The most frequently referred to materials were official IELTS materials, including textbooks, reference books, workbooks, past exam collections and the online materials provided by the British Council.
Throughout the 3-year exam period, collection of blinded repeat blood samples and repeated random measurements of clinical procedures were used as quality control procedures.
Urban and rural women in Mali participated in a structured interview and clinician exam, with collection of cervical samples for HPV DNA testing, to determine HR-HPV prevalence and correlates of infection.
All medical exams, blood collections, and analyses were conducted by the same team.
Annual surveys of a representative sample of state residents include individual interviews, a physical exam and biospecimen collection, coupled with assessments of the community environment.
Recruited participants are also informed that they can refuse to answer any survey questions and decline to participate in any or all of the physical exam or biospecimen collection.
Collection of these noninvasive specimens is more acceptable and can bypass the ethical, social, and religious barriers of speculum exams for the collection of conventional cervical brush [ 7, 8, 11].
As such, chemical restraint can become essential in managing these and other wild animals, even for simple maneuvers as clinical exams, biological samples collection and management techniques like capture and transportation.
We thank Angel Barrera-HernánDepartamentomento de Toxicología, CINVESTAV), Arturo Cebrian and Jaime Duarte (Facultad de Medicina, Universidad Juárez del Estado de Durango), and the staff of Jurisdiccion Sanitaria 5 de Zimapán, Hidalgo, for their enthusiastic support and help with subject recruitment, interviews, medical exams, and sample collection.
After blood collection, parasitological exam consisted of scraping the body mucus and smears of organs for parasite evaluation.
At clinic visits, participants were interviewed regarding medical history and sexual behaviors, and underwent a standard physical examination including a pelvic exam with speculum for collection of samples.
