Umma Staff Publications

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Start date: 2010End date: 2019

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    Prevalence, Effect and Management of Cancer Pain at Garissa, Kenya
    (IOSR Journal of Nursing and Health Science, 2018-12-25) Affey, Fatuma; Mwenda, Catherine; Too, Wesley; Elmi, Mohamed
    High prevalence, negative effect and suboptimal cancer pain management has been reported from resource-limited countries such as Kenya. Precisely, trends of cancer cases are on the increase at Garissa County in Kenya, yet no data exist on the prevalence, effect and management of cancer pain. This study was to examine the prevalence, effect and cancer pain management of adult patients at Garisssa County Referral Hospital. A descriptive cross sectional survey was employed and 94 cancer patients from both outpatient on follow up care and inpatient were recruited to participate. MBPI (Modified Brief Pain Inventory) and ECOG (Eastern Cooperative Oncology Group) tools were used for data collection. Pain Management Index was calculated and significant levels were set at P<0.05 for all tests. Mean age of participants was 50years, composed of 42(44.7%) male and 52 (55.3%) female. Cancers of Breast and prostate were most prevalent with (25%) female and (14%) male respectively. Prevalence of cancer pain was 78% with majority reporting moderate to severe pain and undertreatment with PIM of (p-value < 0.05). Participants accounting 76.9% male and 66.7% female reported cancer pain interference with ability to walk and 91% male and 70% female reported that pain interfered with their mood. Male participants reported to experience more psychological, physical and social pain than female participants. A total of 81.9% (77) participants incorrectly utilised WHO analgesic ladders, 65% (61) and 77.6% (73) considered alternative therapy of Quran and Somali herbs respectively for pain management. This study found a high prevalence of cancer pain with negative impact and suboptimal cancer pain management.
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    'XANNUN’ NURSING CARE MODEL FOR CANCER PAIN MANAGEMENT AMONG ADULT PATIENTS AT GARISSA COUNTY REFERRAL HOSPITAL (GCRH), KENYA
    (2019) Affey, Fatuma
    Nursing care models allows concept application of not only the physical treatment of pain but also synthesis the significance of social-cultural practices, psychological and spiritual pain relief. Cancer pain has high prevalence and negative impact on the quality of life of patients at Garissa County due to limited access to healthcare facilities and unique pastoral lifestyle of the community. This necessitated the development of ‗Xannun‘ model of nursing care for holistic pain management that is clinically proficient and culturally competent. Phase one of the utilised triangulation method approach to recruit 94 cancer patients, 84 clinical nurses and 15 key informants, while phase two was the actual development and testing of Xannun nursing care model. Various sampling procedures that included random, purposive and snowball and recruit participants voluntarily was done. Modified Brief Pain Inventory (MBPI) tool combined with focus group discussion and Eastern Cooperative Oncology Group (ECOG) performance status was used to obtain data from participants. The sample population was 188 participants. Cancer patients had a mean age of 51years, with prevalence of pain at 78 % (73) that ranged from moderate to severe. A total of 78 % (66) of clinical nurses had no tool for pain assessment, 83.2 % (70) of them did not know how to utilise WHO analgesic ladder. Majority of patients 82 % (78) were on incorrect WHO analgesic ladder with negative PMI (p-value < 0.05) of under treatment. Majority of patients considered alternative treatment for cancer pain such as Quran recitation and Somali herbs accounting for 65% (61) and 77.6% (73) respectively. Almost all KI 93% (14) indicated the inadequate availability of pain medication. Phase two, Delphi survey to gain expert opinion was used. Experts‘ opinion of 80% of respondents agreed that the ‗Xannun‘ nursing model captured the challenges of cancer pain management and 60% of them predicted that the model could be utilised. However, 100% of the experts suggested that the model will bring a positive change, though 90% of them upheld that there will be potential challenges of implementing such a model. This study found high prevalence of cancer pain, suboptimal pain care, Knowledge deficit among nurses and inaccessibility of pain medication associated with the dynamic of a nomadic lifestyle. Thus, this study recommends the implementation of ―Xannun‖ Nursing Care model at GCRH, for a better approach of cancer pain management.
