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BACKGROUND Implementation of WHO case management guidelines for serious common childhood illnesses remains a challenge in hospitals in low-income countries. The impact of locally adapted clinical practice guidelines (CPGs) on the quality-of-care of patients in tertiary hospitals has rarely been evaluated. METHODS AND FINDINGS We conducted, in Kenyatta(More)
BACKGROUND Quality of patient care in hospitals has been shown to be inconsistent during weekends and night-time hours, and is often associated with reduced patient monitoring, poor antibiotic prescription practices and poor patient outcomes. Poorer care and outcomes are commonly attributed to decreased levels of staffing, supervision and expertise and(More)
BACKGROUND Malaria remains a major health problem worldwide especially in sub-Saharan Africa. In Kenya, 80% of the population is at risk of contracting the disease. Pregnant mothers and children under five years are the most affected by this disease. Antimalarial drug resistance poses a major threat in the fight against malaria necessitating continuous(More)
Sujha Subramanian, Joseph Kibachio, Sonja Hoover, Patrick Edwards, Evans Amukoye, Mary Amuyunzu–Nyamongo, Gisela Abbam, Naftali Busakhala, Abigail Chakava, Jonathan Dick, Robai Gakunga, Gladwell Gathecha, Rainer Hilscher, Muhammad Jami Husain, Lydia Kaduka, James Kayima, Alfred Karagu, Dorcas Kiptui, Anne Korir, Nkatha Meme, Breda Munoz, Walter Mwanda,(More)
A seven-year-old Jersey bull used for artificial insemination showed clinical signs of obstructive urolithiasis. This was confirmed by catheterisation and subsequent urethrotomy over the site of obstruction distal to the sigmoid flexure. Although urine flow was elicited after removal of the calculi, this was only temporary and the animal had to be killed 24(More)
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