Home' Trinidad and Tobago Guardian : June 4th 2013 Contents A28
body & soul
Guardian www.guardian.co.tt Tuesday, June 4, 2013
COMMUNITY HOSPITAL OF SEVENTH-DAY ADVENTISTS
Western Main Road, Cocorite
Qualified, experienced and service-oriented individuals are invited to apply for the following positions:
Must possess a Bachelor's degree in Physiotherapy or any related qualifications. Must be registered with the Physiotherapists' Board of
T &T and have at least 5 years experience in this field. Specialization in management of stroke and brain-injured patients or cardiac reha-
bilitation preferred. Must be prepared to work on weekends.
Must possess a Bachelor's degree in radiological imaging and technology and/or a Diploma in radiography. Must be registered with the
Radiography Board of T &T and have at least 5 years experience in performing CT scans and MRI. This position would require working
on a roster that would include on-call sessions.
Candidate must possess a Bachelor's degree in Pharmacy from an accredited institution and have at least 5 years experience in this field.
Must be registered with the Pharmacy Board of T&T and have at least 5 years experience in this field.
NURSING STAFF (Full Time only)
Caring and qualified RNs and ENAs are needed in the following fields: Medical/Surgical, Midwifery, Dialysis, ICU, Emergency Room, and
Operating Theatre. Nurses must have a Bachelor of Science Degree or an Associate Degree in Nursing. Applicants must also be registered
with the Nursing Council of Trinidad and Tobago.
ENGINEERING & MAINTENANCE MANAGER
Applicants must have at least 5 years experience in a similar position. Must possess a degree or associate degree in Biomedical or Electrical
Engineering. This position would include on-call sessions.
ENGINEERING & MAINTENANCE TECHNICIANS
Must have working experience in a maintenance department. Applicants with certification and/or 5 years experience in bio-medicals, elec-
trical, air conditioning, plumbing, welding and carpentry are invited. This position would include on-call sessions.
Must be a Certified Technician with at least 2 years experience in this field.
Full time and part time qualified Medical Doctors with clinic and on call responsibilities in the following disciplines are also required:
Emergency room/ Family practice
Rehabilitation Medicine/Physical Therapy
Medical Doctors with qualification in other disciplines are also welcome to apply. Candidates must be registered with the Medical Board of T&T.
Your cover letter along with one copy of your current resume, 2 passport size photos, copies of certificates, references and other relevant
information should be sent to:
Human Resource Manager
Community Hospital of SDA
P.O. Box 767
Port of Spain, Trinidad
Or e-mail resume to community firstname.lastname@example.org
Applicants are also required to submit a copy of their application to:
Chief Manpower Officer
Ministry of Labour & Small and Micro Enterprise Development
Levels 1 - 6, Duke Place,
#50 -54 Duke Street, Port of Spain.
CLOSING DATE FOR APPLICATIONS IS JUNE 10th 2013
UNSUITABLE APPLICATIONS WILL NOT BE ACKNOWLEDGED
A simple vinegar test slashed cervical cancer
death rates by one-third in a remarkable study of
150,000 women in the slums of India, where the
disease is the top cancer killer of women.
Doctors reported the results Sunday at a cancer
conference in Chicago. Experts called the outcome
"amazing" and said this quick, cheap test could save
tens of thousands of lives each year in developing
countries by spotting early signs of cancer, allowing
treatment before it s too late.
Usha Devi, one of the women in the study, says
it saved her life.
"Many women refused to get screened. Some of
them died of cancer later," Devi said. "Now I feel
everyone should get tested. I got my life back because
of these tests."
Pap smears and tests for HPV, a virus that causes
most cervical cancers, have slashed cases and deaths
in the US. But poor countries can t afford those
This study tried a test that costs very little and
can be done by local people with just two weeks of
training and no fancy lab equipment. They swab the
cervix with diluted vinegar, which can make abnormal
cells briefly change colour.
This low-tech visual exam cut the cervical cancer
death rate by 31 per cent, the study found. It could
prevent 22,000 deaths in India and 72,600 worldwide
each year, researchers estimate.
The story of research participant Usha Devi is not
an unusual one. Despite having given birth to four
children, she had never had a gynecological exam.
She had been bleeding heavily for several years, hoping
patience and prayers would fix things.
"Everyone said it would go away, and every time
I thought about going to the doctor there was either
no money or something else would come up," she
said, sitting in a tiny room that serves as bedroom,
kitchen, bathroom and living room for her entire
One day she found a card from health workers
trying to convince women to join the study. Devi is
in her late 40s and like many poor Indians doesn t
know her date of birth. She learned she had advanced
cervical cancer. The study paid for surgery to remove
her uterus and cervix.
The research effort was led by Dr Surendra Shastri
of Tata Memorial Hospital in Mumbai. India has
nearly one-third of the world s cases of cervical can-
cer---more than 140,000 each year.
"It s just not possible to provide Pap smear screening
in developing countries. We don t have that kind of
money" or the staff or equipment, so a simpler
method had to be found, Shastri said.
Starting in 1998, researchers enrolled 75,360 women
to be screened every two years with the vinegar test.
Another 76,178 women were chosen for a control,
or comparison group that just got cancer education
at the start of the study and vouchers for a free Pap
test --- if they could get to the hospital to have one.
Women in either group found to have cancer were
offered free treatment at the hospital.
Still, this quick and free cancer screening was a
hard sell in a deeply conservative country where
women are subservient and need permission from
husbands, fathers or others for even routine decisions.
Social workers were sent into the slums to win people
"We went to every single house in the neighbour-
hood assigned to us introducing ourselves and asking
them to come to our health talks. They used to come
out of curiosity, listen to the talk but when we asked
them to get screened they would totally refuse," said
one social worker, Vaishnavi Bhagat. "The women
were both scared and shy."
One woman who did agree to testing jumped up
from the table when she was examined with a specu-
lum. "She started screaming that we had stolen her
kidney," Bhagat said. Another health worker was
beaten by people in the neighbourhood
when women realised they would have to
disrobe to be screened.
"There was a sense of shame about taking
their clothes off. A lot of them had their
babies at home and had never been to a
doctor," said one health worker, Urmila Had-
kar. "Sometimes just the idea of getting
tested for cancer scared them. They would
start crying even before being tested."
But screening worked. The quality of
screening by health workers was comparable
to that of an expert gynecologist, researchers
reported. The study was planned for 16
years, but results at 12 years showed lives
were saved with the screening. So inde-
pendent monitors advised offering it to the
women in the comparison group.
An ethics controversy developed during
the study. The US Office for Human
Research Protections faulted researchers for
not adequately informing participants in
the comparison group about Pap tests for
Others defended the study.
"We looked at the ethics very carefully"
and felt them to be sound, and visited the
project in India, said Trimble of the National
Cancer Institute. (AP)
Vinegar cancer test saves lives
YOUR DAILY HEALTH
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India study finds...
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