Publications

2012
Saula, P. W., & Hadley, G. P. (2012). Pediatric Non-Wilms' Renal Tumors: A Third World Experience. World Journal of Surgery, 36, 565–572. presented at the Mar. Website Abstract
Pediatric non-Wilms' renal tumors (NWRT) are poorly understood owing to their heterogeneity and relative rarity. This study aimed at auditing the outcome of the management of NWRT in a tertiary hospital in the Third World.
Kamau, J. W., Kuria, W., Mathai, M., Atwoli, L., & Kangethe, R. (2012). {Psychiatric morbidity among HIV-infected children and adolescents in a resource-poor Kenyan urban community}. AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 24. Abstract
The course of HIV/AIDS in children has been transformed from an acute to a chronic one with the advent of Anti-Retroviral Therapy. The aim of this study was to determine the prevalence and pattern of psychiatric morbidity in HIV-infected children and adolescents between 6 and 18 years of age and the relationship between their socio-demographic factors, immune suppression and psychiatric morbidity. The study was conducted at a paediatric HIV clinic in Nairobi, between February and April 2010. One hundred and sixty-two HIV-infected children and adolescents aged between 6 and 18 years and their guardians were interviewed. Seventy-nine (48.8{%}) of the study participants were found to have psychiatric morbidity. The most prevalent Diagnostic Statistical Manual, 4th Edition TR psychiatric disorders were: Major depression (17.8{%}), Social phobia (12.8{%}), Oppositional Defiant Disorder (12.1{%}) and Attention Deficit Hyperactivity Disorder (12.1{%}). Twenty-five per cent of the study participants had more than one psychiatric disorder. The prevalence of psychiatric morbidity in HIV-infected children is higher than that found in children in the general population. There is therefore a need to integrate psychiatric services into the routine care of HIV-infected children. © 2012 Taylor {&} Francis.
Kirui, N. K., Pastakia, S. D., Kamano, J. H., Cheng, S., Manuthu, E., Chege, P., Gardner, A., et al. (2012). Public Health Action. Citeseer.
Vreeman, R., Kamaara, E., Kamanda, A., Ayuku, D., Nyandiko, W., Atwoli, L., Ayaya, S., et al. (2012). A qualitative study using traditional community assemblies to investigate community perspectives on informed consent and research participation in western Kenya. BMC Medical Ethics, 13, 23. presented at the Sep. Website Abstract
International collaborators face challenges in the design and implementation of ethical biomedical research. Evaluating community understanding of research and processes like informed consent may enable researchers to better protect research participants in a particular setting; however, there exist few studies examining community perspectives in health research, particularly in resource-limited settings, or strategies for engaging the community in research processes. Our goal was to inform ethical research practice in a biomedical research setting in western Kenya and similar resource-limited settings.

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