Faculty of Health Sciences (FHS): Recent submissions
Now showing items 2221-2240 of 10387
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A Decade of Cholecystectomy at Kenyatta National Hospital: Demographics, Patterns and Transition to Laparoscopy
(2014)Background: In the early 90’s all cholecystectomies at the Kenyatta National Hospital were open cholecystectomies. Currently only third undergo the open operation. We conducted a study to analyze the age and sex, mode of ... -
Blood Loss and Influencing Factors in Primary Total Hip Arthroplasties
(2014)Introduction: Orthopaedic surgery results in significant blood loss. There are no studies that can aid the surgeon in the African region estimate the expected blood loss after total hip replacement. We conducted a study ... -
Epidemiology and Functional Outcome of Head Injury in Rural Kenya
(2014)Background: Head injury is a major cause of disability, morbidity, and mortality and is responsible for a significant proportion of all traumatic deaths. The aim of this study was to document the epidemiology and factors ... -
Reversible blindness in a patient with systemic lupus erythematosus: case report
(2014)Neuropsychiatric manifestations can occur in majority of patients with Systemic Lupus Erythematosus (SLE). We describe a patient who presented with acute onset binocular visual loss and was found to have inflammation of ... -
An evaluation of quality of life in ambulatory patients with systemic lupus erythematosus attending rheumatology clinic in Kenyatta National Hospital
(2014)Background: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that affects all organs of the body. It is becoming increasingly clear that SLE is not as rare in Kenya as was previously thought. Due to its ... -
Pulmonary manifestations in scleroderma: A review
(2014)Background: Scleroderma is a chronic multisystem autoimmune disease of unknown aetiology. Scleroderma is characterized by widespread obliterative vasculopathy of small arteries and is associated with varying degrees of ... -
Challenges of Parathyroidectomy in a Patient with Primary Hyperparathyroidism and End Stage Renal Disease- Case Report.
(2013)Hyperparathyroidism is an endocrinopathy affecting calcium metabolism. The leading cause of hypercalcaemia is primary hyperparathyroidism most often caused by a parathyroid adenoma. Symptomatic hyperclacemia secondary to ... -
Aplasia Cutis Congenita. A Case Report and Review of Literature
(2013)Aplasia cutis congenita is a birth defect characterised by absence of skin and, in some cases, the subcutaneous tissues. This is a case report of the initial conservative management of a neonate in a rural hospital who ... -
The Umbilical Artery Resistive Index and the Cerebro-Placental Ratio as a Predictor of Adverse Foetal Outcome in Patients with Hypertensive Disorders of Pregnancy during Third Trimester.
(2013)Background: Hypertensive disorders of pregnancy causes adverse effects both the maternal and faetal circulations. These circulations can be assessed safely and non-invasively by Doppler `ultrasound using arterial Doppler ... -
Ankle Arthrodesis Using a Vertical Steinman’s Pin in a Severely Osteopenic Bone
(2014)Background: Ankle arthrodesis is generally considered the gold standard for the treatment of a painful arthritic ankle not responding to conservative treatment. The goal is to eliminate pain and achieve a stable plantigrade ... -
Mucociliary Clearance Time in Patients with and without Rhinitis.
(2014)Background: Rhinitis may be allergic or non allergic. Allergic rhinitis, intermittent or persistent is the most common type of rhinitis, affecting approximately 20% of the population while nonallergic rhinitis affects ... -
Knowledge, Attitude and Practice in First Aid Management of Epistaxis by Accident and Emergency Clinical Staff at Kenyatta National Hospital.
(2014)Background: Epistaxis is one of the commonest emergencies in Accident & Emergency and Ear, Nose & Throat departments. A vast majority of these patients settle with simple standard first aid measures. The aim of this study ... -
Tibialization of the fibula in a child with chronic osteomyelitis of the tibia: a case report
(2013)A case of a ten year old patient on treatment for chronic osteomyelitis of the right tibia is presented. After undergoing multiple sessions of debridement and sequestrectomy, first at a district hospital then at Kenyatta ... -
Proximal row carpectomy in a 23 year old female with kienböck’s disease: a case report
(2013)Kienböck’s disease is a rare disorder of the lunate bone resulting from vascular compromise to the bone. We describe a 23 year old female with a 6 year history of non traumatic left wrist pain and swelling. Radiography and ... -
Experience with treatment of clavicle fractures at an African tertiary referral hospital
(2013)Background: Clavicle fractures are common with the middle third being most frequently involved. Treatment of displaced fractures is controversial with both non-operative and operative management being advocated ... -
Current approaches to prevention of venous thromboembolism following major orthopaedic surgery: a review of recommendations by international guidelines
(2014)Objectives: Venous Thromboembolism (VTE) is an important cause of morbidity and mortality amongst patients who undergo major orthopaedic surgical procedures. The perioperative use of thromboprophylactic agents with or ... -
MRI evaluation of patients with shoulder pain at three imaging Centres in Nairobi
(2014)Background: Shoulder pain is a common reason for visiting a physician. It is the third most common cause of musculoskeletal complaint after low back pain and cervical pain in the USA. No data is available on MRI findings ... -
Venous thromboembolism in orthopaedics
(2014)Over the past decade venous thromboembolism has become a topic of growing interest for the orthopaedic surgeon as a preventable disease which contributes to morbidity and mortality among hospitalised patients especially ... -
Comparative Study on the Efficacy of Two Regimens of Single-Shot Spinal Block for Pain Relief in Women Presenting in Established Labour
(KMA, 2013)Background: Most women experience moderate to severe pain during labour and delivery, often requiring some form of pharmacologic analgesia. The lack of proper psychological preparation combined with fear and anxiety can ... -
Left Ventricular Inflow Obstruction by Giant Atrial Septal Aneurysm in a Neonate with Hypoplastic Right Heart Syndrome: Case Report
(KMA, 2013)Atrial septal aneurysm remains a rare congenital cardiac malformation. In the neonatal age group it can occur as an isolated cardiac malformation or in association with complex hypoplastic cardiac malformations of the right ...