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Publications


2013

Mbwayo, AW, Ndetei DM, Mutiso V, Khasakhala LI.  2013.  Traditional healers and provision of mental health services in cosmopolitan informal settlements in Nairobi, Kenya. Abstract

The study aimed to investigate the types of mental illnesses treated by traditional healers, and their methods of identifying and treating mental illnesses in their patients. METHOD: In urban informal settlements of Kibera, Kangemi and Kawangware in Nairobi, Kenya, we used opportunistic sampling until the required number of traditional healers was reached, trying as much as possible to represent the different communities of Kenya. Focus group discussions were held with traditional healers in each site and later an in-depth interview was conducted with each traditional healer. An in-depth interview with each patient of the traditional healer was conducted and thereafter the MINIPLUS was administered to check the mental illness diagnoses arrived at or missed by the traditional healers. Quantitative analysis was performed using SPSS while focus group discussions and in-depth interviews were analysed for emerging themes. RESULTS: Traditional healers are consulted for mental disorders by members of the community. They are able to recognize some mental disorders, particularly those relating to psychosis. However, they are limited especially for common mental disorders. CONCLUSION: There is a need to educate healers on how to recognize different types of mental disorders and make referrals when patients are not responding to their treatments

2012

Mutiso, VM, Chigumbura J.  2012.  Stabilisation of Posterior Sternoclavicular Joint Dislocation using Palmaris Longus Tendon Autograft: A Case Report. Abstract

Posterior sternoclavicular joint dislocation is a rare injury. It is usually sustained acutely in activities such as contact sports eg. rugby and motorcycle accidents. Plain radiography of the chest will often miss the diagnosis and confirmation is by CT scans. However CT scans are often reported to miss epiphyseal injuries. Management is by closed reduction and if the injury is unstable, by open reduction and stabilisation. A case is reported where palmaris longus tendon was used to stabilise the joint following open reduction.

2011

2010

Qureshi, ZP, Sekadde-Kigondu C, Mutiso SM.  2010.  Rapid assement of partograph utilisation in selected maternity units in Kenya. Abstract

Prolonged labour causes maternal and perinatal morbidity and mortality. Its sequela include obstructed labour, uterine rupture, maternal exhaustion, postpartum haemorrhage, puerperal sepsis, obstetric fistula, stillbirths, birth asphyxia and neonatal sepsis. These complications can be reduced by using the partograph to assess the progress of labour. The Ministry of Health, Kenya has adopted this tool for labour management in the country and the standardised partograph is recommended for use in all delivery units. Objective: To determine the utilisation of the partograph in the management of labour in selected health facilities in Kenya. Design: A descriptive cross sectional study. Setting: Nine health facilities -ranging from a tertiary hospital to health centre, including public private and faith based facilities in four provinces in Kenya. Results: All facilities apart from Pumwani Maternity Hospital and one health centre were using the partograph. The correct use was low, the knowledge on the use of the tool was average and there was minimal formal training being provided. Staff shortage was listed as the most common cause of not using the tool. Contractions were recorded 30-80%, foetal heart rate 53-90% and cervical dilatation 70-97%. Documentation of state of the liquor, moulding and descent as well as maternal parameters such as pulse, and blood pressure and urinalysis were minimally recorded. Supplies for monitoring labour such as fetoscopes and blood pressure machines were in short supply and sometimes not functional. Overall, the poor usage was contributed to staff shortages, lack of knowledge especially on interpretation of findings, negative attitudes, conflict between providers as to their roles in filling the partograph, and senior staff themselves not acting as role models with regards to the use, advocacy and implementation of the partograph. Conclusion: The partograph was available in most units. However, accurate recording of parameters to monitor the foetus, the mother and progress of labour as recommended was mostly not done. Shortage of staff, lack of knowledge, lack of team work, lack of supplies and negative attitude among healthcare providers were some of the obstacles noted to hamper partograph use.

