Open Access. Powered by Scholars. Published by Universities.®
- Institution
-
- The Texas Medical Center Library (1045)
- Western Michigan University (987)
- Population Council (846)
- Walden University (826)
- Henry Ford Health (570)
-
- University of Kentucky (534)
- University of South Carolina (395)
- Aga Khan University (346)
- University of Nevada, Las Vegas (315)
- Georgia Southern University (293)
- Institut de Recherche Robert-Sauvé en santé et en sécurité du travail (264)
- Universitas Indonesia (257)
- Himmelfarb Health Sciences Library, The George Washington University (235)
- University of Nebraska Medical Center (233)
- City University of New York (CUNY) (217)
- Thomas Jefferson University (217)
- Old Dominion University (197)
- Edith Cowan University (190)
- University of Nebraska - Lincoln (180)
- University of South Florida (175)
- University of Alabama at Birmingham (154)
- SIT Graduate Institute/SIT Study Abroad (146)
- COBRA (124)
- Chulalongkorn University (123)
- University of Louisville (119)
- Portland State University (117)
- Chapman University (116)
- The Beryl Institute (104)
- Wright State University (103)
- University at Albany, State University of New York (96)
- Keyword
-
- COVID-19 (1449)
- Michigan (960)
- Humans (948)
- English (798)
- COVID-19 cases (577)
-
- Female (513)
- Public health (448)
- Male (384)
- Adult (273)
- Reproductive Health (256)
- Nursing homes (232)
- Long term care (227)
- Care facilities (224)
- Family Planning (224)
- Long term care facilities (224)
- Middle Aged (211)
- Public Health (205)
- Obesity (200)
- HIV (192)
- SARS-CoV-2 (190)
- Pregnancy (173)
- Aged (170)
- Epidemiology (164)
- India (163)
- United States (161)
- Adolescent (153)
- Education (151)
- Vaccines (142)
- Québec (137)
- Child (135)
- Publication Year
- Publication
-
- Walden Dissertations and Doctoral Studies (795)
- Faculty, Staff and Student Publications (664)
- Cumulative Michigan COVID-19 Data (577)
- Henry Ford Hospital Medical Journal (570)
- Reproductive Health (494)
-
- Faculty Publications (309)
- Faculty, Staff and Students Publications (286)
- Poverty, Gender, and Youth (234)
- Rapports de recherche scientifique (231)
- Theses and Dissertations (225)
- Michigan COVID-19 Long Term Care Data (222)
- USF Tampa Graduate Theses and Dissertations (164)
- Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.) (155)
- All ETDs from UAB (148)
- Independent Study Project (ISP) Collection (142)
- Publications and Research (139)
- Electronic Theses and Dissertations (136)
- Capstone Experience: Master of Public Health (128)
- Michigan COVID-19 Vaccine Data (126)
- College of Public Health: Faculty Syllabi (2014-2021) (125)
- HIV and AIDS (112)
- Chulalongkorn University Theses and Dissertations (Chula ETD) (111)
- Kesmas (110)
- Journal of Health Disparities Research and Practice (107)
- Patient Experience Journal (104)
- UNLV Theses, Dissertations, Professional Papers, and Capstones (95)
- Community Health Sciences (93)
- Research outputs 2022 to 2026 (85)
- Master of Public Health Program Student Publications (82)
- Dissertations and Theses (Open Access) (81)
- Publication Type
- File Type
Articles 12631 - 12660 of 13615
Full-Text Articles in Entire DC Network
Follow-Up Household Survey In Sitapur District, Jayanti Tuladhar, R.B. Gupta, B.P. Thiagrajan, Tausif Alam Khan, Hemlata Sadhwani
Follow-Up Household Survey In Sitapur District, Jayanti Tuladhar, R.B. Gupta, B.P. Thiagrajan, Tausif Alam Khan, Hemlata Sadhwani
Reproductive Health
This follow-up household survey in Sitapur, India, was conducted with funding from USAID under the Population Council's Asia and Near East Operations Research and Technical Assistance (ANE OR/TA) Project. The main objective of the study, as noted in this report, is to assess changes in the program indicators of family welfare activities, including some of the selected reproductive health indicators, from 1994–95 (before the method-specific targets were withdrawn) and 1997 (30 months after the targets were withdrawn). The study has the following immediate objectives: detect changes in family planning (FP) knowledge and use among currently married women in rural areas; …
Adolescent Reproductive Health: Booklet For Parents, Rieny H. Hardjono, Rashmi Pachauri Rajan
Adolescent Reproductive Health: Booklet For Parents, Rieny H. Hardjono, Rashmi Pachauri Rajan
Reproductive Health
In Indonesia, collaboration between the Center for Health Research, University of Indonesia, National Family Planning Coordinating Board (BKKBN), UNFPA Jakarta, and the Population Council resulted in production and distribution of two prototype modules as basic materials on reproductive health for families with school-age children and adolescents. An updated version for both parents and adolescents was published by BKKBN. The Population Council believed that international versions (in English) would be of value, as the gaps in information are similar worldwide with respect to topics covered by these modules. Youth are constantly thirsty for knowledge pertaining to their health, particularly their reproductive …
