J. Okech

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OBJECTIVE To assess safety, preliminary efficacy, and acceptability of the Shang Ring, a novel disposable device for adult male circumcision in Kenya. METHODS Forty HIV-negative men were recruited in Homa Bay, Kenya. Circumcisions were performed by a trained physician or nurse working with 1 assistant. Follow-up was conducted at 2, 7, 9, 14, 21, 28, 35,(More)
OBJECTIVES To assess healing with Shang Ring removal at different prespecified times; whether spontaneous detachment occurs with delayed removal; problems, complaints, and acceptability of wearing the device; satisfaction among participants; and acceptability of the procedure among providers. METHODS Fifty HIV-negative men underwent a Shang Ring(More)
OBJECTIVES To ascertain clinical sequelae, client satisfaction and sexual behavior 2+ years after male circumcision using the ShangRing device. METHODS We enrolled 199 men from the Kenya sites (Homa Bay district) participating in a 2012 study of the ShangRing device used in routine male circumcision services (N = 552). We enrolled men who had had the(More)
In this paper we propose a parallel and distributed genetic algorithms (PDGA) on xed network topology multiprocessor systems in which each processor element carries out genetic operations on its own chromosome set and communicates with only the neighbors (we say chromosome migration). We execute the proposed method to investigate eects of chromosome(More)
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