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N PROFNZOMODAUDI. ""The Socio-Economic Consequences of Kenya's Changed Formal Education Structure. A synoptic review of Kenya's Education policy and structural change to the current 8-4-4 structure: high-lighting the socio-economic consequences.". In: The Kenya Economic Association, Nairobi, (25 pages). RIVERBRROKS COMMUNICATIONS; 1984. Abstract
Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)
N PROFMUNGAIDAVID. "Mungai, D.N. and Muturi, H.R., 1988. The effects on agroclimatic zones and agricultural production. Part II (pp. 175-190), In: Parry, M.L., Carter, T.R. and Konijn, N.T. (Eds.) 1988. The Impact of Climatic Variations on Agriculture, Vol. 2: Assessments in.". In: Kluwer Academic Publishers, Dordrecht etc. ISBN 90-277-271-8 (Vol.2). EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 1988. Abstract

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.

N PROFLULEGODFREY. "Karuru JW, Lule GN, Joshi M, Anzala O.Prevalence of HCV and HIV/HCV co-infection among volunteer blood donors and VCT clients.East Afr Med J. 2005 Apr;82(4):166-9.". In: East Afr Med J. 2005 Apr;82(4):166-9. test; 2005. Abstract

OBJECTIVE: To determine the prevalence of HCV infection and HCV/HIV co-infection among voluntary blood donors at the National Blood Transfusion Centre and clients at the Kenyatta National Hospital HIV-Voluntary Counseling and Testing (VCT) Centre. DESIGN: A prospective cross-sectional descriptive study. SETTING: Kenyatta National Hospital, a tertiary referral and teaching hospital and the National Blood Transfusion Services Centre, Nairobi. SUBJECTS: Volunteer blood donors and VCT attendants. RESULTS: The prevalence of HCV/HIV co-infection among 6154 blood donors in the NBTSC was very low, at 0.02. The HIV prevalence among the 353 KNH HIV-VCT clients was 9.3%, none of the clients tested positive for HCV. The incidence of risk factors in the persons with HCV and/or HIV infection(s) was low. CONCLUSION: The prevalence of HCV infection among pre-screened volunteer blood donors was low. However the current practice of screening all donated blood for HCV remains indispensable to prevent its transmission to blood recipients.

N PROFNYAGAP. "S.M. Mbiuki, G.M. Mugera and P.N. Nyaga. Intestinal anastomosis in cattle: Comparison of appositional techniques.". In: Proceedings of 14th World Congress on diseases of cattle (1986): 20. au-ibar; 1986. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N MRSKIMONYEMARYW. "National Council of Women of Kenya/USAID Brochures on.". In: (An article in National Council of Women of Kenya). ELOQUENT BOOKS NY, Strategic Book Group, Connecticut, USA. ISBN-978-1-60911-081-9.Pages1; 1999. Abstract

Macrophytes have been shown to perform important ecological roles in Lake Naivasha. Consequently, various studies regarding the impact of biotic factors on the macrophytes have been advanced but related studies on environmental parameters have lagged behind. In an attempt to address this gap, sampling on floating species and submergents was carried out in eight sampling sites in 2003 to investigate how they were influenced by a set of environmental factors. Soil texture (sandy sediments; P < 0.05, regression coefficient = - 0.749) and wind were the most important environmental parameters influencing the distribution and abundance of floating macrophytes. Combination of soil texture and lake-bed slope explained the most (86.3%) variation encountered in the submergents. Continuous translocation of the floating dominant water hyacinth to the western parts by wind has led to displacement of the submergents from those areas. In view of these findings, the maintenance and preservation of the steep Crescent Lake basin whose substratum is dominated by sand thus hosting most submergents remain important, if the whole functional purpose of the macrophytes is to be sustained.

N PROFLULEGODFREY. "Lule GN, Okoth F, Ogutu EO, Mwai SJ. HBV markers (HBsAg, HBSAb, HBCAb in 160 medical students at Kenyatta National Hospital. East Afr Med J. 1989 May;66(5):315-8.". In: East Afr Med J. 1989 May;66(5):315-8. test; 1989. Abstract

In an exercise to study the immunogenicity and reactogenicity of the Engerix B vaccine, 160 medical students were screened for Hepatitis B Markers (HBsAg, HBsAb and HBcAb) with a view to vaccinating those that were negative. 18% were HBsAg + ve, 33% were HBsAb + ve and 38% were positive for the HBcAb. These figures were extremely high and obviated the need to vaccinate the students as they begin their clinical years.

N PROFNYAGAP. "Mary, G. Binta, P.N. Nyaga, M. Valland and J.G. Tjaberg. Observations on some characteristics and Vibrio parahaemolyticus isolated from shell fish in Kenya. Bull. Anim. Hlth. Prod. Afric. Vol. 29 (2), 1981:187-192.". In: Proceedings: 10th Convention, Indian Society for Veterinary Surgery, Nov. 1986. au-ibar; 1981. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N PROFOGOLAELIJAHS, OTIENO PROFOGUTUELLY. "Ogola EN, Yonga GO.Comparative study of the efficacy and tolerability of hydroflumethiazide versus propranolol in Africans with mild to moderate hypertension.East Afr Med J. 1993 May;70(5):277-9.". In: East Afr Med J. 1993 May;70(5):277-9. Kisipan, M.L.; 1993. Abstract

Sixty patients with Diastolic Blood Pressure (DBP) of 100-110mmHg matched for age, sex and Bp levels were randomly assigned to propranolol 80mg daily or Hydroflumethiazide (HFM) 50mg daily. HFM causes a significant reduction in systolic blood pressure (SBP) and DBP within 4 weeks compared both with baseline and propranolol (SBP 143.7 +/- 12.3 vs 158.1 +/- 10.9mmHg, P < 0.05; DBP 92.0 +/- 4.5 vs 102.4 +/- 5.1mmHg, P < 0.05), (SBP 143.7 +/- 12.2 vs 152 +/- 11.0mmHg P < 0.05; DBP 92.0 +/- 4.5 vs 101.1 +/- 6.1mmHg, P < 0.05), respectively. Propranolol produced no significant difference from the baseline at 4 weeks (SBP 152.0 +/- H.0 vs 154.1 +/- 11.5mmHg NS; DBP 101.1 +/- 6.1 vs 102.2 +/- 5.6mmHg, NS). Reduction in BP by HFM was maintained after 8 and 12 weeks with further reduction but which did not achieve statistical significance. Increased dose of propranolol (160mg daily) after 4 weeks caused significant reduction in BP by 8 week (SBP 146.8 +/- 11.8 vs 152.0 +/- 11.0mmHg, P < 0.05; DBP 95.9 +/- 4.4 vs 101.1 +/- 6.1mmHg P < 0.05), which was maintained upto 12 weeks. The values however remained higher than in the HFM group. More patients in the HFM group achieved target BP (< 140/90), SBP 53.8% vs 29.6% P < 0.05, DBP 69.2% vs 14.8% P < 0.01. Incidence of side effects was similar and will be discussed. Thiazides are superior to B'blockers as initial monotherapy in black hypertensives.

N PROFKANYARIPAULW. "P.W.N.KANYARI (1985). "Studies in goat coccidiosis: Effects of corticosteroids on natural and experimental infections". Australian Society for Parasitologists.". In: Congress of Parasitology (ICOPA), University of Queensland, Brisbane, Australia. August 24th - 29th 1986. Korean Society of Crop Science and Springer; 1985. Abstract
Eimeria christenseni and Eimeria arloingi were used separately to infect one month-old goat kids which were then killed 34 days post-infection. Their small intestines contained small nodular lesions made of several endogenous stages mainly macrogametocytes and macrogametes. Electron microscope studies of macrogametocytes revealed a prominent central nucleus and nucleolus. Other cellular components were mitochondria, wall forming bodies(WFB) type 1( homogenous) and type 2(reticular). Polysaccharide granules of E.christenseni had a chain like arrangement in the young cells, and increased dramatically with maturation of the macrogemetes to become the main cytoplasmic component along with the WFB. Type 1 WFB were peripheral while type 2 were more central but in E.christeseni macrogametes, some type 2 WFB appeared to give rise to membranous vesicles at the areas of wall formation.. The macrogamete nucleus was small and usually indented with polysaccharide granules and reticular bodies, named nuclear derived bodies(NBD), arising from the perinuclear regions. Within the periparasitic areas of both species, membranous/dark bodies were seen. E. arloingi had a large and well defined parasitophorous vacuole(PV), within which an inner lighter, and outer layer with dark granules were found. Both species had some poorly developed intravacuolar tubes(IVT), which occurred at certain points in the case of E.arloingi, while in E.christenseni, they had a diffuse distribution
N PROFGUANTAIA. "Establishment of a biobank and pharmacogenetics database of African populations.Matimba A, Oluka MN, Ebeshi BU, Sayi J, Bolaji OO, Guantai AN, Masimirembwa CM.Eur J Hum Genet. 2008 Jul;16(7):780-3. Epub 2008 Apr 2.". In: Eur J Hum Genet. 2008 Jul;16(7):780-3. Epub 2008 Apr 2. FA Okalebol , L Wiesner, AN Guantai, K Chibale, P Smith; 2008. Abstract

The natural product curcumin has a wide range of useful biological effects. However its use in humans is limited due to its short half-life, rapid metabolism and poor oral bioavailability. It is metabolized by sequential reduction of carbon-carbon double two carbonyl groups. To overcome these limitations, a hydrazide derivative of curcumin was synthesized to improve its water solubility and reduce its rate of metabolism. The objective of study was, therefore, to develop a method for the analysis of hydrazinocureumin in murinc blood. This method will be eventually used to evaluate the pharmokinetic profile of hydrazinocurcumin in mice. Method: LC/MS/MS was selected as the analytic method because its high sensitivity allowed for sampling of small volumes of blood from mice. The optimal chromatographic and mass spectrometry conditions were determined by trial arid error. The column performance was monitored by measuring retention time, peak symmetry factor. A calibration curve was generated by using standard solutions with concentrations ranging from 0.78 - 10 rig/ml. The method was validated by determining the recovery, limit of detection, accuracy, linearity and intraday precision. The optimal method for extracting hydrazinocurcumin from biological fluids was determined by spiking human blood and plasma and extraction was done by solvent extraction from a spotted filter paper and liquid-liquid extraction. Instrumentation: The samples were assayed using an Agilent LC/MS/MS 3200Q Trap system (1100 series, USA) in the positive ionization mode. HPLC separation was done using an Agilent 1200 system (Agilent Technologies, Japan) interfaced with the MS/MS system. Ionization was done by electron spray ionization with a collision energy was 33eV. Chromatograms were integrated using Analyst version 1.4 software. Weighted linear regression was used to generate calibration curves from standard solutions. Results: The optimal conditions for HPLC separation was a mobile phase of 0.1% formic acid in acetonitrile: acetonitrile (1:1) with an isocratic flow rate of 0.3m1/minute and run time of 2 minutes. The analytical column was a 50 by 2.0 mm Pheromex C18 column with a particle size of 5 microns. The injection volume was 1 Out The hydrazinocurcumin formed molecular ion at M+H+ m/z 365.2 and two metastable ions at m/z 351 and m/z. 349.2. The transition monitored was m/z 365.2 to 349.2 at unit resolution and a dwelling time of 150 milliseconds. The retention time was 1.11 minutes. The optimal method of extraction was liquid-liquid extraction using 250 ul of ethyl acetate from 10 ul of whole blood in 50 ul of buffer at pH 10. The filter paper method of extraction was found to give erratic results. The calibration curve was linear over the concentration range of 10n/m1 to 0.5 ng/ml of hydrazinocurmin in whole human blood. Conclusion: The precision, accuracy, recovery and applicability were found to be adequate for pharmacokinetic studies in mice.

N PROFKANYARIPAULW. "NG.". In: East Africa regional conference, The Nile Hotel Kampala, Uganda. Korean Society of Crop Science and Springer; 2004. Abstract
Ostriches of various ages, unhatched embryos and chicks found to have oedema during post-mortem examination are described here. Unhatched eggs and chicks originated from a commercial farm, where there was a complaint of poor hatchability of eggs and high chick mortality. Of 35 embryos examined, 29(82.9%) had severe subcutaneous oedema either generalized (23) or localized(6). Of 311 chicks, 232(74.6%) had oedema of varying degrees of severity. In 10 chicks, the oedema was subcutaneous and severe, in 5 it was only serous effusions in body cavities and in 217, it was manifested as wetness of subcutaneous tissues. Adult and juvenile ostriches originated from three farms, where they were kept as pets. Of 22 birds, 16(72.7%0 developed a general sickness and 10(62.3%) of them died. Post-mortem examination revealed emaciation and either subcutaneous oedema or serous effusion in body cavities. Additional lesions included combinations of steatites, haemorrhages and pneumonia. The sick birds responded to improved diets that were also supplemented with multivitamins and minerals.
N DRKANGETHERACHEL. "Njenga, F.G., Kang.". In: East African Medical Journal. June. Vol.80 No.6, 281. Journal of School of Continuous and Distance Education ; 2003. Abstract
Kamau RK, Osoti AO, Njuguna EM. Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, P.O. Box 1%76-00202, Nairobi, Kenya. BACKGROUND: Cancer of the uterine cervix is the most common female cancer in Kenya. Despite being preventable, it is often diagnosed when it is already late. For this reason, only palliative therapy is provided. Hence, it is expected that their daily routines and that of their caregivers are severely disrupted. OBJECTIVES: To determine the extent to which diagnosis and treatment of inoperable cervical carcinoma affects quality of life (QOL). DESIGN: Cross-sectional descriptive study. Setting Radiotherapy Department at the Kenyatta National Hospital. SUBJECTS: Women undergoing radiotherapy for inoperable cervical cancer. RESULTS: There is high prevalence of profound disruptions in nearly all domains of QOL. In the social domain, between 33% and 44% had the perception that family members and friends had withdrawn social support. Reduction in various economic facets was reported by 47.4%-52.6%, with 44.7% reporting a fall in the overall living standards. There were significant changes in the sexual domain, as a result in which 28.3% reported marital discordance. In the personality domain, decreased self-esteem and self-projection in life occurred in 30.9% and 36.2% respectively. On functional outcomes (EORTC QLQ-C30), only 32%-41% reported not being affected in the various facets of emotional function. Physical functions were affected in 19%-79%, role functions in 69%-75%; symptoms in 49%-80%; cognitive functions in 46%-56%; social functions in 63%-71% and financial aspects by 63%. On global QOL, 53% and 47% respectively reported high level disruption in overall physical health and overall QOL. CONCLUSION: Severe deterioration of QOL occurs as a result of diagnosis of inoperable cervical cancer and subsequent therapies. For this reason there is need to establish severe disease and end-of-life research and management services that would ensure better coping with cancer for patients and for home-based caregivers. PMID: 17633581 [PubMed - indexed for MEDLINE]
N PROFMUTHAMAJOHN. "Muthama, N. J. Modelling Ultraviolet radiation using Dobson ozone spectrophotometer.". In: Proceedings of the quadrennial ozone symposium, Sapporo, July 2000. Eastern and South African Journal; 2000. Abstract
The  study found out that Masinga Dam has adversely affected the public health in the communities around the dam. malaria was the most prevalent ailment followed by typhoid fever. Bilharzia has also increased since the dam was constructed.
N DRNYANGERIEZEKIELE. "Nyangeri,E.N. (2003). Performance of EcoSanitary Toilets in Kenya. First International Dry Toilet Conference. University of Tampere, Tampere .". In: Journal of Civil Engineering, Jomo Kenyatta University of Agriculture and Technology. African Wildlife Foundation. Nairobi; 2003. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.
N PROFKAMAUGEOFREY. "Determination of fluoride in different toothpaste formulations", Kenya J.". In: Sciences series A., 11 (1), 133. Survey Review; 1998. Abstract
Ground Flowers of Matricaria Recutita (German Chamomile) Banat Variety grown in Kenya, were subjected to Clevenger distillation under varying temperature, distillation, pressure conditions and the yields assessed. An inert solvent being present in the collecting column of the Clevenger apparatus increases the yield of the oil by reducing dispersion of the blue oil; its presence however, in the distillation flask inhibits the production of the essential oil. Distillation under reduced pressure leads to a decrease in the yield of the oil produced. A break in distillation time especially during the first three hours of distillation also leads to a decrease in the yield of the oil produced.
N PROFGUANTAIA. "Comparative Examination of Two Zanthoxylum Benzophenanthridine Alkaloids for Cardiovascular Effects in Rabbits.". In: EAST AND CENTRAL AFRICAN JOURNAL OF PHARMACEUTICAL SCIENCES - VOL. 1. Ivan Addae-Mensah,t Rahab Munenge and Anastasia N. Guantai; 1989. Abstract

Cardiovascular activities of nitidine chloride from Zanthoxylunt chalybeum have been compared with those of 9-methoxychelerythrine. Whereas nitidinc chloride was found to show significant hypotensive activity in rabbits, 9-methoxychelerythrine chloride showed no hypotensive activity. The effect of nitidine chloride on isolated rabbit heart was also compared with those of adrenaline and acetylcholine. 9-Methoxychelerythrine, which has hitherto been regarded as an artefact formed by recrystallization of chelerythrine base from methanol, has been shown in this work to be a true natural constituent of Zanthoxylum chalybeum. Keywords: 9-inethoxychelerythrine; nitidine chloride; cardiovascular properties; hypotensive effect; Zanthoxylum chalybeum.

N PROFKANYARIPAULW. "P.W.N. KANYARI, et. al. ( 2001). Cryptosporidiosis: Transplacental Transmission in Immunosuppressed mice and Possible Relation to AIDS in Humans.". In: The 18th International Conference of the World Association for the Advancement of Veterinary Parasitology [WAAVP], 26th - 30th August , Stresa, Italy. Korean Society of Crop Science and Springer; 2001. Abstract
Ostriches of various ages, unhatched embryos and chicks found to have oedema during post-mortem examination are described here. Unhatched eggs and chicks originated from a commercial farm, where there was a complaint of poor hatchability of eggs and high chick mortality. Of 35 embryos examined, 29(82.9%) had severe subcutaneous oedema either generalized (23) or localized(6). Of 311 chicks, 232(74.6%) had oedema of varying degrees of severity. In 10 chicks, the oedema was subcutaneous and severe, in 5 it was only serous effusions in body cavities and in 217, it was manifested as wetness of subcutaneous tissues. Adult and juvenile ostriches originated from three farms, where they were kept as pets. Of 22 birds, 16(72.7%0 developed a general sickness and 10(62.3%) of them died. Post-mortem examination revealed emaciation and either subcutaneous oedema or serous effusion in body cavities. Additional lesions included combinations of steatites, haemorrhages and pneumonia. The sick birds responded to improved diets that were also supplemented with multivitamins and minerals.
N MRMAINGIELIUD. "The prevalence of anthelmintic resistance in sheep in three districts of Kenya. Bulletin of Animal 8 Health and Production in Africa 39 (4): 423-428.". In: Tidsskrift for Dansk Fareavl (Danish Sheep Breeders Journal) 60: 19-20. Kisipan, M.L.; 1991. Abstract

Isolated mouse interstitial cells were incubated with different concentrations of khat (Catha edulis) extract (0.06 mg/ml, 0.6 mg/ml. 6 mg/ml. 30 mg/ml and 60 mg/ml) and cell viability as well as testosterone concentration measured at 30 min intervals over a 3 h incubation period. High concentrations of khat extract (30 mg/ml and 60 mg/ml) significantly inhibited testosterone production while low concentrations (0.06 mg/ml. 0.6 mg/ml and 6 mg/ml) significantly stimulated (P < 0.05) testosterone production by mouse interstitial cells. Similarly, at concentrations of 30 mg/ml and 60 mg/ml, there was a significant decrease in interstitial cell viability, whereas at 0.06 mg/ml, 0.6 mg/ml and 6 mg/ml there was no significant decrease. There was only a weak correlation (r= 0.39) between testosterone production and viable interstitial cells. We postulate that khat extract at high concentrations may cause reproductive function impairment in the user but at low concentrations. may enhance testosterone production with accompanying effects on reproductive functions in male mice. @2006 Publishedby Elsevier Ireland Ltd. Kel'lVords: In dtro; Khat; Testosterone; Interstitial cells; Mouse

N PROFMUTHAMAJOHN. "Siani, A.M., N. J. Muthama and S. Palmieri: Monitoring of total ozone using Brewer spectrophotometers in Italy, Bollettino Geofisico, Anno XV, N.5.". In: Proceedings of the International Conference on Applications of Time Series analysis in Astronomy and Meteorology, University of Padova Italy, September 6-10, 1993. Eastern and South African Journal; 1992. Abstract
The  study found out that Masinga Dam has adversely affected the public health in the communities around the dam. malaria was the most prevalent ailment followed by typhoid fever. Bilharzia has also increased since the dam was constructed.
N DRNYANGERIEZEKIELE. "Nyangeri, E.N. 1994. Rehabilitation of Hand-dug Wells and Protected Springs. Journal of Water SRT-Aqua. Vol. 43, No.5. pp233-237.". In: Journal of Water SRT-Aqua. Vol. 43, No.5. pp233-237. African Wildlife Foundation. Nairobi; 1994. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.
N PROFNZOMODAUDI. ""The Great Debate - Cash or Accruals? This article discusses Business Income measured on Cash Basis Accounting. The Accountant:.". In: Journal of the Institute of Certified Public Accountants of Kenya.(pages 10-24).; Submitted. Abstract

