Publications

Found 2559 results

Sort by: Author Title Type [ Year  (Asc)]
Filters: First Letter Of Last Name is R  [Clear All Filters]
2020
Kerubo JO, Muthumbi AW, Onyari JM, Kimani EN, Robertson-Andersson D. "Microplastic pollution in the surface waters of creeks along the Kenyan coast, Western Indian Ocean (WIO)." Western Indian Ocean Journal of Marine Science. 2020;19(2):75-88. AbstractWestern Indian Ocean Journal of Marine Science

Description
Microplastic pollution has been recognized as a global threat in marine environments and a danger to prey, predators and humans. Yet there have been limited studies in the Western Indian Ocean (WIO) and along the Kenyan coast making it difficult to estimate the extent of such pollution. This is the first study on microplastics (MPs) in the surface waters within creeks (Tudor, Port-Reitz and Mida creeks) in Kenya. Sampling was done in January/February and September 2018 to collect microplastics from surface water. Neuston nets of 500 μm (large) and 250 μm (medium) size were towed for ten minutes and 50 litres of seawater sieved through a 20 μm net (small) in three replicates. The samples were digested in 10% Potassium Hydroxide, sieved, and then filtered with cellulose nitrate membrane microfilters. Concentrations of total microplastics, different shapes and colours were established under a microscope. High concentrations of small size (20-250 μm) MPs were encountered and Tudor and Port Reitz had higher concentrations compared to Mida Creek. The study provides data on microplastic concentrations within the creeks and recommends focussing on small size microplastics for monitoring purposes, which due to their high concentrations can be hazardous to organisms.

Ronoh M, Chirove F, Wairimu J, Ogana W. "MODELING DISPROPORTIONAL EFFECTS OF EDUCATING INFECTED KENYAN YOUTH ON HIV/AIDS." Journal of Biological Systems. 2020;28(2):311-349. AbstractWebsite

We formulate an age and sex-structured deterministic model to assess the effect of increasing comprehensive knowledge of HIV/AIDS disease in the infected Adolescent Girls and Young Women (AGYW) and, Adolescent Boys and Young Men (ABYM) populations in Kenya. Mathematical analysis of infection through sub-network analysis was carried out to trace various infection routes and the veracity of various transmission routes as well as the associated probabilities. Using HIV data in Kenya on our model, disproportional effects were observed when dispensation of comprehensive knowledge of HIV/AIDS was preferred in one population over the other. Effective dispensation of comprehensive knowledge of HIV/AIDS in both the infected AGYW and ABYM populations significantly slows down the infection spread but may not eradicate it.

Oluoch JO, Rambo CM, Ganesh P. "Monitoring and Evaluation Work Plan on Provision of Curative and Preventive Tuberculosis Healthcare Services in Institutions of Public Health in Kisumu County, Kenya." European Journal of Business and Management Research. 2020;5(1). AbstractWebsite

This research was focused on assessing how monitoring and evaluation work plan influence provision of curative and preventive tuberculosis healthcare practices in institutions of public health in Kisumu County, Kenya. The study unit of analysis was public health institutions that practice M&E system on provision of health care services. The target population consisting of doctors, M&E officers, clinical officers, nurses and patients in four public health institutions in Kisumu county, Kenya. The study was guided by pragmatism paradigm. A descriptive survey research design was employed to collect both quantitative and qualitative data and correlational design was used to test the hypothesis. A sample of 221 respondents was selected from a population of 517 using stratified random sampling. A structured questionnaire with both open and close ended with Likert type on 1-5 five point scale and interview schedule was used to collect data. A descriptive survey research design was employed to collect both quantitative and qualitative data and 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 variables. The study attained reliability of instruments using Cronbach Alpha coefficient of 0.735 for all items implying that the instrument was reliable. The results indicated that showed that M&E work plan regression was (r2=0.028, p<0.05). The study results indicated that present results for quantitative data based on composite mean score of 3.90 and 0.447 standard deviation for this variable. M&E system therefore, contributes significantly to the effective provision of curative and preventive tuberculosis health care services in public health institutions

Rop PBK, Nyamai PCM, Namwiba WH. Narrative Glossary of Fundamentals for Applied Geology. Scholars' Press; 2020.Website
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).
Rotich J, Nyamota W, J. K. "Nutrition knowledge and practices in management of stage 5 chronic kidney disease by adult Patients at Kenyatta National hospital, Kenya." International Journal of Scientific and Research Publication . 2020;10(3):613-625. Abstract

This study sought to determine nutrition knowledge and its association with practices in management of stage 5 chronic
kidney disease (CKD) among renal adult patients in Kenyatta National Hospital. A cross-sectional analytical design was used to
facilitate collection of qualitative and quantitative data and enable identification of associations between variables. Cochran formula
was used to calculate a sample of 110 respondents. A research administered questionnaire with closed ended questions was used to
collect information. Descriptive statistics such as frequency and percentage were used to describe demographic and socio-economic
characteristics of the population. Inferential statistics were done using chi square with an alpha of 0.05 to test association between
independent and dependent variables. Most participants had moderate knowledge levels whereas more than half of the participants
(66%) indicated poor nutrition management practices of their condition. There was significant association between period on dialysis
in months and practices in management of stage 5 chronic kidney disease. Knowledge on importance of diet in management of stage 5
CKD (<0.001), moderation of fluid intake (<0.001), reduction in salt/ sodium intake (<0.001), and moderation in protein intake
(<0.004) were significantly associated with nutritional management practices of stage 5 CKD. The study concluded that Knowledge
levels were low in identifying foods rich in phosphorus, calcium and fat soluble vitamins. Practice scores were also poor despite
moderate nutrition knowledge levels. Patients’ knowledge on nutrition management of their condition may be achieved through
frequent and consistent nutrition education and counseling including follow ups.
Key Terms: Knowledge, Practice, chronic kidney disease, nutrition management

Godman B, Basu D, Pillay Y, Almeida PHRF, Mwita JC, Rwegerera GM, Paramadhas BAD. "Ongoing and planned activities to improve the management of patients with Type 1 diabetes across Africa; implications for the future." Hospital Practice. 2020;48(2):51-67.
Omwenga I, Kanja Laetitia W, Zomer P, Louisse J, Rietjens IMCM, Mol HGJ. "Organophosphate and carbamate pesticide residues and accompanying risks in commonly consumed vegetables in Kenya." Food Additives & Contaminants: Part B Surveillance . 2020;14(1):1-11.
Atilaw Y, Muiva-Mutisya L, Bogaerts J, Duffy S, Valkonen A, Heydenreich M, Avery VM, Rissanen K, Erdélyi M, Yenesew A. "Prenylated Flavonoids from the Roots of Tephrosia rhodesica." Journal of natural products. 2020;83(8):2390-2398. AbstractJournal of Natural Products

Description
Five new compounds—rhodimer (1), rhodiflavan A (2), rhodiflavan B (3), rhodiflavan C (4), and rhodacarpin (5)—along with 16 known secondary metabolites, were isolated from the CH2Cl2–CH3OH (1:1) extract of the roots of Tephrosia rhodesica. They were identified by NMR spectroscopic, mass spectrometric, X-ray crystallographic, and ECD spectroscopic analyses. The crude extract and the isolated compounds 2–5, 9, 15, and 21 showed activity (100% at 10 μg and IC50 = 5–15 μM) against the chloroquine-sensitive (3D7) strain of Plasmodium falciparum.

W Awuor, Muthumbi AWN, Robertson-Andersson DV. "Presence of microplastics in benthic macroinvertebrates along the Kenyan coast." African Journal of Marine Science. 2020;42(4):405-411.
R O, M K, Wachira T. "Prevalence of depression among older clergy from selected mainline churches in Nairobi, Kenya." International Journal of current research. 2020;5(2):394.
Morris Ogero, Rachel Jelagat Sarguta, Malla L, Aluvaala J, Agweyu A, English M, Onyango NO, Akech S. "Prognostic models for predicting in-hospital paediatric mortality in resource-limited countries: a systematic review." BMJ open. 2020;10(10):035045. AbstractWebsite

Objectives
To identify and appraise the methodological rigour of multivariable prognostic models predicting in-hospital paediatric mortality in low-income and middle-income countries (LMICs).
Design
Systematic review of peer-reviewed journals.
Data sources
MEDLINE, CINAHL, Google Scholar and Web of Science electronic databases since inception to August 2019.
Eligibility criteria
We included model development studies predicting in-hospital paediatric mortality in LMIC.
Data extraction and synthesis
This systematic review followed the Checklist for critical Appraisal and data extraction for systematic Reviews of prediction Modelling Studies framework. The risk of bias assessment was conducted using Prediction model Risk of Bias Assessment Tool (PROBAST). No quantitative summary was conducted due to substantial heterogeneity that was observed after assessing the studies included.

Morris Ogero, Rachel Jelagat Sarguta, Malla L, Aluvaala J, Agweyu A, English M, Onyango NO, Akech S. "Prognostic models for predicting in-hospital paediatric mortality in resource-limited countries: a systematic review." BMJ open. 2020;10(10):035045. AbstractWebsite

Objectives
To identify and appraise the methodological rigour of multivariable prognostic models predicting in-hospital paediatric mortality in low-income and middle-income countries (LMICs).
Design
Systematic review of peer-reviewed journals.
Data sources
MEDLINE, CINAHL, Google Scholar and Web of Science electronic databases since inception to August 2019.
Eligibility criteria
We included model development studies predicting in-hospital paediatric mortality in LMIC.
Data extraction and synthesis
This systematic review followed the Checklist for critical Appraisal and data extraction for systematic Reviews of prediction Modelling Studies framework. The risk of bias assessment was conducted using Prediction model Risk of Bias Assessment Tool (PROBAST). No quantitative summary was conducted due to substantial heterogeneity that was observed after assessing the studies included.

Rotich HK, Onwonga R, Koech OK, Mbau JS. "Projected Changes in Soil Organic Carbon over a 50-Year Period under Different Grazing Management Systems in Semi-Arid Grassland." Journal of Rangeland Science. 2020;10(4):357-369.
Walter Onchere, Richard Tinega, Weke P, Otieno JAM. "The Reciprocal Generalized Inverse Gaussian Frailty with Application in Life Annuity Business." Journal of Advances in Mathematics and Computer Science. 2020;35(6):112-131. AbstractWebsite

Aims: As shown in literature, several authors have adopted various individual frailty mixing distributions as a way of dealing with possible heterogeneity due to unobserved covariates in a group of insurers. This research contribution is to generalize the frailty mixing distribution to nest other classes of frailty distributions not in literature and apply the proposed distributions in valuation of life annuity business.

Methodology: A simulation study is done to assess the performance of the aforementioned models. The baseline parameters is estimated using Bayesian Inference and a better model is suggested for valuation of life annuity business.

Results: As a result of generalizing the frailty some new classes of frailty distributions are constructed such as; the Reciprocal Inverse Gaussian Frailty, the Inverse Gamma Frailty, the Harmonic Frailty and the Positive Hyperbolic Frailty.

From the simulation study, the proposed new frailty models shows that ignoring frailty leads to an underestimation of future residual lifetime since the survival curve shifts to the right when heterogeneity is accounted for. This is consistent with frailty literature.

The Reciprocal Inverse Gaussian model closely represents the Association of Kenya Insurers graduated rates with a slight increase in survival due to longevity risk.

Conclusion: The proposed new frailty models show an increase in the insurers expected liability when unobserved heterogeneity is accounted for. This is consistent with frailty literature and thus can be applied to avoid underestimating the insurer’s liability in the context of life annuity business.

The RIG model as proposed in estimating future liability by directly adjusting the AKI mortality rates shows an increase in longevity risk. The extent of heterogeneity of the insured group determines the level of risk. The RIG frailties should be considered for multivariate cases where the insureds are clustered in groups.

