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Fong, James,Gyaneshwar, Rajaneshwar,Lin, Sophia,Morrell, Stephen,Taylor, Richard,Brassil, Ann,Stuart, Anne,McGowan, Catherine Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.24
The purpose of this study was to demonstrate the feasibility of VIA screening with cryotherapy and to record normative values for indicators anticipated in similar low resource settings. Women aged 30-49 years were targeted, resulting in 1961 women screened and treated at two primary health care (PHC) centres near Suva, Fiji. Recruitment was through provision of information, education and communication (IEC). Referrals to a gynaecology outpatient department (OPD) at a referral hospital occurred throughout the screening pathway. Participation was 32% (95%CI 31-33%), higher in iTaukei (Melanesians) women (34%, 95%CI 33-36) compared to Fijians of Indian descent (26%, 95%CI 24-28). Regression analysis, adjusted for confounders, indicated significantly lower participation in those of Indian descent, and age groups 35-39 and 45-49 years. Of those examined by VIA, 190 were positive with aceto-white lesions (9.9%), within the expected range of 8-15%, with minor geographic and ethnic variation. Positive VIA results were more common in the peri-urban area, and in those aged 35-39 years. Of women aged 30-49 years, 59 received cryotherapy (none of whom had significant complications), 91 were referred to OPD, two cervical carcinomas were identified and eight cervical intra-epithelial neoplasms (CIN) II-III were diagnosed. These results provide normative findings from a community-based VIA screening program for other similar low resource settings.
Motor speech and motor limb status in athletes following a concussion
Anthony P. Salvatore,Michael P. Cannito,Jessica Hewitt,(Lindsay D. Dolan),(George King),(Heather E. Brassil) 한국언어재활사협회 2019 Clinical Archives of Communication Disorders Vol.4 No.3
Purpose: There is limited research on the effects of an acute concussion on motor speech production in student-athletes. This study investigated the effects of a concussion on (1) speech alternating motion rates and (2) finger repetition task. Methods: Eighteen individuals with a concussion and 18 individuals in a healthy comparison (HC) group, matched for age and years of education served as participants. Oral diadochokinetic sequential motion rates (SMR) and alternating motion rates (AMR) were measured using Kay Elemetrics Computerized Speech Lab, model 4500. A finger repetition task was also evaluated. Results: Independent-samples t-tests revealed statistically significant differences in mean syllable repetition rate between groups: SMRs (p<0.001), AMR /puh/ (p<0.001), AMR /tuh/ (p<0.001), and AMR /kuh/ (p<0.001). Also, a statistically significant difference was found for the finger repetition task (p<0.05). Conclusions: Participants with a concussion produced SMR and AMR speech-like tasks and finger repetition tasks significantly slower than a matched healthy control group.