Search
Now showing items 4081-4090 of 4193
African Head and Neck Fellowships: a Model for a Sustainable Impact on Head and Neck Cancer Care in Developing Countries
(University of Nairobi, 2019)
Background: There is an extreme shortage of head and neck surgeons in Africa. Fourteen head and neck surgeons have completed fellowships in Cape Town and Cameroon. This study determines whether such Africa-based fellowships ...
Intra- Abdominal Sepsis From a Perforated Duodenal Ulcer-management of a Difficult Surgical Abdomen
(University of Nairobi, 2019)
Introduction: Peptic ulcer perforation is a common surgical emergency that is a complication of 9% of patients with peptic ulcer disease (Kjetil et al., 2015 [1]). Despite advances in the management of peptic ulcer disease, ...
Knowledge and Risk Factors for Foot-and-mouth Disease Among Small-scale Dairy Farmers in an Endemic Setting
(University of Nairobi, 2019)
Foot-and-mouth disease (FMD) is a highly contagious viral infection of cloven-hoofed animals. In Kenya, the disease is endemic with outbreaks typically occurring throughout the year. A cross-sectional study was undertaken ...
Oral Cavity Cancer Management Guidelines for Low-resource Regions
(University of Nairobi, 2019)
Background: The diagnosis and management of oral cavity cancer has been well described in developed countries, however, in regions with fewer medical resources, alternative methods may need to be used. We outline an approach ...
Vram Flap for an Above Knee Amputation Stump
(University of Nairobi, 2019)
Although routinely utilized in reconstruction of groin, perineal and thigh defects, the pedicled vertical rectus abdominis myocutaneous (VRAM) flap has only once been previously reported for coverage of above knee amputation ...
Obstructive Sleep Apnea Awareness among Primary Care Physicians in Africa
(University of Nairobi, 2020)
Rationale: Obstructive sleep apnea (OSA) is a significant health problem among adults and children globally, resulting in decreased quality of life and increased costs of healthcare. For optimal clinical care, primary care ...
Treatment of Patients With Late-Stage Colorectal Cancer: ASCO Resource-Stratified Guideline
(University of Nairobi, 2020)
Purpose: To provide expert guidance to clinicians and policymakers in resource-constrained settings on the management of patients with late-stage colorectal cancer.
Methods: ASCO convened a multidisciplinary, multinational ...
Detection of circulating hepatitis B virus immune escape and polymerase mutants among HBV-positive patients attending Institut Pasteur de Bangui, Central African Republic
(University of Nairobi, 2020)
Background: Previous studies in the Central African Republic (CAR) have reported the presence of hepatitis B virus (HBV) recombinant genotype E/D and a suspicion of immune escape mutants (IEMs), without further investigation ...
Improving the management of hypertension and diabetes: An implementation evaluation of an electronic medical record system in Nairobi County, Kenya
(University of Nairobi, 2020)
Objective: To evaluate the implementation of a novel electronic medical record (EMR) system for management of non-communicable diseases (NCD) (hypertension (HTN) and diabetes mellitus (DM)) in health facilities in informal ...
Seroprevalence of yellow fever, dengue, West Nile and chikungunya viruses in children in Teso South Sub-County, Western Kenya
(University of Nairobi, 2020)
Background: Arboviruses often cause widespread morbidity in children in endemic regions. Data on the burden of arboviruses in Kenyan children are limited.
Objectives: This study was performed to determine the seroprevalence ...