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East African Medical Journal

A P Adrawa, D Opi, E Candia, E Vukoni, I Kimera, I Sule, G Adokorach, T O Aliku, E Ovuga
Background: Despite national policy guidelines advocating exclusive breastfeeding for the first six months of life to promote and accelerate child survival, the proportion of women exclusively breastfeeding for the first six months has remained small. Objective: To describe the knowledge and practices of mothers regarding exclusive breastfeeding in a semi-urban Ugandan population. Design: A descriptive cross-sectional study. Setting: Semi-urban Ugandan population in four parishes in Adjumani District, the West Nile region of Uganda...
November 2016: East African Medical Journal
A Njoroge, K E Munene
Non-communicable diseases (NCD) are emerging as the leading cause of morbidity & mortality globally, with the greatest rise in incidence of cardiovascular disease cases observed in Sub-Saharan Africa. This is in addition to the heavy burden of infectious diseases already present in this setting. Describing the cross-cutting epidemiology of NCDs and infectious diseases with focus on the interaction between tuberculosis and diabetes mellitus, HIV and cardiovascular disease, HIV and cervical cancer as well as assessing the disparities in funding and service delivery systems between NCDs and infectious diseases; we review this rising double burden of infectious and non-infectious diseases and propose four lessons that can be learnt from the HIV response and adapted to inform the scale up of NCD control in Kenya which are also applicable in other African countries...
December 2015: East African Medical Journal
H I Magale, I A Kassim, S A Odera, M J Omolo, W G Jaoko, P E Jolly
BACKGROUND: Changes in susceptibility patterns of bacterial pathogens isolated from urinary tract infections emphasize the need for regional surveillance to generate information that can be used in management of patients. Knowledge on the current status of antimicrobial resistance in uropathogens, and the prevalence of expanding spectrum beta-lactamases (ESBLs) in the isolates will guide policy formulations and encourage prudent use of antimicrobials. OBJECTIVE: Identify bacterial pathogens causing UTI and determine the association between the pathogens isolated from patients attending KNH...
July 2015: East African Medical Journal
S Ouma, M Turyasima, H Acca, F Nabbale, K O Obita, M Rama, C C Adong, A Openy, M O Beatrice, E I Odongo-Aginya, S Awor
BACKGROUND: Uganda's rapid population growth (3.2%) since 1948 has placed more demands on health sector and lowered living standard of Ugandans resulting into 49% of people living in acute poverty especially in post conflict Northern Uganda. The population rise was due to low use of contraceptive methods (21% in rural areas and 43% in urban areas) and coupled with high unmet need for family planning (41%). This indicated poor access to reproductive health services. Effective use of family planning could reduce the rapid population growth...
2015: East African Medical Journal
Ann E Kurth, Irene Inwani, Anne Wangombe, Ruth Nduati, Mercy Owuor, Francis Njiri, Pamela Akinyi, Peter Cherutich, Alfred Osoti, John Kinuthia, Nok Chhun, James Kiarie
BACKGROUND: Intentional childbearing may place heterosexual couples at risk of HIV infection in resource-limited settings with high HIV prevalence areas where society places great value on having children. OBJECTIVE: To explore cognitive, cultural, and spatial mapping of sexual and reproductive health domains and services in western Kenya among men and women. DESIGN: Community-based formative qualitative study design. SETTING: Five administrative/geographical divisions of Nyando District, western Kenya...
2015: East African Medical Journal
G Gaido, C Lanza
Delayed complications of an established surgical procedure like transvescical prostatectomy can occur in rural settings, where different factors can influence the outcome, beyond appropriate indication for surgery and technical skills of surgeons. Here we present a case that was per se surgically unremarkable, however a number of delayed omplications appeared in the post operative period, including infectious, neurologic, metabolic, hematologic ones, beyond purely post-surgery complications.
