8,012 results match your criteria East African Medical Journal [Journal]


ASSESSMENT OF THE KNOWLEDGE AND PRACTICES OF EXCLUSIVE BREASTFEEDING AMONGST THE BREASTFEEDING MOTHERS IN ADJUMANI DISTRICT, WEST NILE.

East Afr Med J 2016 Nov;93(11):576-581

Faculty of Medicine, Gulu University.

Background: Despite national policy guidelines advocating exclusive breastfeeding for the first six months of life to promote and accelerate child survival, the proportion of women exclusively breastfeeding for the first six months has remained small.

Objective: To describe the knowledge and practices of mothers regarding exclusive breastfeeding in a semi-urban Ugandan population.

Design: A descriptive cross-sectional study. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5945216PMC
November 2016
2 Reads

The Gender Context of HIV Risk and Pregnancy Goals in Western Kenya.

East Afr Med J 2015;92(4):163-169

University of Nairobi, Nairobi, Kenya.

Background: Intentional childbearing may place heterosexual couples at risk of HIV infection in resource-limited settings with high HIV prevalence areas where society places great value on having children.

Objective: To explore cognitive, cultural, and spatial mapping of sexual and reproductive health domains and services in western Kenya among men and women.

Design: Community-based formative qualitative study design. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4709033PMC
January 2015
12 Reads

SCALING UP NON-COMMUNICABLE DISEASE CONTROL: LESSONS TO BE LEARNT FROM THE INFECTIOUS DISEASE PARADIGM IN KENYA.

East Afr Med J 2015 Dec;92(12):608-611

University of Nairobi, School of Dentistry, Department of Preventive and Community Dentistry.

Non-communicable diseases (NCD) are emerging as the leading cause of morbidity & mortality globally, with the greatest rise in incidence of cardiovascular disease cases observed in Sub-Saharan Africa. This is in addition to the heavy burden of infectious diseases already present in this setting. Describing the cross-cutting epidemiology of NCDs and infectious diseases with focus on the interaction between tuberculosis and diabetes mellitus, HIV and cardiovascular disease, HIV and cervical cancer as well as assessing the disparities in funding and service delivery systems between NCDs and infectious diseases; we review this rising double burden of infectious and non-infectious diseases and propose four lessons that can be learnt from the HIV response and adapted to inform the scale up of NCD control in Kenya which are also applicable in other African countries. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5554602PMC
December 2015
2 Reads

ANTIBIOTIC SUSCEPTIBILITY OF ORGANISMS CAUSING URINARY TRACT INFECTION IN PATIENTS PRESENTING AT KENYATTA NATIONAL HOSPITAL, NAIROBI.

East Afr Med J 2015 Jul;92(7):333-337

Department of Epidemiology, University of Alabama in Birmingham School of Public Health, 1665 University Blvd, Birmingham, Alabama, United States.

Background: Changes in susceptibility patterns of bacterial pathogens isolated from urinary tract infections emphasize the need for regional surveillance to generate information that can be used in management of patients. Knowledge on the current status of antimicrobial resistance in uropathogens, and the prevalence of expanding spectrum beta-lactamases (ESBLs) in the isolates will guide policy formulations and encourage prudent use of antimicrobials.

Objective: Identify bacterial pathogens causing UTI and determine the association between the pathogens isolated from patients attending KNH. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5111625PMC
July 2015
2 Reads

MORTALITY AFTER CLINICAL MANAGEMENT OF AIDS-ASSOCIATED CRYPTOCOCCAL MENINGITIS IN KENYA.

East Afr Med J 2014 May;91(5):145-51

Background: Cryptococcal meningitis (CM) is an increasingly prevalent infection among HIV/AIDS patients and is becoming a leading cause of morbidity and mortality in Africa. The short-term prognosis and management of patients with CM may be improved by identifying factors leading to mortality in patients with CM.

