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Full-Text Articles in Medicine and Health Sciences

The Potential Role Of Probiotics In Reducing Poverty-Associated Infections In Developing Countries, Kingsley C. Anukam Oct 2007

The Potential Role Of Probiotics In Reducing Poverty-Associated Infections In Developing Countries, Kingsley C. Anukam

Kingsley C Anukam

Probiotics are defined by the Food and Agricultural Organization/ World Health Organization as “live microorganisms which when administered in adequate amounts confer a health benefit on the host” [1]. The potential benefits of their use have not been adequately investigated, especially in the developing world. Japan introduced Yakult, a probiotic fermented food drink in 1935, and in the Northern hemisphere, research and use of probiotics has gained an unprecedented momentum in the last decade [2]. Use of probiotics is not uncommon in Europe [3], but in many developing countries use of probiotics in its present definition is a foreign concept. …


Managing A Widespread E-Procurement Implementation In Public Healthcare, Tommaso Federici, Andrea Resca Oct 2007

Managing A Widespread E-Procurement Implementation In Public Healthcare, Tommaso Federici, Andrea Resca

Federici Tommaso

In large parts of Europe, the development of healthcare is subject to contrasting forces. On the one hand, there has been an explosion in spending and, at the same time, governments are faced with strict budget constraints. On the other hand, public healthcare is under pressure to be innovative, technologically advanced and to provide increasingly better quality of services. In this context, eprocurement can be seen as an instrument to offer a solution to the first issue of this dilemma. However, e-procurement initiatives in such domain have not been widely deployed, and most of them have not fully delivered the …


Midwifery Education And Maternal And Neonatal Health Issues: Challenges In Pakistan, Tazeen S. Ali Dr, Beth Mcmanis Dr, Rafat Jan Rukanuddin Dr Jul 2007

Midwifery Education And Maternal And Neonatal Health Issues: Challenges In Pakistan, Tazeen S. Ali Dr, Beth Mcmanis Dr, Rafat Jan Rukanuddin Dr

Tazeen S Ali Dr

neonatal mortality rates still remain a challenge. Developed countries have reduced maternal and neonatal mortality rates by improving the skill and knowledge levels of nurse-midwives. This paper reviews maternal and neonatal health issues, challenges in current midwifery education, and the role of government and international agencies in Pakistan. The exact maternal and neonatal mortality rates in Pakistan are unknown; a census has not occurred since 1998, and data provided in more recent studies were presented in summary format. A number of factors that contribute to the high mortality rate could easily be controlled by using competent nurse-midwives throughout all levels …


Are Unhygienic Practices During The Menstrual, Partum And Postpartum Periods Risk Factors For Secondary Infertility?, Tazeen S. Ali Dr, Neelofar Sami Dr, Ali Khan Khuwaja Dr Jun 2007

Are Unhygienic Practices During The Menstrual, Partum And Postpartum Periods Risk Factors For Secondary Infertility?, Tazeen S. Ali Dr, Neelofar Sami Dr, Ali Khan Khuwaja Dr

Tazeen S Ali Dr

This study was aimed at identifying practices during the menstrual, partum and postpartum periods posing possible risk factors contributing towards secondary infertility in women of a selected population in Karachi, Pakistan. A matched case-control study was conducted from April 2003 to March 2004. Four hundred cases were selected from five infertility clinics affiliated with tertiary-care hospitals, and 400 age-matched controls were recruited from the neighborhood of each case. After taking written consents, trained interviewers conducted interviews using a pretested structured questionnaire. Factors found to be independently associated with secondary infertility were: previous delivery at an unclean place (adjusted odds ratio …


Collective Creativity: Ideas For The Super Library Organism, Lisa Forrest, Dennis Reed Jun 2007

Collective Creativity: Ideas For The Super Library Organism, Lisa Forrest, Dennis Reed

Lisa A Forrest

No abstract provided.


Assessing Chronic Disease Management Strategies Through Community Based Participatory Research, Kevin D. Willison Jun 2007

Assessing Chronic Disease Management Strategies Through Community Based Participatory Research, Kevin D. Willison

Kevin D Willison

Comprehensive chronic disease management (CDM) strategies aim to improve such aspects as continuity of care, health-related quality of life and, overall population health. Here, consideration is made of how CDM may be enhanced through a more integrated and holistic health care system by incorporating a community based participatory research (CBPR) approach. This has the potential to provide meaningful participation by citizens in public health policy development. That CBPR may garner improved assessment of the effectiveness of existing CDM strategies, as imbedded in such practices as (regulated) complementary/alternative medicine (CAM), public health, and transcultural health care initiatives, should not be overlooked.


