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    Evaluation of external quality assurance to strengthen laboratory services in the South Valley region of Kenya

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    Laboratory diagnosis is important in treatment, management and prevention of diseases. The objective of this study was to evaluate the performance of selected clinical diagnostic laboratories in the South Rift Valley region of Kenya under the President Emergency Plan for AIDS relief. The study utilized proficiency panels provided to the Kericho Walter Reed laboratory. Standard Operating Procedures were used to test the panels. Questionnaires and document analysis were used to collect data, of which descriptive statistics and ANOVA were used. Serological assays were graded against proficiency providers expected outcome. Measurement of white blood cells (F = 0.07; p = 1.000) were not significantly different at p≤0.05 in the laboratories. The highest measurement was recorded in Litein laboratory (mean 10.77) and the lowest in Longisa (9.08).There was no significant difference in the measurement of red blood cells (F = 0.57; p = 0.855) in the twelve laboratories. Highest levels were recorded in Kapkatet (Mean 4.51) while the lowest level was recorded in Unilever Tea Kenya (3.15). There was no significant difference in the measurement of hemoglobin (F = 0.58; p = 0.845). Highest level of hemoglobin was recorded in Kapkatet (Mean 13.04), whereas the lowest was recorded in Longisa (8.89). Results showed that there was a significant difference in the measurement of Alkaline Phosphates in the four centers (F = 4.82; P = 0.004) that performed the assay. A significantly high level was recorded in Kapkatet (Mean 194.2).Alanine Aminotransferase values in the laboratories were (F = 3.87; P = 0.0001).Highest level was recorded in Londiani (Mean159.9) while the lowest was in Longisa (16.5). A significant difference in the measurement of creatinine was reported (F = 4.17; P = 0.0001). Highest level was recorded in Tenwek Mission hospital (mean 289.1) whereas the lowest was in Longisa (0.55). A significant difference too was observed in Aspartate Aminotransferase values, (F = 3.85; P = 0.0001). The highest level recorded in Londiani (mean 110.8) whereas the lowest was in Longisa (15.0).Highest Creatinine was recorded in Tenwek (mean 289.1) and the lowest recorded in Longisa (0.55). Similarly Blood Urea Nitrogen reported, (F = 7.50; P = 0.0001). The highest levels recorded in Londiani, (mean19.8) whereas the lowest was in Kilgoris (8.1). CD3 was recorded in 6 laboratories and showed no significant differences (F = 0.94; P = 0.457). A single measurement by Tenwek was considered as an outlier. The highest CD3 measurement was recorded in Longisa (mean 753.7) whereas the lowest was in Kericho County Hospital (599).The levels of CD4 measurements in the samples were not significantly different in the labs. (F = 1.37; P = 0.198). Litein Laboratory (mean 405.2) recorded the highest levels of CD4 while Londiani (140.3) recorded the lowest level of CD4. The levels of CD8 were not recorded in any of the twelve laboratories under this study. The qualitative assays done were satisfactory except hepatitis B assay that performed below the pass mark of 80%. Syphilis test for Longisa was at 60%, Pregnancy testing for the same site was at 78% while Cryptococcal antigen assay scored 40%, 20% and 40% for Kericho County, Kapkatet and Kilgoris labs respectively. Thus the performances of the laboratories are satisfactory and at par to the central laboratory in the analyses except for chemistry and Hepatitis B assays

    Causes of performance disparity between the public and private schools in Athi River District, Machakos county

