Moi University/IUPUI Partnership
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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.Item Renal Transplant at MTRH(Association of Kenya Physicians, 2007) Owiti, M. O. G.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)J.A. 48 yrs male - Diabetic since July 1997, on insulin. Crf & high Bp-2004.urea=57.3, crt=1040. Lt kid-7.27x3.62, rt kid8.51x3.34cm, loss of cmd. Haemodialysis x2 wkly till last two wksx3. While on treatment Bp=150/100, pulse78/min. on Adalat 20mg b.d,lasix 80mg od, captopril 25mg b.d,ca-sandoz i.o.d, recormon 2000i.u x2wkly, venofer 100 wkly, ranitidine150 mgo.d. N.C. 17 yrs female - Facial puff, head ache,oliguria, epigastric and bil loin Painsx3/52. 03.08.2004. Post herbal use. Abortion –pph, 07.06.04, post abortal psychosis. Bp220/110mmhg, hb=7.6g/dl, Op=600mls, ip=1.5l.Item Health Care Today Good Business Bad Medicine(Association of Kenya Physicians, 2007) Aluoch, J. A.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)HEALTH CARE TODAY • POLITICAL INFLUENCE. • EXPANDING SERVICES • QUALITY OF CARE. • PRIVATE CARE Vs PUBLIC SERVICE.Item Slowing Disease Progression in Type 2 Diabetes: Latest Advances(Association of Kenya Physicians, 2007) Otieno, C. F.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)Background: Largest head-to-head, double-blind study of metformin, glyburide and rosiglitazone (N = 4,360). Primary objective: To compare the durability of glycemic control using rosiglitazone versus metformin or glyburide as initial monotherapy in patients with recently diagnosed type 2 diabetes. Design: Double-blind, randomized, controlled trial. Inclusion criteria: Type 2 diabetes ≤ 3 years, drug-naive, male and female, aged 30–75 years, FPG 126–180 mg/dl (7–10 mmol/l). Exclusion criteria: Previous use of glucose-lowering therapy, women of child-bearing potential, significant hepatic disease, renal impairment, unstable or severe angina, known CHF (NYHA Class I–IV), uncontrolled hypertension. Treatment duration: Treatment period: 4 to 6 years. Median duration of treatment: 4 years (rosiglitazone and metformin); 3.3 years (glyburide). Interventions: Rosiglitazone, metformin, glyburide.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 TpMTCTItem Dr. Abinya's Hodgkin's lymphoma study(Association of Kenya Physicians, 2007) Abwao, H. O.; Kiarie, G.W.; Othieno-Abinya, N. A.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)Inferior outcome of poor prognostic phenotype non-Hodgkin’s lymphoma treatment among HIV positive patients compared with HIV negative counterparts in the HAART era.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 : DIAGNOSISItem Management of Arthritis(Association of Kenya Physicians, 2007) Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)Item Disparities in Health Care: Challenges to Physicians(Association of Kenya Physicians, 2007) Okelo, G. B. A.; Otieno, L. S.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)Many developing countries, including Kenya, face many challenges in health care some of which are outlined below: 1.1Relatively High fertility Rates 1.2 High mortality from preventable diseases 1.3Changing life style such as increasing tobacco consumption and increase in non-communicable diseases 1.4New and re-emerging diseases especially viral diseases 1.5Declining life expectancy 1.6Inadequate and poorly focused and/or targeted goals in disease control 1.7Civil unrest with its implications for health services 1.8Huge burdens of infectious diseases such as HIV/AIDS and tuberculosis 1.9Increasing burdens of non-communicable diseases such as Heart diseases, Cancer [such as prostate cancer, metabolic disorders like diabetes 10.0Slow pace in embracing new technology 11.0A steady rise in the socially disadvantaged groups i.e. women, children and the disabled populations whose access to reasonable health care is very limited. 12.0 Low immunization cover rate.Item Rift Valley Fever(Association of Kenya Physicians, 2007) Bhatt, K. M.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)Rift Valley Fever is an acute febrile disease named after an outbreak in Kenya. It effects sheep, cattle, and goats and causes high abortion rates and death in young. It can also affect humans