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    Levels of Compliance to Proposed Hemodialysis Treatment Standards by Nurses at Kenyatta National Hospital, Kenya
    (International Journal of Nursing Science, 2017) Kereu, Dominic Riang’a; Ogoncho, Isaac Machuki; Halake, Dabo; Amunga, Rhoda
    Compliance with treatment standards helps to improve health outcomes and prevent complications. This study sought to determine the level of compliance to hemodialysis treatment standards among nurses in the renal unit at Kenyatta National Hospital, Kenya. Methods: A cross sectional descriptive study was carried out involving nurses working in the renal unit. A self administered structured questionnaire and an observational checklist was used to collect information on nursing care during hemodialysis treatment. Results: 48 nurses were recruited. A majority of the respondents 26 (54%) were below the age of 40 years and were predominantly females. Most of the respondents 44 (92%) had specialized nephrology training. A significant association (p=0.018) was reported between nephrology training and compliance to the proposed hemodialysis treatment standards. Most of the respondents 42(87%) had a moderate level of compliance to the proposed hemodialysis treatment standards being implemented at the renal unit. Conclusion: The level of compliance to hemodialysis treatment standards by nurses working in the renal unit at Kenyatta National Hospital was moderate.
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    Case Management of Substance Induced Psychosis Using Peplau’s Theory of Interpersonal Relations
    (2017) Ogoncho, Isaac Machuki; Sanga, Philip; Halake, Dabo Galgalo
    Substance induced psychosis is a form of psychosis that develops from the use of alcohol or other drugs. The symptoms for this form of psychosis can resolve within days or weeks though tendencies of relapsing occur with persistent use of the drugs. The purpose of this article was to examine Peplau’s theory of interpersonal relations as a framework to assist nurses in understanding and managing patients with substance induced psychosis. The theory involves a therapeutic process that is collaboratively undertaken by both the nurse and the patient towards resolving an identified health problem. The nurse-patient relationship evolves through three phases of orientation, working and termination. The nurse may function as a stranger, leader, teacher, resource person, surrogate and counsellor in helping the patient adopt a healthier behaviour. The nurse-patient relationship allows the patient to freely express their emotions, feelings and thoughts about a given health problem. This enhances understanding of the health problem and guides nurses to helping the patients meet their individual needs. Nursing practice should focus on strengthening interpersonal relationships with patients to improve health outcomes.
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    The Role of Mobile Health in Supporting Cancer Prevention, Detection, Treatment and Palliative Care in Low and Middle Income Countries: A Scoping Review
    (Public Health Research, 2017) Halake, Dabo Galgalo; Ogoncho, Isaac Machuki
    Cancer is one of the non-communicable diseases with high morbidity and mortality rates, particularly in low-and-middle income countries. Increasing cancer burden is attributable to lifestyle risk factors, poor health system infrastructures, rapid population growth and ageing. These challenges are predicted to persist for years to come; thus the cancer burden is feared to become a major public health crisis hence need for innovative approaches to manage it. Though the widespread use of mobile health technologies in low and middle income countries can potentially address these challenges, evidence on mobile health use has not been fully explored. This study aim to examine the existing published and unpublished literature on the use of mobile technology-based interventions designed to support cancer prevention, detection, treatment and palliation in LMICs. The study adapted a scoping review approach using Arksey & O’Malley (2005) methodological framework. Six electronic databases; Medline, EMBASE, PsycINFO, PubMed, Web of Science and WHO Global Health Library were systematically searched for relevant studies between 1990 to 2014. The search also included additional sources from trial registers, Google, Google Scholar and reference lists. The search yielded 523 articles of which 16 were reviewed, one of these being an ongoing trial. The key findings revealed that mHealth technologies had significantly contributed to the positive outcomes in the cancer care in various contexts with all mobile technology-based features used showing improvement in care delivery. The cell phones were the common mobile device used (46.6% of the studies) followed by Smartphone (26.6%), while SMS was a commonly used mHealth feature. Mobile health interventions predominantly targeted cancer screening and diagnosis in the continuum of care, with less focus on treatment and palliation support. In conclusion, mobile health interventions have a high potential to transform cancer services in low resource settings. However, there is a paucity of evidence on mobile health interventions for cancer care. Most of the reviewed studies were descriptive, hence the need for robust studies with multidimensional focus, including control of risk factors, treatment compliance and palliative care.