Ndetei, DM, Mathai M, Khasakhala LI, Khasakhala LI, Mbwayo AW.  2010.  University medical education in Kenya: The challenges. Abstract

There are two medical schools training doctors in Kenya: the Moi University established in 1984 and the University of Nairobi established in 1967. The University of Nairobi has so far produced the majority of Kenyan doctors. Both are public universities with the Government being the main financier. The increased demand for university education and the inability to meet these demands has led to the introduction of a system of training self-sponsored medical students alongside Government-subsidised students. One other public university has started a medical school. The pressure to increase the number of schools and students in the absence of increased resources poses a particular challenge to the country.

2009

Ndetei, DM, Khasakhala LI, Mutiso V, Ongecha-Owuor FA, Kokonya DA.  2009.  Psychosocial and health aspects of drug use by students in public secondary schools in Nairobi, Kenya. Abstract

The objective of this study was to evaluate the influence of family, psychosocial, health, demographic, and behavioral characteristics on regular drug use. All the students of 17 randomly stratified public secondary schools in Nairobi were required to complete self-administered sociodemographic and the Drug Use Screening Inventory-Revised (DUSI-R) questionnaires in a cross-sectional descriptive study. All the 1328 students, of whom 58.9% were male, responded to all the questions, giving a response rate of 100%. The mean age of the respondents was 16 years and 78.1% were in boarding school. One third (33.9%) scored positively for substance abuse. Significant correlations were found between several domains of substance abuse and school, class, mode of school attendance, age, and gender. Students abusing drugs have multiple comorbidity of medical, psychological, and social pathologies. There are evidence-based intervention entry points for drug abuse that go beyond mere impartation on knowledge about the harmful effects of drugs.

2008

Ndetei, DM, Khasakhala L, Ong’echa FA, Kokonya D, Mutiso V, Kuria M, Odhiambo G, Akanga S.  2008.  A study of drug use in five urban centres in kenya. Abstract

Few studies have addressed the reasons for substance use in Kenya, with most focusing on prevalence rates in school-based and general population samples. None have been carried out among people already using drugs. This study, based on five samples of drug users, aimed to identify patterns of factors contributing to and consequences of substance use; compare socio-demographic characteristics; document help-seeking behaviours of substance abusers as well as their family and social dynamics. Active or former substance abusers (N =1,420) were interviewed using a structured questionnaire format. The peak age for substance abuse was between 21 and 30 years and most abusers were male. Leisure, stress and peer pressure were the most common reasons given for abusing substances. There were negative economic and work-related impacts of abusing substances. Risky sexual behaviour may have been a consequenc of abusing substances. Substance abusers need assistance as most of them could benefit from programmes for treatment and rehabilitation.