Objective: To assess the clinical management and mortality associated with cryptococcal meningitis (CM) in patients with acquired immunodeficiency syndrome (AIDS) in Kenya. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4324694PMC
May 2014
4 Reads

OBSTACLES TO FAMILY PLANNING USE AMONG RURAL WOMEN IN ATIAK HEALTH CENTER IV, AMURU DISTRICT, NORTHERN UGANDA.

East Afr Med J 2015;92(8):394-400

Department of Reproductive Health, Faculty of Medicine, Gulu University, P.O. BOX 166, Gulu-Uganda.

Background: Uganda's rapid population growth (3.2%) since 1948 has placed more demands on health sector and lowered living standard of Ugandans resulting into 49% of people living in acute poverty especially in post conflict Northern Uganda. The population rise was due to low use of contraceptive methods (21% in rural areas and 43% in urban areas) and coupled with high unmet need for family planning (41%). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4834556PMC
January 2015
13 Reads

THE CHALLENGES OF A PROSTATECTOMY IN RURAL AFRICA.

Authors:
G Gaido C Lanza

East Afr Med J 2014 Dec;91(12):479-80

Delayed complications of an established surgical procedure like transvescical prostatectomy can occur in rural settings, where different factors can influence the outcome, beyond appropriate indication for surgery and technical skills of surgeons. Here we present a case that was per se surgically unremarkable, however a number of delayed omplications appeared in the post operative period, including infectious, neurologic, metabolic, hematologic ones, beyond purely post-surgery complications. Read More

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December 2014
3 Reads

FUNCTIONAL BLINDNESS: INSURANCE FRAUD IN A CASE REPORT.

Authors:
P W Atipo-Tsiba

East Afr Med J 2014 Dec;91(12):477-8

The insurance fraud is a known phenomenon and old in rich countries. The problem is relatively new in black Africa. Thanks to the installation of private companies and the emergence of social security fund, this phenomenon tends to grow without having precise figures. Read More

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December 2014
4 Reads

COMPARATIVE STUDY ON THE LEVEL OF BACTERIOLOGICAL CONTAMINATION OF AUTOMATIC TELLER MACHINES, PUBLIC TOILETS AND PUBLIC TRANSPORT COMMERCIAL MOTORCYCLE CRASH HELMETS IN KIGALI CITY, RWANDA.

East Afr Med J 2014 Dec;91(12):467-76

Background: The environments can be contaminated by infectious agents that constitute a major health hazards as sources of community and hospital-acquired infections due to various activities.

Objective: A comparative study on the level of bacteriological contamination of automatic teller machines (ATMs), public toilets and commercial motorcycle crash helmets were conducted in Kigali city during the period of January to March, 2013.

Design: Samples were collected from selected ATMs, public toilets and commercial motorcycle crash helmets surfaces. Read More

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December 2014
7 Reads

THE UPTAKE OF MODERN CONTRACEPTIVES AMONG WOMEN OF REPRODUCTIVE AGE ATTENDING MATERNAL CHILD HEALTH AND FAMILY PLANNING (MCH/FP) CLINICS.

East Afr Med J 2014 Dec;91(12):457-66

Objective: To determine the uptake ana factors associated with the uptake of modern contraceptives among women of reproductive age (15-49 years) attending Maternal Child Health and Family Planning Clinics/Units in Rift Valley Provincial Hospital in Kenya.

Design: A descriptive cross-sectional study.

Setting: Rift Valley Provincial hospital which is a level five health facility situated in Nakuru County, Kenya. Read More

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December 2014
2 Reads

THE EFFECT OF TWO LEVELS OF COUNSELLING ON ACCEPTANCE, UPTAKE AND EARLY OUTCOMES OF POST-PLACENTAL INTRA-UTERINE CONTRACEPTIVE DEVICE.

East Afr Med J 2014 Dec;91(12):449-56

Objective: To determine the effect of two levels of counselling on the provision of Intrauterine Contraceptive Device (IUCD) at six weeks post-partum of the post-placental intrauterine device.

