Investments in faculty exchanges to build physician workforce capacity are increasing. Little attention has been paid to the expectations of host institution faculty and trainees. This prospective qualitative research study explored faculty and resident perspectives about guest faculty in paediatric departments in East Africa, asking (1) What are the benefits and challenges of hosting guest faculty, (2) What factors influence the effectiveness of faculty visits and (3) How do host institutions prepare for faculty visits?

Literary scholars in Kenya have recognised that oral literature is a cultural heritage worth preserving and accessing. To this end, they have used traditional information to good effect. In today

Literary scholars in Kenya have recognised that oral literature is a cultural heritage worth preserving and accessing. To this end, they have used traditional information to good effect. In today

Horticultural exports earned Kenya 14 billion and 20 billion shillings in the years 2000 and 2001 respectively, from an estimated volume of 99 million tonnes and 93 million tonnes respectively. This indicates an increase in value of the exports, and makes horticulture the second highest foreign income earner after tea. Pesticides are a major production cost in the large-scale enterprises. Every year large amounts of pesticides are used to manage pests in horticulture, so as to ensure high quality production especially for export market. Local markets have also evolved as to demand high quality blemish free horticultural products. This has made farmers to increase use of pesticides and other agrochemicals. The types, quantities and market value of pesticides imported and sold for various crops would indicate the trend of pesticides usage in Kenya. The horticultural exports from this country are subject to stringent European Union (EU) requirements on Maximum Residue Levels (MRLs). The EU being the most important export destination, the issue of MRLs should urgently be addressed. Measures need to be put in place to ensure that Kenya does not lose its horticultural export niche. These may include, developing and devising crop protection strategies based on the farmers’ needs, strengthening various relevant institutions and developing sound pest management policies.

Conflict results from a combination of factors, which are intertwined and often deeply rooted in cultural traditions both within and between nations. Poverty is one of the underlying causes of conflict and also one of its consequences. The pastoralists in Isiolo struggle to survive on a fragile ecosystem, which is ravaged by drought, poverty, insecurity and seemingly endless conflict over resources. Given its deleterious effects on development, conflict in Isiolo continues to undermine the underlying resource base for sustainable production systems and the pastoralists' capacity to broaden their livelihoods thereby exacerbating rural poverty. All the actors involved in the Isiolo conflict prevention and resolution and poverty reduction strategies at different levels will underpin their efforts by strengthening governance and helping the local communities to diversify their livelihoods. To be sustainable, the various peace initiatives must be accompanied by a broad range of preventive development strategies, which promote increased access to productive resources by vulnerable groups, recognize the role of women in peace building and encourage peaceful settlement of disputes

Equines are particularly susceptible to infection withTrypanosoma evansi andT. brucei, but rarely is naturalT. congolense andT. vivax infection seen in horses. An outbreak of trypanosomosis occurred in a herd of horses used for patrolling the pineapple fields on the Del Monte Farm, Thika, Kenya initially involving 6 horses. On subsequent screening of the entire group,T. brucei,T. congolense andT. vivax infections were detected in 16 of the 35 horses. The tests used for diagnosis included microscopic examination of stained blood smears, buffy coat technique, mouse inoculation and antigen detection enzyme immunoassay (antigen ELISA).

The healing of untreated and Nitrofurazone bandage treated excisional skin wounds on the metatarsal and/or metacarpal regions of cows were compared. There was no difference in the rate of wound healing and epithelization between the untreated and treated wounds healing and epithelialization between the untreated and treated wounds (P<0.05), but contraction was greater in the treated wounds (P>0.05). The untreated wounds did not produce exuberant granulation tissue and healed with thick firm scars. The treated wounds grew excessive granulation tissue and healed with thin friable scars that were very easilyt disrupted. Results suggested that skin lacerations on the distal limbs of healthy cattle do not benefit from topical antibiosis and or bandaging.

Pain is a perception, an unpleasant experience associated with actual or potential tissue damage. It is usually caused by mechanical, chemical or thermal stimulation of specialised paid receptors (nociceptors) in tissues. In routine veterinary practice, such acute insulsts causing intense stimulation encountered include tissue trauma including surgery, burns and fractures. As veterinary practitioners, we are ethically obliged to prevent paid and suffering where possible and alleviate it, should it occur, as it contributes to increased morbidity and mortality. In order to do this, we needed to be able to assess pain in animals and manage it appropriately. Paid assessment can be made based on anthropomorphism behavioural responses of the patient and clinical signs. The behavioural and physiological responses that accompany paid such as vocalisation, withdrawal reflex guarding of the affected area and increased activity of the sympathetic nervous system are measurable. Pain control in animals can be achieved through limitation of neciceptor stimulation, interruption of peripheral transmission, inhibition of noceceptive transmission at the level of the spinal cord, modulation of brain pathways by systemic administration of analgesics or, though balanced or multimode analgesia by simultaneous use of a number of the above strategies. Although the selection and techniques of administration of individual analgesic drugs vary, local and opioid analgesics, non steroidal anti-inflammatory drugs, tranquillisers and other combination therapies when used appropriately can control paid and alleviate suffering in animals experiencing pain. This paper looks at paid and its management in animals.

Out of 3,278 bovine cases seen and treated at the large animal Clinic, University of Nairobi (LAC-UON), 549 (16.74%) had non-fracture lameness (NFL). Foot lameness contributed to 65% of the NFL and the commonest cause of the foot lameness (37.34%) was septic arthritis of the distal interphalengeal joint. The data is being used to establish examination, therapeutic and preventive protocol to be followed in hospital as well as on farm herd health programs.

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The major purpose of this study was to document the operations strategy used in solid waste management, alongside the challenges facing implementation. This was a case study. Data was collected from fifty- (50) members and managers from the City Council of Nairobi and analyzed using descriptive statistics. The data was then summarized and presented in the form of proportions, tables and percentages.

The following findings were arrived at: First, the CEO and the employees do the formulation of the operations strategy as part of a planning process that coordinates operational goals with those of the larger organization. The annual objectives on solid waste management are well documented, which is inclusive of improving public health of the people; the environment; and maintain public cleanliness in order to keep public places aesthetically acceptable: by ensuring the proper storage, collection, transportation, safe treatment and disposal of solid waste. Secondly, the heads/managers feel that the current policies adequately support the institutions strategic plan. Thirdly, on the evaluation of the CCN's operations strategies used in solid waste management, it was also found that CCN has not invested on enough time and effort in analyzing environment capabilities and services to develop their operations strategy. On the other hand the CCN has not invested on enough time and effort in implementing its operations strategy. The internal strengths with the highest effect on CCN's competitive advantage, resulting from its operations strategy are: responsive employees in meeting customer needs, highly trained employees and quality control techniques. Lastly, the factors that have strongly limited sound waste management operations strategy implementation are the inability to formulate and implement sound solid waste management policies, inadequate treatment and disposal of solid waste and inadequate landfill disposal. The results have further used to come up with a model which exposes the integration of the operation strategies in solid waste management.

Keywords: Operation Strategy, Solid Waste Management and City Council

The field occurrence and the known immiscibility between silicate and carbonate melts suggest the Jombo alkaline intrusion and Mrima carbonatite intrusion have come from the same magmatic source. However, only the ijolite series apparently originated from a magma body at Jombo hill intrusion, while the feldspathoidal syenite series appears to have resulted from metasomatic alteration of the country rock-sandstone. The K/Rb ratios seem to indicate a mantle origin for the ijolites and a crustal one for the feldspathoidal syenites. The feldspathoidal syenite series were presumably formed by alkali metasomatism, resulting from magmatic fluid infiltration through intergranular movement. It is suggested that the partitioning of K and Na components in the metasomatizing fluid and solid feldspar phases at different temperatures, was the cause of two rock types – albite nepheline syenite and orthoclase nepheline syenite.

PETROLOGY AND TECTONO - METAMORPHIC SETTING OF IRON DEPOSITS IN THE MOZAMBIQUE BELT SEGMENT IN MUTOMO - IKUTHA AREA, SOUTH- EASTERN KENYA

Abstract
The study area is bounded by longitudes 380 4’E to 38020’E and latitudes 1048’S to 208’S in South Kitui within the Kitui County occupying about 100 Km2. This area can be accessed from Nairobi-Thika - Kitui ,Nairobi – Machakos-Kitui roads, or from Mombasa –Kibwezi – Ikutha – Mutomo road. Mineral deposits in Kenya occur in different geological settings, such as those associated with Tertiary rocks (Turkana sapphire deposit). Most of the mineral deposits like iron ore located within the Neoproterozoic Mozambique orogenic belt have not been properly evaluated in geological and metallogenical context. This work intends to relate, evaluate and scientifically place the geological framework of iron deposits in Mutomo – Ikutha area of Kitui County, Kenya to the specific events within the litho and tectonothermal evolution of the Mozambique mobile Belt. A thorough investigation of the major and minor geological structures as well as metamorphism will be elucidated in the project area on their role in the formation of iron deposits. The establishment and economic and scientific investigation of iron deposits in the study area for purposes of mining and wealth creation in the region is of great importance in this research work. The application of the research to exploration and development of artisanal mining in Kenya will be successful in terms of prospecting at the regional and scale, by determining the lithological, geochemical and tectonic controls for the mineralization.
The Mozambique Belt has a long and complex history, marked by a succession of major tectonothermal events. This belt runs from Egypt through, Sudan, Ethiopia, Kenya, Uganda, Tanzania and ends in Mozambique. The methods to be used to achieve the aim of this research will include; geological, geochemical and geophysical investigations. Preliminary investigation will be carried out using remote sensed data. Laboratory analysis will include X-ray florescence, X-ray defractometry, and electron Microprobe. The data obtained will be analyzed using Oasis montaj software, Matlab and any other relevant software. The updated geological and structural maps will be compiled using Arc GIS software. This study is expected to provide comprehensive understanding of the tectonothermal scenario and its associated economic mineralization in the Mozambique belt.

