Endomyocardial biopsies were performed in 11 African women in Nairobi who presented with the clinical features of peripartum cardiomyopathy. The samples were studied by light and electron microscopy. In five patients there was evidence of a "healing myocarditis", that is the presence of a mild inflammatory cell infiltration within the myocardium with foci of necrosis and variable amounts of hypertrophy and fibrosis. Of the nine patients who were followed up, three out of four with myocarditis had persistent heart failure and four out of five without myocarditis improved. Peripheral blood T lymphocyte cell subsets were measured in nine patients by means of monoclonal antibodies. A high helper:suppressor T cell ratio was found in three patients. Almost half of this group of patients with peripartum cardiomyopathy had myocarditis in their biopsy specimens. The myocarditis may have been due to an inappropriate immunological reaction in some patients.

Aminoglutethimide (AG) 500 mg was administered orally to four normal volunteers and eight patients undergoing treatment for metastatic breast cancer. In each subject the acetylator phenotype was established from the monoacetyldapsone (MADDS)/dapsone (DDS) ratio. Acetylaminoglutethimide (acetylAG) rapidly appeared in the plasma and its disposition paralleled that of AG. A close relationship (P less than 0.01) was observed between the acetyl AG/AG and MADDS/DDS ratio suggesting that AG may undergo polymorphic acetylation like DDS. AG half-life was 19.5 +/- 7.7 h in seven fast acetylators of DDS and 12.6 +/- 2.3 h in five slow acetylators and its apparent metabolic clearance was significantly (P less than 0.01) related to the acetylAG/AG ratio. Over 48 h the fast acetylators excreted 7.7 +/- 4.4% of the administered AG dose in the urine as unchanged AG as compared to 12.4 +/- 2.8% in slow acetylators. A much smaller fraction of the dose was excreted as acetylAG: 3.6 +/- 1.5% by fast and 1.9 +/- 1.0% by slow acetylators respectively. After 7 days treatment with AG at an accepted clinical dose regimen to the eight patients there were significant reductions in the half-lives of AG (P less than 0.01) and acetylAG (P less than 0.01) and a trend (0.1 greater than P greater than 0.05) towards reduction of the acetylAG/AG ratio which became significant (P less than 0.05) if the one patient on a known enzyme inducer was omitted. The mean apparent volume of distribution was not significantly (P greater than 0.1) altered but the mean apparent systemic clearance of AG was increased (P less than 0.05). These changes are attributed to auto-induction of oxidative enzymes involved in AG metabolism.

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Child tuberculosis (TB) cases in Kenya, a high TB burden country, constitute more than one tenth of all TB cases. This paper describes Kenya's efforts in the past decade to increase awareness about policy, improve leadership and combat the multiple challenges faced in the diagnosis and management of children presumed to have TB. We describe the increasing advocacy and involvement of paediatricians and the child health sector with the National TB Programme, and the resulting improvement in leadership, policy, child-specific guidelines and training materials, health worker capacity, and the implementation of prevention and cure of child TB.

African Animal Trypanosomiasis (AAT) transmitted cyclically by tsetse fly (Glossina
spp.) is a major obstacle to livestock production in the tropical parts of Africa. The objective
of this study was to determine the infection rates of trypanosomes in Glossina species in
Mtito Andei Division, Makueni County, Kenya. Tsetse fly species, G. longipennis and G.
pallidipes, were trapped and DNA was isolated from their dissected internal organs
(proboscis, salivary glands, and midguts). The DNA was then subjected to a nested PCR ..

Background: Pulmonary involvement is a frequent and among the most severe extra-articular manifestations of Rheumatoid Arthritis (RA) ranking as the second cause of mortality in this patient population. Rheumatoid arthritis can a ect the lung parenchyma, airways and pleura. Pulmonary complications are directly responsible for 10-20% of all mortality in RA patients. Spirometry is becoming increasingly available in Kenya and could be used in peripheral areas to screen and monitor for pulmonary function abnormalities in well characterized patient populations such as those with RA. Abnormalities detected by pulmonary function tests may precede symptoms by years and lead to early diagnosis of pulmonary fibrosis in rheumatoid arthritis and
hence intervention.
Objective: To determine the prevalence of pulmonary function abnormalities in rheumatoid arthritis patients attending Rheumatology Clinics in Nairobi.
Design: Cross sectional descriptive study.
Setting: Nairobi Rheumatology Clinics in Kenyatta National Hospital, Aga Khan University Hospital and Mater Hospital. Methods: Rheumatoid arthritis patients aged 13 to 65 years who fulfilled the study inclusion criteria were recruited. Sociodemographic characterictics and respiratory symptoms were assessed using Lung Tissue Research Consortium questionnaire (LTRC) and RA disease activity was established by Disease Activity Score (DAS28). Pulmonary function tests were then done using Spirolab 111 according to the American Thoracic Society recommendations.
Results: One hundred and sixty six RA patients were recruited; the male to female ratio was 1:9.3, with a median age of 47 years. The overall six month prevalence of pulmonary function abnormalities was 38.5% as measured by Spirometry and all our patients did not carry any prior pulmonary disease diagnosis. The predominant ventilatory defect was obstructive pattern at 20.4%, followed by restrictive pattern at 16.8% and least common being a mixed picture at 1.2%. Factors that were shown
to be independently associated with pulmonary function abnormalities were age and RA disease activity. Respiratory
symptoms that were predictive of PFTs abnormalities were cough, increased frequency of chest colds and illnesses
and phlegm.
Conclusion: High prevalence of pulmonary function abnormalities was observed. Respiratory symptoms, older age and ongoing disease activity can identify patients in greatest need of further pulmonary evaluation.

Key words : Rheumatoid Arthritis, Pulmonary function test, Nairobi Rheumatology Clinics

The course of HIV/AIDS in children has been transformed from an acute to a chronic one with the advent of
Anti-Retroviral Therapy. The aim of this study was to determine the prevalence and pattern of psychiatric
morbidity in HIV-infected children and adolescents between 6 and 18 years of age and the relationship between
their socio-demographic factors, immune suppression and psychiatric morbidity. The study was conducted at a
paediatric HIV clinic in Nairobi, between February and April 2010. One hundred and sixty-two HIV-infected
childrenandadolescentsagedbetween6and18yearsandtheirguardianswereinterviewed.Seventy-nine(48.8%)
of the study participants were found to have psychiatric morbidity. The most prevalent Diagnostic Statistical
Manual, 4th Edition TR psychiatric disorders were: Major depression (17.8%), Social phobia (12.8%),
Oppositional Defiant Disorder (12.1%) and Attention Deficit Hyperactivity Disorder (12.1%). Twenty-five
per cent of the study participants had more than one psychiatric disorder. The prevalence of psychiatric
morbidity in HIV-infected children ishigher than that found in children in the general population. There is
therefore a need to integrate psychiatric services into the routine care of HIV-infected children.

