Medical & Health Sciences

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Medical & Health Sciences Research Papers/Topics

Relationship Between Nursing Students’ Psychiatric Encounters and the Choice of Psychiatric Nursing Specialty in Kenya

Abstract Management of mentally ill patients is mainly done by psychiatric nurses in Kenya. This study sought to identify the association between nursing students’ psychiatric encounters and the perception towards psychiatric nursing in Kenya using a cross-sectional study design. Cluster and systematic random sampling were used to select the study participants. Data was analysed using SPSS version 21. Odds ratio was used to identify the association between variables. A significant associat...

Sero-epidemiological survey of Coxiella burnetii in livestock and humans in Tana River and Garissa counties in Kenya

Abstract Background Coxiella burnetii is a widely distributed pathogen, but data on its epidemiology in livestock, and human populations remain scanty, especially in developing countries such as Kenya. We used the One Health approach to estimate the seroprevalance of C. burnetii in cattle, sheep, goats and human populations in Tana River county, and in humans in Garissa county, Kenya. We also identified potential determinants of exposure among these hosts. Methods Data were collected through...

Attitudes of Primary Health Care (PHC) Gatekeepers Towards Patient Referral Policy, Machakos County, Kenya

Abstract Primary Health Care (PHC) serves as the foundation for building a working healthcare system that provide good health outcomes. The quality of PHC delivery and the decision to refer patients depends on some behavioural factors (knowledge, skills and behaviour) of primary care providers. The study was conducted at 100 PHC centres sampled using Taro Yamane formula, in Machakos County, Kenya, from March to May 2015. It involved 8 gender-based focus group discussions (FGDs) with patients...

Antiplasmodial prenylated flavanonols from Tephrosia subtriflora

Abstract The CH2Cl2/MeOH (1:1) extract of the aerial parts of Tephrosia subtriflora afforded a new flavanonol, named subtriflavanonol (1), along with the known flavanone spinoflavanone B, and the known flavanonols MS-II (2) and mundulinol. The structures were elucidated by the use of NMR spectroscopy and mass spectrometry. The absolute configuration of the flavanonols was determined based on quantum chemical ECD calculations. In the antiplasmodial assay, compound 2 showed the highest activit...

Antiplasmodial potential of traditional phytotherapy of some remedies used in treatment of malaria in Meru–Tharaka Nithi County of Kenya

Abstract Ethnopharmacological relevance Medicinal plants play a major role in many communities across the world, in the treatment and prevention of disease and the promotion of general health. The aim of the study was to escalate documentation from an earlier study of medicinal plants, traditionally used to combat malaria by the Ameru community of Imenti Forest area and Gatunga in Eastern Region of Kenya, and validate their ethnopharmacological claims by evaluating their antiplasmodial effic...

In vitro and in vivo antiplasmodial activity of extracts of selected Kenyan medicinal plants

Abstract Malaria is one of the most important parasitic diseases in the world. It remains a major public health problem in Africa and is responsible for the annual death of over one million children below the age of five years. The Plasmodium falciparum is the most widespread etiological agent for human malaria and has become increasingly resistant to standard antimalarial drugs. Therefore, this necessitates a continuous effort to search for new drugs, particularly with novel modes of action...

Microbial Etiology to Thyroid Pathology

Abstract Introduction Microbial infections are normally cited as a main environmental factor involved in pathology. The current study aimed at determining frequency of occurrence of pathogens in thyroid pathology.Our study is focused on human data. We have reviewed thyroid Fine Needle Aspiration (FNA) samples for pathogens. Methods Biopsy by fine-needle aspiration was applied in investigating the nodule for microbial involvement. Two smears were prepared on slides from each sample. The first...

Escherichia coli pathotypes and Shigella sero-groups in diarrheic children in Nairobi city, Kenya

Abstract m: In the present study, we investigated the prevalence of E. coli pathotypes and Shigella sero-groups and their antimicrobial profiles among diarrheic children in Nairobi city, Kenya. Background: Although diarrheagenic E. coli pathotypes and Shigella sero-groups are leading causes of diarrhea in children under five years in developing countries, their distribution and antimicrobial resistance vary from place to place and over time in a given region. Methods: In a cross-sectional st...

Comparing Bethesda System and Richart Score in the evaluation of cervical lesions among women on contraceptives attending Machakos Level V County Hospital in Kenya

Abstract Background of the study: Early detection of the precursor lesion before the invasive stage of cervical cancer prevents further damage to the neighbouring tissues and organs. Bethesda system which applies cytological techniques is primarily used as a screening test while Richarts score is based on predicting the biological behaviour of abnormal epithelium. Laboratories in not so wellendowed settings should find the most predictive technique in assessing the cervical lesions. Objecti...

Social Impact of Dental Caries on Adult Patients in Bungoma County, Kenya

Abstract Dental caries manifests itself through the existence of a hole in the hard tissue of teeth, and it has a brown or black colour. Untreated dental caries causes a lot of challenges such as toothache and eventually tooth loss resulting in swelling, inability to eat or swallow, inability to open jaw or talk, difficulty in breathing and low self-esteem as a result of the bad breath from cavity. The outcome of the social effect of dental caries is the inability to pronounce or talk, inabi...

Metagenomic Profiles of Bacterial communities and environmental factors associated with proliferation of malaria vector mosquitoes within the Kenyan Coast

Abstract Background: Anopheles mosquitoes are the main malaria vector and as malaria cases decline in Sub Saharan Africa, there is a growing realisation that new interventions need to be added to complement the existing control strategies. To date, vector control is the most effective way to prevent malaria. Since the malaria parasite is maintained by mosquitoes which oviposit, feed and rest in the outdoor environment, there is an urgent need to focus on the control of oviposition sites seek...

In-silico analysis of potent Mosquirix vaccine adjuvant leads

Abstract Background World Health Organization recommend the use of malaria vaccine, Mosquirix, as a malaria prevention strategy. However, Mosquirix has failed to reduce the global burden of malaria because of its inefficacy. The Mosquirix vaccine’s modest effectiveness against malaria, 36% among kids aged 5 to 17 months who need at least four doses, fails to aid malaria eradication. Therefore, highly effective and efficacious malaria vaccines are required. The well-characterized P. falcipa...

Intrinsic and Extrinsic Risk Factors for Nosocomial Pressure Injury among Hospitalized Adults at a Tertiary Hospital in Western Kenya

Abstract The high incidence and prevalence of nosocomial pressure injuries pose a threat to safe hospitalization and additional strain on the healthcare system. Analysis of pressure injury risk factors is necessary for efficient prevention and management as part of the program to ensure that no patient experiences any preventable harm while receiving care, as per the international patient safety goals. This study evaluated the intrinsic and extrinsic risk factors for pressure injury among co...

Factors Influencing the Management of Musculoskeletal Pain among Children with Sickle Cell Disease in Western Kenya

Abstract Musculoskeletal pain (MSK) is a common and often distressing symptom among children diagnosed with sickle cell disease (SCD). Despite the recurrent and often severe pain episodes these children endure, there has been limited research into the factors that influence the management of this pain. This study sought to delve into the various factors that impact the management of MSK pain in children with SCD in Western Kenya. It took a comprehensive approach, considering psychological, e...


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