . 2021;63(1):1-18.
kariuki J, DiasTibihika P, ManuelCurto, EsayasAlemayehu, GeroldWinkler, HaraldMeimberg. "Application of microsatellite genotyping by amplicon sequencing for delimitation of African tilapiine species relevant for aquaculture.". 2021.
V. O, U. Y. "Application of Polymer Based Nanocomposites for Water Shutoff-A Review." Fuels. 2021;2:304-322. AbstractWebsite

One highly undesirable characteristic of mature assets that inhibits oil recovery is high
water production. Polymer gel treatment is a popular conformance improvement technique applied
in this regard due to its cost effectiveness and proved efficiency. Despite this popularity, optimum
performance of polymer hydrogels in water shut off is inhibited by excessive aggregation, difficulty
in controlling gelation, and their instability at high temperature and high salinity reservoir conditions.
To address these shortcomings, research on the application of nanoparticles (NPs) in polymer
hydrogels to manage thermal stability and salinity sensitivity has significantly increased in the recent
past. By incorporating metal-based NPs, silica or graphene at nanoscale; the gel strength, storage
modulus, salinity tolerance and thermal stability of commonly used polymers have been greatly
enhanced. In this paper, the advances in experimental studies on polymer-based nanocomposites are
discussed and field experiences from adoption of polymer composites reviewed.

Okumu MO, Mbuthia… PG, Mbaria JM, Gikunju JK. "Artemia salina as an animal model for the preliminary evaluation of snake venom-induced toxicity." Toxicon: X, 2021. 2021;X, 2021(X, 2021).
Okumu MO, Mbaria JM, Gikunju JK, Mbuthia PG, Madadi VO, Ochola FO, Jepkorir MS. "Artemia salina as an animal model for the preliminary evaluation of snake venominduced toxicity." Toxicon. DOI: https://doi.org/10.1016/j.toxcx.2021.100082. 2021.
Cherotich S, Abong’o DA, Onyatta JO. "Assessing the Seasonal Changes on Physicochemical Parameters and Major Nutrient Levels in Water and Sediments from Sulal River, Bureti Sub County, Kericho County, Kenya." Chemical Science International Journal. 2021;30(1):46-58. AbstractChemical Science International Journal

Abstract
Sulal River is a victim of nutrient pollution as it crosses different small-scale tea farms in Bureti Sub County, Kericho County. A study was conducted to evaluate different physicochemical parameters and major chemical fertilizer’s nutrients levels in water and sediments from Sulal River. In order to understand the degree of pollution in the river due to inflow of agricultural chemical fertilizer residue levels from its catchment, the samples were collected in the dry (February 2019) and wet seasons (November 2019). The ten chosen sampling sites stretched a length of 12 Km. Samples were analyzed for pH, dissolved oxygen (DO), total dissolved solids (TDS), electrical conductivity (EC), sediment and water content (WC), nitrate-nitrogen (NO3-N), phosphorous (PO3-P) and potassium (K) using standard methods. Results were analyzed using IBM SPSS 20. The average results during dry and wet seasons in water samples for pH were 6.72±0.05 and 6.38±0.21, DO 6.78±0.59 and 9.58±0.64 mg/L, EC 174±5.02 and 205±20.14 µS /cm, TDS 92±4.59 and 120.70±19.57 mg/L, NO3-N 0.58±0.21 and 1.19±0.22 mg/L, PO3-P 0.00±0.00 and 0.13±0.84 mg/L and K 0.26±0.08 and 0.84±0.19 mg/L respectively. The average results during dry and wet seasons in sediment samples for pH were 6.62±0.20 and 6.75±0.17, EC, 67±6.66 and 52±10.19 µS /cm, WC 16.96±3.95 and 129.84±5.00%, NO3-N 0.70±0.35 and 0.42±0.23 mg/kg, PO3-P 0.49±0.25 and 1.14±0.40 mg/kg and K 1.53±0.45 and 2.86±0.31 mg/kg respectively. The levels of P in water during wet season and in sediments samples in both seasons were however, above the WHO (0.025 mg/L) and KEBS (0.030 mg/L) recommended limit for drinking and domestic use and WASREB (0.005 mg/L) level for the likelihood of eutrophication. Availability of excess phosphorus can accelerate eutrophication. The diversity of cancers has also been associated with drinking water containing phosphorous levels. The water from Sulal River may be used for irrigation purposes but not for drinking and domestic purposes. Significant seasonal variations were observed in all parameters analyzed except NO3-N in sediments. This indicates that rainfall had a great effect on some soil physicochemical properties.

