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https://www.readbyqxmd.com/read/27906029/trends-in-clinical-characteristics-and-outcomes-of-pre-art-care-at-a-large-hiv-clinic-in-nairobi-kenya-a-retrospective-cohort-study
#1
Jared O Mecha, Elizabeth N Kubo, Lucy W Nganga, Peter N Muiruri, Lilian N Njagi, Immaculate N Mutisya, Justine J Odionyi, Syokau C Ilovi, Mary Wambui, Christopher Githu, Richard Ngethe, Elizabeth M Obimbo, Zipporah W Ngumi
BACKGROUND: The success of antiretroviral therapy in resource-scarce settings is an illustration that complex healthcare interventions can be successfully delivered even in fragile health systems. Documenting the success factors in the scale-up of HIV care and treatment in resource constrained settings will enable health systems to prepare for changing population health needs. This study describes changing demographic and clinical characteristics of adult pre-ART cohorts, and identifies predictors of pre-ART attrition at a large urban HIV clinic in Nairobi, Kenya...
November 14, 2016: AIDS Research and Therapy
https://www.readbyqxmd.com/read/27895697/trends-in-clinical-characteristics-and-outcomes-of-pre-art-care-at-a-large-hiv-clinic-in-nairobi-kenya-a-retrospective-cohort-study
#2
Jared O Mecha, Elizabeth N Kubo, Lucy W Nganga, Peter N Muiruri, Lilian N Njagi, Immaculate N Mutisya, Justine J Odionyi, Syokau C Ilovi, Mary Wambui, Christopher Githu, Richard Ngethe, Elizabeth M Obimbo, Zipporah W Ngumi
BACKGROUND: The success of antiretroviral therapy in resource-scarce settings is an illustration that complex healthcare interventions can be successfully delivered even in fragile health systems. Documenting the success factors in the scale-up of HIV care and treatment in resource constrained settings will enable health systems to prepare for changing population health needs. This study describes changing demographic and clinical characteristics of adult pre-ART cohorts, and identifies predictors of pre-ART attrition at a large urban HIV clinic in Nairobi, Kenya...
2016: AIDS Research and Therapy
https://www.readbyqxmd.com/read/27888478/examining-the-quality-of-medicines-at-kenyan-healthcare-facilities-a-validation-of-an-alternative-post-market-surveillance-model-that-uses-standardized-patients
#3
Francis Wafula, Amy Dolinger, Benjamin Daniels, Njeri Mwaura, Guadalupe Bedoya, Khama Rogo, Ana Goicoechea, Jishnu Das, Bernard Olayo
BACKGROUND: Promoting access to medicines requires concurrent efforts to strengthen quality assurance for sustained impact. Although problems of substandard and falsified medicines have been documented in low- and middle-income countries, reliable information on quality is rarely available. OBJECTIVE: The aim of this study was to validate an alternative post-market surveillance model to complement existing models. METHODS: The study used standardized patients or mystery clients (people recruited from the local community and trained to pose as real patients) to collect medicine samples after presenting a pre-specified condition...
November 25, 2016: Drugs—Real World Outcomes
https://www.readbyqxmd.com/read/27886033/efficacy-of-lytic-staphylococcus-aureus-bacteriophage-against-multidrug-resistant-staphylococcus-aureus-in-mice
#4
Joseph Michael Ochieng' Oduor, Nyamongo Onkoba, Fredrick Maloba, Washingtone Ouma Arodi, Atunga Nyachieo
INTRODUCTION: The use of bacteriophages as an alternative treatment method against multidrug-resistant bacteria has not been explored in Kenya. This study sought to determine the efficacy of environmentally obtained lytic bacteriophage against multidrug-resistant Staphylococcus aureus (MDRSA) bacterium in mice. METHODOLOGY: Staphylococcus aureus bacterium and S. aureus-specific lytic phage were isolated from sewage and wastewater collected within Nairobi County, Kenya...
November 24, 2016: Journal of Infection in Developing Countries
https://www.readbyqxmd.com/read/27880008/head-and-neck-surgical-subspecialty-training-in-africa-sustainable-models-to-improve-cancer-care-in-developing-countries
#5
Johannes J Fagan, Mark Zafereo, Joyce Aswani, James L Netterville, Wayne Koch
BACKGROUND: Cancer poses a health crisis in the developing world where surgery is the mainstay of treatment for head and neck cancers. However, a shortage of surgeons with appropriate skills exists. How do we train head and neck surgeons in developing countries and avoid a brain drain? The ideal model provides appropriate affordable training leading to establishment of head and neck cancer centers that teach and train others. METHODS: Different head and neck surgery training models are presented based on the personal experiences of the authors...