Godman B, Basu D, Pillay Y, Mwita JC, Rwegerera GM, Paramadhas BAD, Tiroyakgosi C. "Review of Ongoing Activities and Challenges to Improve the Care of Patients With Type 2 Diabetes Across Africa and the Implications for the Future." Front. Pharmacol. 2020;11(108).brian_et_al_-t2dm-africa.pdf
Gitari HI, Nyawade SO, Kamau S, Karanja NN, Gachene CKK, Raza MA, Maitra S, Schulte-Geldermann E. "Revisiting intercropping indices with respect to potato-legume intercropping systems.". 2020.
Gummadi S, Kadiyala MDM, Rao KPC, Athanasiadis I, R. M, Kilavi M, Legesse G, T. A. "Simulating adaptation strategies to offset potential impacts of climate variability and change on maize yields in Embu County, Kenya." PLOS ONE. 2020;15(11).
BIRIR JK, GATARI MJ, RAJAGOPAL P. "Structured channel metamaterial for deep subwavelength resolution in guided ultrasonics." AIP Advances. 2020;10(6).
FG W, CK O, RA N, GN M. "A Survey of Clinicians’ Preference, Opinion and Satisfaction with Radiological Reports at Kenyatta National Hospital." Journal of Radiology and Radiation Therapy. 2020;7(1):1088.
Joseph SK, Ralwala AO. "Sustainable construction literacy: A study of the Kenyan interior design market segment of the construction industry." Africa Habitat Review. 2020;14(3):1999-2009. AbstractWebsite

Due to the widespread calls for the construction industry to adopt sustainable approaches, the various stakeholders are now engaging in the sustainability agenda more than before. This study investigated how the Kenyan construction industry is engaging the sustainability agenda. Specifically, this study sought to establish sustainable construction (SC) literacy levels, key sustainability considerations and SC literacy avenues in the interior design market segment of the Kenyan construction industry. Key project stakeholders in the interior design market segment of the Kenyan construction industry were the target population. A total of 60 (12 architects/interior designers, 12 electrical engineers, 12 mechanical engineers,12 quantity surveyors and 12 contractors) structured questionnaires were distributed, out of which 46 (10 architects/interior designers, 9 electrical engineers, 9 mechanical engineers, 8 quantity surveyors and 10 contractors) were received back. Collected data was analysed using frequencies, percentages, mean item scores (MIS) and standard deviations (SD). The study revealed an average level of sustainability literacy with a composite mean score of 3.7102 and mismatch between SC literacy levels and key sustainability considerations in interior design projects. Additionally, the respondents rated standard SC approaches, legislation, policies and construction trade associations as the least effective contributors to their current SC literacy levels. On the other hand, informal learning, construction professional associations influence, collaboration amongst firms, and formal learning were largely attributed to the respondent’s SC literacy levels. The implication of the findings was that there is need to fine-tune SC literacy drives to the peculiarities of the various industry market segments to ensure their effectiveness in informing practice. Additionally, there is the need to leverage standard SC approaches, legislation, policies and construction trade associations as avenues to improve the overall sustainability literacy levels.

Joseph SK, Ralwala AO. "Sustainable construction Literacy: A study of the Kenyan Interior Design Market Segment of the Construction Industry. ." Africa Habitat Review, Journal of the School of the Built Environment, University of Nairobi ISSN: 2524-1354 (Online), ISSN: 2519-7851 (Print). http:uonjournals.uonbi.ac.ke/ojs/index.php/ahr . 2020;14(3):1999-2009.
Joseph SK, Ralwala AO. "Sustainable construction transition: A Kenyan interior design market segment perspective." Africa Habitat Review. 2020;14(3):2035-2044. AbstractWebsite

Construction industry has been identified as key to the sustainability agenda. Efforts towards improved sustainability compliance in the construction industry involve a socio-technical transformation. Such transitions are said to be purposive, of a wider perspective, multi-dimensional in nature and are influenced by numerous factors. This paper focused on establishing sustainable construction (SC) uptake levels, including identification of key SC drivers and barriers with specific reference to the interior design market segment of the Kenyan construction industry. The study employed a quantitative research approach. For quantitative attributes, the study employed structured questionnaires to collect data from actively practicing architects/interior designers, electrical engineers, mechanical engineers, quantity surveyors and contractors drawn from the interior design market segment of Kenyan construction industry in Nairobi City County. Data analysis employed the descriptive statistics of distribution (frequencies), proportions (percentages), central tendency (mean) and dispersion (standard deviation). Generally, the respondents ranked the overall uptake of the three dimensions of sustainability (economic, environmental and social) as average- ranking as social, environment and economic in a decreasing order of uptake levels. The study findings ranked sustainability driver categories as organization related drivers, stakeholder related drivers, economic related drivers and management related drivers; in order of decreasing influence. Lastly, barrier categories were ranked as economic related barriers, professional/capacity related barriers, technology related barriers and societal/cultural related barriers, in order of decreasing influence. With the average sustainable construction practices uptake in the Kenyan construction industry, there is an implied call to action to leverage known sustainability drivers, while at the same time suppressing the known barriers. This implies significant room for improvement and an appropriate starting point for key construction project stakeholders as above identified.

Joseph SK, Ralwala AO. "Sustainable construction Transition: A Kenyan Interior Design Market Segment Perspective. ." Africa Habitat Review, Journal of the School of the Built Environment, University of Nairobi ISSN: 2524-1354 (Online), ISSN: 2519-7851 (Print). http:uonjournals.uonbi.ac.ke/ojs/index.php/ahr . 2020;14(3):2035-2044.
Warinda Enock, Dickson M. Nyariki, Stephen Wambua, Reuben M. Muasya, Hanjra. MA. "Sustainable development in East Africa: impact evaluation of regional agricultural development projects in Burundi, Kenya, Rwanda, Tanzania, and Uganda." Natural Resources Forum. 2020;44:3-39.
R. T. "Tamathali za Usemi na Taswira katika Utenzi wa Ukimwi ni Zimwi." Mwanga wa Lugha -Jarida la Idara ya Kiswahili na Lugha Nyingine za Kiafrica. 2020;5/2(September 2020):15-32.
Karanja P, Mbugua L, Riungu J, Mulaku M, Okalebo F. "Time series analysis of consumption and short term forecasting of female contraceptives in the Kenyan public health sector." African Journal of Pharmacology and Therapeutics . 2020;9(1):9-17.
Idowu TE, R. W, Lasisi, K H, Kiema JBK. "Towards achieving Sustainability of Coastal Environments: Urban Growth Analysis and Prediction of Lagos, State Nigeria." South African Journal of Geomatics. 2020;9(2):149-162.
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.
Galvin KA, Trevor Even, Robin S. Reid, Jesse Njoka, Joana Roque de Pinho, Philip Thornton, Saylor K. "Understanding Climate from the Ground Up: Knowledge of Environmental Changes in the East African Savannas." Changing Climate, Changing Worlds. 2020:221-242.
Vogel JP, Comrie‐Thomson L, Pingray V, Gadama L, Galadanci H, Goudar S, Rose Laisser, Lavender T, Lissauer D, Misra S, Pujar Y, Qureshi ZP, Amole T, Berrueta M, Dankishiya F, Gwako G, Homer CSE, Jobanputra J, Meja S, Nigri C, Mohaptra V, Osoti A, Roberti J, Solomon D, Suleiman M, Robbers G, Sutherland S, Vernekar S, Althabe F, Bonet M, Oladapo OT. "Usability, acceptability, and feasibility of the World Health Organization Labour Care Guide: A mixed‐methods, multicountry evaluation." Wiley Online Library . 2020. AbstractWebsite

Introduction
The World Health Organization’s (WHO) Labour Care Guide (LCG) is a “next‐generation” partograph based on WHO’s latest intrapartum care recommendations. It aims to optimize clinical care provided to women and their experience of care. We evaluated the LCG’s usability, feasibility, and acceptability among maternity care practitioners in clinical settings.

Methods
Mixed‐methods evaluation with doctors, midwives, and nurses in 12 health facilities across Argentina, India, Kenya, Malawi, Nigeria, and Tanzania. Purposively sampled and trained practitioners applied the LCG in low‐risk women during labor and rated experiences, satisfaction, and usability. Practitioners were invited to focus group discussions (FGDs) to share experiences and perceptions of the LCG, which were subjected to framework analysis.

Results
One hundred and thirty‐six practitioners applied the LCG in managing labor and birth of 1,226 low‐risk women. The majority of women had a spontaneous vaginal birth (91.6%); two cases of intrapartum stillbirths (1.63 per 1000 births) occurred. Practitioner satisfaction with the LCG was high, and median usability score was 67.5%. Practitioners described the LCG as supporting precise and meticulous monitoring during labor, encouraging critical thinking in labor management, and improving the provision of woman‐centered care.

Conclusions
The LCG is feasible and acceptable to use across different clinical settings and can promote woman‐centered care, though some design improvements would benefit usability. Implementing the LCG needs to be accompanied by training and supportive supervision, and strategies to promote an enabling environment (including updated policies on supportive care interventions, and ensuring essential equipment is available).

Nalyanya KM, Rop RK, Onyuka AS, Birech Z, Okonda JJ. "Variation of elemental concentration in leather during post-tanning operation using energy dispersive X-ray fluorescence spectroscopy: principal component analysis approach." International Journal of Environmental Analytical Chemistry. 2020:1-13.
Mwangi N, Bascaran C, Ng'ang'a M, Ramke J, Kipturgo M, Gichuhi S, Kim M, Macleod D, Moorman C, Muraguri D, Gakuo E, Muthami L, Foster A. "Feasibility of a cluster randomized controlled trial on the effectiveness of peer-led health education interventions to increase uptake of retinal examination for diabetic retinopathy in Kirinyaga, Kenya: a pilot trial." Pilot Feasibility Stud. 2020;6:102. AbstractWebsite

Background: People living with diabetes can reduce their risk of vision loss from diabetic retinopathy by attending screening, which enables early detection and timely treatment. The aim of this pilot trial was to assess the feasibility of a full-scale cluster randomized controlled trial of an intervention to increase uptake of retinal examination in this population, as delivered within existing community-based diabetes support groups (DSGs).

Methods: All 16 DSGs in Kirinyaga county were invited to participate in the study. The first two groups recruited took part in the pilot trial. DSG members who met the eligibility criteria were recruited before the groups that were randomized to the two arms. In the intervention group, two peer educators were trained to deliver monthly DSG-based eye health education and individual telephone reminders to attend screening. The control group continued with usual DSG practice which is monthly meetings without eye health education. The recruitment team and outcome assessors were masked to the allocation. We documented the study processes to ascertain the feasibility, acceptability, and potential effectiveness of the intervention. Feasibility was assessed in terms of clarity of study procedures, recruitment and retention rates, level of acceptability, and rates of uptake of eye examination. We set the target feasibility criteria for continuation to the main study to be recruitment of 50 participants in the trial, 80% monthly follow-up rates for individuals, and no attrition of clusters.

Results: Of the 122 DSG members who were assessed for eligibility, 104 were recruited and followed up: 51 (intervention) and 53 (control) arm. The study procedures were well understood and easy to apply. We learnt the DSG meeting days were the best opportunities for recruitment. The study had a high acceptance rate (100% for clusters, 95% for participants) and high follow-up and retention rate (100% of those recruited). All clusters and participants were analysed. We observed that the rate of incidence of eye exam was about 6 times higher in the intervention arm as compared to the control arm. No adverse unexpected events were reported in either arm.

Conclusions: The study is feasible and acceptable in the study population. The results support the development of a full-scale cluster RCT, as the success criteria for the pilot were met.

Mwangi N, Bascaran C, Ramke J, Kipturgo M, Kim M, Ng'ang'a M, Gichuhi S, Mutie D, Moorman C, Muthami L, Foster A. "Peer-support to increase uptake of screening for diabetic retinopathy: process evaluation of the DURE cluster randomized trial." Trop Med Health. 2020;48:1. AbstractWebsite

Background: There is limited evidence on how implementation of peer support interventions influences effectiveness, particularly for individuals with diabetes. We conducted a cluster randomized controlled trial to compare the effectiveness of a peer-led health education package versus usual care to increase uptake of screening for diabetic retinopathy (DR).

