620 results match your criteria: "Maseno University.[Affiliation]"

Phenotypic and Genotypic Methods for the Identification and Quantification of Cyanobacteria in Lake Water.

Methods Mol Biol

April 2024

Department of Biological Sciences, School of Science and Aerospace Studies, Moi University, Eldoret, Kenya.

Early monitoring of Microcystis, a cyanobacterium that produces microcystin, is paramount in order to confirm the presence of Microcystis spp. Both phenotypic and genotypic methods have been used. The phenotypic methods provide the presence of the microcystis but do not confirm its species type and toxin produced.

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Background: Malaria remains a burden globally, with the African region accounting for 94% of the overall disease burden and deaths in 2019. It is the major cause of morbidity and mortality among children in Nigeria. Though different environmental factors have been assessed to influence the distribution and transmission of malaria vectors, there is a shortage of information on how they may influence malaria transmission among under-fives in Nigeria.

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This study investigated how individualism, collectivism and conformity are associated with parenting and child adjustment in 1297 families with 10-year-old children from 13 cultural groups in nine countries. With multilevel models disaggregating between- and within-culture effects, we examined between- and within-culture associations between maternal and paternal cultural values, parenting dimensions and children's adjustment. Mothers from cultures endorsing higher collectivism and fathers from cultures endorsing lower individualism engage more frequently in warm parenting behaviours.

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Purpose: Innovative strategies are urgently needed to meet the World Health Organization's 2030 target of treating 90% of women with precancerous cervical lesions, especially in countries most affected by cervical cancer. We assessed the acceptability of self-administered intravaginal therapies for treating cervical precancer in women undergoing cervical cancer screening and precancer treatment in Kenya.

Methods: We conducted a cross-sectional study among women aged 18 to 65 years undergoing cervical cancer screening or precancer treatment between January and October 2023 in Kisumu County, Kenya.

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  • * A study was conducted in Kisumu, Kenya, involving focus group discussions with 29 women aged 25-65 to explore their experiences with cervical cancer screening, treatment, and acceptability of self-administered topical therapies.
  • * Results showed that participants were generally receptive to self-administered topical treatments, as they believed these options could alleviate issues like access barriers and treatment pain.
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Purpose: Cervical cancer disproportionately impacts women in low- and middle-income countries (LMICs). The World Health Organization's (WHO) 90/70/90 strategy aims to eliminate cervical cancer by 2030 by increasing HPV vaccination coverage to 90%, screening 70% of eligible women, and effectively treating 90% of those with abnormal results by 2030, potentially preventing 62 million deaths in LMICs. LMICs, however, struggle with limited access to cervical precancer treatment, in part due to a lack of trained professionals and weak health systems.

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  • The study evaluates various mosquito sampling methods, including UV light traps, CDC light traps, and Prokopack aspiration, against the traditional human landing catches (HLC) in Kenya to address safety and efficacy.
  • Out of 5,370 Anopheles mosquitoes collected, the majority were An. funestus sensu lato, with a notable infection prevalence of 3.1% found only in this species.
  • Indoor aspiration proved to be the most effective method for capturing An. funestus compared to light traps, while UV light traps significantly outperformed HLC outdoors for collecting various Anopheles species.
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  • Tuberculosis (TB) is a major global health challenge, particularly due to the rise of drug-resistant strains, necessitating detailed monitoring of Mycobacterium tuberculosis complex (MTBC) in regions like Western Kenya.
  • The study aimed to assess the types, strains, and genetic variations of MTBC in HIV/AIDS-affected areas by examining clinical isolates from the Moi Teaching and Referral Hospital collected between 2013-2014.
  • Results indicated a variety of MTBC strains present in Western Kenya, revealing a clustering of strains and emphasizing the need for heightened awareness and better surveillance methods among healthcare providers regarding these diverse MTBC strains.
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  • Preterm and very low birthweight (VLBW) infants face high health risks in their early days, with full enteral feeding being crucial for their care, especially in sub-Saharan Africa where data on feeding practices is limited.
  • This study analyzed demographic and clinical data from 484 preterm and VLBW infants across 7 neonatal units in Nigeria and Kenya to assess factors affecting the time to achieve full enteral feeds.
  • Results indicated a significant percentage of mortality before feeding, revealing that earlier first feeds and gestational age greatly influenced the time to reach full enteral feeds, suggesting that implementing standardized feeding guidelines could improve outcomes in these infants.
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Background: Kenya has a remarkably high burden of oral diseases, especially in vulnerable communities like persons with HIV (PWH). In the last few decades, the National AIDS & STI Control Programme has efficiently and successfully provided care and prevention against HIV for people living in Kenya.