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    EFFECT OF SUPPLY CHAIN OPERATIONAL CAPABILITIES ON THE RELATIONSHIP BETWEEN ABSORPTIVE CAPACITIES AND PERFORMANCE OF MANUFACTURING FIRMS IN NAIROBI COUNTY
    (International Journal of Economics, Commerce and Management, 2017-12) Korir, Loice; Bonuke, Ronald; Kibet, Yusuf
    The aim of this study was to examine the direct and indirect effect of absorptive capacity and supply chain operational capability on performance of manufacturing firms in Nairobi Kenya. Explanatory research design and random sampling technique was used to collect data with the aid of a questionnaire from a sample of 200 firms. Reliability the research instrument was tested using Cronbach alpha. In order to test the hypotheses and the mediation effect, bootstrapping procedure was followed by testing the direct and indirect effect. The finding shows the significant direct effect of absorptive capacity on both performance and supply chain operational capability. Supply chain operational capability was also found to significantly, positively and directly affect performance. Lastly the result shows that Supply chain operational capability mediates the relationship between absorptive capacity and performance, hence providing new knowledge in research literature. Marketers have to recognize the central role of logistic capability, technological capability and structural capability together with acquiring, assimilating, transforming and exploiting the available business opportunities to enhance and sustain their performance in a competitive environment.
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    Mutagenicity, antimutagenicity and cytotoxicity evaluation of South African Podocarpus species
    (Elsevier, 2011-12-06) Abdillahi, Halima S.; Verschaeve, Luc; Finnie, Jeffrey F.; Staden, Johannes Van
    Ethnopharmacological relevance: Four species of Podocarpus are used in traditional medicine both in human and animal healthcare in South Africa. In vitro pharmacological screening of leaf and stem extracts of these species exhibited potent antimicrobial, anti-inflammatory, anti-tyrosinase, anthelmintic, acetylcholinesterase inhibitory and antioxidant activities. Aim of the study: To investigate the mutagenicity, antimutagenicity and cytotoxicity effects of leaf and stem extract of South African Podocarpus species. Material and methods: The mutagenicity and cytotoxic effects of extracts from four species of Podocarpus were tested using the Salmonella/microsome assay with and without metabolic activation, based on the plate-incorporation method and neutral red uptake (NRU) assay respectively. Five Salmonella typhimurium tester strains; TA98, TA100, TA102, TA1535 and TA1537 were used for mutagenicity testing. The relative cytotoxicity of the extracts was assessed by determining their NI50 values (50% inhibitionof NRU). Results: The extracts did not show any mutagenic effects against all the tester strains with or without metabolic activation. All extracts demonstrated a strong antimutagenic effect on the mutations induced by 4NQO, decreasing its mutagenic effect in a dose-dependent manner. Strong cytotoxic effects were exhibited by petroleum ether extracts as compared to 80% ethanol extracts. When HepG2 cells were in contact with plant extracts in an increasing concentration, slopes of NRU decreased (highest–lowest %) following a concentration-dependent pattern. For 80% ethanol extracts, the most toxic extract in terms of percentage viability was leaves of Podocarpus falcatus whereby at 0.2 mg/ml, the viability of the cells was 38.9%. Stem extract of Podocarpus latifolius was the most toxic among PE extracts, giving a percentage viability of 46.4 at 0.1 mg/ml. Conclusion: Absence of mutagenicity does not indicate lack of toxicity, as was observed from these extracts. These findings will help in assessing the safety measures to be considered in the use of these species and also the need to determine the cytotoxic potential of these species against various forms of human cancer cells.