Methods: Our process evaluation used a mixed-method design to investigate the recruitment and retention, reach, dose, fidelity, acceptability, and context of implementation, and was guided by the Consolidated Framework for Implementation Research (CFIR). We reviewed trial documents, conducted semi-structured interviews with key informants (n = 10) and conducted four focus group discussions with participants in both arms of the trial. Three analysts undertook CFIR theory-driven content analysis of the qualitative data. Quantitative data was analyzed to provide descriptive statistics relevant to the objectives of the process evaluation.

Results: The trial had positive implementation outcomes, 100% retention of clusters and 96% retention for participants, 83% adherence to delivery of content of group talks (fidelity), and 78% attendance (reach) to at least 50% (3/6) of the group talks (dose). The data revealed that intervention characteristics, outer setting, inner setting, individual characteristics, and process (all the constructs of CFIR) influenced the implementation. There were more facilitators than barriers to the implementation. Facilitators included the relative advantage of the intervention compared with current practice (intervention characteristics); awareness of the growing prioritization of diabetes in the national health policy framework (outer setting); tension for change due to the realization of the vulnerability to vision loss from DR (inner setting); a strong collective sense of accountability of peer supporters to implement the intervention (individual characteristics); and regular feedback on the progress with implementation (process). Potential barriers included the need to queue at the eye clinic (intervention characteristic), travel inconveniences (inner setting), and socio-political disruption (outer setting).

Conclusions: The intervention was implemented with high retention, reach, fidelity, and dose. The CFIR provided a valuable framework for evaluating contextual factors that influenced implementation and helped to understand what adaptations may be needed during scale up.

Sorensen JPR, Carr AF, Nayebare J, Diongue DML, Pouye A, Roffo R, Gwengweya G, Ward JST, Kanoti J, Okotto-Okotto J, van der Marel L, Ciric L, Faye SC, Gaye CB, Goodall T, Kulabako R, Lapworth DJ, MacDonald AM, Monjerezi M, Olago D, Owor M, Read DS, Taylor RG. "Tryptophan-like and humic-like fluorophores are extracellular in groundwater: implications as real-time faecal indicators.". 2020;10(1):15379. AbstractWebsite

Fluorescent natural organic matter at tryptophan-like (TLF) and humic-like fluorescence (HLF) peaks is associated with the presence and enumeration of faecal indicator bacteria in groundwater. We hypothesise, however, that it is predominantly extracellular material that fluoresces at these wavelengths, not bacterial cells. We quantified total (unfiltered) and extracellular (filtered at < 0.22 µm) TLF and HLF in 140 groundwater sources across a range of urban population densities in Kenya, Malawi, Senegal, and Uganda. Where changes in fluorescence occurred following filtration they were correlated with potential controlling variables. A significant reduction in TLF following filtration (ΔTLF) was observed across the entire dataset, although the majority of the signal remained and thus considered extracellular (median 96.9%). ΔTLF was only significant in more urbanised study areas where TLF was greatest. Beneath Dakar, Senegal, ΔTLF was significantly correlated to total bacterial cells (ρs 0.51). No significant change in HLF following filtration across all data indicates these fluorophores are extracellular. Our results suggest that TLF and HLF are more mobile than faecal indicator bacteria and larger pathogens in groundwater, as the predominantly extracellular fluorophores are less prone to straining. Consequently, TLF/HLF are more precautionary indicators of microbial risks than faecal indicator bacteria in groundwater-derived drinking water.

Brizuela V, Bonet M, Romero CLT, Abalos E, Baguiya A, Fawole B, Knight M, Lumbiganon P, Minkauskienė M, Nabhan A, Osman NB, Qureshi ZP, Souza JP. "Early evaluation of the 'STOP SEPSIS!' WHO Global Maternal Sepsis Awareness Campaign implemented for healthcare providers in 46 low, middle and high-income countries." BMJ Open. 2020;10(5):e036338. Abstract

To evaluate changes in awareness of maternal sepsis among healthcare providers resulting from the WHO Global Maternal Sepsis Study (GLOSS) awareness campaign.

Kabaka JM, Wachira BM, Mang'era CM, Rono MK, Hassanali A, Okoth SO, Oduol VO, Macharia RW, Murilla GA, Mireji PO. "Expansions of chemosensory gene orthologs among selected tsetse fly species and their expressions in Glossina morsitans morsitans tsetse fly." PLoS Negl Trop Dis. 2020;14(6):e0008341. Abstract

Tsetse fly exhibit species-specific olfactory uniqueness potentially underpinned by differences in their chemosensory protein repertoire. We assessed 1) expansions of chemosensory protein orthologs in Glossina morsitans morsitans, Glossina pallidipes, Glossina austeni, Glossina palpalis gambiensis, Glossina fuscipes fuscipes and Glossina brevipalpis tsetse fly species using Café analysis (to identify species-specific expansions) and 2) differential expressions of the orthologs and associated proteins in male G. m. morsitans antennae and head tissues using RNA-Seq approaches (to establish associated functional molecular pathways). We established accelerated and significant (P<0.05, λ = 2.60452e-7) expansions of gene families in G. m. morsitans Odorant receptor (Or)71a, Or46a, Ir75a,d, Ionotropic receptor (Ir) 31a, Ir84a, Ir64a and Odorant binding protein (Obp) 83a-b), G. pallidipes Or67a,c, Or49a, Or92a, Or85b-c,f and Obp73a, G. f. fuscipes Ir21a, Gustatory receptor (Gr) 21a and Gr63a), G. p. gambiensis clumsy, Ir25a and Ir8a, and G. brevipalpis Ir68a and missing orthologs in each tsetse fly species. Most abundantly expressed transcripts in male G. m. morsitans included specific Or (Orco, Or56a, 65a-c, Or47b, Or67b, GMOY012254, GMOY009475, and GMOY006265), Gr (Gr21a, Gr63a, GMOY013297 and GMOY013298), Ir (Ir8a, Ir25a and Ir41a) and Obp (Obp19a, lush, Obp28a, Obp83a-b Obp44a, GMOY012275 and GMOY013254) orthologs. Most enriched biological processes in the head were associated with vision, muscle activity and neuropeptide regulations, amino acid/nucleotide metabolism and circulatory system processes. Antennal enrichments (>90% of chemosensory transcripts) included cilium-associated mechanoreceptors, chemo-sensation, neuronal controlled growth/differentiation and regeneration/responses to stress. The expanded and tsetse fly species specific orthologs includes those associated with known tsetse fly responsive ligands (4-methyl phenol, 4-propyl phenol, acetic acid, butanol and carbon dioxide) and potential tsetse fly species-specific responsive ligands (2-oxopentanoic acid, phenylacetaldehyde, hydroxycinnamic acid, 2-heptanone, caffeine, geosmin, DEET and (cVA) pheromone). Some of the orthologs can potentially modulate several tsetse fly species-specific behavioral (male-male courtship, hunger/host seeking, cool avoidance, hygrosensory and feeding) phenotypes. The putative tsetse fly specific chemosensory gene orthologs and their respective ligands provide candidate gene targets and kairomones for respective downstream functional genomic and field evaluations that can effectively expand toolbox of species-specific tsetse fly attractants, repellents and other tsetse fly behavioral modulators.

Oladapo OT, Vogel JP, Piaggio G, et al. "Antenatal Dexamethasone for Early Preterm Birth in Low-Resource Countries." N Engl J Med. 2020;383(26):2514-2525. Abstract

The safety and efficacy of antenatal glucocorticoids in women in low-resource countries who are at risk for preterm birth are uncertain.

Oladapo OT, Vogel JP, Piaggio G, et al. "Antenatal Dexamethasone for Early Preterm Birth in Low-Resource Countries." N Engl J Med. 2020;383(26):2514-2525. Abstract

The safety and efficacy of antenatal glucocorticoids in women in low-resource countries who are at risk for preterm birth are uncertain.

Yoshizaki M, Ramke J, Furtado JM, Burn H, Gichuhi S, Gordon I, Aghaji A, Marques AP, Dean WH, Congdon N, Buchan J, Burton MJ. "Interventions to improve the quality of cataract services: protocol for a global scoping review." BMJ Open. 2020;10(8):e036413. AbstractWebsite

Cataract is the leading cause of blindness globally and a major cause of vision impairment. Cataract surgery is an efficacious intervention that usually restores vision. Although it is one of the most commonly conducted surgical interventions worldwide, good quality services (from being detected with operable cataract to undergoing surgery and receiving postoperative care) are not universally accessible. Poor quality understandably reduces the willingness of people with operable cataract to undergo surgery. Therefore, it is critical to improve the quality of care to subsequently reduce vision loss from cataract. This scoping review aims to summarise the nature and extent of the published literature on interventions to improve the quality of services for primary age-related cataract globally.

Naidoo K, Kempen JH, Gichuhi S, Braithwaite T, Casson RJ, Cicinelli MV, Das A, Flaxman SR, Jonas JB, Keeffe JE, Leasher J, Limburg H, Pesudovs K, Resnikoff S, Silvester AJ, Tahhan N, Taylor HR, Wong TY, Bourne RRA. "Prevalence and causes of vision loss in sub-Saharan Africa in 2015: magnitude, temporal trends and projections." Br J Ophthalmol. 2020. AbstractWebsite

Background: This study aimed to assess the prevalence and causes of vision loss in sub-Saharan Africa (SSA) in 2015, compared with prior years, and to estimate expected values for 2020.

Methods: A systematic review and meta-analysis assessed the prevalence of blindness (presenting distance visual acuity <3/60 in the better eye), moderate and severe vision impairment (MSVI; presenting distance visual acuity <6/18 but ≥3/60) and mild vision impairment (MVI; presenting distance visual acuity <6/12 and ≥6/18), and also near vision impairment (

Mulinge E, Odongo D, Magambo J, Njenga SM, Zeyhle E, Mbae C, Kagendo D, Addy F, Ebi D, Wassermann M, Kern P, Romig T. "Diversity of Taenia and Hydatigera (Cestoda: Taeniidae) in domestic dogs in Kenya." Parasitol Res. 2020;119(9):2863-2875. Abstract

Taenia species of domestic dogs can cause cysticercosis and coenurosis in a wide range of intermediate hosts including humans. Most taeniids of dogs are globally distributed, but some wildlife-transmitted species can be specific for certain regions. Generally, little information exists on the species composition and frequency in most regions of the world, which impairs risk assessment and control strategies. This study determined the range of taeniid species in dogs in four widely spaced areas of Kenya by genetic identification of eggs in faeces collected from the environment. Individual taeniid eggs were characterised by nested polymerase chain reaction of NADH dehydrogenase subunit 1 and cytochrome C oxidase 1 genes, restriction fragment length polymorphism and partial sequencing. Overall 79/1621 (4.9%) faecal samples contained eggs of Taenia or Hydatigera (8.0% in Turkana, 4.8% in Isiolo, 3.8% in Maasai Mara and 1.3% in Meru). Taenia hydatigena and T. multiceps were the most frequent, found in 36 and 15 samples, respectively. Other eggs found in the faeces belonged to T. serialis (sensu lato), T. madoquae (the first record in domestic dogs), T. ovis, T. saginata and Hydatigera taeniaeformis. Polymorphism of nad1 sequences revealed 22 and 8 haplotypes of T. hydatigena and T. multiceps, respectively. The results show the involvement of dogs in both domestic and sylvatic transmission cycles. In addition to the species range, this study provides data on the intraspecific diversity of T. hydatigena and T. multiceps in Kenya, which will serve as baseline information for further studies into cysticercosis and coenurosis in livestock and humans in the region.

