School of Medicine: Recent submissions
Now showing items 381-400 of 560
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Maternal and neonatal outcomes after caesarean delivery in the African Surgical Outcomes Study: a 7-day prospective observational cohort study
(Elsevier, 2019-04-01)Background Maternal and neonatal mortality is high in Africa, but few large, prospective studies have been done to investigate the risk factors associated with these poor maternal and neonatal outcomes. Methods A 7-day, ... -
Adult Wilms Tumour in pregnancy
(AJOL, 2020)Wilms’ tumor (nephroblastoma) is the most common primary renal malignancy in children, with a peak presentation in the ages 3-4 years. Wilms’ tumor is extremely rare in adults with around 300 cases described in literature. ... -
An analysis of pregnancy-related mortality in the KEMRI/CDC health and demographic surveillance system in western Kenya
(Public Library of Science, 2013-07-16)Background Pregnancy-related (PR) deaths are often a result of direct obstetric complications occurring at childbirth. Methods and Findings To estimate the burden of and characterize risk factors for PR mortality, we ... -
Adolescent schoolgirls' experiences of menstrual cups and pads in rural western Kenya: a qualitative study
(Practical Action Publishing, 2015-01-01)Poor menstrual hygiene management (MHM) among schoolgirls in low-income countries affects girls' dignity, self-esteem, and schooling. Hygienic, effective, and sustainable menstrual products are required. A randomized ... -
Menstrual cups and sanitary pads to reduce school attrition, and sexually transmitted and reproductive tract infections: a cluster randomised controlled feasibility study in …
(British Medical Journal Publishing Group, 2016-11-01)Objectives Conduct a feasibility study on the effect of menstrual hygiene on schoolgirls9 school and health (reproductive/sexual) outcomes. Design 3-arm single-site open cluster randomised controlled pilot study. Setting 30 ... -
Examining the safety of menstrual cups among rural primary school girls in western Kenya: observational studies nested in a randomised controlled feasibility study
(British Medical Journal Publishing Group, 2017-04-01)Objective Examine the safety of menstrual cups against sanitary pads and usual practice in Kenyan schoolgirls. Design Observational studies nested in a cluster randomised controlled feasibility study. Setting 30 primary ... -
Lay health worker experiences administering a multi-level combination intervention to improve PMTCT retention
(BioMed Central, 2018-12)The recent scale-up of prevention of mother-to-child transmission of HIV (PMTCT) services has rapidly accelerated antiretroviral therapy (ART) uptake among pregnant and postpartum women in sub-Saharan Africa. The Mother ... -
Use of menstrual cups among school girls: longitudinal observations nested in a randomised controlled feasibility study in rural western Kenya
(BioMed Central, 2018-12-01)Background A menstrual cup can be a good solution for menstrual hygiene management in economically challenged settings. As part of a pilot study we assessed uptake and maintenance of cup use among young school girls in ... -
Safety and Acceptability of Thermal Ablation for Treatment of Human Papillomavirus Among Women Living With HIV in Western Kenya
(American Society of Clinical Oncology, 2020-07)PURPOSE The WHO now recommends thermal ablation as an alternative to cryotherapy within “screen-and-treat” cervical cancer programs in low- and middle-income countries (LMICs). We conducted a safety and acceptability ... -
Utilization of Herbal Medicines among Diabetic Patients Attending Kenyatta National Hospital Outpatient Clinic
(Journal of Complementary and Alternative Medical Research, 2017-06-15)World Health Organization has estimated that 70-90 % of Africa’s population still relies on herbal remedies in order to meet their healthcare needs. Although the role of herbal medicines in the management of diabetes is ... -
An assessment of facility-based care of diabetes, hypertension, and heart failure across western Kenya
(Kenya Medical Association, 2018)Low- and middle- income countries account for three-fourths of the global non- communicable disease related mortality. In response to the increasing number of non- communicable disease diagnoses in Kenya, the government ... -
Wound dressing techniques and costs at a county hospital
(The Surgical Society of Kenya, 2019)Wound management is one of the commonest procedures conducted in surgical departments across health facilities in Kenya. -
Hemifacial spasm: case report
(Kenya Medical Association, 2006-07)A 53 year old lady with diabetes mellitus presented with right hemi-facial spasm (HFS). Brain MRI Scan revealed extensive pan-sinusitis and mild bilateral mastoiditis. She responded well to intravenous ceftriaxone therapy ... -
STROKE IN HIV/AIDS
(International Journal of Stroke, 2006-11)Background: Asymptomatic cognitive impairment in human immunodeficiency virus (HIV)-infected patients has recently been recognised as part of HIV-associated neurocognitive disorders. This has been implicated as one of the ... -
Osmotic demyelination syndrom: case report
(East African Medical Journal, 2007)We present a 40 year old man who was admitted to the hospital with convulsions. His final diagnosis was osmotic demyelination syndrome (ODS). We discuss the diagnostic and management challenges and the possible complications ... -
Clinical and laboratory characteristics of hospitalised patients with neurological manifestations of HIV/AIDS at the Nairobi hospital
(East African Medical Journal, 2007)Objective: To determine the profile of clinical and laboratory characteristics of hospitalised HIV positive patients with neurological complications at a private hospital in Nairobi, Kenya from Ianuary 2000 to June ... -
Pathological sub-types, risk factors and outcome of stroke at the Nairobi Hospital, Kenya
(East African medical journal, 2008)Background: Stroke is one of the most common causes of morbidity and mortality the world over. Established risk factors such as arterial hypertension, diabetes mellitus, cigarette smoking, hyper-lipidaemia, micro-vascular ... -
Primary cerebral angitis of the central nervous
(East African medical journal, 2008)We report a case of a 28 year old female who presented with variedly progressive stroke like illness and raised intracranial pressure. Brain MRI scans revealed pericallosal and periventricular hyperintensities with oedema. ... -
A review of electroencephlagrams done at the Kenyatta National Hospital, Nairobi
(East African Medical Journal, 2008-06-11)Background: Electroencephalogram based studies done elsewhere suggest that epileptiform activity originates predominantly from the left cortical hemisphere. There is evidence that partial epilepsies (focal spike and wave ... -
NATIONAL HOSPITAL, NAIROBI
(EAsT AFRICAN MEDICAL JOURNAL, 2008-02)Background: Electroencephalogram based studies done elsewhere suggest that epileptiform activity originates predominantly from the left cortical hemisphere. Thereis evidence that partial epilepsies (focal spike and wave ...