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N PROFKAMAUGEOFREY. "Levels of Mercury in water, fish, sediments and blood samples from different regions of Kenya", J. Biochemiphysics, 1, 9.". In: Proceedings of the KMRI/KETRI annual Medical Scientific Conference, Nairobi, Kenya 1993. Survey Review; 1991. Abstract
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N PROFNZOMODAUDI. """Accounting Standards and the Kenya Institute o Certified Public Accountants." by J.D.Newton and N.D. Nzomo. This paper reviews briefly the status and development of Accounting Standards in several major countries of the world as background for standard .". In: The Accountant, Journal of the Institute of Certified Public Accountants of Kenya, (pages 16-19. RIVERBRROKS COMMUNICATIONS; Submitted. Abstract
No abstract available
N PROFKANYARIPAULW. "J.A. OMEGA , P.W.N. KANYARI and others (1997). Enzyme-Linked Immunosorbent Assay (ELISA) for the detection of circulating Fasciola gigantica antigens in sera of experimentally infected sheep.". In: 6th Annual Seminar of the DANIDA Funded Ruminant Helminth Research Project. 27th -31st January. ILRI, Kenya. Korean Society of Crop Science and Springer; 1997. Abstract
Twelve Red Masai and 12 Dorper sheep aged between 6 and 9 months, were acquired from a fluke-free area and sheep of each breed divided into two equal groups of six. Each animal in one group of each breed was experimentally infected with 400 viable metacercariae of Fasciola gigantica. The other groups acted as uninfected controls. Blood samples were taken at weekly intervals for the determination of serum bilirubin, albumin and gamma glutamyl transferase levels. Following the establishment of infection, albumin levels declined in both breeds of infected animals without any significant difference between the two breeds. However, serum bilirubin and gamma glutamyl transferase (GGT) in the infected animals were elevated significantly more in the Dorper than in the Red Masai sheep. Based on these findings, it would appear that Dorper sheep are more susceptible to the infection than Red Masai sheep. Keywords: Dorper, Fasciola gigantica, Red Masai, serum biochemical changes
N PROFWEREFREDRICK. "Hyponatraemia in very low birth weight infants. East Afr. Med. J. 79:120, 2002. D.N. Ndwiga, F.N. Were, R.N. Musoke.". In: East Afr Med J. 2002 Mar;79(3):120-3. F.N. kamau, G. N Thothi and I.O Kibwage; 2002. Abstract
{ Department of Paediatrics and Child Health, College of Health Sciences, University of Nairobi, Kenya. BACKGROUND: Infants less than 1500 grams at birth have been demonstrated to be particularly prone to development of low levels of serum sodium often leading to increased early neonatal morbidity and mortality. No local study has been done to quantify this problem among sick newborns. Studies elsewhere demonstrate a high incidence of hyponatraemia among such preterms. OBJECTIVE: To evaluate the influence of infant early neonatal morbidity on serum sodium levels and justify regular monitoring and supplementation. DESIGN: Comparative cohort study. SETTING: Newborn Unit, Kenyatta National Hospital, Nairobi. SUBJECTS: Fifty six very low birth weight (1000-1500 grams at birth) infants during their first week of life. Half of them were designated as cases in view of having various early neonatal illnesses. The remaining 28 being clinically stable were taken as controls. These two groups had comparable birthweights, sex distribution and gestational ages. Their sodium intakes were also similar during the first week of life. RESULTS: The sick infants (cases) had persistently low serum sodium (mean of 120 mmols/L) throughout the first week while among the healthy infants (controls) a sequential increase from 127 to 133 mmol/l, (mean values) was observed during the same period. The difference registered on day seven (133 versus 120) was statistically significant (p = 0.02). Using a cut off point of 130 mmol/L to define hyponatraemia the proportion of infants with hyponatraemia, which was similar at the beginning became higher among the cases for the rest of the week with the largest disparity observed on the seventh day (75% versus 23%
N PROFLULEGODFREY, OTIENO PROFOGUTUELLY. "Ogutu EO, Lule GN, Okoth FN, Were BO. The pattern of chronic gastric ulcer at Kenyatta National Hospital (K.N.H.). East Afr Med J. 1989 Jan;66(1):10-4.". In: East Afr Med J. 1989 Jan;66(1):10-4. Journal of British Ceramic Transactions, 99 [5], 206-211.; 1989. Abstract
Thirty consecutive patients with gastric ulcer diagnosed during upper gastrointestinal fibreoptic panendoscopy at both Kenya Medical Research Institute and Kenyatta National Hospital endoscopy rooms were studied. The male/female ratio was 5:1 with a peak prevalence in the 6th decade. 76.6% of the patients were from the Kikuyu ethnic group. Smoking habit was found in only 50% of patients with gastric ulcers. There were a total of 32 gastric ulcers in 30 patients. 84.4% of these were at the incisura angularis. All the incisural ulcers were benign. Two (6.25%) of the 32 ulcers were malignant (one at the cardia and the other at the antrum). Gastric ulcers whose diameter were greater than 30 mm had a higher tendency of being malignant. Five patients (16.7%) had both gastric (4 benign and 1 malignant) and duodenal ulcers while 4 (13.3%) patients had both gastric and pyloric ring ulcers. Apparent healing of a gastric ulcer while on an H2-antagonist does not totally exclude malignancy. Upper gastrointestinal bleed which was present in 53.3% of cases was the most frequent complication.
N PROFKAMAUGEOFREY. "Cold solvent extraction and physico-chemical study of Avocado oil," J. Biochemiphysics, 2, 75.". In: Submitted, East Africa Medical Journal. Survey Review; 1993. Abstract
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N PROFNZOMODAUDI. ""Accountancy - The Making of Professional Accountants." Part II, by J.D. Newtron ad N.D. Nzomo. This article continues the analysis and discussions started in Part 1 above.It presents data on citizenship, age, education and projects into the future of the.". In: Journal of the Kenya Institute of Management, (pages 24-25). RIVERBRROKS COMMUNICATIONS; Submitted. Abstract
Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)
N DRGITHANGAJESSIE. "Ameyaw MM, Regateiro F, Li T, Liu X, Tariq M, Mobarek A, Thornton N, Folayan GO, Githang'a J, Indalo A, Ofori-Adjei D, Price-Evans DA, McLeod HL..MDR1 pharmacogenetics: frequency of the C3435T mutation in exon 26 is significantly influenced by ethnicity. .". In: Pharmacogenetics. 2001 Apr;11(3):217-21. Douglas McLean Publishing; 2001. Abstract
P-glycoprotein (PGP), the product of the multidrug resistance gene (MDR1), acts as an energy-dependent efflux pump that exports its substrates out of the cell. PGP expression is an important factor regulating absorption of a wide variety of medications. It has also been associated with intrinsic and acquired cross resistance to a number of structurally unrelated anticancer drugs. A single nucleotide polymorphism (SNP) in exon 26 of the MDR1 gene, C3435T, was recently correlated with PGP protein levels and substrate uptake. Individuals homozygous for the T allele have more than four-fold lower PGP expression compared with CC individuals. As overexpression of PGP has been associated with altered drug absorption, therapy-resistant malignancies, and lower concentrations of HIV-1 protease inhibitors, this SNP may provide a useful approach to individualize therapy. To facilitate clinical application throughout the world, 1280 subjects from 10 different ethnic groups were evaluated for this SNP using the polymerase chain reaction-restriction fragment length polymorphism assay and the genotype and allele frequency for each group were ascertained. Marked differences in genotype and allele frequency were apparent between the African populations and the Caucasian/Asian populations (P < 0.0001). The Ghanaian, Kenyan, African American and Sudanese populations studied had frequencies of 83%, 83%, 84% and 73%, respectively, for the C allele. The British Caucasian, Portuguese, South-west Asian, Chinese, Filipino and Saudi populations had lower frequencies of the C allele compared to the African group (48%, 43%, 34%, 53%, 59%, and 55%, respectively). The high frequency of the C allele in the African group implies overexpression of PGP and may have important therapeutic and prognostic implications for use of PGP dependent drugs in individuals of African origin. PMID: 11337937 [PubMed - indexed for MEDLINE]
N DRKIMANIJOHN. "Temperature Dependence of the Thermal Conductivity of Grog Modified Kenyan Kaolinte Refractory.". In: Africa Journal of Science and Technology, Series A, 5(1), 6-14. EAMJ; 2004. Abstract
A cross sectional study of 115 patients admitted at the Department of Orthopedics, Kenyatta National Hospital, Nairobi, Kenya was carried out to determine the prevalence and antibiotic susceptibility of Staphylococcus aureus isolated from infected wounds. The prevalence of Staphylococcus aureus was 33.0 %. The drugs tested and their corresponding sensitivity was amoxycillin (13.2 %), co-amoxyclav (39.5 %), oxacillin (55.3 %), erythromycin (44.7 %), gentamicin (60.5 %), ciprofloxacin (62.2 %), minocycline (86.8 %), cefuroxime (57.9 %), and clidamycin (84.2 %). These results show the sensitivity profile of Staphylococcus aureus and can be used to choose suitable drugs in the management of wounds for hospitalized patients.
N PROFKANYARIPAULW. "S. M.GITHIGIA, MUNYUA W. K. and KANYARI P. W. N. (1992). Prevalence of Eimeria species in goats from parts of Central Kenya. Bulletin of Animal Health and Production in Africa. 40:283-285.". In: Kenya." Second Seminar on the DANIDA Ruminant Gastro-intestinal Helminth Research Project. University of Nairobi, Kabete College of Agriculture and Veterinary Medicine, Kenya. 24 January18th-22nd. Korean Society of Crop Science and Springer; 1992. Abstract
Eimeria christenseni and Eimeria arloingi were used separately to infect one month-old goat kids which were then killed 34 days post-infection. Their small intestines contained small nodular lesions made of several endogenous stages mainly macrogametocytes and macrogametes. Electron microscope studies of macrogametocytes revealed a prominent central nucleus and nucleolus. Other cellular components were mitochondria, wall forming bodies(WFB) type 1( homogenous) and type 2(reticular). Polysaccharide granules of E.christenseni had a chain like arrangement in the young cells, and increased dramatically with maturation of the macrogemetes to become the main cytoplasmic component along with the WFB. Type 1 WFB were peripheral while type 2 were more central but in E.christeseni macrogametes, some type 2 WFB appeared to give rise to membranous vesicles at the areas of wall formation.. The macrogamete nucleus was small and usually indented with polysaccharide granules and reticular bodies, named nuclear derived bodies(NBD), arising from the perinuclear regions. Within the periparasitic areas of both species, membranous/dark bodies were seen. E. arloingi had a large and well defined parasitophorous vacuole(PV), within which an inner lighter, and outer layer with dark granules were found. Both species had some poorly developed intravacuolar tubes(IVT), which occurred at certain points in the case of E.arloingi, while in E.christenseni, they had a diffuse distribution
N PROFNYAGAP. "E.S Bizimenyera, P.N. Nyaga and J.O. Oloya: In-vitro disinfectant sensitivity tests on bacteria isolated from commercial poultry hatcheries in Kenya. Bull. Hlth. Prod. Afri. (2004): 52: 271-274.". In: Bull. Anim. Hlth. Prod. Afr. vol.58. no.1. au-ibar; 2004. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N PROFMUNGAIDAVID. "Mungai, D.N., Coulson, C.L. and Stigter, C.J., 1990. Economic considerations of alley cropping for food production in semi-arid areas. In: R.T. Princely, (Ed.), Agroforestry for sustainable development - Economic Implications. Commonwealth Science Council.". In: Journal of Environmental Sciences, Vol. 13, No. 2. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 1990. Abstract

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.

N PROFLULEGODFREY. "Gitura B, Joshi MD, Lule GN, Anzala O.Total lymphocyte count as a surrogate marker for CD4+ t cell count in initiating antiretroviral therapy at Kenyatta National Hospital, Nairobi. East Afr Med J. 2007 Oct;84(10):466-72.". In: test. test; 2007. Abstract

OBJECTIVE: To evaluate the utility of Total Lymphocyte Count (TLC) as a surrogate marker for CD4 + T cell count in antiretroviral (ARV) treatment initiation in a Kenyan population of HIV seropositive patients at Kenyatta National Hospital. DESIGN: Cross-sectional descriptive study. SETTING: Kenyatta National Hospital, HIV treatment and follow-up outpatient facility; Comprehensive Care Centre, Nairobi, Kenya. SUBJECTS: Two hundred and twenty five HIV Elisa positive, ARV naive patients visiting the Comprehensive Care Centre between January 2006 to March 2006. RESULTS: A significant linear correlation was found between TLC and CD4 cell count for the whole group with a Spearman rank correlation of 0.761 (p < 0.01); and was also independently observed in the four WHO clinical stages. The classification utility of TLC 1200 cells/mm3 cut-off was suboptimal; sensitivity 37% specificity of 99% and the NPV of 56%. The receiver operator characteristics (ROC) curve generated an optimal TLC cut-off of 1900 cells/mm3 cut-off to be of greatest utility with a sensitivity of 81.1%, specificity of 90.3%, PPV of 90.8% and NPV of 80.2%. This implies that a TLC cut-off of 1900 cells/mm3 correctly classify eight out of ten HIV positive patients as having a CD4 < 200 cells/mm3 and only misclassify two such patients. Serial CD4 testing can then be performed on the minority of patients who despite a TLC > or = 1900 cells/mm3 are, on basis of clinical data, suspect of more advanced disease warranting ARV therapy. This would reduce the number of patients tested for and focus the application of CD4 testing and thus reduce attendant cost in care provision in CD4 resource poor settings. CONCLUSION: Our data showed a good positive correlation between TLC and CD4 cell count, however the WHO recommended TLC cuto-ff of 1200/mm3 was found to be of low sensitivity in classifying patients as having a CD4 counts < 200 cells/mm3. This would result in underestimation of advanced stage of disease and to withholding ARVs treatment to persons who need treatment. We recommend a TLC cut-off of 1900 cells/mm3 for our population to classify patients as either above or below the CD4 count cut-off of 200 cells/mm3 as an indicator of when to start antiretroviral therapy.

N PROFNYAGAP. "Jane N. Maina, P.N. Nyaga (1988): Factors associated with early chick mortality in Broilers in Kenya.". In: Proceedings, Animal Production Society of Kenya, Regional Conference, Panafric Hotel, Nairobi, Kenya. November 1988. au-ibar; 1988. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N NB, O OT, O KD, N MJ. "Exploring the Possible Use of EN 197 CEM II/B-P and CEM IV/B-P in the Production of High-Performance Concrete.". In: IEK-EBK Conference. Diani, Kenya; 2019.
N PROFLULEGODFREY. "Gilks CF, Brindle RJ, Otieno LS, Simani PM, Newnham RS, Bhatt SM, Lule GN, Okelo GB, Watkins WM, Waiyaki PG, et al. Life-threatening bacteraemia in HIV-1 seropositive adults admitted to hospital in Nairobi, Kenya. Lancet. 1990 Sep 1;336(8714):545-9.". In: Lancet. 1990 Sep 1;336(8714):545-9. test; 1990. Abstract

During 6 months, 506 consecutive adult emergency admissions to hospital in Nairobi were enrolled in a study of bacteraemia and HIV infection. 19% were HIV-1 antibody positive. Significantly more HIV-seropositive than seronegative patients had bacteraemia (26% vs 6%). The predominant organisms isolated from the seropositive patients were Salmonella typhimurium and Streptococcus pneumoniae. Mortality was higher in the seropositive than in the seronegative bacteraemic patients. The findings suggest that non-opportunistic bacteria are important causes of morbidity and mortality in HIV-infected individuals in Africa.

N PROFNYAGAP. "M.G. Binta, P.N. Nyaga, T.B. Tjaberg and M. Valland. Market fish hygiene in Kenya, J. Hyg. Camb. Vol. 89, 1982: 47-52.". In: Proceedings: 10th Convention, Indian Society for Veterinary Surgery, Nov. 1986. au-ibar; 1982. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N PROFOGOLAELIJAHS. "YongaG.O OGOLA E.N Juma F.D Cardiovascular risk factor profiles in patients seen at Kenyatta National hospital with mild to moderate hypertension. East Africa J.70: 693,1993.". In: East Africa J.70: 693,1993. Kisipan, M.L.; 1993. Abstract
Sixty newly diagnosed adult patients with mild to moderate essential hypertension were assessed to determine their cardiovascular risk factor profiles. Detailed history and physical examinations were done. Resting 12-lead ECG was done and serum levels of uric acid, fasting cholesterol, and fasting glucose were determined. Twenty nine patients had hypertension and two or more cardiovascular risk factors. The most prevalent cardiovascular risk factors other than hypertension were electro-cardiovascular left ventricular hypertrophy (31.7%), obesity (28.3%) and hypercholesterolaemia (28.3%). About a half of these patients (48.3%) can be classified as high risk hypertensives. This calls for aggressive management of cardiovascular risk factors as a whole and not just hypertension alone if we are to reduce incidence of hypertensive complications.
N PROFKANYARIPAULW. "P. W. N. KANYARI (1988). " Experimental nfections with coccidiosis and serum antibody quantitation in two breeds of goats". Veterinary Parasitology. 28: 11 - 18.". In: Proceedings of the Annual Scientific Conference, University of Nairobi, Faculty of Veterinary Medicine, Kenya, September 20th - 22nd, 1989. Korean Society of Crop Science and Springer; 1988. Abstract
Eimeria christenseni and Eimeria arloingi were used separately to infect one month-old goat kids which were then killed 34 days post-infection. Their small intestines contained small nodular lesions made of several endogenous stages mainly macrogametocytes and macrogametes. Electron microscope studies of macrogametocytes revealed a prominent central nucleus and nucleolus. Other cellular components were mitochondria, wall forming bodies(WFB) type 1( homogenous) and type 2(reticular). Polysaccharide granules of E.christenseni had a chain like arrangement in the young cells, and increased dramatically with maturation of the macrogemetes to become the main cytoplasmic component along with the WFB. Type 1 WFB were peripheral while type 2 were more central but in E.christeseni macrogametes, some type 2 WFB appeared to give rise to membranous vesicles at the areas of wall formation.. The macrogamete nucleus was small and usually indented with polysaccharide granules and reticular bodies, named nuclear derived bodies(NBD), arising from the perinuclear regions. Within the periparasitic areas of both species, membranous/dark bodies were seen. E. arloingi had a large and well defined parasitophorous vacuole(PV), within which an inner lighter, and outer layer with dark granules were found. Both species had some poorly developed intravacuolar tubes(IVT), which occurred at certain points in the case of E.arloingi, while in E.christenseni, they had a diffuse distribution
N DRMBATIAPAUL. "Mbatia, Paul Nyaga; Njoka Murimi et al. 1997. Local Authority Development Programme (LAPD) Guidelines: Revised Manual 1. Ministry of Local Government, Kenya.". In: J Infect Dis. 2000 Aug;182(2):459-66. Elsevier; 1997. Abstract
Ethnopharmacological relevance: Traditional medicines play an important role in the management of chronically painful and debilitating joint conditions, particularly in the rural Africa. However, their potential use as sources of medicines has not been fully exploited. The present study was carried to find the medicinal plants traditionally used to manage chronic joint pains in Machakos and Makueni counties in Kenya. Materials and methods: To obtain this ethnobotanical information, 30 consenting traditional herbal med-ical practitioners were interviewed exclusively on medicinal plant use in the management of chronic joint pains, in a pre-planned workshop. Results and discussion: In this survey, a total of 37 plants belonging to 32 genera and 23 families were cited as being important for treatment of chronic joint pains. The most commonly cited plant species were Pavetta crassipes K. Schum, Strychnos henningsii Gilg., Carissa spinarum L., Fagaropsis hildebrandtii (Engl.) Milve-Redh. and Zanthoxylum chalybeum Engl. Acacia mellifera (Vahl) Benth., Amaranthus albus L., Balanites glabra Mildbr. & Schltr., Grewia fallax K. Schum., Lactuca capensis, Launaea cornuta (Oliv. & Hiern) O. Jeffrey, Lippia kituiensis Vatke, Pappea capensis Eckl. & Zeyh. and Pennisetum glaucum (L.) R. Br. are documented for the first time as being important in the management of chronic joint pains. Conclusions: The findings of this study show that a variety of medicinal plants are used in the management of chronic joint pains and the main mode of administration is oral. Keywords: Ethnobotanical survey; Medicinal plants; Chronic joint pains; Rheumatoid arthritis; Akamba; Machakos-Kenya
N PROFGUANTAIA. "Comparative tolerability and efficacy of stavudine 30 mg versus stavudine 40 mg in patients on combination antiretroviral therapy in Kenya.". In: ournal of AIDS and HIV Research Vol. 2(2) pp. 024-031. Monicah Wanjiru Karara, Faith Apolot Okalebo, Margaret Ng; 2010. Abstract

Stavudine- containing regimens are currently the most widely used first-line anti-HIV treatment option in Kenya. This study compared the efficacy and tolerability of stavudine at two dose levels in patients attending a HIV Comprehensive Care Centre in Kenya. Data were collected retrospectively from the records of 810 adult patients. Fewer stavudine related adverse effects were seen in patients 60 kg treated with 30 mg stavudine compared to those who received 40 mg (4.2 vs 16.7%, p <0.001). Patients < 60 kg were more likely to experience drug toxicity than those 60 kg when given 30 mg stavudine (12.8 vs 4.2%, p < 0.001). Occurrence of any adverse drug reaction was significantly associated with severe immunosuppression (HR =1.45, Cl: 0.86 - 2.45, p < 0.001), co-morbidities (HR = 2.16, Cl: 1.06 - 4.38, p < 0.001) and treatment with isoniazid (HR = 2.07, Cl: 1.09 - 3.96, p < 0.001). The onset of drug related toxicities was principally in the first year of commencing therapy. Similar immunologic outcomes were demonstrated across all the treatment groups with median CD4 cell counts after 12 months of treatment more than doubling for patients in all the study cohorts. The findings support the use of combination antiretroviral therapy regimens containing low dose stavudine in Kenya. Key words: Low -dose stavudine, combination antiretroviral therapy, HIV, stavudine tolerability.