December 2014: East African Medical Journal
P W Atipo-Tsiba
The insurance fraud is a known phenomenon and old in rich countries. The problem is relatively new in black Africa. Thanks to the installation of private companies and the emergence of social security fund, this phenomenon tends to grow without having precise figures. These frauds often involve the simulation of imaginary symptoms that primarily affect the five senses. The eye has a special place, its anatomical position easily exposed to work accident. Using simple clinical tests, the ophthalmologist must demonstrate that the patient with suspicion of visual loss is capable of normal vision and has no organic underlying deficit...
December 2014: East African Medical Journal
W Nigatu, N S Fabiola, I J Flora, M A Mukahirwa, M Omar, J Nsengimana, A Nsabimana
BACKGROUND: The environments can be contaminated by infectious agents that constitute a major health hazards as sources of community and hospital-acquired infections due to various activities. OBJECTIVE: A comparative study on the level of bacteriological contamination of automatic teller machines (ATMs), public toilets and commercial motorcycle crash helmets were conducted in Kigali city during the period of January to March, 2013. DESIGN: Samples were collected from selected ATMs, public toilets and commercial motorcycle crash helmets surfaces...
December 2014: East African Medical Journal
V K Mukthar, A K Maranga, S J Kulei, R K Chemoiwa
OBJECTIVE: To determine the uptake ana factors associated with the uptake of modern contraceptives among women of reproductive age (15-49 years) attending Maternal Child Health and Family Planning Clinics/Units in Rift Valley Provincial Hospital in Kenya. DESIGN: A descriptive cross-sectional study. SETTING: Rift Valley Provincial hospital which is a level five health facility situated in Nakuru County, Kenya. SUBJECTS: Women of reproductive age (15-49 years) who were attending Maternal Child Health and Family Planning Clinics at the Rift Valley Provincial Hospital...
December 2014: East African Medical Journal
S W Ndegwa, J W Gichuhi, Z Qureshi, K Lubano
OBJECTIVE: To determine the effect of two levels of counselling on the provision of Intrauterine Contraceptive Device (IUCD) at six weeks post-partum of the post-placental intrauterine device. SETTING: Embu Provincial General Hospital, Kenya. SUBJECTS: One hundred and thirty seven pregnant women at the gestation of 36 weeks to term, who attended Antenatal clinic and were followed until delivery and at six weeks post-partum. DESIGN: A randomised "open-label" clinical trial...
December 2014: East African Medical Journal
L Njue, L W Kanja, J N Ombui, J G Nduhiu, D Obiero
BACKGROUND: Meat is amajor source of food and raw materials for a number of industries, yet a lot of meat is wasted each year due to deterioration as a result of spoilage by microorganisms such as Pseudomonas, Acinetobacter, Moraxella, Bacillus, Campylobacter, Escherichia, Listeria, Clostridium, Salmonella and Staphylococcus species. OBJECTIVE: To determine efficacy of antimicrobial activity of garlic extracts on bacterial pathogens commonly found to contaminate meat...
December 2014: East African Medical Journal
K U Tobi, C O Imarengiaye
OBJECTIVE: To evaluate the use of whole blood and blood products in our ICU to determine patterns and outcome after transfusion. DESIGN: A retrospective, case-control study. SETTING: The Intensive care unit (ICU) of the University of Benin Teaching Hospital, a seven-bed open unit for the management of surgical, medical and paediatric patients. SUBJECTS: Patients who received blood transfusion in the ICU. Every patient who received blood transfusion was matched for a similar case without blood transfusion...
December 2014: East African Medical Journal
P Kuradusenge, R T Kuremu, G Jumbi, P W Saula
UNLABELLED: Objectives: To describe the anatomical sub-types of Anorectal malformations, their management and the early outcome at Moi Teaching and Referral Hospital (MTRH) over a 16 month period. Design: A prospective study. SETTING: MTRH, in the neonatal Unit and paediatric surgical wards for theinitial capture of patients and initial follow up. The Paediatric Surgical out-patient clinic was used for the subsequent follow ups. SUBJECTS: All infants diagnosed with ARM (Anorectal malformations) at MTRH from November 2011 to April 2013...
