School of Medicine: Recent submissions

Now showing items 1361-1380 of 2401

Patient-reported barriers to online meetings: The case of a myeloma support group in western Kenya in the era of COVID-19.

Lotodo, Therese; Oduor, Mercy; Manyega, Kelvin; Okuku, Austin; Namaemba, Diana; Oyolo, Lorraine; Oguda, John (American Society of Clinical Oncology, 2021)

Multiple myeloma is a chronic progressive disease that calls for extended survivorship support post-diagnosis. Pre- COVID-19, the AMPATH Multiple Myeloma Program had created support groups for myeloma survivors and their ...
Acute myeloid leukemia in Western Kenya: A snapshot

Wanjiku, Christopher Mwaniki; Melly, Beatrice; Kilach, Carole; Lotodo, Teresa Cherop; Binz, Kristin; Bari, Elizabeth Rosenberg; Dow, Lindsay (ASH Publication, 2021-11)

ntroduction: Steady advances in the treatment of acute myeloid leukemia (AML) have improved outcomes in high-resource settings, with a 5-year overall survival rate of 29% and rising in the United States. In contrast, a ...
Quantification of fetomaternal haemorrhage and its application in Anti-d dosing in rhesus negative mothers delivering at Moi Teaching and Referral Hospital Eldoret.

Agil, Fatma (Moi University, 2019)

Background: Fetomaternal hemorrhage (FMH) is the entry of fetal blood into the maternal circulation during pregnancy or delivery. If this occurs in a Rhesus negative woman carrying a Rhesus positive fetus, there is a ...
Intimate partner violence during pregnancy and the associated perinatal outcomes at Moi Teaching and Referral Hospital in Eldoret, Kenya

Luhumyo, Loice Munyazi (Moi University, 2019-11)

Background: Intimate Partner Violence (IPV) against women is the range of sexual, psychological and physical coercive acts used against adult and adolescent women by current or former male intimate partners (CDC, 2010). ...
Disclosure of sickle cell disease results to parents /guardians participating in research at Ampath Hemato-oncology clinic in Eldoret Kenya

Biwott, Penina Jerotich (Moi University, 2018-11)

Background: Disclosure is a key process in the management of sickle cell clients. This process if done well results in positive holistic ways of managing clients. However, if not handled well it can affect the client and ...
Cost analysis of an Electronic Medical Record System at an urban clinic in Kampala, Uganda - an organizational perspective

Bonny, Enock Balugaba (Moi University, 2019)

Electronic medical record systems (EMRS) are increasingly being adopted worldwide. While their benefits are well known, the costs of implementing and maintaining such EMRs in resource constrained settings are not well ...
Predictors of Health Insurance Enrollment among HIV Positive Pregnant Women in Kenya: Potential for Adverse Selection and Implications for HIV Treatment and Prevention

Were, Lawrence P.O.; Hogan, Joseph W; Galárraga, Omar; Wamai, Richard (International Journal of Environvironment and Research Public Health., 2020-04)

Background: The global push to achieve the 90-90-90 targets designed to end the HIV epidemic has called for the removing of policy barriers to prevention and treatment, and ensuring financial sustainability of HIV programs. ...
Effects of social health insurance on access and utilization of obstetric health services: results from HIV+ pregnant women in Kenya

Were, Lawrence; Were, Edwin; Wamai, Richard; Hogan, Joseph; Galarraga, Omar (BMC Public Health, 2020-01)

Background Reducing maternal morbidity and mortality remains a top global health agenda especially in high HIV/AIDS endemic locations where there is increased likelihood of mother to child transmission (MTCT) of HIV. ...
Apert syndrome, a rare case description and complicated syndactyly surgical decision making in a resource limited setting

Momanyi, Alex; Mwangi, Paul; Ayumba, Barry; Lwegado, Ronald (International Journal of Case Reports in Orthopaedics, 2021)

Apert syndrome is a rare genetic type I acrocephalosyndactyly disease characterized by craniofacial dysmorphism and syndactyly of the hands and feet. It assumes as an autosomal dominant inheritance ...
Measuring psychological distress symptoms in individuals living with HIV in western Kenya

Ong’or, W.O.,; Monahan, Patrick O; Yebei, Violet (Journal of Mental Health, 2009-07)