Benefits Of Training Family Caregivers, Jung Kwak, Jennifer Salmon, Kimberly D. Acquaviva, Katherine Brandt Apr 2007

Benefits Of Training Family Caregivers, Jung Kwak, Jennifer Salmon, Kimberly D. Acquaviva, Katherine Brandt

Kimberly D. Acquaviva, PhD, MSW

during the last years of life that focuses on the emotional, spiritual, and practical aspects of life and relationship completion and closure. This study evaluated the effectiveness of CGLE in improving three major outcomes: comfort with caregiving, closure, and caregiver gain. Family caregivers (n = 2,025) participated in programs facilitated by health and human service professionals (n = 142) who completed a CGLE train-the-trainer workshop conducted by The Hospice Institute of the Florida Suncoast. The caregivers completed training rosters and pre- and/or post-surveys. Group differences are reported in baseline characteristics and change in three outcomes for caregivers who completed 1) …


Adoption Practices Among Couples With Secondary Infertility In Karachi: A Triangulation Study Design, Tazeen S. Ali Dr, Neelofar Sami Dr Feb 2007

Adoption Practices Among Couples With Secondary Infertility In Karachi: A Triangulation Study Design, Tazeen S. Ali Dr, Neelofar Sami Dr

Tazeen S Ali Dr

Objective: To explore the perceptions and experiences of couples with secondary infertility regarding adoption practices; to estimate the prevalence of adoption among couples with secondary infertility, and to study the adopted child preference pattern. Methods: To fulfill the objectives of the study both qualitative and quantitative study designs were utilized. In qualitative explorative study design, three Focus Group Discussions were conducted with married fertile women to explore their perceptions for adoption practices. Moreover, eight in-depth interviews were conducted with women with secondary infertility to explore their experiences. For quantitative methodology, a case series of 400 secondary infertile couples was conducted. …


Bereavement In The Modern Western World, David San Filippo Ph.D. Jan 2007

Bereavement In The Modern Western World, David San Filippo Ph.D.

David San Filippo Ph.D.

Bereavement is the process of suffering that follows the loss of a living being that is significant to someone. When one suffers, she or he has to endure an unpleasant experience, in the case of bereavement, the loss of something special to the person. This loss most often is a loved one but could also include the loss of a pet, relationship, or physical or mental capability. This state of suffering is called grief. In describing his grief, C. S. Lewis stated, after the loss of his wife, “No one ever told me that grief felt so much like fear. …


Prevalence Of And Reasons For Domestic Violence Among Women From Low Socioeconomic Communities Of Karchi, Tazeen S. Ali Dr Jan 2007

Prevalence Of And Reasons For Domestic Violence Among Women From Low Socioeconomic Communities Of Karchi, Tazeen S. Ali Dr

Tazeen S Ali Dr

We conducted a cross-sectional study to estimate the prevalence of domestic violence and identify the reasons for it among 400 married women aged 15-45 years in low socioeconomic areas in urban Karachi. Data were collected with a pretested questionnaire. The prevalence of verbal abuse was 97.5% by the husband and 97.0% by the in-laws; the prevalence of physical abuse was 80.0% and 57.5% by the husband and in-laws respectively. Financial issues were the commonest reason for domestic violence followed by infertility and not having a son. The prevalence of domestic violence in our sample of women is high. There is …


Why Manage Terminology? Ten Quick Answers, Uwe Muegge Jan 2007

Why Manage Terminology? Ten Quick Answers, Uwe Muegge

Uwe Muegge

Terminology management is a hot topic these days. At the tcworld conference 2006, terminology had its own forum with hundreds of participants. And a number of highly visible institutions like the LISA Terminology Special Interest Group (SIG) has been evangelizing the development and use of standardized terminology in the business world for many years.


Disciplining Words: What You Always Wanted To Know About Terminology Management, Uwe Muegge Jan 2007

Disciplining Words: What You Always Wanted To Know About Terminology Management, Uwe Muegge

Uwe Muegge

Terminology management enables organizations of any size to use the same terms consistently within and across the communication types that accompany a product or service. Typical communication types include specifications, drawings, GUI, software strings, help systems, technical documentation, marketing materials, regulatory submissions, etc. As multiple authors typically contribute to these communications, terminology management is the most efficient solution for ensuring that the organization speaks with one voice.


Toward A Conceptual Framework Of Instrumental Antisocial Decision-Making And Behavior In Youth, Reid G. Fontaine Jan 2007

Toward A Conceptual Framework Of Instrumental Antisocial Decision-Making And Behavior In Youth, Reid G. Fontaine

Reid G. Fontaine

This paper reviews and organizes relevant theory and research toward a conceptual framework of instrumental antisocial decision-making and behavior in youth. To date, social cognitive study of the development of youth antisocial functioning has largely focused on response patterns (e.g., cognitive responses to aversive cues). Though instrumental decision making is paid significant attention in research on adult criminality, there exists no framework by which youths' goal-driven behavioral decisions that are made in pursuit of antisocial motives and interests may be understood. This is a problem in that lessons from research on children and adolescents suggest that there are meaningful differences …


