9 results on '"Perchal, Paul"'
Search Results
2. Adult male circumcision in Nyanza, Kenya at scale: the cost and efficiency of alternative service delivery modes
- Author
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Marseille, Elliot, primary, Kahn, James G, additional, Beatty, Sharone, additional, Jared, Moguche, additional, and Perchal, Paul, additional
- Published
- 2014
- Full Text
- View/download PDF
3. Safety of adult medical male circumcision performed by non-physician clinicians in Kenya: a prospective cohort study
- Author
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Frajzyngier, Vera, primary, Odingo, George, additional, Barone, Mark, additional, Perchal, Paul, additional, and Pavin, Melinda, additional
- Published
- 2014
- Full Text
- View/download PDF
4. Randomized Trial of the Shang Ring for Adult Male Circumcision With Removal at One to Three Weeks
- Author
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Barone, Mark A., primary, Awori, Quentin D., additional, Li, Philip S., additional, Simba, Raymond O., additional, Weaver, Mark A., additional, Okech, Jairus O., additional, Aduda, Alex O., additional, Cherutich, Peter, additional, Muraguri, Nicholas, additional, Wekesa, John Masasabi, additional, Nyanchoka, Jared, additional, Perchal, Paul, additional, Masson, Puneet, additional, Lee, Richard, additional, Goldstein, Marc, additional, Kioko, Jackson, additional, Lusi, Ojwang', additional, and Sokal, David C., additional
- Published
- 2012
- Full Text
- View/download PDF
5. The Shang Ring Device for Adult Male Circumcision: A Proof of Concept Study in Kenya
- Author
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Barone, Mark A, primary, Ndede, Frederick, additional, Li, Philip S, additional, Masson, Puneet, additional, Awori, Quentin, additional, Okech, Jairus, additional, Cherutich, Peter, additional, Muraguri, Nicholas, additional, Perchal, Paul, additional, Lee, Richard, additional, Kim, Howard H, additional, and Goldstein, Marc, additional
- Published
- 2011
- Full Text
- View/download PDF
6. Artropolis 93 : Public Art and Art About Public Issues
- Author
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Kelly, Sue, Langford, Lisa, Lund, Francesca, Rosenberg, Ann, Greenberg, Lorne, Berelowitz, Lance, Schuppli, Susan, Laurence, Robin, Alibhai, Amir Ali, Jamal, Sherazad, Mackenzie, Robert, Gibson, Rick, Derennger, Wendy, Varney, Ed, Abbott, Jennifer, Alexander, Vikky, Altshool, Janet, Andersen, Glen, Anderson, King, Aranas, Flois, Arnston, Carole, Ash, Brent, Atkins, Terryl, Atkinson, Judith M., Baden, Mowry, Bak, Polly, Banwell, Michael, Baun, Patricia, Beaton, Pat, Benjamin, Keith, Benton, Fran, Bontogon, Eric, Bootsma, Margaretha, Boutin, Marc, Bowcott, Marcus, Bowden, Gary, Bowen, Tom, Boyle, Gwen, Brener, Roland, Burke, Paul, Burrows, Tom, Cacchioni, Dianne Brehm, Campbell, Eva, Campbell, Kati, Carl, James, Carroll, Michael, Carscadden, Bruce, Chapman, Liese, Chiba, Taiga, Chin, Giles, Chinfen, Linda, Chrzan, Lil, Clark, Rodney, Coulter, Wendy (artist and author Lewington), De