Normal 0 21 false false false SW X-NONE X-NONE /* 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-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} Background: Artemia salina (Artemiidae), the brine shrimp larva, is an invertebrate used in the alternative test to determine toxicity of chemicals and natural products. Design and methods: In this study the Medium Lethal Concentrations (LC50 values) of 45 anti-malarial plant extracts and positive controls, cyclophosphamide and etoposide were determined using Artemia salina (Artemiidae). Results: Out of the 45 organic extracts screened for activity against Artemia salina larvae, 23 (51%) of the crude extracts demonstrated activity at or below 100 μg/ml, and were categorized as having strong cytotoxic activity, 18 (40%) of the crude extracts had LC50 values between 100 μg/ml and 500 μg/ml, and were categorized as having moderate cytotoxicity, 2 (4.5%) of the crude extracts had LC50 values between 500 μg/ml and 1000 μg/ml, and were considered to have weak cytotoxic activity, while 2 (4.5%) of the crude extracts had LC50 values greater than 1000 μg/ml and were considered to be non toxic. Approximately 20% (9) of the aqueous extracts demonstrated activity at or below 100 μg/ml and were considered to have strong cytotoxic activity, 40% (18) of the screened aqueous crude extracts had LC50 values between 100 μg/ml and 500 μg/ml and were considered to be moderately cytotoxic, 16% (7) of the crude extracts had LC50 values between 500 μg/ml and 1000 μg/ml and were considered to have weak cytotoxic activity while 24% (11) of the aqueous extracts had LC50 values greater than 1000 μg/ml and were categorized as non toxic The positive controls, cyclophosphamide and etoposide exhibited strong cytotoxicity with LC50 values of 95 μg/ml and 6 μg/ml respectively in a 24 hour lethality study, validating their use as anticancer agents. Conclusions: In the current study, 95.5% of all the screened organic extracts and 76% of the investigated aqueous extracts demonstrated LC50 values <1000 μg/ml, indicating that these plants could not make safe antimalarial treatments. This calls for dose adjustment amongst the community using the plant extracts for the treatment of malaria and chemical investigation for isolation of bioactive compounds responsible for the observed toxicity. These could make novel ingredients for anticancerous drugs. Key words: Cytotoxicity; Artemia salina bioassay; crude extracts; anti-malarial plants; Kenyan biodiversity

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The Joint British Diabetes Societies guidelines for the management of diabetic ketoacidosis (these do not cover Hyperosmolar Hyperglycaemic Syndrome) are available in full at: (i) http://www.diabetes.org.uk/About\_us/Our\_Views/Care\_recommendations/The-Management-of-Diabetic-Ketoacidosis-in-Adults; (ii)  http://www.diabetes.nhs.uk/publications\_and\_resources/reports\_andġuidance; (iii) http://www.diabetologists-abcd.org.uk/JBDS\_DKA\_Management.pdf. This article summarizes the main changes from previous guidelines and discusses the rationale for the new recommendations. The key points are: Monitoring of the response to treatment (i) The method of choice for monitoring the response to treatment is bedside measurement of capillary blood ketones using a ketone meter. (ii) If blood ketone measurement is not available, venous pH and bicarbonate should be used in conjunction with bedside blood glucose monitoring to assess treatment response. (iii) Venous blood should be used rather than arterial (unless respiratory problems dictate otherwise) in blood gas analysers. (iv) Intermittent laboratory confirmation of pH, bicarbonate and electrolytes only. Insulin administration (i) Insulin should be infused intravenously at a weight-based fixed rate until the ketosis has resolved. (ii) When the blood glucose falls below 14 mmol/l, 10% glucose should be added to allow the fixed-rate insulin to be continued. (iii) If already taking, long-acting insulin analogues such as insulin glargine (Lantus(®), Sanofi Aventis, Guildford, Surry, UK) or insulin detemir (Levemir(®), Novo Nordisk, Crawley, West Sussex, UK.) should be continued in usual doses. Delivery of care (i) The diabetes specialist team should be involved as soon as possible. (ii) Patients should be nursed in areas where staff are experienced in the management of ketoacidosis.

ABSTRACT: AIM OF THE STUDY: The objective of the study was to investigate and document the utilization of medicinal (with emphasis on anthelmintic) plants by the people of Loitoktok district in Kenya for the management of both animal and human health. MATERIALS AND METHODS: The study was conducted between May and October 2009. Information was gathered from 23 traditional health practitioners, from across the district, by use of semi-structured questionnaires; transect walks, oral interviews and focus group discussions. Voucher specimens of cited plants were collected and deposited at the botanical herbarium of the University of Nairobi. RESULTS: A total of 80 medicinal plants cited were collected and identified as belonging to 46 families and 70 genera. The plants identified were 48%, 38%, 7%, 6% and 1% trees, shrubs, herbs, lianas and lichens, respectively. Most of the plants belonged to the families Fabaceae (10%), Euphorbiaceae (6%), Rutaceae (5%) followed by Boraginaceae, Labiateae, Rubiaceae, and Solanaceae at 4% each. However, the six most important families by their medicinal use values in decreasing order were Rhamnaceae, Myrsinaceae, Oleaceae, Liliaceae, Usenaceae and Rutaceae. The ailments treated included respiratory conditions, helminthosis, stomach disorders, malaria, sexually transmitted diseases, infertilities and physical injuries. Helminthosis in both livestock and humans was recognized as a major disease managed by use of medicinal plants (with an informant consensus factor of 0.86) in the study area. The most frequently used plant anthelmintics were Albizia anthelmintica (Fabaceae), Myrsine africana (Myrsinaceae), Rapanea melanophleos (Myrsinaceae), Clausena anisata (Rutaceae) and Olea Africana (Oleaceae) used by 70%, 70%, 26%, 13% and 9% of the respondents, respectively. Other plant anthelmintics used, each by 4% of the respondents, were Rumex usambarensis (Polygonaceae) and Salvadora persica (Salvadoraceae). CONCLUSION:  It is concluded that traditional health practice in Loitoktok depend largely on naturally growing plants and that the study area has a potential for bio-prospecting of crude drugs from plants due to the large number of medicinal plants cited. There is also need for further studies to validate the plants used in medicinal remedies in this area.

