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2020
GO O, EK G, S N. "Audit on the management of early rheumatoid arthritis in Nairobi." Afr J Rheumatol. 2020;8(1):22-25. Abstractaudit_on_the_management_of_early_rheumatoid_arthitis_in_nairobi.pdf

Background
: Clinical audit for rheumatoid arthritis on patients over
the age of 18 years in Nairobi, Kenya within the first three months of referral to a specialist. Objective: The audit gives detailed
information on the following; access to care, quality of treatment and
care received by patients from their rheumatology team in these first 3 months and the early impact of arthritis on the patient’s life.
Design: This was a cross-sectional
survey. Results
: The audit included 100 patients referred to the Nairobi Arthritis
Clinic between January and April 2018. A majority (54%) had symptoms for
more than 6 months before being referred to a rheumatologist. Most of
the patients (83%) were seen within 3 weeks of referral. Disease Modifiying
Antirheumatic Drugs (DMARDs) were commenced in 90% within 6 weeks of
being seen at the clinic. Treatment to target was done in 98% of the patients
with a further 60% able to access the clinic within a day of flare of symptoms. Conclusion: The audit revealed the
need to improve on referral time to the rheumatologist. It was encouraging
to note that once they saw the rheumatologists the patients were
commenced on the proper treatment with the treat to target strategy. An area
that needs improvement is the time to access the rheumatologist in case of
side effect from the treatment or flare of the disease

OdongoMahacla, BeboraLillyCaroline, KagunyaDavid, KarabaW, MbuthisPG. Bacteriology and Mycology Handbook for Veterinary students.. Mauritius: LAP Lambert Academic Publishing; 2020.
Ogeng’o J, Ouko I, Wambui A, Amuti T. "A case Report on unusual elongation of the Sustentaculum tali." Anatomy Journal of Africa. 2020;9(1):1678-1680.
Rop K, Mbui D, Karuku GN, Michira I, Njomo N. "Characterization of water hyacinth cellulose-g-poly (ammonium acrylate-co-acrylic acid)/nano-hydroxyapatite polymer hydrogel composite for potential agricultural application." Results in Chemistry. 2020;2:100020. AbstractResults in Chemistry

Description
Polymer nano-composite was prepared by grafting partially neutralized acrylic acid onto swollen cellulose isolated from water hyacinth in the presence of nano-hydroxyapatite (nano-HA) using N,N-methylene-bis-acrylamide (MBA) as the cross-linker and ammonium persulphate (APS) as the free radical initiator. Water absorption tests showed an increase in swelling ratio of the copolymer with increased nano-HA content to value of 120 g/g at 2.5% w/v above which it declined. FTIR spectrum of nano-composite revealed grafting of the monomer (acrylic acid/ammonium acrylate) onto cellulose and nano-HA. Transmission electron microscopy (TEM) images of nano-HA synthesized in the presence of Triton X-100 (non-ionic surfactant) displayed rod-shaped agglomerates and nano-particle dispersion within the copolymer matrix. Energy dispersive X-ray (EDX) spectra revealed the constituents of nano-composite to be …

Rop K, Mbui D, Karuku GN, Michira I, Njomo N. "Characterization of water hyacinth cellulose-g-poly (ammonium acrylate-co-acrylic acid)/nano-hydroxyapatite polymer hydrogel composite for potential agricultural application." Results in Chemistry. 2020;2:100020. AbstractResults in Chemistry

Description
Polymer nano-composite was prepared by grafting partially neutralized acrylic acid onto swollen cellulose isolated from water hyacinth in the presence of nano-hydroxyapatite (nano-HA) using N,N-methylene-bis-acrylamide (MBA) as the cross-linker and ammonium persulphate (APS) as the free radical initiator. Water absorption tests showed an increase in swelling ratio of the copolymer with increased nano-HA content to value of 120 g/g at 2.5% w/v above which it declined. FTIR spectrum of nano-composite revealed grafting of the monomer (acrylic acid/ammonium acrylate) onto cellulose and nano-HA. Transmission electron microscopy (TEM) images of nano-HA synthesized in the presence of Triton X-100 (non-ionic surfactant) displayed rod-shaped agglomerates and nano-particle dispersion within the copolymer matrix. Energy dispersive X-ray (EDX) spectra revealed the constituents of nano-composite to be …

Rop K, Mbui D, Karuku GN, Michira I, Njomo N. "Characterization of water hyacinth cellulose-g-poly (ammonium acrylate-co-acrylic acid)/nano-hydroxyapatite polymer hydrogel composite for potential agricultural application." Results in Chemistry. 2020;2:100020. AbstractResults in Chemistry

Description
Polymer nano-composite was prepared by grafting partially neutralized acrylic acid onto swollen cellulose isolated from water hyacinth in the presence of nano-hydroxyapatite (nano-HA) using N,N-methylene-bis-acrylamide (MBA) as the cross-linker and ammonium persulphate (APS) as the free radical initiator. Water absorption tests showed an increase in swelling ratio of the copolymer with increased nano-HA content to value of 120 g/g at 2.5% w/v above which it declined. FTIR spectrum of nano-composite revealed grafting of the monomer (acrylic acid/ammonium acrylate) onto cellulose and nano-HA. Transmission electron microscopy (TEM) images of nano-HA synthesized in the presence of Triton X-100 (non-ionic surfactant) displayed rod-shaped agglomerates and nano-particle dispersion within the copolymer matrix. Energy dispersive X-ray (EDX) spectra revealed the constituents of nano-composite to be …

Rop K, Mbui D, Karuku GN, Michira I, Njomo N. "Characterization of water hyacinth cellulose-g-poly (ammonium acrylate-co-acrylic acid)/nano-hydroxyapatite polymer hydrogel composite for potential agricultural application." Results in Chemistry. 2020;2:100020. AbstractResults in Chemistry

Description
Polymer nano-composite was prepared by grafting partially neutralized acrylic acid onto swollen cellulose isolated from water hyacinth in the presence of nano-hydroxyapatite (nano-HA) using N,N-methylene-bis-acrylamide (MBA) as the cross-linker and ammonium persulphate (APS) as the free radical initiator. Water absorption tests showed an increase in swelling ratio of the copolymer with increased nano-HA content to value of 120 g/g at 2.5% w/v above which it declined. FTIR spectrum of nano-composite revealed grafting of the monomer (acrylic acid/ammonium acrylate) onto cellulose and nano-HA. Transmission electron microscopy (TEM) images of nano-HA synthesized in the presence of Triton X-100 (non-ionic surfactant) displayed rod-shaped agglomerates and nano-particle dispersion within the copolymer matrix. Energy dispersive X-ray (EDX) spectra revealed the constituents of nano-composite to be …

Munene JM, Onyatta JO, Yusuf AO. "Characterization of Water Hyacinth Powder Using FTIR Spectroscopy and the Adsorption Behaviour of Pb2+, Cd2+, Zn2+, Ni2+ and Cr2+ in Aqueous Solution ." Asian Journal of Applied Chemistry Research. 2020;6(1):47-55. AbstractAsian Journal of Applied Chemistry Research

Description
The adsorption behavior of selected metal ions on water hyacinth powder was investigated by Fourier Transform Infrared (FTIR) spectroscopy. Water hyacinth powder was used as an adsorbent due to its popularity, low cost and ease of availability. Water hyacinth stems were dried and ground to a powder. Batch adsorption experiments were conducted at room temperature by adding known concentrations of Pb 2+, Cd 2+, Cr 3+, Zn 2+ and Ni 2+ to 5 g of water hyacinth powder in different test tubes and allowed to stand for the same time respectively. Adsorption is one of the methods used to remove heavy metals from aqueous solutions and wastewaters. FTIR analysis was performed to identify the functional groups in the water hyacinth powder using the KBr disc method. The study showed a strong broad absorption band in the region of 3300-3200cm-1 which is characteristic of OH stretching vibrations of the adsorbed water molecules at the surface of raw water hyacinth powder particles. Other peaks appeared at 1732cm-1 which corresponded to C= O stretching vibrations while the band at 1396cm-1 could be attributed to CH bonds. The functional groups identified were: CH; OH; C= O or CO. After adsorption there was a disappearance, reduction or a shift in the adsorption bands depending on the type of metal ion. Lead for example showed a strong absorption band in the region of 1732cm-1 which is characteristic of C= O stretching bond structure which is found in esters and carboxylic acids. The disappearance of the peaks indicated that the H atom present in the functional groups of the raw water hyacinth powder could have been substituted …

Nyamweya NN, Kimani SN, Abuga KO. "Chewable Antacid Tablets: Are Disintegration Tests Relevant?" AAPS PharmSciTech . 2020;21:139. Abstract

A recently published FDA guidance on chewable tablets has addressed the quality attributes of this class of dosage forms. This study evaluated disintegration as a quality attribute for a number of commercially available chewable antacid tablets. Additionally, acid-neutralizing-capacity values were evaluated. A number of the products exhibited prolonged disintegration times—which were far longer than those of conventional immediate-release tablets. The mean disintegration times ranged from 6 to more than 60 min in distilled water and from 9 to over 60 min in 0.1 N HCl. The products with longer disintegration times had higher breaking force and tensile strength values. Despite the range in disintegration times, all products met the criteria for acid-neutralizing capacity. These results indicate a need for patients to be aware of the need to thoroughly chew antacid tablets upon administration. Given these considerations, disintegration testing would be a useful quality control test in evaluating these dosage forms as the implicit assumption by the manufacturer that patients will chew the product sufficiently may not be met in every case.

Ongeri BO, Mutasa F. "Commercial banks’ performance and economic growth nexus: -An Empirical Analysis of Kenya’s Commercial Banks." International journal of scientific research and innovative technology . 2020;7(3):2313-3759.
Hassanali J., Pokhariyal G, P. M. "Comparative analysis of selected linear measurements of human and baboon brains." European Journal of anatomy. 2020;11 ((1)):9-16 . AbstractWebsite

The morphometric parameters of the brains of several mammals and primates show differences that are likely to be associated with cognitive and other functions necessary for survival as well as evolution. Seven human and eight baboon formalin-fixed brains were used to show comparative aspects. The whole brains were weighed, 3 from humans and 3 from baboons were separated into components -cerebrum, cerebellum and brainstem- and their weights were recorded. The linear measurements of the cerebrum were occipito-frontal (O-F), fronto-temporal (F-T) temporo-occipital (T-O), height of temporal lobe (HTL), inter: frontal pole (F-F), occipital pole (O-O), parietal (P-P), temporal pole (T-T), and occipital lobe (OL-OL) from superior, lateral and inferior aspects. The proportions of brain weight relative to body weight and those of the brain components were mostly higher in the humans. The length, height and width of the human brains were higher than in the baboons. F-F was six times O-O in humans while other parameters were nearly double in humans as compared to baboons. The ratio of P-P to F-F was nearly 20 times in baboons as compared to 6 times in humans. The overall increase in human brain length, width and size of lobes could be related to increased body size, functional complexity, upright posture, and evolution. The lateral expansion in the size of the frontal, temporal and occipital lobes may be due to the complex circuitry associated with cognitive functions and life style. Several approaches have been proposed to determine factors related to increases in brain size, function and intelligence. Morphometry could be one tool to "explain" specific increases in brain areas.

Oluoch JO, Rambo CM, Pokhariyal GP. "Data Dissemination and Use and Provision of Curative and Preventive Tuberculosis Health Care Services in Public Health Institutions in Kisumu County, Kenya ." European Journal of Business and Management Research. 2020;5((1)). Abstractview

The study sought to determine how data dissemination and use influence provision of curative and preventive tuberculosis healthcare in institutions of public health in Kisumu County, Kenya. The study focused on public health institutions that practices M&E system on provision of curative and preventive tuberculosis healthcare services. The study employed the use of pragmatism paradigm and a descriptive research design to collect both quantitative and qualitative data. A correlational design was used to test the hypothesis. A sample of 221 respondents was selected from a population of 517 using stratified random sampling. Data was collected using a structured questionnaire with both open and close ended with Likert type on 1-5 five point scale and interview schedule. Correlational design was used to test the hypothesis. Quantitative data was analyzed using descriptive and inferential statistics and data presented in frequency tables using means and standard deviations while qualitative data was presented in in narrative statements. Hypothesis was tested using linear regression at 0.05 level of significance to determine the degree and direction of relationships among the thematic area of the study. The reliability of the instruments was obtained using Cronbach Alpha coefficient of 0.735 for all items meaning that the instruments were reliable. The results showed that data dissemination and use and provision of curative and preventive tuberculosis health care services in public health institutions had [r2=0.186, p<0.05]. The results for quantitative data based on composite mean score of 3.91 and 0.466 standard deviation for this variable respectively. Therefore, data dissemination and use influence provision of curative and preventive tuberculosis healthcare services in public health institutions.