N PROFKANYARIPAULW. "G.O. MATETE, P.W.N. KANYARI, T.A. NGATIA, D.P. KARIUKI and S.G. NDUNG.". In: East Africa regional conference, The Nile Hotel Kampala, Uganda. Korean Society of Crop Science and Springer; 2004. Abstract
Ostriches of various ages, unhatched embryos and chicks found to have oedema during post-mortem examination are described here. Unhatched eggs and chicks originated from a commercial farm, where there was a complaint of poor hatchability of eggs and high chick mortality. Of 35 embryos examined, 29(82.9%) had severe subcutaneous oedema either generalized (23) or localized(6). Of 311 chicks, 232(74.6%) had oedema of varying degrees of severity. In 10 chicks, the oedema was subcutaneous and severe, in 5 it was only serous effusions in body cavities and in 217, it was manifested as wetness of subcutaneous tissues. Adult and juvenile ostriches originated from three farms, where they were kept as pets. Of 22 birds, 16(72.7%0 developed a general sickness and 10(62.3%) of them died. Post-mortem examination revealed emaciation and either subcutaneous oedema or serous effusion in body cavities. Additional lesions included combinations of steatites, haemorrhages and pneumonia. The sick birds responded to improved diets that were also supplemented with multivitamins and minerals.
N DRKANGETHERACHEL. "Kangethe R ...Child and Adolescent Psychiatry Chapter in textbook, .". In: Essentials of Clinical Psychiatry in Sub Saharan Africa. Journal of School of Continuous and Distance Education ; 2005. Abstract
Kamau RK, Osoti AO, Njuguna EM. Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, P.O. Box 1%76-00202, Nairobi, Kenya. BACKGROUND: Cancer of the uterine cervix is the most common female cancer in Kenya. Despite being preventable, it is often diagnosed when it is already late. For this reason, only palliative therapy is provided. Hence, it is expected that their daily routines and that of their caregivers are severely disrupted. OBJECTIVES: To determine the extent to which diagnosis and treatment of inoperable cervical carcinoma affects quality of life (QOL). DESIGN: Cross-sectional descriptive study. Setting Radiotherapy Department at the Kenyatta National Hospital. SUBJECTS: Women undergoing radiotherapy for inoperable cervical cancer. RESULTS: There is high prevalence of profound disruptions in nearly all domains of QOL. In the social domain, between 33% and 44% had the perception that family members and friends had withdrawn social support. Reduction in various economic facets was reported by 47.4%-52.6%, with 44.7% reporting a fall in the overall living standards. There were significant changes in the sexual domain, as a result in which 28.3% reported marital discordance. In the personality domain, decreased self-esteem and self-projection in life occurred in 30.9% and 36.2% respectively. On functional outcomes (EORTC QLQ-C30), only 32%-41% reported not being affected in the various facets of emotional function. Physical functions were affected in 19%-79%, role functions in 69%-75%; symptoms in 49%-80%; cognitive functions in 46%-56%; social functions in 63%-71% and financial aspects by 63%. On global QOL, 53% and 47% respectively reported high level disruption in overall physical health and overall QOL. CONCLUSION: Severe deterioration of QOL occurs as a result of diagnosis of inoperable cervical cancer and subsequent therapies. For this reason there is need to establish severe disease and end-of-life research and management services that would ensure better coping with cancer for patients and for home-based caregivers. PMID: 17633581 [PubMed - indexed for MEDLINE]
N PROFMUTHAMAJOHN. "Muthama, N. J. Total ozone as a Stratospheric indicator of climate variability and change over East African tropical region.". In: Proceedings of the SPARC 2000 2nd general assembly of the SPARC/WCRP PROJECT, Mar Del Plata - November 2000. Eastern and South African Journal; 2000. Abstract
The  study found out that Masinga Dam has adversely affected the public health in the communities around the dam. malaria was the most prevalent ailment followed by typhoid fever. Bilharzia has also increased since the dam was constructed.
N DRNYANGERIEZEKIELE. "Nyangeri, E,N. (2004) Floods and Catchment Management Workshop 2nd Regional Workshop on Capacity Building in Flood Management. Nile Basin Capacity Building Network for River Engineering (NBCBN-RE). Milimani Hotel, Nairobi, 3rd- 6th May 2004.". In: Journal of Civil Engineering, Jomo Kenyatta University of Agriculture and Technology. African Wildlife Foundation. Nairobi; 2004. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.
N PROFKAMAUGEOFREY. "Influence of surfactant-based microheterogeneous fluids on aggregation of copper phthalocyanine tetrasulfonate", J.". In: porphyrins phthalocyanine 3, 188-195, 1999. Survey Review; 1999. Abstract
Ground Flowers of Matricaria Recutita (German Chamomile) Banat Variety grown in Kenya, were subjected to Clevenger distillation under varying temperature, distillation, pressure conditions and the yields assessed. An inert solvent being present in the collecting column of the Clevenger apparatus increases the yield of the oil by reducing dispersion of the blue oil; its presence however, in the distillation flask inhibits the production of the essential oil. Distillation under reduced pressure leads to a decrease in the yield of the oil produced. A break in distillation time especially during the first three hours of distillation also leads to a decrease in the yield of the oil produced.
N PROFGUANTAIA. "Guantai A.N., Addae-Mensah I.,. Njoroge D.K.. Chloroquine Drug Interactions. Part I Interaction with drugs on the neuromuscular junction. The East and /central African Journal of Pharmaceutical Sciences Vol. 1 (3)-50-53 Dec. 1998.". In: The East and /central African Journal of Pharmaceutical Sciences Vol. 1 (3)-50-53 Dec. 1998. F.A. OKALEBO*, H.A. RABAHI, A.N. GUANTAII, C.K. MALTA', I.0. K1BWAGE, J.W. MWANGI AND W. MASENGO; 1998. Abstract

The in vitro antimalarial activity of the root extract in partly supports the ethnobotanical use of the plant to manage malaria. Clematis brachiata Thunberg (Ranunculaceae) is used in Kenya for the management of headaches, malaria and other febrile illnesses, abdominal disorders, yaws and for skin disorders. Old stems and leaves are chewed for the management of toothaches and sore throats. Extracts of the plant were subjected to tests for antimalarial, antibacterial and antifungal activity. The toxicity of the extracts was assessed using the brine shrimp lethality bioassay. The root extract gave the highest in vitro antimalarial activity against the inulitidrug resistant strain, Plasmodium falciparum VI/S (IC50=39.24 jig/nil). The stem and leaf extracts had insignificant antiplasmodial activity. The leaf, stein and root extracts had no bacterial or fungal inhibitory effects even at very high concentrations of 10 mg/ml. The Lll50 values of the stem and leaf methanol extracts against the brine shrimp larvae was 365.60 and 66.5 jig/ml, respectively. Key Words: Clematis brachiata, Ranuneulaceae, antimalarial, antibacterial, antifungal, brine shrimp.

N PROFKANYARIPAULW. "J.M. KAGIRA, R.M. WARUIRU, W.K. MUNYUA. and P.W.N. KANYARI (2001). Worm control practices and 19 implications for the development of anthelmintic resistance on commercial pig herds in Thika District, Kenya. Bulletin of Animal Health and Production in Afri.". In: 8th Biennial Scientific Conference, KARI. 11th - 15th November, Nairobi. Korean Society of Crop Science and Springer; 2001. Abstract
Ostriches of various ages, unhatched embryos and chicks found to have oedema during post-mortem examination are described here. Unhatched eggs and chicks originated from a commercial farm, where there was a complaint of poor hatchability of eggs and high chick mortality. Of 35 embryos examined, 29(82.9%) had severe subcutaneous oedema either generalized (23) or localized(6). Of 311 chicks, 232(74.6%) had oedema of varying degrees of severity. In 10 chicks, the oedema was subcutaneous and severe, in 5 it was only serous effusions in body cavities and in 217, it was manifested as wetness of subcutaneous tissues. Adult and juvenile ostriches originated from three farms, where they were kept as pets. Of 22 birds, 16(72.7%0 developed a general sickness and 10(62.3%) of them died. Post-mortem examination revealed emaciation and either subcutaneous oedema or serous effusion in body cavities. Additional lesions included combinations of steatites, haemorrhages and pneumonia. The sick birds responded to improved diets that were also supplemented with multivitamins and minerals.
N MRMAINGIELIUD. "Anthelmintic resistance in nematode species of goats on some farms in Kenya. Bulletin of Animal Health and Production in Africa 41: 195-201.". In: Tidsskrift for Dansk Fareavl (Danish Sheep Breeders Journal) 60: 19-20. Kisipan, M.L.; 1993. Abstract

Isolated mouse interstitial cells were incubated with different concentrations of khat (Catha edulis) extract (0.06 mg/ml, 0.6 mg/ml. 6 mg/ml. 30 mg/ml and 60 mg/ml) and cell viability as well as testosterone concentration measured at 30 min intervals over a 3 h incubation period. High concentrations of khat extract (30 mg/ml and 60 mg/ml) significantly inhibited testosterone production while low concentrations (0.06 mg/ml. 0.6 mg/ml and 6 mg/ml) significantly stimulated (P < 0.05) testosterone production by mouse interstitial cells. Similarly, at concentrations of 30 mg/ml and 60 mg/ml, there was a significant decrease in interstitial cell viability, whereas at 0.06 mg/ml, 0.6 mg/ml and 6 mg/ml there was no significant decrease. There was only a weak correlation (r= 0.39) between testosterone production and viable interstitial cells. We postulate that khat extract at high concentrations may cause reproductive function impairment in the user but at low concentrations. may enhance testosterone production with accompanying effects on reproductive functions in male mice. @2006 Publishedby Elsevier Ireland Ltd. Kel'lVords: In dtro; Khat; Testosterone; Interstitial cells; Mouse

N PROFMUTHAMAJOHN. "Muthama, N. J., A.M. Siani, S. Palmieri, V. Prioetti: Brewer ozone data collected over Italy during EASOE: A preliminary Investigation on high and low frequency variations.". In: Proceedings of the International Conference on "Geophysics and Environment: Background air pollution", Rome, 16-18 June 1992, Bollettino Geofisico, Anno XVI, N.1, Part II, January 1993. Eastern and South African Journal; 1993. Abstract
The  study found out that Masinga Dam has adversely affected the public health in the communities around the dam. malaria was the most prevalent ailment followed by typhoid fever. Bilharzia has also increased since the dam was constructed.
N DRNYANGERIEZEKIELE. "Ramo, J.J., Hukka, J.J. and Katko, T.S. 1997. Economic performance of water supply organizations: The implications for institutional framework and development cooperation. Journal of Water SRT- Aqua Vol. 46, No. 2, pp 106-116.". In: Journal of Water SRT- Aqua Vol. 46, No. 2, pp 106-116. African Wildlife Foundation. Nairobi; 1997. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.
N PROFKAMAUGEOFREY. "Development of Rice Husk Ash based alternative cements in Kenya", Proceedings:.". In: Inaugral conference of the Kenya Chemical Society, Nairobi, June 1993. Survey Review; 1993. Abstract
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N PROFGUANTAIA. "PHARMACOGENETICS OF DRUG METABOLIZING ENZYMES IN THE LUO, KIKUYU AND MAASAI ETHINIC POPULATIONS OF KENYA.". In: THE EAST AFRICAN MEDICAL JOURNAL. MN Oluka, A Matimba,AN Guantai, C Masirembwa, BH Estambale; 1981. Abstract

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.

N PROFKANYARIPAULW. "P.W.N. KANYARI et. al. ( 1998). Cryptosporidium parvum: Histopathological Evidence of Transplacental Transmission in mice.". In: Biennial Scientific Conference of the Faculty of Veterinary Medicine, University of Nairobi, Kenya. August 5th - 7th. Korean Society of Crop Science and Springer; 1998. Abstract
Twelve Red Masai and 12 Dorper sheep aged between 6 and 9 months, were acquired from a fluke-free area and sheep of each breed divided into two equal groups of six. Each animal in one group of each breed was experimentally infected with 400 viable metacercariae of Fasciola gigantica. The other groups acted as uninfected controls. Blood samples were taken at weekly intervals for the determination of serum bilirubin, albumin and gamma glutamyl transferase levels. Following the establishment of infection, albumin levels declined in both breeds of infected animals without any significant difference between the two breeds. However, serum bilirubin and gamma glutamyl transferase (GGT) in the infected animals were elevated significantly more in the Dorper than in the Red Masai sheep. Based on these findings, it would appear that Dorper sheep are more susceptible to the infection than Red Masai sheep. Keywords: Dorper, Fasciola gigantica, Red Masai, serum biochemical changes
N PROFWEREFREDRICK. "Newborn survival revolution. East Afr Med J . 2005 Nov; 82 ( 11 ): 545-6 . No abstract available. PMID: 16463746 [PubMed - indexed for MEDLINE] Were FN.". In: East Afr Med J . 2005 Nov; 82 ( 11 ): 545-6 . F.N. kamau, G. N Thothi and I.O Kibwage; 2005. Abstract
No abstract available.
N PROFOGOLAELIJAHS, OTIENO PROFOGUTUELLY. "Lore W, Muita AK, Ogola ES.The efficacy and tolerability of enalapril–hydrochlorothiazide combination as a first line therapy in black patients with mild to moderate arterial hypertension: a clinical study in Kenya.East Afr Med J. 1992 Jan;69(1):18-21.". In: East Afr Med J. 1992 Jan;69(1):18-21. Journal of British Ceramic Transactions, 99 [5], 206-211.; 1992. Abstract
The study aimed at evaluating tolerability and efficacy of the combination enalapril 20 mg with hydrochlorothiazide 12.5 mg (co-renitec) as first line therapy in black patients with mild to moderate primary hypertension. Fifty patients completed a twelve weeks of open clinical study preceded by two weeks of washout period. They were evaluated every four weeks and haematological, biochemical urine microscopy and electrocardiographic tests were undertaken before the start and after the completion of study. Pre-treatment values of mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 172.16 mm hg (+/- 20.41) and 104.38 mm hg (+/- 7.339) respectively. The usual daily dosage was one tablet which was increased to two after eight weeks in case the DBP was not normalized, i.e. less than or equal to 95 mm hg. In 44 (88%) patients, the DBP was normalised at the end of the study period; three patients (6%) were resistant to treatment and another three (6%) exhibited labile response to the treatment. Clinical tolerance was considered to be very good with only five episodes of headache, backache and anxiety, probably not related to the test drug. Biological tolerance was excellent: there was no change in the haematologic parameters; there was a decrease of 5% in mean blood urea, of 9% in the mean serum creatinine and of 4% in the mean serum uric acid and a 5% increase in plasma potassium from 3.99 to 4.28 mmol/l.(ABSTRACT TRUNCATED AT 250 WORDS)
N PROFNZOMODAUDI. ""The Management of Inflation." This article discusses the effects of inflation in the process of making investment decisions, arranging for the required finances and formualting divided decisions. Management:.". In: Journal of the Kenya Institute of Management.(Pages 16 - 18).; Submitted. Abstract

Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)

N PROFKAMAUGEOFREY. "Accumulation of DDT residues in aquarium fish, sediment, plant and water," Accepted, J. Environment International.". In: Submitted to Journal of Electrochimica Acta. Survey Review; Submitted. Abstract
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N PROFNZOMODAUDI. ""The Future of an Indigenous Accounting Profession for Kenya." by S. Adam, H. Grubel, J. Newton and N.D. Nzomo. This article discusses the past, current and necessary future efforts to establish an indigenous accoutning profession in Kenya.". In: Management, Jounal of the Kenya Institute of Management. (pages 26-29). RIVERBRROKS COMMUNICATIONS; Submitted. Abstract
Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)
N PROFMUTHAMAJOHN, O PROFOWINOJOHN. "Harmonization of climate outlooks in Africa: Verification of user products.". In: J. Afric.Met.Soc. Vol.5. No. 2 pp 81-89, 2002. 1999; 2002. Abstract
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N S, SO. ML. "Ageing population in Africa and other developing communities: a public health challenge calling for urgent solutions. East Afr Med J. 2002 Jun;79(6):281-3. Review. No abstract available." East African Medical Journal.2002:79 (11);563 . 2002;79(6):281-283. AbstractWebsite

We present two cases of neurofibromatosis type 1 (NF-1), one a 35 year old male who first recognised his problem at the age of fifteen years and at the time of assessment, satisfied the National Institute of Health (NIH) diagnostic criteria for NF-1 and had a nodular plexiform neurofibroma involving the left fifth dorsal nerve root and a diffuse plexiform neurofibroma involving the left lower limb. The second patient, a 45 year old female recognised her problem at the age of 39 years, did not quite satisfy the NIH diagnostic criteria for NF 1 and had diffuse plexiform neurofibroma involving both lower limbs and buttocks almost symmetrically, a finding which has not previously been described to the best of our knowledge. The scarcity of management options are briefly outlined.

N PROFKANYARIPAULW. "P. W. N. KANYARI (1993). The relationship between coccidial and helminth infections in sheep and goats in Kenya". Veterinary Parasitology, 51: 137 - 141.". In: Third Seminar on the DANIDA Ruminant Gastro-intestinal Ruminant Helminth Research Project, Samora Mitchel School of Veterinary Medicine, University of Zambia, Lusaka, Zambia. January 24th - 27th, 1994. Korean Society of Crop Science and Springer; 1993. Abstract
Eimeria christenseni and Eimeria arloingi were used separately to infect one month-old goat kids which were then killed 34 days post-infection. Their small intestines contained small nodular lesions made of several endogenous stages mainly macrogametocytes and macrogametes. Electron microscope studies of macrogametocytes revealed a prominent central nucleus and nucleolus. Other cellular components were mitochondria, wall forming bodies(WFB) type 1( homogenous) and type 2(reticular). Polysaccharide granules of E.christenseni had a chain like arrangement in the young cells, and increased dramatically with maturation of the macrogemetes to become the main cytoplasmic component along with the WFB. Type 1 WFB were peripheral while type 2 were more central but in E.christeseni macrogametes, some type 2 WFB appeared to give rise to membranous vesicles at the areas of wall formation.. The macrogamete nucleus was small and usually indented with polysaccharide granules and reticular bodies, named nuclear derived bodies(NBD), arising from the perinuclear regions. Within the periparasitic areas of both species, membranous/dark bodies were seen. E. arloingi had a large and well defined parasitophorous vacuole(PV), within which an inner lighter, and outer layer with dark granules were found. Both species had some poorly developed intravacuolar tubes(IVT), which occurred at certain points in the case of E.arloingi, while in E.christenseni, they had a diffuse distribution
N PROFNYAGAP. "O.N. Njagi, R. Entzeroth, P.N. Nyaga, A.J. Musoke. Monoclonal antibodies identify two neutralization-sensitive epitopes in Besnoitia besnoiti endozoites. Parasit. Res. (2004) 94: 247-253.". In: Bull. Anim. Hlth. Prod. Afr. vol.58. no.1. au-ibar; 2004. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N PROFNZOMODAUDI. ""Entrepreneurship Development Policy in National Development: The Kenya Case." This article traces Kenya's entrepreneurship development policy through its development plans since independence upto Sessional Paper No. 1 of 1986 on Economic Management for R.". In: Eastern Africa Economic Review, Vol. 2, No. 1, (pages 99-105) Kenya Economic Assocation.; 1986. Abstract

Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)

N PROFNZOMODAUDI. ""Advanced Financial Accounting" Concepts, Reationale and Procedures incorporating Kenyan Laws, Regulations and Standards. 15 chapters integrating Kenyan and International Accoutning Standards, and using KASNEB CPA examination problems sd illustrations. Cu.". In: Kenya Literature Bureau, Nairobi,. RIVERBRROKS COMMUNICATIONS; 1992. Abstract
Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)
N PROFNYAGAP. "Mwangi, D.N; Munyua, W.K. and Nyaga, P.N. (1990). Immunosuppresion in caprine trypanosomiasis. Effeets of acute Trypanosoma congolense infection on antibody response to anthrax spore vaccine. Trop. Anim. Hlth. and Prod. 22: 95-100.". In: Proceedings of the VIIIth International Symposium of Veterinary Laboratory Diagnosticians, Jerusalem, Israel, 4-9th August, 1996. au-ibar; 1990. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N PROFNYAGAP. "P.N. Nyaga (1989): Diseases of Crocodiles in respect to meat inspection.". In: KVA meeting Mombasa, 4th September, 1989. au-ibar; 1989. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N DRWAMBUGUMILCAH. "Lule GN, Ogutu EO, Okoth F, Were JB, Wambugu M. Sclerotherapy in the treatment of bleeding oesophageal varices: preliminary report. East Afr Med J. 1988 Jun;65(6):416-20. Review.". In: East Afr Med J. 1988 Jun;65(6):416-20. Review. University of Nairobi.; 1988. Abstract
A prospective study was carried out at Kenyatta National Hospital (KNH) between June 1987 and September 1988 to look at some aspects of obstructive jaundice in patients above 12 years of age. Screening for cases was done by use of abdominal ultrasonography. A total of 20 cases (11 females, 9 males) were diagnosed. Carcinoma of the head of pancreas accounted for 55% of cases of the obstruction, followed by gallstones (10%), hepatocellular carcinoma (10%) and gall bladder tumour (10%).
N PROFLULEGODFREY. "Lule GN. Helicobacter pylori: an infectious agent in peptic ulcer disease? East Afr Med J. 1991 May;68(5):321-3. No abstract available.". In: East Afr Med J. 1991 May;68(5):321-3. test; 1991. Abstract

The range of clinical presentations of HIV-related disease in Africa has not been adequately described, despite the fact that many hospitals have to rely heavily on clinical diagnosis. Six hundred adult medical patients seen in the Casualty Department of the main Government hospital in Nairobi were enrolled in a study of the presentation and outcome of HIV-related disease: 506 of these patients were admitted, of whom 19 per cent (95) were HIV seropositive. The remaining 94 were dealt with as outpatients: 11 percent (10) of these were seropositive. A history of prior treatment for sexually transmitted disease and, if male, being uncircumcised, were associated with being seropositive. Three presentations were strongly associated with HIV infection: acute fever with no focus except the gastrointestinal tract (enteric fever-like illness), acute cough with fever (community-acquired pneumonia) and chronic diarrhoea with wasting. The WHO clinical case definition (CCD) for AIDS missed a substantial amount of HIV-related morbidity (sensitivity 39 per cent) and misidentified many seronegative patients (positive predictive value 59 per cent). In comparison with the Centers for Disease Control surveillance definition for AIDS, the CCD was specific (91 per cent) and sensitive (79 per cent) but only had a positive predictive values of 30 per cent: the CCD may therefore be a poor surveillance tool for AIDS. Seropositive patients were much more likely to die than were seronegative patients (39 per cent vs. 15 per cent mortality). Enteric fever-like illness was the presentation which most commonly proved fatal. A wider spectrum of disease is associated with underlying HIV immunosuppression than has previously been described in Africa.