Courcy, Michael, Corris-Wingfield, C., Creighton-Kelly, Chris, Dahlin, Corinna, Dancer, Yaana, Davies, Alan, Davis, Todd, Decker, Ken, Delano, Lina, Dextras, Nicole, Dikeakos, Christos, Doucette, Lionel, Dubord, Monique, Edelstein, Susan, Ellingsen, Daniel, Ewasiuk, Terry, Falk, Gathie, Field, Dorothy, Flank, Gene, Flemons, Tom, Foo, Khai, Fraser, Peter, Frimer, Linda, Gallant, Illarion, Gallagher, Chris, Gerberick, Ken, Germann, Kristine, Gill, Ameen, Grady, Mark, Graff, Tom, Grauer, Sherry, Greig, Barbara, Xiong, Gu, Gustafson, Anna, Haggquist, Gary, Haley, Brian, Hall, Sandra, Hall, Sheila, Hannan, Eleanor, Harding, David, Harel, Rona, Von Harpe, Gabriele, Hartley, Ray, Heap, Verity, Henley, Joy, Hickey, Suzo, Ho, George, Hohlweg, Brent, Holman, Shaira, Holy Body Tattoo, The, Horne, Bill, Jeannotte, Ken, Jones, Lizard, Judge, Jennifer Timbrell, Judge, Michael, Kaczor, Tiana, Kalnin, Jim, Kalynka, Darlene, Kang, Won, Kaplan, Nomi, Kazmer, Karen, Keddy, Karen, Kellhammer, Oliver, Kennedy, Marie, Kennedy, Patrick, Kidd, Davida, Koch, Laura, Koenker, Deborah, Kortikow, Kathleen, Kulpas, Dennis, Lang, Paul, Langlands, Bryan, Laq, Laura Wee Lay, Leader, Eve, Lee, Erik, Littlechild, George, Logie, Faye, Longboy, Zachery, Lytle, Donna, McCreery, William, McCutcheon, George, McNab, Anthony, Macrae, Jean, Madsen, Susan, Mahon, Patrick, Mair, Donald, Mancuso, Michael, Maryne, Tracie, Massé, Gloria, Massey, Eliza Ann, Maté, Rae, Mehat, Sur, Metz, Valerie, Metcalfe, Stephen, Mitchell, Jay, Mitchell, Keith, Moiseiwitsch, Carel, Mollineaux, Melinda, Mootoo, Shani, Morris, Cheryl, Morrison, Jean, Mott, Terrence, Mowat, Fiona, Mulvihill, Bryan, Muzylowski, Jodi, Muzylowski, Shelley, Nakashima, Lynda, Neel, David, Nguyen, Nhan Duc, Normoyle, Michelle, Nunes, Rui, Odhiambo, David, Okano, Haruko, Owen, Don, Owen, Holly, Pagurek, Cheryl, Pan, Davide, Papou, Laurie, Payne, Gordon, Perchal, Paul, Piccolo, Rick, Pitch, Marcia, Point, Susan, Pratt, Elspeth, Price, Judie, Prince, Richard, Qun, Zhang, Radlowski, Steven, Radul, Judy, Rammell, George, Ramsey, Ellen, Raphanel, Philippe, Rennie, Bill, Rice, Chick, Rich, Celine, Rivet, Rick, Romses, Scott, Roth, Evelyn, Ryon, Gayle, Samwald, Elaine, Sandowicz, Wiktor, Schmidt, Marianna, Scott, Brian, Scott, Douglas, Scott, Graham, Seaton, Paula, Senaratne, Shamina, Serota, Phyllis, Seymour, Kate, Shilling, Grant, Sibley, Craig, Sinclair, Jamie, Slipper, Paul, Snider, Greg, Slater, Anne-Marie, Sopotiuk, D.m., Speier, Michael Tora, Spicer, Todd, Stefanyshen, Earl, Switzer, Allan, Taylor, Doug, Terada, Ron, Thompson, Diana, Tosi, Octavia, Tracy, Liane, Trattles, David, Treacy, Patrick, Upton, Katherine Yoshiko, Vaasjo, Anne, Wade, Jan, Wakayama, Tamio, Walton, Patricia, Wapp, Judy, Watts, John, weaving, jil p., Webster, John B., Weinberg, Mia, Whelan, Dianne, Westlaken, Shawn, Williams, Mandy, Wong, Joyce, Wood, Angelique, Woods, Chris, Izynska-Woodward, Aniela, Yamabe, Sachi, Yaworski, Jill, Yee, Kiki, Yoon, Jin-me, Young, Robert, Yuen, Sharyn, Yun, Su-An, Yuxweluptun, Lawrence Paul, Zimmer, Andrea, Zeidler, Frank, Lederer, Niki, Kelly, Sue, Langford, Lisa, Lund, Francesca, Rosenberg, Ann, Greenberg, Lorne, Berelowitz, Lance, Schuppli, Susan, Laurence, Robin, Alibhai, Amir Ali, Jamal, Sherazad, Mackenzie, Robert, Gibson, Rick, Derennger, Wendy, Varney, Ed, Abbott, Jennifer, Alexander, Vikky, Altshool, Janet, Andersen, Glen, Anderson, King, Aranas, Flois, Arnston, Carole, Ash, Brent, Atkins, Terryl, Atkinson, Judith