Faculty of Health Sciences (FHS): Recent submissions

Now showing items 9861-9880 of 10418

    • Orthopaedics in day surgery 

      Mulimba, J A O (University Of NairobiDepartment of Orthopaedic Surgery, College of Health Sciences, University of Nairobi, 2009-01)
      Background: Day surgery is now well established worldwide, but is just being established in Africa. In this paper is examined the efficacy of day care surgery in Orthopaedics. Setting up of the units and types of units ...

    • Orthopaedic training in Kenya 

      Mulimba, J A O (Department of Orthopaedic Surgery, college of Health Science, university of Nairobi., 2010-03)
      Background: Orthopaedic training in Kenya, like in other East, Central and Southern Africa college of surgeons (COSECSA) countries is varied leading to specialists with varying exposures and competencies. The experience ...

    • Evaluation of a portable blood lead analyzer as an alternative to graphite furnace atomic absorption spectrophotometer 

      Olewe, Tom M.; Mwanthi, Mutuku A; Wang'ombe, Joseph K.; Griffiths, Jeffrey K. (Department of Community Health, School of Medicine, University of Nairobi, Kenya;Department of Public Health and Family Medicine, Tufts University, Boston, MA, USA, 2008)
      Objective: To evaluate LeadCare II analyzer, a portable electro-analytical instrument used to rapidly analyze blood lead levels (BLL) in children, and compare it to gold standard, graphite furnace atomic absorption ...

    • Pediatric HIV-1 in Kenya:pattern and correlates of viral load and association with mortality 

      Obimbo, Elizabeth Maleche; Wamalwa, Dalton; Richardson, Barbra; Mbori-Ngacha, DA; Overbaugh, Julie; Emery, Sandra; Otieno, Phelgona; Farquhar, Carey; Bosire, Rose; Payne, Barbara Lohman; John-Stewart, Grace (Departments of Pediatrics, University of Nairobi, Niarobi, Kenya, 2009)
      Background—There is limited information regarding the pattern and correlates of viral replication in vertically HIV-1–infected children and its role on their outcomes in resource-limited settings. Methods—HIV-1–infected ...

    • Community home-based care in resource-limited settings a framework for action 

      Hirschfeld, Miriam; Lindsey, Elizabeth; Ngugi, Elizabeth N; Kimani, Violet; Mwanthi, Mutuku; Olenja, Joyce; Pigott, William; Messervy, Pamela; Mudongo, Kyle; Ncube, Eiphraim; Rantona, Koketso; Bale, Sewa; Limtragool, Prayong; Nunthachaipun, Pikul (Faculty of Nursing, University of Chiang MaiUniversity of Victoria, BC, CanadaUniversity of BotswanaNoncommunicable Diseases and Mental Health (NMH), WHO, Geneva, SwitzerlandUniversity of Nairobi, 2002)
      COMMUNITY HOME-BASED CARE IN RESOURCE-LIMITED SETIINGS EXECUTIVE SUMMARY 6 his document provides a systematic framework for establishing and maintaining community home-based care (CRBC) in resource-limited settings ...

    • Costing resource gaps for the delivery of minimum essential health services package in the coast province, Kenya 

      Mugo, Mercy G.; Wang'ombe, Joseph K. (2009)
      Objective: The study aims to determine the resource gaps in the delivery of MEHSP at the district health system. Design: Cross sectional survey. Setting: District health system, Coast Province, Kenya. Subjects: A sample ...

    • Limb Saving Management in Osteosarcoma in Developing African Countries 

      Mulimba, J A O (University Of NairobiDepartment of Orthopaedic Surgery, College of Health Sciences, University of Nairobi, 2008-03)
      Osteosarcoma is still quite common in african countries. The disease which involves mostly poorer members of the community presents late. Treatment has been by amputation, chemotherapy and radiotherapy where amputation is ...

    • Cost and cost-effectiveness of increased community and primary care facility involvement in tuberculosis care in Machakos District, Kenya 

      Nganda, B; Wang'ombe, J; Floyd, K; Kangangi, J (Department of Economics, University of NairobiDepartment of Community Health, University of Nairobi,, 2003)
      To assess the cost and cost-effectiveness of new treatment strategies for tuberculosis patients, involving decentralisation of care from hospitals to peripheral health units and the community, compared to the conventional ...

    • Risk factors for neonatal conjunctivitis in babies of HIV-1 infected mothers 

      Gichuhi, Stephen; Bosire, Rose; Mbori-Ngacha, DA; Gichuhi, Christine; Wamalwa, Dalton; Maleche-Obimbo, Elizabeth; Farquhar, Carey; Wariua, Grace; Otieno, Phelgona; John-Stewart, Grace C. (Pharmacology and Therapeutics, University of Nairobi, Kenya, 2009)
      Purpose—To determine the prevalence and correlates of neonatal conjunctivitis in infants born to human immunodeficiency virus type 1 (HIV-1) infected mothers. Methods—This was a nested case-control study within a perinatal ...

