Faculty of Health Sciences (FHS): Recent submissions
Now showing items 4141-4160 of 4300
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A survey of the practice in the management of severe sepsis and septic shock by Anaesthesia practitioners at the Kenyatta National Hospital critical care unit
(University of Nairobi, Kenya, 2012)Background Severe sepsis and septic shock is a major contributor of morbidity and mortality worldwide. Kenyatta National Hospital is the main referral hospital with the largest critical care unit in Kenya. In 2009, severe ... -
Blood requests, crossmatch and transfusion practices for elective surgery in Kenyatta National Hospital
(University of Nairobi, Kenya, 2012)This study was carried out over a period of ten weeks between June and August 2011 at the KNH theatres. A total of 370 patients scheduled for elective surgery whose blood had been crossmatched prior to being taken to theatre ... -
Intereukin 6 levels in adenotonsillar hyperplasia and chronic recurrent tonsillits
(University of Nairobi, Kenya, 2012)Background The primary etiology of adenotonsillar hyperplasia and chronic recurrent tonsillitis is inflammation which is mediated by cytokines such as Interleukin-6 which is both a pro and antiinflammatory agent. In this ... -
Effect of post operative Timolol 0.5% on the first day post operative intraocular pressure after uncomplicate small incision cataract surgery
(University of Nairobi, Kenya, 2012)Background:-Raised intraocular pressure is the most common postoperative complication of cataract surgery which is multi factorial .14 In most cases it is transient and return to normal in 95.7% of non glaucomatous patients ... -
Health related quality of life of breast cancer patients at Kenyatta National Hospital
(University of Nairobi, Kenya, 2012)Background: Breast cancer is a leading cause of cancer-related morbidity and mortality. The diagnosis and treatment of breast cancer affects quality of life of patients, especially in our set-up in Kenya where majority of ... -
Screening of gestational diabetes in Kenyatta National Hospital
(University of Nairobi, Kenya, 2012)Background: Gestational diabetes is a common medical condition complicating pregnancies worldwide with a global prevalence estimate of 4-14%. Despite this high prevalence, there is still lack of proper screening, diagnostic ... -
Comparison between pre-loading and co-loading in spinal anaesthesia for Caesarean delivery at Kenyatta National Hospital
(University of Nairobi, Kenya, 2012)Background: Hypotension after administration of spinal anaesthesia for caesarean delivery is a common adverse effect. Rapid fluid administration before the intrathecal injection of the local anaesthetic (pre-loading) has ... -
Sexual activity among adolescent school girls in Kisumu County
(University of Nairobi, Kenya, 2012)Background: Adolescents are beginning sexual activity at a young age; most of them have no knowledge on dangers of having unprotected sex. Understanding motives that drive young girls to begin having sex is crucial as it ... -
Ocular findings in patients with head injury at Kenyatta National Hospital
(University of Nairobi, Kenya, 2012)Introduction :Head injury is a common occurrence among trauma victims. It leads to several disabilities including damage to the visual system. Most patients do not have a complete ophthalmologic assessment at the time of ... -
Outcomes of pharmacological induction of labour at or near term at Kenyatta National Hospital
(University of Nairobi, Kenya, 2012)Background: Induction of labour is artificial initiation of uterine contractions after the period of viability, with the intention of accomplishing delivery prior to onset of spontaneous labor. It is performed when the ... -
Female urinary incontinence: prevalence, severity and healthcare provider consultation rate among outpatients at Kenyatta National Hospital
(University of Nairobi, Kenya, 2012)Background: According to WHO, female urinary incontinence is a silent global epidemic and one of the last medical taboos. It is associated with high economic costs, psychological morbidity and adverse effects on the quality ... -
Cardiovascular risk factors in renal transplant recipients attending nephrology clinics in Nairobi, Kenya
(University of Nairobi, Kenya, 2012)BACKGROUND: Cardiovascular disease (CVD) is recognized as the leading cause of morbidity and mortality amongst patients with chronic kidney disease (CKD). Currently, 50-60% of deaths in renal transplant recipients are ... -
Renal function of living Kidney donors at Kenyatta National Hospital: a cross-sectional descriptive study
(University of Nairobi, Kenya, 2012)Background The outcome of live kidney donation has been of concern since the recognition of hyperfiltration injury post live kidney donation. Studies on the topic have arrived at different conclusions regarding kidney ... -
The prevalence and pattern of diabetic retinopathy among Somali patients attending the medical diabetes clinic at Garissa Provincial General Hospital
(University of Nairobi, Kenya, 2012)Introduction: Somalis' are a large ethnic community living in the North Eastern province of Kenya, Somalia, Eastern Ethiopia, and Djibouti where they are relatively secluded, Anecdotal observation has shown very few Somalis' ... -
Correlation of breast magnetic resonance imaging with histopathologic findings of suspected breast malignancy, the Nairobi Experience A cross-section comparative study
(University of Nairobi, Kenya, 2012)Breast cancer is the second most common cancer among women. In the United Kingdom, 40,000 cases are diagnosed annually with 80% being greater than fifty years (1). About 17% of invasive breast cancers occur in women in ... -
Post-operative residual paralysis after use of atracurium or cisatracurium in main operating theatres post anaesthesia care unit of the Kenyatta National Hospital
(University of Nairobi, Kenya, 2012)Background: Neuromuscular blocking drugs are r-outinely used in major operations especially those that require muscle relaxation. Adequate muscle relaxation creates optimal conditions for easy access of the site of operation. ... -
Caregivers' knowledge and home management of fever in children
(University of Nairobi, Kenya, 2012)Background: Fever is controlled increase in body temperature over the normal values. Many childhood illnesses are accompanied by fever, many of which are treated at home prior to presentation to hospital. Most febrile ... -
The maternal and fetal outcomes among women with obstetric emergencies referred to the Kenyatta National Hospital, Nairobi, Kenya
(University of Nairobi, Kenya, 2012)Background: Obstetric performance is assessed in terms of maternal and neonatal morbidity and early perinatal and maternal mortality. The known cases of maternal mortality in our set-up are namely haemorrhage, obstructed ... -
The pattern of chest radiographic findings in pulmonology of children under five years
(University of Nairobi, Kenya, 2012)Background Respiratory disease, primarily pneumonia. is the mosl common cause of morbidity and mortality in children less than 5 years old in developing countries resulting in an estimated four million deaths annually ... -
Interleukin 18 as an early biomarker of acute kidney injury in critically ill patients
(University of Nairobi, Kenya, 2012)Background: Acute kidney Injury (AKI) has long been recognized as a disease state associated with increased morbidity and significant mortality. This is held especially true in high risk groups like critically ill patients. ...