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  ONLINE DOCUMENTS - MOVIES - CERVIX CANCER

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Movies / Cervix cancer:
A Training Course in Colposcopy - practical
Dr Ramany S. Wesley, Professor and Head, Community Oncology Division, Regional Cancer Centre (RCC), Trivandrum, India, presents a practical training course on colposcopy to detect early cervical lesions and cancer. This 38-minute movie deals with:
  • Instrumentation,
  • Supplies needed,
  • Procedures required for colposcopy,
  • How a colposcopy clinic works ?
Start the movie (Windows media player format for fast internet line).
You will also probably be interested by the following book available online "Colposcopy and Treatment of Cervical Intraepithelial Neoplasia: A Beginner's Manual" or by our Digital learning series volume "A training course in Visual Inspection".

A Training Course in Colposcopy - therory
Dr Ramany S. Wesley, Professor and Head, Community Oncology Division, Regional Cancer Centre (RCC), Trivandrum, India, presents a theorical training course on colposcopy to detect early cervical lesions and cancer. This 65-minute movie deals with:
  • Infrasctructures and facilities required,
  • Procedures,
  • Indications for colposcopy,
  • Colposcopic features of normal and abnormal cervix,
  • Modified Reid colposcopic index,
  • Colposcopic features of inflamed and infected cervix,
  • Colposcopic appearance of cervical intraepithelial neoplasia (CIN),
  • Colposcopic features of preclinical and clinical invasive cervical cancer,
  • Miscellaneous conditions.
Start the movie (Windows media player format for fast internet line).
You will also probably be interested by the following book available online "Colposcopy and Treatment of Cervical Intraepithelial Neoplasia: A Beginner's Manual" or by our Digital learning series volume about "A training course in Visual Inspection".

A Training Course in Loop Electrosurgical Excision Procedure (LEEP) - practical
Dr R. Rema, Dr S. Suchetha Gynae-oncologists in Regional Cancer Centre (RCC), Trivandrum, India and Dr P. O. Esmy, Chief Radiation Oncologist, CFCHRC, Ambilikkai, India present a practical training course in Loop Electrosurgical Excision (LEEP) to treat cervical precancers. This 38-minute movie deals with:
  • LEEP equipment,
  • LEEP instruments,
  • Case 1: Pap smear=Atypical cells, colposcopy diagnosis=CIN 2, colpo directed=CIN 1-2, so LEEP excision,
  • Case 2: Pap smear=CIN 1, colposcopy diagnosis=CIN 1-2, colpo directed biopsy=CIN 1-2, so LEEP excision,
  • Case 3: Colposcopically=high-grade lesion, Multiple pass procedure,
  • Case 4: Pap smear=CIN 2, colposcopy diagnosis=high-grade lesion extending to the endocervical canal, so double excision and ectocervical excision followed by endocervical excision,
  • Case 5: Pap smear=CIN 1, colposcopy diagnosis=CIN 1-2 lesion, colposcopy directed biopsy=CIN 1 with koïlocytic atypia, so LEEP excision,
  • Case 6: Colposcopically CIN 2 lesion, colposcopy directed biopsy=CIN 1-2 lesion, so LEEP excision,
  • Introduction of the digital colposcope.
Start the movie (Windows media player format for fast internet line).
You will also probably be interested by the following book available online "Colposcopy and Treatment of Cervical Intraepithelial Neoplasia: A Beginner's Manual" or by our Digital learning series volume "A training course in Loop electrosurgical excision procedure".

A Training Course in Loop Electrosurgical Excision Procedure (LEEP) - theory
Dr R. Rema, Dr S. Suchetha Gynae-oncologists in Regional Cancer Centre (RCC), Trivandrum, India and Dr P. O. Esmy, Chief Radiation Oncologist, CFCHRC, Ambilikkai, India present a theorical training course in Loop Electrosurgical Excision Procedure (LEEP) to treat cervical precancers. This 27-minute movie deals with:
  • History,
  • Advantages of LEEP,
  • Excision vs ablation,
  • Eligibility criteria,
  • LEEP equipment,
  • Electro surgery,
  • Electro surgical coagulation for hemostasis,
  • Dessication, fulguration, puncture coagulation,
  • Electrodes and LEEP equipment,
  • LEEP instruments,
  • Counselling,
  • Techniques,
  • LEEP excision,
  • Ecto- and endo- cervical excision,
  • Complications,
  • Efficacy of LEEP,
  • Over treatment.
Start the movie (Windows media player format for fast internet line).
You will also probably be interested by the following book available online "Colposcopy and Treatment of Cervical Intraepithelial Neoplasia: A Beginner's Manual" or by our Digital learning series volume "A training course in Loop electrosurgical excision procedure".