DR. MUTISO, VINCENTMUOKI.  2008.  Clinical epidemiology in patients admitted at Mathari Psychiatric Hospital, Nairobi, Kenya.Soc Psychiatry Psychiatr Epidemiol. 2008 Sep;43(9):736-42. Epub 2008 May 8.PMID: 18465102 [PubMed - in process]. PMID: 18465102 [PubMed - in process]. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
Ndetei DM, Khasakhala L, Maru H, Pizzo M, Mutiso V, Ongecha-Owuor FA, Kokonya DA. Africa Mental Health Foundation, Nairobi, Kenya. dmndetei@mentalhealthafrica.com BACKGROUND: Knowledge of types and co-morbidities of disorders seen in any facility is useful for clinical practice and planning for services. AIM: To study the pattern of co-morbidities of and correlations between psychiatric disorders in in-patients of Mathari Hospital, the premier psychiatric hospital in Kenya. STUDY DESIGN: Cross-sectional. METHODS: All the patients who were admitted at Mathari Hospital in June 2004 and were well enough to participate in the study were approached for informed consent. Trained psychiatric charge nurses interviewed them using the Structured Clinical Interview for DSM-IV Axis I disorders Clinical Version (SCID-I). Information on their socio-demographic profiles and hospital diagnoses was extracted from their clinical notes using a structured format. RESULTS: Six hundred and ninety-one patients participated in the study. Sixty-three percent were male. More than three quarters (78%) of the patients were aged between 21 and 45 years. More than half (59.5%) of the males and slightly less than half (49.4%) of the females were single. All the patients were predominantly of the Christian faith. Over 85% were dependents of another family member and the remainder were heads of households who supported their own families. Schizophrenia, bipolar I disorder, psychosis, substance use disorder and schizo-affective disorder were the most common hospital and differential diagnoses. Of the anxiety disorders, only three patients were under treatment for post-traumatic stress disorder (PTSD). Nearly a quarter (24.6%) of the patients were currently admitted for a similar previous diagnosis. Schizophrenia was the most frequent DSM-IV (Diagnostic and Statistical Manual of Mental Disorders-fourth edition) diagnosis (51%), followed by bipolar I disorder (42.3%), substance use disorder (34.4%) and major depressive illness (24.6%). Suicidal features were common in the depressive group, with 14.7% of this group reporting a suicidal attempt. All DSM-IV anxiety disorders, including obsessive-compulsive disorders, were highly prevalent although, with the exception of three cases of PTSD, none of these anxiety disorders were diagnosed clinically. Traumatic events were reported in 33.3% of the patients. These were multiple and mainly violent events. Despite the multiplicity of these events, only 7.4% of the patients had a PTSD diagnosis in a previous admission while 4% were currently diagnosed with PTSD. The number of DSM-IV diagnoses was more than the total number of patients, suggesting co-morbidity, which was confirmed by significant 2-tailed correlation tests. CONCLUSION: DSM-IV substance use disorders, major psychiatric disorders and anxiety disorders were prevalent and co-morbid. However, anxiety disorders were hardly diagnosed and therefore not managed. Suicidal symptoms were common. These results call for more inclusive clinical diagnostic practice. Standardized clinical practice using a diagnostic tool on routine basis will go a long way in ensuring that no DSM-IV diagnosis is missed. This will improve clinical management of patients and documentation. PMID: 18465102 [PubMed - in process]
DR. MUTISO, VINCENTMUOKI.  2008.  Attitudes toward psychiatry: a survey of medical students at the University of Nairobi, Kenya.Acad Psychiatry. 2008 Mar-Apr;32(2):154-9.PMID: 18349338 [PubMed - indexed for MEDLINE]. PMID: 18349338 [PubMed - indexed for MEDLINE]. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
Ndetei DM, Khasakhala L, Ongecha-Owuor F, Kuria M, Mutiso V, Syanda J, Kokonya D. Department of Psychiatry, University of Nairobi, Kenya. dmndetei@mentalhealthafrica.com OBJECTIVES: The authors aim to determine the attitudes of University of Nairobi, Kenya, medical students toward psychiatry. METHODS: The study design was cross-sectional. Self-administered sociodemographic and the Attitudes Toward Psychiatry-30 items (ATP-30) questionnaires were distributed sequentially to every third medical student in his or her lecture theater before or immediately after the lectures. Analysis was done using SPSS version 11.5 and the results are presented in tables. RESULTS: Nearly 75% of the students had overall favorable attitudes toward psychiatry but only 14.3% considered psychiatry as a potential career choice. Sixty-six percent reported that they would not choose psychiatry as a career while the remaining 19.7% were not decided. CONCLUSIONS: There is dissonance between positive attitudes toward psychiatry and the choice of psychiatry as a potential career. Therefore, there is a need to bridge the gap by addressing the various factors that potentially account for this dissonance. PMID: 18349338 [PubMed - indexed for MEDLINE]

2007

Mutiso, VM.  2007.  Type I (Hannis - Steinthal) Capitellar Fracture: Case Report. Abstract

Capitellar fractures of the elbow present with pain and swelling of the elbow following a fall on an outstretched arm and are rare injuries comprising 0.5-1% of all elbow fractures (1). This is a case report of an adult female who sustained this injury following a fall on her outstretched arm. CT scans revealed a Type I capitellar fracture of the right elbow. Open reduction and internal fixation was done with a functionally good result. Because of the cartilaginous nature of the capitellum humeri these injuries are easily missed on radiography. One must have a high index of suspicion especially when elbow movement is noticeably restricted. These injuries are discussed and the literature reviewed. Although controversial, treatment is mainly operative. One should carefully review radiographs of patients who present with injuries of the elbow with pain, swelling and markedly restricted joint range of motion and whose mechanism of injury(fall on an outstretched arm) is consistent with capitellar fracture. CT scans often clinch the diagnosis. Type I fractures may be treated conservatively but Type II injuries require operative intervention.