S D, GO O, V O-H. "Depression and its association with disease activity and quality of life in patients with rheumatoid arthritis at the Kenyatta National Ho." Afr J Rheumatol. 2020;8(1):15-21. Abstractdepression_and_its_association_with_disease_activity.pdf

Background: Rheumatoid arthritis
is a systemic inflammatory disease that affects the synovial membrane,
resulting in the structural damage of cartilage, bone and ligaments. The
course of RA differs between patients, and its severity can range from selflimiting
disease to severe destruction and systemic complications. RA affects
patients physically, psychologically and socially. Patients experience pain,
joint swelling, stiffness, functional limitations and fatigue and overall poor
quality of life. In addition, they report anxiety and depressive symptoms
and concerns about increased physical limitations. Experiencing
psychological distress may inflate the subjective severity of patient-reported
symptoms such as pain and tenderness. Furthermore, patients experience a
loss of independence and restrictions in participation, i.e. a decrease in
socializing which may in turn propagate symptoms of depression. An accurate
description of the relationship between depression, disease severity and quality
of life is necessary for our setting. If an interaction exists, then there is a
group of vulnerable patients who could benefit from earlier identification
of depression and the impact their disease has on HRQoL and appropriate
management provided. Objective: To determine the prevalence
of depression and the relationship between depression, disease activity
and quality of life in ambulatory patients with rheumatoid arthritis at
the Kenyatta National Hospital.Design: A descriptive-cross sectional

Sola L, Levin NW, Johnson DW, Pecoits-Filho R, Aljubori HM, Chen Y, Claus S, Collins A, Cullis B, Feehally J, Harden PN, Hassan MH, Ibhais F, Kalantar-Zadeh K, Levin A, Saleh A, Schneditz D, Tchokhonelidze I, Kazancioglu RT, Twahir A, Walker R, Were AJO, Yu X, Finkelstein FO. "Development of a framework for minimum and optimal safety and quality standards for hemodialysis and peritoneal dialysis." Kidney International Supplements. 2020.
Shah P. "Domestication of the Ramsar Convention in Kenya." Towards realizing of Vision 2030: Kenya Policy Briefs. Office of the DVC Research, Innovation and Extension. University of Nairobi. . 2020;1(1):13-14.
A.M H, Ongeri BO. "Effect of Islamic banking development on economic growth –A case of the Kenyan Economy." International Journal of Scientific Research and Innovative Technology . 2020;7(2).
Maina J, Wandiga S, Gyampoh B, Gachene C. "Effects of Supplemental Irrigation on Crop Yields: Case Study Kales (Brassica Oleracea) Crop." Journal of Ecological Engineering. 2020;(21):209-213. AbstractEcological Engineering

The aim of this study was to investigate the effects that supplemental irrigation (SI) has on Kale (Brassica Oleracea) crop yields as compared to wholly rain-fed crop. The experiments were conducted in Kieni, Central Kenya where the rainfall pattern was bimodal. The planting for rain-fed crops was done in three blocks each measuring 10m x1m with a spacing of 30cm between plants and 45cm between rows of plants and the procedure repeated for the crops receiving SI. The average weekly yields were computed for both crops for each season comprised of 14 weeks. The average weekly yields were subjected to Analysis of Variance (ANOVA) to determine whether the average yields from rain-fed and supplemental irrigated crops were statistically different. This was done by MS Excel 2016 spread sheets by setting a statistical level of significance of 5%. F value was 17.94 higher than the critical value of 4.01 while the P-value of 9x10-5 was lower than the 5% level of confidence meaning that there was a significant difference in the yield means of rain-fed and SI crops. The total rain-fed crop yields for the period was 147.0 Kgs and that of the one under SI was 238Kgs, an increase of about 62%. Therefore, supplemental irrigation can be adopted in areas where rainfall trends are declining to increase crop yields when all other factors remain constant for farmers to increase resilience.

Mwangi M, Kituyi E, Ouma G. "Enhancing adoption of climate services through an innovation systems approach." Scientific African. 2020:e00445. Abstractdoi.org

Abstract
Recent years have marked the emergence of the innovation systems approach as a shift from the conventional linear models of technology transfer. Linear technology diffusion models hinder participatory approaches of local actors such as smallholder farmers and regards them as spectators in the development process, which impedes wide adoption of technology by the intended beneficiary. This article sought to understand the potential of the innovations systems approach as an incentive to enhance the adoption of climate services by smallholder farmers through regarding them and other relevant stakeholders as part of the process, fostering knowledge sharing and interactive learning. The methodology included stakeholder/actor identification, mapping of stakeholder linkages, capacity building and active involvement of stakeholders through the climate services process. The results showed that unlike the conventional linear knowledge delivery process, the innovation systems approach takes into consideration the complex processes that are highlighted by non-linear processes, feedback loops, and other complex interactions that occur among heterogeneous actors. As such in place of the linear knowledge delivery approach, a more systems approach is necessary to help mobilize science and technology such as climate services to deliver benefits, which has the potential to enhance access, salience, credibility, and legitimacy of the scientific information.

Keywords
Innovation systems approach; Climate services; Stakeholder linkages; Adoption

Bauza V, Madadi V, Ocharo R, Nguyen TH, Guest JS. "Enteric pathogens from water, hands, surface, soil, drainage ditch, and stream exposure points in a low-income neighborhood of Nairobi, Kenya." Science of The Total Environment. 2020;709:135344. AbstractScience of The Total Environment

Description
Child exposure to fecal-oral pathogens occurs through several transmission pathways. However, the relative importance of different exposure points for pathogen transmission both inside and outside households is not well understood. We conducted a cross-sectional study in the urban slum of Kibera in Nairobi, Kenya, collecting 237 environmental samples from 40 households from source water, stored drinking water, caregiver hands, child hands, household surfaces, soil, standing water, open drainage ditches, and streams. We quantified the fecal indicator Escherichia coli and the enteric pathogens of adenovirus, Campylobacter jejuni, Shigella spp./enteroinvasive E. coli (EIEC), and Vibrio cholerae. At least one enteric pathogens was detected in 13% of household stored water, 47% of hand, 46% of table surface, 26% of plate surface, 75% of floor surface, 96% of soil, 56% of standing water, 77% of drainage ditch …

Wanjala G, Ongosi BO. "Establishing the Impact of Double-Intake Programmes on the Physical Infrastructural Learning Environment at the University of Nairobi, Kenya." International Journal of Innovative Research and Knowledge . 2020;5(2):17-29 .abstract.pdf
Wamitila KW. "Factual and Fictional Narratives in East African Literatures.". In: NARRATIVE FACTUALITY: A HANDBOOK EDITED BY: MONIKA FLUDERNIK & MARIE-LAURE RYAN . Berlin/ Boston: De Gruyter; 2020.
Muthini D, Nzuma J, Nyikal R. "Farm production diversity and its association with dietary diversity in Kenya." Food Security. 2020;https://doi.org/10.1007/s12571-020-01030-1.
V O, A A, A K. "Fertility transition in selected sub-Saharan African countries: the role of family planning programs ." F1000Research. 2020;8(1748). AbstractWebsite

Change in fertility rate across societies is a complex process that involves changes in the demand for children, the diffusion of new attitudes about family planning and greater accessibility to contraception. Scholars have concentrated on a range of factors associated with fertility majorly at the national scale. However, considerably less attention has been paid to fertility preference - a pathway through which various variables act on fertility. It is understood that women have inherent fertility preferences which each they seek to achieve over her reproductive cycle. However, the service delivery enhancement levels and capacity across countries as integral pathways to this goal accomplishment stand on their way towards eventual outcomes. Precisely, the Sub-Saharan African countries’ disparities amid similarities in their population policies is a cause of concern.

Chitedze I, Nwedeh CC, Ang’u C. "Financial Modelling of Feed-In Tariff for Increasing Solar Photovoltaic Energy Portfolio in Malawi." Journal of Energy and Natural Resources. 2020;9(1):14-27.
Waruiru RM, Mbuthia PG, Bebora LC, Nyaga PN, Wanja DW, Mwadime JM, Ngowi HA. "Fish husbandry practices and water quality in central Kenya: potential risk factors for fish mortality and infectious Diseases." Hindawi Veterinary Medicine International . 2020;2020.
Wanja DW, Mbuthia PG, Waruiru RM, Mwandime JM, Bebora LC, Nyaga PN, Ngowi, H. "Fish husbandry practices and water quality in central Kenya: Potential risk factors for fish mortality and infectious diseases." Veterinary Medicine International. 2020;2020.
Bebora LC, Mbuthia PG, Nyaga PN, Waruiru RM, Wanja DW, H.A N. "Fish Husbandry Practices and Water Quality in Central Kenya: Potential Risk Factors for Fish Mortality and Infectious Diseases." Hindawi Veterinary Medicine International . 2020;2020.abstract.pdf
Derese S. "Flavonoids and Isoflavonoids of Millettia dura and Millettia ferruginea: Phytochemical review and chemotaxonomic values." Biochemical Systematics and Ecology. 2020;91. Abstract

The phytochemical information on Millettia dura Dunn, M. ferruginea (Hochst.) Baker and M. ferruginea subsp. darassana (Cufod.) J.B. Gillett was reviewed. All the three taxa elaborate mainly isoflavones (33 reported), occurring in the flowers, seeds/seed pods, stem bark and root bark. Out of the 33 isoflavones reported, some 19 (ca. 58%) contain prenyl at C-8 or its modification as 2,2-dimethylchromene ring at C-7/C-8, occurring in all the three taxa. Except for three isoflavones isolated from M. ferruginea subsp. darassana, all the isoflavones of these taxa are 5-deoxygenated. In these taxa, oxygenation at C-6 is a common feature, while isoflavones with C-8 oxygenation are rare, only three reported, and all of these from M. dura. There are 7 rotenoids reported from these taxa, and occur almost entirely in the seeds/seedpods of these plants. The major rotenoid with methylenedioxy group at C-2/C-3, millettone and its 12a-hydroxy derivative, millettosine, occur only in M. dura, this appears to distinguish M. dura from M. ferruginea.

Buyinza D, Chalo DM, Derese S, Ndakala A, Yenesew A. "Flavonoids and Isoflavonoids of Millettia dura and Millettia ferruginea: Phytochemical review and chemotaxonomic values." Biochemical Systematics and Ecology. 2020;91:104053. AbstractBiochemical Systematics and Ecology

Description
The phytochemical information on Millettia dura Dunn, M. ferruginea (Hochst.) Baker and M. ferruginea subsp. darassana (Cufod.) J.B. Gillett was reviewed. All the three taxa elaborate mainly isoflavones (33 reported), occurring in the flowers, seeds/seed pods, stem bark and root bark. Out of the 33 isoflavones reported, some 19 (ca. 58%) contain prenyl at C-8 or its modification as 2,2-dimethylchromene ring at C-7/C-8, occurring in all the three taxa. Except for three isoflavones isolated from M. ferruginea subsp. darassana, all the isoflavones of these taxa are 5-deoxygenated. In these taxa, oxygenation at C-6 is a common feature, while isoflavones with C-8 oxygenation are rare, only three reported, and all of these from M. dura. There are 7 rotenoids reported from these taxa, and occur almost entirely in the seeds/seedpods of these plants. The major rotenoid with methylenedioxy group at C-2/C-3, millettone and its …

Buyinza D, Chalo DM, Derese S, Ndakala A, Yenesew A. "Flavonoids and Isoflavonoids of Millettia dura and Millettia ferruginea: Phytochemical review and chemotaxonomic values." Biochemical Systematics and Ecology. 2020;91:104053. AbstractBiochemical Systematics and Ecology

Description
The phytochemical information on Millettia dura Dunn, M. ferruginea (Hochst.) Baker and M. ferruginea subsp. darassana (Cufod.) J.B. Gillett was reviewed. All the three taxa elaborate mainly isoflavones (33 reported), occurring in the flowers, seeds/seed pods, stem bark and root bark. Out of the 33 isoflavones reported, some 19 (ca. 58%) contain prenyl at C-8 or its modification as 2,2-dimethylchromene ring at C-7/C-8, occurring in all the three taxa. Except for three isoflavones isolated from M. ferruginea subsp. darassana, all the isoflavones of these taxa are 5-deoxygenated. In these taxa, oxygenation at C-6 is a common feature, while isoflavones with C-8 oxygenation are rare, only three reported, and all of these from M. dura. There are 7 rotenoids reported from these taxa, and occur almost entirely in the seeds/seedpods of these plants. The major rotenoid with methylenedioxy group at C-2/C-3, millettone and its …

Focus Grade 5 Kiswahili. . Nairobi: Focus publishers; 2020.
Focus Grade 5 T/G.. Nairobi: Focus publishers; 2020.
"Formal Features in Alex la Guma’s “Come Back to Tashkent." Asian Journal of African Studies,. 2020;47(1):99-119.
Wanyonyi LS. "Further remarks on unitary equivalence of some classes of operators in Hilbert spaces." International Journal of Statistics and Applied Mathematics. 2020;5(3):06-10. Abstractfull text

In this paper we investigate results on unitary equivalence of operators that include n-binormal, skew
binormal and n-power-hyponormal operators acting on complex Hilbert space H.
AMS subject classification 47B47, 47A30, 47B20.