Mary Waceke Thongoh1*, Henry Mikiugu Mutembei2 JM3 BEK1. "An Assessment of Barriers to MSMEs’ Adoption of CSA in Livestock Red Meat Value Chain, Kajiado County, Kenya." American journal of Climate Change. 2021;(10):237-262.ajcc_2021073014503959.pdf
and Mary W. Thongoh1*, H. M. Mutembei2 M3 K1JBE. "An Assessment of Integration of MSMEs and CSA into Livestock Red Meat Value Chain: A Case Study of Kajiado County, Kenya." International Journal of Climate Change. 2021;11(4):1-17.30387-article_text-56879-2-10-20210607.pdf
Luvai AK, Obiero JPO, Omuto CT. "Assessment of Soil Loss in a Typical Ungauged Dam Catchment using RUSLE Model (Maruba Dam, Kenya)." Journal of Environment and Earth Science. 2021;Vol 11(No. 16):56-68.
Williams F, Constantine KL, Ali AA, Karanja TW, Kibet S. "An assessment of the capacity and responsiveness of a national system to address the threat of invasive species: a systems approach." CABI Agriculture and Bioscience. 2021;2(42):1-17.
Ochiba, N. K, Abong’o DA, Onyatta JO. "The Assessment of The Effect of Proximity of Septic Tanks on The Levels of Selected Heavy Metals in Borehole Water from Ongata Rongai, Kajiado County, Kenya." International Journal of Scientific Research in Science, Engineering and Technology. 2021;8(4):64-76.
Ochiba NK, Abong’o DA, Onyatta JO. "The Assessment of The Effect of Proximity of Septic Tanks on The Levels of Selected Heavy Metals in Borehole Water from Ongata Rongai, Kajiado County, Kenya." International Journal of Scientific Research in Science, Engineering and Technology. 2021;8(4):64-76. AbstractInternational Journal of Scientific Research in Science, Engineering and Technology

Description
The study was carried out to evaluate the levels of heavy metals in groundwater samples from ten selected boreholes in Ongata Rongai town, Kajiado County. The selected heavy metals analyzed were: Zn, Pb, Hg, Mn, Cd and Cr in the dry and wet seasons. The effect of the proximity of septic tanks distance to borehole was also determined. The statistical analyses of the data using a 2-way ANOVA showed 95% confidence level (p< 0.05) interdependence of the distance from the boreholes and contaminant levels. The study showed that heavy metals were below the maximum recommended level and the guideline values of World Health Organization and Kenya Bureau of Standards. The analyses of the selected heavy metals, by Flame Atomic Absorption Spectroscopy, revealed that the detected levels of Mn (0.03±0.01-0.26±0.01 mgl-1) were higher than those recommended by WHO and KEBS of 0.01 mgl-1, while Zn (0.11±0.02-0.73±0.01 mgl-1) are within acceptable levels of WHO (3.0 mgl-1) and KEBS (5.0 mgl-1). There was no strong correlation between the distance of borehole from septic tanks and heavy metal levels in water samples. The low detected values should not be overlooked as the heavy metals are capable of bio-accumulating in body tissues.

Gitau AK, Oyieke FA, W.R. Mukabana. "Assessment of the role played by domestic animals in jigger infection in Kandara sub-county, Kenya (case control study)." The Pan African Medical Journal. 2021;39:231.
Gitau AK2021, Oyieke FA, Wolfgang Richard Mukabana. "Assessment of the role played by domestic animals in jigger infection in Kandara sub-county, Kenya (case control study)." Pan African Medical Journal. 2021;39:231.2021-1.pdf
Gitau 2. AK, Oyieke FA, Wolfgang Richard Mukabana. "Assessment of tungiasis management knowledge in Kandara sub county Mukabana, ." Journal of Entomology and Zoology studies. 2021;9(4):127-136.2021-2.pdf
Gitau AK, Oyieke FO, Mukabana WR. "Assessment of tungiasis management knowledge in Kandara sub county, Kenya." Journal of Entomology and Zoology Studies. 2021;9(4):127-136.
Mwachaka P, Amayo A, Mwang’ombe N, Kitunguu P. "Association Between Serum Sodium Abnormalities and Clinicoradiologic Parameters in Se." Ann Afr Surg. 2021;18(3):155-162.
Thierno Souleymane Barry, Oscar Ngesa, Onyango NO, Mwambi H. "Bayesian Spatial Modeling of Anemia among children under 5 years in Guinea.". 2021. AbstractWebsite