The Quaternary Chyulu Hills Volcanic Province is located more than 100 km east of the Kenya Rift Valley. It consists of a large number of free-standing and coalesced volcanoes and cinder cones and numerous lava flows ranging in composition from nepheline-normative nephelinites, basanites, alkali basalts and hawaiites to orthopyroxene-normative subalkali basalts. In this paper, the authors briefly outline the geological setting of the Chyulu Hills Volcanic Province, present a classification scheme for its lavas and describe their petrography. Mineral chemistry data for selected olivine and clinopyroxene phenocrysts are presented together with the bulk rock major element compositions of selected samples. The petrography, phenocryst chemistry and bulk rock composition of the typically primitive Chyulu Hills lavas are consistent with a differentiation history dominated by olivine control. A process of delayed olivine fractionation, combined with limited mantle olivine accumulation, is proposed to explain the considerable compositional variability observed among olivine phenocryst cores. A trend of decreasing degree of silica-undersaturation from the oldest lavas, erupted in the northern Chyulu Hills, to progressively younger lavas in the southern part of the province is explained as a result of an age progressive decrease in the depth of melt generation and a coincident increase in the degree of melting.

A study of 14 proven cases of phaeochromocytoma operated on at the Kenyatta National Hosspital was done.The management problems and the difficulty in diagnosis is disscussed

Clarithromycin is a broad-spectrum semi-synthetic macrolide indicated for treatment of pneumonias, Helicobacter pylori, and chlamydial and skin infections. The object of this study was to evaluate the pharmaceutical equivalence of 14 generic clarithromycin products marketed in Nairobi County, Kenya, to the innovator products, using in vitro dissolution profiles and similarity factors (f2). Further, dissolution profiles of four innovator formulations manufactured in different sites were compared. Fourteen clarithromycin tablets/capsules and four suspensions were subjected to assay and comparative dissolution runs at pH 1.2, 4.5 and 6.8, for 60 and 90 min, respectively. All products complied with pharmacopoeial assay specifications. However, significant differences were observed in their dissolution profiles. The non-compliance rates for tablets/capsules were 50% at pH 1.2, 33% at pH 4.5 and 50% at pH 6.8, while none of the four suspensions were compliant. Overall, only four (25%) products complied with the specifications for similarity factor. The results obtained indicate that a significant percentage of generic clarithromycin products are pharmaceutically non-equivalent to the innovator products, and that assay and single-point dissolution tests are insufficient demonstration of equivalence between the generic and innovator products.

ere is great heterogeneity in the way individuals and populations respond to medications in terms of both host toxicity and efficacy. It is now well recognized that genetic differences in drug metabolism and disposition as well in drug target receptors could have an even greater influence on the efficacy and toxicity of medications. A Wide range of drug metabolizing enzymes (DME) are subject to genetic polymorphism. The genotype-phenotype relationship is particularly important for drugs with narrow therapeutic index where slight changes in plasma levels can result in serious toxicity or lack of efficacy. While Caucasian and oriental populations have benefited from the intense interest in the field of pharmacogenomics, there still exists a wide gap in this knowledge on African populations. Hence, the main objective of this study was to investigate the occurrence and frequency of allelic variants of polymorphic DME in three major ethnic populations in Kenya.

A pharmacognostical investigation of Elaeodendron buchananii
(Loes.) Loes. has been undertaken. Phytochemical and pharmacological
properties of the active (poisonous) principles of the plant
have also been studied.
The pharmacognostical investigation of the plant involved identifying
features of the different parts of the plant using photographic
and macroscopic methods .
Results of the screening tests of the different parts of the
plant for the active constituents indicated the presence of chemical
compounds with a, b-unsaturated 6- lactone ring, possibly cardiac
glycosides. Investigation of a suitable solvent system for the extraction
of these compounds was undertaken. Of the different parts
of the plant examined for active principles , the leaves were found
to contain the highest percentage of the chemical compounds with <,
(3- unsaturated 0-- lactone ring. Isolation and purification of the
active principle(s) from the original crude plant extracts involving
the removal of pigments, tannins! resins and excess lead has been
described. Crystellisat ion of the isolated gycoside from a suitable
solvent system and the subsequent study of some of the physical l and
chemical properties of the isolated compound has been described.
From the elemental analysis and the molecular weight of the
isolated compound the molecular formula of t he compound has been
determined as C32H47011. Using the infra-red, ultraviolet, nuclear
magnetic resonance and mass spectra$ a partial molecular structure
has been suggested.
The isolated compound has been reacted with Kedde reagent and
the resulting coloured complex has been examined to see whether it
obeys Beer - Lambert law. The calibration curve obtained has been
used to determine the percentage recovery of the isolated compound
in the leaves of the plant.
The pharmacological study of the isolated compound has also
been undertaken. This study involved the investigation of the
effects of the isolated compound on the blood pressure of anaesthetised
rat and the effect of the compound on the isolated perfused
rabbi t heart.
Suggestions for further work as regards pharmacognostical investigation
of the plant together with ascertaining the exact structural
formula of the compound has been proposed.

Elevation of plasma digoxin levels following concurrent administration of nifedipine have previously been reported. The mechanism for this interaction has not been fully explained, but may include a reduction in volume of distribution of digoxin and/or reduction in the renal or non-renal clearance of digoxin by nifedipine. The end result is probably an elevation of plasma concentrations of free (pharmacologically active) digoxin, which may lead to manifestation of side effects of digoxin. This communication highlights the possible pharmacokinetic basis of the reported digoxin-nifedipine interaction.

Convulsions are a common complication of severe malaria in children and are associated with poor outcome. Diazepam is used to terminate convulsions but its pharmacokinetics and pharmacodynamics have not been studied in this group. Accordingly, we carried out a comparative study of the pharmacokinetics of intravenous (i.v.) and rectal (p.r.) diazepam. Twenty-five children with severe malaria and a convulsion lasting >5 min were studied. Sixteen children received diazepam intravenously (i.v.; 0.3 mg kg−1) and nine rectally (p.r.; 0.5 mg kg−1). Plasma diazepam concentrations were measured by reversed phase high-performance liquid chromatography. The duration of convulsions, depth of coma, respiratory and cardiovascular parameters were monitored.   Median maximum plasma diazepam concentrations of 634 (range 402–1507) ng ml−1 and 423 (range 112–1953) ng ml−1 were achieved at 5 and 25 min following i.v. and p.r. administration, respectively. All patients except three (one i.v. and two p.r.) achieved plasma diazepam concentration >200 ng ml−1 within 5 min. Following p.r. administration, plasma diazepam concentrations were more variable than i.v. administration. A single dose of i.v. diazepam terminated convulsions in all children but in only 6/9 after p.r. administration. However, nine children treated with i.v. and all those treated with p.r. diazepam had a recurrence of convulsions occurring at median plasma diazepam concentrations of 157 (range: 67–169) and 172 (range: 74–393) ng ml−1, respectively. All the children in the i.v. and four in the PR diazepam group who had recurrence of convulsions required treatment. None of the children developed respiratory depression or hypotension.   Administration of diazepam i.v. or p.r. resulted in achievement of therapeutic concentrations of diazepam rapidly, without significant cardio-respiratory adverse effects. However, following p.r. administration, diazepam did not terminate all convulsions and plasma drug concentrations were more variable.