November 23, 2016: Head & Neck
https://www.readbyqxmd.com/read/27863515/feasibility-trial-of-a-scalable-psychological-intervention-for-women-affected-by-urban-adversity-and-gender-based-violence-in-nairobi
#6
Katie S Dawson, Alison Schafer, Dorothy Anjuri, Lincoln Ndogoni, Caroline Musyoki, Marit Sijbrandij, Mark van Ommeren, Richard A Bryant
BACKGROUND: Living in conditions of chronic adversity renders many women more vulnerable to experiencing gender-based violence (GBV). In addition to GBV's physical and social consequences, the psychological effects can be pervasive. Access to evidence-based psychological interventions that seek to support the mental health of women affected by such adversity is rare in low- and middle-income countries. METHODS: The current study evaluates a brief evidence-informed psychological intervention developed by the World Health Organization for adults impacted by adversity (Problem Management Plus; PM+)...
November 18, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27847185/urban-consumption-of-meat-and-milk-and-its-green-and-blue-water-footprints-patterns-in-the-1980s-and-2000s-for-nairobi-kenya
#7
Caroline K Bosire, Mats Lannerstad, Jan de Leeuw, Maarten S Krol, Joseph O Ogutu, Pamela A Ochungo, Arjen Y Hoekstra
THE PROBLEM: Various studies show that the developing world experiences and will continue to experience a rise in consumption of animal proteins, particularly in cities, as a result of continued urbanization and income growth. Given the relatively large water footprint (WF) of animal products, this trend is likely to increase the pressure on already scarce water resources. AIM: We estimate, analyse and interpret the changes in consumption of meat and milk between the 1980s and 2000s for three income classes in Nairobi, the ratio of domestic production to imports, and the WF (the volume of freshwater consumed) to produce these commodities in Kenya and abroad...
November 12, 2016: Science of the Total Environment
https://www.readbyqxmd.com/read/27846074/implementation-and-operational-research-active-referral-of-children-of-hiv-positive-adults-reveals-high-prevalence-of-undiagnosed-hiv
#8
Anjuli D Wagner, Cyrus Mugo, Irene N Njuguna, Elizabeth Maleche-Obimbo, Kenneth Sherr, Irene W Inwani, James P Hughes, Dalton C Wamalwa, Grace C John-Stewart, Jennifer A Slyker
OBJECTIVES: Few routine systems exist to test older, asymptomatic children for HIV. Testing all children in the population has high uptake but is inefficient, whereas testing only symptomatic children increases efficiency but misses opportunities to optimize outcomes. Testing children of HIV-infected adults in care may efficiently identify previously undiagnosed HIV-infected children before symptomatic disease. METHODS: HIV-infected parents in HIV care in Nairobi, Kenya were systematically asked about their children's HIV status and testing history...
December 15, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/27833755/measurement-of-overweight-and-obesity-an-urban-slum-setting-in-sub-saharan-africa-a-comparison-of-four-anthropometric-indices
#9
Tilahun Nigatu Haregu, Samuel Oti, Thaddaeus Egondi, Catherine Kyobutungi
BACKGROUND: As a result of both genetic and environmental factors, the body composition and topography of African populations are presumed to be different from western populations. Accordingly, globally accepted anthropometric markers may perform differently in African populations. In the era of rapid emergence of cardio-vascular diseases in sub-Saharan Africa, evidence about the performance of these markers in African settings is essential. The aim of this study was to investigate the inter-relationships among the four main anthropometric indices in measuring overweight and obesity in an urban poor African setting...
2016: BMC Obesity
https://www.readbyqxmd.com/read/27833706/variant-anatomy-of-the-nasal-and-labial-branches-of-the-infraorbital-nerve
#10
Joseph Munyiri Nderitu, Fawzia Butt, Hassan Saidi
Comprehensive understanding of the variations in the branches of the infraorbital nerve (ION) is vital to the prevention of iatrogenic nerve injury and successful ION blockade during orbitozygomatic facial procedures. Only a few studies exist on the variant anatomy of the branching patterns of this nerve. This article provides a detailed description of the variations of the nasal and superior labial branches of the ION. This study was performed on 84 IONs by dissecting 42 formalin-fixed cadavers from the Laboratory of Topographic Anatomy, Department of Human Anatomy, University of Nairobi...