Bacground: Anemia is a major public health problem in Africa with an increasing number of children under 5
years getting infected. Guinea is one of the most affected countries. In 2018, the prevalence rate was 75% in
children under 5 years. This study sought to identify the factors associated with anemia and to map spatial
variation of anemia across the eight (8) regions in Guinea for children under 5 years, which can provide
guidance for control programs for the reduction of the disease.
Methods: Data from the Guinea Multiple Indicator Cluster Survey (MICS5) 2016 was used for this study. A
total of 2609 children under 5 years who had full covariate information were used in the analysis. Spatial
binomial logistic regression methodology was undertaken via Bayesian estimation based on Markov chain
Monte Carlo (McMC) using WinBUGS software version 1.4.
Results: Our findings revealed that 77% of children under 5 years in Guinea had anemia and the prevalence in
the regions ranged from 70.32% (Conakry) to 83.60% (N’Zerekore) across the country. After adjusting for non
spatial and spatial random effects in the model, older children (48–59 months) (OR: 0.47, CI [0.29 0.70]) were
less likely to be anemic compared to those who are younger (0-11 months). Children whose mothers have
completed secondary education or more had a reduced chance of anemia infection by 33% (OR: 0.67, CI [0.49
0.90]) and Children from household heads from Kissi ethnic group are less likely to have anemia than their
counterparts whose leader is from Soussou (OR: 0.48, CI [0.22 0.91]).
Conclusion: The spatial analysis allowed the identification of high-risk areas as well as the identification of
socio-economic and demographic factors associated with anemia among children under 5 years. Such an
analysis is important in helping policy makers and health practitioners in developing programs geared towards
control and management of anemia among children under 5 years in the country.

A OA, N MJ, A B. "Behavior of Sisal Fiber-Reinforced Concrete in Exterior Beam-Column Joint Under Monotonic Loading." Asian Journal of Civil Engineering. 2021;Vol 22:627-636.
Miruka SA, G.O. A, Macharia RW, George O Obiero, Omwenga IM. "Beta hemolysin gene of Staphylococcus phage 3AJ_2017 genome is a suitable molecular marker for identification and characterization of pathogenic Staphylococcus aureus." Veterinary Medicine and Science. 2021;8(2):845-851.
"Beyond DNA-targeting in Cancer Chemotherapy - Emerging Frontiers - A Review." Current Topics in Medicinal Chemistry. 2021;21:28-47.
AM J, CAZ J, AEB H, JA O’o. "Bilateral Ligation of the Anterior Branch of the Hypogastric Artery in Massive Obstetric Hemorrhage Secondary to Septic Abortion (Case Report)." J Gynecol Obstet. 2021;3(9):92-99. AbstractWebsite

Abstract
Hemorrhage is the main cause of Maternal Mortality (MM) (27%) followed by hypertensive disorders and sepsis (12%). Septic abortion is considered an intermediate risk factor for the development of Massive Obstetric Hemorrhage (MOH). The algorithm for the management of postpartum hemorrhage due to uterine atony that includes systematic pelvic devascularization has been described, but this management is really planned for resolution of the pregnancy after the 20th week of gestation, since an HMO due to abortion is un usual. We present the case of a 21-year-old patient who self-medicates a prostaglandin analog at 2 months of pregnancy, achieving only a threat of abortion, goes to the emergency room 3 months later with a diagnosis of septic shock, USG and MRI are performed with altered results, only of hepatomegaly, delayed abortion of 8 weeks of evolution and gestational trophoblastic disease. Emergency MVA was performed due to profuse bleeding, placement of a Bakri balloon and clamping of the uterine arteries without results, for which an emergency exploratory laparotomy (LAPE) was performed with ligation of the anterior trunk of the internal iliac artery, being a successful procedure, without the need for Obstetric Hysterectomy (HO). The patient is managed in intensive care and in the end the diagnosis of TSG is ruled out. Bilateral Hypogastric Artery Ligation (BHAL) in the case of Massive Obstetric Hemorrhage (MOH) secondary to delivery or cesarean section is commonly used, however it is not a technique to report when bleeding is secondary to abortion. In these cases, it is also a viable, successful, fertility-preserving surgical procedure, and an alternative to Obstetric Hysterectomy (OH) when other less invasive methods such as uterine artery clamping or Bakri balloon have failed.

