Fidha254's Posts
Nairaland Forum › Fidha254's Profile › Fidha254's Posts
1 2 3 4 5 6 7 8 ... 10 11 12 13 14 15 16 17 18 (of 30 pages)
Litmus:KNH is the second-largest hospital in sub-Saharan Africa , it has a hospital staff of 6,000! Its so big the doctors have their own union separate from the national union... Its got its own unique challenges but its every medical students from Kenya dream to do their residency there . Anyway, this the team that did the reattachment , its all Kenyan and all black
|
Centrifude:I got the joke alright. I was only showing that it wouldn't always be like that in the eastern side of Kenya , and that why I pointed out at the projects which would cost up to $30B when combined,,,,some of that investment will come from western companies, and they all pass through this insecure part of Kenya , even SA Development Bank has investments worth/loan worth $1.9B,India too wants a package, China wants the whole thing, US wants to build the rail to Ethiopia, to counter the one built by china from mombasa port, so its in everybody's interest that this region gets secured first.... B4 construction begins or else no one gets anything. |
#000000 |
1Sharon:The doctors from this government hospital keep on breaking the ceiling despite the various challenges that face public institutions in Africa... The successful separationof two year old conjoined twins at Kenyatta National Hospital marked a medical milestone in Kenya. Other than South Africa, very few successfulseparations have been performed in sub-Saharan Africa. In Kenya a multi-disciplinary team of medical experts operated on the twins for 23 uninterrupted hours. The Conversation Africa’s health and medicine editor Joy Wanja Muraya spoke to Dr Joseph Wanjeri about the surgery and post recovery of the twins who are home. Can you explain conjoined twins, and its prevalence? Conjoined twinsare two babies born physically connected to each other. The extent and site of their union varies from sharing a band of skin and underlying tissues to more complex varieties sharingvital organs. Research shows that cases of conjoined twins are found in one of every 50,000 live birthsglobally. Kenya does not have a central repository for such cases. Conjoined twins are the result of the embryo cells that have not completely separated. Embryo cells develop when the egg (ovum) is fertilised by sperm. They multiply and differentiate to form different body organs and tissues. An alternative theoryis that two separate embryos fuse together in the early development of the twins. The exact cause of conjoined twins is unknown but it’s thought that genetic factors interacting with environmental ones may contribute. Another possibility is the medicines taken by the mother during pregnancy. The twins when they were first admitted at Kenyatta National Hospital on 5th September 2014. Photo: Author Provided. Conjoined twins are classified based on the place they are joined. The most common types of conjoined twins are: *. craniopagus– fusion of the head *. thoracopagus– fusion of chest *. Omphalopagus Parapagus– lateral fusion *. Ischiopagus and Sacropagus– fusion at the lower back or sacrum Seperating conjoined twins can be difficult and can result in death. Complex cases can be inoperable and others may call for emergency surgery soon after birth if the life of the twins is threatened. Separating twins that are conjoined at the lower back (sacropagus) has fewer complications and deaths. The Kenyan twins were conjoined in this way. Expertise, careful preparation and team work is the perfect recipe for a successful outcome of the surgery. How is diagnosis done? Diagnosiscan be done before birth using an ultrasound scan or through physical examination at birth. Advanced tests like the Computerised Tomography (CT) scans and Magnetic Resonance Imaging (MRI) give greater details. In the case of the Kenyan twins, a set of female conjoined twins was referred to the Kenyatta National Hospital in Nairobi in September 2014 from an upcountry health facility soon after their delivery. The twins shared a spinal cord, rectum, anus, some muscles, subcutaneous tissues and skin. Paediatric, neuro and plastic surgeons agreed that separation was feasible but it should wait until the twins were bigger to withstand the complex surgery. Paediatricians, nurses and nutritionists took care of the twins until they were one year old when the planning for the separation began. The plastic surgery team recommended tissue expansion, a procedure to help with closure of the huge soft tissue defects anticipated after separation. But the mother refused to give her consent, and the procedure had to be stopped. She clearly adored the twins but was overwhelmed by the decisions that needed to be taken. The matter was referred to court and the judge ruled that separation was in the best interests of the children. Their mother gave consent and the preparations for surgery were resumed. A University of Nairobi plastic surgery resident created a 3D model of the twin’s pelvis to map the surgery. A three-dimensional (3D) impression of the twins conjoinment. Kenyatta National Hospital. Can you explain the details of the planning and actual surgery. A multi-disciplinary medical team made up of 50 experts drawn from various medical fields did a dry run a week before the actual operation. When the time came for the operation in November 2016 two sets of the anaesthetic teams took about three hours to anaesthetise and stabilise the twins. The paediatric surgeons began the separation of the various soft tissues