Phenobarbital is commonly used to treat status epilepticus in resource-poor countries. Although a dose of 20 mg kg(-1) is recommended, this dose, administered intramuscularly (i.m.) for prophylaxis, is associated with an increase in mortality in children with cerebral malaria. We evaluated a 15-mg kg(-1) intravenous (i.v.) dose of phenobarbital to determine its pharmacokinetics and clinical effects in children with severe falciparum malaria and status epilepticus. Methods: Twelve children (M/F: 11/1), aged 7-62 months, received a loading dose of phenobarbital (15 mg kg(-1)) as an i.v. infusion over 20 min and maintenance dose of 5 mg kg(-1) at 24 and 48 h later. The duration of convulsions and their recurrence were recorded. Vital signs were monitored. Plasma and cerebrospinal fluid (CSF) phenobarbital concentrations were measured with an Abbott TDx FLx fluorescence polarisation immunoassay analyser (Abbott Laboratories, Diagnostic Division, Abbott Park, IL, USA). Simulations were performed to predict the optimum dosage regimen that would maintain plasma phenobarbital concentrations between 15 and 20 mg l(-1) for 72 h. Results: All the children achieved plasma concentrations above 15 mg l(-1) by the end of the infusion. Mean (95% confidence interval or median and range for Cmax) pharmacokinetic parameters were: area under curve [AUC (0, infinity)]: 4259 (3169, 5448) mg l(-1).h, t(1/2): 82.9 (62, 103) h, CL: 5.8 (4.4, 7.3) ml kg(-1) h(-1), Vss: 0.8 (0.7, 0.9) l kg (-1), CSF: plasma phenobarbital concentration ratio: 0.7 (0.5, 0.8; n= 6) and Cmax: 19.9 (17.9-27.9) mg l(-1). Eight of the children had their convulsions controlled and none of them had recurrence of convulsions. Simulations suggested that a loading dose of 15 mg kg(-1) followed by two maintenance doses of 2.5 mg kg(-1) at 24 h and 48 h would maintain plasma phenobarbital concentrations between 16.4 and 20 mg l(-1) for 72 h. Conclution:Phenobarbital, given as an i.v. loading dose, 15 mg kg(-1), achieves maximum plasma concentrations of greater than 15 mg l(-1) with good clinical effect and no significant adverse events in children with severe falciparum malaria. A maintenance dose of 2.5 mg kg(-1) at 24 h and 48 h was predicted to be sufficient to maintain concentrations of 15-20 mg l(-1) for 72 h, and may be a suitable regimen for treatment of convulsions in these children

Status epilepticus is common in children with severe falciparum malaria and is associated with poor outcome. Phenytoin is often used to control status epilepticus, but its water-soluble prodrug, fosphenytoin, may be more useful as it is easier to administer. We studied the pharmacokinetics and clinical effects of phenytoin and fosphenytoin sodium in children with severe falciparum malaria and status epilepticus. METHODS: Children received intravenous (i.v.) phenytoin as a 18 mg kg-1 loading dose infused over 20 min followed by a 2.5 mg x kg(-1) 12 hourly maintenance dose infused over 5 min (n = 11), or i.v. fosphenytoin, administered at a rate of 50 mg x min(-1) phenytoin sodium equivalents (PE; n = 16), or intramuscular (i.m.) fosphenytoin as a 18 mg x kg(-1) loading dose followed by 2.5 mg x kg(-1) 12 hourly of PE (n = 11). Concentrations of phenytoin in plasma and cerebrospinal fluid (CSF), frequency of seizures, cardiovascular effects (respiratory rate, blood pressure, trancutaneous oxygen tension and level of consciousness) and middle cerebral artery (MCA) blood flow velocity were monitored. RESULTS: After all routes of administration, a plasma unbound phenytoin concentration of more than 1 microg x ml(-1) was rapidly (within 5-20 min) attained. Mean (95% confidence interval) steady state free phenytoin concentrations were 2.1 (1.7, 2.4; i.v. phenytoin, n = 6), 1.5 (0.96, 2.1; i.v. fosphenytoin, n = 11) and 1.4 (0.5, 2.4; i.m. fosphenytoin, n = 6), and were not statistically different for the three routes of administration. Median times (range) to peak plasma phenytoin concentrations following the loading dose were 0.08 (0.08-0.17), 0.37 (0.33-0.67) and 0.38 (0.17-2.0) h for i.v. fosphenytoin, i.v. phenytoin and i.m. fosphenytoin, respectively. CSF: plasma phenytoin concentration ratio ranged from 0.12 to 0.53 (median = 0.28, n = 16). Status epilepticus was controlled in only 36% (4/11) following i.v. phenytoin, 44% (7/16), following i.v. fosphenytoin and 64% (7/11) following i.m. fosphenytoin administration, respectively. Cardiovascular parameters and MCA blood flow were not affected by phenytoin administration. CONCLUSIONS: Phenytoin and fosphenytoin administration at the currently recommended doses achieve plasma unbound phenytoin concentrations within the therapeutic range with few cardiovascular effects. Administration of fosphenytoin i.v. or i.m. offers a practical and convenient alternative to i.v. phenytoin. However, the inadequate control of status epilepticus despite rapid achievement of therapeutic unbound phenytoin concentrations warrants further investigation

To investigate the pharmacokinetics and clinical efficacy of intravenous (i.v.) and intramuscular (i.m.) lorazepam (LZP) in children with severe malaria and convulsions. METHODS: Twenty-six children with severe malaria and convulsions lasting > or =5 min were studied. Fifteen children were given a single dose (0.1 mg kg(-1)) of i.v. LZP and 11 received a similar i.m. dose. Blood samples were collected over 72 h for determination of plasma LZP concentrations. Plasma LZP concentration-time data were fitted using compartmental models. RESULTS: Median [95% confidence interval (CI)] LZP concentrations of 65.1 ng ml(-1) (50.2, 107.0) and 41.4 ng ml(-1) (22.0, 103.0) were attained within median (95% CI) times of 30 min (10, 40) and 25 min (20, 60) following i.v. and i.m. administration, respectively. Concentrations were maintained above the reported therapeutic concentration (30 ng ml(-1)) for at least 8 h after dosing via either route. The relative bioavailability of i.m. LZP was 89%. A single dose of LZP was effective for rapid termination of convulsions in all children and prevention of seizure recurrence for >72 h in 11 of 15 children (73%, i.v.) and 10 of 11 children (91%, i.m), without any clinically apparent respiratory depression or hypotension. Three children (12%) died. CONCLUSION: Administration of LZP (0.1 mg kg(-1)) resulted in rapid achievement of plasma LZP concentrations within the reported effective therapeutic range without significant cardiorespiratory effects. I.m administration of LZP may be more practical in rural healthcare facilities in Africa, where venous access may not be feasible.

Fetal cocaine exposure is a major problem resulting from the illicit use of cocaine by pregnant women. Studies examining the prevalence of cocaine use during pregnancy estimate usage ranges from 5-17% (I). Although no definitive syndrome has been defined, prenatal cocaine exposure is associated with decreased birth weight and size, brain injury and congenital anomalies (2).

The pharmacokinetics of cyclophisphamide have been extensively discussed in adult man.A few studies have been done to compare the pharmacokinetics of this important anticancer agent in children and adults of a comparable population

The pharmacokinetics of antipyrine were studied in 12 healthy volunteers and 10 patients of Kenya African origin with Hodgkin's lymphoma. The half-life of antipyrine was 12.2 +/- 1.3 h (mean + s.d.), while the apparent volume of distribution (V) was 0.67 +/- 0.11 l kg-1 (mean +/- s.d.) and the total body clearance was 40.7 +/- 3.2 ml kg-1 h-1 (mean +/- s.d.) in the healthy volunteers. The antipyrine half-life in the patients with advanced Hodgkin's lymphoma was 17.1 +/- 2.7 h (mean +/- s.d.). The apparent volume of distribution was 0.72 +/- 0.14 l kg-1 (mean +/- s.d.) which was larger than in healthy volunteers (P less than 0.05). The total body clearance was 30.3 +/- 9.4 ml kg-1 h-1 (mean + s.d.) and this was reduced compared with that in healthy volunteers (P less than 0.02). After cytotoxic therapy the half-life in the patients with advanced Hodgkin's lymphoma was significantly decreased to 8.3 +/- 1.3 h (mean +/- s.d.) (P less than 0.07), and the apparent volume of distribution was reduced to 0.65 +/- 0.07 l kg-1 (mean +/- s.d.) (P less than 0.05) while the total body clearance increased to 52.8 +/- 5.5 ml kg-1 h-1 (mean +/- s.d.) (P less than 0.01).

The pharmacokinetics of cyclophosphamide was studied in 10 Kenyan Africans with Hodgkins lymphoma. The mean +/- s.d. elimination half-life (t1/2) was 7.5 +/- 1.38 h. The mean +/- s.d. volume of the central compartment (V1) was 0.35 +/- 0.12 l/kg and the apparent volume of distribution (V) was 0.64 +/- 0.06 l/kg. The microconstants k21, k12 and k10 were 1.81 +/- 0.84 h-1, 1.90 +/- 1.080 h-1 and 2.05 +/- 0.86 h-1 respectively (mean +/- s.d.).