N PROFNYAGAP. "J.S. Kaminjolo and P.N. Nyaga. Uasin Gishu skin disease and Dermatophilus congolensis infection in the horse a review. Bull. Anim. Hlth. Prod. Afric. Vol. 31 (1), 1983: 17-20.". In: Proceedings: 10th Convention, Indian Society for Veterinary Surgery, Nov. 1986. au-ibar; 1983. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N PROFOGOLAELIJAHS. "OGOLA E.N Use of aspirin in preeclampsia (Editorial) East Africa. Med J.11: 689,1995.". In: East Africa. Med J.11: 689,1995. Kisipan, M.L.; 1995. Abstract
A prospective study to determine the prevalence and profile of cardiovascular disease in elderly patients admitted into the medical wards, Kenyatta National Hospital, was carried out between July 1991 and January 1992. Two hundred and two patients over 60 years of age were admitted into the medical wards over this period. This formed seven per cent of the total medical admissions. Two of these refused to take part in the study. Of the 200 elderly patients evaluated for cardiovascular disease, 146 (73%) were between 60 and 75 years of age with only 26 (13%) being over 85 years. Fifty seven per cent were males. Clinical evidence of cardiovascular disease was present in 79 (39.5%) of the patients evaluated. There was no sex difference in the prevalence of cardiovascular disease as judged from clinical evaluation (37.7% males versus 41.9% females, p > 0.05). Cardiovascular diseases in our medical in-patients at Kenyatta National Hospital are common and especially so with hypertension which plays an important role in the aetiology of congestive heart failure and cerebravascular accidents. Cardiac arrhythmias are also common though not necessarily symptomatic. Rheumatic heart disease and cardiomyopathies were uncommon in our study population. A community-based survey is needed to determine the true prevalence of cardiovascular diseases in the elderly and their contribution to morbidity in this sector of the population.
N PROFKANYARIPAULW. "P. W. N. KANYARI (1989). " Experimental coccidiosis in the goat Capra hircus: Observations on the ultrastructural aspects of Eimeria apsheronica macrogametogenesis". Kenya Veterinary Association.". In: Proceedings of the Annual Scientific Conference, University of Nairobi, Faculty of Veterinary Medicine, Kenya, September 20th - 22nd, 1989. Korean Society of Crop Science and Springer; 1989. Abstract
Eimeria christenseni and Eimeria arloingi were used separately to infect one month-old goat kids which were then killed 34 days post-infection. Their small intestines contained small nodular lesions made of several endogenous stages mainly macrogametocytes and macrogametes. Electron microscope studies of macrogametocytes revealed a prominent central nucleus and nucleolus. Other cellular components were mitochondria, wall forming bodies(WFB) type 1( homogenous) and type 2(reticular). Polysaccharide granules of E.christenseni had a chain like arrangement in the young cells, and increased dramatically with maturation of the macrogemetes to become the main cytoplasmic component along with the WFB. Type 1 WFB were peripheral while type 2 were more central but in E.christeseni macrogametes, some type 2 WFB appeared to give rise to membranous vesicles at the areas of wall formation.. The macrogamete nucleus was small and usually indented with polysaccharide granules and reticular bodies, named nuclear derived bodies(NBD), arising from the perinuclear regions. Within the periparasitic areas of both species, membranous/dark bodies were seen. E. arloingi had a large and well defined parasitophorous vacuole(PV), within which an inner lighter, and outer layer with dark granules were found. Both species had some poorly developed intravacuolar tubes(IVT), which occurred at certain points in the case of E.arloingi, while in E.christenseni, they had a diffuse distribution
N DRMBATIAPAUL. "Ynalvez, Marcus, Ricardo B. Duque, Paul Mbatia, R. Sooryamoorthy, Antony Palackal, and Wesley Shrum. "When do scientists adopt the internet? Dimensions of connectivity in developing areas" in Scientometrics Vol. 63 (1).". In: Faculty of Veterinary Medicine Conference, September 1990 Kabete Campus. Elsevier; 2005. Abstract
Ethnopharmacological relevance: Traditional medicines play an important role in the management of chronically painful and debilitating joint conditions, particularly in the rural Africa. However, their potential use as sources of medicines has not been fully exploited. The present study was carried to find the medicinal plants traditionally used to manage chronic joint pains in Machakos and Makueni counties in Kenya. Materials and methods: To obtain this ethnobotanical information, 30 consenting traditional herbal med-ical practitioners were interviewed exclusively on medicinal plant use in the management of chronic joint pains, in a pre-planned workshop. Results and discussion: In this survey, a total of 37 plants belonging to 32 genera and 23 families were cited as being important for treatment of chronic joint pains. The most commonly cited plant species were Pavetta crassipes K. Schum, Strychnos henningsii Gilg., Carissa spinarum L., Fagaropsis hildebrandtii (Engl.) Milve-Redh. and Zanthoxylum chalybeum Engl. Acacia mellifera (Vahl) Benth., Amaranthus albus L., Balanites glabra Mildbr. & Schltr., Grewia fallax K. Schum., Lactuca capensis, Launaea cornuta (Oliv. & Hiern) O. Jeffrey, Lippia kituiensis Vatke, Pappea capensis Eckl. & Zeyh. and Pennisetum glaucum (L.) R. Br. are documented for the first time as being important in the management of chronic joint pains. Conclusions: The findings of this study show that a variety of medicinal plants are used in the management of chronic joint pains and the main mode of administration is oral. Keywords: Ethnobotanical survey; Medicinal plants; Chronic joint pains; Rheumatoid arthritis; Akamba; Machakos-Kenya
N N, AM K, L G. "Early childhood caries amongst pre-school children and their caregivers’ perceptions of oral health in Kenyan rural setting." East Afr Med J. 2015;2015; 92(8): 389-393(2015; 92(8): 389-393):2015; 92(8): 389-393.
N PROFNYAGAP. "P.N. Nyaga, Epidemiology of Equine influenza, risk by age sex and breed. Thesis submitted in partial fulfillment for the award of M.P.V.M. Degree, University of California, Davis, July, 1975.". In: Proceedings: 10th Convention, Indian Society for Veterinary Surgery, Nov. 1986. au-ibar; 1975. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N PROFOGOLAELIJAHS. "LORE W, OGOLA E.N; Medico social Characteristics of Cardiac patients in Obstetrical Unit Of Kenyatta National Hospital. A preliminary report of an on-going prospective study. J.Obs. Gynaecol. East and Central Africa 6:83,1987.". In: J.Obs. Gynaecol. East and Central Africa 6:83,1987. Kisipan, M.L.; 1987. Abstract
The study aimed at evaluating tolerability and efficacy of the combination enalapril 20 mg with hydrochlorothiazide 12.5 mg (co-renitec) as first line therapy in black patients with mild to moderate primary hypertension. Fifty patients completed a twelve weeks of open clinical study preceded by two weeks of washout period. They were evaluated every four weeks and haematological, biochemical urine microscopy and electrocardiographic tests were undertaken before the start and after the completion of study. Pre-treatment values of mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 172.16 mm hg (+/- 20.41) and 104.38 mm hg (+/- 7.339) respectively. The usual daily dosage was one tablet which was increased to two after eight weeks in case the DBP was not normalized, i.e. less than or equal to 95 mm hg. In 44 (88%) patients, the DBP was normalised at the end of the study period; three patients (6%) were resistant to treatment and another three (6%) exhibited labile response to the treatment. Clinical tolerance was considered to be very good with only five episodes of headache, backache and anxiety, probably not related to the test drug. Biological tolerance was excellent: there was no change in the haematologic parameters; there was a decrease of 5% in mean blood urea, of 9% in the mean serum creatinine and of 4% in the mean serum uric acid and a 5% increase in plasma potassium from 3.99 to 4.28 mmol/l.(ABSTRACT TRUNCATED AT 250 WORDS)
N PROFMUSOKERACHEL. "Emergence of multidrug-resistant gram-negative organisms in a neonatal unit and the therapeutic implications. J Trop Pediatr . 2000 Apr; 46 ( 2 ): 86-91 . PMID: 10822934 [PubMed - indexed for MEDLINE] Musoke RN, Revathi G.". In: J Trop Pediatr . 2000 Apr; 46 ( 2 ): 86-91 . Far East Journal of Theoretical Statistics; 2000. Abstract
Department of Paediatrics, University of Nairobi, Kenya. Multidrug-resistant organisms are increasing worldwide. Over the years we have noted increasing resistance of organisms isolated in our neonatal unit. There is a need therefore to scrutinize the problem so as to be able to plan for the future. Over a 5-month period, 716 infants were admitted of which 192 were screened for sepsis. Overall, 121 (16.7 per cent) had positive blood cultures. The predominant organisms were Gram negative (73.6 per cent of isolates) with Klebsiella species topping the list at 31 per cent. Case fatality for infants infected with Gram negative organisms was 41 per cent. Resistance to gentamicin was 20 per cent chloramphenicol 23.6 per cent, and amoxicillin/ampicillin 66.3 per cent. Of worry is the resistance to ceftazidime 19.1 per cent, and cefuroxime 21.3 per cent, with the figures rising to 27 per cent when more specialized tests are done (disc approximation and potentiation tests). If these drugs cannot be used in 20-27 per cent of cases then the situation is serious. The contributory factors to increased resistance include: non-investigation of infants put on antibiotics (50 per cent of cases); prolonged (73 per cent) and sometimes unjustified (41.7 per cent) use of antibiotics; and non-utilization of investigations when these are done (52 per cent) together with the delay in getting results back in the ward (6 days). PMID: 10822934 [PubMed - indexed for MEDLINE]
N PROFKANYARIPAULW. "The Kenya Veterinarian Vol 28: 6-10.[2005] Some Causes of Poor performance and chick mortality in farmed ostriches in Alabama[USA] and Kenya. P.W.N Kanyari1, T.A. Ngatia1, P.M. Mathiu1, A. Oyejide2, K.K. Srivastava2. 1Faculty of Veterinary Medicine, Unive.". In: East Africa regional conference, The Nile Hotel Kampala, Uganda. Korean Society of Crop Science and Springer; 2005. Abstract
Commercial ratite farming is rapidly becoming a desirable alternative source of profitable meat production among small holder farmers. However, ratite ranching particularly ostrich production is severely constrained by a very high chick mortality rate(up to 40%). To help rural farmers including those in the developed countries such as United States gain a successful foothold in this potentially lucrative farming enterprise, the causes of chick mortality must be identified and controlled. The present collaborative study was designed to characterize and compare disease causes of mortality in chicks in small holder ratite farms in Macon and adjoining Counties of Alabama and some selected localities in Kenya between 1997 and 2000, a four-year period. The study established that, in both Alabama[USA] and Kenya, ostrich farmers incur losses of considerable magnitude from a wide range of causes, some of which could not be established. Losses are experienced right from the embryonic stages whereby embryos may develop poorly causing death before hatching. In USA, hatchability was 72% while in Kenya, hatchability was 56% on average. In Kenya, a high mortality rate in the early weeks of life (<3 weeks) [27-40%] was noted. Pathogens isolated at post-mortem from inflamed tissues and septic yolk sacs were mainly common bacteria such as Enterobacter sp; Escherichia coli, Staphyloccocus sp, Streptococcus sp, Pseudomonas sp, Corynebacterium sp. and Clostridium sp. Other causes of death were impaction, dehydration, generalized oedema, joint infection and non-specific peritonitis. Limb deformities constituted the main cause of culling among chicks. Histopathological lesions were observed in virtually all organs examined including abdominal, thoracic and even the brain tissue. Lesions associated with circulatory disturbances were common. Bacteriological analysis of feeds in Kenya showed that bacterial contamination of feed was quite possibly a cause of infections and especially fish meals.
N PROFMUTHAMAJOHN, O PROFOWINOJOHN. "Harmonization of climate outlooks in Africa: Verification of user products.". In: J. Afric.Met.Soc. Vol.5. No. 2 pp 81-89, 2002. Eastern and South African Journal; 2002. Abstract
The  study found out that Masinga Dam has adversely affected the public health in the communities around the dam. malaria was the most prevalent ailment followed by typhoid fever. Bilharzia has also increased since the dam was constructed.
N DRNYANGERIEZEKIELE. "Nyangeri, E.N. (2004) Kenya Experience in Ecological Sanitation. The African Network for Ecological Modernisation of Urban Environmental infrastructure (Afri-Net). Kenyatta University, AVU Hall. 30th September 2004.". In: Journal of Civil Engineering, Jomo Kenyatta University of Agriculture and Technology. African Wildlife Foundation. Nairobi; 2004. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.
N PROFKAMAUGEOFREY. "Potentials of using waste burnt clay as a pozzolanic material in Kenya", Discov. Innov., 13, 114-118.". In: Joseph M. Mwaniki and Geoffrey N. Kamau, International Journal of BioChemiPhysics, Vol.11&12(Nos.1&2) 2003. Survey Review; 2001. Abstract
Ground Flowers of Matricaria Recutita (German Chamomile) Banat Variety grown in Kenya, were subjected to Clevenger distillation under varying temperature, distillation, pressure conditions and the yields assessed. An inert solvent being present in the collecting column of the Clevenger apparatus increases the yield of the oil by reducing dispersion of the blue oil; its presence however, in the distillation flask inhibits the production of the essential oil. Distillation under reduced pressure leads to a decrease in the yield of the oil produced. A break in distillation time especially during the first three hours of distillation also leads to a decrease in the yield of the oil produced.
N PROFGUANTAIA, N PROFGUANTAIA. "The Antimalarial and Antimicrobial Activity and Brine Shrimp Toxicity of Clematis Brachiata Extracts.". In: East and Central African Journal of Pharmaceutical Sciences Vol. 5. F.A. OKALEBO*, H.A. RABAHI, A.N. GUANTAII, C.K. MALTA', I.0. K1BWAGE, J.W. MWANGI AND W. MASENGO; 2002. Abstract

The in vitro antimalarial activity of the root extract in partly supports the ethnobotanical use of the plant to manage malaria. Clematis brachiata Thunberg (Ranunculaceae) is used in Kenya for the management of headaches, malaria and other febrile illnesses, abdominal disorders, yaws and for skin disorders. Old stems and leaves are chewed for the management of toothaches and sore throats. Extracts of the plant were subjected to tests for antimalarial, antibacterial and antifungal activity. The toxicity of the extracts was assessed using the brine shrimp lethality bioassay. The root extract gave the highest in vitro antimalarial activity against the inulitidrug resistant strain, Plasmodium falciparum VI/S (IC50=39.24 jig/nil). The stem and leaf extracts had insignificant antiplasmodial activity. The leaf, stein and root extracts had no bacterial or fungal inhibitory effects even at very high concentrations of 10 mg/ml. The Lll50 values of the stem and leaf methanol extracts against the brine shrimp larvae was 365.60 and 66.5 jig/ml, respectively. Key Words: Clematis brachiata, Ranuneulaceae, antimalarial, antibacterial, antifungal, brine shrimp.

N PROFKANYARIPAULW. "J. M. KAGIRA, P. W. N. KANYARI ( 2002). An analysis of intensity of nematode infections in commercial pig farms in Thika District.". In: Annual Scientific Meeting of the Kenya Veterinary Association Held at Kakamega; April 2002. Korean Society of Crop Science and Springer; 2002. Abstract
Ostriches of various ages, unhatched embryos and chicks found to have oedema during post-mortem examination are described here. Unhatched eggs and chicks originated from a commercial farm, where there was a complaint of poor hatchability of eggs and high chick mortality. Of 35 embryos examined, 29(82.9%) had severe subcutaneous oedema either generalized (23) or localized(6). Of 311 chicks, 232(74.6%) had oedema of varying degrees of severity. In 10 chicks, the oedema was subcutaneous and severe, in 5 it was only serous effusions in body cavities and in 217, it was manifested as wetness of subcutaneous tissues. Adult and juvenile ostriches originated from three farms, where they were kept as pets. Of 22 birds, 16(72.7%0 developed a general sickness and 10(62.3%) of them died. Post-mortem examination revealed emaciation and either subcutaneous oedema or serous effusion in body cavities. Additional lesions included combinations of steatites, haemorrhages and pneumonia. The sick birds responded to improved diets that were also supplemented with multivitamins and minerals.
N MRMAINGIELIUD. "Resistance to thiabendazole, fenbendazole and levamisole in gastrointestinal nematodes of goats in Kenya.". In: Tidsskrift for Dansk Fareavl (Danish Sheep Breeders Journal) 60: 19-20. Kisipan, M.L.; 1993. Abstract

Isolated mouse interstitial cells were incubated with different concentrations of khat (Catha edulis) extract (0.06 mg/ml, 0.6 mg/ml. 6 mg/ml. 30 mg/ml and 60 mg/ml) and cell viability as well as testosterone concentration measured at 30 min intervals over a 3 h incubation period. High concentrations of khat extract (30 mg/ml and 60 mg/ml) significantly inhibited testosterone production while low concentrations (0.06 mg/ml. 0.6 mg/ml and 6 mg/ml) significantly stimulated (P < 0.05) testosterone production by mouse interstitial cells. Similarly, at concentrations of 30 mg/ml and 60 mg/ml, there was a significant decrease in interstitial cell viability, whereas at 0.06 mg/ml, 0.6 mg/ml and 6 mg/ml there was no significant decrease. There was only a weak correlation (r= 0.39) between testosterone production and viable interstitial cells. We postulate that khat extract at high concentrations may cause reproductive function impairment in the user but at low concentrations. may enhance testosterone production with accompanying effects on reproductive functions in male mice. @2006 Publishedby Elsevier Ireland Ltd. Kel'lVords: In dtro; Khat; Testosterone; Interstitial cells; Mouse

N PROFMUTHAMAJOHN. "Muthama, N. J., A.M. Siani, S. Palmieri: Precipitation as a cleanser of gaseous pollutants: Its efficiency in removing total column NO2 above a station in the centre of Rome.". In: Proceedings of the International conference on Atmospheric Physics and Dynamics in the analysis and prognosis of precipitation fields, Rome, 15 - 16 November 1994. Eastern and South African Journal; 1994. Abstract
The  study found out that Masinga Dam has adversely affected the public health in the communities around the dam. malaria was the most prevalent ailment followed by typhoid fever. Bilharzia has also increased since the dam was constructed.
N DRNYANGERIEZEKIELE. "Nyangeri, E.N. (1999) Maintaining relevancy and Competitiveness in a liberalized Environment in the African Context Group of Africa Member Association (GAMA) of Consulting Engineers Conference, International Federation of Consulting Engineers (FIDIC) Kamp.". In: Journal of Civil Engineering, Jomo Kenyatta University of Agriculture and Technology. African Wildlife Foundation. Nairobi; 1999. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.
N PROFKAMAUGEOFREY. "Indirect spectroscopic determination of phosphate",J. Biochemiphysics, 3 (1994) 37.". In: Proceedings, Biochemical Society, Nairobi, Sept. 1996. Survey Review; 1994. Abstract
n/a
N PROFGUANTAIA. "Mwangi J.W., Guantai A.N. and Muriuki G. Eucalyptus Citriodora - Essential oil contents and chemical varieties in Kenya. E.Afric. Agr. For J. 46, 89 1981.". In: E.Afric. Agr. For J. 46, 89 1981. A.N. GUANTAI and C.K. MAITA; 1981. Abstract

he distribution of cathinone and d-norpseudoephedrine in Catha edit/is plants from 2 different geographical localities has been investigated. There was no difference in the chemical constituents of Catha material from 2 locali-ties. D-norpseudoephedrine was present in all parts of the plant examined except the root but cathinone was only detected in the young shoots and bran-chlets. It is concluded that the psychostinaulant effect following chewing of young Catha shoots is due to both cathinone and d-norpseudoephedrine with the cathinone being more important since it is 7-10 times more potent than d-norpseudoephedrine.

N PROFKANYARIPAULW. "T.A. NGATIA, P.G. MBUTHIA, R.M. WARUIRU, S.M. NJIRO, P.W. N. KANYARI, W.K. MUNYUA, EH. WEDA and J. NGOTHO (1998). Sarcocystis in slaughtered wild animals in Kenya. Bulletin of Animal Health and Production in Africa, 46: 1 - 4.". In: WAAVP Conference, August 15th - 19th. Copenhagen, Denmark. Korean Society of Crop Science and Springer; 1998. Abstract
Twelve Red Masai and 12 Dorper sheep aged between 6 and 9 months, were acquired from a fluke-free area and sheep of each breed divided into two equal groups of six. Each animal in one group of each breed was experimentally infected with 400 viable metacercariae of Fasciola gigantica. The other groups acted as uninfected controls. Blood samples were taken at weekly intervals for the determination of serum bilirubin, albumin and gamma glutamyl transferase levels. Following the establishment of infection, albumin levels declined in both breeds of infected animals without any significant difference between the two breeds. However, serum bilirubin and gamma glutamyl transferase (GGT) in the infected animals were elevated significantly more in the Dorper than in the Red Masai sheep. Based on these findings, it would appear that Dorper sheep are more susceptible to the infection than Red Masai sheep. Keywords: Dorper, Fasciola gigantica, Red Masai, serum biochemical changes
N DRANANGWEGILBERT. "Intestinal atresia and stenosis as seen and treated at Kenyatta National Hospital, Nairobi.". In: East Afr Med J. 1993 Sep;70(9):558-64. Internat. Rev. Hydrobiol. 89 (2004) 188; 1993. Abstract

In this retrospective study carried out covering the period, 1978-1991, 62 neonates were seen, diagnosed and treated for intestinal atresia which included: duodenal atresia and stenosis, small bowel atresia and atresia of large bowel. Locations of obstruction were duodenal in 17 patients, jejunal in 25 patients, jejuno-ileal in 5 and colon in two. Duodenal atresia was noted in 9 infants and duodenal stenosis due to annular pancreas, Ladd's bands with malrotation of bowel in 8. Associated anomalies which were observed were anorectal malformations in 2 and malrotation in 2 infants. Birth weights ranged from 1450 gm to 3000 gm. Prematurity was recorded in 11 infants. Diagnosis of intestinal atresia in our patients was made clinically and radiologically. Intestinal atresia in neonates was differentiated from other causes of obstruction such as Meconium Ileus, Hirschsprung's disease, neonatal volvulus, rectal atresia in anorectal malformations. Treatment of infants with intestinal atresia was surgical. Surgical techniques used depended on pathological findings. In 36 patients, complications such as functional obstructions with vomiting and failure to thrive, malabsorption, aspiration, bronchopneumonia, sepsis were observed. Overall mortality rate in our cases was 25 (41.9%) out of 62 patients.