DR. MUTISO, VINCENTMUOKI.  2007.  Khainga SO, Githae B, Mutiso VM, Wasike R.Reverse sural island flap in coverage of defects lower third of leg: a series of nine cases. East Afr Med J. 2007 Jan;84(1):38-43.. PMID: 18465102 [PubMed - in process]. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
The distally based sural island flap was first described by Masquelet, et al., in 1992. It is a skin island flap supplied by the vascular axis of the sural nerve. The aim of this paper is to demonstrate that it can be applied in coverage of difficult wound in the lower third of the leg. We treated nine patients with nine distally based sural island flaps. All the flaps survived, most of the flaps had venous congestion. The largest flap was 10 x 8 cm and Doppler was used in only one flap. This technique is easy and quick to execute without sacrificing major arteries.

2006

DR. MUTISO, VINCENTMUOKI.  2006.  Mutiso.V.M,Ongaro.N.: Sickle Cell Disease in Surgery. Tropical Doctor 2006; 36:200-202.. Trop Doct. 2006 Oct;36(4):200-2.. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstractsickle_cell_disease_in_surgery.pdf

Department of Orthopaedics and Trauma, University of Nairobi, Kenyatta National Hospital, Nairobi, Kenya. mutisovm@yahoo.com

DR. MUTISO, VINCENTMUOKI.  2006.  Ndetei DM, Othieno CJ, Mutiso V, Ongecha FA, Kokonya DA, Omar A, Gakinya B, Mwangi J. Psychometric properties of an African symptoms check list scale: the Ndetei-Othieno-Kathuku scale. East Afr Med J. 2006 May;83(5):280-7. East Afr Med J. 2006 May;83(5):280-7. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
{ OBJECTIVES: To profile and quantify the psychometric properties of the NOK (Ndetei-Othieno-Kathuku) scale against internationally used Gold-standards and benchmarks for mild psychiatric disorders and post-traumatic stress disorders and to provide a potential easy to administer culture sensitive instrument for screening and assessing those with possible psychiatric disorders for the Kenyan and similar social-cultural situations. <br>DESIGN: Cross-Sectional quantitative study.  <br>SETTING: A psychiatric clinical consultation setting and Kyanguli Secondary School psychotrauma counselling clinical set-up.  <br>SUBJECTS: Survivors of the Nairobi USA Embassy bombing who were referred for psychiatric treatment and survivors of a fire disaster from a rural Kenyan school (Kyanguli School fire disaster) including students, parents of the diseased children and staff members.  <br>RESULTS: Positive correlation was found between the NOK and all the instruments. The highest correlations were between the NOK and the BDI and SCL-90 (r = 0.557 to 0.786). The differences between the NOK scores among the different groups were statistically significant (F ratio = 13.54 to 160.34, p < 0.01). The reliability coefficient (internal consistency) of the scale
DR. MUTISO, VINCENTMUOKI.  2006.  Mutiso VM, Ongaro N. Related Articles, Links No abstract Sickle cell disease in surgery. Trop Doct. 2006 Oct;36(4):200-2. Review. No. Trop Doct. 2006 Oct;36(4):200-2. Review. No. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
{ OBJECTIVES: To profile and quantify the psychometric properties of the NOK (Ndetei-Othieno-Kathuku) scale against internationally used Gold-standards and benchmarks for mild psychiatric disorders and post-traumatic stress disorders and to provide a potential easy to administer culture sensitive instrument for screening and assessing those with possible psychiatric disorders for the Kenyan and similar social-cultural situations. <br>DESIGN: Cross-Sectional quantitative study.  <br>SETTING: A psychiatric clinical consultation setting and Kyanguli Secondary School psychotrauma counselling clinical set-up.  <br>SUBJECTS: Survivors of the Nairobi USA Embassy bombing who were referred for psychiatric treatment and survivors of a fire disaster from a rural Kenyan school (Kyanguli School fire disaster) including students, parents of the diseased children and staff members.  <br>RESULTS: Positive correlation was found between the NOK and all the instruments. The highest correlations were between the NOK and the BDI and SCL-90 (r = 0.557 to 0.786). The differences between the NOK scores among the different groups were statistically significant (F ratio = 13.54 to 160.34, p < 0.01). The reliability coefficient (internal consistency) of the scale

