25 research outputs found
Role of the Church in Fighting HIV-Aids Stigmatization Among Women In Kenya
Ouko, Christine Adhiambo. “Role of the Church in Fighting HIV-AIDS Stigmatization among Women in Kenya.” MA thesis, Concordia Seminary, 2015, 116 pp.
Practical Theology, a discipline under which this thesis is based, is the application of God’s word in real life problems. HIV/AIDS stigmatization is a persistent and pernicious problem to any effective response to the pandemic. It is, therefore, a perennial danger confronting the church. The peril is acute when women and children struggle in alienation and despair in familial, social, and religious places believed to be lifesaving stations. Apparently, it is not easy to bear the burden of secondary stigmatization because it inevitably exposes us to our own vulnerabilities since the pain of those people who are stigmatized resonates our own pain. However, it is in relating to those in pain that we become growth enablers in their lives. It is within this context that this thesis questions the role and response of the church to AIDS stigmatization. This thesis provides important insights and challenges Christian communities, not only in Kenya, but also in all situations where people are stigmatized and suffer from being treated as “others.” It is with the conviction that Christian community is a movement that provides refuge to the needs of those lying on contemporary Jericho Roads, robbed of their selfesteem, identity, and dignity, and beaten by the crises and tragedies of AIDS stigmatization that the church should be an active participant and not a mere observer or good speck removers in this movement. The church should address aspects of people’s lives that have been shipwrecked in their daily storms of living with AIDS stigmatization, broken in the hidden coral reefs of anxiety, lack of integrity, and guilt
Population decrease : through family planning
9TH Annual ethics conference. Theme : Bioethics medical, legal, environmental and cultural aspects in healthcare ethics at STRATHMORE UNIVERSITY, 25-26 OCTOBER 2012.9TH Annual ethics conference. Theme : Bioethics medical, legal, environmental and cultural aspects in healthcare ethics at STRATHMORE UNIVERSITY, 25-26 OCTOBER 2012
The Unlawful impact of counter - terrorism operations on freedom from torture
Submitted in partial fulfillment of the requirements of the Bachelor of Laws Degree, Strathmore University Law SchoolTerrorism has greatly affected Kenya for over a decade, with recent attacks occurring as a result of the deployment of the Kenyan military to neighboring country Somalia. Terrorism is a matter that affects national security and the well-being of society. The government has been prompted to take drastic measures to counter terror attacks. The measures employed by the government to counter terrorism have had a profound impact on human rights. There has been a violation of human rights more specifically, freedom from torture. Freedom from torture is an absolute right and derogation from this right is not justified under any circumstance. This research provides a case study that highlights the various ethnic and religious groups that have been targeted during counter-terrorism operations and whose freedom from torture has been violated. The study seek to provide ways in which security agents responsible for the violations are held accountable and ways in which further violation could be prevented
Polymer gel spinning machine
Thesis (M.S.)--Massachusetts Institute of Technology, Dept. of Electrical Engineering and Computer Science, 1994.Includes bibliographical references (leaves 117-118).by Christine A. Odero.M.S
Increased deposition of C3b on red cells with low CR1 and CD55 in a malaria-endemic region of western Kenya: Implications for the development of severe anemia
Misclassification of Plasmodium infections by conventional microscopy and the impact of remedial training on the proficiency of laboratory technicians in species identification.