Elsayed HM, Wadee S, Zaki MS, Were AJO, Ashuntantang GE, Bamgboye EL, Davids MR, Hafez MH, Mahamat M, Naicker S, Niang A, Seck SM, Swanepoel CR, Tannor EK, Twahir A, Yao HK. "Guidelines for the prevention, detection and management of the renal complications of COVID-19 in Africa." African Journal of Nephrology. 2020;23(1). AbstractWebsite

Africa trails the rest of the world in COVID-19 cases and deaths. However, as the pandemic spreads through the continent, we expect increases in community infection in the months ahead. Patients with kidney infection, especially those with end-stage kidney disease and those with kidney transplants, are at high risk for acquiring the disease and dying from it. While there is limited evidence for the benefit of interventions, we have the advantage of learning from the experiences of those in China, Europe and the Americas. This document sets forth guidance for dealing with our patients who have acute and chronic kidney disease, including those on renal replacement therapy and the staff involved in their care. Emphasis is placed on preparedness and prevention strategies. As evidence and experience accumulate, it is likely that updated guidance will be needed.

L’Afrique suit le reste du monde en termes de nombre de cas et de décès dus à COVID-19. Cependant, alors que la pandémie se propage à travers le continent, nous prévoyons une augmentation de l’infection communautaire dans les mois à venir. Les patients atteints d’une maladie rénale, en particulier ceux atteints d’une maladie rénale chronique en phase terminale et ceux ayant subi une transplantation rénale, courent un risque élevé de contracter la maladie et d’en mourir. Bien que les preuves d’interventions soient limitées, nous avons l’avantage de tirer des enseignements des expériences de ceux qui se trouvent en Chine, en Europe et dans les Amériques. Ce document présente des conseils pour traiter nos patients atteints d’insuffisance rénale aiguë et chronique, y compris ceux sous thérapie de suppléance rénale et le personnel impliqué dans leurs soins. L’accent est mis sur les stratégies de préparation et de prévention. Au fur et à mesure que les preuves et l’expérience s’accumulent, il est probable que des directives actualisées seront nécessaires.

Waruiru RM, Mbuthia PG, Bebora LC, Nguhiu JM, Wamboi P. "Haemato- biochemical changes and prevalence of parasitic infections of indigenous chicken sold in markets of Kiambu County, Kenya." International Journal of Veterinary Science and Medicine. 2020;8(1):18-25.
Wamboi P, Waruiru RM, Mbuthia PG, Nguhiu-Mwangi J, Bebora LC. "Haemato-biochemical changes and prevalence of parasitic infections of indigenous chicken sold in markets of Kiambu County, Kenya, ." International Journal of Veterinary Science and Medicine. 2020;8(1):18-25.
"How Are Husbands to Know about the Health of Their Menopausal Wives? Kisima." An Ecumenical Magazine for Christian Mothers. 2020;1(1): 20-22.
S. S, Gitau G.K., J. VL, C. M, P. K. "Impact of calf feeding practices on calf growth and health in smallholder dairy farms in Nyeri County, Kenya." East African Journal of Science, Technology, and Innovation. 2020;1(3):2707-0425.
Wanjala, G., Obutu OB. "Impact of Double-Intake Programmes on the Teacher Co-Efficient Determinant of Quality Education at the University of Nairobi,Kenya." International Journal of Educational Technology and Learning. 2020;8(1):16-24.abstract.pdf
Nyang'au P, Muriithi B, Nzuma J, Irungu P, Gichungi H, Diiro G. "Impact of Integrated Fruit Fly Management Strategy on Food Security among Smallholder Mango Farmers in Kenya." African Journal of Food, Agriculture, Nutrition and Development. 2020;20(2):15431-15454.
Omole RA, Moshi MJ, Ilias M, Larry W, Malebo HM, Omosa LK, Midiwo JO. "In vitro Antiplasmodial and Cytotoxic activity of Three Medicinal Plants used Traditionally for Treatment of Malaria." Investigational Medicinal Chemistry & Pharmacology. 2020;10(1):2-6.omole_et_al_2020.pdf
Omole RA, Moshi MJ, Ilias M, Larry W, Malebo HM, Omosa LK, Midiwo JO. "In vitro Antiplasmodial and Cytotoxic activity of Three Medicinal Plants used Traditionally for Treatment of Malaria." Pharmacognosy Communications. 2020;10(1):2-6. AbstractPharmacognosy Communications

Description
Introduction:
Reports of emergence of Artemisinin Combination Therapies (ACTs) resistant malaria parasites in Greater Mekong region and Equatorial Guinea, is a strong reason necessitating increased efforts to discover new antimalarial compounds with novel mechanisms of action. Plants have potential to yield new antiplasmodial compounds. This study investigated the safety and efficacy of three plants; Bersama abyssinica Fresen, Rubus keniensis Standl and Hypoestes verticillaris (Lf) Sol. ex Roem. and Schult that are used by the Ogiek community of Kenya for treatment of malaria.
Methodology:
The crude extracts were tested for in vitro antimalarial activity using Plasmodium falciparum strains W2 (chloroquine resistant) and D6 (chloroquine sensitive). Safety evaluation was done using monkey kidney Vero cells and the brine shrimp lethality test.
Results:
Dichloromethane: methanol (1: 1) and 5% aqueous methanol extracts of the three plants exhibited in vitro antiplasmodial activity against the W2 and D6 Plasmodium falciparum strains with IC50= 12.11–19.18 µg/mL, 5.46-7.04 µg/mL and 9.82–34.52 µg/mL, respectively. H. verticillaris extracts were the most active against the two Plasmodium falciparum strains. The dichloromethane: methanol extracts of the three plants exhibited lower toxicity on monkey kidney Vero cells relative to antiplasmodial activity as compared to the 5% aqueous methanol extracts. The mean Vero cells: parasite selectivity index of the dichloromethane: methanol extracts was (4.8), B. abyssinica (3.75) and R. keniensis (1.9), while for the 5% aqueous methanol extracts they were H. verticillaris (1.0), B. abyssinica (1.95 …

Alkizim FO, Kimani JM, Otieno ES, Thairu K. "In vivo study on the effect of African black tea extract on wound healing." International journal of Medical and Health Research. 2020;6(6):67-74.
Mwangi M, Kituyi E, Ouma G, Macharia D. "Indicator approach to assessing climate change vulnerability of communities in Kenya: a case study of Kitui county." Scientific Research. 2020. Abstractscirp.org

Community vulnerability to climate change can be conceptualized as an aggregate of three vulnerability components: exposure to climatic stress, sensitivity to climate stress and adaptive capacity. However, even within similar regions these vulnerability components are spatially differentiated necessitating the understanding of a regions vulnerability pattern before targeting adaptation assistance. This research sought to understand the differentiated vulnerability patterns of communities in Kitui County as well as the existing coping strategies to guide implementation of adaptation assistance. Indicator approach to vulnerability assessment and focus group discussions were used to understand the vulnerability pattern and coping strategies respectively. Results showed a differentiated vulnerability pattern with a west to east gradient across Kitui County. The pattern exhibited less vulnerability scores on the western and central parts and more vulnerability scores on the eastern and northern parts of the County. Existing coping strategies have become inadequate with increasing climate variability, severity and frequency of extreme climate events, which render the communities even more vulnerable. The patterns of vulnerability can guide appropriate targeting of adaptation assistance and in turn lead to improved climate change resilience and community livelihoods.

Toroitch W, Migosi J, Sakaja Y. "Influence of Resource Controls on the Performance of Infrastructural Projects in ECDE County Projects in Soy Sub-County." International Journals of Academics & Research. 2020;7(8):38-44.
Mbugua JK, Mbui DN, Mwaniki J, mwaura F, Sheriff S. "Influence of Substrate Proximate Properties on Voltage Production in Microbial Fuel Cells." Journal of Sustainable Bioenergy Systems. 2020;10(02):43. AbstractJournal of Sustainable Bioenergy Systems

Description
In the current study, we investigate the influence of proximate properties of five different fruits on voltage and current generated from a double chamber microbial fuel cell. Fruits comprising of avocado, tomato, banana, watermelon and mango were analyzed for proximate properties using standard methods. Rumen fluid was used as the inoculum in fabricated H-shaped double chamber fuel cells with graphite rods electrodes at room temperature. The voltage and current generated were monitored daily for 30 days using a DT9205A digital multi-meter. The average moisture content for the fruits samples ranged from 82.86% - 95.16% while the crude fat was in the range of 0.12% - 0.33% with avocado having fat levels at 9.03%. Carbohydrates level was the highest in banana at 19.24% and the lowest in tomato waste at 2.93%. Tomato waste produced the highest voltage of 0.702 V on day 20 while lower voltage was noted in watermelon fruit wastes at 0.019 V. The voltage and current increased linearly with time for all the fruit wastes. These results indicate that substrate proximate properties influence the voltage and current generated in microbial fuel cell. In addition, moisture content and carbohydrates level were the major factors that influence microbial fuel cells performance.

Muyonga M, Odipo G, Agwanda ALO, A K. "Interlinkages between Migration and Inequality in Africa: Review of Contemporary Studies." African Human Mobility Review . 2020;6(1):6-26.
IRIBEMWANGI PI. "Kiswahili as a Privileged Mother Tongue in Kenya: the Pros and Cons - Expected." Reyono Journal of Interdisciplinary Studies. . 2020.
Benjamin Nyilitya, Mureithi S, Boeckx P. "Land use controls Kenyan riverine nitrate discharge into Lake Victoria – evidence from Nyando, Nzoia and Sondu Miriu river catchments." Isotopes in Environmental and Health Studies. 2020.
Muthoni KC. "Learners Mental health in a Changing World." Journal Of Humanities and Social Science (IOSR-JHSS) . 2020;25(2).
Jedidah Nankaya, Nathan Gichuki, Lukhoba C, Balslev H. "Maasai of Kenya: A Review.". 2020.
Guthua SW, Kamau M, ABINYA N. "Management of Maxillofacial of Osteosarcomas in Kenya: A case Series." The Annals of African Surgery. 2020;17 (1).
Mbugua SN, Sibuyi NRS, Njenga LW, Odhiambo RA, Wandiga SO, Meyer M, Lalancette RA, Onani MO. "New Palladium(II) and Platinum(II) Complexes Based on Pyrrole Schiff Bases: Synthesis, Characterization, X‑ray Structure, and Anticancer Activity." ACS Omega. 2020. Abstractdx.doi.org

New palladium (Pd)II and platinum (Pt)II complexes (C1–C5) from the Schiff base ligands, R-(phenyl)methanamine (L1), R-(pyridin-2-yl)methanamine (L2), and R-(furan-2-yl)methanamine (L3) (R-(E)-N-((1H-pyrrol-2-yl) methylene)) are herein reported. The complexes (C1–C5) were characterized by FTIR, 1H and 13C NMR, UV–vis, and microanalyses. Single-crystal X-ray crystallographic analysis was performed for the two ligands (L1–L2) and a Pt complex. Both L1 and L2 belong to P21/n monoclinic and P-1 triclinic space systems, respectively. The complex C5 belongs to the P21/c monoclinic space group. The investigated molar conductivity of the complexes in DMSO gave the range 4.0–8.8 μS/cm, suggesting neutrality, with log P values ≥ 1.2692 ± 0.004, suggesting lipophilicity. The anticancer activity and mechanism of the complexes were investigated against various human cancerous (Caco-2, HeLa, HepG2 …

R.M. Kweyu, T. Thenya KEKJ. "The nexus between land cover changes, politics and conflict in Eastern Mau forest complex, Kenya." Applied Geography. 2020;114(102115).
Luketero SW, Khalagai JM. "On unitary equivalence of some classes of operators in Hilbertspaces." International Journal of Statistics and Applied Mathematics. 2020;5(2):35-37. Abstractfull text link

It is a well-known result in operator theory that whenever two operators are similar then they have equal spectra even though they do not have to belong to the same class of operators. However under a stronger relation of unitary equivalence it can be shown that two unitarily equivalent operators may belong to the same class of op erators. In this paper we endeavor to exhibit results on such classes of operators which belong to same class under unitary equivalence.

Nzimbi BM, Luketero SW. "On Unitary Quasi-Equivalence of Operators." International Journal of Mathematics And its Applications. 2020;8(1):207-215. Abstractfull text link

In this paper we investigate unitary quasi-equivalence of operators in Hilbert spaces. We characterize operators that are unitarily quasi-equivalent. We also investigate equivalence relations closely related to unitary quasi-equivalence. We give and prove conditions under which unitary quasi-equivalence coincides with other operator equivalence relations.