Were SA, Narla R, Mutitu EW, Muthomi JW, Munyua LM, Roobroeck D, Vanlauwe B, E J. "Biochar and vermicompost soil amendments reduce root rot disease of common bean (Phaseolous Vulgaris L.)." African Journal of Biological sciences. 2021;3(1):176-196.
Wangila AJ, Gachuiri CK, Muthomi JW, Ojiem JO. "Biomass yield and quality of fodder from selected varieties of lablab (lablab purpureus l) in Nandi South sub-county of Kenya." Online journal of Animal and Feed Research. 2021;11(1):28-35.
Imwene K.O., Mbui D.N., Kinyua, Gladys Wanjiru, J.K M, Ahenda S, Onyatta JO. "Biotransformation of Biodegraded Organic Waste from a Batch Mode Microbial Fuel Cell to Organic Fertilizer." J. Bioremediat Biodegrad. . 2021;12(8):1-5.
Matara DN, Nguta JM, Musila FM, Mapenay IO, Ali HM, Omambia VM. "Botanical description, ethnomedicinal uses, phytochemistry and pharmacological effects of Croton dichogamus Pax (Euphorbiaceae). ." The Journal of Phytopharmacology. 2021;10(1):42-47.
Matara DN, Nguta JM, Musila FM, Mapenay I, Ali HM, Omambia VM. "Botanical description, ethnomedicinal uses, phytochemistry and pharmacological effects of Croton dichogamus pax (Euphorbiaceae). ." Journal of Phytopharmacology. 2021;10(1).
Damali N, Diane K, Razak MH, Odour B, Odero T, Faguar. PGC. "Building and sustaining effective partnership for Training and New Generation of Global Health Leaders.". 2021.
Grossheim L, Ruff P, Ngoma T, Vanderpuye V, Wango GM, Ochieng P, Palmer D, Kouya F, Lasebikan N, Ntekim A, Ngoma M, Bih N, Malloum A, Elzawawy A, Kerr D, Ngwa W. "Cancer and Covid-19 Experiences at African Cancer Centers: The Silver Lining." JCO Global Oncology. 2021;7:410-415.
G.N.Kithure J, M.W. K. "Canning Food Processes may be a source of threat to the Consumer. International Journal of Scientific Research and Innovative Technology (IJSRIT)." International Journal of Scientific Research and Innovative Technology (IJSRIT).. 2021;8(3).abstract_2.pdf
Mulinge, PM, DM O. "Challenges Facing Amisom in its Bid to Restore Peace in Somalia. International Journal of Science and Research (IJSR).". 2021;10(5). Abstract

Abstract: Civil conflict in Somalia is considered one of the major and worst crisis in Africa’s recent history. Due to this, Somalia had
operated with an unstable functioning government for now over twenty years. This state of affairs has led to majority of the civilian
population acquiring arms illegally for their protection. The study sought to explore the key challenges facing AMISOM in its bid to
restore peace in Somalia. The study was based on the theory of conflict transformation. The study utilized primary data, which was
collected using structured questionnaires and interview schedules. The unit of analysis constituted a sample size of 100 respondents
drawn from the military, police, and civilian components of AMISOM and Somali civilian population working within Halane Base
Camp, with a combined target population of 24,643. Quantitative data was descriptively analyzed using the percentages and qualitative
data was analyzed using themes emerging from the data. The study found out thatclan dynamics in the conflict torn Somalia remains
the biggest hindrance to the achievement of peace and stability. This is coupled by the weak government structures that underpin
inadequacy of support to AMISOM operations. The study recommends that there isneed for AMISOM to increase involvement with
civilians as they stand important in peace building initiatives, intelligence, mediation and prevention of conflict.