Technical Assistance To Enhance The Institutionalization Of Operations Research Within The Philippines Family Planning Program, Population Council
Technical Assistance To Enhance The Institutionalization Of Operations Research Within The Philippines Family Planning Program, Population Council
Reproductive Health
This technical assistance project supports the goal of the Asia Near East Operations Research and Technical Assistance (ANE OR/TA) project of helping strengthen family planning (FP)/reproductive health (RH) operations research (OR) capabilities in the Philippines. During the extension period of the ANE OR/TA project, four OR studies were implemented in the Philippines dealing with cross-cutting issues, including a study to assess the feasibility of integrating RTI management within FP/MCH programs; an intervention study dealing with improving quality of care via expanded FP counseling; an intervention to address high unmet need in Pangasinan Province; and an intervention study to increase male …
The Life Saver: The Mother Friendly Movement In Indonesia, Abdullah Cholil, Meiwita B. Iskandar, Rosalia Sciortino
The Life Saver: The Mother Friendly Movement In Indonesia, Abdullah Cholil, Meiwita B. Iskandar, Rosalia Sciortino
Reproductive Health
The focus of this book is the Mother Friendly Movement in Indonesia, a collective effort to reduce maternal mortality. The idea of documenting the Mother Friendly Movement or Gerekan Sayang Ibu (GSI) was originally suggested by Her Excellency Mien Sugandhi, the State Minister for the Role of Women, Republic of Indonesia, in the belief that the Indonesian experience in reducing maternal mortality would be relevant to other countries struggling with the same problem. The authors were entrusted with producing an illustrated monograph on the pilot projects implemented in eight districts from June to December 1997. Besides extensively monitoring these activities, …
Male Involvement Through Reproductive Health Awareness In Bukidnon Province, The Philippines: An Intervention Study, Lita Palma-Sealza, Marilou P. Costello, Chona R. Echavez
Male Involvement Through Reproductive Health Awareness In Bukidnon Province, The Philippines: An Intervention Study, Lita Palma-Sealza, Marilou P. Costello, Chona R. Echavez
Reproductive Health
Recent years have been characterized by an increasing consensus that, in order to support women's goals and aspirations, health programs directed to the improvement of women's and children's health must consider men's perspectives. Although family planning (FP) is often viewed as the woman's responsibility, men have an important role in decisions of whether FP will be practiced and which method will be used. Even though gender relations in the Philippines are often characterized as being relatively egalitarian, there are several reasons for believing that male involvement in FP is highly relevant for this country. Studies indicate that not only are …
Improving Quality Of Care In Fp/Rh Of Selected Communities Of Pangasinan Province: An Intervention Study, Zelda C. Zablan, Josefina V. Cabigon, Luzviminda Muego, Marilou P. Costello, Chona R. Echavez
Improving Quality Of Care In Fp/Rh Of Selected Communities Of Pangasinan Province: An Intervention Study, Zelda C. Zablan, Josefina V. Cabigon, Luzviminda Muego, Marilou P. Costello, Chona R. Echavez
Reproductive Health
This intervention study was designed to improve the quality of family planning (FP) services within the Integrated Family Planning and Maternal Health Program of the Pangasinan Population and Family Planning Program in the Philippines. It addresses high unmet need and studies the feasibility of enhancing quality of services by training service providers in fixed clinics and orienting outreach workers on the method of identifying women who have unmet need for FP. Four municipalities were chosen from the 47 municipalities comprising the province of Pangasinan and randomly assigned to experimental and control groups. Four indicators were used to match the chosen …
Conditions Optimales D'Utilisation Des Nettoyants À Plancher : Gras Animaux Et Végétaux Sur Vinyle Et Grès, Philippe L'Homme, Sylvain Lamoureux, François Quirion
Conditions Optimales D'Utilisation Des Nettoyants À Plancher : Gras Animaux Et Végétaux Sur Vinyle Et Grès, Philippe L'Homme, Sylvain Lamoureux, François Quirion
Rapports de recherche scientifique
Ce rapport présente et discute les résultats obtenus par QI Recherche et Développement Technologique dans le cadre de l'activité de recherche "Conditions optimales d'utilisation des nettoyants à plancher : Gras animaux et végétaux sur vinyle et grès". Le projet de recherche a débuté le 4 juillet 1997 pour se terminer avec le dépôt de ce rapport final, le 10 juin 1998. Cette activité s'inscrit dans l'effort de recherche de l'IRSST pour réduire l'incidence des chutes et glissades qui, entre 1993 et 1995, ont été à l'origine de plus de 12,800 cas de lésions chez les travailleurs du Québec.