The pharmacokinetics of the schistosomicidal agent oxamniquine (6-hydroxmethyl-2-isopropylaminomethyl-7-nitro-1,2,3,4-tetra hydroquinoline) were studied in 8 (4 male, 4 female) New Zealand White rabbits and 5 female Wistar rats, following intravenous administration (15 mg/kg). The pharmacokinetic parameters (mean +/- SD) in the rabbit and rat, respectively, were as follows: plasma clearance, 65.5 +/- 33 and 17.2 +/- 5.7 ml/min/kg; steady-state volume of distribution, 7.9 +/- 4.5 and 2.1 +/- 0.5 l/kg; terminal elimination half-life, 1.8 +/- 0.3 and 1.8 +/- 0.9 h. Oxamniquine appeared to be widely distributed in both species, although significantly higher in the rabbit. Similarly, plasma clearance was significantly higher in the rabbit. Using reported estimates of liver blood flow and fractions excreted unchanged in urine of the rabbit and rat, calculations based on blood clearances indicated that oxamniquine has a low hepatic extraction ratio (0.2) in the rat and an intermediate hepatic extraction ratio (0.6) in the rabbit. From separate experiments, however, hepatic extraction appeared to be low in the rabbit, suggesting that oxamniquine disposition is probably broadly similar in both rabbit and rat

The purpose of this study was to evaluate and compare plasma phenytoin concentration versus time profiles following intravenous (i.v) and intramuscular (i.m) administration of fosphenytoin sodium with those obtained following administration of standard phenytoin sodium injection in the rabbit. Twenty-four adult New Zealand White rabbits (2.1±0.4 kg) were anaesthetized with sodium pentobarbitone (30 mg/kg) followed by i.v or i.m administration of a single 10 mg/kg phenytoin sodium or fosphenytoin sodium equivalents. Blood samples (1.5 ml) were obtained from a femoral artery cannula predose and at 1, 3, 5, 7, 10, 15, 20, 30, 45, 60, 90, 120, 180, 240 and 300 min after drug administration. Plasma was separated by centrifugation (1000 g; 5 min) and fosphenytoin, total and free plasma phenytoin concentrations were measured using high performance liquid chromatography (HPLC). Following i.v administration of fosphenytoin sodium plasma phenytoin concentrations were similar to those obtained following i.v administration of an equivalent dose of phenytoin sodium. Mean peak plasma phenytoin concentrations (Cmax) was 158% higher (P=0.0077) following i.m administration of fosphenytoin sodium compared to i.m administration of phenytoin sodium. The mean area under the plasma total and free phenytoin concentration-time curve from time zero to 120 min (AUC0−120) following i.m administration was also significantly higher (P=0.0277) in fosphenytoin treated rabbits compared to the phenytoin group. However, there was no significant difference in AUC0−180 between fosphenytoin and phenytoin-treated rabbits following i.v administration. There was also no significant difference in the mean times to achieve peak plasma phenytoin-concentrations (Tmax) between fosphenytoin and phenytoin-treated rabbits following i.m administration. Mean plasma albumin concentrations were comparable in both groups of animals. Fosphenytoin was rapidly converted to phenytoin both after i.v and i.m administration, with plasma fosphenytoin concentrations declining rapidly to undetectable levels within 10 min following administration via either route. These results confirm the rapid and complete hydrolysis of fosphenytoin to phenytoin in vivo, and the potential of the i.m route for administration of fosphenytoin delivering phenytoin in clinical settings where i.v administration may not be feasible.

Pyrethrins were administered orally and subcutaneously (SC) at 150 mg/kg body weight to 10 lactating and non-lactating ewes in a cross over experimental design. A gas chromatographic method was used for analysis of Pyre-thrins in serum and milk samples from the experimental animals. The disposition curves were bi-exponential after first-order absorption and fitted 1 and 2 compartmental models. The maximum plasma concentration (Crnax) of Pyrethrins following oral and SC administra¬tion was 0.08 fig/ml and 0.1} fig/ml respectively with the corresponding time to maximum concentrations (Trnax) being 1 hr and 2 hrs respectively. At 48 hours, serum Pyrethrins levels were below the limit of detec¬tion of 0.005 fig/ml. Absorption was significantly higher for SC route compared to oral routes (p<0.05) but half¬lives (11/2B) were not significantly different for the two routes (p>0.05). The mean residence time (MRT) was 9.7 hours. Total clearance was 4,337 and 3,180 litres/ kg/hr for oral and SC routes respectively. Pyrethrins were secreted in milk at levels of up to 0.005 fig/ml. It was concluded that in ewes, Pyrethrins are rapidly absorbed after orally and SC, widely distributed and eliminated from the body within 24 hours, Secretion into milk occcurs in ewes but the residues in milk are too low to toxic effects in humans.

The pharmacokinetics of temazepam, the 3-hydroxy1 derivative of diazepam, were studied in nine male surgical patients (age: 28-57 years; weight: 55-87 kg) who had ingested single 40 mg doses, 4 hours prior to minor surgical procedures. Peak plasma temazepam concentrations were achieved rapidly (within 1 h post drug administration) and the estimated volume of distribution (mean: 1.13 1/kg), total clearance (mean: 1.6 ml/min/kg) and terminal elimination half-life (mean: 8 hours) were comparable to previously reported values in healthy subjects. There was no correlation between volume of distribution and either weight or age, and between clearance and age. These findings are broadly consistent with previous reports from studies in healthy subjects. Temazepam can therefore be used as a premedicant in patients requiring minor surgery; the concomitant anaesthetic agents administered and the surgical procedures have no effects on temazepam pharmacokinetics

Department of Periodontology/ Community and Preventive Dentistry, School of Dental Sciences, University of Nairobi, P.O. Box 19676 - 00202, Nairobi, Kenya. OBJECTIVE: To determine the influence of oral hygiene habits and practices on the risk of developing oral leukoplakia. DESIGN: Case control study. SETTING: Githongo sublocation in Meru District. SUBJECTS: Eighty five cases and 141 controls identified in a house-to-house screening. RESULTS: The relative risk (RR) of oral leukoplakia increased gradually across the various brushing frequencies from the reference RR of 1.0 in those who brushed three times a day, to 7.6 in the "don't brush" group. The trend of increase was statistically significant (X2 for Trend : p = 0.001). The use of chewing stick as compared to conventional tooth brush had no significant influence on RR of oral leukoplakia. Non-users of toothpastes had a significantly higher risk of oral leukoplakia than users (RR = 1.8; 95% confidence levels (CI) = 1.4-2.5). Among tobacco smokers, the RR increased from 4.6 in those who brushed to 7.3 in those who did not brush. Among non-smokers, the RR of oral leukoplakia in those who did not brush (1.8) compared to those who brushed was also statistically significant (95% CL = 1.6-3.8). CONCLUSION: Failure to brush teeth and none use of toothpastes are significantly associated with the development of oral leukoplakia, while the choice of brushing tools between conventional toothbrush and chewing stick is not. In addition, failure to brush teeth appeared to potentiate the effect of smoking tobacco in the development of oral leukoplakia. Recommendations: Oral health education, instruction and motivation for the improvement of oral hygiene habits and practices; and therefore oral hygiene status, should be among the strategies used in oral leukoplakia preventive and control programmes.

Department of Periodontology/ Community and Preventive Dentistry, School of Dental Sciences, University of Nairobi, P.O. Box 19676 - 00202, Nairobi, Kenya. OBJECTIVE: To determine the influence of oral hygiene habits and practices on the risk of developing oral leukoplakia. DESIGN: Case control study. SETTING: Githongo sublocation in Meru District. SUBJECTS: Eighty five cases and 141 controls identified in a house-to-house screening. RESULTS: The relative risk (RR) of oral leukoplakia increased gradually across the various brushing frequencies from the reference RR of 1.0 in those who brushed three times a day, to 7.6 in the "don't brush" group. The trend of increase was statistically significant (X2 for Trend : p = 0.001). The use of chewing stick as compared to conventional tooth brush had no significant influence on RR of oral leukoplakia. Non-users of toothpastes had a significantly higher risk of oral leukoplakia than users (RR = 1.8; 95% confidence levels (CI) = 1.4-2.5). Among tobacco smokers, the RR increased from 4.6 in those who brushed to 7.3 in those who did not brush. Among non-smokers, the RR of oral leukoplakia in those who did not brush (1.8) compared to those who brushed was also statistically significant (95% CL = 1.6-3.8). CONCLUSION: Failure to brush teeth and none use of toothpastes are significantly associated with the development of oral leukoplakia, while the choice of brushing tools between conventional toothbrush and chewing stick is not. In addition, failure to brush teeth appeared to potentiate the effect of smoking tobacco in the development of oral leukoplakia. Recommendations: Oral health education, instruction and motivation for the improvement of oral hygiene habits and practices; and therefore oral hygiene status, should be among the strategies used in oral leukoplakia preventive and control programmes.

A methanol extract derived from Gardenia jovis-tonantis showed bronchodilator activity isolated guinea pig trachea. The extract also showed cardiorelaxant activity isolated rabbit heart and caused a rapid fall ill diastolic pressure ill anaesthetised rats

A methanol extract of Gutenburgia cordifolia showed a greater fall in diastolic than systolic blood pressure in anaesthetised rats. The plant extract produced cardiodepressant activity on isolated rabbit heart and caused contraction on isolated rabbit ileum. The contraction was re¬duced but not abolished with atropine. On isolated guinea pig ileum, the contraction was abolished by atropine, the presence of an acetylcholine-like compound in the plant extract is indicated.

A methanol extract of Gutenburgia cordifolia showed a greater fall in diastolic than systolic blood pressure in anaesthetised rats. The plant extract produced cardiodepressant activity on isolated rabbit heart and caused contraction on isolated rabbit ileum. The contraction was re¬duced but not abolished with atropine. On isolated guinea pig ileum, the contraction was abolished by atropine, the presence of an acetylcholine-like compound in the plant extract is indicated.

