Comparison of logistic regression with regularized machine learning methods for the prediction of tuberculosis disease in people living with HIV: cross-sectional hospital-based study in Kisumu County, Kenya.

Background: Tuberculosis (TB) is a major public health concern, particularly among people living with the Human immunodeficiency Virus (PLWH). Accurate prediction of TB disease in this population is crucial for early diagnosis and effective treatment. Logistic regression and regularized machine learning methods have been used to predict TB, but their comparative performance in HIV patients remains unclear.

Integrating interferon-gamma release assay testing into provision of tuberculosis preventive therapy is feasible in a tuberculosis high burden resource-limited setting: A mixed methods study.

The World Health Organization recommends the scale-up of tuberculosis preventive therapy (TPT) for persons at risk of developing active tuberculosis (TB) as a key component to end the global TB epidemic. We sought to determine the feasibility of integrating testing for latent TB infection (LTBI) using interferon-gamma release assays (IGRAs) into the provision of TPT in a resource-limited high TB burden setting. We conducted a parallel convergent mixed methods study at four tertiary referral hospitals.

Implementation of evidence-based multiple focus integrated intensified TB screening to end TB (EXIT-TB) package in East Africa: a qualitative study.

Introduction: Tuberculosis (TB) remains a major cause of morbidity and mortality, especially in sub-Saharan Africa. We qualitatively evaluated the implementation of an Evidence-Based Multiple Focus Integrated Intensified TB Screening package (EXIT-TB) in the East African region, aimed at increasing TB case detection and number of patients receiving care.

Objective: We present the accounts of participants from Tanzania, Kenya, Uganda, and Ethiopia regarding the implementation of EXIT-TB, and suggestions for scaling up.

Diagnostic performance of oral swabs for non-sputum based TB diagnosis in a TB/HIV endemic setting.

Objective: We evaluated diagnostic performance of oral swab analysis (OSA) for tuberculosis (TB) in a high HIV/TB burden setting in Kenya.

Methods: In this cross-sectional study, buccal swabs and sputum were collected from 100 participants with suspected TB in outpatient clinics in Kenya at enrollment and subsequent morning visits. Buccal swabs underwent IS6110-targeted qPCR analysis.

Gaps related to screening and diagnosis of tuberculosis in care cascade in selected health facilities in East Africa countries: A retrospective study.

Introduction: East Africa countries (Tanzania, Kenya, and Uganda) are among tuberculosis high burdened countries globally. As we race to accelerate progress towards a world free of tuberculosis by 2035, gaps related to screening and diagnosis in the cascade care need to be addressed.

Methods: We conducted a three-year (2015-2017) retrospective study using routine program data in 21 health facilities from East Africa.

Causes of death in HIV-infected and HIV-uninfected children aged under-five years in western Kenya.

Objectives: Describe the causes of death among infants and children less than 5 years stratified by HIV status.

Design: Cross-sectional analysis of causes of death ascertained through minimally invasive tissue sampling (MITS) in the Kenya Child Health and Mortality Prevention Surveillance site.

Methods: We included decedents aged 28 days to less than 5 years, whose death was reported within 36 h, underwent MITS, and had HIV test results and causes of death determined.

Adsorption-desorption and leaching behavior of diuron on selected Kenyan agricultural soils.

In this work, the adsorption-desorption dynamics of diuron in three typical Kenyan agricultural soils, Nzoia (NZ), Thika (TH) and Machakos (MK) was investigated. The equilibrium adsorption data, tested against three classical nonlinear adsorption isotherms, was best described by the Freundlich model. The Freundlich adsorption constant, (K), increased in the order MK > TH > NZ soil.

Spatial and temporal trends of polychlorinated biphenyls in water and sediment from Nairobi River, Kenya.