M., Baden, Mowry, Bak, Polly, Banwell, Michael, Baun, Patricia, Beaton, Pat, Benjamin, Keith, Benton, Fran, Bontogon, Eric, Bootsma, Margaretha, Boutin, Marc, Bowcott, Marcus, Bowden, Gary, Bowen, Tom, Boyle, Gwen, Brener, Roland, Burke, Paul, Burrows, Tom, Cacchioni, Dianne Brehm, Campbell, Eva, Campbell, Kati, Carl, James, Carroll, Michael, Carscadden, Bruce, Chapman, Liese, Chiba, Taiga, Chin, Giles, Chinfen, Linda, Chrzan, Lil, Clark, Rodney, Coulter, Wendy (artist and author Lewington), De Courcy, Michael, Corris-Wingfield, C., Creighton-Kelly, Chris, Dahlin, Corinna, Dancer, Yaana, Davies, Alan, Davis, Todd, Decker, Ken, Delano, Lina, Dextras, Nicole, Dikeakos, Christos, Doucette, Lionel, Dubord, Monique, Edelstein, Susan, Ellingsen, Daniel, Ewasiuk, Terry, Falk, Gathie, Field, Dorothy, Flank, Gene, Flemons, Tom, Foo, Khai, Fraser, Peter, Frimer, Linda, Gallant, Illarion, Gallagher, Chris, Gerberick, Ken, Germann, Kristine, Gill, Ameen, Grady, Mark, Graff, Tom, Grauer, Sherry, Greig, Barbara, Xiong, Gu, Gustafson, Anna, Haggquist, Gary, Haley, Brian, Hall, Sandra, Hall, Sheila, Hannan, Eleanor, Harding, David, Harel, Rona, Von Harpe, Gabriele, Hartley, Ray, Heap, Verity, Henley, Joy, Hickey, Suzo, Ho, George, Hohlweg, Brent, Holman, Shaira, Holy Body Tattoo, The, Horne, Bill, Jeannotte, Ken, Jones, Lizard, Judge, Jennifer Timbrell, Judge, Michael, Kaczor, Tiana, Kalnin, Jim, Kalynka, Darlene, Kang, Won, Kaplan, Nomi, Kazmer, Karen, Keddy, Karen, Kellhammer, Oliver, Kennedy, Marie, Kennedy, Patrick, Kidd, Davida, Koch, Laura, Koenker, Deborah, Kortikow, Kathleen, Kulpas, Dennis, Lang, Paul, Langlands, Bryan, Laq, Laura Wee Lay, Leader, Eve, Lee, Erik, Littlechild, George, Logie, Faye, Longboy, Zachery, Lytle, Donna, McCreery, William, McCutcheon, George, McNab, Anthony, Macrae, Jean, Madsen, Susan, Mahon, Patrick, Mair, Donald, Mancuso, Michael, Maryne, Tracie, Massé, Gloria, Massey, Eliza Ann, Maté, Rae, Mehat, Sur, Metz, Valerie, Metcalfe, Stephen, Mitchell, Jay, Mitchell, Keith, Moiseiwitsch, Carel, Mollineaux, Melinda, Mootoo, Shani, Morris, Cheryl, Morrison, Jean, Mott, Terrence, Mowat, Fiona, Mulvihill, Bryan, Muzylowski, Jodi, Muzylowski, Shelley, Nakashima, Lynda, Neel, David, Nguyen, Nhan Duc, Normoyle, Michelle, Nunes, Rui, Odhiambo, David, Okano, Haruko, Owen, Don, Owen, Holly, Pagurek, Cheryl, Pan, Davide, Papou, Laurie, Payne, Gordon, Perchal, Paul, Piccolo, Rick, Pitch, Marcia, Point, Susan, Pratt, Elspeth, Price, Judie, Prince, Richard, Qun, Zhang, Radlowski, Steven, Radul, Judy, Rammell, George, Ramsey, Ellen, Raphanel, Philippe, Rennie, Bill, Rice, Chick, Rich, Celine, Rivet, Rick, Romses, Scott, Roth, Evelyn, Ryon, Gayle, Samwald, Elaine, Sandowicz, Wiktor, Schmidt, Marianna, Scott, Brian, Scott, Douglas, Scott, Graham, Seaton, Paula, Senaratne, Shamina, Serota, Phyllis, Seymour, Kate, Shilling, Grant, Sibley, Craig, Sinclair, Jamie, Slipper, Paul, Snider, Greg, Slater, Anne-Marie, Sopotiuk, D.m., Speier, Michael Tora, Spicer, Todd, Stefanyshen, Earl, Switzer, Allan, Taylor, Doug, Terada, Ron, Thompson, Diana, Tosi, Octavia, Tracy, Liane, Trattles, David, Treacy, Patrick, Upton, Katherine Yoshiko, Vaasjo, Anne, Wade, Jan, Wakayama, Tamio, Walton, Patricia, Wapp, Judy, Watts, John, weaving, jil p., Webster, John B., Weinberg, Mia, Whelan, Dianne, Westlaken, Shawn, Williams, Mandy, Wong, Joyce, Wood, Angelique, Woods, Chris, Izynska-Woodward, Aniela, Yamabe, Sachi, Yaworski, Jill, Yee, Kiki, Yoon, Jin-me, Young, Robert, Yuen, Sharyn, Yun, Su-An, Yuxweluptun, Lawrence Paul, Zimmer, Andrea, Zeidler, Frank, and Lederer, Niki