BACKGROUND: Malaria diagnosis is largely dependent on the demonstration of parasites in stained blood films by conventional microscopy. Accurate identification of the infecting Plasmodium species relies on detailed examination of parasite morphological characteristics, such as size, shape, pigment granules, besides the size and shape of the parasitized red blood cells and presence of cell inclusions. This work explores misclassifications of four Plasmodium species by conventional microscopy relative to the proficiency of microscopists and morphological characteristics of the parasites on Giemsa-stained blood films. CASE DESCRIPTION: Ten-day malaria microscopy remedial courses on parasite detection, species identification and parasite counting were conducted for public health and research laboratory personnel. Proficiency in species identification was assessed at the start (pre) and the end (post) of each course using known blood films of Plasmodium falciparum, Plasmodium malariae, Plasmodium ovale and Plasmodium vivax infections with densities ranging from 1,000 to 30,000 parasites/ÎĽL. Outcomes were categorized as false negative, positive without speciation, P. falciparum, P. malariae, P. ovale, P. vivax and mixed infections. DISCUSSION AND EVALUATION: Reported findings are based on 1,878 P. falciparum, 483 P. malariae, 581 P. ovale and 438 P. vivax cumulative results collated from 2008 to 2010 remedial courses. Pre-training false negative and positive misclassifications without speciation were significantly lower on P. falciparum infections compared to non-falciparum infections (p < 0.0001). Post-training misclassifications decreased significantly compared to pre- training misclassifications which in turn led to significant improvements in the identification of the four species. However, P. falciparum infections were highly misclassified as mixed infections, P. ovale misclassified as P. vivax and P. vivax similarly misclassified as P. ovale (p < 0.05). CONCLUSION: These findings suggest that the misclassification of malaria species could be a common occurrence especially where non-falciparum infections are involved due to lack of requisite skills in microscopic diagnosis and variations in morphological characteristics within and between Plasmodium species. Remedial training might improve reliability of conventional light microscopy with respect to differentiation of Plasmodium infections
Establishing a malaria diagnostics centre of excellence in Kisumu, Kenya
<p>Abstract</p> <p>Background</p> <p>Malaria microscopy, while the gold standard for malaria diagnosis, has limitations. Efficacy estimates in drug and vaccine malaria trials are very sensitive to small errors in microscopy endpoints. This fact led to the establishment of a Malaria Diagnostics Centre of Excellence in Kisumu, Kenya. The primary objective was to ensure valid clinical trial and diagnostic test evaluations. Key secondary objectives were technology transfer to host countries, establishment of partnerships, and training of clinical microscopists.</p> <p>Case description</p> <p>A twelve-day "long" and a four-day "short" training course consisting of supervised laboratory practicals, lectures, group discussions, demonstrations, and take home assignments were developed. Well characterized slides were developed and training materials iteratively improved. Objective pre- and post-course evaluations consisted of 30 slides (19 negative, 11 positive) with a density range of 50–660 parasites/μl, a written examination (65 questions), a photographic image examination (30 images of artifacts and species specific characteristics), and a parasite counting examination.</p> <p>Discussion and Evaluation</p> <p>To date, 209 microscopists have participated from 11 countries. Seventy-seven experienced microscopists participated in the "long" courses, including 47 research microscopists. Sensitivity improved by a mean of 14% (CI 9–19%) from 77% baseline (CI 73–81 %), while specificity improved by a mean of 17% (CI 11–23%) from 76% (CI 70–82%) baseline. Twenty-three microscopists who had been selected for a four-day refresher course showed continued improvement with a mean final sensitivity of 95% (CI 91–98%) and specificity of 97% (CI 95–100%). Only 9% of those taking the pre-test in the "long" course achieved a 90% sensitivity and 95% specificity, which increased to 61% of those completing the "short" course. All measures of performance improved substantially across each of the five organization types and in each course offered.</p> <p>Conclusion</p> <p>The data clearly illustrated that false positive and negative malaria smears are a serious problem, even with research microscopists. Training dramatically improved performance. Quality microscopy can be provided by the Centre of Excellence concept. This concept can be extended to other diagnostics of public health importance, and comprehensive disease control strategies.</p
Characteristics of Patients with Oseltamivir-Resistant Pandemic (H1N1) 2009, United States
During April 2009–June 2010, thirty-seven (0.5%) of 6,740 pandemic (H1N1) 2009 viruses submitted to a US surveillance system were oseltamivir resistant. Most patients with oseltamivir-resistant infections were severely immunocompromised (76%) and had received oseltamivir before specimen collection (89%). No evidence was found for community circulation of resistant viruses; only 4 (unlinked) patients had no oseltamivir exposure
AfriQA:Cross-lingual Open-Retrieval Question Answering for African Languages
African languages have far less in-language content available digitally, making it challenging for question answering systems to satisfy the information needs of users. Cross-lingual open-retrieval question answering (XOR QA) systems -- those that retrieve answer content from other languages while serving people in their native language -- offer a means of filling this gap. To this end, we create AfriQA, the first cross-lingual QA dataset with a focus on African languages. AfriQA includes 12,000+ XOR QA examples across 10 African languages. While previous datasets have focused primarily on languages where cross-lingual QA augments coverage from the target language, AfriQA focuses on languages where cross-lingual answer content is the only high-coverage source of answer content. Because of this, we argue that African languages are one of the most important and realistic use cases for XOR QA. Our experiments demonstrate the poor performance of automatic translation and multilingual retrieval methods. Overall, AfriQA proves challenging for state-of-the-art QA models. We hope that the dataset enables the development of more equitable QA technology