Objective: To assess the feasibility of integrating oral health into HIV research and policy structures in Kenya.

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Infection with (Mtb) in people with HIV (PWH) is associated with depletion of Mtb-specific CD4 T cell responses, increased risk of progression to active tuberculosis (TB) disease, and increased immune activation. Although higher HIV viral loads have been reported in Mtb/HIV co-infection, the extent to which Mtb infection and TB disease impact the frequency and phenotype of HIV-specific T cell responses has not been well described. We enrolled a cohort of PWH in Kenya across a spectrum of Mtb infection states, including those with no evidence of Mtb infection, latent Mtb infection (LTBI), and active pulmonary TB disease, and evaluated the frequency, immune activation, and cytotoxicity phenotype of HIV-specific CD4 and CD8 T cell responses in peripheral blood by flow cytometry.

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Introduction: Creating romantic relationships characterized by high-quality, satisfaction, few conflicts, and reasoning strategies to handle conflicts is an important developmental task for adolescents connected to the relational models they receive from their parents. This study examines how parent-adolescent conflicts, attachment, positive parenting, and communication are related to adolescents' romantic relationship quality, satisfaction, conflicts, and management.

Method: We interviewed 311 adolescents at two time points (females = 52%, ages 15 and 17) in eight countries (China, Colombia, Italy, Kenya, the Philippines, Sweden, Thailand, and the United States).

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Background: causes sporadic or epidemic infections in humans. The parasite comprises assemblages A-H with A and B subdivided further into AI-IV and BI-IV subassemblages. Attempts aimed at linking these genotypes with sources and gastrointestinal manifestations of the infection are largely unexplored in rural communities.

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Plants have diverse and vast niches colonized by endophytic microorganisms that promote the wellbeing of host plant. These microbes inhabit internal plant tissues with no signs of ill health. Bacterial endophytes from many plants have been isolated and characterized due to their beneficial roles however their diversity in leguminous plants still remain unexploited.

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  • Vaccination is crucial for public health, and the study examines the rates of non-vaccination, under-vaccination, and missed opportunities for vaccination (MOV) among children aged 0-23 months in Kenya over three different years: 2003, 2008/09, and 2014.
  • Using data from the Kenya Demographic and Health Surveys, the study found a significant decrease in non-vaccination rates from 13.2% in 2003 to 3.2% in 2014, while under-vaccination rates remained relatively stable around 50%. Increased MOV rates were observed, rising from 22.7% to 37.6% during the same period.*
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  • The study monitored the prevalence of k13 gene mutations in Plasmodium falciparum, crucial for tracking artemisinin resistance in malaria between 2018 and 2022 in Kenya and Ethiopia.
  • Sixteen different k13 haplotypes were identified, with low prevalence rates of nonsynonymous mutations found in both regions: 3.19% in western Kenya and 1.57% in Ethiopia.
  • Notable WHO-validated mutations were detected, and analyses suggest a modest genetic variation in the populations studied, indicating possible selective pressures affecting specific mutations like R622I.
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It is unclear how much adolescents' lives were disrupted throughout the COVID-19 pandemic or what risk factors predicted such disruption. To answer these questions, 1,080 adolescents in 9 nations were surveyed 5 times from March 2020 to July 2022. Rates of adolescent COVID-19 life disruption were stable and high.

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  • - The WHO's 90/70/90 strategy aims to eliminate cervical cancer in low- and middle-income countries (LMICs) by boosting HPV vaccinations, increasing screening rates, and ensuring treatment for women with abnormal results, potentially preventing 62 million deaths by 2030.
  • - LMICs face challenges in providing cervical precancer treatment due to limited resources and trained professionals; self-administered therapies could offer a scalable, cost-effective solution.
  • - Focus group discussions in Kenya revealed that men support their partners using topical self-administered therapies and desire to be involved in educational efforts about these treatments, highlighting the importance of male partners in facilitating care.
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Seasonality of associations between production of indigenous foods and food security status of mother-child dyads in Kisumu County, Kenya.