Department of Periodontology/ Community and Preventive Dentistry, School of Dental Sciences, University of Nairobi, P.O. Box 19676 - 00202, Nairobi, Kenya. OBJECTIVE: To determine the influence of oral hygiene habits and practices on the risk of developing oral leukoplakia. DESIGN: Case control study. SETTING: Githongo sublocation in Meru District. SUBJECTS: Eighty five cases and 141 controls identified in a house-to-house screening. RESULTS: The relative risk (RR) of oral leukoplakia increased gradually across the various brushing frequencies from the reference RR of 1.0 in those who brushed three times a day, to 7.6 in the "don't brush" group. The trend of increase was statistically significant (X2 for Trend : p = 0.001). The use of chewing stick as compared to conventional tooth brush had no significant influence on RR of oral leukoplakia. Non-users of toothpastes had a significantly higher risk of oral leukoplakia than users (RR = 1.8; 95% confidence levels (CI) = 1.4-2.5). Among tobacco smokers, the RR increased from 4.6 in those who brushed to 7.3 in those who did not brush. Among non-smokers, the RR of oral leukoplakia in those who did not brush (1.8) compared to those who brushed was also statistically significant (95% CL = 1.6-3.8). CONCLUSION: Failure to brush teeth and none use of toothpastes are significantly associated with the development of oral leukoplakia, while the choice of brushing tools between conventional toothbrush and chewing stick is not. In addition, failure to brush teeth appeared to potentiate the effect of smoking tobacco in the development of oral leukoplakia. Recommendations: Oral health education, instruction and motivation for the improvement of oral hygiene habits and practices; and therefore oral hygiene status, should be among the strategies used in oral leukoplakia preventive and control programmes.

Department of Periodontology/ Community and Preventive Dentistry, School of Dental Sciences, University of Nairobi, P.O. Box 19676 - 00202, Nairobi, Kenya. OBJECTIVE: To determine the influence of oral hygiene habits and practices on the risk of developing oral leukoplakia. DESIGN: Case control study. SETTING: Githongo sublocation in Meru District. SUBJECTS: Eighty five cases and 141 controls identified in a house-to-house screening. RESULTS: The relative risk (RR) of oral leukoplakia increased gradually across the various brushing frequencies from the reference RR of 1.0 in those who brushed three times a day, to 7.6 in the "don't brush" group. The trend of increase was statistically significant (X2 for Trend : p = 0.001). The use of chewing stick as compared to conventional tooth brush had no significant influence on RR of oral leukoplakia. Non-users of toothpastes had a significantly higher risk of oral leukoplakia than users (RR = 1.8; 95% confidence levels (CI) = 1.4-2.5). Among tobacco smokers, the RR increased from 4.6 in those who brushed to 7.3 in those who did not brush. Among non-smokers, the RR of oral leukoplakia in those who did not brush (1.8) compared to those who brushed was also statistically significant (95% CL = 1.6-3.8). CONCLUSION: Failure to brush teeth and none use of toothpastes are significantly associated with the development of oral leukoplakia, while the choice of brushing tools between conventional toothbrush and chewing stick is not. In addition, failure to brush teeth appeared to potentiate the effect of smoking tobacco in the development of oral leukoplakia. Recommendations: Oral health education, instruction and motivation for the improvement of oral hygiene habits and practices; and therefore oral hygiene status, should be among the strategies used in oral leukoplakia preventive and control programmes.

Department of Periodontology/ Community and Preventive Dentistry, School of Dental Sciences, University of Nairobi, P.O. Box 19676 - 00202, Nairobi, Kenya. OBJECTIVE: To determine the influence of oral hygiene habits and practices on the risk of developing oral leukoplakia. DESIGN: Case control study. SETTING: Githongo sublocation in Meru District. SUBJECTS: Eighty five cases and 141 controls identified in a house-to-house screening. RESULTS: The relative risk (RR) of oral leukoplakia increased gradually across the various brushing frequencies from the reference RR of 1.0 in those who brushed three times a day, to 7.6 in the "don't brush" group. The trend of increase was statistically significant (X2 for Trend : p = 0.001). The use of chewing stick as compared to conventional tooth brush had no significant influence on RR of oral leukoplakia. Non-users of toothpastes had a significantly higher risk of oral leukoplakia than users (RR = 1.8; 95% confidence levels (CI) = 1.4-2.5). Among tobacco smokers, the RR increased from 4.6 in those who brushed to 7.3 in those who did not brush. Among non-smokers, the RR of oral leukoplakia in those who did not brush (1.8) compared to those who brushed was also statistically significant (95% CL = 1.6-3.8). CONCLUSION: Failure to brush teeth and none use of toothpastes are significantly associated with the development of oral leukoplakia, while the choice of brushing tools between conventional toothbrush and chewing stick is not. In addition, failure to brush teeth appeared to potentiate the effect of smoking tobacco in the development of oral leukoplakia. Recommendations: Oral health education, instruction and motivation for the improvement of oral hygiene habits and practices; and therefore oral hygiene status, should be among the strategies used in oral leukoplakia preventive and control programmes.

The pharmacologic activities of Pistia stratiotes were studied. Calcium channel blocking activity of a methanol extract of the whole plant was demonstrated using isolated segments of rabbit jejunum and confirmed via inhibition by pretreatment with verapamil. Additionally, the plant extract exhibited dose-related bronchodilating activity on isolated guinea pig trachea and neuromuscular blocking action, which was also dose-related. The plant extract caused a decrease in blood pressure in anaesthetised rats. After a 10 μg dose of the extract, systolic and diastolic blood pressures fell by 18% and 10%, respectively. Further doses of the plant extract produced slight decreases in blood pressures in anaesthetised rats. The systolic, diastolic and mean blood pressures before the extract were all significantly higher (P < 0.001) than those following the administration of the extract

Department of Periodontology/ Community and Preventive Dentistry, School of Dental Sciences, University of Nairobi, P.O. Box 19676 - 00202, Nairobi, Kenya. OBJECTIVE: To determine the influence of oral hygiene habits and practices on the risk of developing oral leukoplakia. DESIGN: Case control study. SETTING: Githongo sublocation in Meru District. SUBJECTS: Eighty five cases and 141 controls identified in a house-to-house screening. RESULTS: The relative risk (RR) of oral leukoplakia increased gradually across the various brushing frequencies from the reference RR of 1.0 in those who brushed three times a day, to 7.6 in the "don't brush" group. The trend of increase was statistically significant (X2 for Trend : p = 0.001). The use of chewing stick as compared to conventional tooth brush had no significant influence on RR of oral leukoplakia. Non-users of toothpastes had a significantly higher risk of oral leukoplakia than users (RR = 1.8; 95% confidence levels (CI) = 1.4-2.5). Among tobacco smokers, the RR increased from 4.6 in those who brushed to 7.3 in those who did not brush. Among non-smokers, the RR of oral leukoplakia in those who did not brush (1.8) compared to those who brushed was also statistically significant (95% CL = 1.6-3.8). CONCLUSION: Failure to brush teeth and none use of toothpastes are significantly associated with the development of oral leukoplakia, while the choice of brushing tools between conventional toothbrush and chewing stick is not. In addition, failure to brush teeth appeared to potentiate the effect of smoking tobacco in the development of oral leukoplakia. Recommendations: Oral health education, instruction and motivation for the improvement of oral hygiene habits and practices; and therefore oral hygiene status, should be among the strategies used in oral leukoplakia preventive and control programmes.

Department of Periodontology/ Community and Preventive Dentistry, School of Dental Sciences, University of Nairobi, P.O. Box 19676 - 00202, Nairobi, Kenya. OBJECTIVE: To determine the influence of oral hygiene habits and practices on the risk of developing oral leukoplakia. DESIGN: Case control study. SETTING: Githongo sublocation in Meru District. SUBJECTS: Eighty five cases and 141 controls identified in a house-to-house screening. RESULTS: The relative risk (RR) of oral leukoplakia increased gradually across the various brushing frequencies from the reference RR of 1.0 in those who brushed three times a day, to 7.6 in the "don't brush" group. The trend of increase was statistically significant (X2 for Trend : p = 0.001). The use of chewing stick as compared to conventional tooth brush had no significant influence on RR of oral leukoplakia. Non-users of toothpastes had a significantly higher risk of oral leukoplakia than users (RR = 1.8; 95% confidence levels (CI) = 1.4-2.5). Among tobacco smokers, the RR increased from 4.6 in those who brushed to 7.3 in those who did not brush. Among non-smokers, the RR of oral leukoplakia in those who did not brush (1.8) compared to those who brushed was also statistically significant (95% CL = 1.6-3.8). CONCLUSION: Failure to brush teeth and none use of toothpastes are significantly associated with the development of oral leukoplakia, while the choice of brushing tools between conventional toothbrush and chewing stick is not. In addition, failure to brush teeth appeared to potentiate the effect of smoking tobacco in the development of oral leukoplakia. Recommendations: Oral health education, instruction and motivation for the improvement of oral hygiene habits and practices; and therefore oral hygiene status, should be among the strategies used in oral leukoplakia preventive and control programmes.