Cette …
Dual Protection In An Integrated Community-Based Program: A Case Study Of Tanzania Family Health/Ministry Of Health Project In Mbeya, Grace Mbekem, Jane Chege
Dual Protection In An Integrated Community-Based Program: A Case Study Of Tanzania Family Health/Ministry Of Health Project In Mbeya, Grace Mbekem, Jane Chege
Reproductive Health
One of the most pressing challenges for health programs in most sub-Saharan African countries is effectively addressing the increasing prevalence of HIV/AIDS. Recent evidence suggests that controlling sexually transmitted diseases (STDs) through undertaking preventive measures, early diagnosis, and treatment significantly slows the spread of HIV/AIDS. In regard to STI/HIV, Maternal and Child Health (MCH) and Family Planning (FP) clients are described as “low risk” groups. However, in a number of sub-Saharan African countries, the reported levels of STDs are significantly high enough to justify use of limited resources to target this group for STD services. MCH/FP programs have begun to …
Eye Health Of Aboriginal And Torres Strait Islander People: Aboriginal And Torres Strait Islander Health Reviews: Number 1, Neil Thomson, Beverley Paterson
Eye Health Of Aboriginal And Torres Strait Islander People: Aboriginal And Torres Strait Islander Health Reviews: Number 1, Neil Thomson, Beverley Paterson
Research outputs pre 2011
As with many other aspects of health status, it is most probable that prior to the European settlement of Australia in 1788 the eye health of Australian Aborigines and Torres Strait Islanders was excellent. In fact. their eye health was almost certainly better than that of Europeans of the time. There are no definite data from early post-settlement times, but this conclusion appears reasonable from the results of a number of thorough surveys conducted as late as the 1940s and 1950s ( 1-4) Despite finding some severe preventable problems, particularly trachoma (a form of infective conjunctivitis - see Appendix l …
Corporate Executive Perspective Of Worksite Health Promotion Programs, Barbara E. Gay
Corporate Executive Perspective Of Worksite Health Promotion Programs, Barbara E. Gay
Dissertations and Theses @ UNI
Health promotion programs at the workplace are increasing in popularity for both large and small businesses across the United States. The workplace has been recognized as a favorable setting for health promotion programs because it provides a captive audience for promoting health. The workplace also provides the employee with an opportunity for support in making healthy lifestyle changes. Numerous studies have documented that worksite health promotion programs will improve employee health and morale, increase productivity, and decrease absenteeism. Comparing the cost to the benefits is often the basis for making business decisions, including the decision to implement a health promotion …
Prévention Des Troubles Musculosquelettiques Associés À La Bureautique : Analyse Des Besoins Et Portrait De La Formation Et De L'Information, Cécile Collinge, Ronald Landry
Prévention Des Troubles Musculosquelettiques Associés À La Bureautique : Analyse Des Besoins Et Portrait De La Formation Et De L'Information, Cécile Collinge, Ronald Landry
Rapports de recherche scientifique
No abstract provided.