Setting: Embu Provincial General Hospital, Kenya.

Subjects: One hundred and thirty seven pregnant women at the gestation of 36 weeks to term, who attended Antenatal clinic and were followed until delivery and at six weeks post-partum. Read More

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December 2014
3 Reads

EFFICACY OF ANTIMICROBIAL ACTIVITY OF GARLIC EXTRACTS ON BACTERIAL PATHOGENS COMMONLY FOUND TO CONTAMINATE MEAT.

East Afr Med J 2014 Dec;91(12):442-8

Background: Meat is amajor source of food and raw materials for a number of industries, yet a lot of meat is wasted each year due to deterioration as a result of spoilage by microorganisms such as Pseudomonas, Acinetobacter, Moraxella, Bacillus, Campylobacter, Escherichia, Listeria, Clostridium, Salmonella and Staphylococcus species.

Objective: To determine efficacy of antimicrobial activity of garlic extracts on bacterial pathogens commonly found to contaminate meat.

Design: A cross sectional study. Read More

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December 2014
2 Reads

BLOOD TRANSFUSION IN CRITICALLY ILL PATIENTS IN AN INTENSIVE CARE UNIT OF A TERTIARY HOSPITAL IN NIGERIA.

East Afr Med J 2014 Dec;91(12):435-41

Objective: To evaluate the use of whole blood and blood products in our ICU to determine patterns and outcome after transfusion.

Design: A retrospective, case-control study.

Setting: The Intensive care unit (ICU) of the University of Benin Teaching Hospital, a seven-bed open unit for the management of surgical, medical and paediatric patients. Read More

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December 2014
2 Reads

PATTERN OF ANORECTAL MALFORMATIONS AND EARLY OUTCOMES OF MANAGEMENT AT MOI TEACHING AND REFERRAL HOSPITAL ELDORET-KENYA.

East Afr Med J 2014 Dec;91(12):430-4

Unlabelled: Objectives: To describe the anatomical sub-types of Anorectal malformations, their management and the early outcome at Moi Teaching and Referral Hospital (MTRH) over a 16 month period. Design: A prospective study.

Setting: MTRH, in the neonatal Unit and paediatric surgical wards for theinitial capture of patients and initial follow up. Read More

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December 2014
3 Reads

AN UNUSUAL CASE OF RECTAL FOREIGN BODY: CASE REPORT.

East Afr Med J 2014 Nov;91(11):427-9

Foreign bodies within the rectum are an infrequent occurrence with a wide variety of objects either inserted or swallowed. Many techniques of removal have been described to remove these objects in case series mainly in developed countries. We report a case of unusually large rectal foreign body we managed by sigmoidotomy with primary closure. Read More

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November 2014
5 Reads

ATYPICAL TUBERCULOSIS PRESENTING WITH PRIMARY INFERTILITY AND ENDOMETRIAL CALCIFICATION.

East Afr Med J 2014 Nov;91(11):423-6

Tuberculosis (TB) is caused by mycobacterium tuberculosis. It remains a public health concern especially in developing country. Pulmonary infection is the main presentation. Read More

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November 2014
3 Reads

A STUDY OF SOME MORPHOGENETIC TRAITS AMONG THE ESAN ETHNIC GROUP OF NIGERIA.

East Afr Med J 2014 Nov;91(11):420-2

Background: Genetic variability is a common feature of many organisms. The existence of genetic variation in man is caused by many factors along with selection, migration, gene flow and genetic drift. Human genetics are known as hereditary traits, these hereditary traits include the dominant and recessive traits in humans. Read More

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November 2014
2 Reads

DISASTER PREPAREDNESS IN SECONDARY SCHOOLS IN RUIRU DIVISION, KIAMBU COUNTY, KENYA.

Authors:
S Mururi

East Afr Med J 2014 Nov;91(11):414-9

Objective: To establish common disasters, preparedness and management in secondary school in Ruiru Division, Kiambu County, Kenya.