Department of Periodontology/ Community and Preventive Dentistry, School of Dental Sciences, University of Nairobi, P.O. Box 19676 - 00202, Nairobi, Kenya. OBJECTIVE: To determine the influence of oral hygiene habits and practices on the risk of developing oral leukoplakia. DESIGN: Case control study. SETTING: Githongo sublocation in Meru District. SUBJECTS: Eighty five cases and 141 controls identified in a house-to-house screening. RESULTS: The relative risk (RR) of oral leukoplakia increased gradually across the various brushing frequencies from the reference RR of 1.0 in those who brushed three times a day, to 7.6 in the "don't brush" group. The trend of increase was statistically significant (X2 for Trend : p = 0.001). The use of chewing stick as compared to conventional tooth brush had no significant influence on RR of oral leukoplakia. Non-users of toothpastes had a significantly higher risk of oral leukoplakia than users (RR = 1.8; 95% confidence levels (CI) = 1.4-2.5). Among tobacco smokers, the RR increased from 4.6 in those who brushed to 7.3 in those who did not brush. Among non-smokers, the RR of oral leukoplakia in those who did not brush (1.8) compared to those who brushed was also statistically significant (95% CL = 1.6-3.8). CONCLUSION: Failure to brush teeth and none use of toothpastes are significantly associated with the development of oral leukoplakia, while the choice of brushing tools between conventional toothbrush and chewing stick is not. In addition, failure to brush teeth appeared to potentiate the effect of smoking tobacco in the development of oral leukoplakia. Recommendations: Oral health education, instruction and motivation for the improvement of oral hygiene habits and practices; and therefore oral hygiene status, should be among the strategies used in oral leukoplakia preventive and control programmes.

Department of Periodontology/ Community and Preventive Dentistry, School of Dental Sciences, University of Nairobi, P.O. Box 19676 - 00202, Nairobi, Kenya. OBJECTIVE: To determine the influence of oral hygiene habits and practices on the risk of developing oral leukoplakia. DESIGN: Case control study. SETTING: Githongo sublocation in Meru District. SUBJECTS: Eighty five cases and 141 controls identified in a house-to-house screening. RESULTS: The relative risk (RR) of oral leukoplakia increased gradually across the various brushing frequencies from the reference RR of 1.0 in those who brushed three times a day, to 7.6 in the "don't brush" group. The trend of increase was statistically significant (X2 for Trend : p = 0.001). The use of chewing stick as compared to conventional tooth brush had no significant influence on RR of oral leukoplakia. Non-users of toothpastes had a significantly higher risk of oral leukoplakia than users (RR = 1.8; 95% confidence levels (CI) = 1.4-2.5). Among tobacco smokers, the RR increased from 4.6 in those who brushed to 7.3 in those who did not brush. Among non-smokers, the RR of oral leukoplakia in those who did not brush (1.8) compared to those who brushed was also statistically significant (95% CL = 1.6-3.8). CONCLUSION: Failure to brush teeth and none use of toothpastes are significantly associated with the development of oral leukoplakia, while the choice of brushing tools between conventional toothbrush and chewing stick is not. In addition, failure to brush teeth appeared to potentiate the effect of smoking tobacco in the development of oral leukoplakia. Recommendations: Oral health education, instruction and motivation for the improvement of oral hygiene habits and practices; and therefore oral hygiene status, should be among the strategies used in oral leukoplakia preventive and control programmes.

Department of Periodontology/ Community and Preventive Dentistry, School of Dental Sciences, University of Nairobi, P.O. Box 19676 - 00202, Nairobi, Kenya. OBJECTIVE: To determine the influence of oral hygiene habits and practices on the risk of developing oral leukoplakia. DESIGN: Case control study. SETTING: Githongo sublocation in Meru District. SUBJECTS: Eighty five cases and 141 controls identified in a house-to-house screening. RESULTS: The relative risk (RR) of oral leukoplakia increased gradually across the various brushing frequencies from the reference RR of 1.0 in those who brushed three times a day, to 7.6 in the "don't brush" group. The trend of increase was statistically significant (X2 for Trend : p = 0.001). The use of chewing stick as compared to conventional tooth brush had no significant influence on RR of oral leukoplakia. Non-users of toothpastes had a significantly higher risk of oral leukoplakia than users (RR = 1.8; 95% confidence levels (CI) = 1.4-2.5). Among tobacco smokers, the RR increased from 4.6 in those who brushed to 7.3 in those who did not brush. Among non-smokers, the RR of oral leukoplakia in those who did not brush (1.8) compared to those who brushed was also statistically significant (95% CL = 1.6-3.8). CONCLUSION: Failure to brush teeth and none use of toothpastes are significantly associated with the development of oral leukoplakia, while the choice of brushing tools between conventional toothbrush and chewing stick is not. In addition, failure to brush teeth appeared to potentiate the effect of smoking tobacco in the development of oral leukoplakia. Recommendations: Oral health education, instruction and motivation for the improvement of oral hygiene habits and practices; and therefore oral hygiene status, should be among the strategies used in oral leukoplakia preventive and control programmes.

Background: Nefang is a polyherbal anti-malarial composed of Mangifera indica (MiB and MiL; bark and leaf),
Psidium guajava (Pg), Carica papaya (Cp), Cymbopogon citratus (Cc), Citrus sinensis (Cs) and Ocimum gratissimum (Og) (leaves). Previous studies have demonstrated its in vitro and in vivo antiplasmodial activities, antioxidant properties and safety profile. This study aimed at evaluating the antipyretic, anti-inflammatory and antinociceptive activities of the constituent plants of Nefang which are relevant to the symptomatic treatment of malaria fever.
Methods: Antipyretic activities were determined by the D-Amphetamine induced pyrexia and Brewer’s Yeast induced hyperpyrexia methods. Anti-inflammatory activities were investigated using the carrageenan-induced rat paw edema method. Antinociceptive activities were determined by mechanical nociception in the tail pressure and thermal nociception in the radiant heat tail flick and hot plate methods. Data was analysed using the one way ANOVA followed by Neuman-Keuls multiple comparison test.
Results: Best percentage inhibition of induced pyrexia (amphetamine/brewer’s yeast; p < 0.05) was exhibited by Cc (95/97) followed by Og (85/94), MiL (90/89), MiB (88/84) and Cs (82/89). Cc and Og exhibited comparable activities to paracetamol (100/95). Anti-inflammatory studies revealed paw edema inhibition (%) as follows (p < 0.05): Indomethacin (47), MiL (40), Cp (30), MiB (28) and Og (22), suggesting best activity by MiL. Antinociceptive studies revealed significant (p < 0.01) pain inhibition (%) as follows: Paracetamol (97), Og (113), MiL (108), Pg (84) and MiB (88). Og and MiL exhibited the best activities.
Conclusion: The results obtained suggest that the constituent plants possess biologically active compounds with antipyretic, anti-inflammatory and antinociceptive activities. These activities are essential in the symptomatic treatment of malaria fever, thereby justifying the folk use of Nefang. This would be useful in its subsequent development for clinical application.
Keywords: Medicinal plants, Nefang, Pharmacological effects, Antipyretic, Anti-inflammatory, Antinociceptive
activities

Department of Periodontology/ Community and Preventive Dentistry, School of Dental Sciences, University of Nairobi, P.O. Box 19676 - 00202, Nairobi, Kenya. OBJECTIVE: To determine the influence of oral hygiene habits and practices on the risk of developing oral leukoplakia. DESIGN: Case control study. SETTING: Githongo sublocation in Meru District. SUBJECTS: Eighty five cases and 141 controls identified in a house-to-house screening. RESULTS: The relative risk (RR) of oral leukoplakia increased gradually across the various brushing frequencies from the reference RR of 1.0 in those who brushed three times a day, to 7.6 in the "don't brush" group. The trend of increase was statistically significant (X2 for Trend : p = 0.001). The use of chewing stick as compared to conventional tooth brush had no significant influence on RR of oral leukoplakia. Non-users of toothpastes had a significantly higher risk of oral leukoplakia than users (RR = 1.8; 95% confidence levels (CI) = 1.4-2.5). Among tobacco smokers, the RR increased from 4.6 in those who brushed to 7.3 in those who did not brush. Among non-smokers, the RR of oral leukoplakia in those who did not brush (1.8) compared to those who brushed was also statistically significant (95% CL = 1.6-3.8). CONCLUSION: Failure to brush teeth and none use of toothpastes are significantly associated with the development of oral leukoplakia, while the choice of brushing tools between conventional toothbrush and chewing stick is not. In addition, failure to brush teeth appeared to potentiate the effect of smoking tobacco in the development of oral leukoplakia. Recommendations: Oral health education, instruction and motivation for the improvement of oral hygiene habits and practices; and therefore oral hygiene status, should be among the strategies used in oral leukoplakia preventive and control programmes.

