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Full-Text Articles in Medicine and Health Sciences

Urf: Islamic Biomedical Ethics In Rural Mali, Amanda Reider Apr 2008

Urf: Islamic Biomedical Ethics In Rural Mali, Amanda Reider

Independent Study Project (ISP) Collection

Anxious faces gather at the entrance to La Grande Mosquée de Sanankoroba, an imposing cement structure amongst small mud homes, awaiting the imam’s decision. He is not a mujtahid , but offers fatwas nonetheless; today’s is on birth control. Men crowd around—and a few women at the rear—to hear him speak out against birth control, against the use of oral contraception, for being against Islam and against God’s plan. And when his speech finishes, the faces disappear, back into their homes, and little discussion ensues. Instead, men return to their wives to share the verdict, to denounce family planning as …


Obstetric Fistula In Mali, Chandler O’Connell Apr 2008

Obstetric Fistula In Mali, Chandler O’Connell

Independent Study Project (ISP) Collection

Obstetric fistula is arguably the most devastating result of childbirth complications, aside from maternal and neonatal mortality, the latter of which almost always occurs during deliveries which result in fistula. Defined as a hole in the birth canal, obstetric fistula is generally caused by prolonged obstructed labor in the absence of prompt medical intervention.20 This injury results in chronic incontinence through the vagina as well as many other secondary health consequences.33 Additionally, it is impossible to measure the extensive social and psychological burdens suffered by women because of this affliction. Despite the fact that obstetric fistula is both preventable and …


The Complexity Of Re-Evaluating Antiretroviral Therapy Eligibility Guidelines For Hiv/Aids Patients In Uganda, Jennifer Klein Apr 2008

The Complexity Of Re-Evaluating Antiretroviral Therapy Eligibility Guidelines For Hiv/Aids Patients In Uganda, Jennifer Klein

Independent Study Project (ISP) Collection

When I first learned that the eligibility criteria for Antiretroviral Drugs (ARVs) in Uganda is to have a CD4 cell count of 200 or below, I was shocked. Actually, I think my exact response was, “So patients must have full-blown AIDS, severely weakened immune systems, and may be on their deathbeds before they can receive the drugs?” I knew little of the subject, other than that in the United States HIV-positive patients who are on drugs may avoid many of the opportunistic infections and complications that come from delaying treatment until the CD4 count is low. My initial confusion over …