N MRNYUTHOEDWIN. "Broadcasting: The next big training challenges.". In: The media Observer a newsletter of the Media Council of Kenya. African Wildlife Foundation. Nairobi; 2005. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.
N PROFLULEGODFREY, OTIENO PROFOGUTUELLY. "Lule GN, Obiero ET, Ogutu EO.Factors that influence the short term outcome of upper gastrointestinal bleeding at Kenyatta National Hospital. East Afr Med J. 1994 Apr;71(4):240-5.". In: East Afr Med J. 1994 Jan;71(1):44-8. Journal of British Ceramic Transactions, 99 [5], 206-211.; 1994. Abstract
Between April 1990 to January 1991, a prospective study of 97 consecutive patients admitted to the medical wards of Kenyatta National Hospital with upper gastrointestinal haemorrhage was done. All the patients studied under went upper gastrointestinal endoscopy within 24 hours of presentation and a positive endoscopic diagnosis was possible in 90 (93%) of the patients studied. The leading causes of bleeding were oesophageal varices in 34 (35%) patients, duodenal ulceration in 17 (17.5%) patients, and superficial inflammatory lesions in 17 (17.5%) patients. 17 (17.5%) patients had multiple lesions with superficial inflammation and oesophageal varices as the commonest combination. In 86 (88%) patients, bleeding settled on simple conservative measures which included intravenous fluids, blood transfusion and antacids. Further haemorrhage was observed in 11 (11.3%) patients. Tachycardia (> 100/minute), hypotension (systolic BP < 100mm Hg) and low haemoglobin (< 8 g/dl) at admission were all correlated with a poor outcome. Variceal bleeding had the worst prognosis and the overall mortality rate was 5%.
N PROFNZOMODAUDI. ""Planning and Management Control at the Enterprise Level." This article discusses the function of financial planning and management control in the process of implementing those plans.". In: Management: (Ibid) (pages 24-26).; Submitted. Abstract

Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)

N PROFKAMAUGEOFREY. "Determination of Trace Elements in Medicinal Plants and Herbal Medicines. J. Phytochemistry, Submitted.". In: Electroanal. Chem., 17, 1984, 265. Survey Review; Submitted. Abstract
n/a
N PROFNZOMODAUDI. ""Inflation Accounting: Pros, Cons, and the Sate of Play." This article discusses the impact of inflation on financial accounting and reporting with view fo highlighting the need for price-level adjsuted Financial Statements.". In: The Accountant, Journal of the Institute of Certified Public Accoutants of Kenya, (pages 23-29. RIVERBRROKS COMMUNICATIONS; Submitted. Abstract
No abstract available
N PROFKANYARIPAULW. "C. J. NGANGA, W. K. MUNYUA and P. W. N. KANYARI (1994). "Recovery and identification of Besnoitia and other coccidia from cat feaces around Kabete in Kenya." Bulletin of Animal Health and Production in Africa, 42:187 - 191.". In: 6th Annual Seminar of the DANIDA Funded Ruminant Helminth Research Project. 27th -31st January. ILRI, Kenya. Korean Society of Crop Science and Springer; 1994. Abstract
Eimeria christenseni and Eimeria arloingi were used separately to infect one month-old goat kids which were then killed 34 days post-infection. Their small intestines contained small nodular lesions made of several endogenous stages mainly macrogametocytes and macrogametes. Electron microscope studies of macrogametocytes revealed a prominent central nucleus and nucleolus. Other cellular components were mitochondria, wall forming bodies(WFB) type 1( homogenous) and type 2(reticular). Polysaccharide granules of E.christenseni had a chain like arrangement in the young cells, and increased dramatically with maturation of the macrogemetes to become the main cytoplasmic component along with the WFB. Type 1 WFB were peripheral while type 2 were more central but in E.christeseni macrogametes, some type 2 WFB appeared to give rise to membranous vesicles at the areas of wall formation.. The macrogamete nucleus was small and usually indented with polysaccharide granules and reticular bodies, named nuclear derived bodies(NBD), arising from the perinuclear regions. Within the periparasitic areas of both species, membranous/dark bodies were seen. E. arloingi had a large and well defined parasitophorous vacuole(PV), within which an inner lighter, and outer layer with dark granules were found. Both species had some poorly developed intravacuolar tubes(IVT), which occurred at certain points in the case of E.arloingi, while in E.christenseni, they had a diffuse distribution
N MJ. "Teaching Through Pictures in Theological Education by Extension Resources.". In: A Manual for Writers and Designers of Theological Education and Extension (TEE) Study Materials, The Writers Walking Stick,. Harare: Conference of African Theological Institutions; 1997.
N PROFNZOMODAUDI. ""The Core of Professionalism in Accounting". This article assembles and discusses the fundamental tenets of professional ethics for certified public accountants. The Student Accountant (Ibid) (pages 4-7).". In: Kenya Literature Bureau, Nairobi,.; 1996. Abstract

Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)

N PROFNZOMODAUDI. ""Ethical Transformations - Changing Professional Demands" This article is the edited version of a presentation to the Institute's seminar held in Mombasa in 1996 dealing with professional conduct in a changing economic and business environment.". In: The Student Accountant (Ibid) (pages 3-17). RIVERBRROKS COMMUNICATIONS; 1997. Abstract
Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)
N DRGITHANGAJESSIE. "Master of Medicine (in Pathology) dissertation entitled "Chromosomal abnormalities in childhood acute leukaemia at K.N.H., Nairobi, Kenya.".". In: Book. Douglas McLean Publishing; Submitted. Abstract
Catechol O-methyltransferase (COMT) inactivates neurotransmitters, hormones and drugs such as levodopa. COMT activity is inherited in an autosomal recessive manner and individuals with low activity have thermolabile COMT protein. A low activity allele has been demonstrated at codon 108/158 of the soluble and membrane bound COMT protein, respectively, whereby a G to A transition results in a valine to methionine substitution, rendering the protein more thermolabile. As ethnic differences in erythrocyte COMT activity have been previously demonstrated, the frequency of low activity alleles were investigated in 265 British Caucasian, 99 British South-west Asian and 102 Kenyan individuals. Genotyping of COMT codon 108/158 was performed using a minisequencing method. Erythrocyte COMT activity was measured in 60 British Caucasian individuals by radiochemical assay. The frequency of low activity alleles was 0.54 in Caucasians, 0.49 in South-west Asians, and 0.32 in Kenyans. There was a much lower frequency of individuals with homozygous low activity allele in the Kenyan population (9%) than in Caucasians (31%) or South-west Asians (27%). Erythrocyte COMT activity was lower and less thermostable in individuals with homozygous low activity alleles. The data provide molecular evidence that low COMT is less common in African individuals than the Caucasian population. PMID: 9682265 [PubMed - indexed for MEDLINE]
N PROFMUNGAIDAVID. "Njeru, J.L., Mungai, D.N., Liniger, H.P., and Ongwenyi, G.S., 2000. The influence of vegetation on the water resources of the Naro Moru river catchment. Part III (pp. 181-190), In: Gichuki, F.N. Mungai, D.N., Gachene, C.K.K. and Thomas, D.B. (Eds.), Proce.". In: Journal of Environmental Sciences, Vol. 13, No. 2. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 2000. Abstract

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.

N PROFNYAGAP. "P.N. Nyaga, E. Shimanter, J.L. Kassiti, Y. Weisman, M.J.Macharia and M.Lipkind.(1996): Identification of Avian paramyxoviruses (APMV) isolated from flamingo in Kenya and Israel.". In: Proceedings of the VIIIth International Symposium of Veterinary Laboratory Diagnosticians, Jerusalem, Israel, 4-9th August, 1996. au-ibar; 1996. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N PROFLULEGODFREY, OLONDE PROFAMAYOERASTUS. "Lule GN, Amayo EO. Irritable bowel syndrome in Kenyans. East Afr Med J. 2002 Jul;79(7):360-3.". In: East Afr Med J. 2002 Jul;79(7):360-3. African Wildlife Foundation. Nairobi; 2002. Abstract

OBJECTIVE: To study the prevalence and clinical presentation of irritable bowel syndrome (IBS) in black Kenyans. DESIGN: A retrospective study. SETTING: Nairobi Hospital, an urban private institution. SUBJECTS: Case files of all patients presenting with abdominal pain. MAIN OUTCOME MEASURES: Prevalence of IBS using modified Manning's Symptomatic criteria in 223 consecutive adult patients presenting with abdominal pain and discomfort who had normal clinical findings and normal general and gastrointestinal investigations. RESULTS: Out of the 3472 patient files screened, there were 281 patients who fitted the diagnosis of irritable bowel syndrome giving an overall prevalence of 8%. The mean age was 40 years with range of 11 to 75 years with a peak prevalence in the 3rd decade. The male to female ratio of 1.4:1 being statistical significant at a p-value of 0.010. There was no statistical significant difference between the males and females in constipation and diarrhoea at p-value of 0.84 and 0.82 respectively. Fifteen percent of the patients were either on antidepressants or had been seen by a psychiatrist. Nine percent had undergone laparatomy for the abdominal pain. CONCLUSION: The Black African patient is equally as exposed to irritable bowel syndrome as is his counterpart in the western world and has similar morbidity patterns. The syndrome may account for over 10% of patients with abdominal pain presenting to gastroenterologists in Africa. Proper attention to symptomatology may lead to clinching the diagnosis without resorting to many unnecessary and expensive investigations.

N MJ, N OV. "Experimental Study on Behavoir of Lightweight Concrete with Partial Replacement of Coarse Aggregates with Expanded Polystyrene." The Open Journal of Scientific and Research Publication. 2020;Vol 10(2):351-362.
N PROFLULEGODFREY, OTIENO PROFOGUTUELLY. "Okoth FA, Lule GN, Ogutu EO, Pilczer S, Dubois C. Famotidine in the management of gastro-oesophageal reflux. East Afr Med J. 1994 Jan;71(1):44-8.". In: East Afr Med J. 1994 Jan;71(1):44-8. test; 1994. Abstract

Famotidine has been used for the treatment of peptic ulcers and Zollinger Ellison syndrome and is also useful in reflux and erosive oesophagitis. To evaluate the effects of Famotidine 20 mg given twice daily in the symptomatic relief of gastro-oesophageal reflux disease with normal oesophagus or mild endoscopic oesophagitis, patients were followed over a period of six weeks. 70% of the patients had complete day-time heartburn relief during the study and 75% had complete night-time heartburn relief during the study. Famotidine was found to be safe and there were no serious clinical or laboratory adverse experiences.

N PROFNYAGAP. "M.G. Binta and P.N. Nyaga. The distribution of Vibrio parahaemolyticus serotypes in Kenya. Trans-Roy. Soc. Trop. Med. & Hyp. Vol. 30 (1), 1983: 55-60.". In: Proceedings: 10th Convention, Indian Society for Veterinary Surgery, Nov. 1986. au-ibar; 1983. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N PROFOGOLAELIJAHS, OMONDI DROYOOGEORGE. "Oyoo G O and Ogola E N Clinical and socio-demographic aspects of congestive heart failure patients at Kenyatta National Hospital, Nairobi, East African Medical Journal 1999; 76; 23-27.". In: East African Medical Journal 1999; 76; 23-27. Kisipan, M.L.; 1999. Abstract
OBJECTIVE: To analyse the underlying aetiology, precipitating factors and certain socio-demographic determinants in patients admitted to Kenyatta National Hospital, Nairobi in congestive heart failure. DESIGN: Cross sectional descriptive study. SUBJECT: All patients aged thirteen years and above of either sex consecutively admitted with clinical diagnosis of congestive heart failure. SETTING: Kenyatta National Hospital (KNH), a national referral hospital. PATIENT EVALUATION: Detailed history including socio-demographic characteristics and physical examination was done. Patients underwent haematological and biochemistry tests followed by a chest x-ray, ECG and 2D Echo-doppler examination. Blood culture sensitivity was done when clinically indicated. RESULTS: Ninety one patients were studied, 44 males and 47 females. Almost 32% had rheumatic heart disease, 25.2% had cardiomyopathy, 17.6% hypertensive heart disease, 13.2% had pericardial disease while 2.2% had ischaemic heart disease. Three quarters of patients with hypertensive heart disease were above the age of 50 years, while 79% of patients with rheumatic heart disease were below the age of 30 years. Factors associated with patient deterioration leading to admission with congestive heart failure (CHF) included inadequate therapy (27.4%), arrhythmia (20.9%), respiratory infections (17.6%), anaemia (13.2%) and infective endocardiatis. Sixty two per cent of patients investigated were in New York Heart Association (NYHA) functional classification class IV, 31.9% in class III and 5.5% in class II. CONCLUSION: Congestive heart failure constitutes 3.3% of all medical admissions at KNH. Rheumatic heart disease is the commonest cause of congestive heart failure in our set-up while inadequate therapy, arrhythmias and respiratory infections are the three major causes of decompensation in our patients with cardiac disease.
N A, NM A, MO F, Y K, JI V, OB A-B, SZ M, S A, H H, S B, DA M, A R, I K, M M, M R, V P, S C, Y C, E J, JL C, K N, A S, G G, A P, P P, D M, J K, MM A, A A, MA D, M N, I H, MM A, AP V, A I, AM K, ME T. "Behavior change due to COVID-19 among dental academics - The theory of planned behavior: stresses, worries, training, and pandemic severity." PLoS ONE. 2020;15(9): e0239961(15(9): e0239961):15(9): e0239961.
N PROFLULEGODFREY. "Lule GN, Wankya BM, Shah MV, Greenfield C. Peptic ulcer disease at Kenyatta National Hospital: an endoscopic experience. East Afr Med J. 1987 Oct;64(10):638-42. No abstract available.". In: East Afr Med J. 1987 Oct;64(10):638-42. test; 1987. Abstract

A case of cryptococcal hepatitis is described in a patient with Human Immunodeficiency Virus (HIV) infection. There has been no previous reports of this in the East African literature. A review of world literature showed that the entity of cryptococcal hepatitis is very rare.

N PROFNYAGAP. "J. K. Omuse, P.N. Nyaga, J.M. Gathuma, J.S. Kaminjolo and F.M. Nderu. Verminous pneumonia in topi (Damalisous Korriaum) in Masai Mara area of Kenya. Bull. Anim. Hlth. Prod. Afric. Vol. 26 (2), 1978: 156-160.". In: Proceedings: 10th Convention, Indian Society for Veterinary Surgery, Nov. 1986. au-ibar; 1978. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N PROFOGOLAELIJAHS. "OGOLA E.N; Current concepts in the management of congestive heart failure. Nairobi J.Med.15: 103,1989.". In: Nairobi J.Med.15: 103,1989. Kisipan, M.L.; 1989. Abstract
The study aimed at evaluating tolerability and efficacy of the combination enalapril 20 mg with hydrochlorothiazide 12.5 mg (co-renitec) as first line therapy in black patients with mild to moderate primary hypertension. Fifty patients completed a twelve weeks of open clinical study preceded by two weeks of washout period. They were evaluated every four weeks and haematological, biochemical urine microscopy and electrocardiographic tests were undertaken before the start and after the completion of study. Pre-treatment values of mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 172.16 mm hg (+/- 20.41) and 104.38 mm hg (+/- 7.339) respectively. The usual daily dosage was one tablet which was increased to two after eight weeks in case the DBP was not normalized, i.e. less than or equal to 95 mm hg. In 44 (88%) patients, the DBP was normalised at the end of the study period; three patients (6%) were resistant to treatment and another three (6%) exhibited labile response to the treatment. Clinical tolerance was considered to be very good with only five episodes of headache, backache and anxiety, probably not related to the test drug. Biological tolerance was excellent: there was no change in the haematologic parameters; there was a decrease of 5% in mean blood urea, of 9% in the mean serum creatinine and of 4% in the mean serum uric acid and a 5% increase in plasma potassium from 3.99 to 4.28 mmol/l.(ABSTRACT TRUNCATED AT 250 WORDS)
N PROFMUSOKERACHEL. "Musoke RN.Challenge of infant feeding choices among HIV infected mothers in Africa.East Afr Med J. 2008 Apr;85(4):153-5.". In: East Afr Med J. 2008 Apr;85(4):153-5. Far East Journal of Theoretical Statistics; 2008. Abstract

PIP: In November and December, 1993, a self-administered questionnaire was distributed to men in the town of Machakos and to nonmedical hospital workers of Machakos General Hospital. The purpose of the study was to assess their knowledge about and attitude towards vasectomy. The majority of men were in the age group of 30-44 years and were married; the hospital group was more educated. The town men perceived the pill to be the best contraceptive method for women in contrast to the hospital group who gave more importance to bilateral tubal ligation. The hospital group also perceived vasectomy as the best method for men. Overall, 53.2% men were aware of the correct procedure of vasectomy, but only 24% had correct knowledge of how the procedure affects masculinity. The knowledge of the procedure among hospital workers was not very different from that of the town group. Recommendations were made to increase information and education to all groups of people through various media. author's modified

N PROFMUTHAMAJOHN. "Equatorial Total ozone as a predictor of sea surface temperature.". In: J. Afric.Met.Soc. Vol. 6 . No. 2, pp 1-10,. Eastern and South African Journal; 2003. Abstract
The  study found out that Masinga Dam has adversely affected the public health in the communities around the dam. malaria was the most prevalent ailment followed by typhoid fever. Bilharzia has also increased since the dam was constructed.
N DRNYANGERIEZEKIELE. "Mayabi, A.O. (2004). The effect of organic matter content and turning cycle on municipal solid waste windrow composting Journal of Civil Engineering Research and Practice. October 2004.". In: Journal of Civil Engineering Research and Practice. October 2004. African Wildlife Foundation. Nairobi; 2004. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.
N PROFKAMAUGEOFREY. "Factors affecting yield of essential oil from Clevenger distillation of chamomile flowers",.". In: Joseph M. Mwaniki and Geoffrey N. Kamau, International Journal of BioChemiPhysics, Vol.11&12(Nos.1&2) 2003. Survey Review; 2003. Abstract
Ground Flowers of Matricaria Recutita (German Chamomile) Banat Variety grown in Kenya, were subjected to Clevenger distillation under varying temperature, distillation, pressure conditions and the yields assessed. An inert solvent being present in the collecting column of the Clevenger apparatus increases the yield of the oil by reducing dispersion of the blue oil; its presence however, in the distillation flask inhibits the production of the essential oil. Distillation under reduced pressure leads to a decrease in the yield of the oil produced. A break in distillation time especially during the first three hours of distillation also leads to a decrease in the yield of the oil produced.
N PROFGUANTAIA. "Kamau F.N., Kibwage I.O, Guantai A.N. Muriuki G., Munenge, R.Anti-inflammatory and Anti-diarrhoea activities of a steroidal indoxyl: E. C. African Journal of Pharmaceutical Sciences Vol. 6 (2) pp 26.". In: African Journal of Pharmaceutical Sciences Vol. 6 (2) pp 26 . O Wesongah*l, GA Murilla, AN Guantai, RE Mdachi I, WM Karanja and TE Maitho; 2003. Abstract

hloramphenicol is a broad-spectrum antibiotic widely used in human and veterinary medicine due to its low cost and ready availability. However its use has been associated with serious adverse effects, (bone marrow suppression, hemolytic anaemia and aplastic anaemia) that may or may not be dose related. Consequently chloramphenicol is currently banned for use in food producing animals and restricted to non-food producing animals and management of life threatening infections in humans in absence of alternative therapy. Exposure to chloramphenicol can occur after regular consumption of animal foods from treated animals. Therefore the pharmacokinetic of chloramphenicol should be determined using a highly sensitive and specific assay method that can detect residue levels at the lowest concentration possible. Previous methods were limited due to low sensitivity (10 ng/m1-50Ong/mi). Therefore the aim of this study was to determine pharmacokinetics of chloramphenicol and potential residue levels in food producing animals using a published highly sensitive detection method; Chloramphenicol enzyme-linked immunosorbent assay, with a detection limit of 0.1 ng/ml. Methods: Eight male red Maasai sheep aged 9 to 12 months and weighing between 21kg to 25 kg, were weaned and allowed to acclimatize for three weeks. Pre-treatment blood samples (10m1) was collected from each animal and then 25mg/kg chloramphenicol sodium succinate administered by deep intramuscular injection. Post treatment blood samples were collected at 5, 10, 15 and 30minutes, I, 2, 4, 6 8, 12, 24 and 32 hour intervals then twice a day (week 1), once daily (week 2) thrice daily (week 3) twice daily (week 4). Phannacokinetic parameters were measured using chloramphenicol ELISA method. Data was analyzed by fitting four, parameter logistics regression curve of calibration standards and sample chloramphenicol concentration calculated from optical densities using ELISA data Eiaquik program (MC. Eisler, 1995). Samples were analyzed in duplicate. Results from these assays were compared with those from published data with respect to elimination half life, species variation, and minimum retention time. Results: Chlorarnphenicol elimination half life (36.4+3.66 h) obtained in the present study was significantly (P<0.05) longer than that of 5.75+1.25 h reported in similar species using colorimetric method. The method was able to detect the drug 7 days post administration. The area under the curve of 124,487.8 ng.h/m1 observed in sheep in the present study was significant higher than that of 31.220+3.25 rig.himl reported in literature in goats using similar treatment route and dose but different assay method. Conclusion: Chloramphenicol pharmacokinetic parameters are significantly influenced by animal species and analytical assay methods used in their determination and care must be taken when reporting the residue levels in food producing animals.

