INTRODUCTION: Cervical cancer continues to be a public health concern mostly affecting low-resource countries and has a high prevalence in Haiti, where no national prevention program exists. To address this gap, Hospital Albert Schweitzer (HAS) launched a cervical cancer screening and treatment program. The first step consisted of a two-week workshop providing didactic and supervised clinical training to healthcare professionals. METHODS: A US-based interprofessional team developed a comprehensive curriculum focusing on visual inspection with acetic acid, cytology-based screening, colposcopy, cryotherapy and loop electrosurgical excisional procedure. 3 Ob/Gyns, 2 general practitioners, 3 nurse-midwives and 2 nurses were trained. The course consisted of half-day didactic sessions and half-day supervised clinical practice sessions during the first week. The second week involved high-volume practice of skills. Pre-and post-tests were utilized during didactics, and clinical competency assessment were utilized at the end of each week. These tools will also be used during the 6-month follow-up evaluation. RESULTS: All trainees attended all didactic and clinical training sessions. They screened a total of 988 women. Based on the pre- and post-tests, trainees demonstrated an average increase of knowledge of cervical cancer screening by 9.5%. They all demonstrated satisfactory clinical competency by the end of the second week. CONCLUSION: Implementation of an interprofessional training event in a low-resource setting proved to be effective in teaching healthcare professionals to perform cervical cancer screening and treatment services on a clinically competent level. Results of the 6-month.
Pseudoaneurysm of the hepatic and/or less frequently the cystic artery is a rare but potentially fatal complication following laparoscopic cholecystectomy. While the procedure is safe with minimal morbidity, complications do occur even in experienced hands. Moreover, patient selection is of utmost importance. These aneurysms usually present with hemobilia a few weeks after surgery; however, free rupture into the peritoneal cavity can occur. Transarterial embolization is the initial management approach when available and feasible. We present a case of a ruptured hepatic pseudoaneurysm three weeks after laparoscopic conversion to open cholecystectomy. The aim is to shed light on this rare but potentially fatal complication.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.