- Abstract
Contains 12 texts and documents works by nearly 300 Canadian artists in a Vancouver-based public art project. Includes artist's statements. 7 bibl. ref.
- Published
- 1993
7. Randomized controlled trial of the shang ring versus conventional surgical techniques for adult male circumcision: safety and acceptability.
- Author
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Sokal DC, Li PS, Zulu R, Awori QD, Combes SL, Simba RO, Lee R, Hart C, Perchal P, Hawry HJ, Bowa K, Goldstein M, and Barone MA
- Subjects
- Adolescent, Adult, Circumcision, Male psychology, Follow-Up Studies, Humans, Kenya, Male, Middle Aged, Surgical Procedures, Operative psychology, Young Adult, Zambia, Circumcision, Male adverse effects, Circumcision, Male methods, Patient Acceptance of Health Care statistics & numerical data, Surgical Procedures, Operative adverse effects, Surgical Procedures, Operative methods
- Abstract
Objective: To compare clinical profiles of Shang Ring versus conventional circumcisions., Design: Parallel group open-label randomized controlled trial with one-to-one allocations in 2 sites., Methods: We enrolled HIV-negative men aged 18-54 years in Homa Bay, Kenya, and Lusaka, Zambia and followed them at 2, 7, 14, 21, 28, 42, and 60 days after Shang Ring versus conventional circumcision. We compared the duration of surgery, postoperative pain using a visual analog scale, adverse events rates, time to complete wound healing by clinical assessment, participant acceptability, and provider preferences between circumcision groups., Results: We randomized 200 men to each group; 197 and 201 contributed to the Shang Ring and conventional surgery analyses, respectively. Adverse event rates were similar between groups. Pain scores at most time points were similar, however, the Shang Ring group reported higher scores for worst pain during erections (3.5 ± 1.9 vs. 2.3 ± 1.7; P < 0.001). Significantly more men were satisfied with the cosmetic appearance following Shang Ring male circumcision (MC), 95.7% versus 85.9% (P = 0.02) in Kenya, and 96.8% versus 71.3% (P < 0.01) in Zambia. Although median time to complete wound healing was 43 days in both groups, conventional circumcisions healed on average 5.2 days sooner (P < 0.001). Shang Ring procedures took one-third the time of conventional MC, 7 versus 20 minutes. All circumcision providers preferred the Shang Ring., Conclusions: Safety profiles of the 2 techniques were similar, all MC providers preferred the Shang Ring technique, and study participants preferred the Shang Ring's cosmetic results. The Shang Ring should be considered for adult MC as programs scale-up.
- Published
- 2014
- Full Text
- View/download PDF
8. Randomized trial of the Shang Ring for adult male circumcision with removal at one to three weeks: delayed removal leads to detachment.