N PROFMUSOKERACHEL. "Postnatal weight gain of exclusively breast fed preterm African infants. J Trop Pediatr . 1989 Oct; 35 ( 5 ): 241-4 . PMID: 2585581 [PubMed - indexed for MEDLINE] Muhudhia SO, Musoke RN.". In: J Trop Pediatr . 1989 Oct; 35 ( 5 ): 241-4 . Far East Journal of Theoretical Statistics; 1989. Abstract
The weight of 64 preterm appropriate for gestational age infants were followed closely during the period of stay in the newborn unit. They were subdivided into three groups: A (1001-1250 g), B (1250-1500 g), and C (1501-1750 g). The mean gestation for these groups were 28.7, 30.5, and 31 weeks, respectively, while mean birth weights were 1132 +/- 81.7 g, 1377 +/- 85.6 g, and 1641 +/- 88.6 g. All were fed their own mothers breast milk during the period of study with no supplements. During the first week, there was significant weight loss in all groups as follows: A (12.0 per cent), B (7.7 per cent), and C (4.4 per cent). Thereafter, only group A lost weight in the second week, but the loss was not significant. Birth weights were regained at 23, 16, and 15 days, respectively. The weight gain after the initial loss was A (20.0 g), B (20.4 g), and C (20.2 g) per day. Group A had the fastest growth rate. PMID: 2585581 [PubMed - indexed for MEDLINE]
N PROFKANYARIPAULW. "J.G. KAGIRA, P. W. N. KANYARI, W.K. MUNYUA, and R.M. WARUIRU (2002). "The prevalence of gastrointestinal parasites in commercial pig farms in Thika District, Kenya. Bulletin of Animal Health and Production in Africa 50: 1-11.". In: East Africa regional conference, The Nile Hotel Kampala, Uganda. Korean Society of Crop Science and Springer; 2002. Abstract
Ostriches of various ages, unhatched embryos and chicks found to have oedema during post-mortem examination are described here. Unhatched eggs and chicks originated from a commercial farm, where there was a complaint of poor hatchability of eggs and high chick mortality. Of 35 embryos examined, 29(82.9%) had severe subcutaneous oedema either generalized (23) or localized(6). Of 311 chicks, 232(74.6%) had oedema of varying degrees of severity. In 10 chicks, the oedema was subcutaneous and severe, in 5 it was only serous effusions in body cavities and in 217, it was manifested as wetness of subcutaneous tissues. Adult and juvenile ostriches originated from three farms, where they were kept as pets. Of 22 birds, 16(72.7%0 developed a general sickness and 10(62.3%) of them died. Post-mortem examination revealed emaciation and either subcutaneous oedema or serous effusion in body cavities. Additional lesions included combinations of steatites, haemorrhages and pneumonia. The sick birds responded to improved diets that were also supplemented with multivitamins and minerals.
N MRMAINGIELIUD. "Indvoldsorm hos far (Gastrointestinal worms of sheep) - 13 vaesentlige sporgsmal om lobetarmorm (13 important questions about intestinal and abomasal worms).Tidsskrift for Dansk Fareavl (Danish Sheep Breeders Journal) 60:6.". In: Tidsskrift for Dansk Fareavl (Danish Sheep Breeders Journal) 60: 19-20. Kisipan, M.L.; 1995. Abstract

Isolated mouse interstitial cells were incubated with different concentrations of khat (Catha edulis) extract (0.06 mg/ml, 0.6 mg/ml. 6 mg/ml. 30 mg/ml and 60 mg/ml) and cell viability as well as testosterone concentration measured at 30 min intervals over a 3 h incubation period. High concentrations of khat extract (30 mg/ml and 60 mg/ml) significantly inhibited testosterone production while low concentrations (0.06 mg/ml. 0.6 mg/ml and 6 mg/ml) significantly stimulated (P < 0.05) testosterone production by mouse interstitial cells. Similarly, at concentrations of 30 mg/ml and 60 mg/ml, there was a significant decrease in interstitial cell viability, whereas at 0.06 mg/ml, 0.6 mg/ml and 6 mg/ml there was no significant decrease. There was only a weak correlation (r= 0.39) between testosterone production and viable interstitial cells. We postulate that khat extract at high concentrations may cause reproductive function impairment in the user but at low concentrations. may enhance testosterone production with accompanying effects on reproductive functions in male mice. @2006 Publishedby Elsevier Ireland Ltd. Kel'lVords: In dtro; Khat; Testosterone; Interstitial cells; Mouse

N PROFMUTHAMAJOHN. "Muthama N. J. and G. O. Ouma: An evaluation of atmospheric environmental quality of Nairobi for use in urban planning and architectural design. .". In: Proceedings of the International Conference on Green Architecture and Environmentally Sensitive, Sustainable development, Nairobi, 25-26 July 1996. Eastern and South African Journal; 1996. Abstract
The  study found out that Masinga Dam has adversely affected the public health in the communities around the dam. malaria was the most prevalent ailment followed by typhoid fever. Bilharzia has also increased since the dam was constructed.
N DRNYANGERIEZEKIELE. "Nyangeri E. N (2001) 2nd Regional Conference on Reforms of Water and Sanitation Sector in Africa. Kampala, Uganda 26th .". In: Journal of Civil Engineering, Jomo Kenyatta University of Agriculture and Technology. African Wildlife Foundation. Nairobi; 2001. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.
N PROFKAMAUGEOFREY. "Analysis of Mercury in Soils around Lake Naivasha," J. Biochemiphysics, 4 (1995) 27.". In: Proceedings, Biochemical Society, Nairobi, Sept. 1996. Survey Review; 1995. Abstract
n/a
N PROFGUANTAIA. "Relative distribution of cathinone and D-norpseudoephedrine in Catha edulis (Miraa) growing in Kenya. East Afr Med J. 1982 Jun;59(6):394-8.". In: East Afr Med J. 1982 Jun;59(6):394-8. A. N. GUANTAI, J. W. MWANG1, G1CHURU MURIUKI and K. A. M. KURIA; 1982. Abstract
Cathinone, a potent psychostimulant isolated from young shoots of Catha edulis was given to four human volunteers. Examination of urine collected from the volunteers at predetermined intervals showed the presence of unchanged cathinone, d-norpseudoephedrine, and two unidentified basic substances. The observed biotransformation of cathinone to the less potent psychostimulant, d-norpseudoephedrine involves reduction of a ketone group to alcohol, a common metabolic pathway in humans.
N PROFKANYARIPAULW. "P.W.N. KANYARI and WAWERU, J.G. ( 1999). Differences in Breed Responses to experimental Fasciola gigantica infection in sheep.". In: 9th International Conference of Institutes of Tropical Veterinary Medicine. 14th to 18th September. Harare, Zimbabwe. Korean Society of Crop Science and Springer; 1999. Abstract
Twelve Red Masai and 12 Dorper sheep aged between 6 and 9 months, were acquired from a fluke-free area and sheep of each breed divided into two equal groups of six. Each animal in one group of each breed was experimentally infected with 400 viable metacercariae of Fasciola gigantica. The other groups acted as uninfected controls. Blood samples were taken at weekly intervals for the determination of serum bilirubin, albumin and gamma glutamyl transferase levels. Following the establishment of infection, albumin levels declined in both breeds of infected animals without any significant difference between the two breeds. However, serum bilirubin and gamma glutamyl transferase (GGT) in the infected animals were elevated significantly more in the Dorper than in the Red Masai sheep. Based on these findings, it would appear that Dorper sheep are more susceptible to the infection than Red Masai sheep. Keywords: Dorper, Fasciola gigantica, Red Masai, serum biochemical changes
N DRNYANGERIEZEKIELE. "Nyangeri, E.N. (1990). Delegation and Control. Third Supervisors.". In: Journal of Water SRT-Aqua. Vol. 43, No.5. pp233-237. African Wildlife Foundation. Nairobi; 1990. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.
N PROFOGOLAELIJAHS, OTIENO PROFOGUTUELLY. "Oyoo GO, Ogola EN.Clinical and socio demographic aspects of congestive heart failure patients at Kenyatta National Hospital, Nairobi.East Afr Med J. 1999 Jan;76(1):23-7.". In: East Afr Med J. 1999 Jan;76(1):23-7. Journal of British Ceramic Transactions, 99 [5], 206-211.; 1999. Abstract
socio-demographic determinants in patients admitted to Kenyatta National Hospital, Nairobi in congestive heart failure. DESIGN: Cross sectional descriptive study. SUBJECT: All patients aged thirteen years and above of either sex consecutively admitted with clinical diagnosis of congestive heart failure. SETTING: Kenyatta National Hospital (KNH), a national referral hospital. PATIENT EVALUATION: Detailed history including socio-demographic characteristics and physical examination was done. Patients underwent haematological and biochemistry tests followed by a chest x-ray, ECG and 2D Echo-doppler examination. Blood culture sensitivity was done when clinically indicated. RESULTS: Ninety one patients were studied, 44 males and 47 females. Almost 32% had rheumatic heart disease, 25.2% had cardiomyopathy, 17.6% hypertensive heart disease, 13.2% had pericardial disease while 2.2% had ischaemic heart disease. Three quarters of patients with hypertensive heart disease were above the age of 50 years, while 79% of patients with rheumatic heart disease were below the age of 30 years. Factors associated with patient deterioration leading to admission with congestive heart failure (CHF) included inadequate therapy (27.4%), arrhythmia (20.9%), respiratory infections (17.6%), anaemia (13.2%) and infective endocardiatis. Sixty two per cent of patients investigated were in New York Heart Association (NYHA) functional classification class IV, 31.9% in class III and 5.5% in class II. CONCLUSION: Congestive heart failure constitutes 3.3% of all medical admissions at KNH. Rheumatic heart disease is the commonest cause of congestive heart failure in our set-up while inadequate therapy, arrhythmias and respiratory infections are the three major causes of decompensation in our patients with cardiac disease.
N PROFKANYARIPAULW. "R.M. WARUIRU, P.G. MBUTHIA, S.M. NJIRO, T.A. NGATIA, E.H. WEDA, J.W. NGOTHO, P.W. N. KANYARI and W.K. MUNYUA (1995). Prevalence of gastro-intestinal parasites in wild and domestic ruminants in a game farm in Kenya. Bulletin of Animal Health and Production.". In: 6th Annual Seminar of the DANIDA Funded Ruminant Helminth Research Project. 27th -31st January. ILRI, Kenya. Korean Society of Crop Science and Springer; 1995. Abstract
Eimeria christenseni and Eimeria arloingi were used separately to infect one month-old goat kids which were then killed 34 days post-infection. Their small intestines contained small nodular lesions made of several endogenous stages mainly macrogametocytes and macrogametes. Electron microscope studies of macrogametocytes revealed a prominent central nucleus and nucleolus. Other cellular components were mitochondria, wall forming bodies(WFB) type 1( homogenous) and type 2(reticular). Polysaccharide granules of E.christenseni had a chain like arrangement in the young cells, and increased dramatically with maturation of the macrogemetes to become the main cytoplasmic component along with the WFB. Type 1 WFB were peripheral while type 2 were more central but in E.christeseni macrogametes, some type 2 WFB appeared to give rise to membranous vesicles at the areas of wall formation.. The macrogamete nucleus was small and usually indented with polysaccharide granules and reticular bodies, named nuclear derived bodies(NBD), arising from the perinuclear regions. Within the periparasitic areas of both species, membranous/dark bodies were seen. E. arloingi had a large and well defined parasitophorous vacuole(PV), within which an inner lighter, and outer layer with dark granules were found. Both species had some poorly developed intravacuolar tubes(IVT), which occurred at certain points in the case of E.arloingi, while in E.christenseni, they had a diffuse distribution
N PROFNZOMODAUDI. "Ways of Knowing: Human Development. This article delineates the ways of knowing with a bias towards scientific research for Human Development and concludes by highlighting some current issues in the Kenyan society that demand scholarly endeavors to effect.". In: "The Student Accountant, Issue No. 13,. RIVERBRROKS COMMUNICATIONS; 2000. Abstract
Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)
N DRGITHANGAJESSIE. "Githang'a, J. N. (1998). Diagnosis of disseminated alveolar rhabdomyosarcoma using cytogenetics: case report.". In: East Afr Med J. 1998 Dec;75(12):724-5. Douglas McLean Publishing; 1998. Abstract
Department of Haematology and Blood Transfusion, College of Health Sciences, University of Nairobi, Kenya. The clinical, histologic and cytogenetic features of a patient with the alveolar subtype of rhabdomyosarcoma (RMS) were investigated. The patient presented with a widely disseminated tumour including bone marrow involvement, and was a diagnostic dilemma. The presence of translocation (2;13)(q37;q14), which is strongly associated with alveolar RMS helped make the diagnosis. A review of other published cases confirms the strong association of (2;13) with alveolar RMS. The importance of considering RMS as a differential diagnosis in patients presenting with disseminated tumour as the only finding is stressed. This case also shows how cytogenetic investigation of similar patients may provide a diagnosis.
N PROFMUNGAIDAVID. "Mungai, D.N., Coulson, C.L., Stigter, C.J., Ng.". In: Journal of Environmental Sciences, Vol. 13, No. 2. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 2001. Abstract

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.

N PROFKANYARIPAULW. "P. W. N. KANYARI (1990). " Immunohistological demonstration of antigenecity of the various endogenous stages of in goats".". In: Kenya Veterinary Association Annual Scientific Conference, University of Nairobi, Faculty of Veterinary Medicine, Kenya. September 19th - 21st, 1990. Korean Society of Crop Science and Springer; 1990. Abstract
Eimeria christenseni and Eimeria arloingi were used separately to infect one month-old goat kids which were then killed 34 days post-infection. Their small intestines contained small nodular lesions made of several endogenous stages mainly macrogametocytes and macrogametes. Electron microscope studies of macrogametocytes revealed a prominent central nucleus and nucleolus. Other cellular components were mitochondria, wall forming bodies(WFB) type 1( homogenous) and type 2(reticular). Polysaccharide granules of E.christenseni had a chain like arrangement in the young cells, and increased dramatically with maturation of the macrogemetes to become the main cytoplasmic component along with the WFB. Type 1 WFB were peripheral while type 2 were more central but in E.christeseni macrogametes, some type 2 WFB appeared to give rise to membranous vesicles at the areas of wall formation.. The macrogamete nucleus was small and usually indented with polysaccharide granules and reticular bodies, named nuclear derived bodies(NBD), arising from the perinuclear regions. Within the periparasitic areas of both species, membranous/dark bodies were seen. E. arloingi had a large and well defined parasitophorous vacuole(PV), within which an inner lighter, and outer layer with dark granules were found. Both species had some poorly developed intravacuolar tubes(IVT), which occurred at certain points in the case of E.arloingi, while in E.christenseni, they had a diffuse distribution
N PROFNZOMODAUDI. ""Accounting Versus Accountability." This article highlights the need for financial accountability in our economy. It cites the collapsing financial institutions and the costly mismanagement exposed by the likes of "the multi-billion Bura Irrigation Scheme.". In: Journal for the Institute of Certified Public Accountants of Kenya. (pages 4-6).; Submitted. Abstract

Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)

N PROFNZOMODAUDI. ""New Accounting Practices to Manage Inflation." This article discusses the International Accounting Standards as they relate to the management of Inflation. Management:.". In: Journal of the Kenya Institute of Management, (pages 21-27). RIVERBRROKS COMMUNICATIONS; Submitted. Abstract
Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)
N MJ, Aduda VO. "End Users’ Perspective on Green Buildings: A Study in Nairobi." International Journal of Research and Publications. 2019;Vol 9(4):649-669.
N K, F Y, S M, M N. "Strengthening capacity for sustainable livelihoods and food security through urban agriculture among HIV and AIDS affected households in Nakuru, Kenya.". 2010. Abstract

The promotion and support of urban agriculture (UA) has the potential to contribute to efforts to address pressing challenges of poverty, under nutrition and sustainability among vulnerable populations in the growing cities of sub-Saharan Africa (SSA). This may be especially relevant for HIV/AIDS-affected individuals in SSA whose agricultural livelihoods are severely disrupted by the devastating effects of the disease on physical productivity and nutritional well-being. This paper outlines the process involved in the conception, design and implementation of a project to strengthen technical, environmental, financial and social capacity for UA among HIV-affected households in Nakuru, Kenya. Key lessons learned are also discussed. The first has been the value of multi-stakeholder partnerships, representing a broad range of relevant experience, knowledge and perspectives in order to address the complex set of issues facing agriculture for social purposes in urban settings. A second is the key role of self-help group organizations, and the securing of institutional commitments to support farming by vulnerable persons affected by HIV-AIDS is also apparent. Finally, the usefulness of evaluative tools using mixed methods to monitor progress towards goals and identify supports and barriers to success are highlighted.

N PROFLULEGODFREY. "Karari EM, Lule GN, McLigeyo SO, Amayo EO.Endoscopic findings and the prevalence of Helicobacter pylori in chronic renal failure patients with dyspepsia. East Afr Med J. 2000 Aug;77(8):406-9.". In: East Afr Med J. 2002 May;79(5):226-31. test; 2000. Abstract

BACKGROUND: Peptic ulcer disease (PUD) occurs in up to one fourth of patients with chronic renal failure (CRF). Some of the factors implicated in its causation include hypergastrinaemia, secondary hyperparathyroidism, drugs and, recently, Helicobacter pylori infection. Studies on the latter have been few, with none having been carried out in Kenya. OBJECTIVE: To evaluate the upper gastrointestinal tract endoscopic findings and to determine the prevalence of H. pylori in CRF patients with dyspepsia. STUDY DESIGN AND POPULATION: A prospective study of seventy seven consecutive patients with CRF and dyspepsia compared with consecutive age, sex and socio-economically matched seventy seven controls (no CRF) with dyspepsia. SETTING: Kenyatta National Hospital (KNH), the major referral and teaching hospital, Nairobi, Kenya. METHODS: In both the study population and the controls, upper gastrointestinal endoscopy was carried out. H. pylori was tested for using the biopsy urease test and histology. Patients were considered to have H. pylori if they tested positive on both tests. OUTCOME MEASURES: Findings at endoscopy and presence of H. pylori. RESULTS: Inflammatory lesions (gastritis, duodenitis) (42%) and duodenal ulcers (18.4%) were the commonest findings in the two groups combined. The prevalence of H. pylori in the 154 subjects studied was 54.5%. There was no statistically significant difference between the prevalence of H. pylori in CRF patients (53.2%) and the controls (55.8%) (p = 0.746). Patients with endoscopically proven PUD had a very high prevalence of H. pylori (87.3%) regardless of their renal function status. CONCLUSION: Dyspepsia in patients with or without CRF was due to multiple causes and over 50% were attributable to H. pylori. The prevalence of H. pylon in dyspeptic CRF patients was similar to that in dyspeptic patients with normal renal function.

N PROFNYAGAP. "P.N. Nyaga, L.C. Bebora and J.S. Kaminjolo. Occurence of Shigella dysenteriae - 3 in the domestic chicken (Gallus domesticus) in Kenya. Bull. Anim. Hlth. Prod. Afri. (1985) 33: 173-174.". In: Proceedings: 10th Convention, Indian Society for Veterinary Surgery, Nov. 1986. au-ibar; 1985. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N PROFOGOLAELIJAHS, DAVID PROFJOSHIMARK. "Cardiovascular risk factor profile of black Africans undergoing coronary angiography. Kamotho C,Ogola E N,Joshi M D,Gikonyo D.". In: East Afr Med J.2004;81:82-86. Kisipan, M.L.; 2004. Abstract
{ BACKGROUND: Coronary artery disease (CAD) is a growing epidemic on the African continent. It remains uncertain whether the risk factors identified as contributing to CAD in white populations contribute to a similar extent to CAD incidence in black populations. No data of the local population exists that is based on the coronary angiogram (CA). OBJECTIVES: To analyse the relationship of conventional cardiovascular risk factors with presence of CAD in black Africans. DESIGN: This was a dual-armed study, consisting of retrospective and prospective comparative arms. SUBJECTS: Black Africans who underwent coronary angiography. SETTING: Nairobi Hospital, Cathereterization laboratory. MAIN OUTCOME MEASURES: The conventional risk factors: age, male gender, hypertension, obesity, smoking, diabetes mellitus, dyslipidaemia, alcohol use and interventricular septum (IVS) hypertrophy, as a marker of LVH. RESULTS: One hundred and sixty nine patients fulfilled the inclusion criteria; 144 in the retrospective arm and 25 in the prospective. The larger retrospective arm showed that the group with CAD, compared to the normal group, was significantly older, with a higher mean age of 54.4 years compared to 49.8 years (P=0.005); had significantly more males, with a male to female ratio of 5.5:1 compared to 2.3:1 (P=0.045); had a very significantly larger proportion of diabetics (38.5% compared to 12%
N MRSKIMONYEMARYW. "Strathmore College Training Manual for the course, .". In: (Journal of the Marketing Students Association). ELOQUENT BOOKS NY, Strategic Book Group, Connecticut, USA. ISBN-978-1-60911-081-9.Pages1; 1994. Abstract
Normal 0 false false false MicrosoftInternetExplorer4 st1:*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Macrophytes have been shown to perform important ecological roles in Lake Naivasha. Consequently, various studies regarding the impact of biotic factors on the macrophytes have been advanced but related studies on environmental parameters have lagged behind. In an attempt to address this gap, sampling on floating species and submergents was carried out in eight sampling sites in 2003 to investigate how they were influenced by a set of environmental factors. Soil texture (sandy sediments; P < 0.05, regression coefficient = - 0.749) and wind were the most important environmental parameters influencing the distribution and abundance of floating macrophytes. Combination of soil texture and lake-bed slope explained the most (86.3%) variation encountered in the submergents. Continuous translocation of the floating dominant water hyacinth to the western parts by wind has led to displacement of the submergents from those areas. In view of these findings, the maintenance and preservation of the steep Crescent Lake basin whose substratum is dominated by sand thus hosting most submergents remain important, if the whole functional purpose of the macrophytes is to be sustained.
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 PROFLULEGODFREY. "Joshi MD, Gathua SN, Okelo GB, Lule GN, Musewe AO. Cryptococcal hepatitis and meningitis in a patient with acquired immunodeficiency syndrome: a case report. East Afr Med J. 1989 Jan;66(1):69-73.". In: East Afr Med J. 1989 Jan;66(1):69-73. test; 1989. Abstract

A case of cryptococcal hepatitis is described in a patient with Human Immunodeficiency Virus (HIV) infection. There has been no previous reports of this in the East African literature. A review of world literature showed that the entity of cryptococcal hepatitis is very rare.