2005

CEGE, DRMWANGIJOSEPH, DR. MUTISO VINCENTMUOKI.  2005.  Ndetei DM, Rono RC, Mwangi SW, Ototo B, Alaro J, Esakwa M, Mwangi J, Kamau A, Othieno CJ, Mutiso V.Psychological effects of the Nairobi US embassy bomb blast on pregnant women and their children.. World Psychiatry. 2005 Feb;4(1):50-2.. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
Department of Psychiatry, University of Nairobi, P.O. Box 19676, Nairobi, Kenya. Following the death of 67 boys in a fire tragedy at Kyanguli School in rural Kenya, the level of traumatic grief was assessed in a sample of 164 parents and guardians whose sons died in the fire. The study was cross-sectional. Counseling services were offered to all the bereaved parents soon after the tragedy. The subjects were interviewed using the Traumatic Grief Scale. A group of 92 parents/guardians was interviewed 2 months after the event, while the other group of 72 was assessed 7 days later. The second group of bereaved parents also completed the Self Rating Questionnaire (SRQ) and the Ndetei-Othieno-Kathuku scale (NOK). Over 90% of parents from both groups had a yearning for the departed and found themselves searching for him quite often. There was no much difference in terms of symptoms profile or intensity between the two groups. It appears that the counseling offered had minimal impact on the levels of distress.
DR. MUTISO, VINCENTMUOKI.  2005.  Submitted for publication EAMJ (acknowledged ref MS145 / 05) . EAMJ (acknowledged ref MS145 / 05). : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
Department of Orthopaedics and Trauma, University of Nairobi, Kenyatta National Hospital, Nairobi, Kenya. mutisovm@yahoo.com
DR. MUTISO, VINCENTMUOKI.  2005.  Gome.D.L., Mutiso.V.M., Kimende.K. Paeditric Trauma at Kenyatta National Hospital, Nairobi, Kenya.ECAJS, Vol 10 No.2 Dec 2005. ECAJS, Vol 10 No.2 Dec 2005. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
Department of Orthopaedics and Trauma, University of Nairobi, Kenyatta National Hospital, Nairobi, Kenya. mutisovm@yahoo.com
DR. MUTISO, VINCENTMUOKI.  2005.  Adungo.J.I, Mutiso.V.M, Ngugi.M, Pattern of Fractures in The American Embassy Terrorist Bomb Explosion in Nairobi, Kenya. . East and Central Africa Journal of Surgery Vol 10, No.1 May 2005. East and Central Africa Journal of Surgery Vol 10, No.1 May 2005. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
Department of Orthopaedics and Trauma, University of Nairobi, Kenyatta National Hospital, Nairobi, Kenya. mutisovm@yahoo.com
DR. MUTISO, VINCENTMUOKI.  2005.  Adungo.J.I, Mutiso.V.M, Ngugi.M,Pattern Of Fractures Sustained In The American Embassy Terrorist Bomb Explosion In Nairobi Kenya . East and Central African Journal of Surgery,Vol 10, No.1,May 2005. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
Department of Orthopaedics and Trauma, University of Nairobi, Kenyatta National Hospital, Nairobi, Kenya. mutisovm@yahoo.com

2004

Vincent, MM, Okumu D, Kinoti M.  2004.  Fire Safety: Awareness Of Fire Risk Among Students At The Medical School Of The University Of Nairobi: A Preliminary Study. East and Central African Journal of Surgery. 9(1):35-40. Abstract

Background: The objective was to evaluate awareness of fire safety among medical students at the University of Nairobi Medical School.
Methods: A cross sectional survey by self-administered questionnaires was undertaken. All medical school students that come to the medical school campus of the University of Nairobi, Kenyatta National Hospital were eligible. The study took place in May 2002.
Results: Two hundred questionnaires were sent out with an 88% response rate. The mean age of respondents was 22.3 years with a male to female ratio of 1.2: 1. Of the respondents, 46.5% were accommodated in the halls of residence of the University of Nairobi while 94% felt there was risk of a fire outbreak with 71% indicating that they felt the risk was greatest from electrical appliances. Cookers, the majority of which were electrical but with some gas ones, were singled out as being a leading risk of fire within the halls of residence. A total of 59% indicated that the fire exits they were aware of were either locked or barred. 95% were not happy with this state of affairs.