A Training Course in Visual Inspection using 4% Acetic Acid (VIA) - theory and practice
Dr Ramany S. Wesley, Professor and Head, Community Oncology Division, Regional Cancer Centre (RCC), Trivandrum, India, presents a training course in visual inspection with acetic acid (VIA) to detect early cervical lesions and cancer. This 53-minute movie deals with:
  • VIA procedure,
  • Equipment and materials required,
  • VIA outcomes of normal, positive and invasive cancer,
  • Preparation of the 4 % dilute acetic acid.
Start the movie (Windows media player format for fast internet line). You will also probably be interested by the following book available online A practical manual on visual screening for cervical neoplasia" or by our Digital learning series volume "A training course in Visual Inspection with 5% Acetic Acid (VIA)

A Training Course in Visual Inspection using Lugol's iodine solution (VILI) - theory and practice
Dr Ramany S. Wesley, Professor and Head, Community Oncology Division, Regional Cancer Centre (RCC), Trivandrum, India, presents a training course in visual inspection with Lugol's Iodine solution (VILI) to detect early cervical lesions and cancer. This 42-minute movie deals with:
  • How to do the test ?
  • What are the requirements for this test ?
  • What are the infrastructures and the facilities needed for this test ?
  • What are the procedures to be followed ?
  • Pictorial representation of VILI using visual inspection pictures ?
Start the movie (Windows media player format for fast internet line).

You will also probably be interested by the following book available online "A practical manual on visual screening for cervical neoplasia" or by our Digital learning series volume "A training course in Visual Inspection with Lugol's Iodine solution (VILI)

Audio Journal of Medicine: Visual Cervix Cancer Screening Test: Cheap and Effective in the Developing World
An inexpensive visual cervix cancer-screening test has proved its worth in India according to a publication in the Lancet. Inspecting the cervix visually after applying 4% acetic acid can reduce the incidence and mortality from cervical cancer in developing countries. Nicola Solomon interviewed Rengaswamy Sankaranarayanan.".
Start the audio interview (MP3 format).

N E W: Awareness material: Cervical cancer video (WHO India)
From WHO India

BBC World Service: Health Check: Cervical Cancer
Claudia talks to Dr Rengaswamy Sankaranarayanan from the International Agency for Research on Cancer about a method of screening for cervical cancer using vinegar that could save millions of lives in lower income countries.".
Start the audio interview (MP3 format).

CDC Podcasts: Cervical Cancer
From CDC

Cervical cancer prevention - Barshi Cervical Cancer Prevention Programme
This movie produced by the Nargis Dutt Memorial Cancer Hospital, Barshi and Tata Memorial Hospital, Mumbai, India is used in villages to promote the cervical cancer project and to inform the population. Start the movie (Windows media player format for fast internet line).

Human Papillomavirus: what you need to know
from The Society for Adolescent Medicine (SAM)

Kill or Cure - BBC Documentary
Kill Or Cure? Human Papilloma Virus [HPV] leads to cervical cancer, and is the second-biggest cause of cancer deaths among women, claiming nearly 300,000 victims annually. The BBC World third series of “Kill Or Cure?” starts by looking at screening strategies to prevent cervical cancer and the development of a vaccine that aims to protect against HPV, in a documentary that has been filmed in Costa Rica and India. This episode stars our Group Head, Dr R. Sankaranarayanan as well as our Alliance for Cervical Cancer Prevention (ACCP) collaborators Dr Ramani Wesley from Trivandrum (Kerala) and Dr Esmy from Ambilikkai (Tamil Nadu). This 30-minute programme will help you discover our projects and fieldwork. First transmission on BBC World, Friday 7th October 2005.
Start the movie (Windows media player format for fast internet line).