IRIBEMWANGI PI, Gaithuma VW. "Phonological Influence of Kiamu dialect to Amu Learners of Standard Kiswahili - Expected." Jarida la Kimataifa la Isimu ya Kibantu (JAKIIKI). 2020.
Charles AO, Musembi RJ, Aduda BO, Ogacho A, Jain P. "Photo-thermal Conversion Efficiency of Textured and Untextured Aluminum Substrate Coated with Titanium Dioxide (TiO2)-bound CuFeMnO4 Absorber." American Journal of Modern Energy. 2020;6(1):9-15. AbstractJournal Article Website

The possibility of obtaining thermal energy from the sun for household bathing and washing has resulted to growth in market for solar thermal applications with new types of solar absorbers currently being investigated either to compliment or to replace existing ones. This study focuses on CuFeMnO4 absorber paint by addressing aspects which have little attention regarding improvement of optical absorption for higher efficiency such as texturing the metal substrates on which to coat CuFeMnO4 absorber paint. In this study, texturing was done controllably in order to match the incoming solar radiation wavelength and the surface topography and morphology. Textured and untextured aluminum sheets coated with titanium dioxide (TiO2)-bound CuFeMnO4 absorber paint were used to fabricate prototype flat plate solar thermal collectors. Titanium dioxide (TiO2) was chosen here as binder to a spectrally selective CuFeMnO4 absorber paint. The TiO2-bound CuFeMnO4 absorber paint was applied by a simple, cheap and up-scalable dip coating method over the aluminum sheets. The aluminum sheets were electro-chemically textured to enhance optical absorption and photo-thermal conversion efficiency for both the textured and untextured prototypes were compared. The efficiency characterization of the prototype collectors was done by measuring the global solar irradiance, fluid inlet, fluid outlet and ambient temperature. Both instantaneous and steady-state efficiencies were determined mathematically, and it was found that the prototype collector whose absorber plates were textured recorded higher instantaneous and steady-state efficiencies compared to the collector fabricated from untextured aluminum plates.
Keywords: Aluminum, Texturing, Conversion Efficiency, Solar Energy, (TiO2)-bound, CuFeMnO4

O. A’G, T. M, W. OM, F. N’ang’a, G. O’P, M. MD, D. M, M. A, S G. "Phytochemicals in leaves and roots of selected Kenyan orange fleshed Sweet potato (OFSP) varieties. International Journal of Food Science." International Journal of Food Science . 2020;2020(1-2):1-11.
Awori MN, Mehta NP, Kebba N, Mutie JM. "Possible impairment of surgical decision making and confounded outcome in Fontan surgery by Nakata Index." African Annals of Thoracic and Cardiovascular Surgery. 2020. AbstractWebsite

Since cardiac structuring dimensions inform surgical decisions making, Z-score systematic error impairs surgical decision making and confounds outcome measurement, hence a similar error may affect the Nakata index. In this study, PubMed was searched using the terms: “pulmonary,” “artery,” “size,” “Nakata,” “Fontan,” and “outcome”. Studies that did not describe the outcome of the Fontan procedure and the size of the branch pulmonary arteries were excluded. Outcome measures of interest, in relation to BPA size, included: Operative mortality, Fontan “take-down”, length of ICU stay, pleural effusions and functional capacity. The results revealed that of 116 papers retrieved, 9 were included representing 1,042 patients who underwent the Fontan procedure. Six out of 9 papers representing 645 (61.9%) patients reported that BPA size had no relationship with the outcome of the Fontan procedure; while 2 out of 9 papers representing 366 (35.1%) patients found that BPA size did affect the outcome. One paper representing 31 (3%) patients was unable to find any relationship. All the papers that concluded that there was no relationship labelled normal sized BPAs as small because of a systematic error introduced by the Nakata index. Papers that found a relationship did not use the Nakata index. Thus, Nakata index systematic error may impair surgical decision making and confound outcome measurement in Fontan surgery. In addition, continued use of the Fontan index may have similar implications for other congenital heart lesions.

BeboraLillyCaroline, OdongoMahacla. Practical Bacteriology and Mycology Manual for Veterinary Students. Mauritius: Lap Lambert Academic Publishing; 2020.
"Proverbs and Enculturation: The Gender Convergence of Kiswahili and Ekegusii Proverbs ." Mwanga wa Lugha, Jarida la Idara ya Kiswahili na Lugha Nyingine za Kiafrika, Chuo Kikuu cha Moi. 2020;Juzuu 5, (Na.1, April 2020, ):19-36.
Opiyo R, Muketha S, Omollo W, Mwaniki D. "Responsive Infrastructure and Service Provision Initiatives Framing Smart Environment Attainment in Nairobi.". In: Smart Environment for Smart Cities. Singapore; 2020.
IRIBEMWANGI PI. "A River from Rivulets? A Study of Sheng vis-à-vis Indigenous Kenyan Languages and Modern Technology - Expected." Asian Journal of African Studies (AJAS), Hankuk University. 2020.
J.O'Connell P, Brown M, Chan TM, Granado RC-D, J.Davies S, Eiam-Ong S, H.Hassan M, Kalantar-Zadeh K, Levin A, E.Martin D, Muller E, Ossareh S, Tchokhonelidze I, Trask M, Twahir A, J.O.Were A, Yang C-W, Zemchenkov A, N.Harden P. "The role of kidney transplantation as a component of integrated care for chronic kidney disease." Science Direct. 2020.Website
Kanoti, Olago, D. O., Akech, Nyamai, C.M., Dulo, Ayah, Taylor, D. "Sanitation challenges, groundwater perspectives and their intertwined relationships in Kisumu." Kenya Policy Briefs . 2020;1(1).
Leo S. "Semiotic Survey of Kivumba Superstitions." International Journal of Innovative Research And Knowledge (IJIRK). 2020;5(5).
E.S. K, G. G, J. VL, P. K, T.O. A, D. G, J. M, D. M. "Sero-prevalence and risk factors of infectious bovine rhinotracheitis virus (type 1) in Meru County, Kenya." Preventive Veterinary Medicine . 2020;175:104863.
Kipyego ES, Gitau G, Vanleeuwen J, Kimeli P, Abuom TA, Gakuya D, Muraya J, Makau D. "Sero-prevalence and risk factors of Infectious rhinotracheatis virus( type1) in Meru county, Kenya." Preventive Veterinary Medicine . 2020;104863.(175).
Mbugua M, Nzuma JM, Muange E, Kunyanga C. "Social Networks and Household Food Consumption Smoothing in the Presence of Idiosyncratic Shocks: Insights from Rural Kenya." Development in Practice. 2020;DOI: 10.1080/09614524.2020.1715344.
Derese S. "Synergistic anti-inflammatory activities of a new flavone and other flavonoids from Tephrosia hildebrandtii vatke." Natural Products Research. 2020. AbstractWebsite

Synergistic anti-inflammatory activities of a new flavone and other flavonoids from Tephrosia hildebrandtii vatke
Owor, R. O., Bedane, K. G., Openda, Y. I., Zühlke, S., Derese, S., Ong’amo, G., Ndakala, A., & Spiteller, M.
Abstract
A new flavone, named hildeflavone (1) along with 7 other known flavonoids were isolated from the aerial parts of Tephrosia hildebrandtii Vatke. Their characterisation was based on NMR and MS data analysis. The anti-inflammatory properties of the crude extract, isolated compounds and combination of the compounds were investigated in lipopolysaccharide (LPS)-stimulated peripheral blood mononuclear cells (PBMCs). Treatment of the LPS-stimulated PBMCs with the isolated flavonoids at a concentration of 100 µM significantly reduced the production of interleukins (IL-1β, IL-2 and IL-6), interferon-gamma (IFN-γ), granulocyte macrophage-colony stimulating factor (GM-CSF) and tumour necrosis factor-alpha (TNF-α). It was also found that the combination of a flavone and flavanones exhibited remarkable synergistic anti-inflammatory effects on the production of the cytokines.

Owor RO, Bedane KG, Openda YI, Zühlke S, Derese S, Ong’amo G, Ong’amo G, Ndakala A, Spiteller M. "Synergistic anti-inflammatory activities of a new flavone and other flavonoids from Tephrosia hildebrandtii vatke." Natural Product Research. 2020:1-4. AbstractNatural Product Research

Description
A new flavone, named hildeflavone (1) along with 7 other known flavonoids were isolated from the aerial parts of Tephrosia hildebrandtii Vatke. Their characterisation was based on NMR and MS data analysis. The anti-inflammatory properties of the crude extract, isolated compounds and combination of the compounds were investigated in lipopolysaccharide (LPS)-stimulated peripheral blood mononuclear cells (PBMCs). Treatment of the LPS-stimulated PBMCs with the isolated flavonoids at a concentration of 100 µM significantly reduced the production of interleukins (IL-1β, IL-2 and IL-6), interferon-gamma (IFN-γ), granulocyte macrophage-colony stimulating factor (GM-CSF) and tumour necrosis factor-alpha (TNF-α). It was also found that the combination of a flavone and flavanones exhibited remarkable synergistic anti-inflammatory effects on the production of the cytokines.

Mbugua SN, Njenga LW, Odhiambo RA, Wandiga SO, Meyer M, NS, Lalancette RA, Onani MO, Onani MO. "Synthesis, Characterization, And DNA-Binding Kinetics Of New Pd(II) And Pt(II) Thiosemicarbazone Complexes: Spectral, Structural, And Anticancer Evaluation." Journal of Chemistry . 2020;2020:1-17. Abstract

In a bid to come up with potential anticancer agents, a class of thiosemicarbazone ligands bearing substituted thiophene were synthesized followed by complexation with various Pd(II) and Pt(II) metal precursors. The ligands
(E)-1-((thiophen-2-yl) methylene)thiosemicarbazide (L1),
(E)-1-((4-bromothiophen-2-yl)methylene)thiosemicarbazide (L2),
and (E)-1-((5-bromothiophen-2-yl)methylene)thiosemicarbazide (L3) were synthesized by condensation reactions and obtained in good yields. Complexation of L1 andL2 with Pd(cod)Cl2 gave C1(C6H7Cl2N3PdS2) and C2(C6H6BrCl2N3PdS2),respectively. Complexation of L1 with K2PtCl4 gave C3(C6H7Cl2N3PtS2),while L3 with K2PtCl2[(PPh)3]2 gave C4(C24H21BrClN3PPtS2).The structures and coordination for all compounds were established by FTIR, 1H-NMR, 13C-NMR, UV-Vis, elemental analysis, and single-crystal X-ray diffraction studies for ligand L1. Tuning of the spectral and anticancer activity of the compounds was investigated by changing the position of the bromide substituent, metal center, and the σ or π-donor/acceptor strength of the groups surrounding the metal center. The compounds had low to moderate anticancer potency with their spectral and structural properties correlating with the corresponding anticancer activity profiles. DNA binding modes were studied by spectroscopy and were comparable to known DNA intercalators. Structure-activity profiles were evident especially between C1and C2 differing by the presence of a Br in position 5 of thiophene ring, which caused a remarkable increase in IC50 values,from14.71±0.016(C1)to43.08±0.001(C2)in Caco-2 cells, 1.973±0.048 (C1) to 59.56±0.010 (C2) in MCF-7 cells, 16.65±0.051 (C1) to 72.25±0.003 (C2) in HeLa cells, 14.64±0.037 (C1) to 94.34±0.003 (C2) in HepG2, and 14.05±0.042 (C1) to>100(C2) in PC-3 cells.

Masila VM, Ndakala AJ, Byamukama R, Midiwo JO, Kamau RW, Wang M, Kumarihamy M, Zhao J, Heydreich M, Muhammad I. "Synthesis, structural assignments and antiinfective activities of 3-O-benzyl-carvotacetone and 3-hydroxy-2-isopropyl-5-methyl-p-benzoquinone." Natural Product Research. 2020:1-9. AbstractJournal Abstract

Description
In an attempt to synthesize carvotacetone analogues, new 3-O-benzyl-carvotacetone (10) and previously reported 3-hydroxy-2-isopropyl-5-methyl-p-benzoquinone (11) were synthesized from piperitone (7). In this work, we describe the synthesis of 10 and other analogues from 7. Luche reduction of 7 to cis-piperitol (8), followed by benzylation yielded 3-O-benzyl-piperitol (9). Riley oxidation of 9 afforded corresponding ketone 10, 11 and 3-benzyloxy-4-isopropylcyclohex-1-enecarbaldehyde (12). Structures of these compounds were determined based on NMR, IR and LC-MS spectral data. Compound 11, exhibited antiplasmodial activities against chloroquine-sensitive (D6) and resistant (W2) strains of Plasmodium falciparum with IC50 values of 0.697 and 0.653 µg/mL, respectively. In addition, compound 11 was active against Cryptococcus neoformans with an IC50 value of 3.11 µg/mL, compared to reference …

Masila VM, Ndakala AJ, Byamukama R, Midiwo JO, Kamau RW, Wang M, Kumarihamy M, Zhao J, Heydreich M, Muhammad I. "Synthesis, structural assignments and antiinfective activities of 3-O-benzyl-carvotacetone and 3-hydroxy-2-isopropyl-5-methyl-p-benzoquinone." Natural Product Research. 2020:1-9. AbstractNatural Product Research

Description
In an attempt to synthesize carvotacetone analogues, new 3-O-benzyl-carvotacetone (10) and previously reported 3-hydroxy-2-isopropyl-5-methyl-p-benzoquinone (11) were synthesized from piperitone (7). In this work, we describe the synthesis of 10 and other analogues from 7. Luche reduction of 7 to cis-piperitol (8), followed by benzylation yielded 3-O-benzyl-piperitol (9). Riley oxidation of 9 afforded corresponding ketone 10, 11 and 3-benzyloxy-4-isopropylcyclohex-1-enecarbaldehyde (12). Structures of these compounds were determined based on NMR, IR and LC-MS spectral data. Compound 11, exhibited antiplasmodial activities against chloroquine-sensitive (D6) and resistant (W2) strains of Plasmodium falciparum with IC50 values of 0.697 and 0.653 µg/mL, respectively. In addition, compound 11 was active against Cryptococcus neoformans with an IC50 value of 3.11 µg/mL, compared to reference …

"Teaching Canadian Literature in the University of Nairobi." Eastern African Literary and Cultural Studies. 2020:1-17.
Ntwiga DB. "Technical Efficiency in the Kenyan Banking Sector: Influence of Fintech and Banks Collaboration." Journal of Finance and Economics. 2020;8(1):13-20. AbstractWebsite

Efficient banks increase financial stability, intermediation and value to the shareholders. As Fintech innovations continue to alter the financial landscape in Kenya, banks will leverage on Fintech to enhance efficiency. This study investigates if Fintech and bank collaboration has an influence on efficiency in the banking sector. A two step data envelopment analysis is applied with input-orientation based on three intermediation dimension models. Efficiency scores are decomposed into technical, pure technical and scale efficiencies. Financial statement data from 2009-2018 for five banks with Fintech collaborations form the analysis. The study period is segmented into Pre-Fintech, 2009-2014 and Post Fintech, 2015-2018. Descriptive statistics summarize the data with Panel regression model testing the selected financial variables influence on efficiency of banks in the Pre-Post Fintech period. In the ten year period, technical inefficiency based on the three models for the Pre-Post Fintech period is failure to operate at the most productive scale, poor input utilization and managerial inefficiencies. For the Panel regression, loan intensity in model M1, return on asset in model M2, and cost of intermediation in model M3 had a significant and positive influence on technical efficiency. Fintech and banks collaboration has had a positive influence on efficiency in the Kenyan banking sector.