BMC Nutr

January 2024

School of Public Health and Community Development, Department of Biomedical Sciences and Technology, Maseno University, 333-40105, Maseno, Kenya.

Background: Food insecurity is a major predicament for rural populations, especially mothers and children, whose livelihoods are often dependent on rain-fed agriculture. Indigenous foods have the potential of mitigating food insecurity as they can thrive in poor agro-ecological conditions. However, the associations between indigenous food production and food security status of mothers and children drawn from rural contexts has not been expansively assessed.

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Background: Women living with HIV (WLWH), the majority of whom live in low- and middle-income countries (LMICs), are at higher risk of cervical precancer, known as cervical intraepithelial neoplasia (CIN), and are up to six times more likely to get cervical cancer. Current CIN treatment methods, primarily ablation or excision, have high treatment failure rates among WLWH, up to 30% for CIN grade 2 or 3 (CIN2/3) at 24 months following ablation. Without strong follow-up many WLWH with treatment failure are at risk of developing invasive cervical cancer, highlighting the urgent need for improved CIN treatment methods.

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Cultural values, parenting and child adjustment in Kenya.

Int J Psychol

August 2024

Education Psychology, Maseno University, Maseno, Kenya.

Children's, mothers' and fathers' reports were used to assess whether mothers' and fathers' individualism, collectivism and conformity values are significantly related to parenting behaviours and child adjustment during middle childhood. A sample of 95 children, 95 mothers and 94 fathers was recruited from Kisumu, Kenya. Our results indicated that controlling for child gender and parents' education, mothers' and fathers' higher collectivism values were associated with higher expectations regarding children's family obligations.

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  • The study focused on understanding the factors that influence patients' adherence to artemisinin-based combination therapy (ACT) for malaria in Kamuli, Uganda, involving 1266 participants across multiple health facilities.
  • Researchers used statistical methods like Student t-tests and multivariate logistic regression to analyze the data, looking for significant differences and correlations at p < 0.05.
  • Results showed a 69.7% adherence rate among 844 patients, with key factors influencing adherence including satisfaction with the treatment facility, history of saving ACT medicines, and age among others.
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The molecular mechanism underlying persistence in the asymptomatic phase of infection remains largely unknown. However, large-scale shifts in the parasites' gene expression during asymptomatic infections may enhance phenotypic plasticity, maximizing their fitness and leading to the persistence of the asymptomatic infections. To uncover these mechanisms, we aimed to identify parasite genetic factors implicated in asymptomatic infections through whole transcriptome analysis.

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Spina Bifida Global Learning Collaborative: Educating the next generation of clinicians, researchers, and advocates.

J Pediatr Rehabil Med

January 2024

Developmental-Behavioral Pediatrics, Texas Children's Hospital/Baylor College of Medicine, Houston, TX; and Developmental Medicine, Department of Pediatrics, Children's Nebraska, Omaha, NE, USA.

Purpose: This project aimed to launch an international learning community to guide the development of a spina bifida (SB) curriculum for global health trainees.

Methods: Using a descriptive study design, a convenience sample of SB curricula were identified in 2022-23 by members of the Spina Bifida World Congress Outreach Committee and evaluated during a series of monthly Zoom calls to discuss SB education in a global health context. Participants included (1) leadership from the ReachAnother Foundation, (2) invited panelists from the Spina Bifida World Congress Global Health Symposium, and (3) global health students and preceptors.

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Vaccine inequity: a threat to Africa's recovery from COVID-19.

Trop Med Health

December 2023

Department of Public and Global Health, University of Nairobi, Nairobi, Kenya.

Background: Vaccine inequity is a reality facing the Sub-Saharan Africa region as vaccine nationalism from high-income countries (HICs) leads to limited access to the lifesaving vaccines needed to end the pandemic. In Africa, a significant portion of the population has yet to be vaccinated against Covid-19; however, the barriers to accessing such vaccines, including capacity challenges, still persist despite the implementation of the COVAX facility meant to support the lower- and middle-income countries (LMICs) to boost vaccination.

Methods: This study involved a systemic narrative review where literature search was conducted using the NCBI's PMC and BMC databases based on defined keywords.

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