Kenya Association of Physicians Scientific Conference

Permanent URI for this collection

https://hdl.handle.net/1805/1156

Browse

Browsing Kenya Association of Physicians Scientific Conference by Author "Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)"

Now showing 1 - 10 of 24
  • Thumbnail Image
    Item
    Academic Model for Prevention and Treatment of HIV/AIDS (AMPATH)
    (Association of Kenya Physicians, 2007) Kimaiyo, S. N.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)
    AMPATH HIV Care: Now caring for over 48 004 active patients (40 500 Adults and 7,504children) as of 31stMay 2007 with 2,905 new patients in April. 21,397 patients are on ARVs and 583 on TpMTCT
  • Thumbnail Image
    Item
    The ACT Malaria Treatment Policy Change in Kenya
    (Association of Kenya Physicians, 2007) Akhwale, Willis S.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)
    Objectives of the national Antimalarial treatment policy: •Enable population at risk access safe, good quality, effective, affordable & acceptable antimalarial drugs •Ensure rapid and long lasting clinical cure •Prevent progression to severe disease •Reduce the incidence of anaemia •Reduce consequences of placental malaria infection •Delay development of resistance to antimalarial drugs Key specific issues: •Limited data available on safety of ACTs in young infants (use of coartem <5kgs) •Lack of adequate safety and efficacy data on drug combinations in pregnant women (safety of lumefantrine in pregnancy) •Improving systems of forecasting of drug needs •Strengthening the management and drug supply system (procurement, distribution and use) according to the specificities of the new drugs (shorter shelf life and the course-of-therapy packs) •Complex treatment schedules poses challenge for ensuring compliance •Need for more friendly paediatric formulations
  • Thumbnail Image
    Item
    Acute Myeloid Leukemia: The Aga Khan Experience
    (Association of Kenya Physicians, 2007) Ngunga, Mzee; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)
    AML is characterized by an increase in the number of myeloid cells in the marrow and an arrest in their maturation.
  • Thumbnail Image
    Item
    Case Management of Malaria in Pregnancy
    (Association of Kenya Physicians, 2007) Juma, Elizabeth; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)
    Malaria in pregnancy is a big cause of maternal and perinatal morbidity and mortality There are gaps in knowledge concerning, the development of immunity to malaria, P. vivax infections in pregnancy, and effective therapies for both IPTp and case management. Programs for the control of malaria in pregnancy have not yet been widely and successfully implemented.
  • Thumbnail Image
    Item
    Case Presentation: Shoulder pain as a rheumatic manifestation of diabetes mellitus
    (Association of Kenya Physicians, 2007) Okanga, J. B.; Yossa, G. P.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)
    Shoulder pain, a common musculoskeletal symptom, aetiologically is related to periarticular lesions mainly subacronial impingment (SAI) (90% adults). Articular lesions e.g. Synovvitis adhesive capsulitis (frozen shoulder) etc may be referred to the neck and humeral deltoid insertion. Referred pain from the cervical or thoracic spine, thoracic outlet or subdiaphramatic structures may manifest at the shoulder. Diabetes mellitus syndrome may be complicated by adhesive capsulitis more frequently than in the general population. A case is presented of a 52yr old house wife of high social standing, who has been followed up for 5yrs. Initially left shoulder pain but in the last 2yrs predominantly right shoulder pain, less involvement of the neck, right wrist and right foot. She has been under several clinicians with a frustration long list of probable diagnoses to her ailment. Diabetes mellitus was diagnosed in September 2005 and attacks related to hyperglycaemia/metabolic decompensation. The last attack was in January 2007 which necessitated hospitalization. A visiting rheumatologist confirmed "FROZEN SHOULDER" with diabetes mellitus. A multidisciplinary and multifactorial intervention aimed at multiple risk factors of diabetes syndrome is the way forward. Patient education/nutrition counseling and physiotherapy is the cornerstone of effective management.
  • Thumbnail Image
    Item
    Challenges of the Pioneer Renal Transplants at Moi Teaching and Referral Hospital, Eldoret, Kenya
    (Association of Kenya Physicians, 2007) Ganda, B. K.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)
    History I –Theatre: • Eldoret Dist Hosp built in 1926 • 1926-1999. One operation table • 2000-Majaliwa Theatre 4 tables; intensive care room as ICU Indiana Community • 2007-2 More operation tables. Indiana Comm.
  • Thumbnail Image
    Item
    Chemotherapy for HIV associated Kaposi's sarcoma
    (Association of Kenya Physicians, 2007) Busakhala, N.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)
    HIV associated Kaposi’s sarcoma is a malignant, multifocal systemic disease that originates from the vascular endothelium. In contrast to the classical KS found in older men, in whom the tumors usually occur on the lower legs and feet, HIV-associated KS does not have a preferential pattern of localization.
  • Thumbnail Image
    Item
    Chemotherapy-Related Tumour Lysis Syndrome
    (Association of Kenya Physicians, 2007) Busakhala, N. W.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)
    Two types of tumour lysis syndrome (TLS) ; 1. Laboratory TLS: 25% increase in potassium, phosphate and uric acid, or decline in calcium from baseline. Occur within 4 days of initiating chemotherapy. Patients on standard of care. Minimum of two out of four criteria. 2. Clinical tumour lysis syndrome: Laboratory TLS plus renal failure, cardiac arrhythmias or sudden death. A new definition has been suggested by Cairo and Bishop to include values above upper limit of normal. Study used Hande and Garrow definition.
  • Thumbnail Image
    Item
    Combination of OHA Therapy in Type 2 Diabetes Mellitus
    (Association of Kenya Physicians, 2007) Shah, Siddharth; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)
    O.H.A. are the most common form of treatment of Type2 D.M. worldwide. When used judiciously they are important agents in the management of the most common form of diabetes. For economic, logistic and general effectiveness, oral agents are a dependable means of treating a large population of diabetics worldwide when used correctly.
  • Thumbnail Image
    Item
    DD of Arthritis
    (Association of Kenya Physicians, 2007) Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)
    Patient with Musculo-skeletal Complaints -Summary 1.Soft Tissue Rheumatism or Arthritis 2.Arthritis –Monoarticular-Crystals, Gout-Infective –acute –G+ve –ve-Chronic –Koch'sPolyarticular-:-(Asymmetrical)SSA -Reiter's, Reactive AS Psoriasis(Symetrical):-RA, SLE, DM. PM, Scleroderma APS, Vasculitis 3.Extraarticular features… 4.Laboratory, Imaging workup : DIAGNOSIS