Akaranga SI, I.O.Otieno, Kayeli EC. "The Challenges of Christian Marriage in Africa." Impact Journal of Transformation. 2021;4(1):46-55.impact_journal_of_transforrmation_vol_4_no_1_46_55.pdf
Okoya, Mumenya, Abuodha, Dulo. "Characteristics of Kenyan Rice Husk Ash Produced Under Controlled Burning." International Journal of Engineering Research & Technology (IJERT). 2021;10(11):549-554.
N NC, M WP, N MJ, Okoth S, P M. "Characterization and pathogenicity of symbiotic bacteria associated with entomopathogenic nematode: Steinernema species KALRO." East African Journal of Science, Technology and Innovation. 2021;2 (4):1-13.
N NC, M WP, N MJ, Okoth S, P M. "Characterization and pathogenicity of symbiotic bacteria associated with entomopathogenic nematode: Steinernema species KALRO." East African Journal of Science, Technology and Innovation. 2021;2 (4):1-13.
Ngugi CN, Wachira PM, Mbaka JN, Okoth S, Haukeland S, Thuranira EG. "Characterization and Pathogenicity Test of Entomopathogenic Nematode Steinernema Species-Kalro ." Journal of Agricultural Science. 2021;13(3):93-101.
Edith Wairimu, Mburu J, GACHUIRI CHARLESK, Ndambi A. "Characterization of dairy innovations in selected milksheds in Kenya using a categorical principal component analysis." Tropical Animal Health and Production. 2021;53(2):1-12.
Kaigongi MM, Lukhoba CW. "The chemosystematics of the genus Zanthoxylum L.(Rutaceae) in Kenya." Biochemical Systematics and Ecology. 2021; 98, :104319.
Otieno SP. Children of the Sky . Kabura J, ed. Talent Empire; 2021.
Osman MAA, Onono JO, Olaka LA, Elhag MM, Abdel-Rahman EM. "Climate Variability and Change Affect Crops Yield under Rainfed Conditions: A Case Study in Gedaref State, Sudan." Agronomy. 2021;11:1680.
Onyambu CK, MN Wajihi, Odhiambo AO. "Clinical Application of Magnetic Resonance Spectroscopy in Diagnosis of Intracranial Mass Lesions." Hindawi Radiology Research and Practice . 2021;2021:1-10.
Maina, akach, osanjo. "CO-DESIGN: CATALYST FOR INCLUSION IN THE DESIGN PROCESS." Machakos University Press. 2021.
Akach JA, Osanjo L, Maina S. "Co-Design: Tools, Methods and Techniques for Designing with Users." African Habitat Review. 2021;15(1):2145-2156.
Akach JA, Osanjo L, Mwituria SM. "Co-Designing Eco-community Based Tourism." Design for All. 2021;16(3):3-33.
Ngwili N, Lian T, Githigia S, Muloi D, Marshal K, Wahome R, Roesel K. "co-infection of pigs with Taenia solium cysticercosis and gastrointestinal parasites in Eastern and Western Uganda." Parasitology Research. 2021;2021(https://doi.org/10.1007/s00436-021-07380-9):1-14.
Heylen D, Day M, Schunack B, Fourie J, Labuschange M, Johnson S, Samuel Maina Githigia, Akande FA, Nzalawale JS. "A community approach of pathogens and their arthropod vectors (ticks and fleas) in dogs of African Sub-Sahara." Parasites & Vectors. 2021;2021(14:576):1-20.
Hassanali J, Pokhariyal G, Mwasina P. "Comparative analysis of selected linear measurements of human and baboon brains." European Journal of Anatomy. 2021;11(1):9-16. AbstractWebsite