Polychlorinated biphenyls (PCBs) are chemicals that have become ubiquitous environmental pollutants due to their past use, persistence, and long-range transport thus requiring continuous monitoring. Therefore, this research was carried out to investigate spatial and temporal trends of seven indicator PCBs and two others (PCB 105 and PCB 156) in the Nairobi River. Levels of PCBs ranged from below detection limit (bdl) to 157.

Beyond DNA-targeting in Cancer Chemotherapy. Emerging Frontiers - A Review.

Modern anti-cancer drugs target DNA specifically for rapid division of malignant cells. One downside of this approach is that they also target other rapidly dividing healthy cells, such as those involved in hair growth leading to serious toxic side effects and hair loss. Therefore, it would be better to develop novel agents that address cellular signaling mechanisms unique to cancerous cells, and new research is now focussing on such approaches.

The effects of aflatoxin exposure on Hepatitis B-vaccine induced immunity in Kenyan children.

Background: Globally, approximately three million children die each year from vaccine preventable infectious diseases mainly in developing countries. Despite the success of the expanded immunization program, not all infants and children around the world develop the same protective immune response to the same vaccine. A vaccine must induce a response over the basal immune response that may be driven by population-specific, environmental or socio-economic factors.

Improving knowledge and practices of mitigating green house gas emission through waste recycling in a community, Ibadan, Nigeria.

Throughout the world, waste sector has been implicated in significant contribution to anthropogenic greenhouse gas (GHG) emissions. Involving communities in recycling their solid waste would ensure climate change effect mitigation and resilience. This study was carried out to improve waste management practices through a community-led intervention at Kube-Atenda community in Ibadan, Nigeria.

Organochlorine pesticide residues in sediment and water from Nairobi River, Kenya: levels, distribution, and ecological risk assessment.

Production and use of most organochlorine pesticides (OCPs) was banned through the Stockholm Convention on persistent organic pollutants. However, appreciable amounts are still detected in the environment due to their persistence, illegal use, and releases from contaminated soils and obsolete stocks. The present study investigated the levels of OCP residues in Nairobi River.

Climate change impacts detection in dry forested ecosystem as indicated by vegetation cover change in -Laikipia, of Kenya.

The objective of the study was to detect and identify land cover changes in Laikipia County of Kenya that have occurred during the last three decades. The land use types of study area are six, of which three are the main and the other three are the minor. The main three, forest, shrub or bush land and grassland, changed during the period, of which grasslands reduced by 5864 ha (40%), forest by 3071 ha (24%) and shrub and bush land increased by 8912 ha (43%).

Synthesis, characterisation and ion-binding properties of oxathiacrown ethers appended to [Ru(bpy)]. Selectivity towards Hg, Cd and Pb.

A series of complexes with oxathiacrown ethers appended to a [Ru(bpy)] moiety have been synthesized and characterised using H NMR, C NMR, IR, electronic absorption and emission spectroscopies, mass spectrometry and elemental analyses. The complexes exhibit strong MLCT luminescence bands in the range 608-611 nm and one reversible metal centred oxidation potential in the range 1.00-1.

Experience in implementing a quality management system in a tuberculosis laboratory, Kisumu, Kenya.

We implemented a quality management system (QMS) and documented our improvements in a tuberculosis (TB) laboratory in Kisumu, Kenya. After implementation of the QMS, a sustained reduction in culture contamination rates for solid (from 15.4% to 5.

Assessment of polycyclic aromatic hydrocarbons in Lates niloticus, Oreochromis niloticus and Rastrineobola argentea as sources of human exposure in Kisumu Bay, Winam Gulf of Lake Victoria.

The concentrations of polycyclic aromatic hydrocarbons (PAHs) in Lates niloticus, Oreochromis niloticus and Rastrineobola argentea from three beaches were assessed to establish whether they are sources of human exposure in Kisumu Bay, Winam Gulf, Lake Victoria, Kenya. O. niloticus had 12 PAHs detected (TPAH 3.

