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Saidi H, Mutiso B. "Trauma deaths outside the hospital: Uncovering the typology in the Kenyan Capital." J Forensic Leg Med.. 2013;20 (6):570-4.
Saidi H. "Fifty consecutive renal transplants- an audit III: Experience with living donors." Nairobi hospital proceedings. 2001;5: 65-68. AbstractWebsite

OBJECTIVE: To evaluate the clinical and epidemiological data on automobile injuries and to assess the adequacy of road trauma documentation at the Nairobi Hospital. DESIGN: A retrospective descriptive study. SETTING: The Accident and Emergency Centre of the Nairobi Hospital. SUBJECTS AND METHOD: Medical records of randomly selected road trauma patients who presented at The Accident Centre between 1st July 1997 and 31st August 1998 were analysed. RESULTS: The mean age was 32 years with a peak incidence in the 21-30 year age group. Males comprised 63.1% of the injured. The predominant category of the road user injured was the vehicle occupant (70%). Pedestrians only constituted 21.3%. Major city roads or highways were the commonest scenes of injury (38.3%). Most of the responsible vehicles were small personal cars (65.8%). The public service minibuses (popularly known as matatu) caused 20% of the injuries. Most of the injuries were mild and transport of the injured to hospital was uniformly haphazard. A quarter of the injuries were severe enough to warrant admission. Trauma documentation was poor with less than 30% accuracy in most parameters. CONCLUSION: The pre-hospital and initial care of the injured is not systematized. The study calls for re-orientation of trauma care departments to the care of the injured.

Saidi, H, B.K. Mutiso, Ogengo. J. "Mortality after road traffic crashes in a system with limited trauma data capability." J Trauma Manag Outcomes. 2014;8(1):4. Abstract

Africa has 4% of the global vehicles but accounts for about one tenth of global vehicular deaths. Major trauma in Kenya is associated with excess mortality in comparison with series from trauma centers. The determinants of this mortality have not been completely explored.

Saidi H;, Mutiso B. "Injury Outcomes in Elderly Patients Admitted at an Urban African Hospital.". 2013. Abstract

Background: Elderly patients have worse outcomes for similar severity when compared to younger trauma patients. Elderly patients form smaller proportions of the trauma population in the developing world in comparison to high in-come countries. Due to limited data capabilities, elderly trauma has been infrequently studied. Objective: To describe the common injuries that afflict elderly trauma patients associated resource utilization and the determinants of outcome in Kenyan urban hospital. Methods: Seventy two patients aged 60 years and older admitted for trauma from diverse mechanisms, were recruited over a period of one year (November 2009-December 2010). Data on the specific mecha-nism and type of injury, age, sex, intensive care unit (ICU) use, hospital length of stay, and cost were recorded. Survi-vors and those who died during admission were compared to determine associated factors. Elderly patients were also compared to younger trauma patients to determine significant group peculiarities using X2 analysis or Fisher’s exact test as appropriate. Results: Elderly trauma cases (mean age 70.5 + 9.1 years) formed 4.5% of all trauma admissions during the study period. The intent was accidental in 84.7% of cases. The predominant mechanisms of injury were traf-fic (44.4%) and falls (41.7%). Females comprised 41.7% of all patients and lower limb fractures predominated (54.9%). The average injury severity score was 7.82 + 4.4. (median 9.0). The proportion admitted to the ICU was 6%. The me-dian length of hospital stay was 24 days, cost of treatment Kshs. 27,153 Kenya shillings and overall hospital mortality rate was 13.9% (25% for ISS > 15). Only gender and head injury were predictors of mortality. Conclusions: Traffic and falls are the predominant mechanisms in geriatric trauma in Kenya. Unique features of geriatric trauma are higher fe-male involvement, prolonged length of hospital stay and fewer predictors of mortality compared to younger patients.

Saidi HS, Chavda SK. "Use of a modified Alvorado score in the diagnosis of acute appendicitis." East Afr Med J. 2003;80(8):411-4. Abstract

The negative appendicectomy rates have remained high. The integration of clinical scores into the diagnostic process in acute appendicitis has had the purposes of improving decision making and reducing the negative rates in this common condition. The performance of these score systems have however, not been uniform.