November 2016: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/27833259/care-after-cataract-surgery-in-nairobi-kenya
#11
George S Odhiambo Ohito
No abstract text is available yet for this article.
2016: Community Eye Health
https://www.readbyqxmd.com/read/27815005/valuing-investments-in-sustainable-land-management-in-the-upper-tana-river-basin-kenya
#12
Adrian L Vogl, Benjamin P Bryant, Johannes E Hunink, Stacie Wolny, Colin Apse, Peter Droogers
We analyze the impacts of investments in sustainable land use practices on ecosystem services in the Upper Tana basin, Kenya. This work supports implementation of the Upper Tana-Nairobi Water Fund, a public-private partnership to safeguard ecosystem service provision and food security. We apply an integrated modelling framework, building on local knowledge and previous field- and model-based studies, to link biophysical landscape changes at high temporal and spatial resolution to economic benefits for key actors in the basin...
November 1, 2016: Journal of Environmental Management
https://www.readbyqxmd.com/read/27814732/detection-of-dengue-virus-serotypes-1-2-and-3-in-selected-regions-of-kenya-2011-2014
#13
Limbaso Konongoi, Victor Ofula, Albert Nyunja, Samuel Owaka, Hellen Koka, Albina Makio, Edith Koskei, Fredrick Eyase, Daniel Langat, Randal J Schoepp, Cynthia Ann Rossi, Ian Njeru, Rodney Coldren, Rosemary Sang
BACKGROUND: Dengue fever, a mosquito-borne disease, is associated with illness of varying severity in countries in the tropics and sub tropics. Dengue cases continue to be detected more frequently and its geographic range continues to expand. We report the largest documented laboratory confirmed circulation of dengue virus in parts of Kenya since 1982. METHODS: From September 2011 to December 2014, 868 samples from febrile patients were received from hospitals in Nairobi, northern and coastal Kenya...
November 4, 2016: Virology Journal
https://www.readbyqxmd.com/read/27813082/cancer-risks-in-nairobi-2000-2014-by-ethnic-group
#14
Anne Korir, Emma Yu Wang, Peter Sasieni, Nathan Okerosi, Victor Ronoh, D Maxwell Parkin
We investigated the ethnic differences in the risk of several cancers in the population of Nairobi, Kenya, using data from the Nairobi Cancer Registry. The registry records the variable "Tribe" for each case, a categorisation that includes, as well as 22 tribal groups, categories for Kenyans of European and of Asian origin, and non-Kenyan Africans. Tribes included in the final analysis were Kikuyu, Kamba, Kisii, Kalenjin, Luo, Luhya, Somalis, Asians, non-Kenyans, Caucasians, Other tribes and unknown. The largest group was taken as the reference category for the calculation of odds ratios; this was African Kenyans (for comparisons by race), and Kikuyus (the tribe with the largest numbers of cancer registrations (38% of the total)) for comparisons between the Kenyan tribes...
November 3, 2016: International Journal of Cancer. Journal International du Cancer
https://www.readbyqxmd.com/read/27796131/maternal-highly-active-antiretroviral-therapy-reduces-vertical-cmv-transmission-but-does-not-reduce-breast-milk-cmv-levels
#15
Jennifer Ann Slyker, Barbra A Richardson, Michael Chung, Claire Atkinson, Kristjana Hrönn Ásbjörnsdóttir, Dara Lehman, Michael Boeckh, Vincent Emery, James Kiarie, Grace John-Stewart
OBJECTIVE: To evaluate the impact of highly-active antiretroviral therapy (HAART) on CMV transmission and breast milk level in the context of maternal HIV. DESIGN: Specimens from a randomized trial conducted in Nairobi, Kenya between 2003-2005 were used to compare CMV transmission and breast milk levels between mother-infant pairs randomized to HAART versus short-course antenatal zidovudine plus single-dose nevirapine (ZDV/sdNVP) for prevention of mother-to-child HIV transmission (PMTCT)...