N E W: Kill or Cure - Saving Lives
Saving Lives looks at the Advance Market Commitment Scheme, formulated by the GAVI Alliance, that aims to provide pneumococcal vaccines to the developing world. The scheme fixes the price of a drug or vaccine over a ten-year period. Is it going to deliver, what will be the result and how did global health institutions, and the big pharmaceutical companies manage to agree on such a deal?

N E W: Kill or Cure - The real lady killer
In the developing world the leading cause of female cancer deaths is cervical cancer and it kills more than half a million women every year, most in poor countries. New low-tech screening programmes have begun to reduce cancer deaths, but campaigners like, Sarah Nyombi, a politician in Uganda, wants to see more …

Let's combat cancer!
Let's combat cancer! This movie presents the Cancer Foundation of India (CFI), a registered non-profit voluntary organization (NGO) dedicated to campaign for cancer control in India. The Foundation was started in 2002 as a consequence of the professional vision and personal commitment of a group of socially conscious and motivated clinicians, researchers, public health specialists and social activists. Through the activities of the organization we are bridging the gap that exists in cancer public, education, training & human resource development, research and patient support in our country.
Start the movie (Windows media player format for fast internet line).

Listen to the Lancet (The Lancet 04 August 2007): Effect of visual screening on cervical cancer incidence and mortality in Tamil Nadu, India: a cluster-randomised trial
Cervical cancer is the most common cancer among women in developing countries. We assessed the effect of screening using visual inspection with 4% acetic acid (VIA) on cervical cancer incidence and mortality in a cluster randomised controlled trial in India.
Of the 114 study clusters in Dindigul district, India, 57 were randomised to one round of VIA by trained nurses, and 57 to a control group. Healthy women aged 30 to 59 years were eligible for the study. Screen-positive women had colposcopy, directed biopsies, and, where appropriate, cryotherapy by nurses during the screening visit. Those with larger precancerous lesions or invasive cancers were referred for appropriate investigations and treatment. Cervical cancer incidence and mortality in the study groups were analysed and compared using Cox regression taking the cluster design into account, and analysis was by intention to treat. The primary outcome measures were cervical cancer incidence and mortality.
Of the 49,311 eligible women in the intervention group, 31,343 (63.6%) were screened during 2000-03; 30,958 control women received the standard care. Of the 3088 (9.9%) screened positive, 3052 had colposcopy, and 2539 directed biopsy. Of the 1874 women with precancerous lesions in the intervention group, 72% received treatment. In the intervention group, 274,430 person years, 167 cervical cancer cases, and 83 cervical cancer deaths were accrued compared with 178,781 person-years, 158 cases, and 92 deaths and in the control group during 2000-06 (incidence hazard ratio 0.75 [95% CI 0.55-0.95] and mortality hazard ratio 0.65 [0.47-0.89]).
VIA screening, in the presence of good training and sustained quality assurance, is an effective method to prevent cervical cancer in developing countries."
Start the audio interview (MP3 format).

New Technique Detects Cervical Cancer - insidermedicine documentary
This movie produced by Insidermedicine channel presents the new Lancet paper "Effect of visual screening on cervical cancer incidence and mortality in Tamil Nadu, India: a cluster-randomised trial".
Start the movie (Flash format).

Research activities in India - Christian Fellowship Community Health Center (CFCHC), Ambilikkai, India
Film about cancer research activities in India. This 8-minute programme will help you discover our screening projects and fieldwork in India especially in the site of Ambilikkai, Tamil Nadu, India.
Start the movie (Windows media player format for fast internet line).

Research activities in India - Nargis Dutt Memorial Cancer Hospital (NDMCH), Barshi, India
Film about cancer research activities in India. This 17-minute programme will help you discover our screening projects and fieldwork in India especially in the site of Barshi, Maharastra, India.
Start the movie (Windows media player format for fast internet line).

Research activities in India - Regional Cancer Centre, Trivandrum, Kerala, India
Film about cancer research activities in India. This 11-minute programme will help you discover our screening projects and fieldwork in India especially in the Trivandrum city, Kerala, India. Start the movie (Windows media player format for fast internet line).

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