DR. MUTISO, VINCENTMUOKI.  2004.  Mutiso.V.M. Review Article: Planning In Emergencies and Disasters. . East and Central Africa Journal of Surgery Vol 9, No.1 April/May 2004. East and Central Africa Journal of Surgery Vol 9, No.1 April/May 2004. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
Department of Psychiatry, University of Nairobi, P.O. Box 19676, Nairobi, Kenya. Following the death of 67 boys in a fire tragedy at Kyanguli School in rural Kenya, the level of traumatic grief was assessed in a sample of 164 parents and guardians whose sons died in the fire. The study was cross-sectional. Counseling services were offered to all the bereaved parents soon after the tragedy. The subjects were interviewed using the Traumatic Grief Scale. A group of 92 parents/guardians was interviewed 2 months after the event, while the other group of 72 was assessed 7 days later. The second group of bereaved parents also completed the Self Rating Questionnaire (SRQ) and the Ndetei-Othieno-Kathuku scale (NOK). Over 90% of parents from both groups had a yearning for the departed and found themselves searching for him quite often. There was no much difference in terms of symptoms profile or intensity between the two groups. It appears that the counseling offered had minimal impact on the levels of distress.
DR. MUTISO, VINCENTMUOKI.  2004.  Mutiso.V.M., Okumu.D., Kinoti.M.:Fire Safety- Awareness Of Fire RiskAmong Students At The Medical School Of The University Of Nairobi:A Preliminary Study. East and Central Africa Journal of Surgery Vol 9, No.1 April/May 2004. East and Central Africa Journal of Surgery Vol 9, No.1 April/May 2004. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
Department of Psychiatry, University of Nairobi, P.O. Box 19676, Nairobi, Kenya. Following the death of 67 boys in a fire tragedy at Kyanguli School in rural Kenya, the level of traumatic grief was assessed in a sample of 164 parents and guardians whose sons died in the fire. The study was cross-sectional. Counseling services were offered to all the bereaved parents soon after the tragedy. The subjects were interviewed using the Traumatic Grief Scale. A group of 92 parents/guardians was interviewed 2 months after the event, while the other group of 72 was assessed 7 days later. The second group of bereaved parents also completed the Self Rating Questionnaire (SRQ) and the Ndetei-Othieno-Kathuku scale (NOK). Over 90% of parents from both groups had a yearning for the departed and found themselves searching for him quite often. There was no much difference in terms of symptoms profile or intensity between the two groups. It appears that the counseling offered had minimal impact on the levels of distress.