ABSTRACT: AIM OF THE STUDY: The objective of the study was to investigate and document the utilization of medicinal (with emphasis on anthelmintic) plants by the people of Loitoktok district in Kenya for the management of both animal and human health. MATERIALS AND METHODS: The study was conducted between May and October 2009. Information was gathered from 23 traditional health practitioners, from across the district, by use of semi-structured questionnaires; transect walks, oral interviews and focus group discussions. Voucher specimens of cited plants were collected and deposited at the botanical herbarium of the University of Nairobi. RESULTS: A total of 80 medicinal plants cited were collected and identified as belonging to 46 families and 70 genera. The plants identified were 48%, 38%, 7%, 6% and 1% trees, shrubs, herbs, lianas and lichens, respectively. Most of the plants belonged to the families Fabaceae (10%), Euphorbiaceae (6%), Rutaceae (5%) followed by Boraginaceae, Labiateae, Rubiaceae, and Solanaceae at 4% each. However, the six most important families by their medicinal use values in decreasing order were Rhamnaceae, Myrsinaceae, Oleaceae, Liliaceae, Usenaceae and Rutaceae. The ailments treated included respiratory conditions, helminthosis, stomach disorders, malaria, sexually transmitted diseases, infertilities and physical injuries. Helminthosis in both livestock and humans was recognized as a major disease managed by use of medicinal plants (with an informant consensus factor of 0.86) in the study area. The most frequently used plant anthelmintics were Albizia anthelmintica (Fabaceae), Myrsine africana (Myrsinaceae), Rapanea melanophleos (Myrsinaceae), Clausena anisata (Rutaceae) and Olea Africana (Oleaceae) used by 70%, 70%, 26%, 13% and 9% of the respondents, respectively. Other plant anthelmintics used, each by 4% of the respondents, were Rumex usambarensis (Polygonaceae) and Salvadora persica (Salvadoraceae). CONCLUSION:  It is concluded that traditional health practice in Loitoktok depend largely on naturally growing plants and that the study area has a potential for bio-prospecting of crude drugs from plants due to the large number of medicinal plants cited. There is also need for further studies to validate the plants used in medicinal remedies in this area.

ABSTRACT: AIM OF THE STUDY: The objective of the study was to investigate and document the utilization of medicinal (with emphasis on anthelmintic) plants by the people of Loitoktok district in Kenya for the management of both animal and human health. MATERIALS AND METHODS: The study was conducted between May and October 2009. Information was gathered from 23 traditional health practitioners, from across the district, by use of semi-structured questionnaires; transect walks, oral interviews and focus group discussions. Voucher specimens of cited plants were collected and deposited at the botanical herbarium of the University of Nairobi. RESULTS: A total of 80 medicinal plants cited were collected and identified as belonging to 46 families and 70 genera. The plants identified were 48%, 38%, 7%, 6% and 1% trees, shrubs, herbs, lianas and lichens, respectively. Most of the plants belonged to the families Fabaceae (10%), Euphorbiaceae (6%), Rutaceae (5%) followed by Boraginaceae, Labiateae, Rubiaceae, and Solanaceae at 4% each. However, the six most important families by their medicinal use values in decreasing order were Rhamnaceae, Myrsinaceae, Oleaceae, Liliaceae, Usenaceae and Rutaceae. The ailments treated included respiratory conditions, helminthosis, stomach disorders, malaria, sexually transmitted diseases, infertilities and physical injuries. Helminthosis in both livestock and humans was recognized as a major disease managed by use of medicinal plants (with an informant consensus factor of 0.86) in the study area. The most frequently used plant anthelmintics were Albizia anthelmintica (Fabaceae), Myrsine africana (Myrsinaceae), Rapanea melanophleos (Myrsinaceae), Clausena anisata (Rutaceae) and Olea Africana (Oleaceae) used by 70%, 70%, 26%, 13% and 9% of the respondents, respectively. Other plant anthelmintics used, each by 4% of the respondents, were Rumex usambarensis (Polygonaceae) and Salvadora persica (Salvadoraceae). CONCLUSION:  It is concluded that traditional health practice in Loitoktok depend largely on naturally growing plants and that the study area has a potential for bio-prospecting of crude drugs from plants due to the large number of medicinal plants cited. There is also need for further studies to validate the plants used in medicinal remedies in this area.

ABSTRACT: AIM OF THE STUDY: The objective of the study was to investigate and document the utilization of medicinal (with emphasis on anthelmintic) plants by the people of Loitoktok district in Kenya for the management of both animal and human health. MATERIALS AND METHODS: The study was conducted between May and October 2009. Information was gathered from 23 traditional health practitioners, from across the district, by use of semi-structured questionnaires; transect walks, oral interviews and focus group discussions. Voucher specimens of cited plants were collected and deposited at the botanical herbarium of the University of Nairobi. RESULTS: A total of 80 medicinal plants cited were collected and identified as belonging to 46 families and 70 genera. The plants identified were 48%, 38%, 7%, 6% and 1% trees, shrubs, herbs, lianas and lichens, respectively. Most of the plants belonged to the families Fabaceae (10%), Euphorbiaceae (6%), Rutaceae (5%) followed by Boraginaceae, Labiateae, Rubiaceae, and Solanaceae at 4% each. However, the six most important families by their medicinal use values in decreasing order were Rhamnaceae, Myrsinaceae, Oleaceae, Liliaceae, Usenaceae and Rutaceae. The ailments treated included respiratory conditions, helminthosis, stomach disorders, malaria, sexually transmitted diseases, infertilities and physical injuries. Helminthosis in both livestock and humans was recognized as a major disease managed by use of medicinal plants (with an informant consensus factor of 0.86) in the study area. The most frequently used plant anthelmintics were Albizia anthelmintica (Fabaceae), Myrsine africana (Myrsinaceae), Rapanea melanophleos (Myrsinaceae), Clausena anisata (Rutaceae) and Olea Africana (Oleaceae) used by 70%, 70%, 26%, 13% and 9% of the respondents, respectively. Other plant anthelmintics used, each by 4% of the respondents, were Rumex usambarensis (Polygonaceae) and Salvadora persica (Salvadoraceae). CONCLUSION:  It is concluded that traditional health practice in Loitoktok depend largely on naturally growing plants and that the study area has a potential for bio-prospecting of crude drugs from plants due to the large number of medicinal plants cited. There is also need for further studies to validate the plants used in medicinal remedies in this area.