W1 G, Ongondi M2, GO1 O. "Treatment Approaches for Multiple Myeloma: A Review." Journal of Kenya Association of Physicians. 2020;3(1):29-34.
Chiorean GE, Nandakumar G, Fadelu T, Temin S, Alarcon-Rozas AE, Bejarano S, Croitoru A-E, Grover S, Lohar PV, Odhiambo A, Park SH, Garcia ER, Teh C, Rose A, Zaki B, Chamberlin MD. "Treatment of Patients With Late-Stage Colorectal Cancer: ASCO Resource-Stratified GuidelineTreatment of Patients With Late-Stage Colorectal Cancer: ASCO Resource-Stratified Guideline." Journal of Global Oncology. 2020;6(2020):414-438.
W K, A A, A K. "Trends and determinants of contraceptive method choice among women aged 15-24 years in Kenya." F1000Research . 2020;9(197). AbstractWebsite

Studies show a gap in addressing the reproductive health goals of younger women whose inconsistent use of contraception is high in spite of their great need for it. The women aged 15-24 present high potential for unintended pregnancy and increase the challenge for retention of users which is key in maintaining and pushing up the current gains in contraceptive prevalence rate (CPR)

V O, Otieno A, A K. "Trends in fertility preference implementation among selected Eastern African countries." F1000Research 2020. 2020;9(79). AbstractWebsite

There has been continuous debate among scholars regarding fertility transition in Africa. Two conclusions emerge: slow pace of decline because of weak facilitating social programs and high demand for large families amidst weak family planning programs. Accelerated fertility decline is expected to occur if there is both substantial decline in desired fertility and increased level of preference implementation. Despite these conclusions, there are also emergent exceptions in Africa, even among the Eastern African countries. Our motivation for the study of this region therefore lies in this context. First, the East African countries share some similarities in policy framework. Secondly, Rwanda and Kenya appear as exceptional in the drive towards accelerating further fertility decline. Fertility change therefore in any one country may have implications in the neighbouring country due to the commonalities especially in language, cultural traits, diffusion and spread new models of behaviour.

Tubadilishe Jinna . London: Oxford University Press ; 2020.
Nchiozem-Ngnitedema V-A, Omosa LK, Derese S, Tane P, Heydenreich M, Spiteller M, Ean-JeongSeo, Efferth T. "Two new flavonoids from Dracaena usambarensis Engl." Phytochemistry Letter. 2020;36:80-85.alex_et_al_2020.pdf
Derese S. "Two new flavonoids from Dracaena usambarensis Engl." Phytochemistry Letters. 2020;36:80-85. AbstractWebsite

Two new flavonoids from Dracaena usambarensis Engl.
Vaderament-A.Nchiozem-Ngnitedem, Leonidah Kerubo Omosa, Solomon Derese, PierreTane, Matthias Heydenreich, Michael Spiteller, Ean-Jeong Seo, Thomas Efferth

Investigations of the root extract of Dracaena usambarensis Engl. for anticancer principles led to the characterization of one new homoisoflavonoid, (3S)-3,4ʹ,5,6-tetrahydroxy-7-methoxyhomoisoflavanone (1) and a new retrodihydrochalcone, 4ʹ,4-dihydroxy-2,3-dimethoxydihydrochalcone (2) along with six previously reported compounds, including two homoisoflavonoids, 7-O-methyl-8-demethoxy-3-hydroxy-3,9-dihydropunctatin (3) and loureiriol (4); a phenolic amide, 3-(4ʹʹʹ-hydroxyphenyl)-N-[2ʹ-(4ʹʹ-hydroxyphenyl)-2ʹ-methoxyethyl]acrylamide (5); a spirostane, 25S-spirosta-1,4-dien-3-one (6) and two steroids, stigmasterol (7) and stigmasterol 3-O-β-D-glucopyranoside (8). The structures of 1-8 were determined using spectroscopic and spectrometric techniques. The absolute configurations of compounds 1 and 3 were achieved using circular dichroism spectroscopy. Using the resazurin reduction assay and doxorubicin as reference anticancer drug, 1 showed moderate cytotoxicity against drug sensitive CCRF-CEM but was inactive against all the other tested drug sensitive, resistance phenotypes and normal cells. The crude extract and 2-8 were inactive in the preliminary screening against CCRF-CEM and drug resistant CEM/ADR5000 cell lines. Interestingly, the activity of the standard drug, doxorubicin was comparable to those of inactive compounds against CEM/ADR5000 cells. Future studies should focus on structure modifications of 1-3, in order to obtain more potent analogues.

Ongarora SO, Michira JN, TIMAMMY RAYYA, wa Mutiso K. "Uchanganuzi wa Toni katika Ushairi wa Kithaka wa Mberia ." Jarida la Kiswahili na Lugha Nyingine za Kiafrika . 2020;Volume 5(1):195-212.
Ongarora S, Michira JN, Timmamy R, wa Mutiso K. "Uchanganuzi wa Toni Katika Ushairi wa Kithaka wa Mberia." Mwanga wa Lugha. 2020;Vol. 4 (No. 2):195-211.
Njeri GL, Zaja JO, TIMAMMY RAYYA. "Usawiri wa Familia ya Kisasa katika Fasihi ya Watoto Nchini Kenya." Jarida la Kiswahili na Lugha Nyingine za Kiafrika . 2020;Volume 5(1):185-194.
Gatere Lucy Njeri, Omboga Zaja and Rayya Timmamy. "Usawiri wa Familia ya Kisasa katika Fasihi ya Watoto Nchini Kenya, ." Mwanga wa Lugha, Jarida la Idara ya Kiswahili na Lugha Nyingine za Kiafrika, Chuo Kikuu cha Moi. 2020;Juzuu 5,(Na.1, April 2020,):185-196.
Atsango EW, Muiru WM, Mwang’ombe A, Gaoqiong L. "Use Of Amino Oligosacharins And Alternaria Fine Protein In The Management Of Crown Gall Disease On Roses." Researchjournali’s Journal of Agriculture. 2020;Vol. 7,( No. 1 January).use_of_amino_oligosacharins_and_alternaria_fine_protein.pdf
A N, GO O, C O. "The use of musculoskeletal ultrasound of the wrist and hand in the assessment of treatment response in rheumatoid arthritis patients." Afr J Rheumatol. 2020;8(1):3-7. Abstract

Objective: Rheumatoid arthritis is a
debilitating disease with accrual of joint damage during each flare of the disease that progresses to considerable functional disability. Early treatment is
thus aimed to achieve remission status so as to reduce the progression of joint
damage. Currently the disease activity parameter DAS28 (amongst others)
is used to define a remission status and thus demonstrate the efficacy
of a treatment regimen, however musculoskeletal ultrasound (MSUS) is
proving to be superior at determining the amount of inflammation within joints by grading synovial hypertrophy and neo-vascularization of the
inflamed synovium. This article is thus intended to shed light on the usefulness of musculoskeletal ultrasound
both greyscale and Doppler in the determination of treatment response
in rheumatoid arthritis patients. Design: This article will elaborate
the importance and effectiveness of musculoskeletal ultrasound. Thus it will involve a discussion on the need for an effective tool to detect inflammatory activity, the ability of ultrasound to detect and grade the disease activity i.e.
being sensitive to change, the various scoring systems currently used, and
lastly a comparison of musculoskeletal ultrasound to other modalities and
clinical and serological evaluation. Data source and extraction:
Published studies, reviews and guidelines regarding the use of
musculoskeletal ultrasound of the wrist/hand in assessing treatment
response in rheumatoid arthritis patients were sourced through the
internet and library searches and the relevant data extracted. Conclusion:
status of the patient or a high initial ESR with significant serological and clinical
improvement, which will again not be portrayed in the DAS28 results. There may also be variability when assessing joints that are swollen or tender in between different examiners4. Moreover, there is a subset of
patients who still have disease progression despite achieving clinical remission status5.
  Magnetic Resonance Imaging (MRI) and radiographic evaluation have also been used as adjuncts to clinical exam but both have their drawb

M T, N G, A M. "Utilization of extension services and performance of hybrid sweet potato projects IN Kenya. a case of Njoro Sub-county, Nakuru County." Journal of Agricultural Extension and Rural Development. 2020;(1144).
Mwangi WE. "Epidural Lidocaine and Medetomidine-Ketamine Anaesthesia in Feline Orthopaedic Surgery." International journal of veterinary sciences. 2020;9:164-167. Abstract
n/a
2019
Ntwiga DB. "Fintech and Banks Collaboration: Does it Influence Efficiency inthe Banking Sector?". In: Kenya Bankers Association 8th Banking Research Conference. Radisson Blu Hotel Nairobi Kenya; 2019. Abstract

The efficiency of the banking sector in Sub-Saharan Africa is low compared to rest of the world and Fintech is taunted to alter this scenario. Efficient banks increase financial stability, intermediation and value to the shareholders. As Fintech innovations continue to alter the landscape in the banking sector, banks in Kenya are forming collaborations that are envisioned to shape the evolution of credit allocation and delivery of services. The study investigates the influence of Fintech on a bank’s efficiency in credit allocation using thedata envelopment model with input-orientation based on the intermediationdimension. Efficiency scores are decomposed as technical efficiency, pure technical efficiency and scale efficiency.Secondary data for the period 2009-2018 is extracted from thirteen banks sampled from the top fifteen banks in Kenya based on their market share. The banks are either locally owned or listed in Nairobi Securities Exchange, of which five have Fintech collaborationswith a Pre-Fintech and Post Fintechperiod. Panel regression model tested the effect of financial ratios on technical efficiency of the banks. Fintech collaborating banks are more technically efficient based on models M1, M2 and M3 in Pre-Fintech. In Post Fintech, the Fintech banks are more efficient based on models M2, M3 and M4 but with decreasing returns to scale which is due to the banks being overly large, thus non-optimal in their operations. The positive effect on technical efficiency is observed from the ratios, liquidity, loan intensity, return on assets and cost of income. Cost of intermediation and credit risk had a negative effect on technical efficiency. Therefore, Fintech and banks collaborations did not significantly influence efficiency in the banking sector.

Ondiba IM, Oyieke FA, Athinya DK, Nyamongo IK, Estambale BBA. "Larval species diversity, seasonal occurrence and larval habitat preference of mosquitoestransmitting Rift Valley fever and malariain Baringo County, Kenya.". In: C.B.P.S. Annual conference.; 2019.
M. KD, M. MI. "Strain level metagenomic analysis of Nairobi Market fermented camel milk.". In: University of Nairobi, AGRO2019 conference and Exhibition. FOA,CAVS-University of Nairobi; 2019.
Ogutu K. "High Court chose safe route in gay sex case." The Standard, May 28, 2019.
Oredo J, Njihia J, Iraki XN. "Institutional Pressures and Cloud Computing Adoption.". In: IST-Africa 2019 . Nairobi; 2019.
Sila MJ, Nyambura MI, Abong’o DA, Mwaura FB, Iwuoha E. "Biosynthesis of Silver Nanoparticles from Eucalyptus Corymbia Leaf Extract at Optimized Conditions.". In: Nano Hybrids and Composites Vol. 25. Vol. 25. South Africa; 2019:. Abstract

Abstract:

This study reports the biosynthesis of narrow range diameter silver nanoparticles at optimum conditions using Eucalyptus corymbia as a reducing and stabilizing agent. Optimal conditions for biosynthesis of silver nanoparticles (AgNPs) were found to be; an extraction temperature of 90°C, pH of 5.7 a Silver Nitrate concentration of 1mM and AgNO3 to plant extract ratio of 4:1. UV-Visible spectroscopy monitored the formation of colloidal AgNPs. The UV-Visible spectrum showed a peak around 425 nm corresponding to the Plasmon absorbance of the AgNPs. The size and shape characterization of the AgNPs was done using Transmission Electron Microscopy (TEM) techniques which revealed narrow range diameter (18-20 nm), almost monodispersed AgNPs, spherical in nature and with minimal agglomeration. Energy Dispersive X-ray (EDX) results showed the presence of two peaks at 3.0 and 3.15 keV in the silver region. The Fourier Transform Infrared-Spectra (FTIR) of the plant extract and the AgNPs gave rise to vibrational peaks at 3260 and 1634 wavenumbers which are due to the presence of OH and –C=C-functional groups respectively.