October 31, 2016: AIDS Research and Human Retroviruses
https://www.readbyqxmd.com/read/27795753/retrospective-cohort-study-on-risk-factors-for-development-of-gestational-diabetes-among-mothers-attending-antenatal-clinics-in-nairobi-county
#16
Maureen Atieno Adoyo, Charles Mbakaya, Venny Nyambati, Yeri Kombe
INTRODUCTION: World Health Organization estimates that deaths resulting from diabetes will rise above 50% by the year 2020; hence urgent action is needed to reverse the trend notably through nutrition and lifestyle intervention among populations at risks. Studies have established that nutritional environment and physiology of the mother affects neonate's health at infancy and later in life thus this study sought to investigate the risk factors for development of gestational diabetes focusing age, weight, family history and pre-existing medical condition which could be modified to improve population health...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27793574/resource-requirements-for-cancer-registration-in-areas-with-limited-resources-analysis-of-cost-data-from-four-low-and-middle-income-countries
#17
Florence K L Tangka, Sujha Subramanian, Patrick Edwards, Maggie Cole-Beebe, D Maxwell Parkin, Freddie Bray, Rachael Joseph, Les Mery, Mona Saraiya
BACKGROUND: The key aims of this study were to identify sources of support for cancer registry activities, to quantify resource use and estimate costs to operate registries in low- and middle-income countries (LMIC) at different stages of development across three continents. METHODS: Using the Centers for Disease Control and Prevention's (CDC's) International Registry Costing Tool (IntRegCosting Tool), cost and resource use data were collected from eight population-based cancer registries, including one in a low-income country (Uganda [Kampala)]), two in lower to middle-income countries (Kenya [Nairobi] and India [Mumbai]), and five in an upper to middle-income country (Colombia [Pasto, Barranquilla, Bucaramanga, Manizales and Cali cancer registries])...
October 25, 2016: Cancer Epidemiology
https://www.readbyqxmd.com/read/27784577/microwave-treatment-of-faecal-sludge-from-intensively-used-toilets-in-the-slums-of-nairobi-kenya
#18
Peter M Mawioo, Christine M Hooijmans, Hector A Garcia, Damir Brdjanovic
Toilet facilities in highly dense areas such as the slum and emergency settlements fill up rapidly; thus, requiring frequent emptying. Consequently, big quantities of fresh faecal sludge (FS) containing large amounts of pathogens are generated. Fast and efficient FS treatment technologies are therefore required for safe treatment and disposal of the FS in such conditions. This study explores the applicability of a microwave (MW) technology for the treatment of fresh FS obtained from urine-diverting dry toilets placed in slum settlements in Nairobi, Kenya...
December 15, 2016: Journal of Environmental Management
https://www.readbyqxmd.com/read/27756241/drug-susceptibility-profiles-of-pulmonary-mycobacterium-tuberculosis-isolates-from-patients-in-informal-urban-settlements-in-nairobi-kenya
#19
Glennah Kerubo, Evans Amukoye, Stefan Niemann, Samuel Kariuki
BACKGROUND: Anti-tuberculosis drug resistance is an emerging health problem in Kenya and especially in slums. Slum environments create a conducive environment for the spread of tuberculosis (TB) due to high population density and lack of basic amenities such as decent housing, access to clean water, lack of drainage and basic sanitation. Furthermore, ineffective health services in crowded and poorer populations, poor patient compliance, a large pool of untreated cases, delayed diagnosis and inappropriate treatment regimens are likely to favour selection and spread of drug resistant Mycobacterium tuberculosis (Mtb) strains in such settings, however, precise data on this problem are only sparsely available...
October 19, 2016: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27711164/partner-disclosure-and-early-cd4-response-among-hiv-infected-adults-initiating-antiretroviral-treatment-in-nairobi-kenya
#20
T Tony Trinh, Nelly Yatich, Richard Ngomoa, Christine J McGrath, Barbra A Richardson, Samah R Sakr, Agnes Langat, Grace C John-Stewart, Michael H Chung
BACKGROUND: Disclosure of HIV serostatus can have significant benefits for people living with HIV/AIDS. However, there is limited data on whether partner disclosure influences ART treatment response. METHODS: We conducted a retrospective cohort study of newly diagnosed, ART-naïve HIV-infected adults (>18 years) who enrolled at the Coptic Hope Center in Nairobi, Kenya between January 1st 2009 and July 1st 2011 and initiated ART within 3 months. Analysis was restricted to adults who reported to have either disclosed or not disclosed their HIV status to their partner...
2016: PloS One
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