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Gichangi P, Estambale B, Bwayo JJ, Rogo KO, Ojwang S, Njuguna E, Temmerman M. "Acceptability of human immunodeficiency virus testing in patients with invasive cervical cancer in Kenya.". 2005. AbstractWebsite

Invasive cervical cancer (ICC) is common in areas where human immunodeficiency virus (HIV) is also prevalent. Currently, HIV seroprevalence as well as acceptability of HIV testing in ICC patients in Kenya is unknown. The objective of this study was to determine the acceptability of HIV testing among patients with ICC. Women with histologically verified ICC at Kenyatta National Hospital participated in the study. A structured questionnaire was administered to patients who gave informed consent. HIV pre- and posttesting counseling was done. Blood was tested for HIV using enzyme-linked immunosorbent assay. Overall, 11% of ICC patients were HIV seropositive. The acceptance rate of HIV testing was 99%; yet, 5% of the patients did not want to know their HIV results. Patients less than 35 years old were two times more likely to refuse the result of the HIV test (odds ratio [OR] 2.2). Patients who did not want to know their HIV results were three times more likely to be HIV seropositive (OR 3.1). Eighty four percent of the patients were unaware of their HIV seropositive status. The HIV-1 seroprevalence in ICC patients was comparable to the overall seroprevalence in Kenya. ICC patients were interested in HIV testing following pretest counseling. Offering routine HIV testing is recommended in ICC patients.

Ojwang PJ, Gitau W, Shah MV. "Adolescent hypophosphataemic rickets.". 1982.Website
B PROFOJWANGSHADRACK. "Audit of hysterectomies at the Aga Khan Hospital, Nairobi: justification of operative indications. East Afr Med J. 1992 Sep;69(9):483-6.". In: East Afr Med J. 1992 Sep;69(9):483-6. Rao, W. O., Ogonji, J. A.. and Aywa, S.; 1992. Abstract
An audit of 381 hysterectomies performed over a 5 year period (1986-1990) was carried out. In order to assess justification of the indication for hysterectomy pre-operative diagnoses were divided into two groups: those potentially confirmable by pathologic study and those not potentially confirmable by pathologic study. Out of the 273 cases studied in the first group, 246 (90.1%) were justified, while out of the 108 cases studied in the second group, 82 (75.9%) were justified. An overall 86% justification rate was observed. Adenomyosis as a histopathologic finding was seen more commonly in Asian than African patients (P < 0.005). Morbidity rate was 20% and there were no mortalities. The procedure in general was considered safe and justified.
B PROFOJWANGSHADRACK. "Audit of hysterectomies at the Aga Khan Hospital, Nairobi: justification of operative indications. East Afr Med J. 1992 Sep;69(9):483-6.". In: East Afr Med J. 1992 Sep;69(9):483-6. Rao, W. O., Ogonji, J. A.. and Aywa, S.; 1992. Abstract
An audit of 381 hysterectomies performed over a 5 year period (1986-1990) was carried out. In order to assess justification of the indication for hysterectomy pre-operative diagnoses were divided into two groups: those potentially confirmable by pathologic study and those not potentially confirmable by pathologic study. Out of the 273 cases studied in the first group, 246 (90.1%) were justified, while out of the 108 cases studied in the second group, 82 (75.9%) were justified. An overall 86% justification rate was observed. Adenomyosis as a histopathologic finding was seen more commonly in Asian than African patients (P < 0.005). Morbidity rate was 20% and there were no mortalities. The procedure in general was considered safe and justified

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