Publications

Three major epidemiological patterns of HIV infection have been previously described in the world. In pattern I, which occurs mainly in North America, Europe, and Australia, most cases occur in homosexual men and injecting drug users and their sex partners and offspring. Pattern II occurs mainly in sub-Saharan Africa, and increasingly in other parts of the world. Here most people acquire their infection heterosexually, perinatally from their mother, or through blood transfusion.

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Using a protected triple lumen device, Neisseria gonorrhoeae or Chlamydia trachomatis, or both, were isolated from the endometriums of five out of 35 women with clinical postpartum endometritis compared with none of a control group of 30 puerperal women without endometritis (p less than 0.05) in Nairobi, Kenya. These sexually transmitted agents were also found in 12 cervical specimens from women with and three without postpartum endometritis (p = 0.04). Mycoplasma hominis and Ureaplasma urealyticum were equally isolated from the endometrium in both groups.

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Grce au dosage de la concentration en progestrone du liquide pritonal, 96 heures aprs le pic srique de l'hormone lutinisante dans deux cycles conscutifs, la rcurrence du syndrome de follicule non-rompu a t dmontre. Chez de telles patientes on peut obtenir une rupture folliculaire en stimulant avec des gonadotrophines d'origine mnopausique, associes la gonadotrophine chorionique.

published in 1984

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Published in 1992
No abstract available

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The concentration of progesterone in peritoneal fluid, aspirated from the pouch of Douglas by laparoscopy, 72 hours after the peak of the luteinizing hormone in serum is believed to indicate whether the ovarian follicle has ruptured or not. Twenty six patients were studied. The volume of peritoneal fluid 72 hours after the peak of the luteinizing hormone was markedly decreased when bilateral ovarian adhesions were present.

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We carried out a case-control study to investigate the role of sexually transmitted diseases (STDs), including infection with HIV, as risk factors for adverse outcome of pregnancy. Overall, 1507 women were enrolled within 24 h of delivery. Cases (n = 796) were mothers of low-birthweight infants (less than 2500 g) or of stillborns. Low-birthweight infants were divided into preterms (n = 373) and neonates small for gestational age (n = 234). Stillborns were separated into intrauterine fetal deaths (n = 120), and intrapartum fetal deaths (n = 69).

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During an ongoing study investigating the impact of maternal HIV infection on pregnancy outcome at a large maternity hospital in Nairobi, Kenya, asymptomatic HIV positive women who had recently delivered were informed of their HIV sero-status and counselled by a trained nurse regarding contraception and reproductive behaviour in a single session. Both HIV infected women and a comparison group of uninfected women matched for pregnancy outcome were followed up after an interval of one year. Contraceptive use, condom use and pregnancy rates were similar in both groups.

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