134 research outputs found
Cervical cancer prevention in HIV-infected women in resource-limited settings
No full text Groesbeck Parham is Professor of Gynecologic Oncology and Infectious Diseases in the Department of Medicine at the University of Alabama at Birmingham (AL, USA) and Director of the Centre for Infectious Disease Research in Zambia’s Cervical Cancer Prevention Program. A native Alabamian, Parham received his BA (1970) from Oberlin College, OH, USA, and medical degree (1981) from the University of Alabama in Birmingham. He completed an obstetrics and gynecology residency (1985) at the University of Alabama in Birmingham, a urogynecology fellowship (1986) at the University of London, UK, and Khartoum Teaching Hospital, Sudan, and a gynecologic oncology fellowship (1988) at the University of California, Irvine, CA, USA. He is a board-certified gynecologic oncologist. Parham moved to Lusaka, Zambia, in 2005 to establish the Centre for Infectious Disease Research in Zambia’s Cervical Cancer Prevention Program, which targets HIV-infected women. Before moving to Lusaka he served as director of the divisions of gynecologic oncology at Charles Drew University of Medicine and Science in Los Angeles, CA, USA, and the University of Arkansas for Medical Sciences in Little Rock, AR, USA. His primary research interest is the science of implementing cancer prevention technology in post-colonial Africa. </jats:p
Advancing cervical cancer prevention initiatives in resource-constrained settings: insights from the Cervical Cancer Prevention Program in Zambia.
Get PDFGroesbeck Parham and colleagues describe their Cervical Cancer Prevention Program in Zambia, which has provided services to over 58,000 women over the past five years, and share lessons learned from the program's implementation and integration with existing HIV/AIDS programs
Preventing Chronic Disease (PCD)
Get PDFIntroductionLow-income African Americans who live in rural areas of the Deep South are particularly vulnerable to diseases associated with unhealthy energy imbalance. The Centers for Disease Control and Prevention (CDC) has suggested various physical activity strategies to achieve healthy energy balance. Our objective was to conduct formal, open-ended discussions with low-income African Americans in the Mississippi Delta to determine 1) their dietary habits and physical activity levels, 2) their attitudes toward CDC's suggested physical activity strategies, and 3) their suggestions on how to achieve CDC's strategies within their own environment.MethodsA qualitative method (focus groups) was used to conduct the study during 2005. Prestudy meetings were held with African American lay health workers to formulate a focus group topic guide, establish inclusion criteria for focus group participants, select meeting sites and times, and determine group segmentation guidelines. Focus groups were divided into two phases.ResultsAll discussions and focus group meetings were held in community centers within African American neighborhoods in the Mississippi Delta and were led by trained African American moderators. Phase I focus groups identified the following themes: overeating, low self-esteem, low income, lack of physical exercise, unhealthy methods of food preparation, a poor working definition of healthy energy balance, and superficial knowledge of strategies for achieving healthy energy balance. Phase 2 focus groups identified a preference for social support-based strategies for increasing physical activity levels.ConclusionEnergy balance strategies targeting low-income, rural African Americans in the Deep South may be more effective if they emphasize social interaction at the community and family levels and incorporate the concept of community volunteerism
Implementation of a Single-Visit Approach to Breast Care in Zambia
No full text Abstract 11 Background: System-level barriers to care and low levels of awareness lead to late-stage presentation of breast disorders in resource-constrained environments. Simulating Zambia’s successful screen and treat approach to cervical cancer prevention, we designed and implemented an algorithm to improve breast care efficiency. Methods: In collaboration with the Zambian Ministry of Health and with support from the Susan G. Komen Breast Cancer Foundation, we initially expanded breast care capacity in Zambia through on-site training of mid- and high-level health care providers by international experts. By using this cadre of local experts, we then implemented a rural breast care camp of 1-week duration, during which breast self-awareness, psychosocial counseling, clinical breast examination, breast ultrasound, ultrasound-guided breast biopsy, histologic analysis of biopsy specimens, and treatment were offered to participants in a single-visit format. Results: Four hundred seventy-five women were evaluated during the camp. The mean age of participants was 34.5 (± 13.0) years. The majority of women were multiparous (81.9%), breast-fed (78.5%), and reported hormone use (54.1%). Abnormalities were detected on clinical breast examination in 33 women, 27 of which required ultrasound. Lesions were confirmed in 17 and evaluated by using ultrasound-guided core needle biopsy (12) or fine-needle aspiration (five). On-site imprint cytology was performed on all specimens and later confirmed by histology, with a concordance of 100%. Two cancers were detected. Three women with benign lesions underwent same-day surgery after histologic confirmation. Conclusion: Similar to the see-and-treat approach for cervical cancer prevention, the single-visit algorithm has the potential to vastly improve breast care efficiency in low-resource environments ( Fig 1 ). [Figure: see text] Funding: Susan G. Komen Breast Cancer Foundation. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST Leeya F. Pinder No relationship to disclose Aaron Shibemba No relationship to disclose Victor Kusweje No relationship to disclose Jean-Baptiste Nzayisenga No relationship to disclose Hector Chiboola No relationship to disclose Mary Amuyunzu-Nyamongo No relationship to disclose Catherine Mwaba Research Funding: Mylan (Inst) Travel, Accommodations, Expenses: Fresenius Susan Citonje Msadabwe Travel, Accommodations, Expenses: AstraZeneca Pavlo Lermontov No relationship to disclose Edgar Chikontwe No relationship to disclose Groesbeck P. Parham No relationship to disclose </jats:sec
Typescript of Southern States Mission reports, 1875-1887 (part 2)
No full textScan of leaves 17 through 31 of a document entitled "Southern States Mission history, from October 1875 to December 1904." (Note: Leaf 25 missing). Document may date from 1904, but this and Part 1 only cover period from 1875 to 1887. Author uncertain, but may be Morgan\u27s son, Nicholas G. Morga
Typescript of Southern States Mission reports, 1875-1887 (part 1)
No full textScan of first 16 leaves of a document entitled "Southern States Mission history, from October 1875 to December 1904." Document may date from 1904, but this and Part 2 only cover period from 1875 to 1887. Author not stated, but may have been Nicholas G. Morgan, son of John Hamilton Morga
Settlement of San Luis Valley, Colorado by the Mormon People in 1878: Part 3
No full textScan of the third part (pages 42-59) of a typescript with title, "Settlement of San Luis Valley, Colorado by the Mormon People in 1878." Author not given, but possibly John Hamilton Morgan\u27s son Nicholas G. Morga
Settlement of San Luis Valley, Colorado by the Mormon People in 1878: Part 1
No full textScan of the first pages of a typescript with title, "Settlement of San Luis Valley, Colorado by the Mormon People in 1878." Author not given, but possibly John Hamilton Morgan\u27s son Nicholas G. Morga
Typed version of John Morgan\u27s journal told in the third person (1875-1892): Part [26]
No full textScan of part of a typescript narrative based on the journal entries of John Hamilton Morgan from 1875 through 1892, covering his major missionary journeys in the Southern United States and his work in settling some of the Southern converts in the San Luis Valley of Colorado. Author of this narrative unidentified, but may have been Morgan\u27s son, Nicholas G. Morga
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