on one side up to the spine. The neurosurgeons took over and split the spine, opened the shared dura,which is the tough outermost membrane enveloping the brain and spinal cord. They later separated the nerves before repairing the dura. The paediatric surgeons completed their separation of the soft tissue and successfully placed the pair on separate beds for the first time. But one was left without an anus and rectum. This condition would be repaired in the recovery phase. The closure of the huge soft tissue defects and wounds was done on each of the girls by plastic surgeons. Local flaps and skin grafts covered the wounds after which an opening from the large intestine – a colostomy – was done. They were transferred to the intensive care unit for specialised monitoring for two weeks before transfer to the paediatric surgical ward. Blessing and Favour face each other for the first time since birth. Photo: Kenyatta National Hospital. The wounds took about three months to heal. One of the twins developed impaired movement of one of her ankle joints. But after occupational therapy she was able to walk with only a slight limp. The twin’s growth and development will be monitored in the coming months and further reconstructive surgeries scheduled at the appropriate time. Blessing and Favour were dischargedfrom hospital on June 15, 2017. What does this success mean for sub-Saharan Africa and what lessons can be learnt? First, it shows that medical experts in sub-Saharan Africa are qualified and capable of performing complex surgeries in spite of the poor resources at their disposal. But it also shows that a referral centre with a multidisciplinary team is best suited for this kind of complex surgery. And as far as the children are concerned, it shows that intense nursing care, nutritional support, advanced wound care techniques and close monitoring by paediatric specialists has been critical to their remarkable recovery. http://theconversation.com/how-50-medical-experts-separated-kenyan-conjoined-twins-in-23-hour-surgery-79677[b][/b]
|
Centrifude:and we are building a pipeline through the same insecure region, a pipeline built by Britain's Tullow oil and France' Total, also together with a transport infrastructure project worth $26B including one of the largest sea ports in the eastern seaboard of africa which uncle sam is interested in LPG plant and some port births http://m.mgafrica.com/article/2015-07-26-kenya-us-firms-in-talks-on-mega-26-billion-lamu-port-southern-sudan-ethiopia-deal All these project which are already at different stages of progress will all need the government to first fully secure the border b4 any of these projects are completed, and with these projects raising the profile of these previously marginalised areas means more security to secure this new logistical corridor which in turn means more security to the people. Anyways, don't believe everything you see on media, despite all the politics with an election that lasted 6months, terrorism,insecurity, travel warnings by US,UK,Australia....we still manage to recover the tourism industry by earning $1.2B from 1.4 million tourists visiting the country...the visitors were surprised to not see what was projected in the western media as Kenya... Latest statistics released by the ministry show international arrivals increased by 9.8 percent to 1.4 million from the previous year’s 1.3 million tourists. The United States remained Kenya’s leading market, growing by 17 percent with 114,507 arrivals https://www.nation.co.ke/news/Kenya-tourism-20pc-growth/1056-4296882-1459m9yz/index.html?_e_pi_=7%2CPAGE_ID10%2C9796711747
|
Excuse the quality
|
Some rare/random/personal KDF photos
|
KDF new recruits graduation
|
Kenya Navy -exercise cutlass
|
Okoroawusa:There are tourists visiting Lamu Kenya, which is 60km from the somali border, despite travel warnings by their respective governments, There is also the biggest sea port under construction in same location.. don't believe everything you see on bbc,cnn
|
Fun side: I need some clarification.. Did the doctor declare him sick/insane for preaching drinking or for preaching Jesus.... Cause the psychiatrist could be pulling a fast one on us, some of these philosophers don't believe in God or Jesus and they consider anyone who believes an invisible higher power that talks and guides them as insane |
Government institutions are leaking alot, there needs to be better financial management of resources or else each year we'll be chest thumping how our respective military budgets keep on increasing when in reality, its just a waste .... Now i'm beginning to understand how ethiopia military with a budget of less than $500m gets to be ranked higher than militaries with budgets 4 times bigger... If you add all the unaccountable cash from this report you could end up with more than $1B
|
Its amazing how the Auditor General can just walk into any government office and check their books, inspect their equipment, publish the findings (expose the ugly stuff) and not disappear. And for that, I say give the guy a beer. $1=100 ksh
|
newafricaken254:considering we will be spending around $4.5B of our $29B est budget 2018/2019FY to pay off domestic and intl debt, i'm kind of skeptical that we'll be taking delivery of any new aircraft this year. E.g the MD530,... Not unless the military has been accumulating their "modernization kitty" of $200m that they have been getting on top of their regular budget for the last 4 consecutive years. |
H |