The morphometric parameters of the brains of several mammals and primates show differences that are likely to be associated with cognitive and other functions necessary for survival as well as evolution. Seven human and eight baboon formalin-fixed brains were used to show comparative aspects. The whole brains were weighed, 3 from humans and 3 from baboons were separated into components -cerebrum, cerebellum and brainstem- and their weights were recorded. The linear measurements of the cerebrum were occipito-frontal (O-F), fronto-temporal (F-T) temporo-occipital (T-O), height of temporal lobe (HTL), inter: frontal pole (F-F), occipital pole (O-O), parietal (P-P), temporal pole (T-T), and occipital lobe (OL-OL) from superior, lateral and inferior aspects. The proportions of brain weight relative to body weight and those of the brain components were mostly higher in the humans. The length, height and width of the human brains were higher than in the baboons. F-F was six times O-O in humans while other parameters were nearly double in humans as compared to baboons. The ratio of P-P to F-F was nearly 20 times in baboons as compared to 6 times in humans. The overall increase in human brain length, width and size of lobes could be related to increased body size, functional complexity, upright posture, and evolution. The lateral expansion in the size of the frontal, temporal and occipital lobes may be due to the complex circuitry associated with cognitive functions and life style. Several approaches have been proposed to determine factors related to increases in brain size, function and intelligence. Morphometry could be one tool to "explain" specific increases in brain areas

Manoa, D.O MTMFTS. "Comparative analysis of time and monetary opportunity costs of human-wildlife conflict in Amboseli and Mt. Kenya Ecosystems, Kenya." Current Research in Environmental Sustainability. 2021;3(2021):100103.
Harmsen H, Mbau JS, Muthama NJ, Wang’ondu VW. "Comparing law enforcement monitoring data and research data suggests an underestimation of bushmeat poaching through snaring in a Kenyan World Heritage Site." African journal of ecology. 2021;(https://doi.org/10.1111/aje.12879).
O OGUMOE, N. KC, J. KIMENJU, MW O. "Comparison of the efficiency of solar-powered prototype vapour compression cooler with evaporative charcoal cooler in maintaining quality of French beans ." East African Journal of Science, Technology and Innovation,. 2021;2(Special issue).
Wamuyu H, Odote C, Anyango S. "Compensating Toxic Torts in Kenya: Overcoming the Causation Dilemma." The Journal of Sustainable Development, Law and Policy. 2021;12(2):258-281.
Kinoti MW, Meru AK. "Competencies for Green Marketing Success in Emerging Markets.". In: Green Marketing and Management in Emerging Markets. Palgrave Macmillan, Cham; 2021. Abstract

This chapter addresses the critical competencies that provide the requisite skills and knowledge for championing the development and growth of green marketing in emerging markets. The link between environmental responsibility, social change and sustainable business practices has been the concern for practitioners and environmentalist for the past couple of decades in developed countries, and multi-agency teams have been deployed to address emerging issues if any. Besides, deployment of highly focused and committed environmental conscious personnel, there has been a tremendous improvement of innovative manufacturing processes and efficient technologies, leading to successful green marketing systems and programmes. Though, efforts are bearing fruits in emerging markets, on account of countries affiliation to global agencies, such as United Nations Environmental Programme (UNEP) and many others, more need to be done to isolate key soft and hard competencies required to cascade global green marketing solutions to local firms. The chapter illustrates that green competencies, green thinking and rightful employee engagement foster green marketing activities in emerging markets.

Mutende R;, Akala W;, Imonje RK. "Connecting Theory and Practice: Pre-service Science Teachers’ Adoption and Implementation of the Demonstration Method." International Journal of Learning, Teaching and Educational Research. 2021;20(5):189-210.
Ondicho TG. "Conservation, Power and Politics: Maasai Involvement in Community-Based Conservation in the Amboseli Region of Kenya.". In: African Potentials’ and Natural Resource Management: Against the Image of ‘Deficiency’ and Tyranny of ‘Fortes’. Bamenda: Langaa Research & Publishing Common Initiative Group; 2021.
Ikua MD, Wambua BN, Omoke KJ. "Constraints and Opportunities for Greenhouse Farming Technology as an Adaptation Strategy to Climate Variability by Smallholder Farmers of Nyandarua County of Kenya." East Africa Journal of Science,Technology & Innovation. 2021;2(Special ). Abstract