Risky Sexual Behavior, Testing And Hiv Treatments, Stéphane Mechoulan Jan 2007

Risky Sexual Behavior, Testing And Hiv Treatments, Stéphane Mechoulan

Stéphane Mechoulan

This paper studies the impact of antiretroviral therapies (ARVs) on HIV testing and risky sexual behavior. I use data collected in San Francisco among a high-risk population from 1994 to 2002. The evidence supports the hypothesis of a causal link between the introduction of ARVs in late 1996 and the sharp increase in risky sexual behavior that ensued. Further, following ARVs, testers take more risks while non-testers take fewer risks. The proportion of testers remains stable, which was ambiguous a priori. To the extent that ARVs may induce changes in the composition of the testing and non-testing groups, such effects …


The Impact Of Game Outcome On The Well-Being Of Athletes, Marc Jones, David Sheffield Jan 2007

The Impact Of Game Outcome On The Well-Being Of Athletes, Marc Jones, David Sheffield

Marc Jones

The present study examined the impact of game outcome on the well-being of athletes. Participants from hockey and soccer teams completed mood and general health questionnaires indicating how they had been feeling over the past few days on three separate occasions. These were four to six days after a win; four to six days after a loss; and over 10 days since the last competition (control period). Differences in well-being were observed following wins, losses, and during the control period. Specifically, athletes reported lower depression and anger after a win compared to a loss, while lower levels of vigour were …


Healthy Competition: What’S Holding Back Health Care And How To Free It, Michael F. Cannon Jan 2007

Healthy Competition: What’S Holding Back Health Care And How To Free It, Michael F. Cannon

Michael F. Cannon

No abstract provided.


Working With Lgbt Clients: Strategies For Geriatric Care Managers, Kimberly D. Acquaviva Jan 2007

Working With Lgbt Clients: Strategies For Geriatric Care Managers, Kimberly D. Acquaviva

Kimberly D. Acquaviva, PhD, MSW

No abstract provided.


Screening, Diagnosis, And Treatment Of Depression In Patients With End-Stage Renal Disease, Scott D. Cohen, Lorenzo Norris, Kimberly D. Acquaviva, Rolf A. Peterson, Paul L. Kimmel Jan 2007

Screening, Diagnosis, And Treatment Of Depression In Patients With End-Stage Renal Disease, Scott D. Cohen, Lorenzo Norris, Kimberly D. Acquaviva, Rolf A. Peterson, Paul L. Kimmel

Kimberly D. Acquaviva, PhD, MSW

Depression is common in patients with end-stage renal disease and has been linked to increased mortality. Screening for depression in the general medical population remains controversial; however, given the high prevalence of depression and its significant impact on morbidity and mortality, a strong case for depression screening in patients with end-stage renal disease can be made. Several studies have been performed to validate the more common depression screening measures in patients with chronic kidney disease. The Beck Depression Inventory, the Hamilton Rating Scale for Depression, the Nine-Question Patient Health Questionnaire, and the Center for Epidemiologic Studies Depression Scale are some …


Oaxacans Like To Work Bent Over: The Naturalization Of Social Suffering Among Berry Farm Workers, Seth M. Holmes Phd, Md Jan 2007

Oaxacans Like To Work Bent Over: The Naturalization Of Social Suffering Among Berry Farm Workers, Seth M. Holmes Phd, Md

Seth M. Holmes PhD, MD

No abstract provided.


Intercountry Adoption And Poverty: A Human Rights Analysis, David M. Smolin Jan 2007

Intercountry Adoption And Poverty: A Human Rights Analysis, David M. Smolin

David M. Smolin

This Article explores the question of whether intercountry adoption is an effective, appropriate, or ethical response to poverty in developing nations. As a matter of methodology, this fundamental question of adoption ethics is explored through the lens of international human rights law. This Article specifically argues that, where the birth parents live under or near the international poverty standard of $1 per day, family preservation assistance must be provided or offered as a condition precedent for accepting a relinquishment that would make the child eligible for intercountry adoption.


Applying The Restorative Justice Model To Medical Malpractice, Chris Mcneil Jan 2007

Applying The Restorative Justice Model To Medical Malpractice, Chris Mcneil

Christopher B. McNeil, J.D., Ph.D.

No abstract provided.


Dohad, Influenza And Economists, Stephen E. Snyder Jan 2007

Dohad, Influenza And Economists, Stephen E. Snyder

stephen e snyder

The Developmental Origin of Disease and Health hypothesizes that the early-life, including pre-natal, shocks to health. affects individuals’ later-life health and mortality. Following a line of research established by Doug Almond (2006), we examine whether the 1918 influenza epidemic is a health shock which is orthogonal to chronic health status. Almond, however, does not present results on mortality rates. Our findings are that 1) cross sectional data does not exist which would allow us to treat the influenza epidemic as a field experiment with state-by-state variation, and that when we use what data exists, controlling for geographic variation in health, …