Design: Descriptive cross-sectional study.

Subjects: Out of the target population a hundred and twenty (120) respondents were selected from the students, teachers and the support staff. Read More

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November 2014
2 Reads

FACTORS INFLUENCING VOLUNTARY MEDICAL MALE CIRCUMCISION AMONG MEN AGED 18-50 YEARS IN KIBERA DIVISION.

East Afr Med J 2014 Nov;91(11):407-13

Background: Voluntary Medical Male Circumcision (VMMC) is the surgical removal of all or part of the foreskin from the penis. It is done for medical reasons as it has been shown to reduce the risk of female to male transmission of HIV by up to 60%. It has also been associated with lower transmission of sexually transmitted infections. Read More

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November 2014
2 Reads

FEMALE GENITAL TRACT CANCERS IN SAGAMU, SOUTHWEST, NIGERIA.

East Afr Med J 2014 Nov;91(11):398-406

Objective: To describe pattern of female genital tract cancers seen at Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Nigeria.

Design: This is a retrospective review of all cases of female genital tract cancers managed at the Gynaecology department of OOUTH, Sagamu, Nigeria.

Setting: OOUTH is a tertiary health institution of the State's university and it takes referrals from within and outside the State. Read More

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November 2014
3 Reads

BARRIERS TO UPTAKE OF BREAST CANCER SCREENING IN KENYA.

East Afr Med J 2014 Nov;91(11):391-7

Objectives: To conduct clinical breast cancer screening in three sites in Western Kenya and explore community barriers to screening uptake.

Design: Cross-sectional study.

Setting: Western Kenya specifically, Mosoriot, Turbo, and Kapsokwony. Read More

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November 2014
2 Reads

PREVALENCE AND ASSOCIATED CHARACTERISTICS OF CYTOMEGALOVIRUS (CMV) IMMUNOGLOBULIN ANTIBODIES AMONG BLOOD DONORS AT A UNIVERSITY TEACHING HOSPITAL IN NIGERIA.

East Afr Med J 2014 Nov;91(11):385-90

Background: The screening for cytomegalovirus (CMV) specific antibodies is not routine in our setting, thus the transfusion of blood portends high risk for susceptible individuals.

Objective: To determine the prevalence of IgG and IgM specific antibodies and associated characteristics in blood donors seen at a referral teaching hospital in Nigeria.

Design: Prospective, cross-sectional and descriptive study. Read More

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November 2014
3 Reads

PATTERNS OF POISONING AMONG PATIENTS AGED 0-13 YEARS AT A PAEDIATRIC HOSPITAL IN NAIROBI.

East Afr Med J 2014 Nov;91(11):379-84

Objectives: To determine the pattern of poisoning amongst patients admitted at a paediatric hospital in Nairobi and compare it with that of other hospitals around the world

Design: A retrospective hospital based multivariate study.

Setting: Gertrude's Garden Children's Hospital, Nairobi, Kenya.

Subjects: Medical records of all children admitted with a diagnosis of poisoning between January 2003 and December 2007. Read More

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November 2014
2 Reads

ANTHROPOMETRIC STUDY OF ISCHIOPUBIC INDEX OF THE ISOKO AND BENIN IN NIGERIA.

East Afr Med J 2014 Oct;91(10):375-8

Background: The ischiopubic index is calculated by dividing the pubic length by the ischial length and multiplying by 100. It has been said to be one of the parameters affecting the pelvic inlet and this is of interest to obstetricians and anatomic anthropologists.

Objectives: To determine and compare the pubic length, ischial length andischiopubic index among the males and females of Isoko and Bini ethnic groups of Nigeria. Read More

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October 2014
14 Reads

THE DETERMINANTS OF HEALTH RELATED QUALITY OF LIFE OF PATIENTS ON MAINTENANCE HAEMODIALYSIS AT KENYATTA NATIONAL HOSPITAL, KENYA.