Nyatuka DM, Ralwala AO. "Effectiveness of Health and Safety Policy and Audit on Kenya Power Last Mile Connectivity Project performance in Nakuru County, Kenya.". In: Scarcity and Creativity: Addressing Critical Spatial Needs. Sub-theme: Learning for Resource Efficiency and Resourcefulness. School of Architecture and Building Sciences (SABS) online conference, JKUAT; 2020.
Nyatuka DM, Ralwala AO. "The moderating influence of employees attitude on the relationship between Occupation Health and Safety Training and Kenya Power Last Mile Connectivity Project performance in Nakuru County, Kenya.". In: Scarcity and Creativity: Addressing Critical Spatial Needs. Sub-theme: Transportation Integration: Ports, Railways, Roads; Other Types of Mega-projects and their Impacts Contiguous Societies and their Resources. School of Architecture and Building Sciences (SABS) online conference, Jomo Kenyatta University of Agriculture & Technology (JKUAT); 2020.
Nyatuka DM, Ralwala AO. "Perceived effectiveness of Occupational Health and Safety Ergonomics on Kenya Power Last Mile Connectivity Project performance in Nakuru County, Kenya. .". In: Scarcity and Creativity: Addressing Critical Spatial Needs. Sub-theme: Infrastructure and Property Development on Sites and in Contexts of Scarcity. School of Architecture and Building Sciences (SABS) online conference, JKUAT; 2020.
2021
Mwoka M, Biermann O, Ettman CK, Abdalla SM, Ambuko J, Pearson M, Rashid SF, Zeinali Z, Galea S, Valladares LM, others. "Housing as a Social Determinant of Health: Evidence from Singapore, the UK, and Kenya: the 3-D Commission." Journal of Urban Health. 2021;98:15-30. Abstract
n/a
MalariaGEN, Ahouidi A, Ali M, et al. "An open dataset of Plasmodium falciparum genome variation in 7,000 worldwide samples." Wellcome Open Res.. 2021;6:42. Abstract

MalariaGEN is a data-sharing network that enables groups around the world to work together on the genomic epidemiology of malaria. Here we describe a new release of curated genome variation data on 7,000 Plasmodium falciparum samples from MalariaGEN partner studies in 28 malaria-endemic countries. High-quality genotype calls on 3 million single nucleotide polymorphisms (SNPs) and short indels were produced using a standardised analysis pipeline. Copy number variants associated with drug resistance and structural variants that cause failure of rapid diagnostic tests were also analysed. Almost all samples showed genetic evidence of resistance to at least one antimalarial drug, and some samples from Southeast Asia carried markers of resistance to six commonly-used drugs. Genes expressed during the mosquito stage of the parasite life-cycle are prominent among loci that show strong geographic differentiation. By continuing to enlarge this open data resource we aim to facilitate research into the evolutionary processes affecting malaria control and to accelerate development of the surveillance toolkit required for malaria elimination.

R. T. "Ahadi Ni Deni.". In: Mapambazuko ya Machweo na Hadithi Nyingine. Nairobi: Mountain Top ; 2021.
Okeyo MP, Rambo CM, NYONJE RO. "Alternative Dispute Resolution mechanism and Resolution of Contractual Disputes in Construction Industry: the case of Road Construction Projects in Kenya. ." American Journal of Engineering Research (AJER) . 2021;10(2):61-70 .
Were SA, Narla R, Mutitu EW, Muthomi JW, Munyua LM, Roobroeck D, Vanlauwe B, E J. "Biochar and vermicompost soil amendments reduce root rot disease of common bean (Phaseolous Vulgaris L.)." African Journal of Biological sciences. 2021;3(1):176-196.
Damali N, Diane K, Razak MH, Odour B, Odero T, Faguar. PGC. "Building and sustaining effective partnership for Training and New Generation of Global Health Leaders.". 2021.
Grossheim L, Ruff P, Ngoma T, Vanderpuye V, Wango GM, Ochieng P, Palmer D, Kouya F, Lasebikan N, Ntekim A, Ngoma M, Bih N, Malloum A, Elzawawy A, Kerr D, Ngwa W. "Cancer and Covid-19 Experiences at African Cancer Centers: The Silver Lining." JCO Global Oncology. 2021;7:410-415.
Ngwili N, Lian T, Githigia S, Muloi D, Marshal K, Wahome R, Roesel K. "co-infection of pigs with Taenia solium cysticercosis and gastrointestinal parasites in Eastern and Western Uganda." Parasitology Research. 2021;2021(https://doi.org/10.1007/s00436-021-07380-9):1-14.
R. I, Mugambi M. The Curriculum in Perspective . Chisinau: LAP Lambert Academic Publishing ; 2021.
Lutta, A. I., Wasonga OV, Robinson LW, Nyangito MM, Sircely J. "Determinants of livestock market participation among pastoral communities of Tana River County, Kenya." Environment, Development and Sustainability, . 2021;23(5):7393-7411.
MO F, MO O, M E-T, A K, OB A-B, B G, RJ S. "An ecological study on the association between early childhood caries and intimate partner violence in 20 low- and middle-income countries; 2007-2017." AAS Open Res. 2021;2021; 4:39.(2021; 4:39.):2021; 4:39.
MO F, ME T, JI V, CA F, M R, AM K, R V, OB A‐B, R A, B G, SZ M, A A, H D, A V, RJ S, for the Group ECCA. "An ecological study on the association between universal health service coverage index, health expenditures, and early childhood caries." BMC Oral Health. 2021;2021; 21:126.(2021; 21:126.):2021; 21:126.
Kimeli P, Vanleeuwen J, Gitau GK, Heider LC, Heider LC, McKenna SL, Greenwood SJ, Richards S. "Evaluation of environmental and comfort improvements on affective welfare in heifer calves on smallholder dairy farms." Preventive Veterinary Medicine. 2021;189:105296.
A A Fabuyide, Cornish LA, Apata AO, Rading GO, Muobeni TN, Witcomb MJ, Jain PK, Borode JO. "Experimental Liquidus Surface Projection and Isothermal Section at 1000C of the V-Ni-C System, J of Phase Equilibria and Diffusion.". 2021.
R. Sungura, Onyambu C, Mpolya E, E. Sauli, Vianney J-M. "Extended scope of neuroimaging and prospects in brain atrophy mitigation: A systematic review." Interdisciplinary neurosurgery . 2021;23:100875.
Mwololo, M.H., Nzuma MJ, Ritho, N.C. "Farmer Empowerment in Agriculture and its Association with Smallholder Farm Incomes in Kenya." African Journal of Agricultural and Resource Economics. 2021;16(4):355-369.
Ayieyo P, Rambo C, Ndiritu A. "Financial Effect of Labour Related Risks on Completion of PPP Projects. Advances in social sciences research journal.volume 7(10):122-130.". 2021. Abstract

Efficient management of construction works should focus its attention on utilizing labour, equipment, and raw materials in the right way. Besides, they claim that responsible parties should evaluate labour productivity continuously and that cost control measures should be developed. Low productivity witnessed in construction is linked to internal challenges including disputes, abandonment of projects, excess budget, and time overlaps. The objective of the study was to determine the financial effect of labour related risks on completion of PPP projects. A descriptive survey design was used with simple random sampling targeting 85 members of the management team at the completed Sondu-Miriu Power project. The participants were administered with questionnaire which were sent by mail (in some cases) and selected participants encouraged to respond. Data obtained was analysed through SPSS platform using descriptive statistics and Pearson Moment correlation as inferential statistics. The study found that labour related risks in construction PPP projects included failure by employees and experts to complete assigned tasks, injuries and deaths, changing labour demands during the project as well as cases of go slow. Construction labour related risks affected the financial cost, time and quality of work performed in the construction project. The study concludes that labour related risks have a financial effect on completion of PPP projects such that as the risks increase, the financial cost increases. The study recommends that more focus should be placed on the identification and recruitment of project staff as well task allocation.

SS G, G A, P A, K B, R B, G C, KJ C, ACR C, T C, YO C, D D, ML F, MO F, A G, HH H, V J, A K, SC L, P L, VP M, T M, Y M, N P, A T-M, ECM L, CH C. "Global Oral Health Policies and Guidelines: Using Silver Diamine Fluoride for Caries Control. Front Oral Health." Front Oral Health. 2021;2021; 2:685557(2021; 2:685557):2021; 2:685557.
Kamau SJ, Rambo CM, Mbugua JM. "Influences of Community Participation on School Infrastructure Policy Implementation and Performance of Construction Projects. ." Open Journal of Social Sciences. 2021;2021(9):173-187.
R T. "Jinamizi la Malezi.". In: Utashi wa Dola na Hadithi Nyingine. Nairobi: Oxford University Press ; 2021.
Japheth NR, Rukwaro PR, Wachira-Towey IN. "Management of Steel Reinforcement Works Procedures Impact on the Health of Workers in Building Construction Sites Case study of Nairobi County, Kenya." Journal of Entrepreneurship & Project management. 2021;Volume 5(1).
Rahman M, Ahmed R, Moitra M, Damschroder L, Brownson R, Chorpita B, Idele P, Gohar F, Huang KY, Saxena S, Lai J, Peterson SS, Harper G, McKay M, Amugune B, Esho T, Ronen K, Othieno C, Kumar M. "Mental Distress and Human RightsViolations During COVID-19: A RapidReview of the Evidence InformingRights, Mental Health Needs, andPublic Policy Around VulnerablePopulations." Front. Psychiatry . 2021;11:603875.
Kerubo JO, Muthumbi AWN, Onyari JM, Robertson-Andersson D, Kimani E. "Microplastics pollution in the sediments of creeks and estuaries of Kenya, western Indian Ocean." African Journal of Marine Science. 2021;43(3):337-352. AbstractAfrican Journal of Marine Science

Description
Microplastic pollution has been recognised as a global threat in marine environments and a danger to prey, predators and humans. Yet, there have been few studies in the western Indian Ocean, specifically along the Kenyan coast, which makes it difficult to estimate the extent of such pollution in the region. This is the first study on microplastics (MPs) in the sediments within creeks and estuaries (Tudor, Port Reitz and Mida creeks) on the Kenyan coast. In January/February and September 2018 sediment samples were collected for MPs analysis. The concentration of MPs differed between the sampling seasons and was distinctively higher in the second sampling season across particle sizes, suggesting that there were more MPs from larger terrestrial discharges due to increased runoff. The concentrations of total MPs, and the occurrence of different sizes, shapes and colours, were established under a microscope …

Murungi MK, M.Muloi D, Muinde P, Samuel Maina Githigia, Akoko J, Fevre EM, Rushton J, Alarcon P. "The Nairobi Pork Value Chain, Mapping and Assessment of Governance, Challenges and Food Safety Issues." Frontiers in Veterinary Science. 2021;2021(https://doi.org/10.3389/fvets.2021.581376).
Ochora DO, Kakudidi E, Namukobe J, Heydenreich M, Coghi P, Yang LJ, Mwakio EW, Andagalu B, Roth A, Akala HM, Wong VKW, Yenesew A. "A new benzophenone, and the antiplasmodial activities of the constituents of Securidaca longipedunculata fresen (Polygalaceae)." Natural Product Research. 2021:1-9. AbstractView Website

Description
Extracts from Securidaca longipedunculata showed antiplasmodial activities against reference clones and clinical isolates using SYBR Green I method. A new benzophenone, 2,3,4,5-tetramethoxybenzophenone (1) was isolated and characterized along with seven known compounds: 4-hydroxy-2,3-dimethoxybenzophenone (2); 3-hydroxy-5-methoxybiphenyl (3), methyl-2-hydroxy-6-methoxybenzoate (4), benzyl-2-hydroxy-6-methoxybenzoate (5), 2-hydroxy-6-methoxybenzoic acid (6), 2,4,5-trimethoxybenzophenone (7) and 2-methoxy-3,4-methylenedioxybenzophenone (8). Compounds 1 and 2 showed ex vivo antiplasmodial activities (IC50 28.8 μM and 18.6 μM, respectively); while 5 and 8 showed in vivo activities (IC50 19.7 μM and 14.5 μM, respectively) against D6 strain. In a cytotoxicity assay, all the extracts (with an exception of the MeOH extract of the leaves) and pure compounds were not toxic to the …