    • Intramedullary interlocking nailing fixation for forearm fractures: Kenyan experience: Initial report 

      Gakuu, I O; Mulimba, J A O (Department of Orthopaedic Surgery, College of Health Sciences, University of Nairobi, 2008-06)
      Objective: To evaluate treatment results of intramedullary fixation of radius and ulna diaphyseal fractures using interlocking nailing - system locked proximaly and distally by screws. Methodology: Between December ...

    • Infection with methicillin resistant staphylococcus aureus: Case report 

      Mulimba, J A O (University Of NairobiDepartment of Orthopaedic Surgery, College of Health Sciences, University of Nairobi, 2008-06)
      Infection in surgery causes delay in wound healing, increased suffering to the patient and increases cost of treatment. In developed countries, because of very good facilities, infection has been cut down to 0.5-5%. The ...

    • Cost and cost-effectiveness of increased community and primary care facility involvement in tuberculosis care in Machakos District, Kenya 

      Nganda, B.; Wang'ombe, J.; Floyd, K.; Kangangi, J. (Department of Economics, University of NairobiDepartment of Community Health, University of Nairobi, 2003)
      To assess the cost and cost-effectiveness of new treatment strategies for tuberculosis patients, involving decentralisation of care from hospitals to peripheral health units and the community, compared to the conventional ...

    • Groin flaps in closure of multiple defects - series presentaion 

      Khainga, S O; Mutiso, V M; Mulimba, J A O; Gakuu, L N (University Of NairobiDepartment of Orthopaedic Surgery, college of Health Science, university of Nairobi., 2008-06)
      Background: Upper limb injuries are common and are sometimes associated with extensive soft tissue loss. Tissue loss from trauma presents with challenges in management with regard to reconstructive surgery. This usually ...

    • Comparison of CD4 Cell Count, Viral Load, and other markers for the prediction of mortality among HIV-1–Infected Kenyan pregnant women 

      Brown, Elizabeth R.; Otieno, Phelgona; Mbori-Ngacha, DA; Farquhar, Carey; Obimbo, Elizabeth M.; Nduati, RW; Overbaugh, Julie; John-Stewart, Grace C. (Department of Pediatrics, University of Nairobi, Nairobi, Kenya, 2009)
      Background. There are limited data regarding the relative merits of biomarkers as predictors of mortality or time to initiation of antiretroviral therapy (ART). Methods. We evaluated the usefulness of the CD4 cell count, ...

    • Child nutritional status and maternal factors in an urban slum in Nairobi, Kenya 

      Thuita, F.M; Mwadime, R.K.N; Wang'ombe, J.K (Department of Community Health. College of Health Sciences, University of Nairobi, 2005)
      Objective: To assess the relationship between maternal factors and child nutritional status among children aged 6-36 months. Design: Cross sectional descriptive survey. Setting: Urban slum settlement in Nairobi, Kenya. ...

    • Business responses to HIV / AIDS in the African formal sector workplace: 

      Roberts, Matthew; Wang'ombe, Joseph; Forsythe, Steven (2005)
      As the rising human cost of AIDS becomes increasingly visible in African countries, policy makers are giving more attention to the impact of the epidemic on socioeconomic development. Kenya's 1994-1996 National Development ...

    • Attempts to coordinate the work of traditional and modern doctors in nairobi in 1980 

      Kimani, Violet Nyambura (Pargamon Press LtdDepartment or Community Health. University or Nairobi, 1981)
      Abstract This brief report of an ongoing official effort to coordinate medical pluralism speaks directly to the issues of this section: the application of cultural analysis to medical practice and planning.

    • Blood lead levels and potential environmental exposures among children under five years in kibera slums, Nairobi 

      Olewe, Tom M.; Mwanthi, Mutuku A.; Wang'ombe, Joseph K.; Griffiths, Jeffrey K. (2009)
      Lead exposure has been associated with intellectual impairment in children in a number of international studies. Prevalence of elevated blood lead levels (eBLL >10ug/dL) of between 5 - 15% has been reported among in Nairobi ...

    • Infants with late breast milk acquisition of HIV-1 generate interferon-gamma responses more rapidly than infants with early peripartum acquisition 

      Lohman-Payne, B; Slyker, J. A.; Richardson, BA; Farquhar, C; Majiwa, M.; Maleche-Obimbo, E; Mbori-Ngacha, DA; Overbaugh, J; Rowland-Jones, S; John-Stewart†, G (Department of Paediatrics, University of Nairobi, 2009)
      Infants infected with HIV-1 after the first month of life have a lower viral set-point and slower disease progression than infants infected before 1 month. We investigated the kinetics of HIV-1-specific CD8+ T ...

    • Black market trade: 

      Mwabu, Germano; wang'ombe, Joseph (Department of Economics, Kenyatta UniversityDepartment of Community Health, College of Health Sciences, University of Nairobi, 1995)
      Provision of mortuary services free of char ge in a government hospital in rural Kenya is found to have led to a black market trade in these services. The principal participants in the market were the mortuary attendants ...