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Mifepristone abortion outside the urban Исследование hospital setting in India.

Medical abortion holds great promise in less-developed countries, where abortion morbidity and mortality remain high. We tested the French mifepristone-misoprostol regimen in two urban outpatient family-planning clinics (n=600) and a rural hospital (n=300) in India. 4% of urban women and 1% of rural women were lost to follow-up. Perfect use and typical-use success rates were as high as European rates at all sites. Although rural women reported fewer side-effects, most women in urban and rural settings were satisfied with their medical abortions. Medical abortion can be offered safely, effectiv

Хронические заболевания: размышления о программе исследований на уровне общин.

АИМ: Цель настоящего документа состоит в том, чтобы описать рождение исследовательской культуры в общинной службе по уходу за больными, а также разработку и осуществление программы практических исследований, в рамках которой основное внимание уделяется изучению опыта жизни с хроническими заболеваниями. СПРАВОЧНАЯ ИНФОРМАЦИЯ 70% Клиенты нашей общинной практики медсестры в Южной Австралии живут с хроническими заболеваниями. Наши исследования были сосредоточены на том, как общинные медсестры могут помочь людям, живущим в хронических условиях, жить «хорошо». В настоящем документе мы рассказываем о

Совпадение в аннотации оригинала
AIM: The purpose of this paper is to describe the birth of a Исследование culture in a community nursing service, and the development and implementation of an action Исследование programme that focuses on understanding the experiences of living with chronic illness. BACKGROUND: Approximately 70% of the clients of our community nursing practice in South Australia liv…

Current Исследование on rapid cycling bipolar disorder and its treatment.

Rapid cycling is a pattern of presentation of bipolar disorder that specifies the course of the illness and is associated with a greater morbidity. The validity of rapid cycling as a distinct course modifier for bipolar disorder has been demonstrated and the term has been incorporated into the DSM-IV. The phenomenon of rapid cycling tends to appear late in the course of the disorder, occurs more frequently among females, and is more frequently seen in patients with bipolar type II disorder. Stimulants such as cocaine may also play some role in rapid-cycling. It is generally accepted that a rec

Alternate strategies for improving iron nutrition: lessons from recent Исследование.

Strategies such as dietary diversification and food fortification have yielded significant results in controlling iron deficiency anaemia in developed countries. Reducing the prevalence of iron deficiency anaemia in developing countries is still a matter of importance. The major factors responsible for iron deficiency anaemia in the vulnerable segments of developing countries are reduced intake and poor bioavailability of dietary iron. Dietary diversification and food-based approaches pose considerable challenges before they can be implemented on a wide scale. Anaemia control programmes based

Current medicolegal and confidentiality issues in large, multicenter Исследование programs.

The convenience of fast computers and the Internet have encouraged large collaborative Исследование efforts by allowing transfers of data from multiple sites to a single data repository; however, standards for managing data security are needed to protect the confidentiality of participants. Through Dartmouth Medical School, in 1996-1998, the authors conducted a medicolegal analysis of federal laws, state statutes, and institutional policies in eight states and three different types of health care settings, which are part of a breast cancer surveillance consortium contributing data electronically t…

Childhood carcinoid tumors: the St Jude Children's Research Hospital experience.

BACKGROUND/PURPOSE: To better characterize childhood carcinoid tumors, the authors reviewed the clinical presentation, treatment, and outcomes of pediatric patients with these rare tumors. METHODS: A retrospective review was conducted of medical records and pathologic materials of all children with carcinoid tumors treated at St Jude Children's Research Hospital between December 1977 and March 1999. RESULTS: Eight patients (median age, 12.7 years) were identified; 2 were boys, and 7 were white. Primary tumor sites were the appendix (n = 5), small intestine (n = 1), bronchus (n = 1), and 1 un…

Benzocaine-associated methemoglobinemia following bronchoscopy in a healthy Исследование participant.

Benzocaine (ethyl aminobenzoate) is a local anesthetic commonly used to achieve topical anesthesia of the skin and mucous membranes prior to endoscopic procedures. Methemoglobinemia, a condition in which hemoglobin cannot bind and deliver oxygen normally, has been associated with benzocaine use in various patient populations. This is the first report of benzocaine-associated methemoglobinemia occurring in a healthy Исследование participant. The Исследование participant developed a methemoglobin level of 27% and marked cyanosis. No adverse sequelae other than cyanosis were identified. This report exten…

Immunological control of ectoparasites: past achievements and future Исследование priorities.

