Publications by authors named "J Kiambo Njagi"

Background Ureterovaginal fistulae usually follow iatrogenic injury to the ureter during pelvic surgery. This manifests as urine incontinence and results in serious psychosocial effects on women. Ureterovaginal fistulae unlike vesicovaginal fistulae present challenges in diagnosis and management especially in resource-constrained settings.

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  • - This study investigates the potential post-release concerns related to gene drive-modified mosquitoes (GDMMs), which are being developed to combat malaria and other mosquito-borne diseases, particularly focusing on what could happen after these mosquitoes are released into the environment.
  • - Through a combination of literature reviews and expert consultations across various African regions, the research highlights that past monitoring of similar biological control products has primarily focused on their effectiveness, rather than broader ecological impacts.
  • - The findings suggest that key concerns regarding human/animal health, biodiversity, and water quality need to be addressed, and that a structured risk assessment should guide the prioritization of these issues in future GDMM releases.
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The ability to transfer information about the performance, safety, and environmental impacts of a genetically modified (GM) crop from confined field trials (CFTs) conducted in one location to another is increasingly gaining importance in biosafety regulatory assessment and decision-making. The CFT process can be expensive, time-consuming, and logistically challenging. Data transportability can help overcome these challenges by allowing the use of data obtained from CFTs conducted in one country to inform regulatory decision-making in another country.

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Introduction And Hypothesis: This study was aimed at determining the recurrence rate and risk factors for the recurrence of pelvic organ prolapse (POP), at 1 year post-vaginal reconstructive surgery in a resource-limited setting.

Methods: We enrolled women who underwent vaginal surgery for POP at the urogynecology unit of Mbarara Regional Referral Hospital (MRRH) in southwestern Uganda between December 2018 and February 2020. The surgeries that were performed include anterior colporrhaphy for cystocele, posterior colporrhaphy for rectocele, vaginal hysterectomy with vault suspension for uterine prolapse, and cervicopexy in those with uterine prolapse where uterine-sparing surgery was desired.

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  • - Low contraceptive use among adolescent girls in Kenya is influenced by community attitudes and misconceptions, highlighting the need for open conversations between parents and their daughters about sexual health and contraception.
  • - The study utilized qualitative research methods, including in-depth interviews and focus group discussions, to gather insights from both adolescent girls and adults about their perspectives on contraception in Narok and Homa Bay counties.
  • - Key findings emphasized fears surrounding contraception, such as infertility and societal judgments, indicating the importance of comprehensive sexuality education to address these misconceptions and improve contraceptive use among adolescents.
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