N PROFNYAGAP. "P.N. Nyaga, J.S. Kaminjolo, E.R. Mutiga, and L.C. Bebora. Occurrence of atypical fowlpox in poultry farms in Kenya. Avian Dis. Vol. 23 (31, 1979: 745- 752.". In: Proceedings: 10th Convention, Indian Society for Veterinary Surgery, Nov. 1986. au-ibar; 1979. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N PROFOGOLAELIJAHS, OTIENO PROFOGUTUELLY. "Lore W, Muita AK, Ogola ES.The efficacy and tolerability of enalapril–hydrochlorothiazide combination as a first line therapy in black patients with mild to moderate arterial hypertension: a clinical study in Kenya.East Afr Med J. 1992 Jan;69(1):18-21.". In: East Afr Med J. 1992 Jan;69(1):18-21. Kisipan, M.L.; 1992. Abstract
The study aimed at evaluating tolerability and efficacy of the combination enalapril 20 mg with hydrochlorothiazide 12.5 mg (co-renitec) as first line therapy in black patients with mild to moderate primary hypertension. Fifty patients completed a twelve weeks of open clinical study preceded by two weeks of washout period. They were evaluated every four weeks and haematological, biochemical urine microscopy and electrocardiographic tests were undertaken before the start and after the completion of study. Pre-treatment values of mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) were 172.16 mm hg (+/- 20.41) and 104.38 mm hg (+/- 7.339) respectively. The usual daily dosage was one tablet which was increased to two after eight weeks in case the DBP was not normalized, i.e. less than or equal to 95 mm hg. In 44 (88%) patients, the DBP was normalised at the end of the study period; three patients (6%) were resistant to treatment and another three (6%) exhibited labile response to the treatment. Clinical tolerance was considered to be very good with only five episodes of headache, backache and anxiety, probably not related to the test drug. Biological tolerance was excellent: there was no change in the haematologic parameters; there was a decrease of 5% in mean blood urea, of 9% in the mean serum creatinine and of 4% in the mean serum uric acid and a 5% increase in plasma potassium from 3.99 to 4.28 mmol/l.(ABSTRACT TRUNCATED AT 250 WORDS)
N PROFMUTHAMAJOHN. "Probability Modelling of climate Data. Importance of Mathematical modelling of Biological and Biomedical processes.". In: African society of Biomathematics Series 1, edited by L. S. Luboobi, J.Y.T. Mugisha and J. Kasozi, Kampala:Makerere university press, ISBN 9970- 418-14-3, pp. 133-137, 2004. Eastern and South African Journal; 2004. Abstract
The  study found out that Masinga Dam has adversely affected the public health in the communities around the dam. malaria was the most prevalent ailment followed by typhoid fever. Bilharzia has also increased since the dam was constructed.
N DRNYANGERIEZEKIELE. "Mulaku W.O. and Nyangeri W.N (2004), Dissolved Air Flotation process for algae removal in surface water treatment in Kenya. Journal of Civil Engieering Research and Practice. Reviewed, corrected and accepted for printing.". In: . Journal of Civil Engieering Research and Practice. Reviewed, corrected and accepted for printing. African Wildlife Foundation. Nairobi; 2004. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.
N PROFKARIUKIDAVID, W PROFNJENGALYDIAH. "The distribution of fluoride in Kenya waters.". In: Proceedings of the Environmental Chemistry Sub-region Workshop, National University of Lesotho, Roma, 32-6 (1982). UoN; 1982. Abstract
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N PROFKAMAUGEOFREY. "Myoglobin Coadsorbed on Electrodes, Langmuir, Vol. 19, No. 17, 2003 6981.". In: Journal of BioChemiPhysics, Vol.11&12(Nos.1&2) 2003. Survey Review; 2003. Abstract
Towers are typical structures that can be found in many urban and rural landscapes the world over. From their basic design, they are usually exposed to severe environmental loads. It is therefore prudent to carry out periodic maintenance that includes checking that they are correctly aligned. This paper describes a method that was used for the re-alignment of a guyed tower in Limuru, Kenya. Angular and distance observations, made from two observation points detected a vertical misalignment that was larger than the acceptable tolerance of l/400. An iterative re-alignment procedure was then applied, resulting in an acceptable final misalignment of 1 / 520.
N PROFGUANTAIA. "Antimalarial activity of some plants traditionally used in Meru district of Kenya.Muthaura CN, Rukunga GM, Chhabra SC, Omar SA, Guantai AN, Gathirwa JW, Tolo FM, Mwitari PG, Keter LK, Kirira PG, Kimani CW, Mungai GM, Njagi EN.Phytother Res. 2007 Sep;21(9).". In: Phytother Res. 2007 Sep;21(9):860-7. FA Okalebol , L Wiesner, AN Guantai, K Chibale, P Smith; 2007. Abstract

Ten plant extracts commonly used by the Meru community of Kenya were evaluated for the in vitro antiplasmodial, in vivo antimalarial, cytotoxicity and animal toxicity activities. The water and methanol extracts of Ludwigia erecta and the methanol extracts of Fuerstia africana and Schkuhria pinnata exhibited high antiplasmodial activity (IC(50) < 5 microg/mL) against chloroquine sensitive (D6) and resistant (W2) Plasmodium falciparum clones. The cytotoxicity of these highly active extracts on Vero E6 cells were in the range 161.5-4650.0 microg/mL with a selectivity index (SI) of 124.2-3530.7. In vivo studies of these extracts showed less activity with chemosuppression of parasitaemia in Plasmodium berghei infected mice of 49.64-65.28%. The methanol extract of Clerodendrum eriophyllum with a lower in vitro activity (IC(50) 9.51-10.56 microg/mL) exhibited the highest chemosuppression of 90.13%. The methanol and water extracts of Pittosporum viridiflorum were toxic to mice but at a lower dose prolonged survival of P. berghei infected mice (p < 0.05) with no overt signs of toxicity. However, the extracts were cytotoxic (SI, 0.96-2.51) on Vero E6 cells. These results suggest that there is potential to isolate active non-toxic antimalarial principles from these plants.

N PROFKANYARIPAULW. "K. SRIVASTVA, A. OYEJIDE, P.W.N. KANYARI, T.A. NGATIA, P. MBAABU-MATHIU ( 2002). " What is your diagnosis? Oozing ostrich egg". Lab Animal 31:23-24.". In: East Africa regional conference, The Nile Hotel Kampala, Uganda. Korean Society of Crop Science and Springer; 2002. Abstract
Ostriches of various ages, unhatched embryos and chicks found to have oedema during post-mortem examination are described here. Unhatched eggs and chicks originated from a commercial farm, where there was a complaint of poor hatchability of eggs and high chick mortality. Of 35 embryos examined, 29(82.9%) had severe subcutaneous oedema either generalized (23) or localized(6). Of 311 chicks, 232(74.6%) had oedema of varying degrees of severity. In 10 chicks, the oedema was subcutaneous and severe, in 5 it was only serous effusions in body cavities and in 217, it was manifested as wetness of subcutaneous tissues. Adult and juvenile ostriches originated from three farms, where they were kept as pets. Of 22 birds, 16(72.7%0 developed a general sickness and 10(62.3%) of them died. Post-mortem examination revealed emaciation and either subcutaneous oedema or serous effusion in body cavities. Additional lesions included combinations of steatites, haemorrhages and pneumonia. The sick birds responded to improved diets that were also supplemented with multivitamins and minerals.
N PROFMUTHAMAJOHN. "Muthama, N. J.: Atmospheric ozone, Science News ,Vol. 1 :No.". In: Proceedings of the IMTR/UON/WMO international workshop on Related Numerical Weather Prediction, 6-17 Dec., 1999, Nairobi, Kenya. Eastern and South African Journal; 1999. Abstract
The  study found out that Masinga Dam has adversely affected the public health in the communities around the dam. malaria was the most prevalent ailment followed by typhoid fever. Bilharzia has also increased since the dam was constructed.
N DRNYANGERIEZEKIELE. "Nyangeri, E.N. (2003). Resource person. Towards Development of a Water Secure Kenya. Joint Water Resources Mission Workshop. Supported by Government of Kenya. World Bank, WSP-Africa, GTZ. SIDA, BNWPP and the world Wildlife Fund Hotel Intercontinental Nair.". In: Journal of Civil Engineering, Jomo Kenyatta University of Agriculture and Technology. African Wildlife Foundation. Nairobi; 2003. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.
N PROFGUANTAIA. "Mwangi J.W. Guantai A.N., Muriuki G.m Essential oil of Plectrathus marrubiodes Benth. Kenya J. Sci. Technnol (A 63 1986.". In: Kenya J. Sci. Technnol (A 63 1986. A. N. GUANTAI, J. W. MWANG1, G1CHURU MURIUKI and K. A. M. KURIA; 1986.
N PROFKANYARIPAULW. "J.G. WAWERU, P. W. N. KANYARI, D.M. MWANGI, T.A NGATIA and P. NANSEN (1999). " A comparison of serum biochemical changes in two breeds of sheep ( Red Masai and Dorper) experimentally infected with Fasciola gigantica". Ondersterpoort Journal of Veterinary .". In: The 18th International Conference of the World Association for the Advancement of Veterinary Parasitology [WAAVP], 26th - 30th August , Stresa, Italy. Korean Society of Crop Science and Springer; 1999. Abstract
Twelve Red Masai and 12 Dorper sheep aged between 6 and 9 months, were acquired from a fluke-free area and sheep of each breed divided into two equal groups of six. Each animal in one group of each breed was experimentally infected with 400 viable metacercariae of Fasciola gigantica. The other groups acted as uninfected controls. Blood samples were taken at weekly intervals for the determination of serum bilirubin, albumin and gamma glutamyl transferase levels. Following the establishment of infection, albumin levels declined in both breeds of infected animals without any significant difference between the two breeds. However, serum bilirubin and gamma glutamyl transferase (GGT) in the infected animals were elevated significantly more in the Dorper than in the Red Masai sheep. Based on these findings, it would appear that Dorper sheep are more susceptible to the infection than Red Masai sheep. Keywords: Dorper, Fasciola gigantica, Red Masai, serum biochemical changes
N PROFMUTHAMAJOHN. "Muthama, N. J.: Atmospheric greenhouse warming, Science news, Vol. 1 :No.". In: Proceedings of The first National Research workshop on Meteorological applications and services, Nairobi. Eastern and South African Journal; 1989. Abstract
The  study found out that Masinga Dam has adversely affected the public health in the communities around the dam. malaria was the most prevalent ailment followed by typhoid fever. Bilharzia has also increased since the dam was constructed.
N DRNYANGERIEZEKIELE. "Nyangeri, E.N. (1991). Experience with Small Industrial Wastewater Treatment Plans. Institution of Engineers, Mauritius, Commonwealth Engineering Council Meeting, 12th .". In: Journal of Water SRT-Aqua. Vol. 43, No.5. pp233-237. African Wildlife Foundation. Nairobi; 1991. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.
N M, M G, Gichuhi S, G K, N N, L M, M B. Guidelines For Screening And Management of Diabetic Retinopathy. Nairobi: Ministry of Health Kenya; 2017.
N PROFKAMAUGEOFREY. "Surface preparation of glassy carbon elelectrodes", Analytical Chim. Acta, 207, 1-16.". In: Electroanal. Chem., 240, 217. Survey Review; 1988. Abstract
n/a
N PROFKANYARIPAULW. "P. W. N. KANYARI, J. N. CHEGE, W.K. MUNYUA, & J.NGOTHO ( 1996). Experimental infection of rabbits (Orytolagus cuniculus) with Toxocara vitulorum from calves. Bulletin of Animal Health and Production in Africa, 44: 257 - 258.". In: 6th Annual Seminar of the DANIDA Funded Ruminant Helminth Research Project. 27th -31st January. ILRI, Kenya. Korean Society of Crop Science and Springer; 1996. Abstract
Twelve Red Masai and 12 Dorper sheep aged between 6 and 9 months, were acquired from a fluke-free area and sheep of each breed divided into two equal groups of six. Each animal in one group of each breed was experimentally infected with 400 viable metacercariae of Fasciola gigantica. The other groups acted as uninfected controls. Blood samples were taken at weekly intervals for the determination of serum bilirubin, albumin and gamma glutamyl transferase levels. Following the establishment of infection, albumin levels declined in both breeds of infected animals without any significant difference between the two breeds. However, serum bilirubin and gamma glutamyl transferase (GGT) in the infected animals were elevated significantly more in the Dorper than in the Red Masai sheep. Based on these findings, it would appear that Dorper sheep are more susceptible to the infection than Red Masai sheep. Keywords: Dorper, Fasciola gigantica, Red Masai, serum biochemical changes
N PROFWEREFREDRICK. "Pyrexia of undetermined origin in children. East Afr Med J . 1991 Sep; 68 ( 9 ): 673-4 . No abstract available. PMID: 1797529 [PubMed - indexed for MEDLINE] Were FN.". In: East Afr Med J . 1991 Sep; 68 ( 9 ): 673-4 . F.N. kamau, G. N Thothi and I.O Kibwage; 1991. Abstract
No abstract available.
N PROFNZOMODAUDI. "Is Common Sense Common? The Knowledge perspective." This article is the abstract for the paper presented at the National Conference on Higher Education for Human Development in Kenya, held at Kenyatta University.(pages 3-4).". In: National Conference on Higher Education for Human Development in Kenya.; 2000. Abstract

Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)

N DRGITHANGAJESSIE. "Morsman JM, Sludden J, Ameyaw MM, Githang'A J, Indalo A, Ofori-Adjei D, McLeod HL.Evaluation of dihydropyrimidine dehydrogenase activity in South-west Asian, Kenyan and Ghanaian populations. Br J Clin Pharmacol. 2000 Sep;50(3):269-72.". In: Br J Clin Pharmacol. 2000 Sep;50(3):269-72. Douglas McLean Publishing; 2000. Abstract

AIMS: Dihydropyrimidine dehydrogenase (DPD) reduces endogenous pyrimidines and therapeutic analogues such as the anticancer agent 5-fluorouracil (5FU). Among Caucasian populations DPD activity is highly variable and subject to polymorphic regulation. To evaluate interethnic influence, DPD activity was assessed in South-west Asian, Kenyan and Ghanaian populations. METHODS: DPD activity was determined in peripheral mononuclear cells using[14C]-5-fluorouracil and h.p.l.c. analysis. RESULTS: A high degree of variation in DPD activity was observed within each population (range CV = 34-48%). Median DPD activity also varied between these populations. South-west Asian and Kenyan subjects exhibited almost identical median values (192 and 193.5 pmol min(-1) mg(-1), respectively), which were similar to Caucasians (median 215 pmol min(-1) mg(-1). A significantly lower median DPD activity (119 pmol min(-1) mg(-1)) was observed in the Ghanaian population. CONCLUSIONS: The similarity in DPD activity between Caucasian, Kenyan and South-west Asian populations suggests that the incidence of 5FU-related toxicity may be comparable in these groups. The pharmacokinetic implications of lower activity amongst Ghanaians needs to be evaluated.

N PROFMUNGAIDAVID. "Mungai, D.N., B. Swallow, J. Mburu, L. Onyango and A. N. Njui (Eds.), 2004. Reversing Environmental and Agricultural Decline in the Nyando River Basin. Proceedings of a Workshop, Kisumu, Kenya, December.". In: Afri. J. Oral Hlth. Sci. 2002; 3: 97-99. EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 2004. Abstract

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.

N PROFKANYARIPAULW. "P. W. N. KANYARI, P. K. GATHUMBI and S. M. MBUGUA (1991). " Tyzzer's disease in Kenya rabbit . A case report". Bulletin of Animal Health and Production in Africa. 39: 115 - 116.". In: Kenya Veterinary Association Annual Scientific Conference, University of Nairobi, Faculty of Veterinary Medicine, Kenya, April 22nd - 24th. Korean Society of Crop Science and Springer; 1991. Abstract
Eimeria christenseni and Eimeria arloingi were used separately to infect one month-old goat kids which were then killed 34 days post-infection. Their small intestines contained small nodular lesions made of several endogenous stages mainly macrogametocytes and macrogametes. Electron microscope studies of macrogametocytes revealed a prominent central nucleus and nucleolus. Other cellular components were mitochondria, wall forming bodies(WFB) type 1( homogenous) and type 2(reticular). Polysaccharide granules of E.christenseni had a chain like arrangement in the young cells, and increased dramatically with maturation of the macrogemetes to become the main cytoplasmic component along with the WFB. Type 1 WFB were peripheral while type 2 were more central but in E.christeseni macrogametes, some type 2 WFB appeared to give rise to membranous vesicles at the areas of wall formation.. The macrogamete nucleus was small and usually indented with polysaccharide granules and reticular bodies, named nuclear derived bodies(NBD), arising from the perinuclear regions. Within the periparasitic areas of both species, membranous/dark bodies were seen. E. arloingi had a large and well defined parasitophorous vacuole(PV), within which an inner lighter, and outer layer with dark granules were found. Both species had some poorly developed intravacuolar tubes(IVT), which occurred at certain points in the case of E.arloingi, while in E.christenseni, they had a diffuse distribution
N PROFNYAGAP. "G.Gitao and P.N. Nyaga (1997): Some biological properties of camelpox virus isolated from camels(Camelus dromedarius) in Kenya. Israel Journal of Vet. Medicine Vol. 52(4):141-148.". In: Bull. Anim. Hlth. Prod. Afr. vol.58. no.1. au-ibar; 1997. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N PROFNZOMODAUDI. "The Making of Professional Accountants." Part 1, By J.D. Newton and N.D. Nzomo. This article discusses the legal framework under which the Kenyan accounting profession is orgnaized. It presents data on the current status of the profession and discusses ed.". In: Journal of the Kenya Institute of Management, July 1980. (pages 37-39). RIVERBRROKS COMMUNICATIONS; 1980. Abstract
Journal of the Institute of Certified Public Accountants of Kenya. (pages 13-15)
N PROFMUNGAIDAVID. "Porter, H.L., Akong'a, A., Downing, T.E., Mungai, D.N. and Muturi, H.R., 1988. Implications for policy. Part II (pp. 249-270), In: Parry, M.L., Carter, T.R. and Konijn, N.T. (Eds.) 1988. The Impact of Climatic Variations on Agriculture, Vol. 2: Assessment.". In: Kluwer Academic Publishers, Dordrecht etc. ISBN 90-277-271-8 (Vol.2). EM Ngatia, LW Gathece, FG Macigo, TK Mulli, LN Mutara, EG Wagaiyu.; 1988. Abstract

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.

N PROFLULEGODFREY. "Lule GN.Spontaneous bacterial peritonitis. East Afr Med J. 2004 Mar;81(3):113. Review. No abstract available.". In: East Afr Med J. 2005 Apr;82(4):166-9. test; 2004. Abstract

OBJECTIVE: To determine the prevalence of HCV infection and HCV/HIV co-infection among voluntary blood donors at the National Blood Transfusion Centre and clients at the Kenyatta National Hospital HIV-Voluntary Counseling and Testing (VCT) Centre. DESIGN: A prospective cross-sectional descriptive study. SETTING: Kenyatta National Hospital, a tertiary referral and teaching hospital and the National Blood Transfusion Services Centre, Nairobi. SUBJECTS: Volunteer blood donors and VCT attendants. RESULTS: The prevalence of HCV/HIV co-infection among 6154 blood donors in the NBTSC was very low, at 0.02. The HIV prevalence among the 353 KNH HIV-VCT clients was 9.3%, none of the clients tested positive for HCV. The incidence of risk factors in the persons with HCV and/or HIV infection(s) was low. CONCLUSION: The prevalence of HCV infection among pre-screened volunteer blood donors was low. However the current practice of screening all donated blood for HCV remains indispensable to prevent its transmission to blood recipients.

