Moi University/IUPUI Partnership
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Item Lipodystrophy in HIV infected patients on long term Antiretroviral therapy in western Kenya(Association of Kenya Physicians, 2007) Diero, L. O.; Fife, K. H.; Kaloustian, K. W.; Sidle, J.; Dube, M. P.; Fife, R. S.; Mureithi, J.; Mwangi, A.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)Changes in fat distribution has been observed in patients on highly active antiretroviral therapy. The frequently reported drugs that cause fat redistribution are stavudine and protease inhibitors. Stavudine also causes a high incidence of metabolic complications and peripheral neuropathy.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 humansItem 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 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.Item HIV Induced Disorders of Electrolyte Balance(Association of Kenya Physicians, 2007) Abdullah, Mohamed S.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)Hyponatremia usually results from retention of water due to impairment of free water excretion or sodium loss exceeding that of water loss e.g thiazide-induced hyponatremia, or from multiple factors, as is seen in HIV/AIDS.Item Malaria Treatment: Rationale for drug use and dosage(Association of Kenya Physicians, 2007) Ogutu, B. R.; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)Reasons for changes of Malaria Burden: population growth and movements,changes in environment breeding sites, drug resistance, changes in diagnostic habits, recording, climate changes(?), and lack of understanding of the pathogen.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.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 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 β–adrenergic blockade, a renal perspective(Association of Kenya Physicians, 2007) McLigeyo, Seth; Association of Kenya Physicians Scientific Conference (11th : Mar. 2007 : Eldoret, Kenya)Carvedilol • Third generation β–blocker (both β1and β2) • Possesses α1–adrenergic blocking properties. • β: αblocking ratio 7:1 to 3:1 • Antioxidant • Calcium antagonist