ABSTRACT: AIM OF THE STUDY: The objective of the study was to investigate and document the utilization of medicinal (with emphasis on anthelmintic) plants by the people of Loitoktok district in Kenya for the management of both animal and human health. MATERIALS AND METHODS: The study was conducted between May and October 2009. Information was gathered from 23 traditional health practitioners, from across the district, by use of semi-structured questionnaires; transect walks, oral interviews and focus group discussions. Voucher specimens of cited plants were collected and deposited at the botanical herbarium of the University of Nairobi. RESULTS: A total of 80 medicinal plants cited were collected and identified as belonging to 46 families and 70 genera. The plants identified were 48%, 38%, 7%, 6% and 1% trees, shrubs, herbs, lianas and lichens, respectively. Most of the plants belonged to the families Fabaceae (10%), Euphorbiaceae (6%), Rutaceae (5%) followed by Boraginaceae, Labiateae, Rubiaceae, and Solanaceae at 4% each. However, the six most important families by their medicinal use values in decreasing order were Rhamnaceae, Myrsinaceae, Oleaceae, Liliaceae, Usenaceae and Rutaceae. The ailments treated included respiratory conditions, helminthosis, stomach disorders, malaria, sexually transmitted diseases, infertilities and physical injuries. Helminthosis in both livestock and humans was recognized as a major disease managed by use of medicinal plants (with an informant consensus factor of 0.86) in the study area. The most frequently used plant anthelmintics were Albizia anthelmintica (Fabaceae), Myrsine africana (Myrsinaceae), Rapanea melanophleos (Myrsinaceae), Clausena anisata (Rutaceae) and Olea Africana (Oleaceae) used by 70%, 70%, 26%, 13% and 9% of the respondents, respectively. Other plant anthelmintics used, each by 4% of the respondents, were Rumex usambarensis (Polygonaceae) and Salvadora persica (Salvadoraceae). CONCLUSION:  It is concluded that traditional health practice in Loitoktok depend largely on naturally growing plants and that the study area has a potential for bio-prospecting of crude drugs from plants due to the large number of medicinal plants cited. There is also need for further studies to validate the plants used in medicinal remedies in this area.

ABSTRACT: AIM OF THE STUDY: The objective of the study was to investigate and document the utilization of medicinal (with emphasis on anthelmintic) plants by the people of Loitoktok district in Kenya for the management of both animal and human health. MATERIALS AND METHODS: The study was conducted between May and October 2009. Information was gathered from 23 traditional health practitioners, from across the district, by use of semi-structured questionnaires; transect walks, oral interviews and focus group discussions. Voucher specimens of cited plants were collected and deposited at the botanical herbarium of the University of Nairobi. RESULTS: A total of 80 medicinal plants cited were collected and identified as belonging to 46 families and 70 genera. The plants identified were 48%, 38%, 7%, 6% and 1% trees, shrubs, herbs, lianas and lichens, respectively. Most of the plants belonged to the families Fabaceae (10%), Euphorbiaceae (6%), Rutaceae (5%) followed by Boraginaceae, Labiateae, Rubiaceae, and Solanaceae at 4% each. However, the six most important families by their medicinal use values in decreasing order were Rhamnaceae, Myrsinaceae, Oleaceae, Liliaceae, Usenaceae and Rutaceae. The ailments treated included respiratory conditions, helminthosis, stomach disorders, malaria, sexually transmitted diseases, infertilities and physical injuries. Helminthosis in both livestock and humans was recognized as a major disease managed by use of medicinal plants (with an informant consensus factor of 0.86) in the study area. The most frequently used plant anthelmintics were Albizia anthelmintica (Fabaceae), Myrsine africana (Myrsinaceae), Rapanea melanophleos (Myrsinaceae), Clausena anisata (Rutaceae) and Olea Africana (Oleaceae) used by 70%, 70%, 26%, 13% and 9% of the respondents, respectively. Other plant anthelmintics used, each by 4% of the respondents, were Rumex usambarensis (Polygonaceae) and Salvadora persica (Salvadoraceae). CONCLUSION:  It is concluded that traditional health practice in Loitoktok depend largely on naturally growing plants and that the study area has a potential for bio-prospecting of crude drugs from plants due to the large number of medicinal plants cited. There is also need for further studies to validate the plants used in medicinal remedies in this area.

ABSTRACT: AIM OF THE STUDY: The objective of the study was to investigate and document the utilization of medicinal (with emphasis on anthelmintic) plants by the people of Loitoktok district in Kenya for the management of both animal and human health. MATERIALS AND METHODS: The study was conducted between May and October 2009. Information was gathered from 23 traditional health practitioners, from across the district, by use of semi-structured questionnaires; transect walks, oral interviews and focus group discussions. Voucher specimens of cited plants were collected and deposited at the botanical herbarium of the University of Nairobi. RESULTS: A total of 80 medicinal plants cited were collected and identified as belonging to 46 families and 70 genera. The plants identified were 48%, 38%, 7%, 6% and 1% trees, shrubs, herbs, lianas and lichens, respectively. Most of the plants belonged to the families Fabaceae (10%), Euphorbiaceae (6%), Rutaceae (5%) followed by Boraginaceae, Labiateae, Rubiaceae, and Solanaceae at 4% each. However, the six most important families by their medicinal use values in decreasing order were Rhamnaceae, Myrsinaceae, Oleaceae, Liliaceae, Usenaceae and Rutaceae. The ailments treated included respiratory conditions, helminthosis, stomach disorders, malaria, sexually transmitted diseases, infertilities and physical injuries. Helminthosis in both livestock and humans was recognized as a major disease managed by use of medicinal plants (with an informant consensus factor of 0.86) in the study area. The most frequently used plant anthelmintics were Albizia anthelmintica (Fabaceae), Myrsine africana (Myrsinaceae), Rapanea melanophleos (Myrsinaceae), Clausena anisata (Rutaceae) and Olea Africana (Oleaceae) used by 70%, 70%, 26%, 13% and 9% of the respondents, respectively. Other plant anthelmintics used, each by 4% of the respondents, were Rumex usambarensis (Polygonaceae) and Salvadora persica (Salvadoraceae). CONCLUSION:  It is concluded that traditional health practice in Loitoktok depend largely on naturally growing plants and that the study area has a potential for bio-prospecting of crude drugs from plants due to the large number of medicinal plants cited. There is also need for further studies to validate the plants used in medicinal remedies in this area.