East Afr Med J 2014 Oct;91(10):368-74

Background: Health related quality of life (HRQOL) is increasingly being recognised as a primary outcome measure in the treatment of end stage renal disease. In addition to being an important surrogate marker of quality of care in patients on maintenance haemodialysis, HRQOL measures have being shown to be robust predictors of mortality and morbidity.

Objective: To determine the health related quality of life and its determinants in patients on maintenance haemodialysis at the Kenyatta National Hospital. Read More

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October 2014
3 Reads

NURSES INFECTION PREVENTION PRACTICES IN HANDLING INJECTIONS: A CASE OF RIFT VALLEY PROVINCIAL HOSPITAL IN KENYA.

East Afr Med J 2014 Oct;91(10):361-7

Objective: To analyse the infection prevention practices in handling of injections by nurses in Rift Valley Provincial Hospital in Kenya.

Design: A cross-sectional observational study.

Setting: Rift Valley Provincial hospital which is a level five health facility situated in Nakuru County, Kenya. Read More

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October 2014
2 Reads

IMPLEMENTING TOOLS TO PROMOTE ADHERENCE TO ANTIRETROVIRAL THERAPY AT FACILITIES IN KENYA.

East Afr Med J 2014 Oct;91(10):353-60

Background: Lack of effective systems and tools to identify and track defaulters are some of the factors that pose challenges in adherence monitoring for patients on anti-retroviral treatment (ART). An intervention was performed to introduce a facility-based appointment keeping system, and a revised clinic form to monitor patients' adherence to ART.

Objective: To assess facility staff perceptions of, motivation for and self-reported practice in the implementation, and on the use of adherence-based indicators to inform decisions for performance improvement. Read More

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October 2014
2 Reads

ASSESSMENT OF THE LIVING CONDITIONS OF RURAL BASED PEOPLE LIVING WITH HIV/AIDS WITH CLINICAL PRESENTATIONS IN NIGERIA.

East Afr Med J 2014 Oct;91(10):347-52

Objective: To describe the living conditions of rural based people living with HIV/AIDS (PLWHA) and their clinical presentations

Design: descriptive cross-sectional study,

Setting: University College Hospital, Ibadan.

Subjects: PLWHA on anti-retroviral therapy.

Results: One hundred and fifty PLWHA participated. Read More

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October 2014
2 Reads

CONTROVERSY ABOUT EMBRYOGENESIS AND ORGANISATION OF HUMAN FEMALE URETHRA: A REVIEW.

Authors:
P Gichangi

East Afr Med J 2014 Oct;91(10):341-6

Objective: To assess current knowledge on development and associated structures.

Data Sources: Current scientific publications in the pubmed data base on the development of human female urethra were reviewed. The embryology of human female urethra and its associated structures is presented. Read More

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October 2014
2 Reads

PREVALENCE OF CERVICAL CYTOLOGY ABNORMALITIES AMONG HIV INFECTED WOMEN AT RWANDA MILITARY HOSPITAL.

East Afr Med J 2014 Oct;91(10):333-40

Objectives: To establish the prevalence of cervical cytology abnormalities, determine the correlation between CD4+ cell count and abnormal Pap smear, determine the correlation between WHO-HIV staging and abnormal pap smear among HIV infected women attending HIV clinic at Rwanda Military Hospital.

Design: Cross-sectional descriptive study.

Setting: Rwanda Military Hospital Kigali, Rwanda. Read More

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October 2014
2 Reads

RELIABILITY AND VALIDITY OF SUBJECTIVE ASSESSMENT OF LUMBAR LORDOSIS IN CONVENTIONAL RADIOGRAPHY.

East Afr Med J 2014 Oct;91(10):326-32

Background: Reliability and validity studies of different lumbar curvature analysis and measurement techniques have been documented however there is limited literature on the reliability and validity of subjective visual analysis. Radiological assessment of lumbar lordotic curve aids in early diagnosis of conditions even before neurologic changes set in.