Nyandarua County of Kenya has been for a long time, manifested itself as one of the major food baskets in the country. This is because of its high and sustainable output in crop farming i.e., maize, Irish potatoes, wheat, and other horticultural crops like vegetables and fruits. However, this scenario has recently changed because the usual high crop output has not been forthcoming due to recent changes in climatic patterns where rainfall has become very unreliable and temperatures very extreme. In an attempt to adapt to this climate variability and its associated negative impacts on crop farming, smallholder farmers have tried to apply the greenhouse farming technology for them to be able to maintain and or improve the various crop output amid the climatic changes. The study aims to examine and assess the socio-economic determinants and constraints associated with this attempt of adaptation strategy. Using the primary data of 300 respondents (Smallholder farmers) in the County, the study adopted a logistic regression analysis model to associate the demographic, socio-economic, and constraints encountered by the smallholder farmers with the adoption of the greenhouse farming technology. The study results indicate that this adaptation strategy was reported by 25 out the 300 smallholder farmers (5.83%). The study results further suggest that financial constraints (27%) and lack of information (22.3%) are the major constraints preventing smallholder farmers from effectively adopting this adaptation strategy. However, the probability results of logistic regression analysis (68%) indicate that if properly adopted, the method can provide a solution to the currently reduced food shortages and increase food security among the smallholder farmers of Nyandarua County of Kenya.

Maina. "CONTEXTUALIZING CULTURAL SCULPTURE INTO PUBLIC SPACES FOR ALL." Design For All Journal of India. 2021;16(1).
Maina. "CONTEXTUALIZING CULTURAL SCULPTURE INTO PUBLIC SPACES FOR ALL." Design For All Journal of India. 2021;16(1).
Ipara BO, Otieno DJ, Nyikal R, Makokha SN. "The contribution of extensive chicken production systems and practices to Newcastle disease outbreaks in Kenya." Tropical Animal Health and Production. 2021;53(164).
Ipara BO, Nyikal R, Otieno DJ, Makokha NS. "The contribution of extensive chicken production systems and practices to Newcastle disease outbreaks in Kenya.". 2021. AbstractWebsite

Newcastle disease (ND) poses a challenge especially for farmers rearing indigenous chicken under the extensive system. This is due to the lack of uniformity in practices, favoring the introduction and spread of the disease. This is worsened by the lack of information on how management practices contribute to the spread of ND. The current study assessed the role of extensive chicken production systems and management practices on the frequency of ND outbreaks in Kenya using a Poisson regression model (PRM) on primary survey data from 332 farmers in Kakamega and Machakos counties. Descriptive results showed a low access to institutional support services like extension, training, credit, and vaccination services for both male and female farmers. Results from the PRM analysis show that flock size, isolated and confined housing, multi-aged flock mixture, screening of birds, access to ND vaccination, ND awareness, distance to agro-veterinary service providers, and access to animal health training and extension services had significant effects on the frequency of ND outbreaks. The findings underscore the need for innovative extension approaches that facilitate the use of information communication technologies to create more awareness on disease detection and mitigation measures. Use of farmer groups as innovation platforms for enhanced skill sharing and as key peer monitoring channels would also improve compliance with prescribed disease control methods. Further, there is a need for partnerships between local-level county governments, vaccine producers, and agro-veterinary service providers to ensure the development of low-cost vaccines and requisite storage facilities, and their timely delivery to the male and female resource-poor smallholder extensive chicken farmers.

Muhwezi MRL, Aseey A, Ondicho T, Otieno MAC. "The contribution of technical and vocational education and training to women’s economic empowerment in Kampala, Uganda." Nairobi Journal of Humanities and Social Sciences. 2021;5(2):1-23.
Gateri AM, Ondicho TG, Karimi E. "Correlates of Domestic Violence against Men: Qualitative insights from Kenya." African Journal of Gender, Society, and Development. 2021;10(3):87-111.
P MO, N MJ, O AS, N MG. "Correlation of Tensile Strength and Corrosion Initiation Period of Reinforced Concrete." Cogent Engineering. 2021;Vol 8.
Makau MC, Powell J, Prendergast J, de Late PL, Morrison LJ, Gathura P, Fisch A. "Corrigendum to “Inverted CD4+/CD8+ T cell ratio in Boran (Bos indicus) cattle”[Vet. Immunol. Immunopathol." Veterinary Immunology and Immunopathology. 2021:235.
Buyinza D, Derese S, Ndakala A, Heydenreich M, Yenesew A, Koch A, Oriko R. "A coumestan and a coumaronochromone from Millettia lasiantha." Biochemical Systematics and Ecology. 2021;97:104277. AbstractView Website

Description
The manuscript describes the phytochemical investigation of the roots, leaves and stem bark of Millettia lasiantha resulting in the isolation of twelve compounds including two new isomeric isoflavones lascoumestan and lascoumaronochromone. The structures of the new compounds were determined using different spectroscopic techniques.