‘Writing and Publishing: My Personal Experience’. Nairobi: University of Nairobi; 2019.
"Nafasi ya Kiswahili katika Elimu na Maendeleo.". In: CHAKAMA. Maasai Mara University; 2019.
Gichuyia LN. "INDOOR OVERHEATING RISK ANALYSIS OF OFFICE BUILDINGS IN NAI- ROBI IN A CHANGING CLIMATE.". In: Annual Eastern Africa Architecture Workshop and Exhibition. ADD Building - University of Nairobi; 2019.
Gichuyia LN. "LESSONS LEARNT FROM THERMAL DATA-LOGGING OF BUILDINGS IN NAIROBI OVER THE YEARS; HIGHLIGHT- ING THE DEMAND FUNCTIONS FOR DECI- SION-SUPPORT.". In: Annual Eastern Africa Architecture Workshop and Exhibition. ADD Building - University of Nairobi; 2019.
Dulo. "Onset and Cessation of Rainfall in East Africa.". In: NBCBN training Workshop. Dar es Salaam University; 2019.
Karimurio J, Gichuhi S, Nyamori J, Gachago M, Rono H, Gichangi M, Mwangi A, Kefa R. "Is task-shifting of screening for diabetic retinopathy (DR) from eye specialists to technicians accurate?". In: East African Community East African Health Research Commission 7th East African Health and Scientific Conference. Dar es Salaam; 2019.invitation_letter_7th_eahsc_pg1_jefitha_karimurio1.pdfuse_of_technology_to_taskshift__prof_jefitha_karimurio.pdf
Kanoti J, Olago D, Opiyo N, Nyamai C, Dulo SI, Taylor R. "Characterisation of geogenic controls on groundwater quality in a volcano-sedimentary aquifer in Kenya using graphical and statistical methods.". In: 46th IAH Congress. Malaga, Spain; 2019. Abstractcontribution.pdf

Geogenic controls on groundwater quality are often dominant but remain inadequately characterized for many aquifer systems. The volcano-sedimentary aquifer of Kisumu (Kenya) is used widely to provide safe water to the informal settlements and acts as a strategic, supplementary supply to the city during interruptions in service from the main piped water supply network drawing from Lake Victoria. Little is known, however, of the geogenic controls on groundwater quality in the Kisumu aquifer. We characterize the origin and composition of solutes in groundwaters sampled from the Kisumu aquifer using a range of techniques. Classical graphical methods (i.e. Durov, Piper, Schoeller, Stiff and Ternary plots) were used as interpretative tools of the main hydrogeochemical processes whereas principal component analysis (PCA) and hierarchical cluster analysis (HCA) methods were used to assess hydrochemical variations and water types. An agglomeration schedule with five cluster solutions and between-groups linkage method of clustering using the squared Euclidian distance was employed. Variables were standardized to z-scores so that each variable contributed equally to the clusters. The study identifies three main groundwater geochemical signatures in the Kisumu study area: cation exchange (Ca-Na, Ca-Mg) between aqueous and solid phases, the chemistry of recharge water, and groundwater mixing. The concentration of major ions in groundwater varies with geology and also seasonally. The dominant water facies is Na-Ca-HCO3 type; other hydrochemical facies include Ca-Mg-HCO3 and Na-HCO3. Hydrochemical plots suggest that dissolution of carbonates and halite are the other major chemical processes, in addition to cation exchange, that control the groundwater chemistry in the Kisumu aquifer. Hierarchical cluster analysis of the main cations and anions discriminated satisfactorily the various water types in the study area.

Muricho DN, Otieno DJ, Oluoch-Kosura, Jistrom M. "Building on local pastoralists’ knowledge for effective management of the arid and semi-arid areas.". In: 20th Annual World Bank Conference on Land and Poverty. Washington DC, USA; 2019.
Ruto LC, Otieno DJ, Oluoch-Kosura W, Mureithi S, Nyberg G. "Emerging forms of land market participation and implications on pastoralists’ livelihoods in Kenya.". In: 20th Annual World Bank Conference on Land and Poverty. Washington DC, USA; 2019.
Gitao, C.G., Toroitich, K, Khalif, Field, C, Wario, S. Mass Livestock Deaths In EL-HADI Of North-Horr Sub-County, MARSABIT COUNTY. Nairobi: RPLP; 2019.marsabit_camel_deaths-paper_-1.docx
omari HK, Kayeli E. "Comprehensive sex education in Kenya: Islamic perspective.". In: THE 2ND ANNUAL INTERNATIONAL CONFERENCE MACHAKOS UNIVERSITY, KENYA. machakos university; 2019.
Oredo J. "Personal Cloud Computing Adoption: The Effect of Individual IT Mindfulness.". In:  African International Business Management (AIBUMA) Conference . Nairobi; 2019.
Gitao C. "Role of Academia and Researchers in the Agricultural sector in Kenya’.". In: Kenya Private Sector Agricultural sector. Intercontinental Hotel, Nairobi; 2019.
Akach JA. "Unearth tourism assets through co-design: Creative methods to engage the youth .". In: 2nd Annual Architecture and Engineering Conference. University of Nairobi; 2019.
Gichuyia LN. "THE IMPACT OF CLIMATE CHANGE ON THE INDOOR OVERHEATING RISK LANDSCAPE OF NAIROB.". In: In Proceedings of the Annual Architecture and Engineering Conference - Business opportunities in Energy, Manufacturing, Infrastructural and Environmental Research. School of Engineering, University of Nairobi, Kenya; 2019.
Arunga S, Kintoki GM, Gichuhi S, Onyango J, Ayebazibwe B, Newton R, Leck A, Macleod D, Hu VH, Burton MJ. "Risk Factors of Microbial Keratitis in Uganda: A Case Control Study." Ophthalmic Epidemiol. 2019:1-7. AbstractWebsite

Purpose: Microbial keratitis (MK), is a frequent cause of sight loss worldwide, particularly in low and middle-income countries. This study aimed to investigate the risk factors of MK in Uganda.
Methods: Using a nested case control, we recruited healthy community controls for patients presenting with MK at the two main eye units in Southern Uganda between December 2016 and March 2018. Controls were individually matched for age, gender and village of the cases on a 1:1 ratio. We collected information on demographics, occupation, HIV and Diabetes Mellitus status. In STATA version 14.1, multivariable conditional logistic regression was used to generate odds ratios for risk factors of MK and a likelihood ratio test used to assess statistical significance of associations.
Results: Two hundred and fifteen case-control pairs were enrolled. The HIV positive patients among the cases was 9% versus 1% among the controls, = .0003. Diabetes 7% among the cases versus 1.4% among the controls, = .012. Eye trauma was 29% versus 0% among the cases and controls. In the multivariable model adjusted for age, sex and village, HIV (OR 83.5, 95%CI 2.01-3456, = .020), Diabetes (OR 9.38, 95% CI 1.48-59.3, = .017) and a farming occupation (OR 2.60, 95%CI 1.21-5.57, = .014) were associated with MK. Compared to a low socio-economic status, a middle status was less likely to be associated with MK (OR 0.29, 95%CI 0.09-0.89, < .0001).
Conclusion: MK was associated with HIV, Diabetes, being poor and farming as the main occupation. More studies are needed to explore how these factors predispose to MK.

Arunga S, Kintoki GM, Gichuhi S, Onyango J, Newton R, Leck A, Macleod D, Hu VH, Burton MJ. "Delay Along the Care Seeking Journey of Patients with Microbial Keratitis in Uganda." Ophthalmic Epidemiol. 2019:1-10. AbstractWebsite

PURPOSE:To describe the care seeking journey and causes of delay among patients with Microbial Keratitis in Uganda.
METHODS:A prospective cohort of patients presenting with microbial keratitis at the two main eye units in Southern Uganda (2016-2018). We collected information on demographics, home address, clinical history, and presentation pathway including, order of facilities where patients went to seek care, treatment advice, cost of care, and use of Traditional Eye Medicine. Presentation time was noted. We compared "direct" presenters versus "indirect" presenters and analysed predictors of delay.
RESULTS: About 313 patients were enrolled. All were self-referred. Only 19% of the patients presented directly to the eye hospital. Majority (52%) visited one facility before presenting, 19% visited two facilities, 9% visited three facilities, and 2% visited four facilities. The cost of care increased with increase in the number of facilities visited. People in a large household, further distance from the eye hospital and those who used Traditional Eye Medicine were less likely to come directly to the eye hospital. Visiting another facility prior to the eye hospital and use of Traditional Eye Medicine aOR 1.58 (95%CI 1.03-2.43), p = .038 were associated with delayed presentation to the eye hospital.
CONCLUSION: This study provided information on patient journeys to seek care. Delay was largely attributable to having visited another health facility: a referral mechanism for microbial keratitis was non-existent. There is need to explore how these health system gaps can be strengthened.

Ampt FH, Lim MSC, Agius PA, Chersich MF, Manguro G, Gichuki CM, Stoové M, Temmerman M, Jaoko W, Hellard M, Gichangi P, Luchters S. "Use of long-acting reversible contraception in a cluster-random sample of female sex workers in Kenya." Int J Gynaecol Obstet. 2019. Abstract

To assess correlates of long-acting reversible contraceptive (LARC) use, and explore patterns of LARC use among female sex workers (FSWs) in Kenya.

Karthik S, Djukic T, Kim J-D, Zuber B, Makanya A, Odriozola A, Hlushchuk R, Filipovic N, Jin SW, Djonov V. "Publisher Correction: Synergistic interaction of sprouting and intussusceptive angiogenesis during zebrafish caudal vein plexus development." Sci Rep. 2019;9(1):4152. Abstract

A correction to this article has been published and is linked from the HTML and PDF versions of this paper. The error has been fixed in the paper.

Sabo MC, Richardson BA, Lavreys L, Martin HL, Jaoko W, Mandaliya K, Baeten JM, Overbaugh J, McClelland SR. "Does bacterial vaginosis modify the effect of hormonal contraception on HIV seroconversion." AIDS. 2019;33(7):1225-1230. Abstract

A recent study of HIV serodiscordant couples found that depot medroxyprogesterone acetate (DMPA) and oral contraceptive pills (OCPs) were associated with increased HIV risk in the presence, but not in the absence, of bacterial vaginosis. We assessed whether bacterial vaginosis is an effect modifier of the association between hormonal contraception and HIV seroconversion in female sex workers (FSWs) in Mombasa, Kenya.

Mutwedu VB, Ayagirwe RBB, Bacigale SB, Mwema LM, Butseme S, Kashosi T, Mitima B, Manyawu GJ, Nyongesa AW. "Effect of dietary inclusion of small quantities of Mucuna pruriens seed meal on sexual behavior, semen characteristics, and biochemical parameters in rabbit bucks (Oryctolagus cuniculus)." Trop Anim Health Prod. 2019;51(5):1195-1202. Abstract

The aim of this work was to investigate the effects of Mucuna pruriens seed meal (MSM) on sexual behavior, semen, and biochemical parameters in rabbit bucks. Twenty-four 12-week-old rabbit bucks weighing 1002 to 1156 g were randomly allocated to three experimental diets containing 0, 1.5, and 3% of MSM in a 3-month trial. Sexual behavior parameters such as mounting latency, mounting frequency, successful mounting frequency, intromission latency, and post ejaculatory interval were monitored at the end of the experiment by mating with receptive females. Thereafter, rabbits were weighed, stunned, and humanely sacrificed and testes, epididymis, and vas deferens were harvested for evaluation of organ weights and semen characteristics. Results indicate that supplementing rabbit diet with MSM induced a significant decrease (P < 0.05) in mounting latency (69.7%) and intromission latency (19.7%), while it significantly (P < 0.05) increased successful mounting frequency (60%) as well as relative weight of testis (33.3%) and vas deferens (54.5%). There was a dose-dependent increase (P < 0.05) in sperm motility (35.7%) and concentration (65.9%), serum albumin (19.1%) and protein concentration (9.9%), and a decrease in sperm morphological alterations (68.3%), serum cholesterol (13.4%), and urea (11.6%) in treatment groups where MSM was supplemented at 3% compared to controls. From the findings, it appears MSM is a potential enhancer of male reproductive performance that can be recommended to rabbit farmers for improving reproductive performance and quality of semen, hence a boon to reproduction and production in rabbit farming industry.