Objective: To ascertain the level of reliability and validity of subjective assessment of lumbar lordosis in conventional radiography. Read More

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October 2014
2 Reads

RHEUMATOID ARTHRITIS ASSOCIATED WITH PULMONARY FIBROSIS IN NIGERIANS: TWO CASE REPORTS.

East Afr Med J 2014 Sep;91(9):323-5

Rheumatoid arthritis may sometimes present with extra-articular involvement, pulmonary involvement is not common. Rheumatoid arthritis has been reported among Nigerians and extra-articular manifestations are rarely seen. One of the patients was misdiagnosed and mismanaged as a patient with pulmonary tuberculosis. Read More

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September 2014
2 Reads

MUSCULOSKELETAL PRESENTATION OF MULTIPLE MYELOMA AT GENERAL HOSPITAL DOUALA, CAMEROON.

East Afr Med J 2014 Sep;91(9):311-6

Unlabelled: Background: very little is known about musculoskeletal features of multiple myeloma (MM) in Africa.

Objectives: To describe the musculoskeletal features of multiple myeloma at presentation in a tertiary health care centre in sub-Saharan Africa.

Design: A Cross sectional observational study. Read More

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September 2014
2 Reads

EFFECTIVENESS AND SAFETY OF 2-HOURLY 20 MCG ORAL MISOPROSTOL SOLUTION COMPARED TO STANDARD INTRAVENOUS OXYTOCIN IN LABOUR INDUCTION DUE TO PRE-LABOUR RUPTURE OF MEMBRANES AT TERM: A RANDOMISED CLINICAL TRIAL AT KENYATTA NATIONAL HOSPITAL.

East Afr Med J 2014 Sep;91(9):303-10

Background: Pre-labour rupture of membranes (PROM) at term is a common event whose management varies from centre to centre. The practice at the Kenyatta National Hospital (KNH) for patients with PROM at term is to initiate delivery of the patient soon on admission with intravenous oxytocin, if there are no contraindications to vaginal delivery. However, in PROM at term, if the cervix is not ripe, vaginal administration of prostaglandin pessaries for cervical ripening is not possible when there is active draining of liquor, thus use of intravenous oxytocin may take a very long time or fail all together. Read More

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September 2014
22 Reads

IMMUNISATION TRAINING NEEDS IN MALAWI.

East Afr Med J 2014 Sep;91(9):298-302

Objectives: The Malawi Ministry of Health (MOH) and its immunisation partners conducted a training needs assessment in May 2013 to assess the current status of immunisation training programmemes in health training institutions, to identify unmet training needs, and to recommend possible solutions for training of health workers on a regular basis.

Design: A cross-sectional, descriptive study.

Setting: Health training institutions in Malawi, a developing country that does not regularly update its curricula to include new vaccines and management tools, nor train healthcare workers on a regular basis. Read More

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September 2014
2 Reads

NUTRITION STATUS AND ASSOCIATED MORBIDITY RISK FACTORS AMONG ORPHANAGE AND NON-ORPHANAGE CHILDREN IN SELECTED PUBLIC PRIMARY SCHOOLS WITHIN DAGORETTI, NAIROBI, KENYA.

East Afr Med J 2014 Sep;91(9):289-97

Background: Most of the nutritional surveys that have been carried out in Kenya have concentrated on children aged five years and below who are under the care of their parent(s). The HIV/AIDS, conflict, natural disasters, endemic diseases such as malaria and tuberculosis and rising poverty has claimed the health and lives of millions of productive adults, leaving their children orphaned and vulnerable. This has led to mushrooming of orphanages to take care of these orphans and vulnerable children in Kenya. Read More

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September 2014
2 Reads

DETERMINANTS OF FIRST ANTENATAL CARE VISIT BY PREGNANT WOMEN AT COMMUNITY BASED EDUCATION, RESEARCH AND SERVICE SITES IN NORTHERN UGANDA.