Recombinant vaccines are available for the control of the tick Boophilus microplus, while progress has been made in the development of vaccines against Lucilia cuprina and Chrysomya bezziana. Literature suggests that the control of other ectoparasites is feasible, either through the duplication in a vaccine of naturally acquired immunity or through 'concealed' antigen vaccines. Major deficiencies in our current knowledge however point to possible Исследование opportunities for the future. The identification of protective antigens from all species is proceeding slowly, particularly for the antigens…

Research of new AgX crystal forms by transmission electron microscopy.

The Исследование of AgX (X=Cl, Br) crystals grown from ammonia solution as a function of X- supersaturation, gelatin concentration, temperature, and use of growth modificators, has been enhanced by data from transmission electron microscopy. The study resulted in preparing AgBr thin films with the most developed ¿100¿ side of rombododecahedron. The size of the crystals was 5 x 15 mm. The thickness was several microm. The new forms of AgBr and AgCl microcrystals were obtained from a high concentrated solution of the corresponding salts in NH4OH. These microcrystals were named "X," 'Y' crystals [AgB…

"Waiting in Araf" Исследование without consent: a Turkish mother's experience.

In this article, a nurse author from Turkey relates the anxiety and struggle that she experienced with the birth of her first baby when, for unknown reasons, the baby experienced acute rectal bleeding after birth. Unsatisfactory doctor-patient relations, abolishment of patient rights, suspicion of Исследование without permission, and clinical iatrogenesis are discussed. The mother describes the 10 days she spent with her child in the hospital as "waiting in Araf." According to Middle Eastern culture, "Araf" is defined in the Koran as a place between Eden and Hell where people who have sinned are r…

Long-term indwelling urinary catheter care: conceptualizing the Исследование base.

The traditional public health concepts of agent, host, and environment can provide a useful interdisciplinary model for analysing the current state of knowledge in long term indwelling urinary catheter care. A broad review of literature about urinary catheter care was carried out to identify major areas of Исследование and gaps in knowledge. Most Исследование in the past decade has focused on understanding how catheter encrustations develop and how such encrustations may contribute to leaking/blocking of the catheter and urinary tract infection. Two tables are presented which summarize Исследование relate…

Prevention of cardiovascular disease: from biomedical Исследование to health policy.

Cardiovascular diseases (CVD) are the leading cause of premature death and disability in the developed world. Broad consensus exists on CVD preventability through reduction of their risk factors at both the individual and population level. The latter kind of intervention implies involvement of policy-making institutions, owing to the manifold implications (agriculture, industry, environment) of such programmes. They have to be developed through three phases in succession: observational studies; intervention trials; public health action programmes. The implementation of the latter can only resu

Current trends in slot machine gambling: Research and policy issues.

This paper introduces a special issue of theJournal of Gambling Studies on slot machine gambling, and overviews some current trends concentrating on Исследование and policy issues. It is demonstrated that throughout the world, Исследование findings have linked slot machines with pathological gambling. Indeed slot machines are now the predominant form of gambling activity by pathological gamblers treated in self help groups and professional treatment centres in numerous countries. This paper briefly examines the Исследование on slot machines and pathological gambling and then goes on more specifically to e…

Sexuality and end-stage renal disease: Исследование and clinical recommendations.

Available studies of sexuality in end-stage renal disease (ESRD) patients are critically reviewed under three headings: (1) descriptive studies of dialysis patients, (2) intervention studies with dialysis patients, and (3) descriptive studies of renal transplant recipients. These studies suggest the presence of significant sexual deficits in uremic (predialysis) and dialysis patients that are only partially alleviated by transplantation or other medical interventions. There are no systematic evaluations of nonmedical interventions for sexual problems in ESRD patients. Most of the Исследование has …

Anorexia nervosa: Recent Исследование findings and implications for clinical practice.

In this paper, recent anorexia nervosa Исследование is reviewed with the specific goal of identifying findings that have bearings on clinical management strategies for this particular group of eating disordered patients.