Attitudes Toward Sexuality And Sexual Behaviors Of Asian-American Adolescents: Implications For Risk Of Hiv Infection, Connie S. Chan
Attitudes Toward Sexuality And Sexual Behaviors Of Asian-American Adolescents: Implications For Risk Of Hiv Infection, Connie S. Chan
Institute for Asian American Studies Publications
Until 1990, Asian Americans represented an ethnic minority group that was perceived to be at lower risk than African Americans or Hispanics/Latinos for HIV infection, the presumed causal agent for AIDS. Reasons cited for this perception include behavioral differences in intravenous drug use, sexual behavioral habits, and underidentification of AIDS cases. However, in urban areas such as San Francisco, Toronto, New York, Boston, Los Angeles, and Seattle, where Asians have immigrated and settled in large numbers, cases of HIV infection and AIDS have begun to increase dramatically, perhaps reflecting the rise in the number of AIDS cases in Asia. In …
The Relationship Between Meaning In Life And The Occurrence Of Drug Abuse: An Epidemiological Retrospective Study, Ben Howard
Masters Theses & Specialist Projects
Humans have been using plant-derived drugs for as long as we have recorded history. Significant negative consequences related to drug abuse have occurred in the areas of health, social issues, family relations, legal systems, and economic productivity. The purpose of this study was to explore the relationship between meaning in life and drug abuse. An epidemiological, retrospective study was performed to compare personal meaning in life between individuals receiving inpatient treatment for drug abuse and a group of non-drug abusing controls. Study participants completed the Purpose-In-Life Test and Life Attitude Profile-Revised. On both instruments, the inpatient drug abusing subjects were …
An Administrative View Of Model Uncertainty In Public Health, Clark D. Carrington
An Administrative View Of Model Uncertainty In Public Health, Clark D. Carrington
RISK: Health, Safety & Environment (1990-2002)
Dr. Carrington reviews several ways to deal with model uncertainty, including those failing to acknowledge any use of models. He then evaluates six such methods with regard to, e.g., transparency and cost of execution.
In The Affirmative, Vol.4, No.5 (Mid-May/Mid-June1997), Mike Martin, The Aids Project
In The Affirmative, Vol.4, No.5 (Mid-May/Mid-June1997), Mike Martin, The Aids Project
In the affirmative (1993-1999)
No abstract provided.
Sawmill Worker Killed By Circular Saw, Kentucky Injury Prevention And Research Center
Sawmill Worker Killed By Circular Saw, Kentucky Injury Prevention And Research Center
Fatality Case Reports--Other
A 32-year-old laborer (the victim) at a sawmill died as a result of injuries received when he lost his balance and fell onto the log carriage directly in front of the 56-inch circular saw. He had been using a cane hook to turn the logs for repeated passes through the saw. After hooking a log, he somehow lost his balance and fell backward onto the carriage; the saw cut him from his shoulders through his midsection. A co-worker (the sawyer) was present, but had been facing another direction and did not see the victim fall. When the sawyer turned around …
Devolpment Of A Scale To Assess Home Health Care Aides' Ability To Recognize Depression In Older Adults, Tina M. Nerney
Devolpment Of A Scale To Assess Home Health Care Aides' Ability To Recognize Depression In Older Adults, Tina M. Nerney
Community & Environmental Health Theses & Dissertations
Depression afflicts 20% to 40% of people 65 and older. Depression in older adults is frequent and chronic. The challenge of a hospital stay and the knowledge of having a long term disability may increase the risk for a depressive episode. In today's health care environment older adults are being released from hospitals after a short length of stay and are frequently dependent on home health services for assistance with activities of daily living. Home health care aides are given the responsibility of providing these services to the older adult in the home environment and need to be aware of …
Pug Mill Operator Killed After Entanglement, Kentucky Injury Prevention And Research Center
Pug Mill Operator Killed After Entanglement, Kentucky Injury Prevention And Research Center
Fatality Case Reports--Other
On November 19, 1996, a 25-year-old female pug mill operator at a brick manufacturing plant was killed after her clothing became caught in a rotating shaft. She was strangled as the rotating shaft tightened her clothing around her neck, restricting her airway. In order to prevent similar incidents from occurring, FACE investigators recommend:
- Machines with rotating parts should have guards to prevent worker contact
- Employers should designate a competent person to conduct regular safety inspections and coordinate routine safety and injury prevention meetings
- Employers should provide a kill switch (panic bar) within reach of the pug mill that stops the …
Vaccine Risk Communication: Lessons From Risk Perception, Decision Making And Environmental Risk Communication Research, Ann Bostrom
RISK: Health, Safety & Environment (1990-2002)
Dr. Bostrom reviews the rich variety of empirical findings available to guide risk communication and demonstrates how it can contribute to vaccine risk and safety communication.