ABSTRACT: AIM OF THE STUDY: The objective of the study was to investigate and document the utilization of medicinal (with emphasis on anthelmintic) plants by the people of Loitoktok district in Kenya for the management of both animal and human health. MATERIALS AND METHODS: The study was conducted between May and October 2009. Information was gathered from 23 traditional health practitioners, from across the district, by use of semi-structured questionnaires; transect walks, oral interviews and focus group discussions. Voucher specimens of cited plants were collected and deposited at the botanical herbarium of the University of Nairobi. RESULTS: A total of 80 medicinal plants cited were collected and identified as belonging to 46 families and 70 genera. The plants identified were 48%, 38%, 7%, 6% and 1% trees, shrubs, herbs, lianas and lichens, respectively. Most of the plants belonged to the families Fabaceae (10%), Euphorbiaceae (6%), Rutaceae (5%) followed by Boraginaceae, Labiateae, Rubiaceae, and Solanaceae at 4% each. However, the six most important families by their medicinal use values in decreasing order were Rhamnaceae, Myrsinaceae, Oleaceae, Liliaceae, Usenaceae and Rutaceae. The ailments treated included respiratory conditions, helminthosis, stomach disorders, malaria, sexually transmitted diseases, infertilities and physical injuries. Helminthosis in both livestock and humans was recognized as a major disease managed by use of medicinal plants (with an informant consensus factor of 0.86) in the study area. The most frequently used plant anthelmintics were Albizia anthelmintica (Fabaceae), Myrsine africana (Myrsinaceae), Rapanea melanophleos (Myrsinaceae), Clausena anisata (Rutaceae) and Olea Africana (Oleaceae) used by 70%, 70%, 26%, 13% and 9% of the respondents, respectively. Other plant anthelmintics used, each by 4% of the respondents, were Rumex usambarensis (Polygonaceae) and Salvadora persica (Salvadoraceae). CONCLUSION:  It is concluded that traditional health practice in Loitoktok depend largely on naturally growing plants and that the study area has a potential for bio-prospecting of crude drugs from plants due to the large number of medicinal plants cited. There is also need for further studies to validate the plants used in medicinal remedies in this area.

ABSTRACT: Malaria is a major public health problem that is presently complicated by the development of resistance by Plasmodium falciparum to the mainstay drugs. Thus, new drugs with unique structures and mechanism of action are required to treat drug-resistant strains of malaria. Historically, compounds containing a novel structure from natural origin represent a major source for the discovery and development of new drugs for several diseases. This paper presents ethnophytotherapeutic remedies, ethnodiagnostic skills, and related traditional knowledge utilized by the Digo community of the Kenyan Coast to diagnose malaria as a lead to traditional bioprospecting.The current study was carried out in three Digo villages of Diani sub-location between May 2009 and December 2009. Data was collected using semi-structured interviews, and open and close-ended questionnaires. A total of 60 respondents (34 men and 26 women) provided the targeted information. The results show that the indigenous knowledge of Digo community on malaria encompasses not only the symptoms of malaria but also the factors that are responsible for causing malaria, attributes favoring the breeding of mosquitoes and practices employed to guard against mosquito bites or to protect households against malaria. This knowledge is closely in harmony with scientific approaches to the treatment and control of the disease. The Digo community uses 60 medicinal plants distributed in 52 genera and 27 families to treat malaria. The most frequently mentioned symptoms were fever, joint pains, and vomiting while the most frequently mentioned practices employed to guard against mosquito bites and/or to protect households against malaria was burning of herbal plants such as Ocimum suave and ingestion of herbal decoctions and concoctions. The Digo community has abundant ethnodiagnostic skills for malaria which forms the basis of their traditional bioprospecting techniques.

Malaria is a major public health problem that is presently complicated by the developmentof resistance by Plasmodium falciparum to the mainstay drugs. Thus, new drugs with unique structures and mechanism of action are required to treat drug-resistant strains of malaria. Historically, compounds containing a novel structure from natural origin represent a major source for the discovery and development of new drugs for several diseases.This paper presents ethnophytotherapeutic remedies, ethnodiagnostic skills, and related traditional knowledge utilized by the Digo community of the Kenyan Coast to diagnose malaria as a lead to traditional bioprospecting.The current study was carried out in three Digo villages of Diani sub-location between May 2009 and December 2009. Data was collected using semi-structured interviews, and open and close-ended questionnaires. A total of 60 respondents (34 men and 26 women) provided the targeted information.The results show that the indigenous knowledge of Digo community on malaria encompasses not only the symptoms of malaria but also the factors that are responsible for causing malaria, attributes favoring the breeding of mosquitoes and practices employed to guard against mosquito bites or to protect households against malaria.This knowledge is closely in harmony with scientific approaches to the treatment and control of the disease. The Digo community uses 60 medicinal plants distributed in 52 genera and 27 families to treat malaria. The most frequently mentioned symptoms were fever, joint pains, and vomiting while the most frequently mentioned practices employed to guard against mosquito bites and/or to protect households against malaria was burning of herbal plants such as Ocimum suave and ingestion of herbal decoctions and concoctions.The Digo community has abundant ethnodiagnostic skills for malaria which forms the basis of their traditional bioprospecting techniques.Keywords:malaria,antimalarials,ethnopharmacology,ethnodiagnostic skills,Digo community,bioprospecting

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ABSTRACT: Aim of the study: This study was conducted to document herbal medicines used in the treatment of malaria as well as the existing knowledge, attitudes and practices related to malaria recognition, control and treatment in South Coast, Kenya.  Methods: Data was collected using semistructured questionnaires and interviews. A focused group discussion held with the community members, one in each of the study villages supplemented the interview and questionnaire survey. Results: The respondents were found to have a good understanding of malaria and could distinguish it from other fever types. They were also aware that malaria was spread by mosquitoes. Malaria prevalence was high, and affected individuals an average of four times a year. Community members avoided mosquito bites by using mosquito nets, clearing bushes around their homesteads and burning plant parts to generate smoke. They prevented and treated malaria by taking decoctions or concoctions of traditional herbal remedies. Forty plant species in thirty-five genera distributed in twenty-four families were used as antimalarials in the study area. Five plant species, namely; Heeria insignis Del. (Anacardiaceae), Rottboelia exaltata L.F (Gramineae), Pentanisia ouranogyne S. Moore (Rubiaceae), Agathisanthenum globosum (A. Rich) Hiern (Rubiaceae), and Grewia trichocarpa Hochst ex A. Rich (Tiliaceae) are documented for the first time in South Coast, Kenya, for the treatment of malaria. Conclusions: The plants documented in the current study are a potential source for new bioactive compounds of therapeutic value in malaria treatment. The results provide data for further pharmacological and toxicological studies and development of commercial antimalarial phytotherapy products.