Kamau SJ, Rambo CM, Mbugua JM. "Perception of Head Teachers and District Education Officers (DEOs) on School Infrastructure Policy Governance in Somaliland." Universal Journal of Management . 2021;9(1):20-27.
H.M K, Z. O, R. T, K. M. "Proverb Usage and the Silencing of Women's Voices: An Exploration of Swahili and Arabic Proverb." Kioo cha Lugha-Journal of The Institute of Kiswahili Studies. 2021;19(1):95-108.
Ngwili N, Johnson N, Wahome R, Githigia S, Roesel K, Thomas L. "A qualitative Assessment of the Context and Enabling Environment for the Control of Taenia solium Infections in Endemic Settings." PLOS Negl Trop Diseases. 2021;15(6. https://doi.org/10.1371/journal.pntd.0009470).
Nalyanya KM, Rop RK, Onyuka AS, Birech Z. "A Review of Natural Plants as Sources of Substances for Cleaner Leather Tanning Technologies. ." Textile & Leather Review. 2021;4(3):137-148.
Amimo JO, Raev SA, Chepngeno J, Mainga AO, Guo Y, Saif L, Vlasova AN. "Rotavirus Interactions With Host Intestinal Epithelial Cells." . Frontiers in immunology. 2021;12.
H.M K, Z. O, R. T, K. M. "The Societal Construction of Femininity as Depicted in the Metaphor of Chicken in Swahili Proverbs." Mwanga wa Lugha -Jarida la Idara ya Kiswahili na Lugha Nyingine za Kiafrica. 2021;6/1(April 2021):19-26.
Rop KV, Langat PK, Ouma HA. "Spectrum Sensing on High Density Cognitive Radio Vehicular Ad Hoc Network." ,” Journal of Communications (JCM). 2021;16(7):259-266.
Rogito DO, Maitho T, Nderitu A. "Sustainability of Food Security Irrigation Projects by Taking Corrective Action after Participatory Monitoring and Evaluation in Kitui County, Kenya. International journal of Innovative Research and Development. ISSN 2278-0211 (Online).". 2021. Abstract

Abstract:
Food supply is less than food demand in Kitui County as population keeps increasing. This lack of food leads to
malnutrition, poor health and even death to human beings and animals both domestic and wild. Agriculture is the key
food source in Kitui County in the republic of Kenya. Occasionally residents buy food quantities from neighboring Arid
and semi-arid areas counties which is not a reliable source because they face similar challenge. Many interventions to
improve food security has been put in place and one such is irrigation by the local county and National government
initiated through National irrigation Board but sustainability of these projects is a great concern in Kitui County.
Despite the irrigation projects setup still biting is food insufficiency which persists. One approach to improve
sustainability of irrigation projects is carrying out participatory monitoring and evaluation and then taking
corrective action which could also lead to ownership and then improved sustainability. This was the objective of the
study which was to assess if taking corrective action after Participatory Monitoring and evaluation (PME)influence
project sustainability. The study used descriptive survey and correlation designs in order to collect data from 316
respondents who were selected using stratification, judgmental and purposeful with strict randomization methods.
Questionnaires were administered and interviews were conducted on selected respondents on appointed dates. Data
was analyzed using Statistical Package for Social scientist (SPSS) version 25.0in order to get descriptive statistics also
correlation coefficients were got in order to get association and degree of strength. Testing of hypothesis was done
using linear regression. The study findings show thata big percentage (56.3%) of the respondents were aged between
31 to 40years.Majority of the respondents were females and their highest-level of education was up to primary school.
The respondents agreed that PME data collection and taking corrective action were not done. Taking corrective
action had a weak influence on sustainability with a correlation coefficient (r)of 0.33 which only explains 10.9% of
project sustainability. It’s recommended that farmers should be trained more through seminars and vocational
institutions in order to empower them with skills. Also, farmers should be encouraged to participate in irrigation
projects as they can have a sense of ownership. Infrastructure should be improved in order to access markets and a PM
& Eunit should be set up in irrigation projects in order to spear data collection and analysis and guide projects
towards sustainability. This is significant because it will improve sustainability and thus more food supply reducing
malnutrition rates and death among people and animals.
Keywords: Participatory monitoring and evaluation, Food security, taking corrective action, irrigation,
Sustainability, Projects, management

RUFINO MC, Gachene CKK, DIOGO RVC, HAWKINS J, ONYANGO AA, SANOGO OM, WANYAMA I, YESUF G, PELSTER DE. "SUSTAINABLE DEVELOPMENT OF CROP-LIVESTOCK FARMS IN AFRICA.". 2021.
Eric A, Elizaphan M, Rhoda G, Robert O, John K. "University Students' Perception on the Usefulness of Learning Management System Features in Promoting Self-Regulated Learning in Online Learning." International Journal of Education and Development using Information and Communication Technology. 2021;v17 (n1 ):45-64 . Abstract

Online learning has increasingly been adopted by most institutions of higher learning to facilitate teaching and learning as a continuum to the traditional face-to-face approach. Most of these institutions utilize Learning Management Systems which contain features that are intended to make students active participants not only by delivering learning resources to learners but also providing the environment for effective interaction in the learning process. Our examination of the literature reveals that there is limited empirical evidence that addresses how these features are being utilized by students in promoting Self-Regulated learning. To realize the usefulness of the features of Learning Management Systems in promoting Self-Regulated Learning, a structured survey was carried out among University students in Kenya. The findings reveal that the features of Learning Management Systems are underutilized by students. The qualitative results of the study illustrate that students face several challenges that obstruct them from being actively involved in online learning. There is lack of individualized feedback on students' learning habits, lack of instructor guidance, lack of interaction with course instructors, lack of peer interaction and lack of automation tools. This study provides insights for educators and researchers on the areas of focus that can be prioritized towards offering support to students in improving their Self-Regulated learning in online learning environments.

Okeyo MP;, Rambo CM, NYONJE RO. "Use of Civil Litigation Process and Alternative Dispute Resolution mechanisms in Resolution of Contractual Disputes in Road Construction Projects in Kenya. ." International Journal of Engineering Science and Computing. 2021:596-612.
Rebecca Lynne C, Rikesh Panchal, Emmanuel, Michael G, Moses N, Nyangaya J, O M, J M, P K, A A, A R, M P, V J. "Volatile Organic Compound Composition of Urban Air in Nairobi Kenya and Lagos Nigeria.". 2021.
Golden L, Chaya S, Reichmuth K, Visagie A, Ayuk A, Kwarteng Owusu S, Marangu D, Affendi N, Lakhan A, Gray D, Vanker A, Zar H, Zampoli M. "Aetiology and presentation of childhood pleural infections in the post-pneumococcal conjugate vaccine era in South Africa." Afr J Thorac Crit Care Med. 2021;27(4). Abstract

Complications of respiratory infections including pleural effusion (PE) are associated with a high morbidity. Differentiating between PE caused by (Mtb) infection and other bacterial infections in endemic areas is difficult in children, thus, impacting treatment.

Garelick S, Russell JM, Dee S, Verschuren D, Olago DO. "Atmospheric controls on precipitation isotopes and hydroclimate in high-elevation regions in Eastern Africa since the Last Glacial Maximum.". 2021;567:116984. AbstractWebsite

Tropical Africa experienced large changes in hydroclimatic conditions since the Last Glacial Maximum (LGM), ∼26.5 to 19 thousand years (ka or kyr) ago. The hydrogen isotopic composition of fossil leaf waxes (δDwax), assumed to record past variations in the hydrogen isotopic composition of precipitation (δDprecip), is increasingly being used to study past hydroclimatic change in Africa, and are commonly interpreted to reflect variation in the amount of precipitation through time (i.e., the amount effect). Although there are now many such δDprecip records from tropical Africa, there are few robust δDprecip records from easternmost equatorial Africa of sufficient length and resolution to evaluate the mechanisms governing hydroclimate variation during and since the LGM. We produced a new δDprecip record based on analyses of δDwax in sediment cores collected from Lake Rutundu, situated at an elevation of 3,078 meters above sea level (m asl) on Mt. Kenya. This record displays large variations in δDprecip corresponding with known climate events over the past 25 kyr, including D-enrichment during the Heinrich 1 stadial (H1) and the Younger Dryas (YD), and D-depletion during the Holocene portion of the African Humid Period (AHP). We also observe D-depletion during the LGM relative to the late Holocene, which, considering the amount effect, could be interpreted to imply that LGM climate conditions were wetter than today. However, because other hydroclimate proxies at this site indicate a drier LGM climate at Lake Rutundu, and since precipitation isotopes at this high-elevation site are likely influenced by different processes than at low elevations, we used a single-column Rayleigh distillation model to evaluate temperature and altitude-related effects on high-elevation δDprecip. This revealed that a change in the temperature lapse rate exerts strong control on δDprecip in this high-elevation setting, and that a steeper lapse rate could explain the observed D-depletion during the LGM at our site. Comparison of the Lake Rutundu δDprecip record with other leaf-wax based δDprecip records from East Africa indicates that changes in the meridional precipitation gradient associated with the mean annual position and intensity of the tropical rain belt, in turn driven by precessional insolation forcing, were likely a primary control on East African hydroclimate over the past 25 kyr, thereby contributing to overall regional drying during the LGM.

Garelick S, Russell JM, Dee S, Verschuren D, Olago DO. "Atmospheric controls on precipitation isotopes and hydroclimate in high-elevation regions in Eastern Africa since the Last Glacial Maximum.". 2021;567:116984. AbstractWebsite

Tropical Africa experienced large changes in hydroclimatic conditions since the Last Glacial Maximum (LGM), ∼26.5 to 19 thousand years (ka or kyr) ago. The hydrogen isotopic composition of fossil leaf waxes (δDwax), assumed to record past variations in the hydrogen isotopic composition of precipitation (δDprecip), is increasingly being used to study past hydroclimatic change in Africa, and are commonly interpreted to reflect variation in the amount of precipitation through time (i.e., the amount effect). Although there are now many such δDprecip records from tropical Africa, there are few robust δDprecip records from easternmost equatorial Africa of sufficient length and resolution to evaluate the mechanisms governing hydroclimate variation during and since the LGM. We produced a new δDprecip record based on analyses of δDwax in sediment cores collected from Lake Rutundu, situated at an elevation of 3,078 meters above sea level (m asl) on Mt. Kenya. This record displays large variations in δDprecip corresponding with known climate events over the past 25 kyr, including D-enrichment during the Heinrich 1 stadial (H1) and the Younger Dryas (YD), and D-depletion during the Holocene portion of the African Humid Period (AHP). We also observe D-depletion during the LGM relative to the late Holocene, which, considering the amount effect, could be interpreted to imply that LGM climate conditions were wetter than today. However, because other hydroclimate proxies at this site indicate a drier LGM climate at Lake Rutundu, and since precipitation isotopes at this high-elevation site are likely influenced by different processes than at low elevations, we used a single-column Rayleigh distillation model to evaluate temperature and altitude-related effects on high-elevation δDprecip. This revealed that a change in the temperature lapse rate exerts strong control on δDprecip in this high-elevation setting, and that a steeper lapse rate could explain the observed D-depletion during the LGM at our site. Comparison of the Lake Rutundu δDprecip record with other leaf-wax based δDprecip records from East Africa indicates that changes in the meridional precipitation gradient associated with the mean annual position and intensity of the tropical rain belt, in turn driven by precessional insolation forcing, were likely a primary control on East African hydroclimate over the past 25 kyr, thereby contributing to overall regional drying during the LGM.

Vogel JP, Comrie-Thomson L, Pingray V, Gadama L, Galadanci H, Goudar S, Rose Laisser, Lavender T, Lissauer D, Misra S, Pujar Y, Qureshi ZP, Amole T, Berrueta M, Dankishiya F, Gwako G, Homer CSE, Jobanputra J, Meja S, Nigri C, Mohaptra V, Osoti A, Roberti J, Solomon D, Suleiman M, Robbers G, Sutherland S, Vernekar S, Althabe F, Bonet M, Oladapo OT. "Usability, acceptability, and feasibility of the World Health Organization Labour Care Guide: A mixed-methods, multicountry evaluation." Birth. 2021;48(1):66-75. Abstract

The World Health Organization's (WHO) Labour Care Guide (LCG) is a "next-generation" partograph based on WHO's latest intrapartum care recommendations. It aims to optimize clinical care provided to women and their experience of care. We evaluated the LCG's usability, feasibility, and acceptability among maternity care practitioners in clinical settings.