A methanol extract of syzygium guineense bark inhibited intrinsic contractions of rabbit isolated ileum. The inhibition, at bath concentrations of 0.5 - 2.0 mglml, was dose-related but non-linear. It produced sustained hypotension in anaesthetized rats. A dose of 5 ~g lowered systolic, diastolic and mean blood pressure by 16%, 22% and 17%, respectively below the pre¬drug levels. Maximum effect was obtained at a dose of 40 ~gwhen the systolic, diastolic and mean blood pressures fell by 23%,36% and 28%, respectively below the pre-drug levels. The greater fall in blood pressure was in diastolic than systolic blood pressure. The extract caused a weaker but similar effect to isoprenaline on rabbit isolated heart. While the effect on" rabbit isolated ileum supports tbe folkloric use of the plant as an antispasmodic, further work is required to confirm and categorize the observed pharmacological activities

RMI 61 140, RMI 61 144 and RMI 61 280 are newly synthetized N-[8-R-dibenzo(b,f)oxepin-10-yl]-N'-methyl-piperazine-maleates which show interesting psychopharmacologic effects. This work contains the results of a study performed with these three compounds, in order to demonstrate their neuropsycholeptic activity in comparison with chloropromazine (CPZ) and chlordiazepoxide (CPD). The inhibition of motility observed in mice shows that the compounds reduce the normal spontaneous motility as well as the muscle tone. The central-depressant activity is evidenced by increased barbiturate-induced sleep and a remarkable eyelid ptosis can also be observed. Our compounds do not show any activity on electroshock just as do CPZ and CPD. As to the antipsychotic outline, our compounds show strong reduction of lethality due to amphetamine in grouped mice and a strong antiapomorphine activity. They show also an antiaggressive effect and an inhibitory activity on avoidance behaviour much stronger than CPZ. We have also found extrapyramidal effects, as catalepsy, common to many tranquillizers of the kind of the standards used by us. As for vegetative phenomena, the compounds show hypotensive dose related action ranging from moderate to strong, probably due to an a-receptor inhibition. Adrenolytic activity against lethal doses of adrenaline, antiserotonin and antihistaminic effects, as well as other actions (hypothermia, analgesia, etc.) confirm that RMI 61 140, RMI 61 144 and RMI 61 280 are endowed with pharmacologic properties similar and more potent than those of CPZ. Studies on the metabolism of brain catecholamines show that they are similar to CPZ, although with less effect on dopamine level.

RMI 61 140, RMI 61 144 and RMI 61 280 are newly synthetized N-[8-R-dibenzo(b,f)oxepin-10-yl]-N'-methyl-piperazine-maleates which show interesting psychopharmacologic effects. This work contains the results of a study performed with these three compounds, in order to demonstrate their neuropsycholeptic activity in comparison with chloropromazine (CPZ) and chlordiazepoxide (CPD). The inhibition of motility observed in mice shows that the compounds reduce the normal spontaneous motility as well as the muscle tone. The central-depressant activity is evidenced by increased barbiturate-induced sleep and a remarkable eyelid ptosis can also be observed. Our compounds do not show any activity on electroshock just as do CPZ and CPD. As to the antipsychotic outline, our compounds show strong reduction of lethality due to amphetamine in grouped mice and a strong antiapomorphine activity. They show also an antiaggressive effect and an inhibitory activity on avoidance behaviour much stronger than CPZ. We have also found extrapyramidal effects, as catalepsy, common to many tranquillizers of the kind of the standards used by us. As for vegetative phenomena, the compounds show hypotensive dose related action ranging from moderate to strong, probably due to an a-receptor inhibition. Adrenolytic activity against lethal doses of adrenaline, antiserotonin and antihistaminic effects, as well as other actions (hypothermia, analgesia, etc.) confirm that RMI 61 140, RMI 61 144 and RMI 61 280 are endowed with pharmacologic properties similar and more potent than those of CPZ. Studies on the metabolism of brain catecholamines show that they are similar to CPZ, although with less effect on dopamine level.

Department of Periodontology/ Community and Preventive Dentistry, School of Dental Sciences, University of Nairobi, P.O. Box 19676 - 00202, Nairobi, Kenya. OBJECTIVE: To determine the influence of oral hygiene habits and practices on the risk of developing oral leukoplakia. DESIGN: Case control study. SETTING: Githongo sublocation in Meru District. SUBJECTS: Eighty five cases and 141 controls identified in a house-to-house screening. RESULTS: The relative risk (RR) of oral leukoplakia increased gradually across the various brushing frequencies from the reference RR of 1.0 in those who brushed three times a day, to 7.6 in the "don't brush" group. The trend of increase was statistically significant (X2 for Trend : p = 0.001). The use of chewing stick as compared to conventional tooth brush had no significant influence on RR of oral leukoplakia. Non-users of toothpastes had a significantly higher risk of oral leukoplakia than users (RR = 1.8; 95% confidence levels (CI) = 1.4-2.5). Among tobacco smokers, the RR increased from 4.6 in those who brushed to 7.3 in those who did not brush. Among non-smokers, the RR of oral leukoplakia in those who did not brush (1.8) compared to those who brushed was also statistically significant (95% CL = 1.6-3.8). CONCLUSION: Failure to brush teeth and none use of toothpastes are significantly associated with the development of oral leukoplakia, while the choice of brushing tools between conventional toothbrush and chewing stick is not. In addition, failure to brush teeth appeared to potentiate the effect of smoking tobacco in the development of oral leukoplakia. Recommendations: Oral health education, instruction and motivation for the improvement of oral hygiene habits and practices; and therefore oral hygiene status, should be among the strategies used in oral leukoplakia preventive and control programmes.

Sequential prime-boost or co-administration of HIV vaccine candidates based on an adjuvanted clade B p24, RT, Nef, p17 fusion protein (F4/AS01) plus a non-replicating adenovirus 35 expressing clade A Gag, RT, Int and Nef (Ad35-GRIN) may lead to a unique immune profile, inducing both strong T-cell and antibody responses.

Strategies to enhance the immunogenicity of DNA vaccines in humans include i) co-administration of molecular adjuvants, ii) intramuscular administration followed by in vivo electroporation (IM/EP) and/or iii) boosting with a different vaccine. Combining these strategies provided protection of macaques challenged with SIV; this clinical trial was designed to mimic the vaccine regimen in the SIV study.

Previous investigations indicate that methotrexate, an old anticancer drug, could be used at low doses to treat malaria. A phase I evaluation was conducted to assess the safety and pharmacokinetic profile of this drug in healthy adult male Kenyan volunteers.
METHODS:

Twenty five healthy adult volunteers were recruited and admitted to receive a 5 mg dose of methotrexate/day/5 days. Pharmacokinetics blood sampling was carried out at 2, 4, 6, 12 and 24 hours following each dose. Nausea, vomiting, oral ulcers and other adverse events were solicited during follow up of 42 days.
RESULTS:

The mean age of participants was 23.9 ± 3.3 years. Adherence to protocol was 100%. No grade 3 solicited adverse events were observed. However, one case of transiently elevated liver enzymes, and one serious adverse event (not related to the product) were reported. The maximum concentration (C(max)) was 160-200 nM and after 6 hours, the effective concentration (C(eff)) was <150 nM.
CONCLUSION:

Low-dose methotraxate had an acceptable safety profile. However, methotrexate blood levels did not reach the desirable C(eff) of 250-400-nM required to clear malaria infection in vivo. Further dose finding and safety studies are necessary to confirm suitability of this drug as an anti-malarial agent.

BACKGROUND:

Previous investigations indicate that methotrexate, an old anticancer drug, could be used at low doses to treat malaria. A phase I evaluation was conducted to assess the safety and pharmacokinetic profile of this drug in healthy adult male Kenyan volunteers.
METHODS:

Twenty five healthy adult volunteers were recruited and admitted to receive a 5 mg dose of methotrexate/day/5 days. Pharmacokinetics blood sampling was carried out at 2, 4, 6, 12 and 24 hours following each dose. Nausea, vomiting, oral ulcers and other adverse events were solicited during follow up of 42 days.
RESULTS:

The mean age of participants was 23.9 ± 3.3 years. Adherence to protocol was 100%. No grade 3 solicited adverse events were observed. However, one case of transiently elevated liver enzymes, and one serious adverse event (not related to the product) were reported. The maximum concentration (C(max)) was 160-200 nM and after 6 hours, the effective concentration (C(eff)) was <150 nM.
CONCLUSION:

Low-dose methotraxate had an acceptable safety profile. However, methotrexate blood levels did not reach the desirable C(eff) of 250-400-nM required to clear malaria infection in vivo. Further dose finding and safety studies are necessary to confirm suitability of this drug as an anti-malarial agent.