ABSTRACT: Aim of the study: This study was conducted to document herbal medicines used in the treatment of malaria as well as the existing knowledge, attitudes and practices related to malaria recognition, control and treatment in South Coast, Kenya.  Methods: Data was collected using semistructured questionnaires and interviews. A focused group discussion held with the community members, one in each of the study villages supplemented the interview and questionnaire survey. Results: The respondents were found to have a good understanding of malaria and could distinguish it from other fever types. They were also aware that malaria was spread by mosquitoes. Malaria prevalence was high, and affected individuals an average of four times a year. Community members avoided mosquito bites by using mosquito nets, clearing bushes around their homesteads and burning plant parts to generate smoke. They prevented and treated malaria by taking decoctions or concoctions of traditional herbal remedies. Forty plant species in thirty-five genera distributed in twenty-four families were used as antimalarials in the study area. Five plant species, namely; Heeria insignis Del. (Anacardiaceae), Rottboelia exaltata L.F (Gramineae), Pentanisia ouranogyne S. Moore (Rubiaceae), Agathisanthenum globosum (A. Rich) Hiern (Rubiaceae), and Grewia trichocarpa Hochst ex A. Rich (Tiliaceae) are documented for the first time in South Coast, Kenya, for the treatment of malaria. Conclusions: The plants documented in the current study are a potential source for new bioactive compounds of therapeutic value in malaria treatment. The results provide data for further pharmacological and toxicological studies and development of commercial antimalarial phytotherapy products.

ABSTRACT: Aim of the study: This study was conducted to document herbal medicines used in the treatment of malaria as well as the existing knowledge, attitudes and practices related to malaria recognition, control and treatment in South Coast, Kenya.  Methods: Data was collected using semistructured questionnaires and interviews. A focused group discussion held with the community members, one in each of the study villages supplemented the interview and questionnaire survey. Results: The respondents were found to have a good understanding of malaria and could distinguish it from other fever types. They were also aware that malaria was spread by mosquitoes. Malaria prevalence was high, and affected individuals an average of four times a year. Community members avoided mosquito bites by using mosquito nets, clearing bushes around their homesteads and burning plant parts to generate smoke. They prevented and treated malaria by taking decoctions or concoctions of traditional herbal remedies. Forty plant species in thirty-five genera distributed in twenty-four families were used as antimalarials in the study area. Five plant species, namely; Heeria insignis Del. (Anacardiaceae), Rottboelia exaltata L.F (Gramineae), Pentanisia ouranogyne S. Moore (Rubiaceae), Agathisanthenum globosum (A. Rich) Hiern (Rubiaceae), and Grewia trichocarpa Hochst ex A. Rich (Tiliaceae) are documented for the first time in South Coast, Kenya, for the treatment of malaria. Conclusions: The plants documented in the current study are a potential source for new bioactive compounds of therapeutic value in malaria treatment. The results provide data for further pharmacological and toxicological studies and development of commercial antimalarial phytotherapy products.

Abstract in Bellamy, M. and B. Greenshields (eds), Issues in Agricultural Development: Sustainability and Cooperation. IAAE Occasional Paper No. 6. Dartmouth Publishing Co. Ltd, Aldershot.

ABSTRACT: Aim of the study: This study was conducted to document herbal medicines used in the treatment of malaria as well as the existing knowledge, attitudes and practices related to malaria recognition, control and treatment in South Coast, Kenya. Methods: Data was collected using semistructured questionnaires and interviews. A focused group discussion held with the community members, one in each of the study villages supplemented the interview and questionnaire survey. Results: The respondents were found to have a good understanding of malaria and could distinguish it from other fever types. They were also aware that malaria was spread by mosquitoes. Malaria prevalence was high, and affected individuals an average of four times a year. Community members avoided mosquito bites by using mosquito nets, clearing bushes around their homesteads and burning plant parts to generate smoke. They prevented and treated malaria by taking decoctions or concoctions of traditional herbal remedies. Forty plant species in thirty-five genera distributed in twenty-four families were used as antimalarials in the study area. Five plant species, namely; Heeria insignis Del. (Anacardiaceae), Rottboelia exaltata L.F (Gramineae), Pentanisia ouranogyne S. Moore (Rubiaceae), Agathisanthenum globosum (A. Rich) Hiern (Rubiaceae), and Grewia trichocarpa Hochst ex A. Rich (Tiliaceae) are documented for the first time in South Coast, Kenya, for the treatment of malaria. Conclusions: The plants documented in the current study are a potential source for new bioactive compounds of therapeutic value in malaria treatment. The results provide data for further pharmacological and toxicological studies and development of commercial antimalarial phytotherapy products.

ABSTRACT: Aim of the study: This study was conducted to document herbal medicines used in the treatment of malaria as well as the existing knowledge, attitudes and practices related to malaria recognition, control and treatment in South Coast, Kenya.  Methods: Data was collected using semistructured questionnaires and interviews. A focused group discussion held with the community members, one in each of the study villages supplemented the interview and questionnaire survey. Results: The respondents were found to have a good understanding of malaria and could distinguish it from other fever types. They were also aware that malaria was spread by mosquitoes. Malaria prevalence was high, and affected individuals an average of four times a year. Community members avoided mosquito bites by using mosquito nets, clearing bushes around their homesteads and burning plant parts to generate smoke. They prevented and treated malaria by taking decoctions or concoctions of traditional herbal remedies. Forty plant species in thirty-five genera distributed in twenty-four families were used as antimalarials in the study area. Five plant species, namely; Heeria insignis Del. (Anacardiaceae), Rottboelia exaltata L.F (Gramineae), Pentanisia ouranogyne S. Moore (Rubiaceae), Agathisanthenum globosum (A. Rich) Hiern (Rubiaceae), and Grewia trichocarpa Hochst ex A. Rich (Tiliaceae) are documented for the first time in South Coast, Kenya, for the treatment of malaria. Conclusions: The plants documented in the current study are a potential source for new bioactive compounds of therapeutic value in malaria treatment. The results provide data for further pharmacological and toxicological studies and development of commercial antimalarial phytotherapy products.