Burton MJ, Ramke J, Marques AP, Bourne RRA, Congdon N, Jones I, Ah Tong BAM, Arunga S, Bachani D, Bascaran C, Bastawrous A, Blanchet K, Braithwaite T, Buchan JC, Cairns J, Cama A, Chagunda M, Chuluunkhuu C, Cooper A, Crofts-Lawrence J, Dean WH, Denniston AK, Ehrlich JR, Emerson PM, Evans JR, Frick KD, Friedman DS, Furtado JM, Gichangi MM, Gichuhi S, Gilbert SS, Gurung R, Habtamu E, Holland P, Jonas JB, Keane PA, Keay L, Khanna RC, Khaw PT, Kuper H, Kyari F, Lansingh VC, Mactaggart I, Mafwiri MM, Mathenge W, McCormick I, Morjaria P, Mowatt L, Muirhead D, Murthy GVS, Mwangi N, Patel DB, Peto T, Qureshi BM, Salomão SR, Sarah V, Shilio BR, Solomon AW, Swenor BK, Taylor HR, Wang N, Webson A, West SK, Wong TY, Wormald R, Yasmin S, Yusufu M, Silva JC, Resnikoff S, Ravilla T, Gilbert CE, Foster A, Faal HB. "The Lancet Global Health Commission on Global Eye Health: vision beyond 2020." Lancet Glob Health. 2021;9(4):e489-e551.Website
Baguiya A, Bonet M, Cecatti JG, Brizuela V, Curteanu A, Minkauskiene M, Jayaratne K, Ribeiro-do-Valle CC, Budianu M-A, Souza JP, Kouanda S. "Perinatal outcomes among births to women with infection during pregnancy." Arch Dis Child. 2021;106(10):946-953. Abstract

This study is part of the Global Maternal Sepsis Study (GLOSS). It aimed to estimate neonatal near-miss (NNM) and perinatal death frequency and maternal risk factors among births to women with infection during pregnancy in low-income and middle-income countries (LMIC).

Baguiya A, Bonet M, Cecatti JG, Brizuela V, Curteanu A, Minkauskiene M, Jayaratne K, Ribeiro-do-Valle CC, Budianu M-A, Souza JP, Kouanda S. "Perinatal outcomes among births to women with infection during pregnancy." Arch Dis Child. 2021;106(10):946-953. Abstract

This study is part of the Global Maternal Sepsis Study (GLOSS). It aimed to estimate neonatal near-miss (NNM) and perinatal death frequency and maternal risk factors among births to women with infection during pregnancy in low-income and middle-income countries (LMIC).

Dean WH, Buchan JC, Gichuhi S, Faal H, Mpyet C, Resnikoff S, Gordon I, Matende I, Samuel A, Visser L, Burton MJ. "Ophthalmology training in sub-Saharan Africa: a scoping review." Eye (Lond). 2021;35(4):1066-1083. AbstractWebsite

Sub-Saharan Africa is home to 12% of the global population, and 4.3 million are blind and over 15 million are visually impaired. There are only 2.5 ophthalmologists per million people in SSA. Training of ophthalmologists is critical. We designed a systematic literature review protocol, searched MEDLINE Ovid and Embase OVID on 1 August 2019 and limited these searches to the year 2000 onwards. We also searched Google Scholar and websites of ophthalmic institutions for additional information. We include a total of 49 references in this review and used a narrative approach to synthesise the results. There are 56 training institutions for ophthalmologists in eleven Anglophone, eleven Francophone, and two Lusophone SSA countries. The median duration of ophthalmology training programmes was 4 years. Most curricula have been regionally standardised. National, regional and international collaborations are a key feature to ophthalmology training in more than half of ophthalmology training programmes. There is a drive, although perhaps not always evidence-based, for sub-specialisation in the region. Available published scientific data on ophthalmic medical and surgical training in SSA is sparse, especially for Francophone and Lusophone countries. However, through a broad scoping review strategy it has been possible to obtain a valuable and detailed view of ophthalmology training in SSA. Training of ophthalmologists is a complex and multi-faceted task. There are challenges in appropriate selection, capacity, and funding of available training institutions. Numerous learning outcomes demand curriculum, time, faculty, support, and appropriate assessment. There are opportunities provided by modern training approaches. Partnership is key.

Vogel JP, Vannevel V, Robbers G, Gwako G, Lavin T, Adanikin A, Hlongwane T, Pattinson RC, Qureshi ZP, Oladapo OT. "Prevalence of abnormal umbilical arterial flow on Doppler ultrasound in low-risk and unselected pregnant women: a systematic review." Reprod Health. 2021;18(1):38. Abstract

While Doppler ultrasound screening is beneficial for women with high-risk pregnancies, there is insufficient evidence on its benefits and harms in low- and unselected-risk pregnancies. This may be related to fewer events of abnormal Doppler flow, however the prevalence of absent or reversed end diastolic flow (AEDF or REDF) in such women is unknown. In this systematic review, we aimed to synthesise available data on the prevalence of AEDF or REDF.

Gogri PY, Bore MC, Rips AGT, Reddy JC, Rostov AT, Vaddavalli PK. "Femtosecond laser-assisted big bubble for deep anterior lamellar keratoplasty." J Cataract Refract Surg. 2021;47(1):106-110. Abstract

To assess the utility of a femtosecond laser-assisted stromal channel to assist the creation of a big bubble (BB) for deep anterior lamellar keratoplasty (DALK) surgery in cadaveric corneas.

Rono H, Bastawrous A, Macleod D, Mamboleo R, Bunywera C, Wanjala E, Gichuhi S, Burton MJ. "Effectiveness of an mHealth system on access to eye health services in Kenya: a cluster-randomised controlled trial." Lancet Digit Health. 2021;3(7):e414-e424. AbstractWebsite

Background: There is limited access to eye health services in many low-income and middle-income populations. We aimed to assess the effectiveness in increasing service utilisation of the Peek Community Eye Health (Peek CEH) system, a smartphone-based referral system comprising decision support algorithms (Peek Community Screening app), SMS reminders, and real-time reporting.

Methods: In this cluster-randomised controlled trial of eye health in Kenya, community unit clusters were defined as one health centre and its catchment population. Clusters were randomly allocated (1:1) to receive Peek CEH and referral (intervention group) or standard care via periodic health centre-based outreach clinics and onward referral (control group). Individuals in the intervention group were assessed at home by screeners and those referred were asked to present for triage assessment in a central location. They received regular SMS reminders. In both groups, community sensitisation was done followed by a triage clinic at the cluster health centre 4 weeks after sensitisation. During triage, individuals in both groups were assessed and treated and, if necessary, referred to a specific hospital. Individuals in the intervention group received further SMS reminders. The primary outcome was the mean attendance rate (the number of people per 10 000 population) at triage of those with confirmed eye conditions, as assessed at 4 weeks after sensitisation in the intention-to-treat population. We estimated the intervention effect using a Student's t-test on cluster-level rates. This trial is registered with Pan African Clinical Trial Registry, number 201807329096632.

Findings: Between Nov 26, 2018, and June 7, 2019, of the 85 community units in Trans Nzoia County, Kenya, 49 were excluded. We randomly allocated 18 community units each to the intervention group (68 348 individuals) and the control group (60 243 individuals). 9387 individuals from the intervention group and 3070 from the control group attended triage assessment. The mean attendance rate at triage by individuals with eye problems was 1429 (92% CI 1228-1629) in the intervention group and 522 (418-625) in the control group (rate difference 906 per 10 000 [95% CI 689-1124; p<0·0001]).

Interpretation: The Peek CEH system increased primary care attendance by people with eye problems compared with standard approaches, indicating the potential of this mobile health package to increase service uptake and guide appropriate task sharing.

Evans JR, Gordon I, Lawrenson JG, Parker R, Rowe FJ, Virgili G, Li T, Ramke J. "Identifying priority review questions for Cochrane Eyes and Vision: protocol for a priority setting exercise." BMJ Open. 2021;11(6):e046319. AbstractWebsite

Introduction: Cochrane Eyes and Vision (CEV) is an international network of individuals working to prepare, maintain and promote access to systematic reviews of interventions to treat, prevent or diagnose eye diseases or vision impairment. CEV plans to undertake a priority setting exercise to identify systematically research questions relevant to our scope, and to formally incorporate input from a wide range of stakeholders to set priorities for new and updated reviews.

Methods and analysis: The scope of CEV is broad and our reviews include conditions that are common and have a high global disease burden, for example, cataract and dry eye disease, and conditions that are rare but have a high impact on quality of life and high individual cost such as eye cancer. We plan to focus on conditions prioritised by WHO during the development of the Package of Eye Care Interventions. These conditions were selected based on a combination of data on disease magnitude, healthcare use and expert opinion. We will identify priority review questions systematically by summarising relevant data on research in Eyes and Vision from a range of sources, and compiling a list of 10-15 potential review questions (new and/or updates) for each condition group. We will seek the views of external and internal stakeholders on this list by conducting an online survey. Equity will be a specific consideration.

Ethics and dissemination: The study has been approved by the ethics committee of the London School of Hygiene & Tropical Medicine. We will disseminate the findings through Cochrane channels and prepare a summary of the work for publication in a peer-reviewed journal.

Yoshizaki M, Ramke J, Zhang JH, Aghaji A, Furtado JM, Burn H, Gichuhi S, Dean WH, Congdon N, Burton MJ, Buchan J. "How can we improve the quality of cataract services for all? A global scoping review." Clin Exp Ophthalmol. 2021;49(7):672-685. AbstractWebsite

Background: Cataract is a leading cause of blindness and vision impairment globally. Cataract surgery is one of the most frequently performed operations worldwide, but good quality services are not universally available. This scoping review aims to summarise the nature and extent of published literature on interventions to improve the quality of services for age-related cataract globally.

Methods: We used the dimensions of quality adopted by WHO-effectiveness, safety, people-centredness, timeliness, equity, integration and efficiency-to which we added planetary health. On 17 November 2019, we searched MEDLINE, Embase and Global Health for manuscripts published since 1990, without language or geographic restrictions. We included studies that reported quality-relevant interventions and excluded studies focused on technical aspects of surgery or that only involved children (younger than 18 years). Screening of titles/abstracts, full-text review and data extraction were performed by two reviewers independently. Studies were grouped thematically and results synthesised narratively.

Results: Most of the 143 included studies were undertaken in high-income countries (n = 93, 65%); 29 intervention groups were identified, most commonly preoperative education (n = 17, 12%) and pain/anxiety management (n = 16, 11%). Efficiency was the quality element most often assessed (n = 58, 41%) followed by people-centredness (n = 40, 28%), while integration (n = 4) and timeliness (n = 3) were infrequently reported, and no study reported outcomes related to planetary health.

Conclusion: Evidence on interventions to improve quality of cataract services shows unequal regional distribution. There is an urgent need for more evidence relevant to low- and middle-income countries as well as across all quality elements, including planetary health.