kikuyu1:all bases now have standard counter vbied in place as a basic requirement, epukaugaidi.com/2018/01/13/kdf-employs-change-of-tack-after-el-adde-attack And someone posted pics a while ago that showed kdf engineers brigade were doing the same even for SNA bases. Just look at the pics, that's the supposed perimeter for the host country army base -SNA, also no razor , no sandbag, just an imaginary line between you and the enemy, WTF
|
A story of magnitude victory https://www.standardmedia.co.ke/article/2001265868/how-outnumbered-kdf-fought-off-al-shabaab-militia-for-11-hours?_e_pi_=7%2CPAGE_ID10%2C1998702020 And a story of magnitude loss https://www.standardmedia.co.ke/article/2001265769/brave-and-sharp-major-who-led-kdf-to-its-worst-ambush-in-somalia?_e_pi_=7%2CPAGE_ID10%2C3967881419 Both good stories worth reading, they don't get told very often |
Kenya prez in SA , that last pic
|
The government officials couldn't stop congratulating each other for bringing them back .... Why did they go in the first place? Solve that first then you can rub each others D!€ks for all we care |
Bring more pictures of the stations |
From the cockpit of a Kenya airforce f-5 tiger
|
Somalia regains control of its airspace 27 years later. MOGADISHU, Dec. 28 (Xinhua) -- The Somali government on Thursday announced that it has officially regained control and management of its airspace after 27 years being run by the United Nations International Civil Aviation Organization (ICAO) regional office in Nairobi. Somali President Mohamed Abdulahi Farmajo officially inaugurated the offices and equipment installed at Mogadishu International Airport on Thursday and said that the move represents a significant step towards the development of the country. "It is a great honor for us to witness this historic day that we retake control and management of our airspace. This did not come simply and luckily, but through hard work," Farmajo said. He thanked the officials of the Ministry of Transport and Civil Aviation for their efforts as well as ICAO which has been running the airport. He added that taking over the running of Somalia's airspace is part of his government's commitment to restore important public services. Somali Minister of Transport and Civil Aviation, Mohamed Abdulahi Salad, said that all equipment for the control of the airspace is ready and secure with its staff who are currently based in Kenya's capital city of Nairobi. Salad thanked all those who have played a role in the return of Somalia's airspace control back to local oversight. He added that the government has also reestablished direct flights between Mogadishu and Nairobi, which previously required a stopover in Wajir in North East Kenya for security reasons. |
KDF chief and Defence Secretary visit troops in Somalia for Christmas
|
It seems KDF is incorporating lessons learned in somalia into mainstream SOP. Was recently in Kagawa on the outskirts of Nairobi, my estimate of the expansive barracks is about 400 hectares in size. They have built a new brick fence and wire mesh on the inside and in between the ly have dug a trench, they now have watch towers at strategic locations with a gunner placed 24/7, the entrance they got metal detectors, they were still installing x-ray scanner and for cars they got multiple automated barriers for redundancy that can stop a truck at full speed-like the ones you see on third pic... Pic 1,2 you can see part of the wall and the trench, wire fence not visible |
Satellite imagery has so far shown a maximum of three AH-1s at the KAF’s Laikipia Air Base..... More: http://www.janes.com/article/76350/kenya-displays-new-ah-1-cobras |
..
|
It should be called the pothole time machine cause it makes the pothole disappear like it never even existed in the first place |
newafricaken254:I had been alittlebit concerned about how/if KDF handles ptsd for soldiers who have been in battle and seen the things , it's good to see there is a policy in place, we don't want to see increased situations where highly trained operatives go rogue esp in this country where soldiers don't get properly 'thanked' or compensated or honoured for their sacrifices https://www.standardmedia.co.ke/article/2000139678/soldiers-kin-desperately-wait-for-compensation?_e_pi_=7%2CPAGE_ID10%2C8029379836 |
Speaking of which, I was reading up on kmfri's mv.mtafiti expeditions and came upon this stateemnt Kenya Marine Fisheries Research Institute (KMFRI) assistant director, oceanography and hydrography Dr Charles Magori said the vessel has enormous scientific and economic potential to push Kenya into the realm of a regional power in marine management, research and utilisation. “Kenya also applied for an extra 150 nautical miles EEZ extension for exploitation of bottom ocean bed resources. This has been accepted, giving the country an additional 103,000kms. The ship, which can carry a crew of 47, will increase the capacity to police this area,” Dr Magori said.So you mean a country can apply to extend her EEZ nauticle miles ( where it will have exclusive rights to,police,fish,mine minerals ) to the UN and be granted that territory as long as no other country lays claim to the same? |
Kenya's new survey and research vessel -mv Doria, currently undergoing sea trials expected to arrive in Dec or early Jan - it belongs to the Ministry of fisheries, specifically - Kenya Marine and Fisheries Research Institute KMFRI 2nd and 3rd pic is another oceanographic research ship belonging to KMFRI, this one was former Belgian govt survey ship upgraded b4 delivery
|
Algerian1:that one belongs in a frame on a wall
|
1 2 3 4 5 6 7 8 ... 10 11 12 13 14 15 16 17 18 (of 30 pages)