The use of liquid copper as a medium for zinc extraction has been used in the Warner Process as a method of processing zinc-lead sulphide ore. The recovery of zinc metal is based on the reaction: ZnS(s) + 2Cu(l) = Zn(g) + Cu2S(l) In this method, thermodynamic and phase equilibria investigations of the Cu2S-FeS-ZnS and Cu2S-PbS-ZnS systems are of importance and form the basis for the liquid sulphide phase which appears as a product and is used as a solvent in the Warner Process. Phase relations in the Cu2S-FeS-ZnS and Cu2S-PbS-ZnS ternary systems were determined experimentally at 1473°K to provide a fundamental basis for the new zinc smelting process. The results show that the solid solubility of ZnS in the two systems is very small (2 wt% to 3 wt% ZnS in FeS, 4 wt% ZnS in Cu2S for the Cu2S-FeS-ZnS system; less than 0.5 wt% ZnS in both PbS and Cu2S for the Cu2S-PbS-ZnS system). The Raoultian Activity Coefficient of ZnS in the liquid mixtures and the vapour pressure of zinc over the matte in both systems is relatively large (γ° = 7.7 - 15.8, Pzn(atm) = 0.088 - 1.026 for the Cu2S-FeS-ZnS system; γ° = 8.9 - 12.9, PZn(atm) = 0.075 - 0.214 for the Cu2S-PbS-ZnS system). On the FeS-ZnS join, the only phases detected are FeS and iron-rich sphalerite (Zn, Fe)S. The binary join mixture occurs at about 92 wt% FeS-8 wt% ZnS at 1473°K. Electron microprobe examination of the quenched samples indicate about 47 wt% to 48 wt% FeS in sphalerite and about 2 wt% to 3 wt% ZnS in the iron sulphide phase. On the Cu2S-ZnS join, microprobe analysis reveals that the maximum solubility is 4 wt% Zn in liquid Cu2S and 3.6 wt% Cu in solid ZnS. In the Cu2S-PbS-ZnS ternary system, microprobe analysis of the quenched samples indicate on average, 5 wt% ZnS in the liquid phase region. The only phases detected on the PbS- ZnS join are ZnS and PbS. The eutectic phase contains, on average, 13 wt% ZnS. The phase relationships, very low solid solubilities of zinc sulphide in the liquid mixtures of both Cu2S-FeS-ZnS and Cu2S-PbS-ZnS systems, coupled with the high Raoultian Activity Coefficient of ZnS as well as the high vapour pressure of zinc over matte all favour the partitioning of zinc metal into the vapour phase. This new process is cost effective and bypasses the expensive and tedious conventional technique of zinc production involving oxidation of the sulphide ore by roasting followed by a reduction process to extract the zinc. The results indicate that a new zinc smelting technology using the Warner Process would be more efficient and preferable over the traditional methods of zinc extraction.

An attempt is made to obtain a correspondence between the classical mechanics and the Wigner-type quantum mechanics by analyzing a particular solution to the quasiprobability operator equation. We have applied this solution to yield ground state energies in the case of an equilibrium distribution which is a limit ofa quantum distribution with the time coordinate tending to infinity. The presence of an arbitrary parameter in our solution is now explicitly fixed by the ground state energy that must be reflected in the solution to the generalized Fokker-Planck equation. An appropriate choice ofboundary conditions dictated by the quantum constraints now guarantee a unique solution to the equation of motion.

One of the common euphemisms today is: “Religion is inherently violent, the cause of all major wars in history”. The interlocutors accuse religion without remembering that the last two world wars were fought not on account of religion, but, because of other interrelated social, material and ideological factors, the chief of which being competition for scarce resources. Yet, when the observers cite the Crusades, the Inquisition and wars of religion of the 16th and 17th centuries, not to mention the recent spate of terrorism committed in the name of religion, it is hard to belittle euphemism. Like religion, terrorism is difficult to define. Generally, however, it is a deliberate use of violence or threat of its use against innocent people, with the aim of intimidating them specifically or others into a course of action they could not otherwise take. Terrorism is fundamentally political, even when other motives-religious, economic or social are involved. It is about power, acquiring it or keeping it. This is probably why, the discussion of apparent tension between Christians and Muslims here in Kenya can hardly be discussed without due consideration of the role of Al Shabaab and Al Qaeda. The association of Islam with terrorism in the recent past first came to global attention with the assassination of Anwar Sadat in Cairo, the then president of Egypt. This wave of violence claiming religious justification became more rampant in the 1980’s finally culminating in the atrocity of September 11, 2001, in New York. Here in Kenya, there have been attacks against public institutions, bus stops and markets; an action of hostility which threatens amicable relationship between the two religions. This is why; critics of religion acknowledge that monotheism is prone to violence and intolerance. If however, there is one thing we can reliably predict about this century, it is that, an increasing share of Kenya’s people is going to identify with either Christianity or Islam. And, examples of disastrous accounts of conflict can hardly enhance amicable coherence even if done in the name of religion. To meet the challenges of our time and create a desirable Kenyan society, we need to accurately assess our religious affiliations. It is not enough to assume the nature of these two Abrahamic religious traditions and their roles in Kenya. The central question this paper asks and attempts to answer is: If religion can be used as an instrument of destruction, how come it has continued to survive as the most influential social phenomenon? To facilitate our discussion the paper adopts theories of Emile Durkheim and Myerson to explain the functional relationship between religion and violence; and cultural interpretation of violence. The paper therefore, examines the following three objectives:

Ambivalent nature of religion,
Existential justification for hermeneutic of suspicion and,
Abrahamic tradition: A basis for interfaith dialogue.
Keywords: terrorism, violence, religion, dialogue, suspicion, tradition and exegesis.

Abstract
Although CD8+ T cells play an important role in the containment of adult HIV-1 replication, their role in infant HIV-1
infection is not as well understood. Impaired HIV-specific CD8+ T cell responses may underlie the persistently high viral loads
observed in infants. We examined the frequency and phenotype of infant HIV-specific CD8+ T cells in 7 HIV-infected
antiretroviral therapy-naı¨ve infants during the first 2 years of life, using class I HLA tetramers and IFN-c-ELISPOT. The
frequency (0.088–3.9% of CD3+CD8+ cells) and phenotype (CD27+CD282, CD45RA+/2, CD57+/2, HLA-DR+, CD95+) of infant
HIV-specific CD8+ T cells were similar to reports in adults undergoing early infection. Unlike adults, at 23–24 months postinfection
a high frequency of HIV-specific CD8+ T cells expressed HLA-DR (mean 80%, range 68–85%) and CD95 (mean 88%,
range 79–96%), suggesting sustained activation and vulnerability to apoptosis. Despite comparable expansion of HIVspecific
CD8+ T cells of a similar phenotype to adults during early infection, infant T cells failed to contain HIV-1 replication,
and remained persistently activated and vulnerable to apoptosis during chronic infection.

Some children with malaria and convulsions also have concurrent bacterial meningitis. Chloramphenicol is used to treat the latter whereas phenytoin is used for convulsions. Since chloramphenicol inhibits the metabolism of phenytoin in vivo, we studied the effects of chloramphenicol on phenytoin pharmacokinetics in children with malaria. METHODS: Multiple intravenous (i.v.) doses of chloramphenicol succinate (CAP) (25 mg kg-1 6 hourly for 72 h) and a single intramuscular (i.m.) seizure prophylactic dose of fosphenytoin (18 mg kg-1 phenytoin sodium equivalents) were concomitantly administered to 15 African children with malaria. Control children (n = 13) with malaria received a similar dose of fosphenytoin and multiple i.v. doses (25 mg kg-1 8 hourly for 72 h) of cefotaxime (CEF). Blood pressure, heart rate, respiratory rate, oxygen saturation, level of consciousness and convulsion episodes were monitored. Cerebrospinal fluid (CSF) and plasma phenytoin concentrations were determined. RESULTS: The area under the plasma unbound phenytoin concentration-time curve (AUC(0, infinity ); means (CAP, CEF): 58.5, 47.6 micro g ml-1 h; 95% CI for difference between means: -35.0, 11.4), the peak unbound phenytoin concentrations (Cmax; medians: 1.12, 1.29 micro g ml-1; 95% CI: -0.5, 0.04), the times to Cmax (tmax; medians: 4.0, 4.0 h; 95% CI: -2.0, 3.7), the CSF:plasma phenytoin ratios (means: 0.21, 0.22; 95% CI: -0.8, 0.10), the fraction of phenytoin unbound (means: 0.06, 0.09; 95% CI: -0.01, 0.07) and the cardiovascular parameters were not significantly different between CAP and CEF groups. However, mean terminal elimination half-life (t1/2,z) was significantly longer (23.7, 15.5 h; 95% CI: 1.71, 14.98) in the CAP group compared with the CEF group. Seventy per cent of the children had no convulsions during the study period. CONCLUSIONS: Concomitant administration of chloramphenicol and a single i.m. dose of fosphenytoin alters the t1/2,z but not the other pharmacokinetic parameters or clinical effects of phenytoin in African children with severe malaria. Moreover, a single i.m. dose of fosphenytoin provides anticonvulsant prophylaxis in the majority of the children over 72 h. However, a larger study would be needed to investigate the effect of concomitant administration of multiple doses of the two drugs in this population of patients.

This is a case presentation of a 32 year old woman with pheochromocytoma diagnosed at 27 weeks of gestation, she was managed till term, induced and had assisted vaginal delivery. The pheochromocytoma was surgically re-sected successfully at six weeks postpartum.

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