Malariaisaseriouscauseofmortalityglobally.The disease is of regional concern in Africa and of national interest in Kenya due to its high morbidity and mortality as a result of development of resistant strains of Plasmodium falciparum to many existing drugs such as chloroquine. Alternative medicine using herbalremedies are commonly used to treat malaria in Kenya. However, plants used in some rural areas in Kenya are not documented. Many antimalarial drugs have been derived from plants. This study was conducted to document medicinal plantsthataretraditionallyusedbytheMsambwenicommunityofKenyanSouth Coast to treat malaria, where the disease is endemic. Herbalists were interviewed by administration of semi structured questionnaires in order to obtain information on medicinal plants traditionally used for the treatment of malaria. Focused group discussions held with the herbalists supplementedthe interview and questionnaire survey. Twenty-seven species of plants in 24 genera distributed in 20 families were reported to be used in this region for the treatment of malaria. Labiatae, Rutaceae and Liliaceae families had each eleven percent of the plant species reported and represented the species that are most commonly used. Thirteen plant species, namely; Aloe deserti Berger (Liliaceae), Launea cornuta (Oliv and Hiern) C. Jeffrey (Compositae), Ocimum bacilicum L. (Labiatae), Teclea simplicifolia (Eng) Verdoon(Rutaceae), Gerranthuslobatus(Cogn.) Jeffrey(Cucurbitaceae), GrewiahexamintaBurret. (Tiliaceae), CanthiumglaucumHiern. (Rubiaceae), AmaranthushybridusL.(Amaranthaceae), CombretumpadoidesEngl and Diels.(Combretaceae), SeneciosyringitoliusO.Hoffman.(Compositae),OcimumsuaveWilld(Labiatae),AloemacrosiphonBak.(Liliaceae)andLaudolphiabuchananii(Hall.f)Stapf.(Apocynaceae) are documented from this region for the first time for the treatment of malaria. These results become a basis for selection of plants for further pharmacological, toxicological and phytochemical studies in developing new plantbased antimalarial drugs.

Malaria is a serious cause of mortality globally. The disease is of regional concern in Africa and of national interest in Kenya due to its high morbidity and mortality as a result of development of resistant strains of Plasmodium falciparum to many existing drugs such as chloroquine. Alternative medicine using herbal remedies are commonly used to treat malaria in Kenya. However, plants used in some rural areas in Kenya are not documented. Many antimalarial drugs have been derived from plants. This study was conducted to document medicinal plants that are traditionally used by the Msambweni community of Kenyan South Coast to treat malaria, where the disease is endemic. Herbalists were interviewed by administration of semistructured questionnaires in order to obtain information on medicinal plants traditionally used for the treatment of malaria. Focused group discussions held with the herbalists supplemented the interview and questionnaire survey. Twenty-seven species of plants in 24 genera distributed in 20 families were reported to be used in this region for the treatment of malaria. Labiatae, Rutaceae and Liliaceae families had each eleven percent of the plant species reported and represented th species that are most commonly used. Thirteen plant species, namely; Aloe deserti Berger (Liliaceae), Launea cornuta (Oliv and Hiern) C. Jeffrey (Compositae), Ocimum bacilicum L. (Labiatae), Teclea simplicifolia (Eng) Verdoon (Rutaceae), Gerranthus lobatus(Cogn.) Jeffrey (Cucurbitaceae), Grewia hexaminta Burret.(Tiliaceae), Canthium glaucum Hiern. (Rubiaceae), Amaranthus hybridus L.(Amaranthaceae), Combretum padoides Engl and Diels. (Combretaceae), Seneciosyringitolius O.Hoffman. (Compositae), OcimumsuaveWilld(Labiatae), Aloe macrosiphon Bak. (Liliaceae) and Laudolphia buchananii (Hall.f) Stapf. (Apocynaceae) are documented from this region forthefirst time for the treatment of malaria. These results become a basis for selection of plants for further pharmacological, toxicological and phytochemical studies in developing new plant based antimalarial drugs.

Malaria is a serious cause of mortality globally. The disease is of regional concern in Africa and of national interest in Kenya due to its high morbidity and mortality as a result of development of resistant strains of Plasmodium falciparum to many existing drugs such as chloroquine. Alternative medicine using herbal remedies are commonly used to treat malaria in Kenya. However, plants used in some rural areas in Kenya are not documented. Many antimalarial drugs have been derived from plants. This study was conducted to document medicinal plants that are traditionally used by the Msambweni community of Kenyan South Coast to treat malaria, where the disease is endemic. Herbalists were interviewed by administration of semistructured questionnaires in order to obtain information on medicinal plants traditionally used for the treatment of malaria. Focused group discussions held with the herbalists supplemented the interview and questionnaire survey. Twenty-seven species of plants in 24 genera distributed in 20 families were reported to be used in this region for the treatment of malaria. Labiatae, Rutaceae and Liliaceae families had each eleven percent of the plant species reported and represented th species that are most commonly used. Thirteen plant species, namely; Aloe deserti Berger (Liliaceae), Launea cornuta (Oliv and Hiern) C. Jeffrey (Compositae), Ocimum bacilicum L. (Labiatae), Teclea simplicifolia (Eng) Verdoon (Rutaceae), Gerranthus lobatus(Cogn.) Jeffrey (Cucurbitaceae), Grewia hexaminta Burret.(Tiliaceae), Canthium glaucum Hiern. (Rubiaceae), Amaranthus hybridus L.(Amaranthaceae), Combretum padoides Engl and Diels. (Combretaceae), Seneciosyringitolius O.Hoffman. (Compositae), OcimumsuaveWilld(Labiatae), Aloe macrosiphon Bak. (Liliaceae) and Laudolphia buchananii (Hall.f) Stapf. (Apocynaceae) are documented from this region forthefirst time for the treatment of malaria. These results become a basis for selection of plants for further pharmacological, toxicological and phytochemical studies in developing new plant based antimalarial drugs.

Aim of the study: This study was conducted to document herbal medicines used in the treatment of Malaria as well as the existing knowledge,attitudes and practices related to malaria recognition, control and treatment in South Coast, Kenya. Methods: Data was collected using semistructured questionnaires and interviews. A focused group discussion held with the community members, one in each of the study villages supplemented the interview and questionnaire survey. Results: The respondents were found to have a good understanding of malaria and could distinguish it from other fever types. They were also aware that malaria was spread by mosquitoes. Malaria prevalence was high, and affected individuals an average of four times a year. Community members avoided. Mosquito bites by using mosquitonets, clearing bushes around their homesteads and burning plant parts. To generate smoke. They prevented and treated malaria by taking decoctions or concoctions of traditional herbal remedies. Forty plant species in thirty-five genera distributed in twenty-four families were used as antimalarials in the study area. Five plant species, namely; Heeria insignis Del. (Anacardiaceae), Rottboelia exaltata L.F (Gramineae), Pentanisia ouranogyne S. Moore (Rubiaceae), Agathisanthenum globosum (A. Rich) Hiern (Rubiaceae), and Grewia trichocarpa Hochst ex A. Rich (Tiliaceae) are documented for the first time in South Coast, Kenya, for the treatment of malaria. Conclusions: The plants documented in the current study are a potential source for new bioactive compounds of therapeutic value in malaria treatment. The results provide data for further pharmacological and toxicological studies and development of commercial antimalarial phytotherapy products.

