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Adapting clinical practice guidelines for diabetic retinopathy in Kenya: process and outputs
(University of Nairobi, 2018)
Background
The use of clinical practice guidelines envisages augmenting quality and best practice in clinical outcomes. Generic guidelines that are not adapted for local use often fail to produce these outcomes. Adaptation ...
Serum Ferritin Levels In Patients With Sickle Cell Anaemia At The Kenyatta National Hospital
(University of Nairobi, 2018)
Abstract:
Background:
The iron levels in Sickle Cell Anaemia (SCA) is thought to be increased
because of
the
repeated red cell transfusion, haemolysis with subsequ
ent recycling and accumulation of ...
Pattern and determinants of contraceptive usage among women of reproductive age from the Digo community residing in Kwale, Kenya: results from a cross-sectional household survey
(University of Nairobi, 2018-01)
Contraceptive usage has been associated with improved maternal and child health (MCH) outcomes. Despite significant resources being allocated to programs, there has been sub-optimal uptake of contraception, especially in ...
Incidence and Early Outcome of Coagulopathy among Major Trauma Patients
(Annals of African Surgery, 2018-01)
Background: Despite improvement in many aspects of acute trauma care, uncontrolled bleeding is responsible for more than 50% of all trauma related deaths within the first two days of admission.
Objective: This study sought ...
Can PSA predict bone metastasis amongst newly diagnosed prostate cancer patients?
(Annals of African Surgery, 2018-01)
Background: The decision as to when a bone scan is necessary in the staging of prostate cancer is controversial with different studies giving varying recommendations on the same subject.
Objective: To determine the utility ...
The practice of interventional gastrointestinal endoscopy at a tertiary referral hospital
(Annals of African Surgery, 2018-01)
Background: Interventional endoscopy enables one time diagnosis and treatment of gastrointestinal diseases with minimally invasive therapy and improved disease outcome. Local use has remained low with minimal reporting. ...
Emergent Endovascular Management of Acute Arterial Bleeding after Initial Unsuccessful Surgical Control
(Annals of African Surgery, 2018-01)
Background: Hemorrhage and the complications thereof have traditionally been managed surgically but over the last two decades endovascular techniques have been increasingly used. These include coiling, liquid and particle ...
Neonatal Ebstein’s Anomaly: Surgical Decision Making
(Annals of African Surgery, 2018-01)
Ebstein’s Anomaly (EA) is a rare form of congenital heart disease. Surgical decision-making in neonates is controversial. In developing countries, neonates with Ebstein’s anomaly requiring surgical intervention rarely ...
Hibiscus Extract Mitigates Salt Induced Carotid Adventitial Changes In Rats
(University of Nairobi, 2018)
The tunica adventitia is an active vascular compartment that actively participates in modulation of
vascular structure, function and pathophysiology. Adventitial thickness has recently been accepted as a ...
Morphology of the Left Atrial Appendage: Prevalence and Gender Difference in a Kenyan Population
(University of Nairobi, 2018)
ntroduction The left atrial appendage is the site of origin of thrombi in 90% of
cardioembolic stroke. Although literature reports a higher risk of cardioembolic stroke
among blacks and females, it is unclear whether ...