Ralwala AO. "Honouring National Heroes through Architecture: a case of the Presidential Mausoleum. .". In: Modern Heritage (in the Anthropocene) in collaboration with University of Cape Town; UNESCO; UNESCO World Heritage Centre; African World Heritage Fund; UCL Bartlett School of Architecture; PAMOA; ICCROM; ICOMOS & IUCN. the Cape Town Conference on ‘Modern Heritages of Africa’ 22-24 September ; 2021.
Geno KPO, Ralwala AO. "Assessment of Heat Stress Exposure on Construction Workers in Hot and Humid Environments during the Covid-19 Pandemic Period.". In: (Re)Setting Built Environment Theory and Practice in a Post-pandemic World: Disrupted Buildings or Design for Disruption. School of Architecture and Building Sciences (SABS) online (virtual) conference, JKUAT; 2021.
Koteng POG, Ralwala AO. "Assessment of Heat Stress Exposure on Construction Workers in Hot and Humid Environments during the Covid-19 Pandemic Period. .". In: (Re)Setting Built Environment Theory and Practice in a Post-pandemic World: Disrupted Buildings or Design for Disruption. School of Architecture and Building Sciences (SABS) online (virtual) conference, JKUAT; 2021.
Rwigi S, Ouma G, Ouma C, Oloo F, Wekesa S, Olang L. "Effects of rainfall variability on water availability in the drylands of Northern Kenya under a changing climate.". In: AGU Fall Meeting Abstracts.; 2021. Abstract

The availability of water in the dryland regions is a function of climatic and land conditions, which determine the amount and distribution of atmospheric water and subsequent partitioning of that water into different hydrological components. Rainfall variability in the drylands affects water, food and livelihood security in the sensitive landscapes. For effective water resource management, it is important to quantify the effect of rainfall variability on the available water resource components to support food security, given that a majority of livelihoods in the drylands are dependent on rainfall. This study assessed rainfall variability and its effects on stream flows in the dryland regions of Turkana County in Northern Kenya. The Coefficient of Variation (CV), Standardised Precipitation Anomaly (SPA) and Mann-Kendal test approaches were used to determine variability and trends of rainfall. The Soil and Water Assessment Tool (SWAT), was employed to simulate hydrological components, including surface runoff, interflow, groundwater flow and the eventual water yield in the streams. The model simulations were driven by the Climate Hazards Group InfraRed Precipitation with Station CHIRPS and the Coordinated Regional Climate Downloading Experiment CORDEX projected rainfalls to establish the current and future water availability respectively. From the results, CV values ranging from 20 to 99% were obtained indicating that the region experiences moderate to high rainfall variability, often resulting in moderate to extreme floods and droughts in the area. The model simulations indicated that the stream-flows are increasing towards the 2020s decade compared to what was flowing in the 1980s decade, as observed between 1981 and 2020 using rainfall. This is probably a result of the increased rainfall observed in this region over the las four decades. Using Representative Concentration Pathways RCP 4.5 and RCP 8.5 projected rainfall scenarios, the model indicated that future stream flows will be higher than present. The findings show that, in the face of climate change scenarios, proper land management is required to promote water and food security in the drylands of sub-Saharan Africa in the future

2022
Ngwili N, Thomas L, Githigia S, Muloi D, Marshall K, Wahome R, Roesel K. "Co-infection of pigs with Taenia solium cysticercosis and gastrointestinal parasites in Eastern and Western Uganda." Parasitology research. 2022;121(1):177-189.
Runtuwene LR, Sathirapongsasuti N, Srisawat R, Komalamisra N, Tuda JSB, EMongan A, Aboge GO. "Global research alliance in infectious disease: a collaborative effort to combat infectious diseases through dissemination of portable sequencing." BMC Research Notes . 2022;(2022) 15:44 .
R. T, M. K. "Mtazamo wa Kijumla kuhusu Ushairi wa Kiswahili Nchini Kenya: Mifano kutoka Pwani na Bara." Mwanga wa Lugha-Jarida la Kiswahili na Lugha Nyingine za Kiafrika. . 2022;7(1):19-28.
NM K, Mbuthia P G, RM W, M GS, EA K. "Pathological Lesions Associated with Cordylobia anthropophaga infestations of Dogs in Kitui County, Kenya." Hindawi Journal of Veterinary Medicine International.. 2022.
NM K, Mbuthia P G, RM W, M GS, EA K. "Prevalence, Etiology, and Risk Factors Associated with Occurrence of Canine Cutaneous Myiasis in Kitui County, Kenya." Hindawi Veterinary Medicine International. 2022;2022(5699060):9 pages https://doi.org/10.1155/2022/5699060.
Ngwili N, Thomas L, Wahome RG, Githigia S, Johnson N, Roesel K. "Stakeholders' Knowledge, Attitude, and Perceptions on the Control of Taenia solium in Kamuli and Hoima Districts, Uganda." Frontiers in Veterinary Science. 2022:363.
Ngwili N, Thomas L, Githigia S, Johnson N, Raphael Wahome KR. "Stakeholders' Knowledge, Attitude, and Perceptions on the Control of Taenia solium in Kamuli and Hoima Districts, Uganda." Frontiers in Veterinary Science. 2022:363.
Rop K, Karuku GN, Mbui D. "Synthesis and characterization of biodegradable cellulose-based polymer hydrogel.". In: Nanotechnology in Paper and Wood Engineering Fundamentals, Challenges and Applications. Amsterdam: Elsevier Radarweg 29, PO Box 211, 1000 AE Amsterdam, Netherlands The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, United Kingdom 50 Hampshire Street, 5th Floor, Cambridge, MA 02139, United States Copyright © 2022 Elsevier Inc. All rights res; 2022.
Plisnier P-D, Kayanda R, MacIntyre S, Obiero K, Okello W, Vodacek A, Cocquyt C, Abegaz H, Achieng A, Akonkwa B, Albrecht C, Balagizi C, Barasa J, Abel Bashonga R, Bashonga Bishobibiri A, Bootsma H, Borges AV, Chavula G, Dadi T, De Keyzer ELR, Doran PJ, Gabagambi N, Gatare R, Gemmell A, Getahun A, Haambiya LH, Higgins SN, Hyangya BL, Irvine K, Isumbisho M, Jonasse C, Katongo C, Katsev S, Keyombe J, Kimirei I, Kisekelwa T, Kishe M, Otoung A. Koding S, Kolding J, Kraemer BM, Limbu P, Lomodei E, Mahongo SB, Malala J, Mbabazi S, Masilya PM, McCandless M, Medard M, Migeni Ajode Z, Mrosso HD, Mudakikwa ER, Mulimbwa N'sibula, Mushagalusa Déo, Muvundja FA, Nankabirwa A, Nahimana D, Ngatunga BP, Ngochera M, Nicholson S, Nshombo M, Ntakimazi G, Nyamweya C, Ikwaput Nyeko J, Olago D, Olbamo T, O'Reilly CM, Pasche N, Phiri H, Raasakka N, Salyani A, Sibomana C, Silsbe GM, Smith S, Sterner RW, Thiery W, Tuyisenge J, Van der Knaap M, Van Steenberge M, van Zwieten PAM, Verheyen E, Wakjira M, Walakira J, Ndeo Wembo O, Lawrence T. "Need for harmonized long-term multi-lake monitoring of African Great Lakes.". 2022. AbstractWebsite

To ensure the long-term sustainable use of African Great Lakes (AGL), and to better understand the functioning of these ecosystems, authorities, managers and scientists need regularly collected scientific data and information of key environmental indicators over multi-years to make informed decisions. Monitoring is regularly conducted at some sites across AGL; while at others sites, it is rare or conducted irregularly in response to sporadic funding or short-term projects/studies. Managers and scientists working on the AGL thus often lack critical long-term data to evaluate and gauge ongoing changes. Hence, we propose a multi-lake approach to harmonize data collection modalities for better understanding of regional and global environmental impacts on AGL. Climate variability has had strong impacts on all AGL in the recent past. Although these lakes have specific characteristics, their limnological cycles show many similarities. Because different anthropogenic pressures take place at the different AGL, harmonized multi-lake monitoring will provide comparable data to address the main drivers of concern (climate versus regional anthropogenic impact). To realize harmonized long-term multi-lake monitoring, the approach will need: (1) support of a wide community of researchers and managers; (2) political goodwill towards a common goal for such monitoring; and (3) sufficient capacity (e.g., institutional, financial, human and logistic resources) for its implementation. This paper presents an assessment of the state of monitoring the AGL and possible approaches to realize a long-term, multi-lake harmonized monitoring strategy. Key parameters are proposed. The support of national and regional authorities is necessary as each AGL crosses international boundaries.

Cohen AS, Campisano CJ, Arrowsmith RJ, Asrat A, Beck CC, Behrensmeyer AK, Deino AL, Feibel CS, Foerster V, Kingston JD, Lamb HF, Lowenstein TK, Lupien RL, Muiruri V, Olago DO, Owen BR, Potts R, Russell JM, Schaebitz F, Stone JR, Trauth MH, Yost CL. "Reconstructing the Environmental Context of Human Origins in Eastern Africa Through Scientific Drilling." Annual Review of Earth and Planetary SciencesAnnual Review of Earth and Planetary Sciences. 2022. AbstractWebsite

Paleoanthropologists have long speculated about the role of environmental change in shaping human evolution in Africa. In recent years, drill cores of late Neogene lacustrine sedimentary rocks have yielded valuable high-resolution records of climatic and ecosystem change. Eastern African Rift sediments (primarily lake beds) provide an extraordinary range of data in close proximity to important fossil hominin and archaeological sites, allowing critical study of hypotheses that connect environmental history and hominin evolution. We review recent drill-core studies spanning the Plio?Pleistocene boundary (an interval of hominin diversification, including the earliest members of our genus Homo and the oldest stone tools), and the Mid?Upper Pleistocene (spanning the origin of Homo sapiens in Africa and our early technological and dispersal history). Proposed drilling of Africa's oldest lakes promises to extend such records back to the late Miocene. ?High-resolution paleoenvironmental records are critical for understanding external drivers of human evolution. ?African lake basin drill cores play a critical role in enhancing hominin paleoenvironmental records given their continuity and proximity to key paleoanthropological sites. ?The oldest African lakes have the potential to reveal a comprehensive paleoenvironmental context for the entire late Neogene history of hominin evolution. Expected final online publication date for the Annual Review of Earth and Planetary Sciences, Volume 50 is May 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.Paleoanthropologists have long speculated about the role of environmental change in shaping human evolution in Africa. In recent years, drill cores of late Neogene lacustrine sedimentary rocks have yielded valuable high-resolution records of climatic and ecosystem change. Eastern African Rift sediments (primarily lake beds) provide an extraordinary range of data in close proximity to important fossil hominin and archaeological sites, allowing critical study of hypotheses that connect environmental history and hominin evolution. We review recent drill-core studies spanning the Plio?Pleistocene boundary (an interval of hominin diversification, including the earliest members of our genus Homo and the oldest stone tools), and the Mid?Upper Pleistocene (spanning the origin of Homo sapiens in Africa and our early technological and dispersal history). Proposed drilling of Africa's oldest lakes promises to extend such records back to the late Miocene. ?High-resolution paleoenvironmental records are critical for understanding external drivers of human evolution. ?African lake basin drill cores play a critical role in enhancing hominin paleoenvironmental records given their continuity and proximity to key paleoanthropological sites. ?The oldest African lakes have the potential to reveal a comprehensive paleoenvironmental context for the entire late Neogene history of hominin evolution. Expected final online publication date for the Annual Review of Earth and Planetary Sciences, Volume 50 is May 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

Beydon N, Ferkol T, Harris AL, Colas M, Davis SD, Haarman E, Hogg C, Kilbride E, Kouis P, Kuehni CE, Latzin P, Marangu D, Marthin J, Nielsen KG, Robinson P, Rumman N, Rutter M, Walker W, Lucas JS. "An international survey on nasal nitric oxide measurement practices for the diagnosis of primary ciliary dyskinesia." ERJ Open Res. 2022;8(2). Abstract

Nasal nitric oxide (nNO) measurements are used in the assessment of patients suspected of having primary ciliary dyskinesia (PCD), but recommendations for performing such measurements have not focused on children and do not include all current practices. To guide the development of a European Respiratory Society-supported technical standard for nNO measurement in children, an international online survey was conducted to better understand current measurement practices among providers involved in PCD diagnostics. 78 professionals responded, representing 65 centres across 18 countries, mainly in Europe and North America. Nearly all centres measured nNO in children and more than half performed measurements before 5 years of age. The test was often postponed in children with signs of acute airway infection. In Europe, the electrochemical technique was more frequently used than chemiluminescence. A similar proportion of centres performed measurements during exhalation against a resistance (49 out of 65) or during tidal breathing (50 out of 65); 15 centres used only exhalation against a resistance and 15 used only tidal breathing. The cut-off values used to discriminate PCD were consistent across centres using chemiluminescence analysers; these centres reported results as an output (nL·min). Cut-off values were highly variable across centres using electrochemical devices, and nNO concentrations were typically reported as ppb. This survey is the first to determine real-world use of nNO measurements globally and revealed remarkable variability in methodology, equipment and interpretation. These findings will help standardise methods and training.

