Reference Manual - IARC Screening Group

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Technical Overview of the Cryotherapy SystemNote: The cryotip can be sterilized using an autoclave, but the plasticsleeve cannot. Never put the plastic sleeve in an autoclave.Note: If desired, the cryotip can be reattached to the probe and bothcan be high-level disinfected using chemicals.• After the cryotip and plastic sleeve have been high-level disinfected(and rinsed, if appropriate) or sterilized, allow them to air-dry.• Remove the rubber stopper from the cryotip. Ensure that the inside ofthe shaft on the cryotip is completely dry before placing the plasticsleeve on the cryotip and reattaching the cryotip to the probe.STORAGEDuring clinic hours, the cryotherapy system should remain connected tothe gas cylinder. At the end of the day, they should be disconnected andstored according to the following guidelines:• Place the cryotherapy system in its cardboard carrying case (i.e., itsoriginal packaging). When the cryotip is not attached to the probe ofthe cryotherapy unit, the plastic protector tube should be placed onthe thin metal tube at the end of the probe (Figure D-9).• Store gas cylinders in an upright position at the location where thesystem is used. Gas cylinders are very heavy and can cause injury ifthey fall and strike someone. To prevent possible injuries, do notmove the gas cylinders except when necessary. Keep them locked ona cart built specifically for this purpose or chained to the wall (FigureD-11).• Store gas cylinders and the cryotherapy system at room temperature(i.e., between 20–30ºC [68–86ºF]) and away from sunlight and otherheat sources (e.g., radiators, furnaces).• Heat increases the pressure of the gas in the cylinder. Thispressure can, in turn, damage the cryotherapy unit or break therupture disk in the safety valve, causing the system to stopworking.• Cold temperatures increase the amount of time and energyrequired by the system to “thaw” during a procedure.D-8 Cervical Cancer Prevention Guidelines for Low-Resource Settings
Figure D-11. Gas Cylinder Secured to WallTechnical Overview of the Cryotherapy SystemCervical Cancer Prevention Guidelines for Low-Resource Settings D-9
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Cervical Cancer PreventionGuideline
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TABLE OF CONTENTSPREFACE AND ACKNOW
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How to High-Level Disinfect Surgica
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Table C-2Figure C-1Preparing a Dilu
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PREFACE AND ACKNOWLEDGMENTSThis ref
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ONEINTRODUCTIONMAGNITUDE OF THE PRO
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IntroductionFigure 1-3. Incidence o
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Introductionprevalence areas, a sta
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Table 1-2. Reduction in Cumulative
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Introductiontheir performance was t
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Introductionlesions, or a false pos
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IntroductionCompared to other metho
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Introductionsignificantly to women
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IntroductionBelinson JL et al. 2001
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IntroductionMitchell MF et al. 1998
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IntroductionYlitalo N et al. 1999.
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TWOHUMAN PAPILLOMAVIRUS AND CERVICA
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Human Papillomavirus and Cervical C
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THREEPATHOPHYSIOLOGY OF CERVICAL CA
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With the onset of puberty, whichis
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Pathophysiology of Cervical Cancerp
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Pathophysiology of Cervical CancerP
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Pathophysiology of Cervical CancerI
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Pathophysiology of Cervical CancerR
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FOURTALKING WITH WOMEN ABOUTCERVICA
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Talking with Women About Cervical C
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FIVEPREVENTING INFECTIONS INHEALTHC
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Preventing Infections in Healthcare
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SIXCLIENT ASSESSMENT AND VIA TESTIN
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Client Assessment and VIA TestingFi
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Client Assessment and VIA TestingIN
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Client Assessment and VIA Testingst
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Client Assessment and VIA Testingsp
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Client Assessment and VIA Testingth
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SEVENTREATMENT AND FOLLOWUPBACKGROU
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Treatment and Followupregardless of
Page 95 and 96: Treatment and FollowupFigure 7-1. L
Page 97 and 98: Treatment and FollowupTable 7-6. Co
Page 99 and 100: Treatment and FollowupFigure 7-2 is
Page 101 and 102: Treatment and Followup• Regulator
Page 103 and 104: Treatment and FollowupCRYOTHERAPY P
Page 105 and 106: Treatment and FollowupStep 6 Point
Page 107 and 108: Treatment and FollowupNote: When CO
Page 109 and 110: Treatment and FollowupStep 5Advise
Page 111 and 112: Treatment and FollowupBerget A, B A
Page 113 and 114: APPENDIX ATESTS FOR CERVICAL CANCER
Page 115 and 116: Tests for Cervical Cancer Screening
Page 121 and 122: APPENDIX BSCREENING TEST QUALITIES
Page 123 and 124: Screening Test Qualities and Their
Page 125 and 126: APPENDIX CINFECTION PREVENTION PROC
Page 127 and 128: Infection Prevention Processesfor m
Page 129 and 130: Infection Prevention Processeswith
Page 131 and 132: Infection Prevention ProcessesFigur
Page 133 and 134: Table C-4. Preparing and Using Chem
Page 135 and 136: Infection Prevention ProcessesStora
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Page 139 and 140: APPENDIX DTECHNICAL OVERVIEW OF THE
Page 141 and 142: Technical Overview of the Cryothera
Page 143 and 144: Figure D-5. Removing Protector Tube
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Page 149 and 150: APPENDIX ETROUBLESHOOTING WITH THEC
Page 151 and 152: Table E-1. Following-Up on Commonly
Page 153 and 154: APPENDIX FPROCESSING SURGICAL GLOVE
Page 155 and 156: Processing Surgical GlovesTable F-1
Page 157 and 158: Processing Surgical GlovesSTEP 10:
Page 159 and 160: APPENDIX GPERFORMING BREAST AND PEL
Page 161 and 162: Performing Breast and Pelvic Examin
Page 163 and 164: Figure G-2. Breast Puckering or Dim
Page 165 and 166: Figure G-5. Checking for Nipple Dis
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Performing Breast and Pelvic Examin
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APPENDIX HPERCEIVED BARRIERS TO PRO
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AVAILABILITY OF BASIC SUPPLIES AND
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GLOSSARYAcetic AcidAcetowhite Chang
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PatulousSquamocolumnarJunction (SCJ
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ADDITIONAL READINGAlliance for Cerv
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Reference Manual - IARC Screening Group

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