Dimova I, Karthik S, Makanya A, Hlushchuk R, Semela D, Volarevic V, Djonov V. "SDF-1/CXCR4 signalling is involved in blood vessel growth and remodelling by intussusception." J. Cell. Mol. Med.. 2019;23(6):3916-3926. Abstract

The precise mechanisms of SDF-1 (CXCL12) in angiogenesis are not fully elucidated. Recently, we showed that Notch inhibition induces extensive intussusceptive angiogenesis by recruitment of mononuclear cells and it was associated with increased levels of SDF-1 and CXCR4. In the current study, we demonstrated SDF-1 expression in liver sinusoidal vessels of Notch1 knockout mice with regenerative hyperplasia by means of intussusception, but we did not detect any SDF-1 expression in wild-type mice with normal liver vessel structure. In addition, pharmacological inhibition of SDF-1/CXCR4 signalling by AMD3100 perturbs intussusceptive vascular growth and abolishes mononuclear cell recruitment in the chicken area vasculosa. In contrast, treatment with recombinant SDF-1 protein increased microvascular density by 34% through augmentation of pillar number compared to controls. The number of extravasating mononuclear cells was four times higher after SDF-1 application and two times less after blocking this pathway. Bone marrow-derived mononuclear cells (BMDC) were recruited to vessels in response to elevated expression of SDF-1 in endothelial cells. They participated in formation and stabilization of pillars. The current study is the first report to implicate SDF-1/CXCR4 signalling in intussusceptive angiogenesis and further highlights the stabilizing role of BMDC in the formation of pillars during vascular remodelling.

Lokken EM, Manguro GO, Abdallah A, Ngacha C, Shafi J, Kiarie J, Jaoko W, Srinivasan S, Fiedler TL, Munch MM, Fredricks DN, McClelland SR, Balkus JE. "Association between vaginal washing and detection of by culture and quantitative PCR in HIV-seronegative Kenyan women: a cross-sectional analysis." Sex Transm Infect. 2019. Abstract

Vaginal washing has been associated with reductions in cultivable and an increased risk of both bacterial vaginosis (BV) and HIV infection. The effect of vaginal washing on the quantity of individual species is not well characterised. This analysis tested the hypothesis that vaginal washing would be associated with a lower likelihood of spp. detected by both culture and quantitative PCR (qPCR).

Marangu D, Gray D, Vanker A, Zampoli M. "Exogenous lipoid pneumonia in children: A systematic review." Paediatr Respir Rev. 2019. Abstract

To describe the clinical-radiological-pathological characteristics and treatment outcomes of children with suspected exogenous lipoid pneumonia (ELP).

Lokken EM, Richardson BA, John Kinuthia, James N Kiarie, Mwinyikai K, Abdalla A, Jaoko W, Mandaliya K, Shafi J, Scott McClelland R. "A Prospective Cohort Study of the Association Between Body Mass Index and Incident Bacterial Vaginosis." Sex Transm Dis. 2019;46(1):31-36. Abstract

Some studies suggest that higher body mass index is associated with increased susceptibility to bacterial vaginosis (BV), but results are conflicting.

Perciani CT, Farah B, Kaul R, Ostrowski MA, Mahmud SM, Anzala O, Jaoko W, MacDonald KS. "Live attenuated varicella-zoster virus vaccine does not induce HIV target cell activation." J. Clin. Invest.. 2019;129(2):875-886. Abstract

Varicella-zoster virus (VZV) is under consideration as a promising recombinant viral vector to deliver foreign antigens including HIV. However, new vectors have come under increased scrutiny, since trials with adenovirus serotype 5-vectored (Ad5-vectored) HIV vaccine demonstrated increased HIV risk in individuals with pre-immunity to the vector that was thought to be associated with mucosal immune activation (IA). Therefore, given the prospect of developing an HIV/VZV chimeric vaccine, it is particularly important to define the impact of VZV vaccination on IA.

Perciani CT, Farah B, Kaul R, Ostrowski MA, Mahmud SM, Anzala O, Jaoko W, MacDonald KS. "Live attenuated varicella-zoster virus vaccine does not induce HIV target cell activation." J. Clin. Invest.. 2019;129(2):875-886. Abstract

Varicella-zoster virus (VZV) is under consideration as a promising recombinant viral vector to deliver foreign antigens including HIV. However, new vectors have come under increased scrutiny, since trials with adenovirus serotype 5-vectored (Ad5-vectored) HIV vaccine demonstrated increased HIV risk in individuals with pre-immunity to the vector that was thought to be associated with mucosal immune activation (IA). Therefore, given the prospect of developing an HIV/VZV chimeric vaccine, it is particularly important to define the impact of VZV vaccination on IA.

Karuga, SW, MJ G, Kelder EM, JCM M. "Morphological control of thin films: Application of electrospray technique.". In: European Aerosol Conference (EAC) 2019 . Gothenburg, Sweden; 2019.
Cheng C-Y, Wang N, Wong TY, Congdon N, He M, Wang YX, Braithwaite T, Casson RJ, Cicinelli MV, Das A, Flaxman SR, Jonas JB, Keeffe JE, Kempen JH, Leasher J, Limburg H, Naidoo K, Pesudovs K, Resnikoff S, Silvester AJ, Tahhan N, Taylor HR, Bourne RRA, of the of Study VLEGGBD. "Prevalence and causes of vision loss in East Asia in 2015: magnitude, temporal trends and projections." Br J Ophthalmol. 2019. AbstractWebsite

BACKGROUND: To determine the prevalence and causes of blindness and vision impairment (VI) in East Asia in 2015 and to forecast the trend to 2020.
METHODS: Through a systematic literature review and meta-analysis, we estimated prevalence of blindness (presenting visual acuity <3/60 in the better eye), moderate-to-severe vision impairment (MSVI; 3/60≤presenting visual acuity <6/18), mild vision impairment (mild VI: 6/18≤presenting visual acuity <6/12) and uncorrected presbyopia for 1990, 2010, 2015 and 2020. A total of 44 population-based studies were included.
RESULTS: In 2015, age-standardised prevalence of blindness, MSVI, mild VI and uncorrected presbyopia was 0.37% (80% uncertainty interval (UI) 0.12%-0.68%), 3.06% (80% UI 1.35%-5.16%) and 2.65% (80% UI 0.92%-4.91%), 32.91% (80% UI 18.72%-48.47%), respectively, in East Asia. Cataract was the leading cause of blindness (43.6%), followed by uncorrected refractive error (12.9%), glaucoma, age-related macular degeneration, corneal diseases, trachoma and diabetic retinopathy (DR). The leading cause for MSVI was uncorrected refractive error, followed by cataract, age-related macular degeneration, glaucoma, corneal disease, trachoma and DR. The burden of VI due to uncorrected refractive error, cataracts, glaucoma and DR has continued to rise over the decades reported.
CONCLUSIONS:Addressing the public healthcare barriers for cataract and uncorrected refractive error can help eliminate almost 57% of all blindness cases in this region. Therefore, public healthcare efforts should be focused on effective screening and effective patient education, with access to high-quality healthcare.

Rono H, Bastawrous A, Macleod D, Wanjala E, Gichuhi S, Burton M. "Peek Community Eye Health - mHealth system to increase access and efficiency of eye health services in Trans Nzoia County, Kenya: study protocol for a cluster randomised controlled trial." Trials. 2019;20(1):502. AbstractWebsite

Globally, eye care provision is currently insufficient to meet the requirement for eye care services. Lack of access and awareness are key barriers to specialist services; in addition, specialist services are over-utilised by people with conditions that could be managed in the community or primary care. In combination, these lead to a large unmet need for eye health provision. We have developed a validated smartphone-based screening algorithm (Peek Community Screening App). The application (App) is part of the Peek Community Eye Health system (Peek CEH) that enables Community Volunteers (CV) to make referral decisions about patients with eye problems. It generates referrals, automated short messages service (SMS) notifications to patients or guardians and has a program dashboard for visualising service delivery. We hypothesise that a greater proportion of people with eye problems will be identified using the Peek CEH system and that there will be increased uptake of referrals, compared to those identified and referred using the current community screening approaches.

Kivata MW, Mbuchi M, Eyase FL, Bulimo WD, Kyanya CK, Oundo V, Muriithi SW, Andagalu B, Mbinda WM, Soge OO, McClelland SR, Sang W, Mancuso JD. "gyrA and parC mutations in fluoroquinolone-resistant Neisseria gonorrhoeae isolates from Kenya." BMC Microbiol.. 2019;19(1):76. Abstractkivata_et_al-2019-bmc_microbiology.pdf

Phenotypic fluoroquinolone resistance was first reported in Western Kenya in 2009 and later in Coastal Kenya and Nairobi. Until recently gonococcal fluoroquinolone resistance mechanisms in Kenya had not been elucidated. The aim of this paper is to analyze mutations in both gyrA and parC responsible for elevated fluoroquinolone Minimum Inhibitory Concentrations (MICs) in Neisseria gonorrhoeae (GC) isolated from heterosexual individuals from different locations in Kenya between 2013 and 2017.

Katz MA, Marangu D, Attia EF, Bauwens J, Bont LJ, Bulatovic A, Crane J, Doroshenko A, Ebruke BE, Edwards KM, Fortuna L, Jagelaviciene A, Joshi J, Kemp J, Kovacs S, Lambach P, Lewis KDC, Ortiz JR, Simões EAF, Turner P, Tagbo BN, Vaishnavi V, Bonhoeffer J. "Acute wheeze in the pediatric population: Case definition & guidelines for data collection, analysis, and presentation of immunization safety data." Vaccine. 2019;37(2):392-399.
Chepkonga S. "Administrative Strategies for Using Social Media in Higher Education Institutions in Kenya.". In: International Conference on Research and Innovation in Education University of Nairobi.; 2019.
Kamau F, Strijdom H, Mwangi P, Blackhurst D, Imperial E, Salie R. "Antiretroviral drug-induced endothelial dysfunction is improved by dual PPARα/γ stimulation in obesity.". 2019;121:106577. AbstractWebsite

Obesity rates are rising in HIV-infected populations; however, the putative role of highly active antiretroviral therapy (HAART) in the development of endothelial and cardiovascular derangements in the presence of pre-existing overweight/obesity is unclear. Although dual peroxisome proliferator-activated receptors-alpha/gamma (PPARα/γ) stimulation mitigates HAART-induced metabolic dysfunction, vascular effects are unresolved. To investigate whether HAART induces vascular dysfunction in obesity and to explore the underlying mechanisms of PPARα/γ stimulation, male Wistar rats were placed on a high-calorie diet for 16 weeks. After 10 weeks, HAART (lopinavir/ritonavir, azidothymidine/lamivudine) with/without PPARα/γ agonist, Saroglitazar, was administered daily for six weeks. Excised thoracic aorta rings were subjected to isometric tension studies and Western blot measurements. HAART+Saroglitazar-treated obese animals recorded lower adiposity indices (4.3 ± 0.5%) vs. HAART only-treated obese rats (5.6 ± 0.3%; p < .01). Maximum acetylcholine-induced vasorelaxation (Rmax), was lower in obese+HAART group (76.10 ± 3.58%) vs. obese control (101.40 ± 4.75%; p < .01). However, Rmax was improved in obese+ HAART+Saroglitazar (101.00 ± 3.12%) vs. obese+HAART rats (p < .001). The mean LogEC50 was improved in obese+HAART+Saroglitazar vs. obese+HAART group; p = .003. Improved endothelial function in obese+ HAART+Saroglitazar group was associated with upregulation of eNOS, PKB/Akt and downregulated p22-phox expression vs. obese+HAART group. Therefore, PPARα/γ stimulation attenuated HAART-induced endothelial dysfunction by upregulating vasoprotective eNOS, PKB/Akt signaling and downregulating pro-oxidative p22-phox expression.

Wangai FK, Masika MM, Lule GN, Karari EM, Maritim MC, Jaoko WG, Museve B, Kuria A. "Bridging antimicrobial resistance knowledge gaps: The East African perspective on a global problem." PLoS ONE. 2019;14(2):e0212131. Abstract

There is worldwide concern of rapidly increasing antimicrobial resistance (AMR). However, there is paucity of resistance surveillance data and updated antibiograms in Africa in general. This study was undertaken in Kenyatta National Hospital (KNH) -the largest public tertiary referral centre in East & Central Africa-to help bridge existing AMR knowledge and practice gaps.