Safety Guidelines For Occupational Hazards To The Reproductive System, Laverne Raquel Ogieste
Safety Guidelines For Occupational Hazards To The Reproductive System, Laverne Raquel Ogieste
Theses
Most workers are unaware of the hazards to the reproductive system that surround them in the workplace, and therefore, few if any precautions are taken to avoid unnecessary exposures. In this research, safety guidelines were developed in order to eliminate such dangers from occurring or reoccurring.
These guidelines were developed by reviewing case studies of occupational hazards to the reproductive system, including federal laws and regulations related to safety within the workplace. The following forms were also developed in order to formulate suitable safety guidelines for occupational hazards to the reproductive system. They are: an occupational reproductive survey, a reproductive …
Pay-Per-Visit For Home Health Agency Nurses, Paula Beth Peoples
Pay-Per-Visit For Home Health Agency Nurses, Paula Beth Peoples
Theses Digitization Project
No abstract provided.
An Assessment Of Community-Based Family Planning Programs In Kenya, Jane Chege, Ian Askew
An Assessment Of Community-Based Family Planning Programs In Kenya, Jane Chege, Ian Askew
Reproductive Health
Kenya has a long history of using community-based distribution (CBD) as an integral part of its family planning (FP) program. The purpose of this study was to assess the role of CBD programs in terms of providing information and services, to learn more about the determinants of program effectiveness, and to attempt to compare the programs’ cost-effectiveness. Fieldwork was undertaken in mid-1995 when data were collected from seven of the major CBD programs in Kenya. Four rural and three urban programs were included, as were programs that remunerated their agents and those that did not, and programs that had full-time …
Trade And Health: The Global Spread Of Diseases And International Trade, David P. Fidler
Trade And Health: The Global Spread Of Diseases And International Trade, David P. Fidler
Articles by Maurer Faculty
No abstract provided.
Reproductive Control In South Africa, Carol E. Kaufman
Reproductive Control In South Africa, Carol E. Kaufman
Poverty, Gender, and Youth
The controversial state-sponsored family planning program officially began in South Africa in 1974. Although the government did not implement the program on a racial basis, the program was widely believed to be linked with white fears of growing black numbers, and was attacked by detractors as a program of social and political control. In spite of the hostile environment, black women’s use of services steadily increased. Using historical and anthropological evidence, this paper delineates the links between the social and political context of racial domination and individual fertility behavior. It argues that the quantitative ‘success’ of the family planning program …
Introducing Sexuality Within Family Planning: The Experience Of Three Hiv/Std Prevention Projects From Latin America And The Caribbean, Julie Becker, Elizabeth Leitman, Mahmoud F. Fathalla
Introducing Sexuality Within Family Planning: The Experience Of Three Hiv/Std Prevention Projects From Latin America And The Caribbean, Julie Becker, Elizabeth Leitman, Mahmoud F. Fathalla
Poverty, Gender, and Youth
This edition of Quality/Calidad/Qualité relates the experience of three family planning associations affiliated with the International Planned Parenthood Federation/Western Hemisphere Region that have tried to incorporate an HIV/AIDS prevention strategy into their existing family planning programs and services. It examines how BEMFAM/Brazil, ASHONPLAFA/ Honduras, and FAMPLAN/Jamaica have made a transition toward a range of family planning services more focused on the clients themselves and more explicit in the treatment of sexual themes. In each of the three countries, the staff received special training that not only enabled them to provide information on HIV/AIDS, but also helped them adopt a broader …
Using A Rapid Assessment Approach To Evaluate The Quality Of Care In An Integrated Program: The Experience Of The Family Health Division, Ministry Of Health, Botswana, Lucy Sejo Maribe, Baker Ndugga Maggwa, Ian Askew, Kate Miller
Using A Rapid Assessment Approach To Evaluate The Quality Of Care In An Integrated Program: The Experience Of The Family Health Division, Ministry Of Health, Botswana, Lucy Sejo Maribe, Baker Ndugga Maggwa, Ian Askew, Kate Miller
Reproductive Health
