[Review of] Paul A. Scanlon, ed. Stories from Central and Southern Africa

Any work in the prestigious paperback African Writers Series commands immediate attention and respect. As policy makers and policy breakers wrestle about the South African question -- newly discovering the horrors of an inequality that has existed for more than 300 years -- it is refreshing to look at this collection of twenty-two short narratives. They provide a proper cultural baseline for the current struggle. Like it or not, what lies underneath the political turmoil are cultural values

[Review of] Mark Naison. Communists in Harlem During the Depression

The Communist Party and its relationship to blacks in the United States is a difficult subject to fully research. Necessary critical information must lie in still secret vaults in Washington and in Moscow. Naison\u27s former dissertation is a praise-worthy effort to unravel fact from fantasy as it applied to Black Harlem and the Party

[Review of] Irene L. Gendzier. Franz Fanon: A Critical Study

This revised biography of Franz Fanon (first published in 1973) is a welcome event for those who either missed feeling the impact of his work in the turbulent 1960s and 1970s or were so blinded by the period\u27s turmoil that Fanon\u27s life and work could not be critically evaluated. Grove Press must be congratulated for re-issuing Gendzier\u27s study, particularly since the political fervor for radical political action has passed (for now) and little profit can be expected from this book. In this day of corporate mergers and greed, a commitment to publish what is in the public interest is meritorious

Using an Innovative Multiple-Methods Approach to Evaluate Extension Conferences

Engaging attendees of a 4-H volunteer conference in a multiple-methods approach to conference evaluation met the needs of our conference planning team by resulting in diverse opportunities for determining impact, assessing satisfaction, and understanding conference participants\u27 experiences. The multiple-methods approach also appealed to conference participants by providing them with a variety of ways to share input and reflection while building a sense of community and belonging. Every participant was involved in multiple assessment strategies. We received both quantitative and qualitative data for assessing conference success and gathered impact data by using multiple creative evaluation tools

Creating the Southern Region 4-H Volunteer Advisory Group

The SR4-HVAG combines the efforts of states to provide quality educational programming for volunteers and Extension professionals using an advisory group system. An advisory group rather than a council was created because the group provides programmatic input rather than sets policy. The purposes of the SR4-HVAG are to: provide a mechanism for volunteer input and perspective regarding educational, programmatic and developmental needs of volunteers and strengthen communication and delivery systems that provide for the continued sharing of resources and programmatic efforts in the Southern Region. Each state is represented by two volunteers and is facilitated by a state volunteerism specialist

The Use of Focus Groups to Evaluate the Volunteer Conference of Southern States

Round table focus groups were used to evaluate the 2013 Volunteer Conference of Southern States. All 144 conference attendees were randomly assigned to one of 18 different round tables. A series of seven questions were discussed by the focus groups, which were moderated by a member of the Southern Region 4-H Volunteer Advisory Group. A recorder captured the discussion on a Mac Notebook. The responses from 18 networked were assimilated into a Word document, grouped by question. Qualitative data were analyzed by three raters as outlined by Culp & Pilat (1988). Input received was instrumental in planning the 2014 conference

Utilization of the Cepheid Xpert® CT/NG Sample Adequacy Control to Determine the Influence of the Urethral Swab on Cellular Content in Post-Swab versus Pre-Swab Urine

Chlamydia trachomatis/Neisseria gonorrhoeae assay performance in males is typically determined using post-swab urine, though pre-swab urine is used in practice. We collected swabs and urine from men and used the Cepheid Xpert® CT/NG sample adequacy control to determine the effect of swab collection on urine cellular content. No difference was observed

Delay in Seeking Healthcare Services Following Onset of Urethritis Symptoms in Men

Background: Symptom awareness, behavioral factors, and other barriers associated with timely sexually transmitted infection (STI) health care provision in men is not well studied. Methods: Men attending an STI clinic answered a questionnaire regarding their symptoms, sexual behavior, and sociodemographic and behavioral characteristics. Characteristics of symptomatic men were compared between those who did and did not delay seeking health care services. Delayed care seeking was defined as clinic attendance longer than 7 days after symptoms, whereas early care seeking was defined as clinic attendance of 7 days or less. Results: Over a quarter (n = 43 [27.7%]) of men with urethritis symptoms (urethral discharge or dysuria) delayed seeking care for more than 7 days. Compared with men who sought treatment within 7 days, those that delayed care worried for longer periods that their symptoms were STI-related, were more likely to attempt self-treatment of STI symptoms, were more likely to continue engaging in sexual activity, and were less likely to use a condom during their last sexual encounter. Conversely, men that delayed care seeking were less likely to have urethral discharge on physical examination, to have 5 or more polymorphonuclear leukocytes, and to test positive for Neisseria gonorrhoeae. When compared with men that sought care earlier, men that delayed care seeking had fewer overall and new partners in the past 30 days. Conclusions: Our data suggest that over a quarter of men aware of STI symptoms delay seeking health services. Interventions that promote better patient understanding of the importance of symptom recognition and that facilitate timely access to care may provide new opportunities to reduce STI transmission

Meatal Swabs Contain Less Cellular Material and Are Associated with a Decrease in Gram Stain Smear Quality Compared to Urethral Swabs in Men

Urethral swabs are the samples of choice for point-of-care Gram stain testing to diagnose Neisseria gonorrhoeae infection and nongonococcal urethritis (NGU) in men. As an alternative to urethral swabs, meatal swabs have been recommended for the collection of urethral discharge to diagnose N. gonorrhoeae and Chlamydia trachomatis infection in certain populations by nucleic acid amplification testing (NAAT), as they involve a less invasive collection method. However, as meatal swabs could be sampling a reduced surface area and result in fewer collected epithelial cells compared to urethral swabs, the adequacy of meatal swab specimens to collect sufficient cellular material for Gram stain testing remains unknown. We enrolled 66 men who underwent either urethral or meatal swabbing and compared the cellular content and Gram stain failure rate. We measured the difference in swab cellular content using the Cepheid Xpert CT/NG sample adequacy control crossing threshold (SACCT) and determined the failure rate of Gram stain smears (GSS) due to insufficient cellular material. In the absence of discharge, meatal smears were associated with a significant reduction in cellular content (P = 0.0118), which corresponded with a GSS failure rate significantly higher than that for urethral swabs (45% versus 3%, respectively; P < 0.0001). When discharge was present, there was no difference among results from urethral and meatal swabs. Therefore, if GSS testing is being considered for point-of-care diagnosis of N. gonorrhoeae infection or NGU in men, meatal swabs should be avoided in the absence of a visible discharge