Allen LN, Mackinnon S, Gordon I, Blane D, Marques AP, Gichuhi S, Mwangi A, Burton MJ, Bolster N, Macleod D, Kim M, Ramke J, Bastawrous A. "Performance and resource requirements of in-person versus voice call versus automated telephone-based socioeconomic data collection modalities for community-based health programmes: a systematic review protocol." BMJ Open. 2022;12(4):e057410. AbstractWebsite

Introduction: Gathering data on socioeconomic status (SES) is a prerequisite for any health programme that aims to assess and improve the equitable distribution of its outcomes. Many different modalities can be used to collect SES data, ranging from (1) face-to-face elicitation, to (2) telephone-administered questionnaires, to (3) automated text message-based systems. The relative costs and perceived benefits to patients and providers of these different data collection approaches is unknown. This protocol is for a systematic review that aims to compare the resource requirements, performance characteristics, and acceptability to participants and service providers of these three approaches to collect SES data from those enrolled in health programmes.

Methods and analysis: An information specialist will conduct searches on the Cochrane Library, MEDLINE, Embase, Global Health, ClinicalTrials.gov, the WHO ICTRP and OpenGrey. All databases will be searched from 1999 to present with no language limits used. We will also search Google Scholar and check the reference lists of relevant articles for further potentially eligible studies. Any empirical study design will be eligible if it compares two or more modalities to elicit SES data from the following three; in-person, voice call, or automated phone-based systems. Two reviewers will independently screen titles, abstracts and full-text articles; and complete data extraction. For each study, we will extract data on the modality characteristics, primary outcomes (response rate and equivalence) and secondary outcomes (time, costs and acceptability to patients and providers). We will synthesise findings thematically without meta-analysis.

Ethics and dissemination: Ethical approval is not required, as our review will include published and publicly accessible data. This review is part of a project to improve equitable access to eye care services in low-ioncome and middle-income countries. However, the findings will be useful to policy-makers and programme managers in a range of health settings and non-health settings. We will publish our findings in a peer-reviewed journal and develop an accessible summary of results for website posting and stakeholder meetings.

Prospero registration number: CRD42021251959.

Ramke J, Evans JR, Habtamu E, Mwangi N, Silva JC, Swenor BK, Congdon N, Faal HB, Foster A, Friedman DS, Gichuhi S, Jonas JB, Khaw PT, Kyari F, Murthy GVS, Wang N, Wong TY, Wormald R, Yusufu M, Taylor H, Resnikoff S, West SK, Burton MJ. "Grand Challenges in global eye health: a global prioritisation process using Delphi method." Lancet Healthy Longev. 2022;3(1):e31-e41. AbstractWebsite

Background: We undertook a Grand Challenges in Global Eye Health prioritisation exercise to identify the key issues that must be addressed to improve eye health in the context of an ageing population, to eliminate persistent inequities in health-care access, and to mitigate widespread resource limitations.

Methods: Drawing on methods used in previous Grand Challenges studies, we used a multi-step recruitment strategy to assemble a diverse panel of individuals from a range of disciplines relevant to global eye health from all regions globally to participate in a three-round, online, Delphi-like, prioritisation process to nominate and rank challenges in global eye health. Through this process, we developed both global and regional priority lists.

Findings: Between Sept 1 and Dec 12, 2019, 470 individuals complete round 1 of the process, of whom 336 completed all three rounds (round 2 between Feb 26 and March 18, 2020, and round 3 between April 2 and April 25, 2020) 156 (46%) of 336 were women, 180 (54%) were men. The proportion of participants who worked in each region ranged from 104 (31%) in sub-Saharan Africa to 21 (6%) in central Europe, eastern Europe, and in central Asia. Of 85 unique challenges identified after round 1, 16 challenges were prioritised at the global level; six focused on detection and treatment of conditions (cataract, refractive error, glaucoma, diabetic retinopathy, services for children and screening for early detection), two focused on addressing shortages in human resource capacity, five on other health service and policy factors (including strengthening policies, integration, health information systems, and budget allocation), and three on improving access to care and promoting equity.

Interpretation: This list of Grand Challenges serves as a starting point for immediate action by funders to guide investment in research and innovation in eye health. It challenges researchers, clinicians, and policy makers to build collaborations to address specific challenges.

Vannevel V, Vogel JP, Pattinson RC, Adanu R, Charantimath U, Goudar SS, Gwako G, Kavi A, Maya E, Osoti A, Pujar Y, Qureshi ZP, Rulisa S, Botha T, Oladapo OT. "Antenatal Doppler screening for fetuses at risk of adverse outcomes: a multicountry cohort study of the prevalence of abnormal resistance index in low-risk pregnant women." BMJ Open. 2022;12(3):e053622. Abstract

Few interventions exist to address the high burden of stillbirths in apparently healthy pregnant women in low- and middle-income countries (LMICs). To establish whether a trial on the impact of routine Doppler screening in a low-risk obstetric population is warranted, we determined the prevalence of abnormal fetal umbilical artery resistance indices among low-risk pregnant women using a low-cost Doppler device in five LMICs.

In Press
Submitted
Rylander F, Peng B, Wheeler J. "Bike Share Usage Prediction in London.". Submitted. Abstract
n/a
BIRIR JK, GATARI MJ, RAJAGOPAL P, MUIA ML. "Improved Resolution in Guided Wave Testing." pdfs.semanticscholar.org. Submitted. AbstractWebsite

Guided wave technology is today widely used for long range ultrasonic testing, especially for pipeline, tank floor and rail track condition monitoring. In pipeline inspection for instance guided wave testing (GWT) offers advantages over other mainstream technologies such as …

RAI MRVYASYASHWANT. "Residual Red Soils of Kenya as construction materials For earthen Dams and Embankments.". In: Conference on Materials for Dams.; Submitted. Abstract
n/a
{Capdevielle-Dulac MZ, Balliau T, Ru BL, Kaiser-Arnauld L, Juma G, Maina E, Calatayud P-A. "The use of salivary $\alpha$-amylase as an evolutionary solution to host selection in parasitoids 2.". Submitted. Abstract
n/a
Rego AB. "The Kenyan Experience in Environmental Education." The Kenyan Experience in Environmental Education. Submitted.
Plasman, M., Tiberi, C., Ebinger, C., Albaric, J., Peyrat, S., Déverchère, J., Le Gall, B., Tarits, P., Roecker, S., Wambura, R. MMAG, Wambura, R. MMAG, Wambura, R. MMAG, Mtelela, K. MKHPGMGS, Msabi, M. KHPGGSJ. "Lithospheric low-velocity zones associated with a magmatic segment of the Tanzanian Rift, East Africa." Geophyscical Journal International. Submitted.
Weinstein, A. EORTALWAGMCSS, Ebinger, C. ORTALWAGMSSC, Oliva, S. RTALWAGMSCM, Roecker, S. TALWAGMCMC, Tiberi, C. ALWAGMMCE, Aman, M. LWAGMCEJ, Lambert, C. WAGMEJS, Witkin, E. AGMJS, Albaric, J. GMS, Gautier, S. M, Muzuka, A. MKHI-KMFPMRGGR, Mulibo, G. KG, Kianji, G., Hadfield, R. I-KMFPMRFMR, Illsley-Kemp, F. MFPMRMRS, Msabi, M. FPMRRSJ, Ferdinand, R. PMRSJ, Peyrat, S. MRJ, Muirhead, J. R, Rodzianko, A., Fischer T. "Magmatic Co2 assisted rifitng in East Africa : seismicity of the Magadi-Natron-Manyara basins, Africa. Submitted to Tectonics." tectonics. Submitted.
Rintaugu EG, Ngetich EDK. "Motivational gender differences in sport and exercise participation among university sport science students." Journal of Physical Education and Sport (JPES) . Submitted;12(2):180-187.
Monyonko NM, Reid JH. "One-loop vacuum polarization in the nonlinear Re gauge." Physical Review D. Submitted;32(Number 4):962-967.
Rajab JA. The role of trephine needle bone marrow biopsy in the evaluation of various haematological and non-haematological diseases At Kenyatta National Hospital, Nairobi.; Submitted. Abstract

This is a descriptive retrospective and prospective
study of 101 patients admitted to Kenyatta National Hospital
(KNH) between 1st October, 1985 and 30th January, 1990 and
had bone marrow examination done by aspiration and trephine
needle biopsy. At KNH trephine needle bone marrow (TNBM)
biopsy has been performed over the years when aspiration
results in 'dry tap'. It is only available for the use by a
few specialists (haematologists) and it is rarely performed
in staging malignant lymphomas or as a routine diagnostic
technique in various other diseases. The study was done to
evaluate the role of the technique in patient care at this
hospital. The relevant data and the diagnostic outcome of
50 patients admitted to the hospital between 1st October,
1985 and 30th June, 1989 were collected retrospectively.
Trephine needle biopsies were performed by the investigator
on 51 patients during the last 7 months of the study. Data
collected included: the age and sex, the indications for
bone biopsy, the quality of the specimen, the reporting
format and the final diagnosis on the trephine biopsies.
The 101 patients studied were between 2 and 75 years of
age. The mean age was 23.9 years. There were 62 males and
39 females. A 'dry tap' aspirate, the commonest indication
for TNBM biopsy was reported in 37 (36.6%) cases. In twelve
cases, the aspirate and needle biopsy were performed at the
same time using the same needle. Ten of these were in the
staging of malignant lymphomas. Good or satisfactory
specimens were obtained in at least 86% of the biopsies

performed. Aplastic anaemia, the commonest abnormality
detected was found in 28 (27.7%) of the patients studied. A
review of the reporting format showed that in only 20% cases
in the retrospective study was a full report of the biopsy
given by the haematologist.
This study shows that TNBM biopsy is a simple and safe
procedure yielding a good or satisfactory specimen in most

instances. The biopsy will most likely provide a diagnosis
when bone marrow aspirate fails due to 'dry tap' or scanty
yield. The procedure may be of value in routine
investigation of various diseases such as aplastic anaemia
and in staging of malignant lymphomas although larger
studies need to be done in this area (only ten cases in this
study). A standard format should be formulated and adhered
to by haematologists and pathologists reporting on the TNBM
biopsies in this hospital.

Monyonko NM, Reid JH, Sen A. "SOME PROPERTIES OF GREEN'S FUNCTIONS IN THE NON LINEAR R GAUGE." Physics Letters. Submitted;136B(Number 4):265-268.
Forthcoming
R M, L.K O, J.O M, V M. "Cytotoxicity of principles from Bridelia micrantha.". Forthcoming.
Rinkanya AN. "Fifty years of female short story in Kenya ." Nairobi Journal of Literature. Forthcoming.
Bailasha NK, Nteere JS, Rintaugu EG, Wanderi PM. Motivation orientation in sports - A study of athletes in Kenya .; Forthcoming.
R A, K R. Nur Islamic Religious Education Learner’s Book, Grade seven. Nairobi: Chance publishers Ltd; Forthcoming.
R A, K R. Nur Islamic Religious Education Teacher’s Guide, Grade Four. Nairobi: Chance publishers Ltd; Forthcoming.
R A, K R. Nur Islamic Religious Education Teacher’s Guide, Grade Four. Nairobi: Chance publishers Ltd; Forthcoming.
R A, K R. Nur Islamic Religious Education Teacher’s Guide, Grade seven. Nairobi: Chance publishers Ltd; Forthcoming.

UoN Websites Search