- Author
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Barone MA, Awori QD, Li PS, Simba RO, Weaver MA, Okech JO, Aduda AO, Cherutich P, Muraguri N, Wekesa JM, Nyanchoka J, Perchal P, Masson P, Lee R, Goldstein M, Kioko J, Lusi O, and Sokal DC
- Subjects
- Adolescent, Adult, Circumcision, Male adverse effects, Circumcision, Male methods, HIV Infections prevention & control, HIV Seronegativity, Humans, Kenya, Male, Middle Aged, Patient Acceptance of Health Care, Time Factors, Wound Healing, Young Adult, Circumcision, Male instrumentation
- Abstract
Objectives: To assess healing with Shang Ring removal at different prespecified times; whether spontaneous detachment occurs with delayed removal; problems, complaints, and acceptability of wearing the device; satisfaction among participants; and acceptability of the procedure among providers., Methods: Fifty HIV-negative men underwent a Shang Ring circumcision in Kenya. Men were randomly assigned for device removal at 7 (15 men), 14 (15 men), or 21 days (20 men). Follow-up visits were at 7, 14, 21, 28, and 42 days after circumcision and 2 days after removal., Results: Circumcision and device removal were conducted without significant problems. Mean times for circumcision and device removal were 6.5 (SD = 2.4) and 2.5 (SD = 0.8) minutes, respectively. Complete detachment of the device occurred in 22 (66.7%) men who wore it more than 7 days. Seven men (14.0%) with partial detachments requested removal 8-14 days postcircumcision due to pain/discomfort. Healing progressed normally in all participants; cumulative probabilities of complete healing were similar across groups. No severe or serious adverse events occurred. Acceptability among participants was high. Providers reported that Shang Ring circumcision was "very easy" compared with the forceps-guided procedure., Conclusion: The Shang Ring is safe and easy to use according to label instructions (7 day removal). Detachments occurred without significant problems, although some men requested removal of partially detached rings. Removal time had little effect on healing. These data help allay concerns about men not returning for ring removal and expand the evidence base suggesting the Shang Ring could facilitate rapid male circumcision rollout in sub-Saharan Africa.
- Published
- 2012
- Full Text
- View/download PDF
9. The Shang Ring device for adult male circumcision: a proof of concept study in Kenya.
- Author
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Barone MA, Ndede F, Li PS, Masson P, Awori Q, Okech J, Cherutich P, Muraguri N, Perchal P, Lee R, Kim HH, and Goldstein M
- Subjects
- Adolescent, Adult, Circumcision, Male adverse effects, Circumcision, Male psychology, Humans, Kenya, Male, Middle Aged, Patient Acceptance of Health Care, Young Adult, Circumcision, Male instrumentation, Circumcision, Male methods, Penis surgery
- Abstract
Objective: To assess safety, preliminary efficacy, and acceptability of the Shang Ring, a novel disposable device for adult male circumcision in Kenya., Methods: Forty HIV-negative men were recruited in Homa Bay, Kenya. Circumcisions were performed by a trained physician or nurse working with 1 assistant. Follow-up was conducted at 2, 7, 9, 14, 21, 28, 35, and 42 days after circumcision. Rings were removed on day 7. Pain was assessed using a visual analog scale (VAS) (0 = no pain, 10 = worst possible). Men were interviewed at enrollment and on days 7 and 42., Results: All 40 procedures were completed successfully. Mean procedure and device removal times were 4.8 (SD ± 2.0) and 3.9 (SD ± 2.6) minutes, respectively. There were 6 mild adverse events, including 3 penile skin injuries, 2 cases of edema, and 1 infection; all resolved with conservative management. In addition, there were 3 partial ring detachments between days 2-7. None required treatment or early ring removal. Erections with the ring were well tolerated, with a mean pain score of 3.5 (SD ± 2.3). By day 2, 80% of men were back to work. At 42 days, all participants were very satisfied with their circumcision and would recommend the procedure to others., Conclusions: Our results demonstrate that the Shang Ring is safe for further study in Africa. Acceptability of the Shang Ring among participants was excellent. With short procedure times, less surgical skill required, and the ease with which it can be used by nonphysicians, the Shang Ring could facilitate rapid roll-out of male circumcision in sub-Saharan Africa.
- Published
- 2011
- Full Text
- View/download PDF
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