Background: As the HIV-related infrastructure continues to develop in sub-Saharan African countries, it will be important to consider appropriate mechanisms that will support attention to psychological distress among those ...
Reduced renal function is associated with progression to AIDS but not with overall mortality in HIV-infected kenyan adults not initially requiring combination antiretroviral therapy

Gupta, Samir K; Ong’or, Willis Owino; Kara Wools, Kaloustian (International AIDS Society, 2011)

Background: The World Health Organization (WHO) has recently recommended that antiretrovirals be initiated in all individuals with CD4 counts of less than 350 cells/mm3. For countries with resources too limited to expand ...
The prevalence of post-traumatic stress disorder among sexually abused children at Kenyatta national hospital in Nairobi, Kenya

Ombok, C. A.; Obondo, A; Kangethe, R; Atwoli, L (East African Medical Journal, 2013-10)

Background: Post-Traumatic Stress Disorder (PTSD) develops following some stressful events. There has been increasing recognition that children who have been exposed to traumatic events like child sexual abuse can develop ...
Disease patterns at the sick child clinic of Moi teaching and referral hospital, Kenya

Kemunto, Dilys; Abuya, Joseph; Ubaga, Edwin; Nyamongo, Fridah; Ouma, Peter; Kamuren, Zipporah (IJRESS, 2018-04-24)

The United Nations Convention on the Rights of the Child describes a child as any human being below the age of 18 years [1]. The said group includes a particularly vulnerable cohort of children under the age of 5 years.These ...
Knowledge of cervical cancer and acceptability of Prevention Strategies among HPV-Vaccinated and Nonvaccinated Adolescents in Eldoret, Kenya

Mburu, ,Anisa; Itsura, P (American Society of Clinical Oncology, 2018)

Background: Primary prevention of cervical cancer with the introduction of the human papilloma virus (HPV) vaccines is the next generation means to reduction of the disease burden in developing countries. Sexually active ...
Is there value to sub-specialty training in sub-Saharan Africa?

Orang’o, EO; Sinasac, S (Southern African Journal of Gynaecological Oncology, 2019)

Over the past three decades, Africa has focused on combatting infectious diseases, such as tuberculosis, malaria, and HIV/ AIDS. As treatment strategies for infectious diseases have improved over time, ...
Increasing body mass index or weight does not appear to influence the association between efavirenz-based antiretroviral therapy and implant effectiveness among HIV-positive women in western Kenya

Rena, Patel C; Jakait, Beatrice (Elsevier Inc, 2019)

Objective: Our objective was to evaluate if increasing body mass index (BMI) or weight influences the association between efavirenz-based antiretroviral therapy (ART) and implant effectiveness. Study design: We conducted ...
Alcohol-related liver disease is rarely detected at early stages compared with liver diseases of other etiologies worldwide.

Some, Fatuma (Pubmed, 2019)

Despite recent advances in treatment of viral hepatitis, liver-related mortality is high, possibly owing to the large burden of advanced alcohol-related liver disease (ALD). We investigated whether patients with ALD are ...
Problematic alcohol use among fathers in Kenya: Poverty, people, and practices as barriers and facilitators to help acceptance

Puja, Patel; Kaiser, Bonnie N.; Meade, Christina S.; Giusto, Ali; Ayuku, David; Puffer, Eve (HHS Public, 2020)

Background: In Kenya, the prevalence of alcohol use disorder (AUD) is close to 6%, but a notable treatment gap persists. AUD is especially pronounced among men, leading to negative consequences at both individual and ...
Improving methods to classify perinatal versus nonperinatal HIV acquisition in young adolescents 10–14 years of age

Tsondai, Priscilla Ruvimbo; Davies, Mary-Ann; Chimbetete, Cleophas (Wolters Kluwer Health, 2021)

Mode of HIV acquisition for adolescents with HIV is often not recorded within routine healthcare databases. Hence, age at enrollment in HIV care is often used as a proxy for perinatal versus nonperinatal infection. Using ...
A mechanistic model for long-term immunological outcomes in South African HIV-infected children and adults receiving ART

Ujeneza, Eva Liliane; Ndifon, Wilfred; Shobna, Sawry; Fatt, Geoffrey; Riou, Julien; Davies, Mary-Ann (eLife, 2021)

Long-term effects of the growing population of HIV-treated people in Southern Africa on individuals and the public health sector at large are not yet understood. This study proposes a novel ‘ratio’ model that relates CD4+ ...

Now showing items 1361-1380 of 2401

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