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The sensitivity of cytology alone is not great enough for implementing as a screening test in a developing country where screening programs are often inadequate. Screening with a combination of tests, once or a few times per woman's life, is a more acceptable alternative since it allows for less screening events without sacrifying sensitivity.

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This study focused on the relationship between psychofortigenic factors and psychological burnout among nursing staff at institutions where patients with Alzheimer's disease, as well as other conditions, are hospitalized. Psychofortigenesis relates to the term ‘salutogenesis’ and refers to the origin of psychological strengths. It can thus be regarded as the opposite of psychopathogenesis. There is evidence of high levels of burnout among nursing staff in South Africa and thus the question arises as to which psychofortigenic factors would enable them to cope. The study group consisted of 226 South African nurses from 21 institutions involved in the care of Alzheimer's patients. Questionnaires administered to the group included the Maslach Burnout Inventory, the Satisfaction with Life Scale, the Sense of Coherence Scale and the Fortitude Questionnaire. Hierarchical regression analyses revealed negative correlations between burnout and the psychofortigenic factors: Sense of Coherence and Fortitude. These findings have implications for personnel management at institutions caring for sufferers of Alzheimer's disease.