Ntwiga DB. "Can FinTech Shape the Dynamics ofConsumer Credit Usage among theUn(der)banked?". In: Kenya Bankers Association Working Paper Series.; 2019. Abstract

We use the 2016 FinAccess Household survey data of 2015 from 8665 households and desktop reviews to examine how perceptions, behaviour, financial literacy and socio-economic characteristics of un(der) banked consumers can shape their dynamics towards credit usage. The challenges and opportunities for the market players are examined using desktop reviews and their role towards an increase in financial inclusion and credit usage through FinTech. The disruptive innovations have provided new possibilities, challenges and opportunities to boost financial and credit usage in the market. Consumer perceptions on cost, trust, source of financial advice, financial literacy and socio-economic characteristics influences credit usage. The business models being developed by the FinTech providers are taunted to change the landscape of lending to the un(der) banked

Kalai, J.M., Mulu C. "Determinants of Female Teachers' Progression to Governance Positions in Public Primary Schools in Mutitu Sub County , Kenya.". In: International Conference on Research and Innovation in Education University of Nairobi.; 2019.
Chege BM, Waweru MP, Frederick B, Nyaga NM. "The freeze-dried extracts of Rotheca myricoides (Hochst.) Steane & Mabb possess hypoglycemic, hypolipidemic and hypoinsulinemic on type 2 diabetes rat model.". 2019;244:112077. AbstractWebsite

Ethnopharmacological relevanceRotheca myricoides (Hochst.) Steane & Mabb is a plant species used in traditional medicine for the management of diabetes in the lower eastern part of Kenya (Kitui, Machakos and Makueni Counties, Kenya) that is mainly inhabited by the Kamba community.
Aim
This study investigated the antihyperglycaemic, antidyslipidemic and antihyperinsulinemic activity of the freeze-dried extracts of Rotheca myricoides (Hochst.) Steane & Mabb (RME) in an animal model of type 2 diabetes mellitus.
Methods
Type 2 diabetes was induced by dietary manipulation for 56 days via (high fat- high fructose diet) and intraperitoneal administration of streptozocin (30 mg/kg). Forty freshly-weaned Sprague Dawley rats were randomly assigned into the negative control (high fat/high fructose diet), low dose test (50mg/kg RME, high dose test (100mg/kg RME and positive control (Pioglitazone, 20mg/kg) groups. Fasting blood glucose and body weight were measured at weekly intervals. Oral glucose tolerance tests were performed on days 28 and 56. Lipid profile, hepatic triglycerides, fasting serum insulin levels and serum uric acid were determined on day 56.
Results
The RME possessed significant antihyperglycemic [FBG: 6.5 ± 0.11 mmol/l (negative control) vs. 4.62 ± 0.13 mmol/l (low dose test) vs. 5.25 ± 0.15 mmol/l in (high dose test) vs. 4.33 ± 0.09 mmol/l (positive control): p < 0.0001] and antihyperinsulinemic effects [1.84 ± 0.19 (negative control) vs. (0.69 ± 0.13 (low dose test) vs. (0.83 ± 0.17 (high dose test) vs. (0.69 ± 0.10 (positive control): F (3, 36) = 0.6421: p < 0.0001. The extracts also possessed significant antidyslipidemic effects [LDL levels: 3.52 ± 0.19 mmol/l (negative control) vs. 0.33 ± 0.14 mmol/l (low dose test) vs. 0.34 ± 0.20 mmol/l (high dose test) vs. 0.33 ± 0.01 mmol/l (positive control): p < 0.0001].RME significantly lowered plasma uric acid levels, as well as hepatic triglycerides and hepatic weights. Network pharmacology analysis indicated that the observed pharmacological effects are mediated via the modulation of Peroxisome proliferator-activated gamma receptor.
Conclusions
The freeze dried extracts of Rotheca myricoides possessed significant antihyperglycemic and antidyslidemic effects. In addition it lowered serum uric levels, as well as hepatic triglycerides and hepatic weight. These results appear to validate the traditional use of this plant species in the management of diabetes mellitus.

Arunga S, Wiafe G, Habtamu E, Onyango J, Gichuhi S, Leck A, Macleod D, Hu V, Burton M. "The impact of microbial keratitis on quality of life in Uganda." BMJ Open Ophthalmol. 2019;4(1):e000351. AbstractWebsite

Background: Microbial keratitis (MK) is a frequent cause of sight loss in sub-Saharan Africa. However, no studies have formally measured its impact on quality of life (QoL) in this context.
Methods: As part of a nested case-control design for risk factors of MK, we recruited patients presenting with MK at two eye units in Southern Uganda between December 2016 and March 2018 and unaffected individuals, individually matched for sex, age and location. QoL was measured using WHO Health-Related and Vision-Related QoL tools (at presentation and 3 months after start of treatment in cases). Mean QoL scores for both groups were compared. Factors associated with QoL among the cases were analysed in a linear regression model.
Results: 215 case-controls pairs were enrolled. The presentation QoL scores for the cases ranged from 20 to 65 points. The lowest QoL was visual symptom domain; mean 20.7 (95% CI 18.8 to 22.7) and the highest was psychosocial domain; mean 65.6 (95% CI 62.5 to 68.8). At 3 months, QoL scores for the patients ranged from 80 to 90 points while scores for the controls ranged from 90 to 100. The mean QoL scores of the cases were lower than controls across all domains. Determinants of QoL among the cases at 3 months included visual acuity at 3 months and history of eye loss.
Conclusion: MK severely reduces QoL in the acute phase. With treatment and healing, QoL subsequently improves. Despite this improvement, QoL of someone affected by MK (even with normal vision) remains lower than unaffected controls.

Hammadi R, Kúsz N, Mwangi PW, Kulmány Á, Zupkó I, Orvos P, Tálosi L, Hohmann J, Vasas A. "Isolation and Pharmacological Investigation of Compounds From Euphorbia matabelensis." Natural Product CommunicationsNatural Product Communications. 2019;14(7):1934578X19863509. AbstractWebsite

This work deals with the isolation and pharmacological investigations of compounds of Euphorbia matabelensis. After multiple separation process, including thin layer chromatography (TLC), vacuum liquid chromatography, preparative TLC, and high-performance liquid chromatography, 1 diterpene (ingenol) and 2 flavonoids (naringenin and eriodictyol) were obtained from the methanol extracts prepared from the stems and roots of the plant. The structures of the isolated compounds were determined by nuclear magnetic resonance (NMR) and MS measurements and comparison with literature data. All compounds were isolated for the first time from the plant. Eriodictyol was detected for the first time from a Euphorbia species. The compounds were tested for their antiproliferative (on HeLa, C33a, MCF-7, and MDA-MB-231 cell lines) and GIRK channel blocking activities. None of the compounds proved to be active in these test systems.

Ngaruiya N, Orwa D, Waiganjo P. "Situation Analysis and Technology Value Proposition for Geriatric Care for Philanthropic Social Homes in Kenya.". In: IST-Africa Week Conference. Nairobi, Kenya; 2019. Abstract

The growth of the graying population all over the world is showing a great need of incorporating ICT to ensure healthy living. Geriatric persons in philanthropic social homes (PSH) in developing countries are not favored in terms of infrastructure, housing, caregiving as well as privacy since they are in a controlled communal environment. These philanthropic homes, commonly known as `Nyumba za Wazee' in Kenya are slowly gaining reputation as more of the elderly are ostracized because of inheritance or even abandonment. The aim of this paper is to bring fourth the status quo of the geriatric persons living in PSH, the challenges they face, which have tremendous ramifications that leads to strong incentives to usage of low cost technology to alleviate the lives of the elderly towards healthy living in their higher ages. The researchers, through the social department and Board of management of these social homes, carried a research for a period of 3 months in two PSHs, in Nairobi County and Kiambu County. Interviews and storytelling were the two data collection techniques used. The findings from these two PSHs, categorized the challenges as; physical, and psychological challenges. This research argues that low affordable technology solutions will curb these challenges to ensure adequate care and provide decent standards of living for the elderly in PSH.

Dean W, Gichuhi S, Buchan J, Matende I, Graham R, Kim M, Arunga S, Makupa W, Cook C, Visser L, Burton M. "Survey of ophthalmologists-in-training in Eastern, Central and Southern Africa: A regional focus on ophthalmic surgical education." Wellcome Open Res. 2019;4:187. AbstractWebsite

There are 2.7 ophthalmologists per million population in sub-Saharan Africa, and a need to train more. We sought to analyse current surgical training practice and experience of ophthalmologists to inform planning of training in Eastern, Central and Southern Africa. This was a cross-sectional survey. Potential participants included all current trainee and recent graduate ophthalmologists in the Eastern, Central and Southern African region. A link to a web-based questionnaire was sent to all heads of eye departments and training programme directors of ophthalmology training institutions in Eastern, Central and Southern Africa, who forwarded to all their trainees and recent graduates. Main outcome measures were quantitative and qualitative survey responses. Responses were obtained from 124 (52%) trainees in the region. Overall level of satisfaction with ophthalmology training programmes was rated as 'somewhat satisfied' or 'very satisfied' by 72%. Most frequent intended career choice was general ophthalmology, with >75% planning to work in their home country post-graduation. A quarter stated a desire to mainly work in private practice. Only 28% of junior (first and second year) trainees felt surgically confident in manual small incision cataract surgery (SICS); this increased to 84% among senior trainees and recent graduates. The median number of cataract surgeries performed by junior trainees was zero. 57% of senior trainees were confident in performing an anterior vitrectomy. Only 29% of senior trainees and 64% of recent graduates were confident in trabeculectomy. The mean number of cataract procedures performed by senior trainees was 84 SICS (median 58) and 101 phacoemulsification (median 0). Satisfaction with post-graduate ophthalmology training in the region was fair. Most junior trainees experience limited cataract surgical training in the first two years. Focused efforts on certain aspects of surgical education should be made to ensure adequate opportunities are offered earlier on in ophthalmology training.

Ang'u C, Muthama NJ, Kong'ani LNS. "Towards Replacing Kerosene with Bioethanol in Developing Countries: A Review.". In: Conference on the Status of African Women. University of Nairobi; 2019.
Chege BM, Birech Z, Mwangi PW, Bukachi FO. "Utility of Raman spectroscopy in diabetes detection based on biomarker Raman bands and in antidiabetic efficacy studies of herbal extract Rotheca myricoides Hochst." Journal of Raman SpectroscopyJournal of Raman Spectroscopy. 2019;50(10):1358-1366. AbstractWebsite

Abstract Diabetes is a disease characterized by hyperglycaemia because of insufficient or nonproduction of insulin from the pancreas. Establishing prediabetic and diabetic condition often involves monitoring levels of glucose and some amino acids in blood using nonrapid and label-dependent methods. This work reports on a method with a potential of being used for quick label-free detection of diabetes mellitus type II based on Raman spectroscopy of blood applied onto a conductive silver-smeared glass slide. We show that Raman spectral profile from blood of streptozotocin-induced diabetic Sprague Dawley rats emanates from overlap of signals from valine, leucine, isoleucine, creatine, glucose, and fructose. The Raman spectral bands associated with these biomolecules have the potential of being used in prediabetic detection and diabetes prediction. Characteristic intense peaks in diabetic rat's blood spectra were centred at wave numbers 537 cm?1 associated with valine's CO2? rocking vibration, 829 cm?1 assigned to CH2 rocking vibration in leucine and 917?960 cm?1 ascribed to C?C and C?N stretching and CH3 rocking vibrations in various biomolecules. The average intensities of these bands were sensitive to antidiabetic drug administration on the rats as their values approached those of nondiabetic rats and so could be used as diabetes biomarker bands. Statistical analyses together with evaluation of average intensities of these biomarker bands showed that the herbal extract Rotheca myricoides Hochst had greater antidiabetic effect at low dose (50 mg/kg of body weight) than at high dose (100 mg/kg of body weight). A similar result was seen with area under curve values and could act as an additional parameter in diabetes detection and prediction.

K O. "Institutional Independence & Accountability: Some Ideas for Enhancing Accountability of the Judiciary to Address Corruption.". In: Kabarak Law School International Conference on Corruption. Kabarak Law School, Nakuru, Kenya; 2019.
Ipara BO, Otieno DJ, Nyikal RA, Makokha SN. "The role of chicken production systems and management practices on Newcastle Disease outbreaks in Kenya .". In: Tropentag Conference at Universities of Kassel & Goettingen. Germany; 2019.
Mumma-Martinon CA. "I Implications of Debt-Trap Diplomacy: The Case of Kenya Standard Gauge Railway from Mombasa to Nairobi.". In: From Sino Africa to Afro-China Engagement in the 21st Century: Emerging Interdisciplinary Issues and Research Gaps . University of Nairobi ; 2019.
Olali T. "Ritual and Spectacle: The Grandiloquent Display of Paradoxical Metamessage during the Lamu Maulidi Festival.". In: Institutions of African Literature: Future, Present, Past. Columbus, Ohio, USA ; 2019.
"Swala la Mipaka ya Kiutanzu:Uchunguzi wa Riwaya,Hadithi fupi,Novela na Insha.". In: CHAWAKAMA. Kyambogo University,Uganda; 2019.
omari HK. "Islam in Africa.". In: philosophy,religion in Africa. university of Nairobi; 2019.
Simiyu MT, Nyongesa FW, Aduda BO, Birech Z, Mwebaze G. "2. Mary T. Simiyu, Francis W. NyongesaApplication of An Organic Plant-Derived Binder in the Fabrication of Diatomaceous Earth Waste-Based Membranes for Water Purification Systems.". In: 10th International Conference of the African Materials Research Society (AMRS2019). Arusha, Tanzania,; 2019.
Owino B, Ogacho A, Nyongesa FW, Aduda BO, Odari V. "Effect of TiO2 Compact Layer on Photovoltaic Characteristics of TiO2/Nb2O5 Dye Sensitized Solar Cells.". In: 10th International Conference of the African Materials Research Society (AMRS2019). Arusha, Tanzania, ; 2019.
Sorensen, Olago, D. O., Dulo, Kanoti, Gaye, Faye, Pouye, Owor. "Real-time indication of faecally contaminated drinking water with fluorescence spectroscopy: towards understanding the causation.". In: 10th International Groundwater Quality Conference (GQ 2019). Liège, Belgium; 2019.
Overview of Retinopathy of prematurity. Nairobi: College of Ophthalmology of Eastern, Central & Southern Africa; 2019.overview_of_retinopathy_of_prematurity._njambi.pdf
EW M, JD M. Common skin tumors in dogs and cats: A review. CSD, University of Nairobi. Nairobi; 2019.

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