Faculty of Health Sciences (FHS): Recent submissions
Now showing items 921-940 of 4244
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Prevalence of human immunodeficiency virus infection (HIV) among patients at the Mathari national teaching and referral hospital.
(University of Nairobi, 2020)Background Mental health still remains a major concern in relation to the management of HIV infection. Little effort has been employed in ensuring the proper management of serious mental illness and in the management ... -
Recombinant human erythropoietin (rhu-epo) responsiveness in chronic kidney disease (ckd) patients at the Kenyatta National Hospital Renal Unit.
(University of Nairobi, 2020)Background: In the Kenyan setup, unnecessary blood transfusion in chronic kidney disease patients on haemodialysis exposes them to risks that include iron overload; blood tranfusion related events and increased probability ... -
Factors and clinical features associated with development of hellp syndrome among patients with preeclampsia with severe features at the Kenyatta National Hospital
(University of Nairobi, 2020)Background HELLP syndrome is considered a complication of preeclampsia with severe features; which is one of the hypertensive diseases in pregnancy. It is still not well understood why some patients with severe preeclampsia ... -
Patterns of psychiatric morbidity among first time referred adult patients attending treatment at Mathari National, Teaching and Referral Hospital Nairobi-Kenya
(University of Nairobi, 2020)Psychiatric disorders are prevalent in the community and their burden is large compared with other illnesses as they occur early in life and are chronic. Timely and accurate diagnosis of mental illness and appropriate ... -
A Comparative Study of Levin Vs Z Stroke Wound Swab Techniques in Diagnosing Infection in Patients With Chronic Wounds Using Wound Biopsy as Gold Standard at the Kenyatta National Hospital.
(University of Nairobi, 2020)Background: Chronic wounds reduce quality of life and increase societal socioeconomic burden by increasing cost of healthcare, reducing productivity with loss of man hours. Wound infection being a factor that leads to ... -
Performance of Public Hospitals in Kenya: the essential role of management
(University of Nairobi, 2020)Background: Most African governments have made commitments to provide universal health coverage as a human right and to reduce inequalities in health outcomes among their citizens. Achieving these goals requires increased ... -
Do Not Resuscitate” Orders: Current Practice and Factors Influencing Decision Making in Kenyatta National Hospital
(University of Nairobi, 2020)Background: Do Not Resuscitate (DNR) orders are not commonly in use in the Kenyan health care system and decision making surrounding these orders may be complicated by cultural, religious and societal influences. There is ... -
Epidemiology and Molecular Characterization of Anaplasma and Ehrlichia Species Infecting Dairy Cattle in Smallholder Farms in Peri-urban Nairobi, Kenya
(University of Nairobi, 2020)Livestock production contributes 12% of the Kenyan Gross Domestic Product (GDP) and 40 % of the Agricultural GDP. Milk is the main livestock product and urban and peri-urban areas provide a ready market, which has led to ... -
Cardiovascular disease risk factors in patients with severe mental illnesses admitted at Mathari National Teaching and Referral Hospital.
(University of Nairobi, 2020)Background Early cardiovascular mortality has been observed in people with severe mental illness (SMI) when compared to matched counterparts in the general population. A high cardiovascular mortality risk has been found ... -
Prevalence and Handicap of Hearing Loss in the Older Adult at the Kenyatta National Hospital
(University of Nairobi, 2020)Background Hearing loss is the second most common chronic health problem in the older adult and a known to cause significant psychosocial embarrassment, stigma and a significant risk of environmental injury. It is an ... -
The efficacy of pectoral nerve blocks for acute pain management following modified radical mastectomy for breast cancer at the Kenyatta National Hospital : a randomised control trial
(University of Nairobi, 2020)Background: Management of acute pain following breast surgery remains a challenge to both the surgeon and the anesthesiologist. There are various recommendations from anesthesia and surgical groups on multimodal anesthesia ... -
Comparison of Apgar Scores and Umbilical Vein Oxygen Saturation Among Neonates Who’s Mothers Had Spinal Anaesthesia for Elective Caesarean Delivery With Either Supplemental Oxygen or Room Air
(University of Nairobi, 2020)Background During spinal anaesthesia for caesarean delivery, some anaesthesia practitioners do not administer supplemental oxygen routinely to low-risk mothers. Benefits of maternal oxygen supplementation on both the ... -
Early functional outcomes of open ankle fractures at Kenyatta National, Aga Khan University and P.C.E.A Kikuyu Hospitals
(University of Nairobi, 2020)Background: Open fractures are generally very challenging to treat due to the risk of sepsis, potential soft tissue loss and subsequent delayed or non-union. This challenge is amplified at the ankle joint because of ... -
Validation of the Use of Hear Screen, a Mobile Phone Application as a Screening Tool for Hearing Loss at the Kenyatta National Hospital
(University of Nairobi, 2020)Background: Approximately 466 million people suffer from disabling hearing loss in the world. The greatest burden is seen in Pacific Asia and sub Saharan Africa with a prevalence of 9% in the latter. There is a huge gap ... -
Perceived Stress Among Caregivers of Adolescents on Hiv Treatment at Kenyatta National Hospital Comprehensive Care Centre
(University of Nairobi, 2020)Introduction: Studies done to investigate the impact of caring for the Human Immunodeficiency Virus (HIV) infected persons on a caregiver have reported that sides physical exhaustion, the psychological well-ing of the ... -
Evaluation of adequacy of management of cardiac disease in pregnancy at Kenyatta National Hospital : a retrospective cohort study
(University of Nairobi, 2020)Background-Heart disease is a significant cause of maternal morbidity and mortality. It complicates 1 – 4% of pregnancies, in which tolerance of the heart to the essential cardiovascular changes is hampered, resulting in ... -
Evaluation of Perceptions of Cosmetic Outcomes Post Hypospadias Surgery in Kenyatta National Hospital Using the Paediatric Penile Perception Score
(University of Nairobi, 2020)Background: Hypospadias is a condition whereby the urethral meatus opens onto the penis’ ventral surface. The goal of surgical repair of hypospadias is to achieve a functional and cosmetic normal penis. Cosmetic outcome ... -
Association between post partum non-diabetic maternal HbA1c and fetal macrosomia at Kenyatta National Hospital : a case control study
(University of Nairobi, 2020)Introduction: The World Health Organization (WHO) defines macrosomia as an absolute birth weight of 4000 grams and above. Globally, it occurs in 0.5%- 15% of pregnancies and is associated with adverse maternal, fetal and ... -
The effect of maternal near miss on the prevalence of post natal depression compared to normal pregnancy within one year of delivery at the Kenyatta National Hospital.
(University of Nairobi, 2020)BACKGROUND Maternal morbidity is not as well studied and documented as maternal mortality. One of the new frontiers in quality of care assessment and improvement in maternal and new-born health is conducting Maternal Near ... -
Patient Reported Outcome Measures Following Urethroplasty in Kenyatta National Hospital
(University of Nairobi, 2020)Background: patient reported outcomes in urethroplasty have become increasingly valuable in assessing success of urethroplasty and in postoperative monitoring. This study determines the status of patient reported outcomes ...