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    The purpose of this study was to establish performance disparity between the public and private schools in Athi River District. The study was done by developing a conceptual framework relating the nature of schools to pupils' academic performance. Using a descriptive cross-sectional survey design, data was collected from 40 teachers and 10 head teachers using questionnaires and interview guide as the main data collection instruments. Also data on PLE results for 300 pupils in the selected primary schools was obtained which was used in comparing pupils' performance in the two categories of schools. Data was analyzed using frequency tables and summary statistics and lastly using t-test in comparing pupils' performance in private and public primary schools in Athi River District, Machakos County. The study found out that in private primary schools resources are more available and adequate than in public primary schools. The important effects of inadequacy or lack of educational resources are lack of motivation, tiresome teaching and learning, inattention to individual learners, high rate of school dropout, low quality of teaching and learning etc. which cause finally the poor academic performance. Secondly, in testing the degree of the difference between teachers and head teachers' views on the effects of inadequate educational resources on academic performance, the results showed that teachers and head teachers of private primary schools of Athi River are more proud to work in their school environment than their counterparts of public primary schools. They also showed that they are generally satisfied with how their pupils learn and how they are evaluated. However, in public primary schools, there is a big gap between what teachers and head teachers wish to deliver as education to their pupils and what they actually deliver because of very limited educational resources. The study findings established a relationship between teacher quality and pupils' academic achievement in Athi River and this finding relate with a wide range of findings on the relationship between teacher quality in and student outcomes. It was therefore recommended that the resources be increased and made available to the primary schools should and be efficiently utilized and the school environment should be made conducive for learning in order to improve pupils' learning outcome. The study concluded that the pupils of private primary schools of Athi River District perform better than their counterparts of public primary schools in PLE. This doesn't come randomly, as they are well prepared from the early first classes. Though having the teachers of almost the same qualification, and pupils of almost the same background, private primary schools motivate more their teachers and their pupils than public primary schools do through various ways: good pay to teachers, small classes, good working environment, conducive environment for learning (availability and adequacy of school resources), regular evaluations, good collaboration between school and parents/guardians, guidance and counseling services made operational and excursions. The study also concluded that there is good collaboration between private primary schools and parents/guardians of pupils for their best education while in public primary schools such collaboration is too little

    Oxidative degradation of l-histidine by manganese dioxide (MnO2) nano-colloid in HClO4 medium with/without using TX-100 catalyst: a kinetic approach

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    The kinetics of the oxidative degradation of L-histidine (His) in perchloric acid medium by freshly prepared manganese dioxide (MnO2) nano-colloid have been investigated with and without using TX-100 catalyst at a constant temperature of 35 °C. The progress of the oxidation reaction was checked by monitoring the decrease in absorbance of MnO2 spectrophotometrically at 360 nm. The reaction was observed to be first order with respect to [MnO2] and fractional with respect to [His] and [HClO4] in both uncatalysed and TX-100-catalysed paths. The catalytic effect of TX-100 on the oxidation reaction has been explained by the Tuncay model. Protonated L-histidine is bound to TX-100 and forms a [TX-100–His] intermediate complex which further reacts with MnO2 and decomposes into the oxidation products: 2-imidazole acetaldehyde, Mn(II), NH4+ and CO2. On the basis of the kinetics results, a possible reaction mechanism is proposed

    University to relocate campus

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    Aqua substitution from mononuclear Pt(II) complexes with 2-(pyrazol-1-ylmethyl)quinoline non-leaving ligands

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    The rates of aqua substitution from [Pt{2-(pyrazol-1-ylmethyl)quinoline}(H2O)2](ClO4)2, [Pt(H2Qn)], [Pt{2-(3,5-dimethylpyrazol-1-ylmethyl)quinoline}(H2O)2](ClO4)2, [Pt(dCH3Qn)], [Pt{2-[(3,5-bis(trifluoromethyl)pyrazol-1-ylmethyl]quinoline}(H2O)2](ClO4)2, [Pt(dCF3Qn)], and [Pt{2-[(3,5-bis(trifluoromethyl)pyrazol-1-ylmethyl]pyridine}(H2O)2](ClO4)2, [Pt(dCF3Py)], with three sulfur donor nucleophiles were studied. The reactions were followed under pseudo-first-order conditions as a function of nucleophile concentration and temperature using a stopped-flow analyzer and UV/visible spectrophotometry. The substitution reactions proceeded sequentially. The second-order rate constants for substituting the aqua ligands in the first substitution step increased in the order Pt(dCH3Qn) < Pt(dCF3Qn) < Pt(H2Qn) < Pt(dCF3Py), while that of the second substitution step was Pt(dCH3Qn) < Pt(dCF3Qn) < Pt(dCF3Py) < Pt(H2Qn). The reactivity trends confirm that the quinoline substructure in the (pyrazolylmethyl)quinoline ligands acts as an apparent donor of electron density toward the metal center rather than being a π-acceptor. Measured pKa values from spectrophotometric acid–base titrations were Pt(H2Qn) (pKa1 = 4.56; pKa2 = 6.32), Pt(dCH3Qn) (pKa1 = 4.88; pKa2 = 6.31), Pt(dCF3Qn) (pKa1 = 4.07; pKa2 = 6.35), and Pt(dCF3Py) (pKa1 = 4.76; pKa2 = 6.27). The activation parameters from the temperature dependence of the second-order rate constants support an associative mechanism of substitution

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