2002

DR. MUTISO, VINCENTMUOKI.  2002.  Meniscal Cysts: - An Appraisal. The Nairobi Journal of Medicine. Vol 21 No. 1, March 2002.. Journal of Medicine. Vol 21 No. 1, March 2002.. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
Department of Psychiatry, University of Nairobi, P.O. Box 19676, Nairobi, Kenya. Following the death of 67 boys in a fire tragedy at Kyanguli School in rural Kenya, the level of traumatic grief was assessed in a sample of 164 parents and guardians whose sons died in the fire. The study was cross-sectional. Counseling services were offered to all the bereaved parents soon after the tragedy. The subjects were interviewed using the Traumatic Grief Scale. A group of 92 parents/guardians was interviewed 2 months after the event, while the other group of 72 was assessed 7 days later. The second group of bereaved parents also completed the Self Rating Questionnaire (SRQ) and the Ndetei-Othieno-Kathuku scale (NOK). Over 90% of parents from both groups had a yearning for the departed and found themselves searching for him quite often. There was no much difference in terms of symptoms profile or intensity between the two groups. It appears that the counseling offered had minimal impact on the levels of distress.
DR. MUTISO, VINCENTMUOKI.  2002.  Mutiso.V.M: Meniscal Cysts - An Appraisal. The Nairobi Journal of Medicine. Vol 21 No. 1, March 2002.. The Nairobi Journal of Medicine. Vol 21 No. 1, March 2002.. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
Department of Psychiatry, University of Nairobi, P.O. Box 19676, Nairobi, Kenya. Following the death of 67 boys in a fire tragedy at Kyanguli School in rural Kenya, the level of traumatic grief was assessed in a sample of 164 parents and guardians whose sons died in the fire. The study was cross-sectional. Counseling services were offered to all the bereaved parents soon after the tragedy. The subjects were interviewed using the Traumatic Grief Scale. A group of 92 parents/guardians was interviewed 2 months after the event, while the other group of 72 was assessed 7 days later. The second group of bereaved parents also completed the Self Rating Questionnaire (SRQ) and the Ndetei-Othieno-Kathuku scale (NOK). Over 90% of parents from both groups had a yearning for the departed and found themselves searching for him quite often. There was no much difference in terms of symptoms profile or intensity between the two groups. It appears that the counseling offered had minimal impact on the levels of distress.

2001

DR. MUTISO, VINCENTMUOKI.  2001.  Mutiso.V.M: Advocacy and Legislation in Emergency and Disaster Management . Proceedings of The First International Conference on Emergency Management in Africa, 19th-22nd Nov 2001.. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
Department of Psychiatry, University of Nairobi, P.O. Box 19676, Nairobi, Kenya. Following the death of 67 boys in a fire tragedy at Kyanguli School in rural Kenya, the level of traumatic grief was assessed in a sample of 164 parents and guardians whose sons died in the fire. The study was cross-sectional. Counseling services were offered to all the bereaved parents soon after the tragedy. The subjects were interviewed using the Traumatic Grief Scale. A group of 92 parents/guardians was interviewed 2 months after the event, while the other group of 72 was assessed 7 days later. The second group of bereaved parents also completed the Self Rating Questionnaire (SRQ) and the Ndetei-Othieno-Kathuku scale (NOK). Over 90% of parents from both groups had a yearning for the departed and found themselves searching for him quite often. There was no much difference in terms of symptoms profile or intensity between the two groups. It appears that the counseling offered had minimal impact on the levels of distress.

1996

DR. MUTISO, VINCENTMUOKI.  1996.  Mutiso.V.M: Extramedullary plasmacytoma of the anorectum: A case report. East African Medical Journal, Feb. East African Medical Journal, Feb. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
Department of Psychiatry, University of Nairobi, P.O. Box 19676, Nairobi, Kenya. Following the death of 67 boys in a fire tragedy at Kyanguli School in rural Kenya, the level of traumatic grief was assessed in a sample of 164 parents and guardians whose sons died in the fire. The study was cross-sectional. Counseling services were offered to all the bereaved parents soon after the tragedy. The subjects were interviewed using the Traumatic Grief Scale. A group of 92 parents/guardians was interviewed 2 months after the event, while the other group of 72 was assessed 7 days later. The second group of bereaved parents also completed the Self Rating Questionnaire (SRQ) and the Ndetei-Othieno-Kathuku scale (NOK). Over 90% of parents from both groups had a yearning for the departed and found themselves searching for him quite often. There was no much difference in terms of symptoms profile or intensity between the two groups. It appears that the counseling offered had minimal impact on the levels of distress.

1995

OLUOCH, PROFATINGAJOHNERNEST, DR. MUTISO VINCENTMUOKI.  1995.  The Conservative Management of Back Pain by Corset. African Journal of Medical Practice, 2: 196 - 197. : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
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1990

DR. MUTISO, VINCENTMUOKI.  1990.  Mutiso.V.M.; Pelvic Fractures at Kenyatta National Hospital. M.Med Dissertation . M.Med Dissertation . : University of Nairobi Case, in the proceedings of the IST-Africa 2008 Conference; Windhoek, Namibia Abstract
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