East Afr Med J 2014 Sep;91(9):317-22

Background: Antenatal care (ANC) aims mainly at prevention, early detection and management of general medical and pregnancy associated disorders. Early booking is recommended for maximum utilisation.

Objective: To investigate the determinants of first ANC visit and trimesters at which pregnant mothers enrol for ANC at the COBERS sites of Northern Uganda. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4667733PMC
September 2014
2 Reads

AN ISOLATED SUPERIOR STERNAL CLEFT IN A NEONATE IN WESTERN KENYA: CASE REPORT.

East Afr Med J 2014 Aug;91(8):286-8

Sternal cleft is a rare congenital anomaly and very few cases have been described especially in Africa. This is a case of an isolated superior sternal cleft in a term neonate in Western Kenya. Read More

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August 2014
2 Reads

ISOLATION AND CHARACTERISATION OF CRYPTOCOCCUS NEOFORMANS AND CRYPTOCOCCUS GATTII FROM ENVIRONMENTAL SOURCES IN NAIROBI, KENYA.

East Afr Med J 2014 Aug;91(8):281-5

Unlabelled: Objective: To establish the environmental reservoirs of Cryptococcus neoformans and Cryptococcus gattii in Nairobi, Kenya. Design: Prospective study.

Setting: Kenya Medical Research Institute, Mycology laboratory, Nairobi, Kenya. Read More

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August 2014
3 Reads

UMBILICAL CORD PARAMETERS IN ILORIN: CORRELATES AND FOETAL OUTCOME.

East Afr Med J 2014 Aug;91(8):274-80

Background: The anthropometric parameters of the umbilical cord have clinical significance. Current parameters of the cord, its correlates and related foetal outcome are lacking in our parturients.

Objectives: To describe the anthropometric parameters and abnormalities of the umbilical cord; and determine their maternal correlates and foetal outcome. Read More

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August 2014
2 Reads

UPPER GASTROINTESTINAL ENDOSCOPY FINDINGS IN PATIENTS REFERRED WITH UPPER GASTROINTESTINAL SYMPTOMS IN ELDORET, KENYA: A RETROSPECTIVE REVIEW.

East Afr Med J 2014 Aug;91(8):267-73

Background: Dyspepsia is one of the major indications for upper gastrointestinal endoscopy. Other indications include dysphagia, odynophagia and gastrointestinal bleeding. Endoscopy is an expensive procedure that is out of reach of many patients in resource constrained region such as western Kenya. Read More

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August 2014
7 Reads

IMMUNOLOGICAL PROFILES IN HIV POSITIVE PATIENTS FOLLOWING HAART INITIATION IN KIGALI, RWANDA.

East Afr Med J 2014 Aug;91(8):261-6

Background: Interleukin-10, IL-2 and IFN-γ are some of the crucial cytokines associated with HIV infection and pathogenesis. While IL-2 and IFN-γ play critical roles in host resistance to infection, IL-10 inhibits the synthesis IFN-γ, IL-2 at mRNA and protein level; exacerbating damage to immune system.

Objective: To determine the levels of, changes in and correlation between CD4 count, viral load, IL-10, IL-2 and IFN-γ before HAART and at six months of HAART among HIV positive patients in Kigali; with a view to understand cytokine networks particularly in relation to HAART; and to see whether they can be used as alternative markers of the disease progression. Read More

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August 2014
8 Reads

PREVALENCE, TREATMENT AND CONTROL OF HYPERTENSION AMONG TYPE 2 DIABETIC PATIENTS AT MOI TEACHING AND REFERRAL HOSPITAL, ELDORET, KENYA.

East Afr Med J 2014 Aug;91(8):253-60

Objectives: To describe the prevalence, treatment and control of hypertension among type 2 diabetic patients at Moi Teaching and Referral Hospital (MTRH) and to determine predictors of blood pressure (BP) control.

Design: A cross-sectional study.