Saidi H, ONGETI K, Mandela P, Mwachaka P, Olabu B. Kiman's Histology Text and Manual. Nairobi: Department of Human Anatomy, UON; 2014.
Saidi H, Aziz RA, Ariffin A, Hassan H. "Performance of locally manufactured hollow-fiber membrane for CO2 separatio.". 1994. Abstract

Hollow fiber membrane is the latest and advanced gas separation technology currently employed in the gas industries. Malaysia which is rich in natural resources has huge natural gas reserves amounting to more than 5 Trillion Standard Cubic Feed (5 TSCF). Membrane Research Unit has produced a hollow-fiber module by using locally made spinneret which is capable of producing hollow fiber membranes using a wet-spinning method. This module contains hollow fiber membranes with surface area of 72.22cm2. The module is utilised in the existing membrane gas separation pilot plant (MGSPP) for performance test. The performance of third module was based on its permeation rate and selectivity for each pure gases tested namely N2, CO2 and O2. Based on the result obtained the module has the capability to separate CO2 from natural gas, helium recovery in Enhanced Oil Recovery (EOR), nitrogen and oxygen recovery in the production of urea.

Saidi H, Mohammed U, Machoki M. "An unusual abdominal mass: case report." East Afr Med J. 2007;84(2):88-92. Abstract

The causes of intra-abdominal masses associated with chronic abdominal pain range from the benign to malignant; common to bizarre and some raise major medical-legal issues. We present a case of a 40-year old African lady who presented with chronic right-sided abdominal pain with an associated mass on the right mid-abdomen. She had had a Caesarian section one year prior to presentation. Antecedent history of surgery and typical imaging features enabled a preoperative diagnosis of abdominal mass secondary to retained surgical gauze. The case illustrates the fallibility of the men and women in the operating theatres and the vital role of correct instrument and sponge counts.

Saidi H, Mutiso B. "High Burden, Morbidity and Cost of Motorcycle Injuries at a Tertiary Referral Hospital in Kenya." European Journal of Trauma and Emergency Surgery. 2013;DOI 10.1007/s00068-013-0280-.
Saidi H, Abdihakin M, Njihia B, Jumba G, Kiarie G, Githaiga J, ABINYA NO. "Clinical outcomes of colorectal cancer in Kenya ." Ann. Afr. Surg.. 2011;7. AbstractWebsite

Unilateral variations in the formation of the median nerve, with the presence of the third head of the biceps brachii entrapping the nerve are very rare. These variations were observed on the right side, of a 30 year old male cadaver during routine dissection at the Department of Human Anatomy, University of Nairobi. The median nerve was formed by the union of three contributions; two from the lateral cord and one from the medial cord. An additional head of the biceps brachii looped over the formed median nerve. On the left side the median nerve was formed classically by single contributions from the medial and the lateral cords. These variations are clinically important because symptoms of high median nerve compression arising from similar formations are often confused with more common causes such as radiculopathy and carpal tunnel syndrome.

Saidi, H OP. "Glandular Digestive System.". In: KIMANI’S HISTOLOGY Text and Manual . Nairobi: Department of Human Anatomy, UON; 2014.
Saidi H, Njuguna E MSWAOAHIA. "Gastrointestinal Stromal Tumor (GIST).". In: National Guidelines for Cancer Management Kenya . Nairobi: Ministry of Heath, Kenya; 2013.
Saidi H, Gichangi P MAPK. Histology Module I: Basic Histology. Nairobi: Department of Human Anatomy, UON; 2014.
Saidi H, Njuguna E MSWAO-ANAOAHIA. "Colon Cancer.". In: National Guidelines for Cancer Management Kenya . Nairobi: Ministry of Heath, Kenya; 2013.
Saidi H, Njuguna E MSWAO-ANAOAHIA. "Rectal Cancer.". In: National Guidelines for Cancer Management Kenya . Nairobi: Ministry of Heath, Kenya; 2013.
Sinkeet S, Mwachaka P, Muthoka J, Saidi H. "Branching pattern of inferior mesenteric artery in a black African population: a dissection study." SRN Anatomy. 2013;doi.org/10.5402/2013/962904.
Stevens KA, Paruk F, Bachani AM, Wesson HHK, Wekesa JM, Mburu J, Mwangi JM, Saidi H, Hyder AA. "Establishing hospital-based trauma registry systems: lessons from Kenya." Injury. 2013;44 Suppl 4:S70-4. Abstract

In the developing world, data about the burden of injury, injury outcomes, and complications of care are limited. Hospital-based trauma registries are a data source that can help define this burden. Under the trauma care component of the Bloomberg Global Road Safety Partnership, trauma registries have been implemented at three sites in Kenya. We describe the challenges and lessons learned from this effort.

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