N PROFNYAGAP. "S.M. Mbiuki, P.N. Nyaga, and G.M. Mugera. Healing of intestinal anastomoses in cattle: An evaluation of end to end approximating techniques.". In: Proceedings: 10th Convention, Indian Society for Veterinary Surgery, Nov. 1986. au-ibar; 1986. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N MRSKIMONYEMARYW. "National Council of Women of Kenya Civic education handbook.". In: (An article in National Council of Women of Kenya). ELOQUENT BOOKS NY, Strategic Book Group, Connecticut, USA. ISBN-978-1-60911-081-9.Pages1; 1999. Abstract
Normal 0 false false false MicrosoftInternetExplorer4 st1:*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Macrophytes have been shown to perform important ecological roles in Lake Naivasha. Consequently, various studies regarding the impact of biotic factors on the macrophytes have been advanced but related studies on environmental parameters have lagged behind. In an attempt to address this gap, sampling on floating species and submergents was carried out in eight sampling sites in 2003 to investigate how they were influenced by a set of environmental factors. Soil texture (sandy sediments; P < 0.05, regression coefficient = - 0.749) and wind were the most important environmental parameters influencing the distribution and abundance of floating macrophytes. Combination of soil texture and lake-bed slope explained the most (86.3%) variation encountered in the submergents. Continuous translocation of the floating dominant water hyacinth to the western parts by wind has led to displacement of the submergents from those areas. In view of these findings, the maintenance and preservation of the steep Crescent Lake basin whose substratum is dominated by sand thus hosting most submergents remain important, if the whole functional purpose of the macrophytes is to be sustained.
N PROFLULEGODFREY. "Faraj FJ, Lule GN, Mwai JS. Serum pepsinogen I in relation to some clinical features and complications of duodenal ulcer disease. East Afr Med J. 1989 Apr;66(4):255-8.". In: East Afr Med J. 1989 Apr;66(4):255-8. test; 1989. Abstract

Fasting serum pepsinogen 1 was assayed in 60 patients seen at the Kenyatta National Hospital with endoscopy - confirmed active duodenal ulceration. Pepsinogen 1 values were also correlated with some clinical features and complications of this disorder. 54 (90%) of the patients had significantly elevated values when compared with age and sex matched controls. Although elevated values were found in patients with chronic dyspepsia, family history of ulcer dyspepsia, history of gastro-duodenal blood loss and in patients with virulent ulcers, this did not show statistical significance. The possibility of using serum pepsinogen I to identify duodenal ulcer patients and to predict the clinical course and complications of this disorder is discussed.

N PROFNYAGAP. "P.N.Nyaga and D.G. McKercher. Pathogenesis of Bovine herpesvirus - (BHV-l) infections: interactions of the virus with peripheral bovine blood component. Com. Immuno. Microbio, Inf. Dis. Vol. 2. 1980: 587-702.". In: Proceedings: 10th Convention, Indian Society for Veterinary Surgery, Nov. 1986. au-ibar; 1980. Abstract

According to the statements made by a number of scholars, in the 80's East African Anglophone novel, which once received a nickname of "social documentary", began to lose gradually its social commitment. Many of the writers known previously as the most active supporters of the social trend, moved their attempts to other literan areas - criminal novel ("Weapon of hunger" by Meja Mцangi, 1989), love story (Yussuf Dawood's "Off my chest", 1988), even children's literature (books for children in Gikuyu, written by Ngugi wa Thiong'o). However, in the late 80's and early 90's East African Anglophone novel stepped onto a new level of social trend, moving from "social documentary" to "social epic". The authors now are trying to sum up the historical experience of East African countries over a large time span, and to that effect appeal mostly to elaborate and spacious literary forms, such as epic novel. These authors, although chosen one and the same literary form, are showing clearly their inclinations towards different styles of writing. For example, Tanzanian author Moyez Vassanji in his novel "The gunny sack" (1989) makes a rather convincing attempt to replant on East African soil the method of "mythological writing", previously used by such author as Gabriel Garcia Marquez. The novel definitely appeals not only to local reader, but to a wider international audience; on its pages the author manages to restore not only the fate of several generations of Indian family, but even the slightest details of their mentality, using myth as one of the basic means for changing the dimensions of time and space, according to the logic of the narration. The development of Kenyan novel in the early 90's confirms also one of the main tendencies in modem literature - bridging between "elite" and popular fiction. The first attempt of an epic novel in Kenyan Anglophone literature was, oddly enough, made by the veteran of Kenyan popular fiction David Maillu in his "Broken drum" H991). The novel hardly aims the widest reading public - nevertheless, stylistically it bears distinct features of popular fiction, such as crime story, romance, etc. Popular novel in East Africa also shows certain inclination towards urgent social themes, but the authors inevitably uses the artistic means they feel most happy with - that is, the style of popular fiction. For example, the "clash of cultures" - the experience of young Africans studying abroad - is presented in the form of a picaresque ("Times beyond" by Omondi Makoloo, 1992) or love story ("The girl from Uganda" by Tengio Urrio, 1993); feministic problems are spiced with sentimentalism ("Judy the nun" by P .Waweru, 1990); the thoughts on the hardships of younger generation are guised in Bildungs roman ("The plight of succession" by a Tanzanian Prosper Rwegoshora, 1990). At the same time, some authors, who have been ploughing successfully the field of pop fiction for a few decades, show their interest in more elaborate literary forms ("Dedan Kimathi: the real story" by Samuel Kaluga, 1990). All the mentioned facts do not allow us to state that the division into popular and elite novel will disappear within the foreseeable future. However, the most interesting developments seem to take place precisely in the field of bridging between these two branches of East African fiction.

N PROFOGOLAELIJAHS. "LORE W; MUITA A.K; OGOLA E.N; Efficacy and tolerability of Enalapril hydrochlorothiazide combination as first line therapy in essential arterial hypertension in Blacks, a Clinical Trial Kenya. East Africa .Med J.69: 18, 1992.". In: East Africa .Med J.69: 18, 1992. Kisipan, M.L.; 1992. Abstract

Sixty patients with Diastolic Blood Pressure (DBP) of 100-110mmHg matched for age, sex and Bp levels were randomly assigned to propranolol 80mg daily or Hydroflumethiazide (HFM) 50mg daily. HFM causes a significant reduction in systolic blood pressure (SBP) and DBP within 4 weeks compared both with baseline and propranolol (SBP 143.7 +/- 12.3 vs 158.1 +/- 10.9mmHg, P < 0.05; DBP 92.0 +/- 4.5 vs 102.4 +/- 5.1mmHg, P < 0.05), (SBP 143.7 +/- 12.2 vs 152 +/- 11.0mmHg P < 0.05; DBP 92.0 +/- 4.5 vs 101.1 +/- 6.1mmHg, P < 0.05), respectively. Propranolol produced no significant difference from the baseline at 4 weeks (SBP 152.0 +/- H.0 vs 154.1 +/- 11.5mmHg NS; DBP 101.1 +/- 6.1 vs 102.2 +/- 5.6mmHg, NS). Reduction in BP by HFM was maintained after 8 and 12 weeks with further reduction but which did not achieve statistical significance. Increased dose of propranolol (160mg daily) after 4 weeks caused significant reduction in BP by 8 week (SBP 146.8 +/- 11.8 vs 152.0 +/- 11.0mmHg, P < 0.05; DBP 95.9 +/- 4.4 vs 101.1 +/- 6.1mmHg P < 0.05), which was maintained upto 12 weeks. The values however remained higher than in the HFM group. More patients in the HFM group achieved target BP (< 140/90), SBP 53.8% vs 29.6% P < 0.05, DBP 69.2% vs 14.8% P < 0.01. Incidence of side effects was similar and will be discussed. Thiazides are superior to B'blockers as initial monotherapy in black hypertensives.

N PROFKANYARIPAULW. "P. W. N. KANYARI, E. W. ALLONBY, A. J. WILSON, W. K.MUNYUA (1983). "Some economic effects of trypanosomiasis in goats." Tropical Animal Health and Production. 15: 153- 159.". In: Congress of Parasitology (ICOPA), University of Queensland, Brisbane, Australia. August 24th - 29th 1986. Korean Society of Crop Science and Springer; 1983. Abstract
Eimeria christenseni and Eimeria arloingi were used separately to infect one month-old goat kids which were then killed 34 days post-infection. Their small intestines contained small nodular lesions made of several endogenous stages mainly macrogametocytes and macrogametes. Electron microscope studies of macrogametocytes revealed a prominent central nucleus and nucleolus. Other cellular components were mitochondria, wall forming bodies(WFB) type 1( homogenous) and type 2(reticular). Polysaccharide granules of E.christenseni had a chain like arrangement in the young cells, and increased dramatically with maturation of the macrogemetes to become the main cytoplasmic component along with the WFB. Type 1 WFB were peripheral while type 2 were more central but in E.christeseni macrogametes, some type 2 WFB appeared to give rise to membranous vesicles at the areas of wall formation.. The macrogamete nucleus was small and usually indented with polysaccharide granules and reticular bodies, named nuclear derived bodies(NBD), arising from the perinuclear regions. Within the periparasitic areas of both species, membranous/dark bodies were seen. E. arloingi had a large and well defined parasitophorous vacuole(PV), within which an inner lighter, and outer layer with dark granules were found. Both species had some poorly developed intravacuolar tubes(IVT), which occurred at certain points in the case of E.arloingi, while in E.christenseni, they had a diffuse distribution
N PROFKAMAUGEOFREY. "Variation of palm oil with physico-chemical properties with temperature.". In: ELAEIS (The International Journal of Oil Palm Research and Development, Malaysia). Re-Submitted. THESES. Survey Review; 2005. Abstract
Towers are typical structures that can be found in many urban and rural landscapes the world over. From their basic design, they are usually exposed to severe environmental loads. It is therefore prudent to carry out periodic maintenance that includes checking that they are correctly aligned. This paper describes a method that was used for the re-alignment of a guyed tower in Limuru, Kenya. Angular and distance observations, made from two observation points detected a vertical misalignment that was larger than the acceptable tolerance of l/400. An iterative re-alignment procedure was then applied, resulting in an acceptable final misalignment of 1 / 520.
N PROFGUANTAIA. "The in vitro anti-plasmodial and in vivo anti-malarial efficacy of combinations of some medicinal plants used traditionally for treatment of malaria by the Meru community in Kenya.Gathirwa JW, Rukunga GM, Njagi EN, Omar SA, Mwitari PG, Guantai AN, Tolo FM.". In: J Ethnopharmacol. 2008 Jan 17;115(2):223-31. Epub 2007 Sep 29. FA Okalebol , L Wiesner, AN Guantai, K Chibale, P Smith; 2008. Abstract

The use of herbal drugs as combinations has existed for centuries in several cultural systems. However, the safety and efficacy of such combinations have not been validated. In this study, the toxicity, anti-plasmodial and antimalarial efficacy of several herbal drug combinations were investigated. Lannea schweinfurthii, Turraea robusta and Sclerocarya birrea, used by traditional health practitioners in Meru community, were tested for in vitro anti-plasmodial and in vivo anti-malarial activity singly against Plasmodium falciparum and Plasmodium berghei, respectively. Methanolic extract of Turraea robusta was the most active against Plasmodium falciparum D6 strain. Aqueous extracts of Lannea schweinfurthii had the highest anti-plamodial activity followed by Turraea robusta and Sclerocarya birrea. D6 was more sensitive to the plant extracts than W2 strain. Lannea schweinfurthii extracts had the highest anti-malarial activity in mice followed by Turraea robusta and Sclerocarya birrea with the methanol extracts being more active than aqueous ones. Combinations of aqueous extracts of the three plants and two others (Boscia salicifolia and Rhus natalensis) previously shown to exhibit anti-plasmodial and anti-malarial activity singly were tested in mice. Marked synergy and additive interactions were observed when combinations of the drugs were assayed in vitro. Different combinations of Turraea robusta and Lannea schweinfurthii exhibited good in vitro synergistic interactions. Combinations of Boscia salicifolia and Sclerocarya birrea; Rhus natalensis and Turraea robusta; Rhus natalensis and Boscia salicifolia; Turraea robusta and Sclerocarya birrea; and Lannea schweinfurthii and Boscia salicifolia exhibited high malaria parasite suppression (chemo-suppression >90%) in vivo when tested in mice. The findings are a preliminary demonstration of the usefulness of combining several plants in herbal drugs, as a normal practice of traditional health practitioners.

N PROFKANYARIPAULW. "NG.". In: East Africa regional conference, The Nile Hotel Kampala, Uganda. Korean Society of Crop Science and Springer; 2004. Abstract
Ostriches of various ages, unhatched embryos and chicks found to have oedema during post-mortem examination are described here. Unhatched eggs and chicks originated from a commercial farm, where there was a complaint of poor hatchability of eggs and high chick mortality. Of 35 embryos examined, 29(82.9%) had severe subcutaneous oedema either generalized (23) or localized(6). Of 311 chicks, 232(74.6%) had oedema of varying degrees of severity. In 10 chicks, the oedema was subcutaneous and severe, in 5 it was only serous effusions in body cavities and in 217, it was manifested as wetness of subcutaneous tissues. Adult and juvenile ostriches originated from three farms, where they were kept as pets. Of 22 birds, 16(72.7%0 developed a general sickness and 10(62.3%) of them died. Post-mortem examination revealed emaciation and either subcutaneous oedema or serous effusion in body cavities. Additional lesions included combinations of steatites, haemorrhages and pneumonia. The sick birds responded to improved diets that were also supplemented with multivitamins and minerals.
N DRKANGETHERACHEL. "Kang.". In: East African Medical Journal. 68, 526-531. Journal of School of Continuous and Distance Education ; 1991. Abstract
Kamau RK, Osoti AO, Njuguna EM. Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi, P.O. Box 1%76-00202, Nairobi, Kenya. BACKGROUND: Cancer of the uterine cervix is the most common female cancer in Kenya. Despite being preventable, it is often diagnosed when it is already late. For this reason, only palliative therapy is provided. Hence, it is expected that their daily routines and that of their caregivers are severely disrupted. OBJECTIVES: To determine the extent to which diagnosis and treatment of inoperable cervical carcinoma affects quality of life (QOL). DESIGN: Cross-sectional descriptive study. Setting Radiotherapy Department at the Kenyatta National Hospital. SUBJECTS: Women undergoing radiotherapy for inoperable cervical cancer. RESULTS: There is high prevalence of profound disruptions in nearly all domains of QOL. In the social domain, between 33% and 44% had the perception that family members and friends had withdrawn social support. Reduction in various economic facets was reported by 47.4%-52.6%, with 44.7% reporting a fall in the overall living standards. There were significant changes in the sexual domain, as a result in which 28.3% reported marital discordance. In the personality domain, decreased self-esteem and self-projection in life occurred in 30.9% and 36.2% respectively. On functional outcomes (EORTC QLQ-C30), only 32%-41% reported not being affected in the various facets of emotional function. Physical functions were affected in 19%-79%, role functions in 69%-75%; symptoms in 49%-80%; cognitive functions in 46%-56%; social functions in 63%-71% and financial aspects by 63%. On global QOL, 53% and 47% respectively reported high level disruption in overall physical health and overall QOL. CONCLUSION: Severe deterioration of QOL occurs as a result of diagnosis of inoperable cervical cancer and subsequent therapies. For this reason there is need to establish severe disease and end-of-life research and management services that would ensure better coping with cancer for patients and for home-based caregivers. PMID: 17633581 [PubMed - indexed for MEDLINE]
N PROFMUTHAMAJOHN. "Muthama, :N. J, 2000: Lake Victoria basin air-pollution dynamics and related disease patterns: consideration on poverty alleviation.". In: Proceedings on the workshop on Sustainable Environmental Management for poverty alleviation in the Lake Victoria Basin 27-29 March 2000, Maseno College, Kisumu. Eastern and South African Journal; 2000. Abstract
The  study found out that Masinga Dam has adversely affected the public health in the communities around the dam. malaria was the most prevalent ailment followed by typhoid fever. Bilharzia has also increased since the dam was constructed.
N DRNYANGERIEZEKIELE. "Mulaku. W.O. and Nyangeri E.N. (2003). Dissolved Air Flotation process for algae removal in surface water treatment in Kenya International Civil Engineering Conference on Sustainable Development in the 21st Century. The Civil engineer in Development. Hote.". In: Journal of Civil Engineering, Jomo Kenyatta University of Agriculture and Technology. African Wildlife Foundation. Nairobi; 2003. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.
N PROFKAMAUGEOFREY. "Extraction and spectroscopic Study of avocado oil, J. Biochemiphysics, 6&7, 36.". In: Sciences series A., 11 (1), 133. Survey Review; 1998. Abstract
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N PROFGUANTAIA. "Mwangi J.W. Guantai A.N., Muriuki G., Kwande W.Constituents of the essential oil of ocimum fischeri guerke. Kenya J. Sci series (B) 9:119-121 1988.". In: Kenya J. Sci series (B) 9:119-121 1988. Ivan Addae-Mensah,t Rahab Munenge and Anastasia N. Guantai; 1988. Abstract

Cardiovascular activities of nitidine chloride from Zanthoxylunt chalybeum have been compared with those of 9-methoxychelerythrine. Whereas nitidinc chloride was found to show significant hypotensive activity in rabbits, 9-methoxychelerythrine chloride showed no hypotensive activity. The effect of nitidine chloride on isolated rabbit heart was also compared with those of adrenaline and acetylcholine. 9-Methoxychelerythrine, which has hitherto been regarded as an artefact formed by recrystallization of chelerythrine base from methanol, has been shown in this work to be a true natural constituent of Zanthoxylum chalybeum. Keywords: 9-inethoxychelerythrine; nitidine chloride; cardiovascular properties; hypotensive effect; Zanthoxylum chalybeum.

N PROFKANYARIPAULW. "P. W. N. KANYARI, W.K. MUNYUA, J. C. NGANGA ( 2000). "The African buffalo ( Syncerus caffer): gastro-intestinal parasites with special reference to Toxocara spp in Kenya. Tanzanian Veterinary Journal 20: 57-63.". In: The 18th International Conference of the World Association for the Advancement of Veterinary Parasitology [WAAVP], 26th - 30th August , Stresa, Italy. Korean Society of Crop Science and Springer; 2000. Abstract
Ostriches of various ages, unhatched embryos and chicks found to have oedema during post-mortem examination are described here. Unhatched eggs and chicks originated from a commercial farm, where there was a complaint of poor hatchability of eggs and high chick mortality. Of 35 embryos examined, 29(82.9%) had severe subcutaneous oedema either generalized (23) or localized(6). Of 311 chicks, 232(74.6%) had oedema of varying degrees of severity. In 10 chicks, the oedema was subcutaneous and severe, in 5 it was only serous effusions in body cavities and in 217, it was manifested as wetness of subcutaneous tissues. Adult and juvenile ostriches originated from three farms, where they were kept as pets. Of 22 birds, 16(72.7%0 developed a general sickness and 10(62.3%) of them died. Post-mortem examination revealed emaciation and either subcutaneous oedema or serous effusion in body cavities. Additional lesions included combinations of steatites, haemorrhages and pneumonia. The sick birds responded to improved diets that were also supplemented with multivitamins and minerals.
N MRMAINGIELIUD. "Resistance to thiabendazole, fenbendazole and levamisole in Haemonchus and Trichostrongylus species in sheep on a Kenyan farm. Veterinary Parasitology 39:285-291.". In: Tidsskrift for Dansk Fareavl (Danish Sheep Breeders Journal) 60: 19-20. Kisipan, M.L.; 1991. Abstract

Isolated mouse interstitial cells were incubated with different concentrations of khat (Catha edulis) extract (0.06 mg/ml, 0.6 mg/ml. 6 mg/ml. 30 mg/ml and 60 mg/ml) and cell viability as well as testosterone concentration measured at 30 min intervals over a 3 h incubation period. High concentrations of khat extract (30 mg/ml and 60 mg/ml) significantly inhibited testosterone production while low concentrations (0.06 mg/ml. 0.6 mg/ml and 6 mg/ml) significantly stimulated (P < 0.05) testosterone production by mouse interstitial cells. Similarly, at concentrations of 30 mg/ml and 60 mg/ml, there was a significant decrease in interstitial cell viability, whereas at 0.06 mg/ml, 0.6 mg/ml and 6 mg/ml there was no significant decrease. There was only a weak correlation (r= 0.39) between testosterone production and viable interstitial cells. We postulate that khat extract at high concentrations may cause reproductive function impairment in the user but at low concentrations. may enhance testosterone production with accompanying effects on reproductive functions in male mice. @2006 Publishedby Elsevier Ireland Ltd. Kel'lVords: In dtro; Khat; Testosterone; Interstitial cells; Mouse

N PROFMUTHAMAJOHN. "Muthama, N. J., and L. J. Ogallo: The anomalous year 1989 over East Africa.". In: Proceedings of the second National Research workshop on Meteorological applications and services, Nairobi, September 1990. Eastern and South African Journal; 1990. Abstract
The  study found out that Masinga Dam has adversely affected the public health in the communities around the dam. malaria was the most prevalent ailment followed by typhoid fever. Bilharzia has also increased since the dam was constructed.
N DRNYANGERIEZEKIELE. "Nyangeri, E.N. and Odira, P.M.A. 1994. Low Income Area Water Supply and Sanitation in Selected African Cities. Part II ,Water and Environmental Engineering. No. B60.". In: Journal of Water SRT-Aqua. Vol. 43, No.5. pp233-237. African Wildlife Foundation. Nairobi; 1994. Abstract
This study set out to examine the policy position in Kenyan health care financing, with regard to implementation of the proposed social health scheme (NSHIF) and its performance potential. The specific objectives were to: examine the existing social scheme (NHIF), its role and challenges in health care financing; establish whether or not Kenya has the key pre-requisites for introduction and sustainability of a social health scheme and to provide recommendations on the way forward. This was largely a desk study, supplemented with limited primary data from key informants. The analysis indicates that: i) For a universal social health plan to be sustainable, favorable economic indicators and availability of essential infrastructures are critical prerequisites. Resources must be available, government must be in a position to afford high subsidies, the population must be ready to pay high premiums and the supply of health services must be adequate to cater for the expected increase in demand; ii) Countries that have successfully embraced social health plans introduced their schemes carefully and gradually (overtime) in terms of coverage; iii) Kenya compares unfavorably with these countries in terms of prerequisites for sustainability of a social health scheme, due largely to a poor economy, high poverty levels and shortfalls in facilities and services. The study concludes that Kenya lacks the key prerequisites for introducing and sustaining a universal social health scheme. The scheme can hardly be supported by the current status of the economy and healthcare infrastructures. The study recommends: i) Expansion and development of health care infrastructural capacities through subsidies and tax concessions for those investing in health care and providing subsidized services, particularly to the poor and rehabilitation of the GoK facilities; ii) Increasing the health budget from 7 per cent of government expenditure to above 10 per cent and directing more resources and efforts towards preventive/promotive and primary health care (P&PH); and iii) Other recommendations include subjecting the proposed scheme to an actuarial evaluation and comprehensive policy plan in order to determine the attendant and corresponding premium and benefit levels and pursuing a phased approach in the implementation of the scheme.

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