Setting: Diabetic Outpatient Clinic at MTRH, Eldoret, Kenya. Read More

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August 2014
2 Reads

KNOWLEDGE, ATTITUDE AND USE OF PAIN RELIEF IN LABOUR AMONG WOMEN ATTENDING ANTE-NATAL CLINIC AT SHALOM COMMUNITY HOSPITAL, ATHI RIVER.

East Afr Med J 2014 Jul;91(7):245-52

Objective: To find out the knowledge, attitude and practice of pain relief methods during labour among mothers attending antenatal clinics at Shalom Community Hospital, Athi River, Kenya.

Design: Cross Sectional study.

Setting: Shalom Community Hospital, Athi River, Kenya. Read More

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July 2014
2 Reads

COMMUNITY PERCEPTIONS OF SCHISTOSOMIASIS TRANSMISSION, PREVALENCE AND CONTROL IN RELATION TO AQUATIC HABITATS IN THE LAKE VICTORIA BASIN OF KENYA.

East Afr Med J 2014 Jul;91(7):232-44

Background: Intestinal schistosomiasis caused by Schistosoma mansoni and urinary schistosomiasis caused by Schistosoma haematobium are widely distributed parasites in several localities of the Lake Victoria basin of Kenya, the former being more prevalent. In Kenya, transmission of the intestinal form of bilharzia (S. mansoni) tends to be closely confined to narrow zones along the shores of large bodies of water such as Lake Victoria where it is endemic and the intermediate host is found. Read More

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July 2014
3 Reads

TETANUS NEARLY ELIMINATED AFTER 40 YEARS OF VACCINATION IN RURAL SENGEREMA DISTRICT, TANZANIA.

East Afr Med J 2014 Jul;91(7):227-31

Objective: To study the incidence of tetanus during the last 50 years in Sengerema, Tanzania.

Design: Analysing the annual reports in the only district hospital, focusing on the number of admissions and mortality for tetanus and malaria.

Setting: Sengerema Hospital, Sengerema district, Tanzania. Read More

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July 2014
2 Reads

GROSS PRESENTATION AND HISTOMORPHOLOGICAL CHANGES OF PLACENTAE IN PATIENTS PRESENTING WITH INTRAUTERINE FOETAL DEATH AT KENYATTA NATIONAL HOSPITAL.

East Afr Med J 2014 Jul;91(7):219-26

Background: There are 3.2 million annual stillbirths, at least 98% occur in low-/middle income countries, and on average, as many as two-thirds of these stillbirths are thought to occur antenatally, prior to labour. The most useful test towards a diagnosis after stillbirth is pathological examination of the placenta and the foetus. Read More

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July 2014
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UTILITY OF ROUTINE CHEST RADIOGRAPHS IN KENYA.

East Afr Med J 2014 Jul;91(7):216-8

Background: Many otherwise healthy Kenyans are required to obtain chest radiographs as part of routine medical examination to exclude pulmonary TB, a condition of significant public health concern. Many of these people are required to have these radiographs taken yearly as part of routine check-up. No local data is available to support this practice. Read More

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July 2014
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PRIMARY MALIGNANT AMELANOTIC MELANOMA ARISING FROM A VITILIGO PATCH OF AN AFRICAN TANZANIAN: CASE REPORT.

East Afr Med J 2014 May;91(5):178-80

Skin cancer is rare in people of African origin while vitiligo occurs worldwide. The occurrence of primary malignant melanoma and vitiligo together is very rare. We present a rare case of primary malignant amelanotic melanoma arising from a depigmented patch of a patient with vitiligo. Read More

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May 2014
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CAREGIVERS' KNOWLEDGE AND HOME MANAGEMENT OF FEVER IN CHILDREN.

East Afr Med J 2014 May;91(5):170-7

Background: Fever is one of the most common complaints presented to the Paediatric Emergency Unit (PEU). It is a sign that there is an underlying pathologic process, the most common being infection. Many childhood illnesses are accompanied by fever, many of which are treated at home prior to presentation to hospital. Read More

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May 2014
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