To strengthen existing efforts by the Government of Botswana in responding to the HIV/AIDS epidemic, USAID provided financial and technical assistance through the Botswana Population Assistance (BOTSPA) project. BOTSPA’s goal was to improve the quality and availability of family planning (FP) and sexually transmitted infection (STI) services through designing, implementing, and monitoring activities that would lead to the eventual institutionalization and sustainability of high-quality FP and STI/HIV/AIDS services. The Ministry of Health requested assistance from the Africa OR/TA Project II to develop and test an approach for routinely measuring the quality of service delivery and assessing skills retention by staff …
Integrating Sti/Hiv Management Strategies Into Existing Mch/Fp Programs: Lessons From Case Studies In East And Southern Africa, Baker Ndugga Maggwa, Ian Askew
Integrating Sti/Hiv Management Strategies Into Existing Mch/Fp Programs: Lessons From Case Studies In East And Southern Africa, Baker Ndugga Maggwa, Ian Askew
Reproductive Health
Sub-Saharan Africa is confronting an HIV/AIDS epidemic and virtually all health programs in the region are seeking ways of preventing and reducing the spread of this virus. To compound the problem, the presence of certain sexually transmitted infections (STIs) is known to increase risk of the sexual transmission of HIV. The sub-Saharan region is believed to have some of the highest levels of STIs in the world, thus controlling STIs is not only an important reproductive health care strategy in itself but also a key strategy in reducing the spread of HIV. The strongest evidence to support this has come …
Traditional Family Planning In Bangladesh, Alan Gray, Jamil H. Chowdhury, Bruce Caldwell, Ahmed Al-Sabir
Traditional Family Planning In Bangladesh, Alan Gray, Jamil H. Chowdhury, Bruce Caldwell, Ahmed Al-Sabir
Reproductive Health
“Traditional” methods of family planning (FP) generally are methods such as withdrawal and periodic abstinence that do not require contraceptive substances or devices, or clinical procedures. In 1991, approximately 38 million couples worldwide relied on withdrawal to prevent pregnancy, and 30-35 million relied on periodic abstinence. Together, these constituted one-quarter of all users of temporary methods of FP worldwide. In Bangladesh, the proportion using periodic abstinence or withdrawal was more than 20 percent of users of temporary methods. The reasons for use of traditional methods have not been investigated in Bangladesh, because of overriding attention to modern methods. Given that …
Proceedings Of The Workshop On Integrating Reproductive Tract Infection Case Management In Lgu Health Centers, Population Council
Proceedings Of The Workshop On Integrating Reproductive Tract Infection Case Management In Lgu Health Centers, Population Council
Reproductive Health
This report documents the proceedings of a training workshop on reproductive tract infection (RTI) case management for physicians, nurses, and midwives in selected health centers of the Philippines. The training started with presentation of focus group discussion results emphasizing existing beliefs and perceptions of the community regarding RTIs. The results of the situation analysis served as an eye opener for many in that clients with RTI-related symptoms were found to be rather rare and not systematically managed in the health clinics. Many providers report that since they are not trained to handle such cases, they refer whoever comes with symptoms …
Integration Of Sti And Hiv/Aids With Mch-Fp Services: A Case Study Of The Busoga Diocese Family Life Education Program, Uganda, Joy Mukaire, Florence Kalikwani, Baker Ndugga Maggwa
Integration Of Sti And Hiv/Aids With Mch-Fp Services: A Case Study Of The Busoga Diocese Family Life Education Program, Uganda, Joy Mukaire, Florence Kalikwani, Baker Ndugga Maggwa
Reproductive Health
The Family Life Education Project (FLEP) was started in 1986 by the Busoga Diocese of the Anglican Church of Uganda with assistance from Pathfinder International. The project provides integrated MCH, FP, STD, and HIV/AIDS services to more than 500,000 individuals through 48 clinics and 162 trained village health workers (VHWs). Each clinic serves an estimated 11,000 people living in a sub-Parish. Each sub-Parish has a health subcommittee selected by the community that is responsible for hiring clinic staff, identifying VHWs, and mobilizing resources for clinic staff salaries. Data suggest that the program is reaching a large number of clients through …