Seasonal variability in cadmium, lead, copper, zinc and iron concentrations in the three major fish species, Oreochromis niloticus, Lates niloticus and Rastrineobola argentea in Winam Gulf, Lake Victoria: impact of wash-off into the lake.

Trace metals Cadmium (Cd), Lead (Pb), Copper (Cu), Zinc (Zn) and Iron (Fe) were analyzed in edible portions of three main finfish species namely Lates niloticus, Oreochromis niloticus and Rastrineobola argentea sampled from various beaches of Winam Gulf, Lake Victoria, Kenya, in order to determine any seasonal and site variations and the results showed significantly (p < 0.05) higher mean concentrations of Cd, Cu, Zn and Fe during the wet season compared to the dry season for all the three species indicating the impact of wash-off into the lake during the rainy periods. The overall mean concentrations of the heavy metals (in μg/g dry weight) in all combined samples ranged from 0.

Anthropogenic sources of heavy metals in the Indian Ocean coast of Kenya.

Water and surface sediment samples from Rivers Sabaki, Ramisi and Vevesi that flow into the Indian Ocean coast of Kenya were analysed for heavy metals. The sediment concentrations of exchangeable cations (in microg/g) for Co, Cu, Mn, Ni, Pb, Sn and Zn ranged from 0.10 to 506.

The effects of Mn2+, Ni2+, Cu2+, Co2+ and Zn2+ ions on pesticide adsorption and mobility in a tropical soil.

The adsorption behaviour of DDT in a tropical silt-clay soil from Kenya showed that addition of increasing metal ion concentrations from 10 to 100 microg/g of soil, reduced the % DDT adsorption in the soil by factors ranging from 6.1% to 15.4% depending on the type of metal ion.

DDT and metabolites in fish from Lake Edward, Uganda.

This paper presents results based on determination of residue levels of 1,1,1-trichloro-2,2-bis[p-chlorophenyl]ethane (DDT) and its metabolites in five fish species from Rwenshama landing site on Lake Edward, Uganda. The residue levels were analysed by using a GC-ECD and confirmed by GC-MS. The DDT residues detected in fish samples from Lake Edward were p,p'-DDT, o,p'-DDT, p,p'-DDE, o,p'-DDE, p,p'-DDD and o,p'-DDD.

Levels of toxic metals in multisectoral samples from Winam Gulf of Lake Victoria.

In this study, the distribution and sources of inputs of trace metals including Cd, Cu, Zn and Pb from various sources as well as Fe which is widely used in the construction industry, into Winam Gulf of Lake Victoria were investigated. The sampling sites were located up streams and down streams of four rivers (Sio, Nyamasaria, Nyando and Sondu-Miriu), in four beaches along the lake (Port Victoria, Kisumu Car Wash, Dunga and Hippo point beaches) and in three estates (Nyamasaria, Migosi and Nyawita) in Kisumu city, covering potential agrochemical and industrial sources and drinking water points, respectively. The concentrations (in microg/L) of trace metals analysed in the lake and river waters ranged from <1.

Sources of heavy metal input into Winam Gulf, Kenya.

Water and surface sediment from rivers Kisat, Nyamasaria, Nyando, Sondu-Miriu, Kuja, Awach, Yala, and Nzoia, which flow into Winam Gulf, were analyzed for heavy metals in order to assess the influence of the catchment activities on heavy metal input into the lake. Sampling was done both upstream and at river mouths where the rivers entered in to the lake. The mean sediment concentration of exchangeable cations (in microg/g) for Ag, Cd, Co, Cu, Mn, Ni, Pb, Sn, and Zn ranged from 0.

Water quality and trace metal distribution in a pristine Lake in the Lake basin in Kenya.

Water and surface sediment samples taken from various locations within Lake Kanyaboli in the Lake Victoria basin were analysed to determine the concentration and distribution of heavy metals. There were wide ranges in concentrations of the metals among the sampling points analysed. Sediment concentrations (microg/g dry weight) ranged from n.