December 2014: East African Medical Journal
J G Ondieki, D Kiptoon
Foreign bodies within the rectum are an infrequent occurrence with a wide variety of objects either inserted or swallowed. Many techniques of removal have been described to remove these objects in case series mainly in developed countries. We report a case of unusually large rectal foreign body we managed by sigmoidotomy with primary closure.
November 2014: East African Medical Journal
J Wanyoike-Gichuhi, R Parkar
Tuberculosis (TB) is caused by mycobacterium tuberculosis. It remains a public health concern especially in developing country. Pulmonary infection is the main presentation. However, genitourinary TB is common especially with the increase in Human Immunodeficiency virus (HIV) infection. Genitourinary TB is one of the most common causes of extrapulmonary tuberculosis which affects 12% patients with pulmonary tuberculosis. It is common in women less than 40 years of age and rarely occurs in post-menopausal. Therefore it is more likely to affect women in reproductive years leading to infertility...
November 2014: East African Medical Journal
O A Ebeye, L E Chris-Ozoko, P Ogeneovo, A Onoriode
BACKGROUND: Genetic variability is a common feature of many organisms. The existence of genetic variation in man is caused by many factors along with selection, migration, gene flow and genetic drift. Human genetics are known as hereditary traits, these hereditary traits include the dominant and recessive traits in humans. Most of the genes are transmitted in the Mendelian pattern and a few are transmitted through the non-Mendelian pattern. OBJECTIVE: To show variation pattern in earlobe attachment, hair line distribution and presence or absence of cheek dimples and to determine prevalence of these traits among the Esan ethnic group of Southern Nigeria...
November 2014: East African Medical Journal
S Mururi
OBJECTIVE: To establish common disasters, preparedness and management in secondary school in Ruiru Division, Kiambu County, Kenya. DESIGN: Descriptive cross-sectional study. SUBJECTS: Out of the target population a hundred and twenty (120) respondents were selected from the students, teachers and the support staff. Eighteen key informants snowballed gave information that augmented the study findings. RESULTS: The respondents did not know how to use the first aid kit elements (= 835...
November 2014: East African Medical Journal
E M Nyaga, G G Mbugua, L Muthami, J K Gikunju
BACKGROUND: Voluntary Medical Male Circumcision (VMMC) is the surgical removal of all or part of the foreskin from the penis. It is done for medical reasons as it has been shown to reduce the risk of female to male transmission of HIV by up to 60%. It has also been associated with lower transmission of sexually transmitted infections. Voluntary Medical Male Circumcision services have been scaled up in countries with high prevalence, generalised heterosexual HIV epidemics and low rates of male circumcision...
November 2014: East African Medical Journal
P O Adefuye, B O Adefuye, A A Oluwole
OBJECTIVE: To describe pattern of female genital tract cancers seen at Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Nigeria. DESIGN: This is a retrospective review of all cases of female genital tract cancers managed at the Gynaecology department of OOUTH, Sagamu, Nigeria. SETTING: OOUTH is a tertiary health institution of the State's university and it takes referrals from within and outside the State. SUBJECTS: Case records of all female genital tract cancers managed between January 2004 and December 2013 were retrieved and analysed using SPSS version 16...
November 2014: East African Medical Journal
J Wachira, A F Chite, V Naanyu, N Busakhala, J Kisuya, A Keter, A Mwangi, T Inui
OBJECTIVES: To conduct clinical breast cancer screening in three sites in Western Kenya and explore community barriers to screening uptake. DESIGN: Cross-sectional study. SETTING: Western Kenya specifically, Mosoriot, Turbo, and Kapsokwony. SUBJECTS: Community members (18 years and older) who did not attend the screening events. OUTCOME MEASURE: The outcome measure was having heard about the breast cancer screening events...
November 2014: East African Medical Journal
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