Abstract in Bellamy, M. and B. Greenshields (eds), Issues in Agricultural Development: Sustainability and Cooperation. IAAE Occasional Paper No. 6. Dartmouth Publishing Co. Ltd, Aldershot.

In this study five aqueous extracts; Bidens pilosa, Strychnos henningsii, Aspilia pluriseta, Catha edulis and Erythrina abyssinica were screened for anti-diabetic activity and their in vivo safety evaluated. The anti-diabetic activity was assessed by intraperitoneally injecting varying doses of aqueous extracts of the five plants into alloxanised mice. Toxicity was determined by injecting normal mice with 450mg of the plant extract / kg body weight and observing the effects of the extracts on histology of various organs. All the extracts showed hypoglycaemic activity. At high doses, some plants proved to be highly toxic, mildly toxic and others were safe. This study has established that the five bioactive plants can be safely used in the management of diabetes.

The history of interpratation is as old as the deaf culture itself. wherever daef people have been, intepratation has always been there. deaf people, of course, do not live in isolation. they live amid thier brothers and sisiters and other relatives. According to the Kenya campaign on disability and HIV and AIDS advocacy, propoasl 2008, approximately 3.5 people in Kenya are currently living with disabilities. This translates to an approximately 800.000 deaf people out of the population of about 35million  people in Kenya. This population makes, or will make use of interpratation in settings such as courts of law, police stations, and so forth. interpreters act as a bridge between hearing and deaf people inn terms of communication. This chapter gives an overview of the situation of kenyan sign Language(KSL)  interpratation in Kenya by giving a historical perspective, the role of Kenya National Association of the Deaf (KNAD), Kenya Sign Language Research project (KSLRP) and the role of other institutions including the Kenya Sign Language Interpreters Association (KSLIA) in interprter training and concludes by giving recommendations in the way forward.

PIP: This research report studies several biochemical and histochemical aspects of cervical carcinoma and explores their use in follow-up of patients undergoing radiotherapy. Material came from 19 patients with invasive cervical carcinoma admitted to Kenyatta National Hospital. A control group consisted of 20 women matched for age who attended clinics at the hospital but were not suffering from any malignant disease; control tissue for histological examination was obtained from 3 women who had undergone hysterectomy for uterine fibroids. Biochemical assays for alkaline and acid phosphatases in patients with cervical carcinoma show an increase in alkaline phosphatase in carcinomatous tissue (35.7 umoles/hr/mg) as opposed to normal tissue (7.2). Acid phosphatase values were only moderately raised. Assays of the same enzymes in blood showed a less marked difference between patients and controls (ranges of 7.5-20.8 and 3-14, respectively). When examined histochemically, increased alkaline phosphatase activity was observed in connective tissue, epithelium of the glands and blood capillaries of tumor tissue. 1 section containing normal tissue bordering carcinomatous tissue demonstrated normal alkaline phosphatase activity in the normal tissue and increased activity in the tumor tissue. In summary, there is increased enzyme activity around the tumor areas, but values for serum levels show an overlap of normal and abnormal cases and are therefore not predictive. Results demonstrate a clear difference in activities of these enzymes in carcinomatous tissue and normal tissue, which may be of value in follow-up care.

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Ninety seven patients were examined for dental caries using two standard methods: (a) clinical examination based on WHO Basic Methods Oral Health surveys and (b) radiographic examination. Clinical examination method under records caries by upto 40%. Such under recording may give an impression of a decreasing caries prevalence in epidemiological studies.

From the roots of the African plant Bulbine frutescens (Asphodelaceae), two unprecedented novel dimeric
phenylanthraquinones, named joziknipholones A and B, possessing axial and centrochirality, were isolated,
together with six known compounds. Structural elucidation of the new metabolites was achieved by spectroscopic and chiroptical methods, by reductive cleavage of the central bond between the monomeric phenylanthraquinone and -anthrone portions with sodium dithionite, and by quantum chemical CD
calculations. Based on the recently revised absolute axial configuration of the parent phenylanthraquinones, knipholone and knipholone anthrone, the new dimers were attributed to possess the P-configuration (i.e., with the acetyl portions below the anthraquinone plane) at both axes in the case of joziknipholone A, whereas in joziknipholone B, the knipholone part was found to be M-configured. Joziknipholones A and B are active against the chloroquine resistant strain K1 of the malaria pathogen, Plasmodium falciparum, and show moderate activity against murine leukemic lymphoma L5178y cells.

OBJECTIVE: To determine the pattern of occurrence of dental injuries in the 0-15 year-olds. DESIGN: A retrospective study. SETTING: Kenyatta National Hospital, Nairobi. SUBJECTS: Five hundred and five patient records with dental injuries were retrieved and analysed. RESULTS: A total of 505 patient records with dental injuries were retrieved and analysed. Most of the injuries were recorded in the year 1999 (22.2%). Boys were more affected (63.0%) than girls (37.0%). The main presenting complaint recorded was pain (75.8%).The majority of the patients (69.5%) presented for treatment during the same day or the day after trauma. Falls were the leading cause of injuries (73.5%). Most injuries involved two teeth (47.1%) and the maxillary central incisors were the most affected teeth both in the primary (67.5%) and permanent (64.0%) dentitions. Luxation injuries were the most common type of dental trauma with 47.5% occurring in the permanent teeth and 77.3% in the primary teeth. The main radiographic investigation performed was intraoral periapical views (52.9%) following which dental extraction (34.4%) was the main treatment modality offered. CONCLUSION: Prospective cross-sectional studies to determine the prevalence of dental injuries are needed. Furthermore improving the knowledge of dental practitioners through continuing dental education programmes would help in updating them on current trends in managing these injuries.

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The safety and immunogenicity of plasmid pTHr DNA, modified vaccinia virus Ankara (MVA) human immunodeficiency virus type 1 (HIV-1) vaccine candidates were evaluated in four Phase I clinical trials in Kenya and Uganda. Both vaccines, expressing HIV-1 subtype A gag p24/p17 and a string of CD8 T-cell epitopes (HIVA), were generally safe and well-tolerated. At the dosage levels and intervals tested, the percentage of vaccine recipients with HIV-1-specific cell-mediated immune responses, assessed by a validated ex vivo interferon gamma (IFN-gamma) ELISPOT assay and Cytokine Flow Cytometry (CFC), did not significantly differ from placebo recipients. These trials demonstrated the feasibility of conducting high-quality Phase 1 trials in Africa.