Task-shifting for point-of-care cervical cancer prevention in low- and middle-income countries: a case study from Uganda.

Cervical cancer remains the leading cause of female cancer deaths in sub-Saharan Africa. This is despite cervical cancer being both preventable and curable if detected early and treated adequately. This paper reports on a series of action-research 'cycles' designed to progressively integrate a comprehensive, task-shifted, point-of-care, prevention program in a community-based public health facility in Uganda.

Granulomatosis with polyangiitis causing subglottic stenosis-two cases and their management.

Granulomatosis with polyangiitis (GPA) is characterised by vasculitis of small and medium sized blood vessels and granulomatous lesions of the respiratory tract. The aetiology is unclear, however it is thought to be due to an autoimmune process with about 92% of patients with the disease being antineutrophilic cytoplasmic antibodies (ANCA) positive. Patients normally present in early adulthood, more commonly in the winter months.

Primary care sector versus treatment centre follow up for post-treatment cervical squamous intraepithelial neoplasia (SIL).

Objective: The NHSCSP 2004 guideline recommends that the best practice for the follow up of post-treatment squamous intraepithelial neoplasia (SIL) is by cytological surveillance in the treatment centre or alternatively, in the primary care sector as a minimum standard. We undertook this study to test this recommendation.

Setting: In a colposcopy clinic of a district general hospital of UK.

Prevalence of high-grade squamous intraepithelial neoplasia (HiSIL) in symptomatic women referred to the colposcopy clinic with negative cytology.

Objective: We have evaluated patients who were referred to the colposcopy clinic with postcoital and/or intermenstrual bleeding and suspicious looking cervix with normal smear tests (negative cytology) mainly to establish the incidence of underlying high-grade squamous intraepithelial neoplasia in these groups and also to look at our intervention rate.

Design: Retrospective study.

Setting: Colposcopy clinic in a District General Hospital in the United Kingdom.