FZB B, E.N K, FG M. "Coverage of Dental services by Health Insurance Companies based in Nairobi, Kenya. ." Journal of the Kenya Dental Association. 2021;12(2):939-945.
Simon N. Mbugua, Njenga LW, ROA, Wandiga SO, Onani MO. "COVID-19 and Cancer Therapy: Interrelationships and Management of Cancer Cases in the Era of COVID-19 “.A Review." . Journal of Chemistry. 2021;2021:1-10. Abstract

The COVID-19 global epidemic poses this generation’s biggest worldwide public health challenge probably since the 1918 influenza epidemic. Recent reports on two new variants have triggered a dramatic upsurge in research to understand the pandemic, primarily focussing on the virology, triggers, clinical characteristics, and diagnostic tests including the prevention and management of the novel coronavirus. Whilst such studies are important in managing the present medical emergency, there is a need for further work to include interdependencies between the epidemic and other illnesses. 'is will help in developing effective approaches to treat and manage associated diseases in both the short and the long term. In this regard, people living with cancer are a subgroup that is highly vulnerable to respiratory infections and acute pneumonitis similar to the one caused by the COVID19 virus. 'is is because the state of their immunity is compromised due to malignancy and the adverse effects of anticancer treatments. With annual cancer projections rising globally and an estimated 70 percent of all cancer-related deaths occurring in low- and middle-income countries, the patient population with impaired immune systems that could be adversely impacted by COVID-19 is only anticipated to rise. In this review, we delve into the challenges and health risks facing cancer patients and cancer treatment in the COVID-19 context, with suggestions into viable measures which can be taken to minimize exposure to the risk of contracting COVID-19 for this vulnerable subgroup. New mutations and the prospects offered by vaccines development and how they relate to this class of patients are also discussed

Ondicho TG, Mwanyuli MM. "COVID-19 and Domestic Violence Against Men in Kenya: Issues and Policy Directions." Kenya Policy Briefs. 2021;2(2):81-83.
Ong’ech D, Olago D, Simeon D, Opondo M, Ouma G. "COVID-19 Impacts on Water Burden among Households in Turkana." Kenya Policy Briefs. 2021;2(1):57-58.
(eds) Harle J, Lamptey RB, Mwangi A, Nzegwu F, Okere O. "Creating digital content and delivering digital learning in African universities."; 2021. Abstract

n/a

Kithiia SM. "A Critical Analysis of the Water Quality Impacts on Water Resources in the Athi River Drainage Basin, Kenya.". In: Water Quaity-Factors and Impacts. Rijeka, Croatia: Intech Publishers; 2021.
Kinyua A. P., Mbugua J. K., Imwene K.O., Mbui D.N., J.G.N. K, S.O. W, I. M. "Current and voltage data logging from microbial fuel cells using Arduino based sensors." International Robotics & Automation Journal. 2021;7(3):90-93.abstract.pdf
Kiio, L., Mbui, Onyatta J, Dangili P, Oloo F. "Current Biosensors used for Early Detection of Lung Cancer Biomarkers." Journal of Cancer Research Reviews and Reports. 2021;3(3):1-8.
Obiero LM, Abong' GO, W OM, OMAYIO DUKEG, G OE, Villacampa M. "Current practices concerning the environmental management systems among horticultural processing MSMES in Kenya." East African Journal of Science, Technology and Innovation,. 2021;2(special Issue):1-16.current_practices_of_msmes.pdf
R. I, Mugambi M. The Curriculum in Perspective . Chisinau: LAP Lambert Academic Publishing ; 2021.
Omosa LK, Nchiozem-Ngnitedem V-A, Mukavi J, Okoko BA, Nyaboke HO, Hashim I, Efferth T, Spiteller M. "Cytotoxic Alkaloids from the Root of Zanthoxylum paracanthum (Mildbr) Kokwaro." Natural Products Research. 2021:https://doi.org/10.1080/14786419.2021.1913586.omosa_et_al_2021_natural_products_research.pdf

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