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    South African plants and male reproductive healthcare: Conception and contraception
    (Elsevier, 2012-06-28) Abdillahi, H.S.; Staden, J. Van
    Ethnopharmacological relevance: Traditional remedies from plants have been use to treat male reproductive related disorders for ages in South Africa. Aim: This study reviewed the current status of medicinal plants used in male reproductive healthcare as well as their effectiveness as a mode of treatment. Methodology: A detailed literature search was done by consulting books, peer-reviewed papers, scientific databases such as Scopus, Science direct and PubMed, and Google scholars. Keywords such as aphrodisiacs, conception, erectile dysfunction, fertility, infertility and sterility in relation to medicinal plants were used during the search. Plant species were selected based on their traditional use in different aspects of male reproductive healthcare. Results: A total of 61 plants species were found to be used in treating male impotency or as aphrodisiacs. However, only six species have been evaluated scientifically and these plants showed significant activities either in promoting conception by improving fertility and promoting erection or in contraception by decreasing sperm motility, virility and membrane integrity. Conclusion: The importance of herbal products in the treatment of male infertility and related sexual disorders is undeniable. Scientific evaluations of the six species have proved the empirical use of these plants in the improvement of male sexual disorders as well as validating their traditional uses
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    Four Biodiversity Assessments of Lolldaiga Hills Ranch by the National Museums of Kenya (2014)
    (National Museums of Kenya, 2015-05) Wasonga, Victor; Wamiti, Wanyoike; Abdillahi, Halima; Kinuthia, Wanja; Mwebi, Ogeto
    This preliminary survey of the insects of Lolldaiga Hills Ranch was conducted between 30 October and 3 November 2014. Six sites representing distinct habitat types were surveyed. These included euphorbia thicket, grassland, Acacia drepanolobium woodland, rocky outcrop, marshy ground, riverine forest, and red cedar and olive forest. Three colours of pan traps, sweep netting, and ground searching techniqueswere used to survey invertebrates. Of the three orders of insects that have been processed, the Lepidoptera had 21 species from four families, while Hymenoptera and Coleoptera each had 12 species from three and six families, respectively. Among the Lepidoptera, the Pieridae had the highest number of species (8) while Nymphalidae had the smallest number (2). At 55%, dipterans were the most abundant of the pollinators followed by hymenopterans (35%). Yellow was the most visited pan trap colour at 58%, followed by white (24%), then blue (18%). All pollinator groups visited yellow traps as their preferred colour, while Coleopterans mostly visited white traps. The four pollinator groups, however, visited all colours. Given its relevance in biodiversity conservation and land use management, biodiversity inventories should be carried on in both dry and wet seasons.
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    Effect of Disturbance On the Population Structure and Regeneration of Trees: A Case Study of Acacia xanthophloea (Benth) Woodland in Ol-Pejeta Conservancy in Kenya
    (International Journal of Science and Research (IJSR), 2018-03) Muhati, Godwin Leslie; Abdillahi, Halima Saado
    Tree damage was assessed in 1540 Acacia species (A. xanthophloea) in Olpejeta Conservancy. Using belt transects measuring (20 x 50 m), trees in the sample sites (closed and open) were counted. Measurements were made of Acacia tree count, recruits count, diameter at breast height, and mortality for both adult trees and seedlings. Densities were significantly higher in enclosed areas (398.3 ± 16.60 trees/ha) than open areas (243.3 ± 10.13) trees/ha. Elephants recorded the highest damage to the sampled trees with 54.55% damage while human beings caused 12.85% of the damage. Browsing was the main form of damage in open areas. Mean height for enclosed and open sites was 3.77 ± 4.61 and 5.35 ± 8.81, respectively. These findings suggest that herbivory damage did not have a significant effect on seedling regeneration but rather had an effect on population structure. Debarking caused by elephants occurred in the open areas with the highest being 96% of the sampled trees in the 11-25% damage class. The diameter class quotients fluctuated, an indication of the unstable population thus suggesting the impact of herbivory on population structure. Key recommendations include the creation of more enclosure zones, winning back more space by controlling the densities of browsers, long-term monitoring and the promotion of recruitment and regeneration rather than reducing mature tree loss.