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Now showing items 71-80 of 224
Better outcomes through learning, data, engagement, and research (bolder) – a system for improving evidence and clinical practice in low and middle income countries
(University of Nairobi, 2016)
Despite the many thousands of research studies published every year, evidence for making clinical decisions is often lacking. The main problem is that the evidence available is generated in conditions very different from ...
Building capacity in implementation science research training at the University of Nairobi
(University of Nairobi, 2016)
Background
Health care systems in sub-Saharan Africa, and globally, grapple with the problem of closing the gap between evidence-based health interventions and actual practice in health service settings. It is essential ...
Knowledge and adherence to the national guidelines for malaria case management in pregnancy among healthcare providers and drug outlet dispensers in rural, western Kenya
(University of Nairobi, 2016)
Background
Although prompt, effective treatment is a cornerstone of malaria control, information on provider adherence to malaria in pregnancy (MIP) treatment guidelines is limited. Incorrect or sub-optimal treatment ...
Building Learning Health Systems to Accelerate Research and Improve Outcomes of Clinical Care in Low- and Middle-Income Countries
(University of Nairobi, 2016)
Achieving universal coverage that supports high-quality care will require that health systems are designed to integrate the delivery of health services with the generation of new knowledge about the effectiveness of these ...
The role of telemedicine in auditory rehabilitation: a systematic review.
(2016)
OBJECTIVE:
The purpose of this study was to assess the feasibility and effectiveness of live telemedicine applications in hearing amplification and cochlear implantation.
DATA SOURCES AND STUDY SELECTION:
A systematic ...
Cervical cancer prevention and treatment research in Africa: a systematic review from a public health perspective.
(University of Nairobi, 2016)
BACKGROUND:
Women living in Africa experience the highest burden of cervical cancer. Research and investment to improve vaccination, screening, and treatment efforts are critically needed. We systematically reviewed and ...
The need for pragmatic clinical trials in low and middle income settings - taking essential neonatal interventions delivered as part of inpatient care as an illustrative example.
(University of Nairobi, 2016)
BACKGROUND:
Pragmatic randomized trials aim to examine the effects of interventions in the full spectrum of patients seen by clinicians who receive routine care. Such trials should be employed in parallel with efforts ...
Os 33-05 high prevalence and poor control of hypertension and associated cardiovascular risk facors in diabetic patients in a rural hospital in Kenya.
(University of Nairobi, 2016)
OBJECTIVE:
The prevalence of diabetes mellitus (DM) is rapidly increasing in Africa with a projected increase in diabetics from 12.1 million in 2010 to 23.9 million in 2030, predominantly type 2 DM (T2DM). The major ...
Toluidine blue 0.05% vital staining for the diagnosis of ocular surface squamous neoplasia in Kenya.
(University of Nairobi, 2016)
IMPORTANCE:
Clinical features are unreliable for distinguishing ocular surface squamous neoplasia (OSSN) from benign conjunctival lesions.
OBJECTIVE:
To evaluate the adverse effects, accuracy, and interobserver ...
Male partner circumcision associated with lower trichomonas vaginalis incidence among pregnant and postpartum kenyan women: a prospective cohort study.
(University of Nairobi, 2016)
OBJECTIVE:
Trichomonas vaginalis is the world's most common curable STI and has implications for reproductive health in women. We determined incidence and correlates of T. vaginalis in an HIV-uninfected peripartum ...